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A Voice-Interactive Multi-Agent System for Smart Operating Rooms: Architecture Design and Key Technologies

arxiv.org/abs/2609.11231

quality89

Updated 2 h ago · first seen 11 Sept 2026

paper_01M294G57NV8FSEX4W93MV3Q6M

Published
11 Sept 2026
T1 · 2 h ago
arXiv
2609.11231
T1 · 2 h ago
Category
cs.AI
T1 · 2 h ago

Abstract

This paper presents SurgicalRoomAgent, a voice-interactive multi-agent system for smart operating rooms based on large language models (LLMs). The system achieves natural language understanding, device control, intraoperative recording, and surgical report generation through a layered architecture comprising a voice interaction pipeline (wake, ASR, turn detection, agent reasoning, TTS) and an agent core (skill registry, task planner, device manager). Three key technologies are investigated: (1) KV Cache prefix warming for low-latency inference, reducing recomputation overhead from approximately 500 ms to tens of milliseconds via byte-level Longest Common Prefix reuse; (2) streaming partial JSON parsing with early parallel task execution, reducing end-to-end latency by approximately 30%; and (3) progressive skill prompt disclosure, which dynamically filters system prompts based on user role, connected devices, and surgical phase to maximize information density within limited context windows. The system is implemented using the Qwen3-27B model with llama.cpp/sglang inference engines. Experimental analysis demonstrates effective operation within a 16,384-token context limit and multi-device parallel control response times meeting OR real-time requirements.

Authors 1

Tianxiang Zhou

Specification

Official page

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

Arxiv announce type
cross

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

arXiv id
2609.11231

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

Categories
cs.AI, cs.CL, cs.HC

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

PDF

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

Primary category
cs.AI

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

Published
11 Sept 2026

Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

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Provenance

Attributed facts

9

Source tiers

T19

Freshest observation

2 h ago

Conflicts

None