Surgical robotic systems are increasingly being adopted as clinical workload rises, motivating autonomous solutions for repetitive manipulation subtasks. Learning-based controllers improve generalization compared with rule-based and analytic approaches, but most are trained for individual tasks and remain difficult to reuse across procedures. Vision-Language-Action (VLA) models provide a unified framework that integrates visual perception, language grounding, and action generation, offering a promising path toward more composable surgical autonomy. However, existing VLA policies rely on fixed-length open-loop action sequences, where changing scene conditions can lead to accumulated errors and potential risks in surgical manipulation. To mitigate this issue, we formulate surgical VLA deployment as an adaptive execution-horizon decision problem and propose Trajectory Divergence Horizon Decision (TDHD), a test-time mechanism that estimates step-wise action reliability by measuring the divergence between two flow-matching-generated trajectories under small noise perturbations and truncates execution using a dual-threshold rule to trigger timely replanning. We further establish a real-world da Vinci-like dual-arm benchmark with synchronized multi-view perception and language instructions, and collect 600 teleoperated demonstrations across needle (reach, pick, regrasp) and tissue (reach, lift, resection) manipulation suites. On real hardware with 20 trials per task setting, TDHD consistently improves performance over the latest VLA baselines: success increases from 55% to 60% for needle manipulation and from 55% to 80% for tissue manipulation, with the largest gains observed in the final manipulation stages. These results highlight the importance of adaptive execution control for reliable deployment of VLA models in surgical robotic manipulation.
Vision-language-action (VLA) models are effective robot action executors, but they remain limited on long-horizon tasks due to the dual burden of extended closed-loop planning and diverse physical operations. We therefore propose VLAs-as-Tools, a strategy that distributes this burden across a high-level vision language model (VLM) agent for temporal reasoning and a family of specialized VLA tools for diverse local physical operations. The VLM handles scene analysis, global planning, and recovery, while each VLA tool executes a bounded subtask. To tightly couple agent planning with VLA tool execution in long-horizon tasks, we introduce a VLA tool-family interface that exposes explicit tool selection and in-execution progress feedback, enabling efficient event-triggered agent replanning without continuous agent polling. To obtain diverse specialized VLA tools that faithfully follow agent invocations, we further propose Tool-Aligned Post-Training (TAPT), which constructs invocation-aligned training units for instruction following and adopts tool-family residual adapters for efficient tool specialization. Experiments show that VLAs-as-Tools improves the success rate of π0.5 by 4.8 points on LIBERO-Long and 23.1 points on RoboTwin, and further enhances invocation fidelity by 15.0 points as measured by Non-biased Rate. Code will be released.
Long-horizon manipulation remains challenging for vision-language-action (VLA) policies: real tasks are multi-step, progress-dependent, and brittle to compounding execution errors. We present LoHo-Manip, a modular framework that scales short-horizon VLA execution to long-horizon instruction following via a dedicated task-management VLM. The manager is decoupled from the executor and is invoked in a receding-horizon manner: given the current observation, it predicts a progress-aware remaining plan that combines (i) a subtask sequence with an explicit done + remaining split as lightweight language memory, and (ii) a visual trace -- a compact 2D keypoint trajectory prompt specifying where to go and what to approach next. The executor VLA is adapted to condition on the rendered trace, thereby turning long-horizon decision-making into repeated local control by following the trace. Crucially, predicting the remaining plan at each step yields an implicit closed loop: failed steps persist in subsequent outputs, and traces update accordingly, enabling automatic continuation and replanning without hand-crafted recovery logic or brittle visual-history buffers. Extensive experiments spanning embodied planning, long-horizon reasoning, trajectory prediction, and end-to-end manipulation in simulation and on a real Franka robot demonstrate strong gains in long-horizon success, robustness, and out-of-distribution generalization. Project page: https://www.liuisabella.com/LoHoManip
Precision medical robotics demands adaptive decision-making under strict safety, interpretability, and execution constraints. Although recent Vision-Language-Action (VLA) models show strong multimodal reasoning ability, their continuous action generation paradigm is not well suited for precision medical tasks, where reliable closed-loop operation may also depend on non-action system function calls. To address this gap, we propose MedVLA, a hierarchical framework that couples high-level multimodal reasoning with low-level function-constrained execution. We further introduce a scalable multi-agent pipeline to generate skill-oriented chain-of-thought(CoT) data for structured training. Built on different multimodal large-model backbones, MedVLA consistently improves performance after fine-tuning, demonstrating the effectiveness of the proposed framework across model variants. Under identical initial conditions, we perform 100 closed-loop flexible electrode implantation trials. The results show that MedVLA achieves a 95.0% task success rate, substantially outperforming representative VLA baselines, including OpenVLA (8%) and π0 (15%), in accuracy, stability, and safety. These results indicate that structured reasoning with constrained function-level execution is a practical route toward deployable precision medical robotics.