Visuomotor Grasping with World Models for Surgical Robots

Abstract: Grasping is a fundamental task in robot-assisted surgery (RAS), and automating it can reduce surgeon workload while enhancing efficiency, safety, and consistency beyond teleoperated systems. Most prior approaches rely on explicit object pose tracking or handcrafted visual features, limiting their generalization to novel objects, robustness to visual disturbances, and the ability to handle deformable objects. Visuomotor learning offers a promising alternative, but deploying it in RAS presents unique challenges, such as low signal-to-noise ratio in visual observations, demands for high safety and millimeter-level precision, as well as the complex surgical environment. This paper addresses three key challenges: (i) sim-to-real transfer of visuomotor policies to ex vivo surgical scenes, (ii) visuomotor learning using only a single stereo camera pair -- the standard RAS setup, and (iii) object-agnostic grasping with a single policy that generalizes to diverse, unseen surgical objects without retraining or task-specific models. We introduce Grasp Anything for Surgery V2 (GASv2), a visuomotor learning framework for surgical grasping. GASv2 leverages a world-model-based architecture and a surgical perception pipeline for visual observations, combined with a hybrid control system for safe execution. We train the policy in simulation using domain randomization for sim-to-real transfer and deploy it on a real robot in both phantom-based and ex vivo surgical settings, using only a single pair of endoscopic cameras. Extensive experiments show our policy achieves a 65% success rate in both settings, generalizes to unseen objects and grippers, and adapts to diverse disturbances, demonstrating strong performance, generality, and robustness.