EP2996542A1 - Endoskop mit mehreren ansichtselementen mit zwei frontdienstkanälen - Google Patents

Endoskop mit mehreren ansichtselementen mit zwei frontdienstkanälen

Info

Publication number
EP2996542A1
EP2996542A1 EP14798234.2A EP14798234A EP2996542A1 EP 2996542 A1 EP2996542 A1 EP 2996542A1 EP 14798234 A EP14798234 A EP 14798234A EP 2996542 A1 EP2996542 A1 EP 2996542A1
Authority
EP
European Patent Office
Prior art keywords
tip
endoscope
assembly
section
lens
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP14798234.2A
Other languages
English (en)
French (fr)
Other versions
EP2996542A4 (de
Inventor
Golan Salman
Mark Gilreath
Amram Aizenfeld
Avi Levy
Moshiko Levi
Stephan Wieth
Jeruham Avron
Robby Dascalo
Leonid Krivopisk
Yaniv Kirma
Victor Levin
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
EndoChoice Inc
Original Assignee
EndoChoice Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by EndoChoice Inc filed Critical EndoChoice Inc
Publication of EP2996542A1 publication Critical patent/EP2996542A1/de
Publication of EP2996542A4 publication Critical patent/EP2996542A4/de
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00094—Suction openings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00177—Optical arrangements characterised by the viewing angles for 90 degrees side-viewing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00179—Optical arrangements characterised by the viewing angles for off-axis viewing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00174—Optical arrangements characterised by the viewing angles
    • A61B1/00181—Optical arrangements characterised by the viewing angles for multiple fixed viewing angles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0623—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements for off-axis illumination
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N23/00—Cameras or camera modules comprising electronic image sensors; Control thereof
    • H04N23/50—Constructional details
    • H04N23/555—Constructional details for picking-up images in sites, inaccessible due to their dimensions or hazardous conditions, e.g. endoscopes or borescopes

Definitions

  • Patent Application Number 61/218,085, for priority is also a continuation-in-part application of United States Patent Application Number 13/413,252, entitled “Multi Camera Endoscope Assembly Having Multiple Working Channels” and filed on March 6, 2012, which, in turn, relies upon United States Provisional Patent Application Number 61/449,746, of the same title and filed on March 7, 2011, for priority, and is herein incorporated by reference.
  • the present specification relates generally to endoscopes, and more specifically, to a multi-viewing elements endoscope comprising more than one front service/working channel allowing simultaneous insertion of more than one instrument during a medical procedure.
  • Endoscopes have attained great acceptance within the medical community since they provide a means for performing procedures with minimal patient trauma while enabling the physician to view the internal anatomy of the patient. Over the years, numerous endoscopes have been developed and categorized according to specific applications, such as cystoscopy, colonoscopy, laparoscopy, upper GI endoscopy and others. Endoscopes may be inserted into the body's natural orifices or through an incision in the skin.
  • An endoscope is usually an elongated tubular shaft, rigid or flexible, having a video camera or a fiber optic lens assembly at its distal end.
  • the shaft is connected to a handle which sometimes includes an ocular for direct viewing. Viewing is also usually possible via an external screen.
  • Various surgical tools may be inserted through a working channel in the endoscope for performing different surgical procedures.
  • Endoscopes such as colonoscopes
  • a front camera for viewing the internal organ, such as the colon
  • an illuminator for viewing the internal organ, such as the colon
  • a fluid injector for cleaning the camera lens and sometimes also the illuminator
  • a working channel for insertion of surgical tools, for example, for removing polyps found in the colon.
  • endoscopes also have fluid injectors ("jet") for cleaning a body cavity, such as the colon, into which they are inserted.
  • the illuminators commonly used are fiber optics which transmit light, generated remotely, to the endoscope tip section.
  • the use of light-emitting diodes (LEDs) for illumination is also known.
  • endoscopes such as colonoscopes
  • colonoscopes that provide a broader field of view and allow extended access of surgical tools and also enable efficient packing of all necessary elements in the tip section, while maintaining their functionality.
  • the present specification discloses an image capturing assembly adapted to be used in a tip of an endoscope, wherein the tip has a proximal end, a distal end and an interior volume, the assembly comprising: an L shaped component, having a base positioned at the proximal end of the tip and a casing that extends distally from the base to the distal end of the tip, wherein the base of the L shaped component has a first length and a first width, the casing has a second length and a second width, and said first length is less than the second length and the first width is greater than the second width; and at least four channels, each of said at least four channels being fiuidically isolated from each other and passing through the base and the casing so as to extend from the proximal end of the tip to the distal end of the tip.
  • a first of said at least four channels is a working channel having a diameter in a range of 3.4 mm to 4.2 mm.
  • a second of said at least four channels is a working channel having a diameter in a range of 2.4 mm to 3.2 mm.
  • first of said at least four channels may be separated from the second of said at least four channels by a distance in a range of 0.40 mm to 0.45 mm.
  • the image capturing assembly may optionally comprise a cover that, in combination with a distal end of said casing, defines a distal face of the tip.
  • the image capturing assembly may comprise at least two viewing elements, wherein a first of said at least two viewing elements is positioned facing outward from the distal face of the tip.
  • the image capturing assembly further comprises at least two discrete illuminators, wherein the at least two discrete illuminators are positioned facing outward from the distal face of the tip and wherein the first of the at least two viewing elements is positioned between the at least two discrete illuminators.
  • the image capturing assembly may further comprise a plurality of optical windows positioned on the distal face of the tip, wherein, optionally, at least a portion of said plurality of optical windows is oval shaped.
  • the image capturing assembly may further comprise three discrete illuminators, wherein the three discrete illuminators are positioned facing outward from the distal face of the tip and wherein the three discrete illuminators are circularly distributed around the first of the at least two viewing elements.
  • At least one oval optical window may be positioned on the distal face of the tip, wherein at least one of said three discrete illuminators is covered by the at least one oval optical window.
  • a plurality of oval optical windows may be positioned on the distal face of the tip, wherein each of said three discrete illuminators is covered by at least one of said plurality of oval optical windows.
  • the L-shaped component is a unitary part.
  • the base positioned at the proximal end of the tip is substantially cylindrical.
  • the image capturing assembly may further comprise at least two viewing
  • each of the at least two viewing elements is configured to generate a field of view ranging from 120 to 180 degrees, a depth of field ranging from 3 to 100 mm, and a peripheral distortion of less than 80%, without reliance on any aspherical components.
  • the at least four channels each have a diameter which may remain substantially constant.
  • a first of said at least four channels is a working channel having a diameter in a range of 3.4 mm to 4.2 mm
  • a second of said at least four channels is a working channel having a diameter in a range of 2.4 mm to 3.2 mm
  • a diameter of the tip is in a range of 7 mm to 12 mm.
  • the present specification also discloses an image capturing assembly adapted to be used in a tip of an endoscope, wherein the tip has a proximal end, a distal end and an interior volume, the assembly comprising: an L shaped component, having a base positioned at the proximal end of the tip and a casing that extends distally from the base to the distal end of the tip, wherein the base of the L shaped component has a first length and a first width, the casing has a second length and a second width, and said first length is less than the second length and the first width is greater than the second width, and wherein the L shaped component comprises at least four channels, each of said at least four channels being fluidically isolated from each other and passing through the base and the casing so as to extend from the proximal end of the tip to the distal end of the tip; a cover that, in combination with a distal end of said casing, defines a distal face of the tip; at least two viewing elements, wherein
  • the image capturing assembly further comprises a plurality of oval shaped optical windows positioned on the distal face of the tip, wherein the at least two discrete illuminators are covered by the plurality of optical windows.
  • the at least four channels each have a diameter which may remain substantially constant.
  • a first of said at least four channels is a working channel having a diameter in a range of 3.4 mm to 4.2 mm
  • a second of said at least four channels is a working channel having a diameter in a range of 2.4 mm to 3.2 mm
  • a diameter of the tip is in a range of 7 mm to 12 mm.
  • an endoscopic tip comprising: a first lens positioned on a front face of said tip; a second lens positioned on a lateral side of said tip; a third lens positioned on a lateral side of said tip and substantially opposite said second lens; an imager having a plurality of light sensitive surfaces; a first light guide for directing light from said first lens to one of said plurality of light sensitive surfaces; a second light guide for directing light from said second lens to a second of said plurality of light sensitive surfaces; and, a third light guide for directing light from said third lens to a third one of said plurality of light sensitive surfaces; wherein light waves passing through each of said first, second, and third light guides are isolated from each other.
  • an endoscopic tip comprising: a first lens positioned on a front face of said tip; a second lens positioned on a lateral side of said tip; a third lens positioned on a lateral side of said tip and substantially opposite said second lens; a first imager having a first light sensitive surface; a second imager having a plurality of light sensitive surfaces; a first light guide for directing light from said first lens to said first light sensitive surface of said first imager; a second light guide for directing light from said second lens to a first one of said plurality of light sensitive surfaces of said second imager; and, a third light guide for directing light from said third lens to a second one of said plurality of light sensitive surfaces of said second imager; wherein light waves passing through each of said first, second, and third light guides are isolated from each other.
  • an endoscopic tip comprising: a first lens positioned on a front face of said tip; a second lens positioned on a lateral side of said tip; a third lens positioned on a lateral side of said tip and substantially opposite said second lens; a double- sided imager having a first side and a second side wherein said first side is substantially opposite said second side, further wherein said first side comprises a first light sensitive surface and said second side comprises a plurality of light sensitive surfaces; a first light guide for directing light from said first lens to said first light sensitive surface of said first side of said double-sided imager; a second light guide for directing light from said second lens to a first one of said plurality of light sensitive surfaces of said second side of said double-side imager; and, a third light guide for directing light from said third lens to a second one of said plurality of light sensitive surfaces of said second side of said double-sided imager; wherein light waves passing through each of said first, second, and third light guides are isolated from each other.
