RoboNurse-VLA: Robotic Scrub Nurse System based on Vision-Language-Action Model
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Abstract (arXiv)
In modern healthcare, the demand for autonomous robotic assistants has grown significantly, particularly in the operating room, where surgical tasks require precision and reliability. Robotic scrub nurses have emerged as a promising solution to improve efficiency and reduce human error during surgery. However, challenges remain in terms of accurately grasping and handing over surgical instruments, especially when dealing with complex or difficult objects in dynamic environments. In this work, we introduce a novel robotic scrub nurse system, RoboNurse-VLA, built on a Vision-Language-Action (VLA) model by integrating the Segment Anything Model 2 (SAM 2) and the Llama 2 language model. The proposed RoboNurse-VLA system enables highly precise grasping and handover of surgical instruments in real-time based on voice commands from the surgeon. Leveraging state-of-the-art vision and language models, the system can address key challenges for object detection, pose optimization, and the handling of complex and difficult-to-grasp instruments. Through extensive evaluations, RoboNurse-VLA demonstrates superior performance compared to existing models, achieving high success rates in surgical instrument handovers, even with unseen tools and challenging items. This work presents a significant step forward in autonomous surgical assistance, showcasing the potential of integrating VLA models for real-world medical applications. More details can be found at https://robonurse-vla.github.io.
Key facts. Cited by 28 papers in the map (data through 7 Oct 2026). First posted on arXiv 29 Sep 2024.
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Citing papers per year: 2024: 1; 2025: 17; 2026: 10.
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- 2025Vision-Language-Action Models for Robotics: A Review Towards Real-World Applicationscited by 82
- 2025Vision-Language-Action (VLA) Models: Concepts, Progress, Applications and Challengescited by 72
- 2025Pure Vision Language Action (VLA) Models: A Comprehensive Surveycited by 46
- 2025Vision Language Action Models in Robotic Manipulation: A Systematic Reviewcited by 38
- 2025A Survey on Efficient Vision-Language-Action Modelscited by 34
- 2025Spec-VLA: Speculative Decoding for Vision-Language-Action Models with Relaxed Acceptancecited by 31
- 2025MoRE: Unlocking Scalability in Reinforcement Learning for Quadruped Vision-Language-Action Modelscited by 27
- 2025Eva-VLA: Evaluating Vision-Language-Action Models' Robustness Under Real-World Physical Variationscited by 24
- 2025When Alignment Fails: Multimodal Adversarial Attacks on Vision-Language-Action Modelscited by 16
- 2026Vision-Language-Action Safety: Threats, Challenges, Evaluations, and Mechanismscited by 12
- 2025Phantom Menace: Exploring and Enhancing the Robustness of VLA Models Against Physical Sensor Attackscited by 9
- 2025RoboOmni: Proactive Robot Manipulation in Omni-modal Contextcited by 7
16 more
- 2024UniAff: A Unified Representation of Affordances for Tool Usage and Articulation with Vision-Language Modelscited by 6
- 2025ActionFlow: A Pipelined Action Acceleration for Vision Language Models on Edgecited by 6
- 2025IA-VLA: Input Augmentation for Vision-Language-Action models in settings with semantically complex taskscited by 4
- 2026From Generative Engines to Actionable Simulators: The Imperative of Physical Grounding in World Modelscited by 4
- 2025EndoVLA: Dual-Phase Vision-Language-Action Model for Autonomous Tracking in Endoscopycited by 3
- 2025Information-Theoretic Graph Fusion with Vision-Language-Action Model for Policy Reasoning and Dual Robotic Controlcited by 2
- 2025Vision-Language-Policy Model for Dynamic Robot Task Planningcited by 2
- 2026Towards Next-Generation Healthcare: A Survey of Medical Embodied AI for Perception, Decision-Making, and Actioncited by 2
- 2025INTENTION: Inferring Tendencies of Humanoid Robot Motion Through Interactive Intuition and Grounded VLMcited by 1
- 2026A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Trackingcited by 1
- 2026GIVE: Grounding Human Gestures in Vision-Language-Action Modelscited by 1
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Miningcited by 0
- 2026RedVLA: Physical Red Teaming for Vision-Language-Action Modelscited by 0
