Articulate wrist with flexible central member

1. An articulable wrist for an end effector, comprising:

a distal linkage provided at a distal end of the articulable wrist;

a proximal linkage provided at a proximal end of the articulable wrist;

a central channel cooperatively defined by the distal and proximal linkages and extending between the distal and proximal ends;

a flexible member arranged within the central channel and having a first end operatively coupled to the distal linkage and a second end axially movable relative to the proximal linkage;

a distal adapter fixed to an end of the flexible member and matable with the distal linkage to rotationally fix the flexible member at the distal end of the articulable wrist, wherein a portion of the distal adapter extends into the central channel through the distal linkage; and

one or more conduits defined in the flexible member to receive one or more central actuation members extending through the flexible member.

2. The articulable wrist of claim 1 , further comprising an intermediate linkage interposing the distal and proximal linkages and defining a portion of the central channel.

3. The articulable wrist of claim 1 , wherein the one or more central actuation members are selected from the group consisting of an electrical conductor, first and second ends of a jaw cable, and a drive rod.

4. The articulable wrist of claim 1 , wherein the distal adapter provides:

a radial shoulder engageable with the distal linkage at the distal end of the articulable wrist; and

a flange that extends from the radial shoulder and into the central channel via the distal linkage and receives the first end of the flexible member.

5. The articulable wrist of claim 1 , wherein the distal adapter defines one or more or apertures co-axially alignable with the one or more conduits such that the one or more central actuation members also extend through the one or more apertures.

6. The articulable wrist of claim 1 , further comprising a proximal adapter coupled to the second end of the flexible member and slidingly engageable with the proximal linkage.

7. The articulable wrist of claim 6 , wherein the proximal adapter provides an annular body that receives the second end of the flexible member.

8. The articulable wrist of claim 1 , wherein the flexible member comprises a material selected from the group consisting of polytetrafluoroethylene, silicone, nylon, polyurethane, and any combination thereof.

9. A surgical tool, comprising:

a drive housing;

an elongate shaft that extends from the drive housing;

an end effector arranged at an end of the elongate shaft;

an articulable wrist that interposes the end effector and the elongate shaft, the articulable wrist including:

a distal linkage provided at a distal end of the articulable wrist and operatively coupled to the end effector;

a proximal linkage provided at a proximal end of the articulable wrist and operatively coupled to the elongate shaft;

a central channel cooperatively defined by the distal and proximal linkages and extending between the distal and proximal ends;

a flexible member arranged within the central channel and having a first end operatively coupled to the distal linkage and a second end axially movable relative to the proximal linkage; and

a distal adapter fixed to an end of the flexible member and matable with the distal linkage to rotationally fix the flexible member at the distal end of the articulable wrist, wherein a portion of the distal adapter extends into the central channel through the distal linkage; and

one or more central actuation members extending from the drive housing and through the flexible member via one or more conduits defined in the flexible member.

10. The surgical tool of claim 9 , further comprising an intermediate linkage interposing the distal and proximal linkages and defining a portion of the central channel.

11. The surgical tool of claim 9 , wherein the distal adapter defines one or more or apertures co-axially alignable with the one or more conduits such that the one or more central actuation members also extend through the one or more apertures.

12. The surgical tool of claim 9 , further comprising a proximal adapter coupled to the second end of the flexible member and slidingly engageable with the proximal linkage.

13. The surgical tool of claim 9 , wherein the flexible member comprises a material selected from the group consisting of polytetrafluoroethylene, silicone, nylon, polyurethane, and any combination thereof.

14. The surgical tool of claim 9 , further comprising one or more drive cables extending from the drive housing and extending through a corresponding one or more apertures defined by the articulable wrist to cause articulation of the articulable wrist.

15. The surgical tool of claim 9 , wherein the distal adapter includes:

a radial shoulder engageable with the distal linkage at the distal end of the articulable wrist; and

a flange that extends from the radial shoulder and into the central channel via the distal linkage and receives the first end of the flexible member.

16. A method of operating a surgical tool, comprising:

positioning the surgical tool adjacent a patient for operation, the surgical tool including a drive housing, an elongate shaft that extends from the drive housing, an end effector arranged at an end of the elongate shaft, and a wrist that interposes the end effector and the elongate shaft and includes:

a distal linkage provided at a distal end of the wrist and operatively coupled to the end effector;

a proximal linkage provided at a proximal end of the wrist and operatively coupled to the elongate shaft;

a central channel cooperatively defined by the distal and proximal linkages and extending between the distal and proximal ends;

a flexible member arranged within the central channel and having a first end operatively coupled to the distal linkage and a second end axially movable relative to the proximal linkage;

a distal adapter fixed to an end of the flexible member and matable with the distal linkage to rotationally fix the flexible member at the distal end of the articulable wrist, wherein a portion of the distal adapter extends into the central channel through the distal linkage; and

one or more conduits defined in the flexible member to receive one or more central actuation members extending through the flexible member; and

articulating the wrist and simultaneously bending the flexible member within the central channel.

17. The method of claim 16 , wherein articulating the wrist comprises actuating one or more drive cables extending from the drive housing, wherein the one or more drive cables extend through a corresponding one or more apertures defined by the wrist.

18. The method of claim 16 , further comprising slidingly engaging the second end of the flexible member against the proximal linkage with a proximal adapter coupled to the second end of the flexible member.

19. The method of claim 16 , wherein the distal adapter includes:

a radial shoulder engageable with the distal linkage at the distal end of the articulable wrist; and

a flange that extends from the radial shoulder and into the central channel via the distal linkage and receives the first end of the flexible member.