In minimally invasive telesurgery, obtaining accurate force information is difficult due to the complexities of in-vivo end effector force sensing. This constrains development and implementation of haptic feedback and force-based automated performance metrics, respectively. Vision-based force sensing approaches using deep learning are a promising alternative to intrinsic end effector force sensing. However, they have limited ability to generalize to novel scenarios, and require learning on high-quality force sensor training data that can be difficult to obtain. To address these challenges, this paper presents a novel vision-based contact-conditional approach for force estimation in telesurgical environments. Our method leverages supervised learning with human labels and end effector position data to train deep neural networks. Predictions from these trained models are optionally combined with robot joint torque information to estimate forces indirectly from visual data. We benchmark our method against ground truth force sensor data and demonstrate generality by fine-tuning to novel surgical scenarios in a data-efficient manner. Our methods demonstrated greater than 90% accuracy on contact detection and less than 10% force prediction error. These results suggest potential usefulness of contact-conditional force estimation for sensory substitution haptic feedback and tissue handling skill evaluation in clinical settings.

Teleoperated robotic systems have introduced more intuitive control for minimally invasive surgery, but the optimal method for training remains unknown. Recent motor learning studies have demonstrated that exaggeration of errors helps trainees learn to perform tasks with greater speed and accuracy. We hypothesized that training in a force field that pushes the operator away from a desired path would improve their performance on a virtual reality ring-on-wire task. Forty surgical novices trained under a no-force, guidance, or error-amplifying force field over five days. Completion time, translational and rotational path error, and combined error-time were evaluated under no force field on the final day. The groups significantly differed in combined error-time, with the guidance group performing the worst. Error-amplifying field participants showed the most improvement and did not plateau in their performance during training, suggesting that learning was still ongoing. Guidance field participants had the worst performance on the final day, confirming the guidance hypothesis. Participants with high initial path error benefited more from guidance. Participants with high initial combined error-time benefited more from guidance and error-amplifying force field training. Our results suggest that error-amplifying and error-reducing haptic training for robot-assisted telesurgery benefits trainees of different abilities differently.