Philipp Furnstahl
Publications
Open-H-Embodiment: A Large-Scale Dataset for Enabling Foundation Models in Medical Robotics
Autonomous medical robots hold promise to improve patient outcomes, reduce provider workload, democratize access to care, and enable superhuman precision. However, autonomous medical robotics has been limited by a fundamental data problem: existing medical robotic datasets are small, single-embodiment, and rarely shared openly, restricting the development of foundation models that the field needs to advance. We introduce Open-H-Embodiment, the largest open dataset of medical robotic video with synchronized kinematics to date, spanning more than 49 institutions and multiple robotic platforms including the CMR Versius, Intuitive Surgical's da Vinci, da Vinci Research Kit (dVRK), Rob Surgical BiTrack, Virtual Incision's MIRA, Moon Surgical Maestro, and a variety of custom systems, spanning surgical manipulation, robotic ultrasound, and endoscopy procedures. We demonstrate the research enabled by this dataset through two foundation models. GR00T-H is the first open foundation vision-language-action model for medical robotics, which is the only evaluated model to achieve full end-to-end task completion on a structured suturing benchmark (25% of trials vs. 0% for all others) and achieves 64% average success across a 29-step ex vivo suturing sequence. We also train Cosmos-H-Surgical-Simulator, the first action-conditioned world model to enable multi-embodiment surgical simulation from a single checkpoint, spanning nine robotic platforms and supporting in silico policy evaluation and synthetic data generation for the medical domain. These results suggest that open, large-scale medical robot data collection can serve as critical infrastructure for the research community, enabling advances in robot learning, world modeling, and beyond.
Bounded Ratio Reinforcement Learning
Proximal Policy Optimization (PPO) has become the predominant algorithm for on-policy reinforcement learning due to its scalability and empirical robustness across domains. However, there is a significant disconnect between the underlying foundations of trust region methods and the heuristic clipped objective used in PPO. In this paper, we bridge this gap by introducing the Bounded Ratio Reinforcement Learning (BRRL) framework. We formulate a novel regularized and constrained policy optimization problem and derive its analytical optimal solution. We prove that this solution ensures monotonic performance improvement. To handle parameterized policy classes, we develop a policy optimization algorithm called Bounded Policy Optimization (BPO) that minimizes an advantage-weighted divergence between the policy and the analytic optimal solution from BRRL. We further establish a lower bound on the expected performance of the resulting policy in terms of the BPO loss function. Notably, our framework also provides a new theoretical lens to interpret the success of the PPO loss, and connects trust region policy optimization and the Cross-Entropy Method (CEM). We additionally extend BPO to Group-relative BPO (GBPO) for LLM fine-tuning. Empirical evaluations of BPO across MuJoCo, Atari, and complex IsaacLab environments (e.g., Humanoid locomotion), and of GBPO for LLM fine-tuning tasks, demonstrate that BPO and GBPO generally match or outperform PPO and GRPO in stability and final performance.