  • One embodiment of the present specification is directed toward a manifold for use in an endoscope, comprising: 1) a manifold housing having a partially cylindrical shape with a curved top surface, a partially curved first side and a partially curved second side wherein the manifold housing comprises a base portion with a first width, a first length, and a proximal surface and an elongated portion, which is attached to the base portion, with a second width, a second length, and a distal surface, wherein the first width is greater than the second width and the first length is less than the second length; 2) a first channel extending from the base portion through the elongated portion, wherein the first channel has an entrance port positioned on said proximal surface of the base portion and an exit port positioned on a distal surface of the elongated portion; 3) a second channel extending from the base portion through the elongated portion, wherein the second channel has an entrance port positioned on said proximal surface of the base portion and an exit
  • the manifold further comprises a fifth channel extending from the base portion through the elongated portion, wherein the third channel has an entrance port positioned on said proximal surface of the base portion and an exit port positioned on a distal surface of the elongated portion and wherein the first, second, third, fourth, and fifth channels are fiuidically isolated and separated from each other.
  • the manifold housing is formed from a unitary block of material.
  • the exit port on the partially curved first side of the first prong portion is positioned in a depression in the partially curved first side.
  • the exit port on the partially curved second side of the second prong portion is positioned in a depression in the partially curved second side.
  • a portion of the third channel proximate to the exit port positioned on the partially curved first side bends at an angle relative a portion of the third channel proximate to the entrance port.
  • the angle of bending ranges from 45 degrees to 135 degrees relative to the longitudinal axis of the endoscope.
  • a portion of the fourth channel proximate to the exit port positioned on the partially curved first side bends at an angle relative a portion of the fourth channel proximate to the entrance port.
  • the angle of bending ranges from 45 degrees to 135 degrees relative to the longitudinal axis of the endoscope.
  • the third and fourth channels have diameters ranging from approximately 2.8 to 3.2 millimeters.
  • the first channel manifold has a substantially constant diameter within a range from 2.8 millimeters to 4.8 millimeters.
  • the manifold is configured to be a heat sink for transferring heat generated by a plurality of illuminators.
  • the manifold further comprises a groove located on a side of the base portion for receiving a utility cable.
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of an endoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising: 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, 2) a manifold comprising: a manifold housing having a partially cylindrical shape with a curved top surface, a partially curved first side and a partially curved second side wherein the manifold housing comprises a base portion with a first width, a first length, and a proximal surface and an elongated portion, which is attached to the base portion, with a second width, a second length, and a distal surface, wherein the first width is greater than the second width and the first length is less than the second length; a first channel extending from the base portion through the elongated portion, wherein the first channel
  • the exit port of third channel is positioned 9.5 to 10.5 millimeters from the first side image sensor.
  • the image capture section further comprises a second side image sensor, defined by a third optical axis, having a lens and an electrical assembly, wherein the lens is positioned in the second curved side face.
  • the first integrated circuit assembly further comprises the electrical assembly of the second side image sensor.
  • Each of the front image sensor, first side image sensor, and second side image sensor generates and receives at least 12 signals each.
  • Each of the front image sensor, first side image sensor, and second side image sensor generates and receives at least 12 signals each.
  • the first integrated circuit assembly is connected to a video processing system via a utility cable and wherein less than 36 signals are transmitted between the first integrated assembly and video processing system.
  • the image capture section further comprises a plurality of discrete illuminators.
  • the manifold is configured to be a heat sink for transferring heat generated by the plurality of discrete illuminators.
  • a maximum volume of the partially enclosed interior volume ranges from
  • each of the front image sensor and first side image sensor is configured to generate a field of view ranging from 120 to 180 degrees, a depth of field ranging from 3 to 100 mm, have a peripheral distortion of less than 80% without reliance on any aspherical components, and have a maximum focal length in a range of 1 to 1.4 mm.
  • the application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a colonoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising: 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the manifold has at least three separate and fluidically isolated conduits extending through said
  • the embodiment further comprising a jet channel comprising an exit port and a conduit, wherein the exit port is positioned in the top left quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold; a first side image sensor, defined by a second optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the first curved side face and configured to capture images within a range of 0 to 80 degrees from the second optical axis, wherein the second optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume; at least two first side illuminators, each comprising a first side transparent cover and a first side electrical assembly, wherein the first side transparent covers are positioned on either side of the lens of the first side image sensor within the depression in the first curved surface and the first side electrical assemblies are positioned within the interior volume
  • the manifold further comprises at least one side service channel comprising at least one exit port and at least one conduit, wherein the at least one exit port is positioned within the depression in at least one of the curved side faces and wherein at least one proximal section of the at least one conduit extends through the elongated housing from the first end of said fluid manifold and at least one distal section of the at least one conduit bends towards at least one of the curved side faces.
  • the at least one exit port of said at least one side service channel is positioned
  • the at least one conduit of said at least one side service channel has a diameter ranging from approximately 2.8 to 3.2 millimeters.
  • the at least one distal section of the at least one conduit bends at acute angles relative to the longitudinal axis of the colonoscope.
  • the at least one distal section of the at least one conduit bends at an angle ranging from 45 to 60 degrees relative to the longitudinal axis of the colonoscope.
  • the at least one distal section of the at least one conduit bends at an angle of 90 degrees relative to the longitudinal axis of the colonoscope.
  • the at least one distal section of the at least one conduit bends at obtuse angles relative to the longitudinal axis of the colonoscope.
  • the at least one distal section of the at least one conduit bends at an angle ranging from 120 to 135 degrees relative to the longitudinal axis of the colonoscope.
  • the at least one exit port has an angle of exit ranging from 5 to 90 degrees.
  • the at least one exit port has an angle of exit of 45 degrees.
  • the housing is a cover for the image capture section that is configured to cover and fluidly seal said first integrated circuit assembly and said fluid manifold, said substantially flat front face of the housing comprising a first opening corresponding to the exit port of the front working channel, a second opening corresponding to the exit port of the fluid injection channel, a third opening corresponding to the exit port of the jet channel, a fourth opening corresponding to the lens of the front image sensor, a fifth opening corresponding to the first front illuminator, a sixth opening corresponding to the second front illuminator, a seventh opening corresponding to the third front illuminator.
  • the housing is a cover for the image capture section that is configured to cover and fluidly seal said first integrated circuit assembly and said manifold, said first curved side of the housing comprising a first opening corresponding to the lens of the first side image sensor, a second opening corresponding to the exit port of the first side fluid injection channel, and a third and fourth opening corresponding to the two first side illuminators.
  • the housing is a cover for the image capture section that is configured to cover and fluidly seal said first integrated circuit assembly and said manifold, said second curved side of the housing comprising a first opening corresponding to the lens of the second side image sensor, a second opening corresponding to the exit port of the second side fluid injection channel, and a third and fourth opening corresponding to the two second side illuminators.
  • the manifold functions as a heat sink for transferring heat generated by the front and side illuminators.
  • the image capture section has a diameter ranging from approximately 10 to
  • the lens of said front image sensor has a focal length of about 3 to 100 millimeters, 100 millimeters or 110 millimeters.
  • the lens of said first and/or second side image sensor has a focal length of about 3 to 100 millimeters or 2 to 33 millimeters or 2 to 100 millimeters.
  • the second and third optical axes of the first and second side image sensors are approximately 8 to 10 millimeters from the flat front face, approximately 7 to 11 millimeters from the flat front face, 9 or 9.1 millimeters from the flat front face, approximately 6 to 9 millimeters from the flat front face, or 7.8 or 7.9 millimeters from the flat front face
  • the respective centers of the at least two first side illuminators are separated by a distance ranging from 5.5 to 6.5 millimeters.
  • the respective centers of the at least two second side illuminators are separated by a distance ranging from 5.5 to 6.5 millimeters.
  • the conduit of said front working channel is substantially constant extending through the shaft and the image capture section and wherein said conduit has a diameter ranging from approximately 2.8 to 4.8 millimeters, ranging from approximately 3.2 to 4.8 millimeters or ranging from approximately 4.2 to 4.8 millimeters.
  • the diameter is 3.2 millimeters, 3.8 millimeters, or 4.8 millimeters
  • the lens of each of the front image sensor, first side image sensor, and second side image senor is configured to generate peripheral distortion of less than 80%.
  • the lens of each of the front image sensor, first side image sensor, and second side image senor is configured to have an optical length of up to 5 millimeters.
  • the lens of each of the front image sensor, first side image sensor, and second side image senor is configured to have a field of view of at least 90 degrees and up to essentially 180 degrees.
  • the exit ports of the corresponding first and second side fluid injectors are respectively positioned at a distance ranging from 5.8 to 7.5 millimeters and preferably 6.7 millimeters from the second and third optical axes.
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a colonoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising: 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold, having a first end and a second end, comprising a base portion with a first width and a first length attached to an elongated housing, having a second width and a second length,
  • the embodiment comprises a jet channel comprising an exit port and a conduit, wherein the exit port is positioned in the top left quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • the embodiment comprises a first side image sensor, defined by a second optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the first curved side face and configured to capture images within a range of 0 to 80 degrees from the second optical axis, wherein the second optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume.
  • the embodiment comprises at least two first side illuminators, each comprising a first side transparent cover and a first side electrical assembly, wherein the first side transparent covers are positioned on either side of the lens of the first side image sensor within the depression in the first curved surface and the first side electrical assemblies are positioned within the interior volume.
  • the embodiment comprises a first side fluid injector having an exit port positioned within the depression in the first curved side face and configured to eject fluid on the lens of the first side image sensor.
