This application claims the benefit of and priority from European Patent Applications Nos. 21176573 and 21176578, filed May 28, 2021; said applications are incorporated herein by reference in their entirety.
The present disclosure relates to insertion endoscopes, in particular but not limited to a tip part of such an endoscope.
Insertable vision devices such as endoscopes are well known for visually inspecting inaccessible places such as body cavities, e.g. human body cavities. Typically, the endoscope comprises an elongated insertion cord with a handle at the proximal end as seen from the operator and visual inspections means, such as a builtin camera, at the distal end of the elongated insertion cord. Electrical wiring for the electronic vision receptor, e.g. the chip of a camera and other electronics such as LED lighting accommodated in the tip part at the distal end run along the inside of the elongated insertion cord from the handle to the tip part. Instead of using cameras, endoscopes may also be fibreoptic, in which case the optical fibres run along inside of the elongated insertion cord to the tip part.
In order to be able to manoeuvre the endoscope inside the body cavity, the distal end of the endoscope may comprise a bending section with increased flexibility, e.g. a number of articulated segments of which the tip part forms the distalmost segment. This is typically done by tensioning or slacking pull wires also running along the inside of the elongated insertion cord from the tip part through the remainder of articulated segments to a control mechanism of the handle. Furthermore, a working channel may run along the inside of the insertion cord from the handle to the tip part, e.g. allowing liquid to be removed from the body cavity or allowing the insertion of surgical instruments or the like into the body cavity.
As the name indicates, endoscopes, are used for seeing inside things, such as lungs or other human body cavities of a patient. Modern endoscopes are therefore typically equipped with at least one camera or similar image capturing device serving as an electronic vision receptor at the distal tip of the endoscope. Provided that sufficient light is present, this allows the operator to see where the endoscope is steered and to set the target of interest once the tip has been advanced thereto. This therefore normally requires illumination of the area in front of the distal tip of the endoscope, in particular the field of vision of the camera(s). One known way of achieving such illumination is to provide the above-mentioned LED lighting using one or more Light Emitting Diodes (LEDs) in conjunction with lightguides in the tip of the endoscope, as e.g. formed integrally with a front window covering also the vision receptor as mentioned in EP 3539450 disclosing a disposable endoscope incorporated herein by reference. The light distribution in the emitted light from a light source such as an optical fibre or an LED is, however, not optimal as regards the field of vision of a vision receptor such as an image sensor, a video camera or an optical fibre. In particular, an LED may spread the emitted light over a wide angle from what is ideally a point source. The vision receptor on the other hand is typically a rectangular array or matrix, with a certain width-height aspect ratio.
It may therefore be problematic to have the corners of the field of vision of the vision receptor proper illuminated without overexposure of other parts. As an example, in many body cavities, in particular tubular ones, objects in the periphery of the field of vision will often be closer than those in the centre. Consequently, they will be stronger illuminated than those in the centre, which in turn leads to overexposure of the image at the periphery and underexposure in the centre where the object of interest is often likely to be. The opposite, however, may also be the case so that the centre is overexposed while corners of the field of vision is underexposed.
JP-8-122633 deals with the light distribution to the corners of the field of view of a reusable endoscope. However, rather than using lightguides in front of LEDs JP-8-122633 uses relatively complicated lens systems in front of optical fibres, providing the light at the tip of the endoscope.
Based on this prior art, it is the object of the present disclosure to provide a tip part of an endoscope which overcomes at least some of the above problems.
