Endoscopes may be reusable, yet, for the sake of hygienic requirements, the device must be washed or otherwise sterilized after use with each patient. There is a need for a device and method enabling reuse of an endoscope without tampering with the hygienic requirements and with minimized repeating sterilization operations.
An endoscope device is disclosed comprising a disposable unit that includes an endoscopic insertion tube comprising an optical guide, having a proximal end and a distal end, for imaging a distal object. The disposable unit may also include an interface unit and a housing defining a confined space. The endoscope device may also include a reusable unit configured to be disposed and secured inside the housing of the disposable unit and comprising a receiver to receive, via the interface unit, image data of the imaged distal object.
In some embodiments of the invention, the interface unit includes an optical coupler.
In some embodiments of the invention, the receiver is adapted to receive an optical image from the optical guide via the optical coupler and to convert it to digital image data.
In some embodiments of the invention, the receiver includes an optical sensor.
In some embodiments of the invention, the disposable unit further includes a navigation mechanism for manipulating the distal tip of the insertion tube.
In some embodiments of the invention, the reusable unit further includes a navigation lever to operate the navigation mechanism.
In some embodiments of the invention, the endoscope device further includes a light source.
In some embodiments of the invention, the light source is disposed within the reusable unit, wherein the insertion tube further comprises an illumination guide to guide light from the illumination source to the distal end of the insertion tube.
In some embodiments of the invention, the light source is disposed at the distal end of the insertion tube.
In some embodiments of the invention, the optical guide includes a multicore fiber.
In some embodiments of the invention, the endoscope device further includes a focusing unit for enabling focusing the image by means of controlling the distance between the proximal end of the optical guide and the receiver.
In some embodiments of the invention, the endoscope device includes an aligning device for aligning of the proximal end of the optical guide with an optical axis of the receiver.
In some embodiments of the invention, the endoscope device further includes an extendable sterilization protecting flexible sleeve configured to be rolled off an aft end of the disposable unit and enclose a cable leading from the reusable unit to a control unit.
The subject matter regarded as the invention is particularly pointed out and distinctly claimed in the concluding portion of the specification. The invention, however, both as to organization and method of operation, together with objects, features, and advantages thereof, may best be understood by reference to the following detailed description when read with the accompanying drawings in which:
FIGS. 3A1 and 3A2 are simplified schematic illustrations demonstrating aspects of the interface between a disposable unit and a reusable unit, according to some embodiments of the invention;
It will be appreciated that, for simplicity and clarity of illustration, elements shown in the figures have not necessarily been drawn to scale. For example, the dimensions of some of the elements may be exaggerated relative to other elements for clarity. Further, where considered appropriate, reference numerals may be repeated among the figures to indicate corresponding or analogous elements.
In the following detailed description, numerous specific details are set forth in order to provide a thorough understanding of the invention. However, it will be understood by those skilled in the art that the present invention may be practiced without these specific details. In other instances, well-known methods, procedures, and components have not been described in detail so as not to obscure the present invention.
According to some embodiments of the invention an endoscope may be reusable in an affordable manner, meaning with minimized sterilization efforts and without tampering with hygienic requirements. According to some embodiments of the invention, only a part of the endoscope, e.g., the endoscope insertion tube, may be disposable. The disposable insertion tube of the endoscope may comprise only minimal essential elements, thereby minimizing the production costs for the disposable insertion tube. Use of a disposable insertion tube may be highly advantageous as it may decrease the risk for cross contamination between patients as well as reduce the need for a sterilization process, while requiring replacement of only a portion of an endoscope (the disposable insertion tube).
Some embodiments of the present invention relate to endoscopes, multicore endoscope fibers and configuration and operation methods. Multicore fibers, according to some embodiments, may have a large number (e.g., hundreds or thousands) of cores and may incorporate working channel(s) and/or additional fibers. The fiber used may be provided in different optical configurations to capture images of tissue and objects at the distal tip of the endoscope, and to enhance a wide range of optical characteristics of the obtained images, such as resolution, field of view, depth of field, wavelength ranges, etc. Near-field imaging as well as far-field imaging may be implemented in the endoscopes, according to some embodiments of the invention, and the respective optical features may be utilized to optimize imaging. Optical elements may be used at the distal tip, or the distal tip may lack any lenses. Diagnostics and optical treatment feedback loops may be implemented, and illumination may be adapted to yield full color images, depth estimation, enhanced field of view and/or depth of field and additional diagnostic data.