  • the embodiment comprises a second side image sensor, defined by a third optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the second curved side face and configured to capture images within a range of 0 to 80 degrees from the third optical axis, wherein the third optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume.
  • the embodiment comprises at least two second side illuminators, each comprising a second side transparent cover and a second side electrical assembly, wherein the second side transparent covers are positioned on either side of the lens of the second side image sensor within the depression in the second curved surface and the second side electrical assemblies are positioned within the interior volume.
  • the embodiment comprises a second side fluid injector having an exit port positioned within the depression in the second curved side face and configured to eject fluid on the lens of the second side image sensor.
  • the embodiment comprises a first integrated circuit assembly comprising a print circuit board having mounted thereon the electrical assembly of the front image sensor, the electrical assembly of the first side image sensor, and the electrical assembly of the second side image sensor, wherein the first integrated circuit assembly is configured to occupy a second portion of the interior volume.
  • the present application discloses a manifold for use in an image capture section in an endoscope, the manifold having a first end and a second end and comprising a base portion with a first width and a first length attached to an elongated housing, having a second width and a second length, wherein the second width is less than the first width and wherein the second length is longer than the first length and extends the length of the image capture section, wherein the manifold has at least three separate and fluidically isolated conduits extending through said elongated housing and said base portion from the first end through the second end, wherein the manifold is configured to occupy a first portion of the interior volume, wherein a bottom surface of the base portion comprises a proximal section of a service channel conduit extending through a center of the base portion, wherein the proximal section of the service channel conduit splits into a first distal section of the service channel conduit that bends towards a first curved side face leading to an exit port and a second distal
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a colonoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising: 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold, having a first end and a second end, comprising a base portion with a first width and a first length attached to an elongated housing, having a second width and a second length,
  • the present embodiment discloses a second front illuminator comprising a second transparent cover and a second electrical assembly, wherein the second transparent cover is positioned at least partially within said bottom left quadrant of the substantially flat front face and the second electrical assembly is positioned within the interior volume.
  • the present embodiment discloses a third front illuminator comprising a third transparent cover and a third electrical assembly, wherein the third transparent cover is positioned at least partially within said bottom right quadrant of the substantially flat front face and the third electrical assembly is positioned within the interior volume.
  • the present embodiment discloses a front working channel comprising an exit port and a conduit, wherein the exit port is positioned along the vertical axis of the substantially flat front face and is at least partially in the top left quadrant and the top right quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • the present embodiment discloses a fluid injector channel comprising an exit port and a conduit, wherein the exit port is positioned in the top right quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • the present embodiment discloses a jet channel comprising an exit port and a conduit, wherein the exit port is positioned in the top left quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • the present embodiment discloses a first side image sensor, defined by a second optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the first curved side face and configured to capture images within a range of 0 to 80 degrees from the second optical axis, wherein the second optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume.
  • the present embodiment discloses at least two first side illuminators, each comprising a first side transparent cover and a first side electrical assembly, wherein the first side transparent covers are positioned on either side of the lens of the first side image sensor within the depression in the first curved surface and the first side electrical assemblies are positioned within the interior volume.
  • the present embodiment discloses a first side fluid injector having an exit port positioned within the depression in the first curved side face and configured to eject fluid on the lens of the first side image sensor.
  • the present embodiment discloses a second side image sensor, defined by a third optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the second curved side face and configured to capture images within a range of 0 to 80 degrees from the third optical axis, wherein the third optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume.
  • the present embodiment discloses at least two second side illuminators, each comprising a second side transparent cover and a second side electrical assembly, wherein the second side transparent covers are positioned on either side of the lens of the second side image sensor within the depression in the second curved surface and the second side electrical assemblies are positioned within the interior volume.
  • the present embodiment discloses a second side fluid injector having an exit port positioned within the depression in the second curved side face and configured to eject fluid on the lens of the second side image sensor.
  • the present embodiment discloses a first integrated circuit assembly comprising a print circuit board having mounted thereon the electrical assembly of the front image sensor, the electrical assembly of the first side image sensor, and the electrical assembly of the second side image sensor, wherein the first integrated circuit assembly is configured to occupy a second portion of the interior volume.
  • the present application discloses a fluid manifold for use in an image capture section in an endoscope, the fluid manifold having a first end and a second end and comprising a base portion with a first width and a first length attached to an elongated housing, having a second width and a second length, wherein the second width is less than the first width and wherein the second length is longer than the first length and extends the length of the image capture section, wherein the fluid manifold has at least three separate and fluidically isolated conduits extending through said elongated housing and said base portion from the first end through the second end, wherein the manifold is configured to occupy a first portion of the interior volume, wherein a bottom surface of the base portion comprises a proximal section of a service channel conduit extending through a center of the base portion and a distal section of the service channel conduit that bends towards the first curved side face leading to an exit port, and wherein the exit port is located in a depression in the first curved surface.
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a colonoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a manifold, having a first end and a second end, comprising a base portion with a first width and a first length attached to an elongated housing, having a second width and a second length, wherein
  • the present application discloses a third front illuminator comprising a third transparent cover and a third electrical assembly, wherein the third transparent cover is positioned at least partially within said bottom right quadrant of the substantially flat front face and the third electrical assembly is positioned within the interior volume.
  • the present application discloses a front working channel comprising an exit port and a conduit, wherein the exit port is positioned along the vertical axis of the substantially flat front face and is at least partially in the top left quadrant and the top right quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • the present application discloses a fluid injector channel comprising an exit port and a conduit, wherein the exit port is positioned in the top right quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • a jet channel comprising an exit port and a conduit, wherein the exit port is positioned in the top left quadrant and wherein the conduit is defined by one of said three separate and fluidically isolated conduits extending through the elongated housing of the fluid manifold.
  • the present application discloses a first side image sensor, defined by a second optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the first curved side face and configured to capture images within a range of 0 to 80 degrees from the second optical axis, wherein the second optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume.
  • the present application discloses at least two first side illuminators, each comprising a first side transparent cover and a first side electrical assembly, wherein the first side transparent covers are positioned on either side of the lens of the first side image sensor within the depression in the first curved surface and the first side electrical assemblies are positioned within the interior volume.
  • the present application discloses a first side fluid injector having an exit port positioned within the depression in the first curved side face and configured to eject fluid on the lens of the first side image sensor.
  • the present application discloses a second side image sensor, defined by a third optical axis, having a lens and an electrical assembly, wherein the lens is positioned within the depression in the second curved side face and configured to capture images within a range of 0 to 80 degrees from the third optical axis, wherein the third optical axis is positioned in a center of the lens and perpendicular to said longitudinal axis of the colonoscope, and wherein the electrical assembly is positioned in the interior volume.
  • the present application discloses at least two second side illuminators, each comprising a second side transparent cover and a second side electrical assembly, wherein the second side transparent covers are positioned on either side of the lens of the second side image sensor within the depression in the second curved surface and the second side electrical assemblies are positioned within the interior volume.
  • the present application discloses a second side fluid injector having an exit port positioned within the depression in the second curved side face and configured to eject fluid on the lens of the second side image sensor.
  • the present application discloses a first integrated circuit assembly comprising a print circuit board having mounted thereon the electrical assembly of the front image sensor, the electrical assembly of the first side image sensor, and the electrical assembly of the second side image sensor, wherein the first integrated circuit assembly is configured to occupy a second portion of the interior volume.
  • the present application discloses a manifold for use in an image capture section in an endoscope, the fluid manifold having a first end and a second end and comprising a base portion with a first width and a first length attached to an elongated housing, having a second width and a second length, wherein the second width is less than the first width and wherein the second length is longer than the first length and extends the length of the image capture section, wherein the fluid manifold has at least three separate and fluidically isolated conduits extending through said elongated housing and said base portion from the first end through the second end, wherein the manifold is configured to occupy a first portion of the interior volume, wherein a bottom surface of the base portion comprises a proximal section of a first service channel conduit extending through the base portion and a distal section of the first service channel conduit that bends towards a first curved side face leading to an exit port, and wherein the exit port is located in a depression in the first curved surface; and a
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a colonoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the fluid manifold has at least three separate and fluidically isolated conduits extending
  • the present application discloses at least one of said at least two exit ports of the at least one side jet channel is partially positioned within the depression.
  • one or both of the side fluid injectors are positioned between the at least two exit ports of said at least one side jet channel.
  • the at least two exit ports of the at least one side jet channel comprise 2, 4, 6 or 8 exit ports.
  • the at least one conduit of the at least one side jet channel has a diameter of approximately 1.4 to 1.7 millimeters.
  • the at least one exit port of the at least one side jet channel has an acute angle of exit.
  • the at least one exit port of the at least one side jet channel has an obtuse angle of exit.
  • the at least one exit port of the at least one side jet channel has an angle of exit ranging from 45 to 60 degrees.
  • the at least one exit port of the at least one side jet channel has an angle of exit ranging from 120 to 135 degrees.
  • the at least one exit port of the at least one side jet channel operates at a predefined algorithm.
  • the at least one exit port of the at least one side jet channel operates at a different predefined algorithm.
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a gastroscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the fluid manifold has at least three separate and fluidically isolated conduits extending through
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a gastroscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising: 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the fluid manifold has at least three separate and fluidically isolated conduits extending
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a gastroscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising: 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the fluid manifold has at least three separate and fluidically isolated conduits extending
  • the present application discloses at least one exit port of the at least one side jet channel is partially positioned within the depression.
  • the at least one exit port of the at least one side jet channel comprises 2, 4, 6 or 8 exit ports.
  • the at least one exit port of the at least one side jet channel is positioned at a distance ranging from 8.5 to 9.5 millimeters from the optical axis of the corresponding side image sensor.