According to a first aspect of the disclosure this object is achieved by an endoscope comprising a proximal handle and a distal tip with at least one transparent window part, said distal tip being arranged at the distal end of an insertion cord extending from said proximal handle, said distal tip comprising an electronic image capture device having an essentially rectangular receptor defining a vertical imaging direction (V) with a height (h) and a horizontal imaging direction (H) with a width (w), the distal tip comprises at least one light source, a lightguide with a centre axis, where the lightguide comprises a proximal end and a distal end and a circumferential surface extending between said proximal end and said distal end, wherein said circumferential surface is configured to provide internal reflection of light emitted from the light source, and said circumferential surface defines a cross-section of said lightguide, wherein said cross-section defines at least four corners arranged with an angular spacing around said centre axis, and where between two neighbouring corners said circumferential surface has a predetermined curvature between, wherein said predetermined curvature is so selected that incident light emitted from said centre axis is reflected at an angle ⊖ with respect to said horizontal direction (H), where the angle ⊖ is either ±arctan (h/w), or ±(180°−arctan (h/w)).
According to an embodiment of the first aspect of the disclosure said curvature is given by the formula: ⊖=2⊖2−⊖1, where ⊖1 is the emission angle of a light ray with respect to said horizontal direction and ⊖2 is the angle of the tangent to the circumferential surface with respect to horizontal at the point of incidence of said light ray. With this curvature rays emanating from the LED at the centre will be reflected in the preferred direction and rays emanating from parts of the LED slightly off-set from the centre axis will still largely be reflected in the desired direction.
According to a further embodiment of the first aspect of the disclosure said cross-section defines four corners arranged with a 90° spacing around said centre axis so as to provide a first pair and a second pair of mutually opposing corners, where a first corner of the first pair opposes the second corner of the first pair along a first diagonal coincident with said vertical imaging direction (V), and where a first corner of the second pair opposes the second corner of the second pair along a second diagonal coincident with said horizontal (H) imaging direction.
According to an embodiment of the first aspect of the disclosure the corners of said first pair of mutually opposing corners and said second pair of mutually opposing corners are concave corners as seen from the inside of the lightguide. This improves the light distribution over embodiments with versions with concave corners only.
According to an embodiment according to the first aspect of the disclosure the number of further corners is a multiple of four, in particular four or eight. Adding further corners in multiples of four, i.e. corresponding multiples of the number of corners in the imaging device may further improve the light distribution of light to those corners.
According to an embodiment of the first aspect of the disclosure, the corners of said first pair of mutually opposing corners and said second pair of mutually opposing corners are convex corners as seen from the inside of the lightguide.
According to a further embodiment according to the first aspect of the disclosure said convex corners have an angle in the interval from 215° to 235°, preferably approximately 225°. This preferred angle, corresponding to 180°+2×22.5° with a proper interval around it, reflects at a 45° angle seen from the centre for the lightguide from where the light ideally enters the lightguide, although the LED is not an ideal point source.
According to an embodiment according to the first aspect of the disclosure, further corners are provided between said first pair of mutually opposing corners and said second pair of mutually opposing corners. This further improves the light distribution towards the corners of the field of view.
According to a further embodiment according to the first aspect of the disclosure said concave corners have an angle in the interval from 125° to 145°, preferably approximately 135°.
According to another embodiment of the first aspect of the invention the side surfaces between said edges are smooth, i.e. without any discontinuities such as concave corners between the convex corners forming the edges. This further improves the control of light emission through and from the lightguide and facilitates manufacturing of the lightguide as it is easier to e.g. injection mould.
According to a further embodiment of the first aspect of the disclosure the distal end face of the of the lightguide constitutes the front window or part of the front window. This may further improve the control of the light emitted from the endoscope directly from the lightguide rather than through a front windowpane or similar object without lightguide properties irrespective of the front windowpane is integral with the lightguide or not.
An endoscope according to the disclosure, wherein the light guide and the window is a single-piece integrally moulded component. This makes the manufacturing cost-efficient.
According to another embodiment of the disclosure, the light guide and the window is a single-piece integrally moulded component. This makes it easier to manufacture and, according to yet a yet further preferred embodiment of the first aspect of the disclosure, allows the angle of the edges with respect to the centre axis to be between 0° and 3°, preferably approximately 1°. This allows for easy manufacture of the lightguide by e.g. injection moulding without inhibiting the desired optical properties.
