Exploring the Remapping Impact of Spatial Head-hand Relations in Immersive Telesurgery

The action remapping between the user and the avatar creates significant perceptual and behavioral challenges. Recently, in addition to virtual environments, remapping has also given rise to new applications—immersive teleoperated robots. This paper selects immersive telesurgery, a representative scenario, as an opportunity for research, exploring the generalized effects of remapping. In such a scenario, the operator can observe through the robot’s camera and use their hands to control the robotic arms, as if they were the robot. However, common remapping of spatial head-hand relations—due to camera adjustments and robotic arm switching—creates significant visual-proprioceptive conflicts and physical limitations. To explore this, we simulated a telesurgery system with 6 head-camera and 12 hand-robotic-arm remapping conditions, assessing non-surgeon participants across four surgical tasks: navigation, location, cutting, and bimanual coordination. The study examines spatial perception bias, interaction deviation, workload, and task completion time. Our findings reveal how different remapping targets, attributes, intensities, and situations affect performance, contributing to the understanding of perception mechanisms and offering insights for optimizing operations or systems.