  • the fluid exiting the at least one exit port of the at least one side jet channel forms an angle ranging from 50 to 60 degrees relative to a lateral plane containing the lens of the corresponding side image sensor and side illuminators.
  • the at least one conduit of the at least one side jet channel has a diameter of approximately 1.4 to 1.7 millimeters.
  • the at least one exit port of the at least one side jet channel has an acute angle of exit.
  • the at least one exit port of the at least one side jet channel has an obtuse angle of exit.
  • the at least one exit port of the at least one side jet channel has an angle of exit ranging from 45 to 60 degrees.
  • the at least one exit port of the at least one side jet channel has an angle of exit ranging from 120 to 135 degrees.
  • the at least one exit port of the at least one side jet channel operates at a predefined algorithm.
  • the at least one exit port of the at least one side jet channel operates at a different predefined algorithm.
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a colonoscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the fluid manifold has at least four separate and fiuidically isolated conduit
  • said first and second front working channels are both adapted for insertion of a medical tool.
  • the first and second front working channels are both adapted for applying suction.
  • One of said first and second front working channel is adapted for insertion of a medical tool and another of said first and second front working channel is adapted for applying suction.
  • the distance between the exit ports of said first and second working channels is in a range of 0.40 to 0.45 millimeters.
  • the conduit of said first working channel has a diameter in a range of 3.6 to 4.0 millimeters and the conduit of said second working channel has a diameter in a range of 2.6 to 3.0 millimeters.
  • the conduit of said first working channel has a diameter of 3.8 millimeters and the conduit of said second working channel has a diameter of 2.8 millimeters.
  • the present application discloses an image capture section having a length and adapted to be attached to an end of a shaft of a gastroscope, wherein the shaft has a length defining a longitudinal axis
  • the image capture section comprising 1) a housing that defines a partially enclosed interior volume and that is substantially cylindrical with a substantially flat front face, a first curved side face, a second curved side face, wherein the substantially flat front face comprises four quadrants defined by a vertical axis passing through a center of said substantially flat front face and a horizontal axis passing through said center, said four quadrants including a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant and wherein each of said first curved surface and second curved surface comprises a substantially flat depression; 2) a fluid manifold comprising an elongated housing extending the length of the image capture section and having a first end and a second end, wherein the fluid manifold has at least four separate and fiuidically isolated conduits
  • the first and second front working channels are both adapted for insertion of a medical tool.
  • the first and second front working channels are both adapted for applying suction.
  • One of said first and second front working channel is adapted for insertion of a medical tool and another of said first and second front working channel is adapted for applying suction.
  • the distance between the exit ports of said first and second working channels is in a range of 0.40 to 0.45 millimeters.
  • the conduit of said first working channel has a diameter in a range of 3.6 to 4.0 millimeters and the conduit of said second working channel has a diameter in a range of 2.6 to 3.0 millimeters.
  • the conduit of said first working channel has a diameter of 3.8 millimeters and the conduit of said second working channel has a diameter of 2.8 millimeters.
  • the optical axis of said at least one side-looking viewing element forms an obtuse angle with an optical axis of said at least one front-pointing viewing element.
  • the optical axis of said at least one side-looking viewing element forms an acute angle with an optical axis of said at least one front-pointing viewing element.
  • the openings are positioned to allow at least one said side-looking camera to view a medical tool protruding from the openings.
  • the at least one side jet channel circulates a fluid through a groove connected to the at least one side jet channel, wherein said housing further comprises a plurality of holes drilled above the groove, and wherein the plurality of holes allow the fluid circulating through the groove to exit.
  • the one or more side jet channels comprise two side jet channels positioned on opposing sides of the tip section of the endoscope assembly.
  • each hole of the plurality of holes bends at acute angles relative to a long dimension of the endoscope assembly.
  • each hole of the plurality of holes bends at 90 degrees relative to a long dimension of the endoscope assembly.
  • each hole of the plurality of holes bends at obtuse angles relative to a long dimension of the endoscope assembly. In yet another embodiment, each hole of the plurality of holes bends at angles that are a combination of acute, right and obtuse angles, relative to a long dimension of the endoscope assembly.
  • the plurality of holes is placed linearly, above the groove. Each hole of the plurality of holes is at a distance of at least 0.2 millimeters from each adjacent hole. Each hole of the plurality of holes has a diameter of 5 millimeters.
  • the at least one side jet channel circulates a fluid through a removable ring assembly placed on said housing, the removable ring assembly comprising a peripheral groove placed on an internal periphery of the ring assembly, wherein the at least two exit ports of the at least one side jet channel are aligned with the peripheral groove; and a plurality of holes drilled along the peripheral groove, wherein the plurality of holes allow exit of the fluid circulating through the removable ring assembly.
  • the first diameter of the tip cover is less than a second diameter of the peripheral grove.
  • the one or more side jet channels comprise two side jet channels positioned on opposing sides of the tip section of the endoscope assembly.
  • each hole of the plurality of holes bends at acute angles relative to a long dimension of the endoscope assembly.
  • each hole of the plurality of holes bends at 90 degrees relative to a long dimension of the endoscope assembly.
  • each hole of the plurality of holes bends at obtuse angles relative to a long dimension of the endoscope assembly.
  • each hole of the plurality of holes bends at angles that are a combination of acute, right and obtuse angles, relative to a long dimension of the endoscope assembly.
  • the plurality of holes is placed linearly, above the peripheral groove.
  • Each hole of the plurality of holes is at a distance of at least 0.2 millimeters from each adjacent hole.
  • Each of the plurality of holes has a diameter of 5 millimeters.
  • the present application discloses a sprinkler assembly in a tip section.
  • the tip section of a multi-viewing elements endoscope assembly comprises: 1) one or more jet channels circulating a fluid; 2) a tip cover associated with the tip section and comprising one or more jet channel openings aligned with the one or more jet channels; and 3) a removable sprinkler assembly comprising a patch placed above each of the one or more jet channel openings and a plurality of holes drilled along the patch, wherein the plurality of holes allow exit of the fluid circulated through the one or more jet channels.
  • the one or more jet channels comprise two side jet channels positioned on opposing sides of the tip section of the endoscope assembly.
  • the one or more jet channels comprise a front jet channel positioned on a front panel of the tip section of the endoscope assembly.
  • the plurality of holes bend at acute angles relative to a long dimension of the endoscope assembly.
  • the plurality of holes bend at 90 degrees relative to a long dimension of the endoscope assembly.
  • the plurality of holes bend at angles that are a combination of acute, right and obtuse angles, relative to a long dimension of the endoscope assembly.
  • the plurality of holes bend at different angles relative to a long dimension of the endoscope assembly.
  • the plurality of holes are placed linearly on the patch, along a circumference of the tip cover.
  • the one or more jet channel openings operate at a predefined algorithm. Each of the one or more jet channel openings operate at a different predefined algorithm.
  • the tip section further comprises a front injector; at least one side injector; at least one front-pointing viewing element and at least one front illuminator associated therewith; at least one side-looking viewing element and at least one side illuminator associated therewith; and a front working channel configured for insertion of a medical tool.
  • the present application discloses a multi jet distributor for supplying fluid to a plurality of jet openings in a tip section of a multi - viewing elements endoscope, the multi jet distributor comprising a distributor housing; a distributor motor located within the distributor housing; a motor shaft coupled to the distributor motor and located within the distributor housing; and a distributor disc located within the distributor housing and coupled with the motor shaft, wherein the distributor disc comprises an entering fluid pipeline for supplying said fluid to the multi jet distributor; and at least one exiting fluid pipeline for providing said fluid supplied by the entering fluid pipeline to the plurality of jet openings.
  • the plurality of jet openings comprise a front jet opening and at least one side jet opening.
  • the plurality of jet openings comprise a front jet opening; a first side jet opening and a second side jet opening.
  • the distributor housing further comprises a locking element for fixedly positioning the distributor disc within the distributor housing.
  • the distributor disc further comprises a plug for connecting the distributor disc with the motor shaft.
  • the distributor disc further comprises a groove on an outer surface of said distributor disc for receiving the locking element.
  • the pump supplies said fluid to the entering fluid pipeline.
  • the multi jet distributor is connected to the endoscope via a main connector.
  • the main connector has a multi-jet controller comprising a shaft leading to a valve placed in a housing that operatively connects the valve to the main connector through a jet connector, wherein the valve has screws formed thereon, and wherein a first position of the shaft rotates the screws causing the fluid to exit only the front jet opening and a second position of the shaft rotates the screws causing the fluid to exit through both the front jet opening and the at least one side jet opening.
  • the distributor disc has a distributor rate ranging between 30 rounds per minute to 100 rounds per minute.
  • the distributor disc has a distributor rate ranging between 50 and 65 rounds per minute.
  • the at least one exiting fluid pipeline comprises three fluid pipelines for providing said fluid supplied by the entering fluid pipeline to the plurality of jet openings.
  • the plurality of jet openings comprise a front jet opening and at least one side jet opening.
  • the plurality of jet openings comprise a front jet opening; a first side jet opening and a second side jet opening.
  • the at least one exiting fluid pipeline comprises two exiting fluid pipelines for providing said fluid supplied by the entering fluid pipeline to the plurality of jet openings.
  • the plurality of jet openings comprise a front jet opening and at least one side jet opening.
  • the plurality of jet openings comprise a front jet opening; a first side jet opening and a second side jet opening.
  • the main connector has a multi-jet controller comprising a shaft leading to a valve placed in a housing that operatively connects the valve to the main connector through a jet connector, wherein the valve has screws formed thereon, and wherein a first position of the shaft rotates the screws causing the fluid to exit only the front jet opening and a second position of the shaft rotates the screws causing the fluid to exit through both the front jet opening and the at least one side jet opening.
