| CPC A61B 34/35 (2016.02) [A61B 34/71 (2016.02); A61B 90/361 (2016.02); A61B 34/25 (2016.02); A61B 2034/301 (2016.02); A61B 2034/305 (2016.02)] | 15 Claims |

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1. A surgical instrument comprising:
a wrist including:
one or more pulleys including a first pulley;
a distal clevis;
a proximal clevis; and
a rod coupling the proximal clevis and the distal clevis and extending through the first pulley; and
a surgical effector with N degrees of movement, at least one of the N degrees of movement comprising rotation about a pitch axis extending through the wrist,
wherein at least N+1 cable segments extend through the wrist to actuate the surgical effector in the N degrees of movement, the N+1 cable segments comprising a first cable segment and a second cable segment, and
wherein the first cable segment is routed on a first side of the first pulley and the second cable segment is routed on a second side of the first pulley.
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