# US 11,998,195 B2 · Instrument with multiple articulation locks > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,998,195 B2 - Document ID: US11998195B2 - Status: Granted - Kind: B2 - Application number: 17/527,364 - Filed: 2021-11-16 - Published: 2022-03-10 - Granted: 2024-06-04 - Earliest claimed: 2008-08-18 - Assignees: Intuitive Surgical Operations, Inc. - Applicants: Intuitive Surgical Operations, Inc. - Inventors: Lewis R. Isbell, Jr. - Web page: https://patentgrep.com/patent/US11998195B2 ## CPC - A61B 17/068: Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) - A61B 17/00: Surgical instruments, devices or methods (A61B18/00 takes precedence; dental tools A61C3/00; eye surgery A61F9/007; ear surgery A61F11/20) - A61B 17/29: Forceps for use in minimally invasive surgery - A61B 2017/003: {Steerable} - A61B 2017/291: {the position of the handle being adjustable with respect to the shaft} - A61B 2017/2927: {the angular position of the head being adjustable with respect to the shaft} - A61B 2017/2929: {with a head rotatable about the longitudinal axis of the shaft} - A61B 2017/2946: {Locking means} - A61B 2090/508: {with releasable brake mechanisms} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An articulation tool includes proximal and distal links, an elongated shaft therebetween, and first and second locks. Movement of the proximal link about proximal first and second axes causes corresponding movement of the distal link about distal first and second axes. The first and second locks have unlocked configurations in which the proximal and distal links are movable with respect to the elongated shaft about the first axes, or the second axes, respectively, and locked configurations in which the proximal and distal links are held in a fixed orientation with respect to the elongated shaft about the first axes, or the second axes, respectively. Rotation of the elongated shaft while the first and second locks are in the locked configuration and the proximal and distal links are angled with respect to the elongated shaft causes the proximal and distal links to rotate about respective longitudinal axes. ## Claims ### Claim 1 A method of using an articulation tool, the method comprising: driving movement of a proximal link of the articulation tool, wherein movement of the proximal link about a proximal first axis causes corresponding movement of a distal link of the articulation tool about a distal first axis and movement of the proximal link about a proximal second axis perpendicular to the proximal first axis causes corresponding movement of the distal link about a distal second axis perpendicular to the distal first axis, wherein the articulation tool comprises: an elongated shaft extending along an elongated shaft longitudinal axis between the proximal link and the distal link; a first lock configured to prevent pivoting motion of the elongated shaft relative to the proximal link about the proximal first axis while allowing pivoting motion of the elongated shaft relative to the proximal link about the proximal second axis; and a second lock configured to prevent pivoting motion of the elongated shaft relative to the proximal link about the proximal second axis while allowing pivoting motion of the elongated shaft relative to the proximal link about the proximal first axis; adjusting the first lock between an unlocked configuration in which the proximal link and the distal link are movable with respect to the elongated shaft about the proximal and distal first axes, respectively, and a locked configuration in which the proximal link and the distal link are held in a fixed orientation with respect to the elongated shaft about the proximal and distal first axes, respectively; adjusting the second lock between an unlocked configuration in which the proximal link and the distal link are movable with respect to the elongated shaft about the proximal and distal second axes, respectively, and a locked configuration in which the proximal link and the distal link are held in a fixed orientation with respect to the elongated shaft about the proximal and distal second axes, respectively; and driving rotation of the elongated shaft about the elongated shaft longitudinal axis while the first and second locks are in the locked configuration such that the proximal link and the distal link are angled with respect to the elongated shaft and rotate about respective longitudinal axes during rotation of the elongated shaft. ### Claim 2 (depends on 1) The method of claim 1, wherein the driving rotation of the elongated shaft includes driving rotation of an end effector of the articulation tool, the end effector being coupled to the distal link. ### Claim 3 (depends on 1) The method of claim 1, wherein the distal link is connected to the proximal link by at least one articulation cable such that movement of the proximal link causes the at least one articulation cable to move the distal link. ### Claim 4 (depends on 1) The method of claim 1, wherein both the adjusting the first lock