Positioning a camera during laparoscopic and robotic procedures is challenging and essential for successful operations. During surgery, if the camera view is not optimal, surgery becomes more complex and potentially error-prone. To address this need, we have developed a voice interface to an autonomous camera system that can trigger behavioral changes and be more of a partner to the surgeon. Similarly to a human operator, the camera can take cues from the surgeon to help create optimized surgical camera views. It has the advantage of nominal behavior that is helpful in most general cases and has a natural language interface that makes it dynamically customizable and on-demand. It permits the control of a camera with a higher level of abstraction. This paper shows the implementation details and usability of a voice-activated autonomous camera system. A voice activation test on a limited set of practiced key phrases was performed using both online and offline voice recognition systems. The results show an on-average greater than 94% recognition accuracy for the online system and 86% accuracy for the offline system. However, the response time of the online system was greater than 1.5 s, whereas the local system was 0.6 s. This work is a step towards cooperative surgical robots that will effectively partner with human operators to enable more robust surgeries. A video link of the system in operation is provided in this paper.

Controlling a laparoscopic camera during robotic surgery represents a multifaceted challenge, demanding considerable physical and cognitive exertion from operators. While manual control presents the advantage of enabling optimal viewing angles, it is offset by its taxing nature. In contrast, current autonomous camera systems offer predictability in tool tracking but are often rigid, lacking the adaptability of human operators. This research investigates the potential of two distinct network architectures: a dense neural network (DNN) and a recurrent network (RNN), both trained using a diverse dataset comprising autonomous and human-driven camera movements. A comparative assessment of network-controlled, autonomous, and human-operated camera systems is conducted to gauge network efficacies. While the dense neural network exhibits proficiency in basic tool tracking, it grapples with inherent architectural limitations that hinder its ability to master the camera’s zoom functionality. In stark contrast, the recurrent network excels, demonstrating a capacity to sufficiently replicate the behaviors exhibited by a mixture of both autonomous and human-operated methods. In total, 96.8% of the dense network predictions had up to a one-centimeter error when compared to the test datasets, while the recurrent network achieved a 100% sub-millimeter testing error. This paper trains and evaluates neural networks on autonomous and human behavior data for camera control.

Robotic surgery involves significant task switching between tool control and camera control, which can be a source of distraction and error. This study evaluated the performance of a voice-enabled autonomous camera control system compared to a human-operated camera for the da Vinci surgical robot. Twenty subjects performed a series of tasks that required them to instruct the camera to move to specific locations to complete the tasks. The subjects performed the tasks (1) using an automated camera system that could be tailored based on keywords; and (2) directing a human camera operator using voice commands. The data were analyzed using task completion measures and the NASA Task Load Index (TLX) human performance metrics. The human-operated camera control method was able to outperform an automated algorithm in terms of task completion (6.96 vs. 7.71 correct insertions; p-value = 0.044). However, subjective feedback suggests that a voice-enabled autonomous camera control system is comparable to a human-operated camera control system. Based on the subjects’ feedback, thirteen out of the twenty subjects preferred the voice-enabled autonomous camera control system including the surgeon. This study is a step towards a more natural language interface for surgical robotics as these systems become better partners during surgery.

This paper examines the integration of markerless augmented reality (AR) within the da Vinci Surgical Robot, utilizing artificial intelligence (AI) for improved precision. The main challenge in creating AR for these systems is the small size (5 mm diameter) of the cameras used. Traditional camera-calibration approaches produce significant errors when used for miniature cameras. Further, the use of external markers can be obstructive and inaccurate in dynamic surgical environments. The study focuses on overcoming these limitations of traditional AR methods by employing advanced neural networks for camera calibration and real-time image processing. We demonstrate the use of a dense neural network to reduce the total projection error by directly learning the mapping of a 3D point to a 2D image plane. The results show a median error of 7 pixels (1.4 mm) when using a neural network, as compared to an error of 50 pixels (10 mm) when using a more traditional approach involving camera calibration and robot kinematics. This approach not only enhances the accuracy of AR for surgical procedures but also offers a more seamless integration with existing robotic platforms. These research findings underscore the potential of AI in revolutionizing AR applications in medical robotics and other teleoperated systems, promising efficient and safer interventions.