According to yet another preferred embodiment of the first aspect of the disclosure the maximum angle of the side surfaces with respect to the centre axis is in the interval from 2° to 10°, preferably approximately 5°. This provides a proper curvature to reflect some of the light incident on the side surfaces more towards the corners as seen in the cross-sectional plane and hence emanate in a corresponding direction from the lightguide into the field of view of the image capture device.
According to another embodiment of the disclosure, wherein the light guide and the window is a single-piece integrally moulded component, the single-piece integrally moulded component allows the distal end face of the lightguide to constitute the window part. Thus, the light emitted in the direction of the corners of the field of view will not be disturbed by passing and exiting from a thickness of transparent material. This in turn allows for the omission of any additional window in front of the imaging device except for e.g. lenses integrated in a camera.
According to an embodiment of a second aspect of the disclosure, the object is achieved by a visualization system comprising a video processing apparatus (VPA) and an endoscope according to the first aspect of the disclosure. The VPA is configured to receive live video from the endoscope and output a video based on the received live video.
In a variation of the present embodiment, the VPA comprises a display device.
In another variation of the present embodiment, the VPA does not comprise a display device, and the display device is communicatively connected to the VPA, either wirelessly or via a cable.
The disclosure will now be made in greater detail based on non-limiting exemplary embodiments and with reference to the drawings, on which:
Turning first to
The endoscope 2 is preferably a forward looking, disposable, i.e. single use, endoscope that is to be discarded after use in a patient, rather than cleaned, sterilized and reused. The endoscope 2 comprises a position interface, illustratively a handle 4, at the proximal end. The handle 4 is adapted to be gripped by the hand of an operator. The endoscope 2 also includes a bendable insertion cord 5 extending towards the distal end of the endoscope 2 and adapted to be inserted into a patient. The insertion cord 5 includes an insertion tube 5a, a bending section 5b, and a tip part 8 according to the disclosure connected to the bending section 5b. The bending section 5b is highly bendable. The bending motion of the bending section is controlled by the user using an operating member 7 such as knob or a lever via control cables (not visible) connected to the tip part 8 or the distal end of the bending section 5b. The bending section 5b comprises a thin covering sheath, and the inner details are thus not visible in
Another embodiment of a VPA, illustratively VPA 1f, is shown in
A position interface functions to control the position of the insertion cord 5. A handle is an example of a position interface and, unless stated otherwise, the terms are used interchangeably. The handle also functions to provide manual control actuators, e.g. knobs, levers, buttons, and the like, to steer the tip part and control instruments guided through the insertion cord. Alternatively, a different position interface can be provided that is connected to the insertion cord and is detachably connected to a robotic arm. The insertion cord thus extends from the robotic arm, and the endoscope is thus detachable from the robotic arm. The tip part (described below) is the same regardless of the position interface used. The robotic arm responds to signals, such as voice commands from the operator, to rotate, translate, and otherwise position the proximal end of the insertion cord, as an operator would do manually. The position interface can include control actuators, including manual control actuators. Alternatively or additionally, control actuators can be provided in or on the robotic arm or by the robotic system including the robotic arm, thereby potentially reducing the cost of the endoscope. Example control actuators include single axis actuators, including linear motion actuators. A linear motion actuator may comprise a threaded rod coupled to a threaded nut portion, in which a motor rotates the rod to translate the nut portion.