- 2026Imitation Learning for Robot Assistance in Open Surgery: A Multi-Policy Evaluation on Suture Followingcited by 0
- 2026US-VLA: An Ultrasound Vision-Language-Action Model for Embodied Abdominacited by 0
- 20263DWay: Generalizing Robot Manipulation via 3D Consistent Waypointscited by 0
- 20263DWay: Generalizing Robot Manipulation via 3D Consistent Waypoints8 Sep 2026
- 2026US-VLA: An Ultrasound Vision-Language-Action Model for Embodied Abdomina17 Aug 2026
- 2026GIVE: Grounding Human Gestures in Vision-Language-Action Models11 Jun 2026
- 2026Imitation Learning for Robot Assistance in Open Surgery: A Multi-Policy Evaluation on Suture Following27 May 2026
- 2026Vision-Language-Action Safety: Threats, Challenges, Evaluations, and Mechanisms26 Apr 2026
- 2026RedVLA: Physical Red Teaming for Vision-Language-Action Models24 Apr 2026
- 2026A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Tracking22 Apr 2026
- 2026Towards Next-Generation Healthcare: A Survey of Medical Embodied AI for Perception, Decision-Making, and Action5 Apr 2026
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Mining24 Feb 2026
- 2026From Generative Engines to Actionable Simulators: The Imperative of Physical Grounding in World Models21 Jan 2026
- 2025ActionFlow: A Pipelined Action Acceleration for Vision Language Models on Edge23 Dec 2025
- 2025Vision-Language-Policy Model for Dynamic Robot Task Planning22 Dec 2025
16 more
- 2025When Alignment Fails: Multimodal Adversarial Attacks on Vision-Language-Action Models20 Nov 2025
- 2025Phantom Menace: Exploring and Enhancing the Robustness of VLA Models Against Physical Sensor Attacks13 Nov 2025
- 2025A Survey on Efficient Vision-Language-Action Models27 Oct 2025
- 2025RoboOmni: Proactive Robot Manipulation in Omni-modal Context27 Oct 2025
- 2025Vision-Language-Action Models for Robotics: A Review Towards Real-World Applications8 Oct 2025
- 2025IA-VLA: Input Augmentation for Vision-Language-Action models in settings with semantically complex tasks29 Sep 2025
- 2025Pure Vision Language Action (VLA) Models: A Comprehensive Survey23 Sep 2025
- 2025Eva-VLA: Evaluating Vision-Language-Action Models' Robustness Under Real-World Physical Variations23 Sep 2025
- 2025Information-Theoretic Graph Fusion with Vision-Language-Action Model for Policy Reasoning and Dual Robotic Control7 Aug 2025
- 2025INTENTION: Inferring Tendencies of Humanoid Robot Motion Through Interactive Intuition and Grounded VLM6 Aug 2025
- 2025Spec-VLA: Speculative Decoding for Vision-Language-Action Models with Relaxed Acceptance30 Jul 2025
- 2025Vision Language Action Models in Robotic Manipulation: A Systematic Review14 Jul 2025
- 2025EndoVLA: Dual-Phase Vision-Language-Action Model for Autonomous Tracking in Endoscopy21 May 2025
- 2025Vision-Language-Action (VLA) Models: Concepts, Progress, Applications and Challenges7 May 2025
- 2025MoRE: Unlocking Scalability in Reinforcement Learning for Quadruped Vision-Language-Action Models11 Mar 2025
- 2024UniAff: A Unified Representation of Affordances for Tool Usage and Articulation with Vision-Language Models30 Sep 2024
- 2025Vision Language Action Models in Robotic Manipulation: A Systematic Reviewcited by 38
- 2025A Survey on Efficient Vision-Language-Action Modelscited by 34
- 2025MoRE: Unlocking Scalability in Reinforcement Learning for Quadruped Vision-Language-Action Modelscited by 27
- 2025Eva-VLA: Evaluating Vision-Language-Action Models' Robustness Under Real-World Physical Variationscited by 24
- 2025When Alignment Fails: Multimodal Adversarial Attacks on Vision-Language-Action Modelscited by 16
- 2026Vision-Language-Action Safety: Threats, Challenges, Evaluations, and Mechanismscited by 12
- 2025Phantom Menace: Exploring and Enhancing the Robustness of VLA Models Against Physical Sensor Attackscited by 9
- 2025IA-VLA: Input Augmentation for Vision-Language-Action models in settings with semantically complex taskscited by 4
- 2026GIVE: Grounding Human Gestures in Vision-Language-Action Modelscited by 1
- 2026RedVLA: Physical Red Teaming for Vision-Language-Action Modelscited by 0
- 2026GIVE: Grounding Human Gestures in Vision-Language-Action Models11 Jun 2026
- 2026Vision-Language-Action Safety: Threats, Challenges, Evaluations, and Mechanisms26 Apr 2026
- 2026RedVLA: Physical Red Teaming for Vision-Language-Action Models24 Apr 2026