  • the present application discloses a housing with a front portion and a rear portion, and wherein said image capture section further comprises a front sealed modular unit comprising said front image sensor, lens and an associated front printed circuit board; a first side sealed modular unit comprising said first side image sensor, lens and an associated first side printed circuit board; a second side sealed module unit comprising said second side image sensor, lens and an associated second side printed circuit board, wherein the front, first side and second side printed circuit boards are coupled to each other; and a holder to encapsulate the front and side modular units from each other, the said holder having a front concave area to carry the front sealed modular unit, a first side compartment to carry the first side sealed modular unit, a second side compartment to carry the second side sealed modular, and a rectangular strip to carry an electrical cable connected to the coupled printed circuit boards of the front and side modular units, wherein the compartments have slots configured to carry the lens of the side modular units and wherein the holder is configured to occupy a third portion of the
  • the housing comprises a front portion and a rear portion
  • said image capture section further comprises: a front sealed modular unit comprising said front image sensor, lens and an associated front printed circuit board; a first side sealed modular unit comprising said first side image sensor, lens and an associated first side printed circuit board; a second side sealed module unit comprising said second side image sensor, lens and an associated second side printed circuit board, wherein the front, first side and second side printed circuit boards are coupled to each other; a holder comprising a front surface, a first side surface, a second side surface and a rear portion, wherein each of the front and side surfaces have a plurality of recesses configured to receive a plurality of connectors of the front and side modular units and wherein the rear portion is configured to carry an electrical cable to supply power to and transmit data from the front and side modular units; and a frame to support the holder, said frame comprising a front concave area to accommodate the front modular unit, a first side with a slot configured to carry the lens of the first side modular unit
  • the present application discloses an electronic circuit board of a tip section of a multi-viewing elements endoscope, the electronic circuit board comprising one or more optical assemblies, wherein each of said one or more optical assemblies comprise 1) at least one lens assembly and 2) an image sensor, wherein each of said one or more optical assemblies supports said at least one lens assembly and the image sensor, wherein the image sensor is placed in a folded position with a first surface facing a tip section end of the endoscope and an opposing second surface facing away from the tip section end of the endoscope, and wherein the first surface is a front surface and the second surface is a back surface, the first surface receiving an associated lens assembly of said at least one lens assembly; one or more illuminators associated with said at least one lens assembly; an upper base board and a lower base board adapted to support said one or more optical assemblies; and a plurality of grooves on said upper and lower base boards for supporting said one or more illuminators.
  • the first surface is a glass surface.
  • the present application discloses an electronic circuit board of a tip section of a multi-viewing elements endoscope, the electronic circuit board comprising a plurality of viewing element holders, each viewing element holder supporting an optical lens assembly and an associated image sensor, and one or more illuminators associated with the optical lens assembly, and wherein each viewing element holder comprises one or more grooves for supporting the one or more illuminators.
  • the image sensor is placed in a folded position with a first front surface facing a tip section end of the endoscope, and an opposing second back surface facing away from the tip section end of the endoscope, the first front surface receiving the associated optical lens assembly.
  • the first front surface is a glass surface.
  • the second back surface comprises an electronic chip.
  • the second back surface comprises a printed circuit board.
  • the electronic circuit board comprises an upper base board and a lower base board.
  • the viewing element holder is a metal frame functioning as a heat sink for heat generated by said one or more illuminators.
  • the metal component is placed between said plurality of viewing element holders to act as a heat sink for said one or more illuminators and support the viewing element holders fixedly between an upper and a lower base boards.
  • the electronic circuit board comprises one or more viewing element holders of a tip section of a multi-viewing elements endoscope, wherein each of said one or more viewing element holder comprises at least one optical lens assembly, an image sensor, one or more illuminators, and one or more grooves for supporting the one or more illuminators.
  • the tip section further comprises a front injector; at least one side injector; a front jet; at least one side jet; and a front working channel configured for insertion of a medical tool.
  • the front jet and said front injector are positioned adjacent to each other and on a side of said front working channel.
  • the front jet and said front injector are positioned on either side of said front working channel.
  • the present application discloses an illuminator electronic circuit board assembly for a tip section of a multi-viewing elements endoscope, the illuminator electronic circuit board assembly comprising: a front illuminator electronic circuit board supporting one or more front illuminators associated with a front optical assembly, wherein said front optical assembly comprises a front lens assembly and a front image sensor; at least one side illuminator electronic circuit board supporting one or more side illuminators associated with one or more side optical assemblies wherein each of said one or more side optical assemblies comprise a side lens assembly and a side image sensor; and an upper base board and a lower base board adapted to hold therebetween said front and at least one side illuminator electronic circuit boards.
  • the illuminator electronic circuit board assembly comprises a metal frame having front and rear portions supporting said front illuminator electronic circuit board and said at least one side illuminator electronic circuit board.
  • the metal frame functions as a heat sink for said one or more front and side illuminators.
  • the metal frame approximates an H shape with four side support walls extending outwardly at 90 degrees from each leg of said H shape and two front support walls are positioned at an end of and perpendicular to two of said four side support walls.
  • the front illuminator electronic circuit board and said at least one side illuminator electronic circuit board are U shaped.
  • the front illuminator electronic circuit board supports three illuminators.
  • the at least one side illuminator electronic circuit board supports two illuminators.
  • the at least one side illuminator electronic circuit board comprises two side illuminator electronic circuit boards, one on either side of said tip section.
  • the tip section further comprises: a front injector; at least one side injector; a front jet; at least one side jet; and a front working channel configured for insertion of a medical tool.
  • the front jet and said front injector are positioned adjacent to each other and on a side of said front working channel.
  • the front jet and said front injector are positioned on either side of said front working channel.
  • the present application discloses an electronic circuit board assembly for a tip section of a multi-viewing elements endoscope, the electronic circuit board assembly comprising: a base board configured to carry a first metal frame to support a front looking viewing element and a second metal frame to support a side looking viewing element; a front illumination circuit board comprising a front panel configured to carry three sets of front illuminators for illuminating a field of view of the front looking viewing element, and a side illumination circuit board comprising a side panel configured to carry at least one set of side illuminators for illuminating a field of view of the side looking viewing element.
  • each of said three sets of front illuminators comprise 2, 3 or 4 illuminator elements.
  • Each of said at least one side illuminators comprise 2, 3 or 4 illuminator elements.
  • the front illumination circuit board and said side illumination circuit board approximate a U shape.
  • the base board is roughly L shaped comprising: a first member extending in a y direction and in an x direction and a second member extending in a y direction and in an x direction, wherein the first member is integrally formed with the second member, wherein said first member and said second member lie in a same horizontal plane and wherein said second member extends from said first member at an angle of substantially 90 degrees.
  • the front looking viewing element comprises a front looking image sensor and a corresponding lens assembly with an associated printed circuit board.
  • the side looking viewing element comprises a side looking image sensor and a corresponding lens assembly with an associated printed circuit board.
  • the axes of said first and second metal frames make an angle within a range of 70 to 135 degrees with each other.
  • the axes of said first and second metal frames make an angle of 90 degrees with each other.
  • the present application discloses a tip section of a multi-viewing elements endoscope, the tip section comprising: a front looking viewing element and three sets of front illuminators associated therewith; a side looking viewing element and two sets of side illuminators associated therewith; and an electronic circuit board assembly, comprising: a base board configured to carry a first metal frame to support the front looking viewing element and a second metal frame to support the side looking viewing element; and an illumination circuit board comprising a front foldable panel configured to carry the three sets of front illuminators for illuminating a field of view of the front looking viewing element, and a side panel configured to carry a set of side illuminators for illuminating a field of view of the side looking viewing element.
  • the front looking viewing element comprises a front looking image sensor and a corresponding lens assembly with an associated printed circuit board.
  • the side looking viewing element comprises a side looking image sensor and a corresponding lens assembly with an associated printed circuit board.
  • the axes of said first and second metal frames make an angle within a range of 70 to 135 degrees with each other.
  • the axes of said first and second metal frames make an angle of 90 degrees with each other.
  • the tip section further comprises a tip cover and a fluid channeling component.
  • the diameter of said tip section is less than 11 millimeters.
  • the diameter of said tip section is 10.5 millimeters.
  • the fluid channeling component comprises a front working channel adapted for insertion of a medical tool; a front jet channel adapted to clean a body cavity into which said endoscope is inserted; and an injector opening having a nozzle aimed at the front looking viewing element and associated illuminators.
  • the fluid channeling component further comprises a side injector opening having a nozzle aimed at the side looking viewing element and associated illuminators.
  • the fluid channeling component further comprises at least one side jet channel opening.
  • the front working channel is adapted to apply suction.
  • the front working channel has a diameter ranging from 2.8 to 4.8 millimeters.
  • the front working channel has a diameter ranging from 3.2 to 3.5 millimeters.
  • the front working channel has a diameter ranging from 3.8 to 4.2 millimeters.
  • the present application discloses an interface unit configured to functionally associate with an endoscope system which comprises at least two simultaneously operating imaging channels associated with at least two displays, respectively, wherein the interface unit comprises: an image processor functionally associated with said at least two imaging channels and configured to generate images comprising image data received simultaneously from said at least two imaging channels, and an interface unit display, functionally associated with said image processor, wherein images generated by said image processor and comprising image data from said at least two imaging channels are displayable on said interface unit display.
  • each imaging channel is associated with an image capturing device, respectively.
  • the interface unit display is substantially portable.
  • the interface unit display is functionally associated with said image processor wirelessly.
  • the image capturing devices capture video images, and said image data in each of said at least two imaging channels comprise an incoming video stream corresponding to video images, and said image processor is configured to generate a single video stream displayable on said interface unit display, so that reduced-size images corresponding to each incoming video stream are simultaneously displayed on said interface unit display.