Various embodiments of multicore endoscope fibers may be used. An endoscope, according to some embodiments of the present invention, may implement far field imaging, i.e., have the image formed at the proximal end of the endoscope fiber, while another endoscope, according to some embodiments, may implement near field imaging, i.e., have the image formed at the distal end of the endoscope. Both far field and near field implementations, may have distal optical elements between the imaged objects or tissues and the distal tip of the endoscope, or may operate without such distal optical elements. Each of the four combinations (far field with and without distal optical elements and near field with and without distal optical elements) has different features, advantages and disadvantages, and may be selected according to specific implementation scenarios. Alternation of the combination may be carried out between applications or in real time, to combine advantages of different configuration types. It is further noted that endoscopes may be designed to have several combinations, e.g., a part of the fiber face (or certain fiber modules) having distal optics for imaging far objects and another part of the fiber face (or other fiber modules) lacking distal optics for microscopic imaging.
Endoscopes, according to some embodiments, may lack any optical elements at the distal tip. Such lens-less embodiments may implement either far-field or near-field imaging, and may utilize structural features to enhance optical resolution, apply super-resolution methods and retrieve wave front information while reducing crosstalk between the cores.
Endoscopes, according to some embodiments of the invention, may have full tip cross sections or have working channel(s) within the imaging fiber characterized by different configurations and uses, integrating additional fibers etc., in which case the cores and optical elements may be configured to overcome reduction of the field of view due to the incorporation of the working channel.
Various configurations of large number of cores in the endoscope fiber, according to some embodiments of the invention, may provide solutions to various issues such as reducing crosstalk between the fibers, overcoming material losses, achieving enhanced resolution by different methods, providing required mechanical characteristics and optimizing the imaging performances of the endoscope fibers. Endoscopes, according to some embodiments of the invention, may serve for different purposes, e.g., may be designed as a laparoscope or an ureteroscope, etc.
A micro endoscope, according to some embodiments of the invention, may be constructed from a large number of cores (e.g., one hundred cores or more, hundreds of cores, thousands of cores, in certain embodiments tens or hundreds of thousand cores per fiber or fiber module, reaching over a million cores in certain fiber endoscopes), where each core may be responsible for transferring a single or a large number of spatial degrees of freedom out of which at the output, proximal end (the end which is external to the patient body), a high resolution color image may be constructed. Multi-core fiber, according to some embodiments of the present invention, may exhibit a high degree of flexibility in its optical design, which may be utilized and adapted for specific applications, for example for ureteroscopes with a large working channel and a small external diameter or for laparoscopes with a very high resolution obtained at a small external diameter.
According to some embodiments of the invention, the endoscope may be divided into two main parts: a reusable endoscope handle that may include the majority of and the more expensive functionalities of the endoscope, such as the more complicated and expensive optical units (e.g. camera, image initial processing means and electronics), and a detachable and disposable endoscope insertion tube (or head) that may include a simpler and relatively cheap optical setup, endoscope image conducting guide, such as an optical fiber or a fiber bundle (e.g., multicore fiber, with a multitude of cores) and optionally lighting guide or guides (e.g., one or a plurality of cores in the fiber) for guiding illumination to the distal end of the insertion tube.
The endoscope insertion tube may include a fiber-based light conduit means and specific optic and mechanics connecting means, adapted to firmly attach the disposable endoscope insertion tube to the reusable endoscope handle. In some embodiments, the light source may be disposed at the distal end of the endoscope, e.g., using a suitable LED (light emitting diode) as a light source. A universal mounting interface at the front end of the endoscope handle may allow the use of application specific, exchangeable endoscope insertion tubes having different capabilities. An electronic-dense reusable handle allows functionality with various different single-use disposable insertion tubes. The disposable endoscope insertion tube may comprise a housing located at a proximal end of the insertion tube, adapted to accommodate and envelope the endoscope handle in a way that protects it, shielding it from outside physical contact and contamination, and preserving its sterilization. The entire endoscope may be covered with a sealable (e.g., plastic, rubber) cover covering both parts (disposable and reusable) including the electrical cable connected to the reusable handle. When desired, e.g., at the end of usage, the handle may be detached from the disposable endoscope insertion tube and extracted from the housing, while the disposable endoscope insertion tube with the housing is disposed of or discarded.