- 2025When Alignment Fails: Multimodal Adversarial Attacks on Vision-Language-Action Models20 Nov 2025
- 2025Phantom Menace: Exploring and Enhancing the Robustness of VLA Models Against Physical Sensor Attacks13 Nov 2025
- 2025A Survey on Efficient Vision-Language-Action Models27 Oct 2025
- 2025IA-VLA: Input Augmentation for Vision-Language-Action models in settings with semantically complex tasks29 Sep 2025
- 2025Eva-VLA: Evaluating Vision-Language-Action Models' Robustness Under Real-World Physical Variations23 Sep 2025
- 2025Vision Language Action Models in Robotic Manipulation: A Systematic Review14 Jul 2025
- 2025MoRE: Unlocking Scalability in Reinforcement Learning for Quadruped Vision-Language-Action Models11 Mar 2025
- 2025Vision-Language-Action Models for Robotics: A Review Towards Real-World Applicationscited by 82
- 2025Vision-Language-Action (VLA) Models: Concepts, Progress, Applications and Challengescited by 72
- 2025Pure Vision Language Action (VLA) Models: A Comprehensive Surveycited by 46
- 2025Spec-VLA: Speculative Decoding for Vision-Language-Action Models with Relaxed Acceptancecited by 31
- 2025RoboOmni: Proactive Robot Manipulation in Omni-modal Contextcited by 7
- 2024UniAff: A Unified Representation of Affordances for Tool Usage and Articulation with Vision-Language Modelscited by 6
- 2025ActionFlow: A Pipelined Action Acceleration for Vision Language Models on Edgecited by 6
- 20263DWay: Generalizing Robot Manipulation via 3D Consistent Waypointscited by 0
- 20263DWay: Generalizing Robot Manipulation via 3D Consistent Waypoints8 Sep 2026
- 2025ActionFlow: A Pipelined Action Acceleration for Vision Language Models on Edge23 Dec 2025
- 2025RoboOmni: Proactive Robot Manipulation in Omni-modal Context27 Oct 2025
- 2025Vision-Language-Action Models for Robotics: A Review Towards Real-World Applications8 Oct 2025
- 2025Pure Vision Language Action (VLA) Models: A Comprehensive Survey23 Sep 2025
- 2025Spec-VLA: Speculative Decoding for Vision-Language-Action Models with Relaxed Acceptance30 Jul 2025
- 2025Vision-Language-Action (VLA) Models: Concepts, Progress, Applications and Challenges7 May 2025
- 2024UniAff: A Unified Representation of Affordances for Tool Usage and Articulation with Vision-Language Models30 Sep 2024
- 2025EndoVLA: Dual-Phase Vision-Language-Action Model for Autonomous Tracking in Endoscopycited by 3
- 2025Vision-Language-Policy Model for Dynamic Robot Task Planningcited by 2
- 2026Towards Next-Generation Healthcare: A Survey of Medical Embodied AI for Perception, Decision-Making, and Actioncited by 2
- 2025INTENTION: Inferring Tendencies of Humanoid Robot Motion Through Interactive Intuition and Grounded VLMcited by 1
- 2026A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Trackingcited by 1
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Miningcited by 0
- 2026US-VLA: An Ultrasound Vision-Language-Action Model for Embodied Abdominacited by 0
- 2026US-VLA: An Ultrasound Vision-Language-Action Model for Embodied Abdomina17 Aug 2026
- 2026A Vision-Language-Action Model for Adaptive Ultrasound-Guided Needle Insertion and Needle Tracking22 Apr 2026
- 2026Towards Next-Generation Healthcare: A Survey of Medical Embodied AI for Perception, Decision-Making, and Action5 Apr 2026
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Mining24 Feb 2026
- 2025Vision-Language-Policy Model for Dynamic Robot Task Planning22 Dec 2025
- 2025INTENTION: Inferring Tendencies of Humanoid Robot Motion Through Interactive Intuition and Grounded VLM6 Aug 2025
- 2025EndoVLA: Dual-Phase Vision-Language-Action Model for Autonomous Tracking in Endoscopy21 May 2025
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- 2026Give me scissors: Collision-Free Dual-Arm Surgical Assistive Robot for Instrument Delivery
- 2026Evaluating Large Vision-language Models for Surgical Tool Detection
- 2026SurgVLA-Bench: Towards Evaluating Vision-Language-Action Models for Laparoscopic Surgical Robotics
- 2024SuFIA: Language-Guided Augmented Dexterity for Robotic Surgical Assistants
- 2025SurgXBench: Explainable Vision-Language Model Benchmark for Surgery
- 2025Cosmos-H-Surgical: Learning Surgical Robot Policies from Videos via World Modeling
- 2026Trajectory Divergence Horizon Decision for Reliable Dual-Arm Surgical Subtask Manipulation
- 2026MedVLA: A Hierarchical Vision-Language-Action Framework for Closed-Loop Precision Medical Robot Manipulation