  • the image processor is configured to generate a single video stream from the at least two incoming video streams substantially in real time.
  • the interface unit further comprises an interface unit computer operating a files managing system and comprising a files storage module, wherein said interface unit computer is configured to generate and store in said files storage module files of images generated by said image processor.
  • the interface unit further comprises a user interface module allowing a user to command said computer.
  • the user interface module comprises a touch screen.
  • the interface unit further comprises a communication channel configured to allow communication between said interface unit computer and a computer network at least for transferring files between said interface unit computer and said computer network.
  • the computer network is a local computer network.
  • the local computer network is a hospital network.
  • the computer network is the Internet.
  • the communication channel comprises a LAN communication interface port, and operates an Internet Protocol.
  • the communication channel comprises a WiFi communication interface port.
  • the communication channel comprises a video/audio communication interface port, configured for outputting a video stream.
  • the communication interface port comprises an S -video or a composite port.
  • the communication interface port comprises an HDMI port.
  • the interface unit is configured to communicate through said communication interface port to a network computer, substantially in real time, a video stream generated by said image processor.
  • the image processor is configured, when commanded, to capture a substantially single video frame in each of said imaging channels at the moment of said command and to communicate through said communication interface port to a network computer, a video stream comprising sequentially, still images of said single video frames wherein each such still image is included in the video stream for a pre-determined time period.
  • the interface unit further comprises a synchronization module functionally associated with at least two of said image capturing devices, and configured for generating a synchronization signal for synchronizing incoming video streams in the imaging channels corresponding to said at least two image capturing devices.
  • a synchronization module functionally associated with at least two of said image capturing devices, and configured for generating a synchronization signal for synchronizing incoming video streams in the imaging channels corresponding to said at least two image capturing devices.
  • the present application discloses a method for capturing images using an interface unit in an endoscope system, said endoscope system comprising a plurality of simultaneously operating imaging channels, said interface unit having an interface unit display and capable of receiving and individually capturing an image from each one of said plurality of imaging channels, said method comprising the steps of: triggering an image capture event; displaying a first image from a first imaging channel of said plurality of imaging channels on said interface unit display; sending a first trigger pulse from said interface unit to an image capture computer to notify said image capture computer to save a digital copy of said first image on a non-volatile medium; displaying a second image from a second imaging channel of said plurality of imaging channels on said interface unit display; and sending a second trigger pulse from said interface unit to an image capture computer to notify said image capture computer to save a digital copy of said second image on a non-volatile medium, wherein, said first and second images are captured and saved sequentially and the original aspect ratio of said first and second images is preserved.
  • said triggering an image capture event is accomplished by pressing a button on the endoscope of said endoscope system.
  • the triggering an image capture event is accomplished by pressing a button on said interface unit.
  • the interface unit display includes a touchscreen and said triggering an image capture event is accomplished by pressing a portion of said touchscreen.
  • the interface unit and said capture computer are connected via a serial connection.
  • the present application discloses a system of displaying videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the system comprising: a left-side wide-screen monitor for displaying a first video from the left-side looking viewing element; a center square monitor for displaying a second video from the front- looking viewing element; a right-side wide-screen monitor for displaying a third video from the right-side looking viewing element; and a main control unit for aligning and modulating a native aspect ratio of the first and third videos, wherein said first video is right-aligned and said third video is left-aligned, and wherein said left-side, center and right-side monitors are placed contiguously so that the respective bottom edges of each of said first, second, and third videos are at a substantially same level.
  • the native aspect ratio is 4:3 or 5:4.
  • the main control unit modulates the native aspect ratio of said first and third videos by no more than 30%.
  • the main control unit modulates the native aspect ratio of said first and third videos by 5%, 10%>, 15%, 20%, 25% or 30%.
  • the main control unit modulates the native aspect ratio of said first and third videos by 0%.
  • the left-side and right-side monitors have respective longer edges horizontal.
  • the left-side, center and right-side monitors are placed linearly.
  • the first portion to the left of said right- aligned first video and a second portion to the right of said left-aligned third video comprise a plurality of patient related information.
  • the present application discloses a method of displaying videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the method comprising: displaying a first video from the left-side looking viewing element onto a left-side wide-screen monitor; displaying a second video from the front-looking viewing element onto a center square monitor; displaying a third video from the right-side looking viewing element onto a right-side wide-screen monitor; and aligning and modulating the native aspect ratio of the first and third videos, wherein said first video is right-aligned and said third video is left-aligned, and wherein said first video, second video, and third video are positioned contiguously so that respective top edges of said videos are at a substantially same level.
  • the native aspect ratio is 4:3 or 5:4.
  • the native aspect ratio of said first and third videos is modulated by no more than 30%.
  • the native aspect ratio of said first and third videos is modulated by 5%, 10%, 15%, 20%, 25% or 30%.
  • the native aspect ratio of said first and third videos is modulated by 0%.
  • the left-side and right-side monitors have respective longer edges horizontal.
  • the left-side, center and right-side monitors are placed linearly.
  • the first portion to the left of said right-aligned first and a second portion to the right of said left- aligned third video comprise a plurality of patient related information.
  • the present application discloses a system of displaying videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the system comprising: a left-side wide-screen monitor for displaying a first video from the left-side looking viewing element; a center wide-screen monitor for displaying a second video from the front-looking viewing element; a right-side wide-screen monitor for displaying a third video from the right-side looking viewing element; and a main control unit for aligning, rotating and modulating the native aspect ratio of at least one of said first, second or third videos, wherein said left-side, center and right-side monitors are placed contiguously.
  • the left-side, center and right-side monitors are integrated within a unitary frame encasement.
  • the left-side and right-side monitors are placed at an angle 'N' with reference to said center monitor.
  • the angle 'N' may range from 10 to 30 degrees.
  • the native aspect ratio is 4:3 or 5:4.
  • the native aspect ratio of said first and third videos is modulated by no more than 30%.
  • the native aspect ratio of said first and third videos is modulated by 5%, 10%, 15%, 20%, 25% or 30%.
  • the left-side and right-side monitors have respective longer edges horizontal.
  • the left-side, center and right-side monitors are placed linearly.
  • the first portion to the left of said right-aligned first and a second portion to the right of said left-aligned third video, comprise a plurality of patient related information.
  • the main control unit modulates the native aspect ratio of said first, second and third videos by 0%.
  • the left-side and right-side widescreen monitors have respective longer edges horizontal and said center widescreen monitor has a shorter edge horizontal.
  • the bottom edges of said left-side, center and right-side widescreen monitors are at a substantially same level.
  • the first, second and third videos are respectively right, bottom and left-aligned.
  • the second video is also rotated for display on said center widescreen monitor.
  • a first portion on the left of said right-aligned first video, a second portion on the top of said bottom-aligned second video and a third portion on the right of said left-aligned third video comprise plurality of patient related information.
  • the top edges of said left-side, center and right-side widescreen monitors are at a substantially same level.
  • the first, second and third videos are respectively right, top and left-aligned.
  • the second video is also rotated for display on said center widescreen monitor.
  • the first, second and third videos are respectively right, vertically-center and left aligned.
  • the left-side, center and right-side widescreen monitors have respective shorter edges horizontal.
  • the respective centroids of said left-side, center and right-side monitors are at a substantially same level.
  • the first, second and third videos are all bottom-aligned.
  • the first, second and third videos are all rotated for display on said respective left-side, center and right-side widescreen monitors.
  • the first, second and third portions to the top of said bottom aligned first, second and third videos comprise a plurality of patient related information.
  • the first, second and third videos are all top-aligned.
  • the leftside, center and right-side monitors are integrated within a unitary frame encasement.
  • the left-side and right-side monitors are placed at an angle 'N' with reference to said center monitor.
  • the angle 'N' may range from 10 to 30 degrees.
  • the present application discloses a method of displaying videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the method comprising: displaying a first video from the left-side looking viewing element onto a left-side wide-screen monitor; displaying a second video from the front-looking viewing element onto a center wide-screen monitor; displaying a third video from the right-side looking viewing element onto a right-side wide-screen monitor; and aligning, rotating and modulating the native aspect ratio of at least one of said first, second or third videos, wherein a top edge and a bottom edge of each of said first, second, and third videos are linearly contiguous.
  • the present application discloses a system of displaying first, second and third videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the system comprising: a monitor; and a main control unit for combining the first, second and third videos into a resultant single video frame, wherein said resultant single video frame represents an integrated field of view of said left-side looking, front-looking and right-side looking viewing elements, wherein said main control unit slices said resultant single video frame to generate modulated left, center and right video frames for contiguous display on said monitor, and wherein said modulated left and right video frames are displayed as skewed with respect to said modulated center video frame.
  • the center video frame comprises a sum of X degrees of views on either side of a center of the integrated field of view of the resultant single video frame and wherein the left and right video frames comprise respective remaining left and right portions of the resultant single video frame.
  • X is approximately 15 degrees.
  • X ranges from 15 degrees up to 30 degrees.
  • the left, center and right video frames are separated by black image stripes. The black image stripes are no more than 6 inches wide.
  • the native aspect ratio is 4:3 or 5:4.
  • the main control unit modulates the left, center and right video frames by no more than 30%.
  • the present application discloses a method of displaying first, second and third videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the method comprising: combining the first, second and third videos into a resultant single video frame, wherein said resultant single video frame represents an integrated field of view of said left-side looking, front-looking and right-side looking viewing elements; and slicing said resultant single video frame to generate modulated left, center and right video frames for contiguous display on a monitor, wherein said modulated left and right video frames are displayed as skewed with respect to said modulated center video frame.
  • the center video frame comprises a sum of X degrees of views on either side of a center of the integrated field of view of the resultant single video frame and wherein the left and right video frames comprise respective remaining left and right portions of the resultant single video frame.
