However, the automation of MIS and RAMIS through the use of AI has been slow due to difficulties in data acquisition and curation, partially caused by the ethical considerations of training, testing and deploying AI models in medical environments.

Robotic-assisted minimally invasive surgery (RAMIS) requires precise enforcement of the remote center of motion (RCM) constraint to ensure safe tool manipulation through a trocar. Achieving this constraint under dynamic and interactive conditions remains challenging, as existing control methods either lack robustness at the torque level or do not guarantee consistent RCM constraint satisfaction. This paper proposes a constraint-consistent torque controller that treats the RCM as a rheonomic holonomic constraint and embeds it into a projection-based inverse-dynamics framework. The method unifies task-level and kinematic formulations, enabling accurate tool-tip tracking while maintaining smooth and efficient torque behavior. The controller is validated both in simulation and on a RAMIS training platform, and is benchmarked against state-of-the-art approaches. Results show improved RCM constraint satisfaction, reduced required torque, and robust performance by improving joint torque smoothness through the consistency formulation under clinically relevant scenarios, including spiral trajectories, variable insertion depths, moving trocars, and human interaction. These findings demonstrate the potential of constraint-consistent torque control to enhance safety and reliability in surgical robotics. The project page is available at: https://rcmpc-cube.github.io

This paper presents a topology-inspired morphological descriptor for soft continuum robots by combining a pseudo-rigid-body (PRB) model with Morse theory to achieve a quantitative characterization of robot morphologies. By counting critical points of directional projections, the proposed descriptor enables a discrete representation of multimodal configurations and facilitates morphological classification. Furthermore, we apply the descriptor to morphology control by formulating the target configuration as an optimization problem to compute actuation parameters that generate equilibrium shapes with desired topological features. The proposed framework provides a unified methodology for quantitative morphology description, classification, and control of soft continuum robots, with the potential to enhance their precision and adaptability in medical applications such as minimally invasive surgery and endovascular interventions.

This paper focuses on the design of a parallel robot designed for robotic assisted minimally invasive pancreatic surgery. T wo alternative architectures, called ATHENA - 1 and ATHENA - 2, each with 4 degrees of freedom (DOF) are proposed. T heir kinematic schemes are presented, and the conceptual 3D CAD models are illustrated. Based on these, two F inite E lement M ethod (FEM) simulations were performed to determine which architecture has the higher stiffness. A workspace quantitative analysis is performed to further assess the usability of the two proposed parallel architectures related to the medical tasks . The obtained results are used to select the architecture which fit the required design criteria and will be used to develop the experimental model of the surgical robot.

Continuum robots have been widely adopted in robot-assisted minimally invasive surgery (RMIS) because of their compact size and high flexibility. However, their proprioceptive capabilities remain limited, particularly in narrow lumens, where lack of environmental awareness can lead to unintended tissue contact and surgical risks. To address this challenge, this work proposes a flexible annular sensor structure integrated around the vertebral disks of continuum robots. The proposed design enables real-time environmental mapping by estimating the distance between the robotic disks and the surrounding tissue, thereby facilitating safer operation through advanced control strategies. The experiment has proven that its accuracy in obstacle detection can reach 0.19 mm. Fabricated using flexible printed circuit (FPC) technology, the sensor demonstrates a modular and cost-effective design with compact dimensions and low noise interference. Its adaptable parameters allow compatibility with various continuum robot architectures, offering a promising solution for enhancing intraoperative perception and control in surgical robotics.

Robotic-assisted procedures offer numerous advantages over traditional approaches, including improved dexterity, reduced fatigue, minimized trauma, and superior outcomes. However, the main challenge of these systems remains the poor visualization and perception of the surgical field. The goal of this paper is to provide an innovative approach concerning an application able to improve the surgical procedures offering assistance in both preplanning and intraoperative steps of the surgery. The system has been designed to offer a better understanding of the patient through techniques that provide medical images visualization, 3D anatomical structures perception and robotic planning. The application was designed to be intuitive and user friendly, providing an augmented reality experience through the Hololens 2 device. It was tested in laboratory conditions, yielding positive results.

Palpation of human tissue during Minimally Invasive Surgery is hampered due to restricted access. In this extended abstract, we present a variable stiffness and dynamic force range sensor that has the potential to address this challenge. The sensor utilises light reflection to estimate sensor deformation, and from this, the force applied. Experimental testing at different pressures (0, 0.5 and 1 PSI) shows that stiffness and force range increases with pressure. The force calibration results when compared with measured forces produced an average RMSE of 0.016, 0.0715 and 0.1284 N respectively, for these pressures.

Robot-assisted minimally invasive surgery (RAMIS) provides substantial benefits over traditional open and laparoscopic methods. However, a significant limitation of RAMIS is the surgeon's inability to palpate tissues, a crucial technique for examining tissue properties and detecting abnormalities, restricting the widespread adoption of RAMIS. To overcome this obstacle, we introduce MiniTac, a novel vision-based tactile sensor with an ultra-compact cross-sectional diameter of 8 mm, designed for seamless integration into mainstream RAMIS devices, particularly the Da Vinci surgical systems. MiniTac features a novel mechanoresponsive photonic elastomer membrane that changes color distribution under varying contact pressures. This color change is captured by an embedded miniature camera, allowing MiniTac to detect tumors both on the tissue surface and in deeper layers typically obscured from endoscopic view. MiniTac's efficacy has been rigorously tested on both phantoms and ex-vivo tissues. By leveraging advanced mechanoresponsive photonic materials, MiniTac represents a significant advancement in integrating tactile sensing into RAMIS, potentially expanding its applicability to a wider array of clinical scenarios that currently rely on traditional surgical approaches.

Minimally invasive surgery (MIS) procedures benefit significantly from robotic systems due to their improved precision and dexterity. However, ensuring safety in these dynamic and cluttered environments is an ongoing challenge. This paper proposes a novel hierarchical framework for collision avoidance in MIS. This framework integrates multiple tasks, including maintaining the Remote Center of Motion (RCM) constraint, tracking desired tool poses, avoiding collisions, optimizing manipulability, and adhering to joint limits. The proposed approach utilizes Hierarchical Quadratic Programming (HQP) to seamlessly manage these constraints while enabling smooth transitions between task priorities for collision avoidance. Experimental validation through simulated scenarios demonstrates the framework's robustness and effectiveness in handling diverse scenarios involving static and dynamic obstacles, as well as inter-tool collisions.