Mary Kate Gale | Search arXiv

arXiv2026

Fine Wrist Control as a Marker of Surgical Teleoperation Expertise

Unlike most intensely physical pursuits, surgical robotic teleoperation training focuses primarily on task outcomes rather than surgeon body posture or biomechanics during task completion. Toward the question of the role of biomechanics in surgical expertise, we sought to characterize the articular motion of expert teleoperators as compared to novice users. Twenty-seven novices and nine experts completed a non-medical cylinder-on-peg transfer task while their upper limb biomechanics were recorded via motion trackers. During more difficult motions, experts stabilized their wrist motion more than novices, while maintaining adequate range of motion in their shoulder and elbow and completing the task significantly faster than novices. This marker of expertise suggests the importance of attention to user biomechanics during teleoperation of surgical robots.

cs.RO↗

arXiv2025

Effect of Performance Feedback Timing on Motor Learning for a Surgical Training Task

Objective: Robot-assisted minimally invasive surgery (RMIS) has become the gold standard for a variety of surgical procedures, but the optimal method of training surgeons for RMIS is unknown. We hypothesized that real-time, rather than post-task, error feedback would better increase learning speed and reduce errors. Methods: Forty-two surgical novices learned a virtual version of the ring-on-wire task, a canonical task in RMIS training. We investigated the impact of feedback timing with multi-sensory (haptic and visual) cues in three groups: (1) real-time error feedback, (2) trial replay with error feedback, and (3) no error feedback. Results: Participant performance was evaluated based on the accuracy of ring position and orientation during the task. Participants who received real-time feedback outperformed other groups in ring orientation. Additionally, participants who received feedback in replay outperformed participants who did not receive any error feedback on ring orientation during long, straight path sections. There were no significant differences between groups for ring position overall, but participants who received real-time feedback outperformed the other groups in positional accuracy on tightly curved path sections. Conclusion: The addition of real-time haptic and visual error feedback improves learning outcomes in a virtual surgical task over error feedback in replay or no error feedback at all. Significance: This work demonstrates that multi-sensory error feedback delivered in real time leads to better training outcomes as compared to the same feedback delivered after task completion. This novel method of training may enable surgical trainees to develop skills with greater speed and accuracy.

cs.RO↗