Breaking the Brass Ceiling: Ergonomic Equity and Autonomous Trust Calibration in Next-Generation Cardiovascular Surgical Robotics

AbstractThe landscape of advanced cardiovascular surgery remains restricted by two distinct systemic barriers: the physiological limits of human manual precision under stress, and the systemic, historical gender disparities built into operating room infrastructure. While computer-assisted teleoperation platforms offer a pathway to bridge manual limitations via digital tremor filtration, legacy robotic architectures are designed around male-skewed anthropometric data sets. This paper presents a novel, open-source Robot Operating System (ROS) architecture engineered by the Canadian Institute of Medicine and Scientific Research. The platform delivers an adaptive Human-Autonomy Teaming (HAT) control loop operating with an end-to-end latency of 4.2 milliseconds. Crucially, the platform integrates Gender-Based Analysis Plus (GBA+) parameters directly into its mechanical and algorithmic frameworks, creating an equitable workspace that lowers physical entry barriers for female cardiovascular surgeons while maintaining high-fidelity tremor cancellation (4–8 Hz).