Cosmos-H-Surgical: Learning Surgical Robot Policies from Videos via World Modeling

Fuente: arXiv
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Main Authors: He, Yufan, Guo, Pengfei, Xu, Mengya, Li, Zhaoshuo, Myronenko, Andriy, Imans, Dillan, Liu, Bingjie, Yang, Dongren, Gu, Mingxue, Ji, Yongnan, Jin, Yueming, Zhao, Ren, Shen, Baiyong, Xu, Daguang
Format: Preprint
Published: 2025
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author He, Yufan
Guo, Pengfei
Xu, Mengya
Li, Zhaoshuo
Myronenko, Andriy
Imans, Dillan
Liu, Bingjie
Yang, Dongren
Gu, Mingxue
Ji, Yongnan
Jin, Yueming
Zhao, Ren
Shen, Baiyong
Xu, Daguang
author_facet He, Yufan
Guo, Pengfei
Xu, Mengya
Li, Zhaoshuo
Myronenko, Andriy
Imans, Dillan
Liu, Bingjie
Yang, Dongren
Gu, Mingxue
Ji, Yongnan
Jin, Yueming
Zhao, Ren
Shen, Baiyong
Xu, Daguang
contents Data scarcity remains a fundamental barrier to achieving fully autonomous surgical robots. While large scale vision language action (VLA) models have shown impressive generalization in household and industrial manipulation by leveraging paired video action data from diverse domains, surgical robotics suffers from the paucity of datasets that include both visual observations and accurate robot kinematics. In contrast, vast corpora of surgical videos exist, but they lack corresponding action labels, preventing direct application of imitation learning or VLA training. In this work, we aim to alleviate this problem by learning policy models from Cosmos-H-Surgical, a world model designed for surgical physical AI. We curated the Surgical Action Text Alignment (SATA) dataset with detailed action description specifically for surgical robots. Then we built Cosmos-H-Surgical based on the most advanced physical AI world model and SATA. It's able to generate diverse, generalizable and realistic surgery videos. We are also the first to use an inverse dynamics model to infer pseudokinematics from synthetic surgical videos, producing synthetic paired video action data. We demonstrate that a surgical VLA policy trained with these augmented data significantly outperforms models trained only on real demonstrations on a real surgical robot platform. Our approach offers a scalable path toward autonomous surgical skill acquisition by leveraging the abundance of unlabeled surgical video and generative world modeling, thus opening the door to generalizable and data efficient surgical robot policies.
format Preprint
id arxiv_https___arxiv_org_abs_2512_23162
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Cosmos-H-Surgical: Learning Surgical Robot Policies from Videos via World Modeling
He, Yufan
Guo, Pengfei
Xu, Mengya
Li, Zhaoshuo
Myronenko, Andriy
Imans, Dillan
Liu, Bingjie
Yang, Dongren
Gu, Mingxue
Ji, Yongnan
Jin, Yueming
Zhao, Ren
Shen, Baiyong
Xu, Daguang
Robotics
Computer Vision and Pattern Recognition
Data scarcity remains a fundamental barrier to achieving fully autonomous surgical robots. While large scale vision language action (VLA) models have shown impressive generalization in household and industrial manipulation by leveraging paired video action data from diverse domains, surgical robotics suffers from the paucity of datasets that include both visual observations and accurate robot kinematics. In contrast, vast corpora of surgical videos exist, but they lack corresponding action labels, preventing direct application of imitation learning or VLA training. In this work, we aim to alleviate this problem by learning policy models from Cosmos-H-Surgical, a world model designed for surgical physical AI. We curated the Surgical Action Text Alignment (SATA) dataset with detailed action description specifically for surgical robots. Then we built Cosmos-H-Surgical based on the most advanced physical AI world model and SATA. It's able to generate diverse, generalizable and realistic surgery videos. We are also the first to use an inverse dynamics model to infer pseudokinematics from synthetic surgical videos, producing synthetic paired video action data. We demonstrate that a surgical VLA policy trained with these augmented data significantly outperforms models trained only on real demonstrations on a real surgical robot platform. Our approach offers a scalable path toward autonomous surgical skill acquisition by leveraging the abundance of unlabeled surgical video and generative world modeling, thus opening the door to generalizable and data efficient surgical robot policies.
title Cosmos-H-Surgical: Learning Surgical Robot Policies from Videos via World Modeling
topic Robotics
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2512.23162