Turning now to
The tip housing may also enclose a lens and a lens holder or barrel 34 (shown in
The front window part 12 comprises a portion 12a (shown in
As can be seen, the lightguides 13 shown in
Turning now to
As can be seen, the body of the lightguide 13 is roughly the shape of a frustum of a four-sided pyramid. The base is contiguous with the front window part 12 and the top, i.e. the proximal end, comprises a plane surface 14 adapted to receive and be in good contact with the emission side of the LED. The plane surface 14 at the top is generally rectangular with four straight sides 17 except at the corners 15, which are slightly rounded for manufacturing reasons. Being a square, the corners are spaced with 90 degree spacing about a centre axis A-A. The sides are aligned with the horizontal imaging direction H and vertical imaging direction V defined by the image sensor or receptor of the electronic image capture device 23, schematically indicated with broken lines in
The four side surfaces 18 which together with the rounded corners form the circumferential surface of the lightguide 13 are each smooth surfaces without discontinuities with a curvature that (as seen from the outside) increases in convexity from the top towards the base. The four edges 21 formed by the corners are preferably perpendicular to the exit surface of the front window part 12, as indicated by the axis C-C, or as close to perpendicular as the manufacturing methods allow. That is ideally to say approximately 0° angle to the centre axis A-A about which the lightguide 13 exhibits a fourth order of symmetry. Some deviation may be acceptable for manufacturing reasons and the angle may thus be anywhere between 0° and 3°, preferably approximately 1 degree.
From the corner, when moving towards the middle of the side surface, the angle of the surfaces increase slightly from approximately 0° to a maximum angle of the side surfaces with respect to the centre axis A-A as indicated by the axis B-B. Because the maximum angle increases away from each corner the maximum angle is found midway on the surface 18 between two edges 21 defined by the corners. This maximum angle is preferably in the interval from 2° to 10°, but is always larger than the angle of the corners with respect to the centre line A-A.
With properly selected transparent materials this shape of the lightguide provides total internal reflection of the light from the light source, but because of the curvature of the side surfaces more light is emitted in the directions away from the corners of the lightguide 13. That is to say, the light is collimated more at the sides where the angles are higher than in the corners where the angles are lower. Suitable transparent materials could include Polycarbonate, Cyclic Olefin Polymer, Cyclic Olefin Copolymer, Styrene-Butadiene Copolymer, Silicone or Polystyrene. If the orientation of the edges 17 of the square shape of the plane surface 14 is aligned with the sides of the normally rectangular image sensors of the imaging device, more light will be available in the corners of the field of view. This can be seen from the example shown in
Turning now to
As can be seen, the body of the lightguide 13 is roughly the shape of a frustum of a four-sided pyramid. The base is preferably contiguous with the front window part 12 and the top, i.e. the proximal end, comprises a plane surface 14 adapted to receive and be in good contact with the emission side of a LED component. In this and other embodiments, the base could, however, also constitute the front window, or the front window could be a separate part. The plane surface 14 at the top is generally rectangular, however with four concavely curved edges 17, meeting at the corners 15, which are also in this embodiment slightly rounded for manufacturing reasons. The corners are spaced with 90 degree spacing about a centre axis A-A, so as to provide a fourth order of rotational symmetry. In this second embodiment the cross-section at the base is square with straight sides 16 and rounded corners. The sides are aligned with the horizontal imaging direction H and vertical imaging direction V defined by the image sensor and the corresponding rectangular display on the display device.
The four side surfaces 18 which together with the rounded corners form the circumferential surface of the lightguide 13 are each smooth surfaces without discontinuities with a curvature that, like the first embodiment, increases in convexity from the top towards the base or, depending on how you 0 express it, decreases in concavity. Like the first embodiment, the four edges 21 formed by the corners are preferably perpendicular to the exit surface of the front window part 12, as indicated by the axis C-C, or as close to perpendicular as the manufacturing methods allow. That is ideally to say approximately 0° angle to the centre axis A-A about which the lightguide 13 exhibits a fourth order of symmetry. Some deviation may be acceptable for manufacturing reasons and the angle may thus be anywhere between 0° and 3°, preferably approximately 1 degree.
From the corner, the angle of the surfaces increases slightly from approximately 0° to a maximum angle of the side surfaces with respect to the centre axis A-A. Because the maximum angle increases away from each corner the maximum angle is found midway on the surface 18 between two edges 21 defined by the corners as indicated by the axis B-B. This maximum angle is preferably in the interval from 2° to 10°, but is always larger than the angle of the corners with respect to the centre line A-A.