and the adjusting the second lock are performed by actuating a single actuator that simultaneously adjusts the first lock and the second lock. ### Claim 5 (depends on 1) The method of claim 1, wherein both the adjusting the first lock and the adjusting the second lock are performed by actuating a single actuator that sequentially adjusts the first lock and then the second lock. ### Claim 6 (depends on 1) The method of claim 1, wherein the adjusting the first lock is performed by actuating a first actuator and the adjusting the second lock is performed by actuating a second actuator. ### Claim 7 (depends on 1) The method of claim 1, wherein adjusting the first lock between the unlocked configuration and the locked configuration comprises engaging a first pin with teeth of a first gear segment. ### Claim 8 (depends on 7) The method of claim 7, wherein adjusting the second lock between the unlocked configuration and the locked configuration comprises engaging a second pin with teeth of a second gear segment. ### Claim 9 (depends on 8) The method of claim 8, wherein a rotation axis of the first gear segment is parallel to the proximal first axis and wherein a rotation axis of the second gear segment is parallel to the proximal second axis. ### Claim 10 (depends on 9) The method of claim 9, wherein the first pin and the second pin are substantially parallel. ### Claim 11 An articulation tool, comprising: a proximal link; a distal link, wherein movement of the proximal link about a proximal first axis causes corresponding movement of the distal link about a distal first axis and movement of the proximal link about a proximal second axis perpendicular to the proximal first axis causes corresponding movement of the distal link about a distal second axis perpendicular to the distal first axis; an elongated shaft extending along an elongated shaft longitudinal axis between the proximal link and the distal link; a first lock having an unlocked configuration in which the proximal link and the distal link are movable with respect to the elongated shaft about the proximal and distal first axes, respectively, and a locked configuration in which the proximal link and the distal link are held in a fixed orientation with respect to the elongated shaft about the proximal and distal first axes, respectively; and a second lock having an unlocked configuration in which the proximal link and the distal link are movable with respect to the elongated shaft about the proximal and distal second axes, respectively, and a locked configuration in which the proximal link and the distal link are held in a fixed orientation with respect to the elongated shaft about the proximal and distal second axes, respectively; wherein rotation of the elongated shaft about the elongated shaft longitudinal axis while the first and second locks are in the locked configuration and the proximal and distal links are angled with respect to the elongated shaft causes the proximal and distal links to rotate about respective longitudinal axes. ### Claim 12 (depends on 11) The articulation tool of claim 11, further comprising an end effector coupled to the distal link, wherein rotation of the elongated shaft causes rotation of the end effector. ### Claim 13 (depends on 11) The articulation tool of claim 11, further comprising at least one articulation cable extending between the proximal link and the distal link such that movement of the proximal link causes the at least one articulation cable to move the distal link. ### Claim 14 (depends on 11) The articulation tool of claim 11, further comprising an actuator that simultaneously adjusts the first lock and the second lock between the unlocked configuration and the locked configuration. ### Claim 15 (depends on 11) The articulation tool of claim 11, further comprising an actuator that sequentially adjusts the first lock between the unlocked configuration and the locked configuration and then adjusts the second lock between the unlocked configuration and the locked configuration. ### Claim 16 (depends on 11) The articulation tool of claim 11, further comprising a first actuator configured to adjust the first lock between the unlocked configuration and the locked configuration and a second actuator configured to adjust the second lock between the unlocked configuration and the locked configuration. ### Claim 17 (depends on 11) The articulation tool of claim 11, wherein the first lock comprises a first pin engageable with teeth of a first gear segment. ### Claim 18 (depends on 17) The articulation tool of claim 17, wherein the second lock comprises a second pin engageable with teeth of a second gear segment. ### Claim 19 (depends on 18) The articulation tool of claim 18, wherein the first gear segment has an axis of rotation parallel to the proximal first axis and the second gear segment has an axis of rotation parallel to the proximal second axis. ### Claim 20 (depends on 19) The articulation tool of claim 19, wherein the first pin and the second pin are substantially parallel.