IP Library › Granted Patent US 12,527,574
Granted Patent B2
US 12,527,574 · App. 18/515,215 · Granted Jan 20, 2026

Articulation assemblies for surgical instruments

Inventor: Tibor Hites (San Lorenzo, CA)
Assignee: INTUITIVE SURGICAL OPERATIONS, INC.
A61B17/07207A61B34/30A61B2017/00367A61B2017/00477A61B2017/07278A61B2034/306
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Quick Facts
Patent No.
US 12,527,574
App. No.
18/515,215
Filed
Nov 20, 2023
Granted
Jan 20, 2026
Kind
B2
Art Unit
3731
USPC
227/176.1
Abstract

The present disclosure provides a surgical instrument, such as a tissue sealing instrument, with an elongate shaft and an end effector movably coupled to the shaft with a joint or wrist assembly. The wrist assembly includes a first outer link, a second outer link, and an inner link. The first outer link is connected to the elongated shaft and movably coupled to the second outer link by the inner link. The inner link includes a pair of posts, and the first and second outer links each include a recess configured to receive a respective one of the pair of posts. The posts and recesses defining a rocking hinge, which permits the wrist assembly to accommodate a reduction in the size of the rolling radius to reduce the likelihood of grabbing and pinching tissue during articulation of the end effector without sacrificing the internal bend radius of the hinge joint.

Claims (40)

1 . A surgical instrument comprising:

an elongate shaft;

an end effector; and

a wrist assembly pivotally coupling the end effector to the shaft, the wrist assembly including:

a first outer link, a second outer link, and a first inner link, the first outer link being connected to the shaft and movably coupled to the second outer link by the first inner link, wherein the first and second outer links include gear teeth that intermesh; and

wherein the first inner link includes a pair of posts and the first and second outer links each include a recess configured to receive a respective one of the pair of posts, wherein a center of each of the first and second posts moves relative to the first and second outer links during articulation of the first outer link relative to the second outer link.

2 . The surgical instrument of claim 1 , wherein the posts and recesses comprise a rocking hinge.

3 . The surgical instrument of claim 2 , wherein the rocking hinge is configured such that the first inner link pivots about a separate axis from the first and second outer links.

4 . The surgical instrument of claim 1 , wherein the first inner link includes two pairs of posts.

5 . The surgical instrument of claim 4 , further comprising a third outer link and a second inner link, the second outer link being movably coupled to the third outer link by the second inner link, wherein the third outer link is connected to the end effector.

6 . The surgical instrument of claim 5 , wherein the second inner link includes a post and the third outer link includes a recess configured to receive the post of the second inner link, the post of the second inner link and the recess of the third outer link defining a rocking hinge.

7 . The surgical instrument of claim 6 , wherein the second inner link includes two pairs of posts.

8 . The surgical instrument of claim 1 , wherein the end effector comprises a first jaw and a second jaw configured to move relative to each other from an open position to a closed position, the instrument further comprising:

a staple cartridge coupled to one of the first and second jaws and housing a plurality of staples; and

a drive member extending through the joint assembly and being configured to translate distally through the end effector, the drive member being configured to engage the staples upon distal translation of the drive member through the staple cartridge and move the staples from an interior of the staple cartridge to an exterior of the staple cartridge.

9 . The surgical instrument of claim 8 , further comprising:

an actuation mechanism in contact with the drive member and configured to translate the drive member distally through the end effector; and

an actuator operatively coupled to the actuation mechanism, wherein the actuator includes a control device of a robotic surgical system.

10 . A surgical instrument comprising:

an elongated shaft having a longitudinal axis;

an end effector; and

a joint assembly movably coupling the end effector to the elongated shaft, the joint assembly comprising:

a first outer link, a second outer link and a first inner link movably coupling the first outer link to the second outer link;

wherein the first inner link comprises first and second posts pivotally coupling the first inner link to the first and second outer links, respectively;

wherein a center of each of the first and second posts moves relative to the first and second outer links during articulation of the first outer link relative to the second outer link; and

a third outer link and a second inner link, the second outer link being movably coupled to the third outer link by the second inner link, wherein the third outer link is connected to the end effector and the first outer link is connected to the shaft.

11 . The surgical instrument of claim 10 , wherein the first and second outer links each define a rolling radius with a center and a centerline therebetween; and

wherein each of the first and second posts has a center and defines a centerline therebetween, wherein the centerline between the center of each post is non-coincident with the centerline between the rolling radii of each of the first and second outer links during articulation of the first outer link relative to the second outer link.

12 . The surgical instrument of claim 10 , wherein the first inner link pivots about a separate axis from the first and second outer links.

13 . The surgical instrument of claim 10 , wherein the first and second outer links have first and second recesses for receiving the first and second posts, respectively, wherein the center of the first and second posts move within the first and second recesses during articulation of the first outer link relative to the second outer link.

14 . The surgical instrument of claim 13 , wherein the first and second posts and the first and second recesses define a rocking hinge.

15 . The surgical instrument of claim 10 , wherein the first and second outer links rotate the end effector about a first axis substantially perpendicular to the longitudinal axis and the second and third outer links rotate the end effector about a second axis substantially perpendicular to the first axis and the longitudinal axis.

16 . The surgical instrument of claim 14 , wherein the second inner link includes a post and the third outer link includes a recess configured to receive the post of the second inner link, the post of the second inner link and the recess of the third outer link defining a rocking hinge.

17 . A surgical instrument comprising:

an elongated shaft;

an end effector; and

a joint assembly movably coupling the end effector to the elongated shaft, the joint assembly comprising:

a first outer link, a second outer link and an inner link movably coupling the first outer link to the second outer link, wherein the first and second outer links include gear teeth that intermesh;

wherein the inner link comprises a post pivotally coupling the inner link to the first link outer; and

wherein the first outer link has a rolling radius of a distance between a center point of the first outer link and an outer surface of circle defined by articulation of the first outer link, wherein the post comprises a centerline configured to move relative to a centerline of the rolling radisu.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Sep 24, 2024
From: HITES, TIBOR
To: INTUITIVE SURGICAL OPERATIONS, INC.
Reel/Frame 068680/0732 →
Continuity (3)
Continuation 17414714
Provisional Application 62783481 · Dec 21, 2018
Related Publication 20240081824A1 · Mar 14, 2024
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