  • X is approximately 15 degrees.
  • X ranges from 15 degrees up to 30 degrees.
  • the left, center and right video frames are separated by black image stripes. The black image stripes are no more than 6 inches wide.
  • the present application discloses a system of displaying one of first, second and third videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the system comprising: a monitor; and a main control unit for slicing selected one of said first, second and third videos to generate modulated left, center and right video frames for contiguous display on said monitor, wherein said modulated left and right video frames are displayed as skewed with respect to said modulated center video frame.
  • the present application discloses a method of displaying one of first, second and third videos generated in a native aspect ratio corresponding to a left-side looking, a front-looking and a right-side looking viewing element of an endoscopic tip, the method comprising: selecting one of said first, second and third videos for display on a monitor; and slicing said selected one of said first, second and third videos to generate modulated left, center and right video frames for contiguous display on said monitor, wherein said modulated left and right video frames are displayed as skewed with respect to said modulated center video frame.
  • the present application discloses an endoscope configured to provide quasi-simultaneous N views, N being greater than 1, said endoscope comprising N optical systems configured to collect light from directions associated with said N views, and further comprising M image capturing devices, where M is smaller than N, and said image capturing devices are configured to capture light collected by said N optical systems, thereby providing N views quasi-simultaneously.
  • at least one of said M image capturing devices comprises a CCD.
  • M is approximately 1.
  • the image capturing device comprises a single planar light sensitive surface.
  • Each of the optical systems is configured to transfer collected light onto an associated portion of said planar light-sensitive surface.
  • N is approximately 3.
  • the first optical system collects light from a first direction substantially facing said light sensitive surface, and a second optical system and a third optical system, respectively, collect light from directions substantially perpendicular to said first direction. At least two of said optical systems are configured to transfer collected light onto a same portion of said planar light-sensitive surface.
  • the endoscope further comprises a step-wise rotating optical element configured to be controllably positioned in at least two positions corresponding to said at least two optical systems, respectively, wherein in each such position said step-wise rotating optical element allows transfer of collected light from said respective optical system to said portion of said planar light-sensitive surface.
  • the step-wise rotating optical element comprises a mirror.
  • the mirror comprises a semi transparent portion.
  • the step-wise rotating optical element comprises a lens.
  • the endoscope further comprises at least one shutter operable to be shut and opened synchronously with said step-wise rotating optical element.
  • the image capturing device comprises N planar light sensitive surfaces, and each of said optical systems is configured to transfer light to one of said N planar light sensitive surfaces, respectively.
  • the image capturing device is substantially rigid and said N planar light sensitive surfaces are tilted at a fixed angle relative to one another.
  • the image capturing device comprises a substantially flexible portion allowing to controllably tilt at an angle one of said N planar light sensitive surfaces relative to another one of said N planar light sensitive surfaces.
  • the image capturing device comprises two planar light sensitive surfaces, aligned back to back thereby facing substantially opposite directions. M is greater than one and N is greater than two and at least two of said optical systems transfer light onto a light sensitive planar element of one of said image capturing devices. M is equal to two and N is equal to three.
  • an endoscopic tip comprising: a first lens positioned on a front face of said tip; a second lens positioned on a lateral side of said tip; a third lens positioned on a lateral side of said tip and substantially opposite said second lens; an imager having a plurality of light sensitive surfaces; a first light guide for directing light from said first lens to one of said plurality of light sensitive surfaces; a second light guide for directing light from said second lens to a second of said plurality of light sensitive surfaces; and, a third light guide for directing light from said third lens to a third one of said plurality of light sensitive surfaces, wherein light waves passing through each of said first, second, and third light guides are isolated from each other.
  • an endoscopic tip comprising: a first lens positioned on a front face of said tip; a second lens positioned on a lateral side of said tip; a third lens positioned on a lateral side of said tip and substantially opposite said second lens; a first imager having a first light sensitive surface; a second imager having a plurality of light sensitive surfaces; a first light guide for directing light from said first lens to said first light sensitive surface of said first imager; a second light guide for directing light from said second lens to a first one of said plurality of light sensitive surfaces of said second imager; and, a third light guide for directing light from said third lens to a second one of said plurality of light sensitive surfaces of said second imager, wherein light waves passing through each of said first, second, and third light guides are isolated from each other.
  • an endoscopic tip comprising: a first lens positioned on a front face of said tip; a second lens positioned on a lateral side of said tip; a third lens positioned on a lateral side of said tip and substantially opposite said second lens; a double-sided imager having a first side and a second side wherein said first side is substantially opposite said second side, further wherein said first side comprises a first light sensitive surface and said second side comprises a plurality of light sensitive surfaces; a first light guide for directing light from said first lens to said first light sensitive surface of said first side of said double-sided imager; a second light guide for directing light from said second lens to a first one of said plurality of light sensitive surfaces of said second side of said double-side imager; and a third light guide for directing light from said third lens to a second one of said plurality of light sensitive surfaces of said second side of said double-sided imager, wherein light waves passing through each of said first, second, and third light
  • the present application discloses a main control unit connected to an image capture section of an endoscope using a utility tube, wherein the image capture section comprises a front viewing element along with associated at least one front illuminator, a first side viewing element along with associated at least one first side illuminators and a second side viewing element along with associated at least one second side illuminators, the main control unit comprising: a video processing system comprising a camera circuit board, a power supply, an electronic memory and a plurality of interfaces and additional processing elements; an electrical cable that runs through the utility tube to connect the front and side viewing elements and associated illuminators with the camera circuit board, wherein a set of N signals are configured to be transmitted between the camera circuit board and the image capture section, wherein M signals out of the N signals are shared so that N ⁇ 36 and wherein the camera board processes the M signals to generate signals specific to each of the viewing elements.
  • a video processing system comprising a camera circuit board, a power supply, an electronic memory and a plurality of interfaces and additional
  • the M signals comprise synchronization signals for the viewing elements.
  • the M signals comprise clock signals for the viewing elements.
  • the M signals comprise supply voltage of the viewing elements.
  • the electrical cable has a diameter ranging from 2 to 2.5 millimeters.
  • the present application discloses an image capture section or tip where a maximum volume of the image capture section ranges from
  • each of the viewing elements is configured to generate a field of view ranging from 120 to 180 degrees, a depth of field ranging from 3 to 100 mm and a peripheral distortion of less than 80% without reliance on any aspherical components, and a maximum focal length in a range of 1 to 1.4 mm.
  • the depth of field ranges from 3.5 to 50mm.
  • the maximum volume of the image capture section is 3.12 cm and maximum focal length of said viewing elements is approximately 1.2 mm.
  • the field of views of the front and at least one of side viewing element intersects over a depth of field ranging from 3 to 100 mm.
  • the field of views of the front and at least one side viewing element intersects within a distance of 15 mm from the side viewing element.
  • the present application discloses a method for operating an endoscope with multiple viewing elements, the method comprising: generating a front view using a front-pointing viewing element located on a front panel of a tip section of the endoscope; generating one or more side views using one or more side -pointing viewing elements located at or in proximity to a distal end of said tip section, wherein fields of view of said front and one or more side viewing elements overlap; displaying said front and side views in real-time on at least one display; generating data indicative of which display should be selected based upon an interaction with an interface on a handle of the endoscope; and switching between said front and side views on the at least one display based upon the generated data.
  • the handle comprises a plurality of buttons, wherein manipulation of said buttons causes said display to zoom in and out, record, capture or freeze images in at least one of said front and side views.
  • the front and side views are displayed on a single screen.
  • the front and side views are displayed on different screens.
  • the handle comprises a plurality of buttons and wherein manipulation of said buttons causes said at least one display to record, capture or freeze images in all of said front and side views concurrently.
  • the present application discloses a method for operating an endoscope with multiple viewing elements, the method comprising: generating a front view using a front-pointing viewing element located in a tip section of the endoscope; generating at least one side view using at least one side -pointing viewing element located at or in proximity to a distal end of said tip section; displaying said front and side views concurrently and in real-time on at least one display; generating data indicative of which display should be selected based upon a manipulation of at least one button on a endoscope handle; and performing at least one action selected from recording, zooming or freezing, said at least one selected action being performed on the front view, the at least one side view, or both, based upon the generated data, wherein at least one icon or indicator is also displayed related to said at least one selected action.
  • the method further comprises the step of displaying a timer that visually shows a progression of the endoscope through an anatomical region based on time.
  • the timer counts down from a pre-set amount of time, as the endoscope progresses.
  • an endoscope with multiple viewing elements comprising: a front-pointing viewing element located in a tip section of the endoscope for generating a front view; at least one side -pointing viewing element located at or in proximity to a distal end of said tip section for generating at least one side view; one or more displays for displaying said front and side views concurrently and in realtime; at least one button on an endoscope handle that can be manipulated to generate data indicative of which display should be selected; and processing means for performing at least one action selected from recording, zooming or freezing, the at least one selected action being performed on the front view, the at least one side view, or both, based upon the generated data, wherein at least one icon or indicator is also displayed related to said at least one selected action.
  • the processing means comprises an FPGA processor and an MPEG digital signal processor.
  • the present application discloses a method of visualizing navigation path way of an endoscope assembly, wherein said endoscope assembly comprises a tip section having a front-pointing viewing element and two side -pointing viewing elements, the method comprising: inserting the endoscope assembly into a lumen of a body cavity; navigating the endoscope assembly through the lumen, wherein said lumen defines a navigation pathway and wherein said navigation pathway comprises a plurality of junctures in which the pathway changes substantially; operating the endoscope assembly to display a video output from each of the front and side -pointing viewing elements on to at least one monitor, said video output representative of the navigation pathway within the body cavity; and maneuvering the endoscope assembly through the lumen when obstructed by said plurality of junctures, wherein said maneuvering is guided by at least one visual highlight on said at least one monitor.