The connection between the handle and the disposable endoscope insertion tube may include a mechanical connector that could be based on various configurations including magnets located at both sides of the connecting interface, mechanical rotation-based clips, mechanical translation-based clips (catching both parts when rotating one part in respect to the other), screw like/bayonet-type connection based on rotation, and the like.
Reference is made now to
Reusable endoscope handle 102 comprises endoscope body 102A which may comprise electronics, power source, communication unit, etc., according to a specific design. Reusable endoscope handle 102 further comprises endoscope disposable insertion tube interface unit, adapted to support and enable transfer, communication and exchange of optical and electrical signals and data, according to a given specific design. Interface unit 102B may provide, according to some embodiments, non-contact interface, e.g., using only optical coupling with disposable endoscope insertion tube. In such embodiments, disposable insertion tube may require inclusion of power source (not shown in
Reusable endoscope handle 102 further comprises pull-out means 102C adapted to enable pulling reusable handle 102 out of housing 104A in a sterilization-preserving manner. After handle 102 is pulled out of housing 104A, disposable insertion tube 104 may be disposed of and reusable handle 102 may be re-used in a future procedure.
When handle 102 is inserted into housing 104A, in preparation for medical procedure, handle 102 should, in a preferred embodiment, be inserted fully into the housing so that locking means 104D can be operated to lock handle 102 securely inside housing 104A, e.g., by pushing a jig into recess 102D made in the outer face of handle 102/using a back cover that will lock the system.
When handle 102 is properly located and locked inside housing 104A, interface units 102B and 104B should, in a preferred embodiment, be placed against each other in a way that enables connection, communication and signals exchange between handle 102 and disposable insertion tube 104, according to the specific design. In some embodiments, the interface may be made with no mechanical/electrical connection, relying on, for example, optical coupling.
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Reference is made now to FIGS. 3A1 and 3A2, which are simplified schematic illustrations demonstrating aspects of the interface between disposable unit 304 and reusable unit 302, according to some embodiments of the invention. In order to ensure good enough optical coupling of the light transmitted to the endoscope insertion tube and of the optical image received from the optical guide, certain requirements need to be met. In the light path, good and efficient transfer of the light energy should be provided in order to minimize light energy loss in the interface between the light source interface unit 3042 and the waveguide interface unit 3032. As is known in the art, in order to minimize light loss during pass from medium to medium, both should have same refraction coefficient, or as close as possible to each other. This requirement can easily be satisfied by proper selection of the transparent materials used for production. In some embodiments, using light source disposed at the distal end of the endoscope, e.g., LED, instead of optical coupling for transmitting light to the endoscope, an electrical coupling may be used for providing electrical power to the LED.
In some embodiments of the invention, the layer at the interface plane may be as thin as possible so that light passing through it will experience minimal losses. In order to satisfy this requirement, light source unit is slidably disposed inside reusable unit 302 such that it may slide back and force parallel to an imaginary longitudinal axis (ILA) of reusable unit 302. Light source unit 3040 may be disposed with springy element 3048 supporting between light source 3040 and the body of reusable unit 302. When reusable unit 302 is not coupled with disposable unit 304, springy element 3048 is unloaded and the front end of light interface unit 3042 protrudes beyond light interface plane (LIP). When units 302 and 304 are coupled, light interface unit is pushed backwards by waveguide interface unit 3032, and springy element 3048 retracts and provides predetermined coupling force that ensures sufficient optical coupling for the light.
