SimRetract: Zero-Shot Sim-to-Real Robotic Assistance for Retractor Take-Over in Open Surgery

This study presents the first evaluation of general-purpose imitation learning for surgeon-robot collaborative assistance in open surgery, targeting suture following: the grab-pull-release motion an assistant performs at every stitch. We collect 160 teleoperated demonstrations (32,374 frames) on an open-source robot arm, benchmark four architecturally diverse imitation learning policies (ACT, Diffusion Policy, SmolVLA, $π_0$) across 28 trained models evaluated in 32 configurations along three clinically motivated dimensions: dataset size, camera viewpoint, and background variation. Our results demonstrate that under ideal conditions, the four policies achieve $50$-$75\%$ task success, with depth error as the dominant failure mode across all architectures. Among all policies, $π_0$ achieves the strongest results with a pretrained vision-language backbone, demonstrating superior data efficiency, greater robustness to background variation, and smoother trajectories compatible with surgical workflow. When deployed in a surgeon-robot suturing trial, $π_0$ yields a $92\%$ stitch completion rate. These findings establish collaborative robotic assistance in open surgery as a feasible target for imitation learning and highlight depth perception and end-effector design as key priorities for clinical translation.

The ability to manipulate tools significantly expands the set of tasks a robot can perform. Yet, tool manipulation represents a challenging class of dexterity, requiring grasping thin objects, in-hand object rotations, and forceful interactions. Since collecting teleoperation data for these behaviors is challenging, sim-to-real reinforcement learning (RL) is a promising alternative. However, prior approaches typically require substantial engineering effort to model objects and tune reward functions for each task. In this work, we propose SimToolReal, taking a step towards generalizing sim-to-real RL policies for tool manipulation. Instead of focusing on a single object and task, we procedurally generate a large variety of tool-like object primitives in simulation and train a single RL policy with the universal goal of manipulating each object to random goal poses. This approach enables SimToolReal to perform general dexterous tool manipulation at test-time without any object or task-specific training. We demonstrate that SimToolReal outperforms prior retargeting and fixed-grasp methods by 37% while matching the performance of specialist RL policies trained on specific target objects and tasks. Finally, we show that SimToolReal generalizes across a diverse set of everyday tools, achieving strong zero-shot performance over 120 real-world rollouts spanning 24 tasks, 12 object instances, and 6 tool categories.

A prevailing view in robot learning is that simulation alone is not enough; effective sim-to-real transfer is widely believed to require at least some real-world data collection or task-specific fine-tuning to bridge the gap between simulated and physical environments. We challenge that assumption. With sufficiently large-scale and diverse simulated synthetic training data, we show that zero-shot transfer to the real world is not only possible, but effective for both static and mobile manipulation. We introduce MolmoBot-Engine, a fully open-source pipeline for procedural data generation across robots, tasks, and diverse simulated environments in MolmoSpaces. With it, we release MolmoBot-Data, a dataset of 1.8 million expert trajectories for articulated object manipulation and pick-and-place tasks. We train three policy classes: MolmoBot, a Molmo2-based multi-frame vision-language model with a flow-matching action head; MolmoBot-Pi0, which replicates the $π_0$ architecture to enable direct comparison; and MolmoBot-SPOC, a lightweight policy suitable for edge deployment and amenable to RL fine-tuning. We evaluate on two robotic platforms: the Franka FR3 for tabletop manipulation tasks and the Rainbow Robotics RB-Y1 mobile manipulator for door opening, drawer manipulation, cabinet interaction, and mobile pick-and-place. Without any real-world fine-tuning, our policies achieve zero-shot transfer to unseen objects and environments. On tabletop pick-and-place, MolmoBot achieves a success rate of 79.2% in real world evaluations across 4 settings, outperforming $π_{0.5}$ at 39.2%. Our results demonstrate that procedural environment generation combined with diverse articulated assets can produce robust manipulation policies that generalize broadly to the real world. Technical website: https://allenai.github.io/MolmoBot