With properly selected transparent materials this shape of the lightguide provides total internal reflection of the light from the light source, but because of the curvature of the side surfaces, the light is collimated more at the sides where the angles are higher than in the corners where the angles are lower, and accordingly light is emitted more to the sides than forwardly at the corners of the lightguide 13 than at the side surfaces where the angles are larger. If the orientation of the edges 17 of the plane surface 14 is aligned with the sides of the normally rectangular image sensors of the imaging device, more light will be available in the corners of the field of view. This can be seen from the example shown in
Turning now to
As can be seen the areas of top 14 and base has four corners 15 but is not quite square, but rather somewhat cushion-shaped, i.e. with a convex curvature as seen from the outside. This again applies to the entire surface outer 18 between the corners.
However, as seen from the inside of the lightguide 13 where incident light from the LED is subject to internal reflection the light is thus reflected of a concave surface. That is to say, the surface as seen from the inner of the light guide 13 is a concave mirror. Since, as will be understood, reflection is the issue, all references to convex and concave corners and surfaces will be made accordingly, i.e. as seen from the inside of the light guide 13, rather than in the conventional way for polygons in geometry. In this respect, corners will be understood as convex if the angle at which the surface meet, is larger than 180°, as seen from the inside, and concave if the angle with which they meet is smaller than 180°, as seen from the inside. In other words a convex corner points towards the centre of the light guide 13, and concave corners point away from the centre of the light guide 13. With the corners 15 arranged as two pairs of opposing concave corners 15 one pair opposing each other in the vertical direction V and the other pair opposing each other in the horizontal direction H, as defined with respect to the image receptor and display, it is possible to reflect more light towards the corners of the image than the sides of the field of view of the square image receptor as illustrated in
Thus, with opposing corners 15 and resulting edges 12 arranged along the vertical and horizontal direction and suitably selected angles of the corners 15, more light will be available in the corners of the field of view of the imaging device. This can be seen from the example shown in
Irrespective of whether the corners are arranged exactly opposite each other and whether the image sensor is generally rectangular i.e. height h differs from width w, the curvature between two neighbouring corners is so selected that the reflection angle ⊖ with respect to horizontal H is so selected that the reflection angle (⊖) is either ±arctan (h/w), or ±(180°−arctan (h/w)). That is to say if the aspect ratio of the image sensor is not 1, the angles towards the corner are not 45°, the curvature is still adapted to reflect light towards the corners, and does thus not deviate from the scope of the disclosure.
As illustrated in
In
As will be noticed, the opposing corners 15 in the vertical direction and the horizontal direction are not concave corners 15 but instead convex corners 15.
As seen from the inside of the lightguide 13 incident light from the LED is subject to internal reflection the light is also in this embodiment reflected off a concave surface 18, of which there are eight. The curvature of the surface 18 is so selected that no light impinging on any of the surfaces 18 is reflected straight back towards the centre line A-A but all reflected back at an angle so that all light is generally directed more in a direction between the horizontal and vertical directions.