In order to ensure good transfer of images collected by fiber unit 3020 to optical module 3050, in addition to providing good light transmission at the interface plane, accurate transfer of the optical image should also be provided. When coupling optical image source and optical image destination units, the coupling should be set in three main axes X-Y-Z of the interface, so that the optical axes of the source and the destination are aligned and optical focus is provided. In order to ensure self-alignment of the optical axes when fiber interface unit 3022 and optical module 3050 are coupled, the interface plane of fiber interface unit 3022 may be shaped as a conical depression 3022A made with its wider opening facing the housing (such as housing 104A of
Reference is made to FIG. 3A2, which is a schematic simplified block diagram of a focus unit for adjusting optical focus for the image transmitted by fiber unit 3020 to optical module 3050, when reusable unit 302 and disposable unit 304 are coupled. Mechanical accuracy of the reusable unit 302 may be ensured during production. However, the disposable unit 304 may be subjected to less accurate manufacturing standards, in order to reduce production costs. As a result, when reusable unit 302 and disposable unit 304 are coupled, the actual distance between the end of fiber interface unit 3022 and optical module 3050 may vary from one disposable unit to another one by unacceptable variations range. In order to ensure accurate focusing, optical module 3050 may be made with a transparent front face 3053 so that the light sensitive plane 3052′ is located at an accurate pre-determined optical gap (PDOG) distance from front face 3053. Fiber interface unit 3022 may be disposed in interface bed 3060 with certain freedom of movement along Z axis and may be located so that, when units 302 and 304 are not coupled, its front end protrudes slightly forward (toward the housing of unit 302) of the image interface plane (IIP). Fiber interface unit 3022 may be made with certain flexibility of movement along Z axis and its movement backwardly (towards fiber unit 3020) may cause springy return force due to certain level of flexibility of the fiber unit. When reusable unit 302 is fully inserted into its place inside the housing in disposable unit 304, front face 3053 slightly pushes fiber interface unit 3022 backwardly against return force of fiber unit 3020. As a result, fiber interface unit is forced to touch front face 3053, and, thereby, the optical gap between fiber interface unit and optical module 3050 is guaranteed.
Reference is made now to
In order to enable adjustment of optical focus in the interface between optical module 3050 and fiber interface unit 3022 (i.e., setting the distance between the units along the optical axis), a focusing unit may comprise springy element 3056 housed in a cavity 3054 made in optical module 3050. Springy element 3056 is disposed and designed to provide continuous force that pushes optical element toward the rear end of reusable unit 302. Optical module may be pushed forward toward the front end of reusable unit 302, as is explained herein below regarding
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In some embodiments disposable endoscope 6010 may comprise navigation means (not shown), for example like navigation means system 4000 that was described in conjunction with
According to this embodiment, sterilization of reusable endoscopic equipment unit 6110 may not need any special sterilization preserving means. Typically, control unit 6100 and reusable endoscopic equipment unit 6110 are located distal from a treated patient, and the end of cable 6014 that is connected to connector 6020 is not likely to be contaminated during the endoscopic procedure. Nevertheless, at the end of an endoscopic procedure, disposable endoscope 6010 may be disconnected from reusable endoscopic equipment unit 6110 without tampering with its sterilization, thereby enabling further uses of reusable endoscopic equipment unit 6110 without needing to sterilize it after each endoscopic procedure.
According to some embodiments of the invention, reusable endoscope unit may be used with a variety types of disposable endoscope insertion tubes, for a large variety of needs and goals. The various types of disposable insertion tubes should only comply with the interface design of the reusable unit mechanically and optically.
In some embodiments, the disposable unit of the endoscope may comprise, disposed at the distal end of the endoscope insertion tube or at its proximal end, a videoscope unit for acquiring the object image and to transmit it to the endoscope reusable unit by means of data signals.
The conversion of the optical image at the proximal end of the multicore fiber to digital image data may be done, according to some embodiments, by providing an optical sensor at the proximal end of the optical guide of the endoscopic insertion tube and converting the optical image to digital data, e.g., by means of rolling shutter technique as is known in the art. A communication interface may be provided to facilitate coupling of the optical sensor to a receiver in the reusable unit and transmitting the digital data from the optical sensor to the receiver.
While certain features of the invention have been illustrated and described herein, many modifications, substitutions, changes, and equivalents will now occur to those of ordinary skill in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the true spirit of the invention.
Filing Document | Filing Date | Country | Kind |
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PCT/IL2021/050323 | 3/23/2021 | WO |
Number | Date | Country | |
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63012164 | Apr 2020 | US |