# Visuomotor Grasping with World Models for Surgical Robots

arXiv: https://arxiv.org/abs/2508.11200 · HTML: https://mlsanity.com/paper/2508.11200/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical and surgical world models, one of 11 directions in World models.
- Builds on 55 of its 77 references that are in the map.
- First posted on arXiv 15 Aug 2025.

## Placed in

- World models / [Medical and surgical world models](https://mlsanity.com/wm/medical-and-surgical-world-models/)

## Builds on (most cited first, 30 of 55)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Proximal Policy Optimization Algorithms](https://mlsanity.com/paper/1707.06347/) (2017)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [You Only Look Once: Unified, Real-Time Object Detection](https://mlsanity.com/paper/1506.02640/) (2015)
- [Dream to Control: Learning Behaviors by Latent Imagination](https://mlsanity.com/paper/1912.01603/) (2019)
- [Learning Latent Dynamics for Planning from Pixels](https://mlsanity.com/paper/1811.04551/) (2018)
- [Group Equivariant Convolutional Networks](https://mlsanity.com/paper/1602.07576/) (2016)
- [Hindsight Experience Replay](https://mlsanity.com/paper/1707.01495/) (2017)
- [Mastering Atari with Discrete World Models](https://mlsanity.com/paper/2010.02193/) (2020)
- [End-to-End Training of Deep Visuomotor Policies](https://mlsanity.com/paper/1504.00702/) (2015)
- [QT-Opt: Scalable Deep Reinforcement Learning for Vision-Based Robotic Manipulation](https://mlsanity.com/paper/1806.10293/) (2018)
- [Open3D: A Modern Library for 3D Data Processing](https://mlsanity.com/paper/1801.09847/) (2018)
- [R3M: A Universal Visual Representation for Robot Manipulation](https://mlsanity.com/paper/2203.12601/) (2022)
- [XMem: Long-Term Video Object Segmentation with an Atkinson-Shiffrin Memory Model](https://mlsanity.com/paper/2207.07115/) (2022)
- [DayDreamer: World Models for Physical Robot Learning](https://mlsanity.com/paper/2206.14176/) (2022)
- [Transporter Networks: Rearranging the Visual World for Robotic Manipulation](https://mlsanity.com/paper/2010.14406/) (2020)
- [Learning Hand-Eye Coordination for Robotic Grasping with Deep Learning and Large-Scale Data Collection](https://mlsanity.com/paper/1603.02199/) (2016)
- [RoboNet: Large-Scale Multi-Robot Learning](https://mlsanity.com/paper/1910.11215/) (2019)
- [6-DOF GraspNet: Variational Grasp Generation for Object Manipulation](https://mlsanity.com/paper/1905.10520/) (2019)
- [Track Anything: Segment Anything Meets Videos](https://mlsanity.com/paper/2304.11968/) (2023)
- [Visual Foresight: Model-Based Deep Reinforcement Learning for Vision-Based Robotic Control](https://mlsanity.com/paper/1812.00568/) (2018)
- [MT-Opt: Continuous Multi-Task Robotic Reinforcement Learning at Scale](https://mlsanity.com/paper/2104.08212/) (2021)
- [AnyGrasp: Robust and Efficient Grasp Perception in Spatial and Temporal Domains](https://mlsanity.com/paper/2212.08333/) (2022)
- [Iterative Geometry Encoding Volume for Stereo Matching](https://mlsanity.com/paper/2303.06615/) (2023)
- [2017 Robotic Instrument Segmentation Challenge](https://mlsanity.com/paper/1902.06426/) (2019)
- [Structured World Models from Human Videos](https://mlsanity.com/paper/2308.10901/) (2023)
- [Robotic Pick-and-Place of Novel Objects in Clutter with Multi-Affordance Grasping and Cross-Domain Image Matching](https://mlsanity.com/paper/1710.01330/) (2017)
- [Actionable Models: Unsupervised Offline Reinforcement Learning of Robotic Skills](https://mlsanity.com/paper/2104.07749/) (2021)
- [Coarse-to-Fine Q-attention: Efficient Learning for Visual Robotic Manipulation via Discretisation](https://mlsanity.com/paper/2106.12534/) (2021)
- [Grasping in the Wild:Learning 6DoF Closed-Loop Grasping from Low-Cost Demonstrations](https://mlsanity.com/paper/1912.04344/) (2019)

## Built on by (most cited first, 1 of 1)

- [SWoMo: Neuro-Symbolic World Model for Cataract Surgery Simulation](https://mlsanity.com/paper/2605.16530/) (2026)

## Abstract (arXiv)

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.