MedVLA: A Hierarchical Vision-Language-Action Framework for Closed-Loop Precision Medical Robot Manipulation

Vision-Language-Action (VLA) models have gained much attention from the research community thanks to their strength in translating multimodal observations with linguistic instructions into desired robotic actions. Despite their advancements, VLAs often overlook explicit reasoning and learn the functional input-action mappings, omitting crucial logical steps, which are especially pronounced in interpretability and generalization for complex, long-horizon manipulation tasks. In this work, we propose ReFineVLA, a multimodal reasoning-aware framework that fine-tunes VLAs with teacher-guided reasons. We first augment robotic datasets with reasoning rationales generated by an expert teacher model, guiding VLA models to learn to reason about their actions. Then, we fine-tune pre-trained VLAs with the reasoning-enriched datasets with ReFineVLA, while maintaining the underlying generalization abilities and boosting reasoning capabilities. We also conduct attention map visualization to analyze the alignment among visual observation, linguistic prompts, and to-be-executed actions of ReFineVLA, reflecting the model is ability to focus on relevant tasks and actions. Through this additional step, we explore that ReFineVLA-trained models exhibit a meaningful agreement between vision-language and action domains, highlighting the enhanced multimodal understanding and generalization. Evaluated across a suite of simulated manipulation benchmarks on SimplerEnv with both WidowX and Google Robot tasks, ReFineVLA achieves state-of-the-art performance, in success rate over the second-best method on the both the WidowX benchmark and Google Robot Tasks.

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 $π_{0.5}$ 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.

Language-conditioned manipulation requires both precise contact-rich control and robust reasoning over language, scenes, and long horizons. End-to-end Vision-Language-Action (VLA) models provide strong local visuomotor skills, but they are trained on in-distribution task trajectories and often fail under deployment perturbations such as semantic retargeting, goal re-binding, spatial-layout shifts, and unstable local contacts. LLM coding agents provide complementary semantic and compositional reasoning, but purely analytic primitives struggle with irregular grasping, constrained placement, and articulated-object interaction. We present Harness VLA, a memory-augmented agentic framework that exposes a frozen VLA as a retryable contact-rich primitive and composes it with a small fixed library of analytic primitives for grounding, staging, transport, navigation, and release. Rather than expanding the skill library, the harness learns the operating range of these fixed primitives from task-specific execution traces, global success rules, and failure models. By lifting semantic re-grounding, non-contact execution, and VLA re-staging to the planner while reserving the frozen VLA for local contact-rich phases, Harness VLA extends pretrained VLAs beyond their original trajectory distribution without finetuning. Across perturbed tabletop, household kitchen, and clean-to-randomized bimanual manipulation, Harness VLA improves over the strongest relevant baselines by 38.6 and 25.4 percentage points on LIBERO-Pro and RoboCasa365, respectively, and reaches 58.4% on RoboTwin C2R. Code is available at https://github.com/RLinf/RPent.