The curvature may be selected differently from that shown, but ideally at the corners the angle β of the tangent to the surface with respect to vertical or horizontal direction should be 22.5° (or −22.5°) in order to achieve the desired reflection at an angle of 45° with respect to vertical or horizontal as illustrated for the square image receptor 23. In the example illustrated in
Thus, with opposing corners 15 and resulting edges 12 arranged along the vertical and horizontal direction and suitably selected angles of the corners 15, more light will be available in the corners of the field of view of the imaging device. This can be seen from the example shown in
Similar to the previously described embodiment, irrespective of whether the corners are arranged exactly opposite each other, the curvature between two neighbouring corners is so selected that the reflection angle ⊖ with respect to horizontal H is so selected that the reflection angle (⊖) is either ±arctan (h/w), or ±(180°−arctan (h/w)). That is to say, if the aspect ratio of the image sensor 23 differs from 1 and the angles towards the corner are not 45°, the curvature is still adapted to reflect light towards the corners. As can be seen from
A further embodiment of the lightguide 13, which can be seen as a hybrid between the two previously described embodiments is shown in
It thus has not only four convex corners 15, arranged as two pairs of opposing corners 15, one pair opposing in the vertical direction V and the horizontal direction H, as defined with respect to the image receptor and display, but eight additional corners 15′. These additional corners 15′ are essential concave corners as seen from the inside of the lightguide 13, but with a much more obtuse angle than in the previously described embodiment. The additional surface 18 provided this way provides internal reflections similar to the ones achieved in the embodiment of
Accordingly, the curvature between neighbouring corners is so selected that the reflection angle ⊖ with respect to horizontal H is so selected that the selected that the reflection angle (⊖) is either ±arctan (h/w), or ±(180°−arctan (h/w)). So also here, if the aspect ratio of the image sensor 23 differs from 1 and the angles towards the corner are not 45°, the curvature is still adapted to reflect light towards the corners. Although not shown, this is also in this case fulfilled when the tangent T to the reflecting surface is at an angle ⊖2 to horizontal, where ⊖2 is so selected that ⊖=2⊖2−⊖1, where ⊖1 is the emission angle of a light ray emanating from the centre axis with respect to said horizontal direction H.
Further corners 15′, i.e. higher multiples of four than eight can be envisaged.
The curvature may be selected differently from that shown, but ideally at the convex corners 15 as seen from within the lightguide 13 are also with an angle of 225° in this embodiment.
In general, for the above embodiments, especially adapted for image sensors with square imaging surface, it should be noted that arctan (1/1) is 45. Accordingly, the reflection angle may also be expressed as: ⊖=−45°+N·90°, where N is an integer.
As mentioned above, if the aspect ratio differs from 1, as in many commonly used rectangular image sensor formats, the angles towards the corners will differ.
Thus if h/w=9/16, the angles ⊖ will be ±arctan (9/16), or ±(180°−arctan (9/16)) or approximately: 29.4°=(arctan(9/16)), 150.6°=(180°−arctan(9/16)), (209.4° (−150.6°) or 330.6° (−29.4°).
Similarly, if h/w=3/4, the angles ⊖ will be ±arctan (3/4), or ±(180°−arctan (3/4)) or approximately: 36.9°=(arctan(3/4)), 143.1°=(180°−arctan(3/4)),) 216.9° (−143.1° or 323.1° (−36.9).
It may furthermore be envisaged that features of the embodiments of
Turning now to
Although shown proximally of the electronic image capture device 23, the LEDs 30 can be placed distally of the electronic image capture device 23. Furthermore, the LEDs 30 can be adhesively bonded to the lightguides 13 or, alternatively, a support frame can be placed therebetween to maintain the lightguides or the LEDs or both in place relative to the image capture device 23.
The electronic image capture device 23 has an optical axis 40. The cross-section of the image receptor 32 may be substantially rectangular or square. The electronic image capture device 23 together with the lens(es), lens holder 34, and associated circuitry (e.g. image receptor and processor included in an integrated circuit of the electronic image capture device 23), may be referred to as a camera 36. The camera 36 may be a commercially available wafer-level camera module. The camera may be communicatively coupled to the VPA by means of power connectors and serial communication connectors. The serial communication connectors establish serial communication via a serial communication protocol such as, for example, I2C. The VPA may provide configuration information to the camera on a periodic basis based on analysis, by the VPA, of the images to, for example, prevent overexposure or underexposure of the images. Such configuration information may comprise, for example, electronic shutter speed or exposure time.
The following items are examples of various embodiments disclosed above:
Number | Date | Country | Kind |
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21176573.0 | May 2021 | EP | regional |
21176578.9 | May 2021 | EP | regional |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2022/064283 | 5/25/2022 | WO |