Abstract--Surgical suturing is a high-precision task that impacts patient healing and scarring. Suturing skill varies widely between surgeons, highlighting the need for robot assistance. Previous robot suturing works, such as STITCH 1.0 [1], struggle to fully close wounds due to inaccurate needle tracking and poor thread management. T o address these challenges, we present STITCH 2.0, an elevated augmented dexterity pipeline with seven improvements including: improved EKF needle pose estimation, new thread untangling methods, and an automated 3D suture alignment algorithm. Experimental results over 15 trials find that STITCH 2.0 on average achieves 74.4% wound closure with 4.87 sutures per trial, representing 66% more sutures in 38% less time compared to the previous baseline. When two human interventions are allowed, STITCH 2.0 averages six sutures with 100% wound closure rate. URGICAL robots have revolutionized minimally invasive surgery, with Intuitive Surgical's da Vinci system performing over 2.6 million procedures in 2024 [2]. While these procedures require complete human control, recent advances in artificial intelligence (AI) present opportunities for surgical robot autonomy. However, the high-risk nature of surgery raises safety concerns for fully autonomous AI systems.

It has recently been argued that AI models' representations are becoming aligned as their scale and performance increase. Empirical analyses have been designed to support this idea and conjecture the possible alignment of different representations toward a shared statistical model of reality. In this paper, we propose a learning-theoretic perspective to representation alignment. First, we review and connect different notions of alignment based on metric, probabilistic, and spectral ideas. Then, we focus on stitching, a particular approach to understanding the interplay between different representations in the context of a task. Our main contribution here is relating properties of stitching to the kernel alignment of the underlying representation. Our results can be seen as a first step toward casting representation alignment as a learning-theoretic problem.

Eric Iler may not be able to leave the hospital, but thanks to a robot called Well-E, he's getting the chance to spend the day at the zoo with his family.