NVIDIA Introduces Cosmos3-H-Dreams: Real-Time Generative Surgical Simulator Trained on Clinical Cholecystectomy Data

·2026.10.21 03:17

Key point

The system is the first real-time generative surgical simulator trained on clinical cholecystectomy recordings to support live kinematic control.

Details

  • NVIDIA introduces Cosmos3-H-Dreams, a real-time generative surgical simulator trained on clinical cholecystectomy recordings from the CMR Surgical Versius platform.
  • The model runs interactively on a single NVIDIA RTX PRO 6000 GPU, powered by Cosmos 3 and accelerated by the FlashDreams streaming-inference library.
  • Built on the 16-billion-parameter Cosmos3-H-Embodied-Nano foundation, the system uses 28 action dimensions and processes 832 x 480 video at 10 Hz.
  • Two checkpoints are available: a four-step model for higher visual quality and a separately trained two-step model for faster inference.
  • The system supports adaptation to other datasets and controllers via a provided recipe for teacher fine-tuning and Self-Forcing distillation.
  • Cosmos3-H-Dreams is a research simulator for studying surgical interaction, not a validated system for patient care.

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