  • a service channel connector comprising: at least one service channel opening positioned at a proximal end of the connector; a working channel opening positioned at a distal end of the connector, wherein said service channel opening and working channel opening are in communication via an intermediate channel for inserting medical instruments therethrough, the working channel opening being coupled with an insertion tube of an endoscope; a front wall comprising a first portion, a second portion, and a third portion; a back wall, comprising a first portion, a second portion, and a third portion, each portion having a substantially flat surface; and two side walls.
  • the service channel connector of claim 1 wherein said first, second and third portions of said front wall further comprise four portions each, connected at an angle to one another, and wherein said first, second and third portions of said back wall are substantially straight, rectangular and without any surface indentations.
  • the two side walls approximate a "Y" shape.
  • the service channel connector further comprises a suction channel.
  • the intermediate channel is a service channel.
  • the intermediate channel is a combined channel formed from a service channel and a suction channel.
  • the service channel connector comprises a first section and a second section, wherein said first and second sections are fixedly connected to each other forming the service channel connector. The first section and the second section are joined together by using a laser welding process.
  • the second section is a mirror image of the first section.
  • the first section and the second section are joined together by aligning one or more edges of the two sections leaving no gap between the two sections along a joint line.
  • the first section and the second section are fabricated using a milling process.
  • the first section and the second section comprise smooth internal surfaces.
  • the connector When measured from said proximal end to said distal end and along the back wall, the connector has a length in a range of approximately 15 to 21 millimeters.
  • the working channel opening has an internal diameter in a range of approximately 2.5-8 millimeters.
  • an endoscope assembly comprising a handle for connecting the endoscope to a control unit, the handle comprising a Y-shaped service channel connector comprising: a first section and a second section, each section comprising at least a service channel opening coupled with a working channel opening via an intermediate channel for inserting medical instruments therethrough, wherein said first and second section are fixedly connected to each other forming the service channel connector, the first section being a mirror image of the second section.
  • Each section further comprises a suction channel.
  • the intermediate channel is a service channel.
  • the intermediate channel is a combined channel formed from a service channel and a suction channel.
  • the first section and the second section are fixedly connected to each by using a laser welding process.
  • the first section and the second section are fixedly connected to each other leaving at least one service channel opening at a top proximal end of the service channel connector and at least one working channel opening at a bottom distal end of the service channel connector, the at least one service channel opening being used for inserting one or more medical instruments into an insertion tube of an endoscope via the working channel opening.
  • the first section and the second section are fixedly connected to each other by aligning one or more edges of the two portions leaving no gap between the two portions along a line of joining.
  • the first section and the second section are fabricated using a milling process. The internal surfaces of the first section and the second section are smooth.
  • the present application discloses an improved endoscopic mucosal resection procedure comprising inserting an endoscope into a body cavity and positioned a tip of said endoscope next to a target tissue; inserting an injection needle through a front working channel in said endoscope and positioning said injection needle proximate said target tissue; injecting fluid into the target tissue using said injection needle; inserting a grasping forceps device through a first side service channel of the endoscope; inserting a dissection device through a second side service channel of the endoscope; dissecting the target tissue from the submucosa of the body cavity; withdrawing the dissection tool from the second side service channel; inserting a retrieval net through the second side service channel; and using the grasping forceps to place the dissected target tissue into the retrieval net.
  • the dissection device is a snare, needle, knife, or other cutting tool.
  • the present application discloses another improved endoscopic mucosal resection procedure comprising inserting an endoscope into a body cavity and positioned a tip of said endoscope next to a target tissue; inserting an injection needle through a first channel in said endoscope and positioning said injection needle proximate said target tissue; injecting fluid into the target tissue using said injection needle; inserting a grasping forceps device through a second channel of the endoscope; inserting a dissection device through a third channel of the endoscope; dissecting the target tissue from the submucosa of the body cavity; withdrawing the dissection tool from the third channel; inserting a retrieval net through the third channel; and using the grasping forceps to place the dissected target tissue into the retrieval net.
  • the dissection device is a snare, needle, knife, or other cutting tool.
  • the present application discloses another improved endoscopic retrograde cholangiopancreatography procedure comprising inserting an endoscope into a body cavity and positioning it proximate a target papilla; inserting a guidewire through a first channel, such as the front working channel, inserting a grasper through a second channel, such as one of two side service channels; using the grasper to position the papilla in a position to facilitate the cannulation of the papilla with the guidewire; inserting a sphinctertome through a third channel, such as the second of two side service channels; using the sphinctertome to cut the papilla; withdrawing the sphinctertome; inserting a balloon over the guidewire; positioning the balloon in the papilla and inflating it to widen the sphincter; insert other devices through the third channel to perform a task.
  • the other devices can be stone baskets, stents, injection needles, ablation devices, biopsy forceps, and/or cytology brushes.
  • the aforementioned and other embodiments of the present shall be described in greater depth in the drawings and detailed description provided below.
  • Figure 1 A shows a semi -pictorial view of a multi-camera endoscopy system, according to some embodiments
  • Figure IB shows a perspective view of one embodiment of a control panel of a main control unit of a multi-camera endoscopy system
  • Figure 1C shows a perspective view of a first multiple viewing element tip section configuration, according to some embodiments
  • Figure ID shows a perspective view of a second multiple viewing element tip section configuration, according to some embodiments.
  • Figure IE shows a perspective view of a third multiple viewing element tip section configuration, according to some embodiments.
  • Figure IF shows a perspective view of a fourth multiple viewing element tip section configuration, according to some embodiments.
  • Figure 1G shows a perspective view of a multi-camera endoscope, according to some embodiments.
  • Figure 1H shows a perspective view of a multi-camera endoscope, according to other embodiments.
  • Figure II shows a first cross-sectional view of a tip section of a multi-camera endoscope, according to some embodiments
  • Figure 1J shows a second cross-sectional view of a tip section of a multi-camera endoscope, according to some embodiments
  • Figure 2A shows an exploded perspective view of a tip section of an endoscope assembly according to an embodiment
  • Figure 2B shows an exploded perspective view of a tip section of an endoscope assembly according to another embodiment
  • Figure 3A shows a perspective view of a fluid channeling component of an endoscope assembly according to a first embodiment
  • Figure 3B shows a perspective view of a fluid channeling component of an endoscope assembly according to a second embodiment
  • Figure 4A shows a perspective view of a fluid channeling component of an endoscope assembly according to a third embodiment
  • Figure 4B shows a perspective view of a fluid channeling component of an endoscope assembly according to a fourth embodiment
  • Figure 4C shows a perspective view of a fluid channeling component along with an exploded view of a corresponding tip cover of an endoscope assembly, according to some embodiments
  • Figure 5A shows a first perspective view of a fluid channeling component of the tip section of Figure 61 A;
  • Figure 5B shows a second perspective view of the fluid channeling component of the tip section of Figure 61 A;
  • Figure 6A shows a perspective view of a fluid channeling component of an endoscope assembly according to some embodiments
  • Figure 6B shows a perspective view of a fluid channeling component of an endoscope assembly according to some embodiments
  • Figure 6C shows a perspective view of a fluid channeling component of an endoscope assembly according to some embodiments
  • Figure 7 illustrates a perspective view of a tip section of an endoscope assembly showing a fluid channeling component, in accordance with an embodiment of the present specification
  • Figure 8 schematically depicts an isometric proximal view of an inner part of an endoscope tip section according to an embodiment of the current specification
  • Figure 9A schematically depicts a partially disassembled tip section of an endoscope having a insufflation and/or irrigation (I/I) channels manifold internal to a unitary fluid channeling component, according to a first embodiment of the current specification;
  • I/I insufflation and/or irrigation
  • Figure 9B schematically depicts an isometric cross section of an inner part of a tip section, having a I/I channels manifold internal to a unitary fluid channeling component, according to a first embodiment of the current specification
  • Figure 9C schematically depicts an isometric cross section of a unitary fluid channeling component of an inner part of a tip section having a I/I channels manifold internal to the unitary fluid channeling component, according to a first embodiment of the current specification
  • Figure 9D schematically depicts another isometric cross section of an inner part of a tip section, showing the unitary fluid channeling component having a I/I channels manifold internal to it, according to a first embodiment of the current specification;
  • Figure 10A schematically depicts an isometric view of a partially disassembled tip section of an endoscope having a I/I channels manifold partially internal and partially external to the unitary fluid channeling component of the tip section, according to a second embodiment of the current specification;
  • Figure 10B schematically depicts an isometric view of an inner part of a tip section having a I/I channels manifold partially internal and partially external to the unitary fluid channeling component of the tip section, according to a second embodiment of the current specification;
  • Figure IOC schematically depicts an isometric cross section of the inner part of a tip section a having I/I channels manifold partially internal and partially external to the unitary fluid channeling component of the tip section, according to a second embodiment of the current specification;
  • Figure 11A schematically depicts an isometric view of a partially disassembled tip section of an endoscope having a I/I channels manifold partially internal and partially external to the unitary fluid channeling component of the tip section, according to a third embodiment of the current specification;
  • Figure 11B schematically depicts an isometric view of an inner part of a tip section having a I/I channels manifold partially internal and partially external to a unitary fluid channeling component of the inner part of the tip section, according to a third embodiment of the current specification;
  • Figure 11C schematically depicts an isometric cross section of the unitary fluid channeling component, according to a third embodiment of the current specification
  • Figure 1 ID schematically depicts another isometric cross section of an inner part of a tip section having a I/I channels manifold partially internal and partially external to a unitary fluid channeling component of the inner part of the tip section, according to a third embodiment of the current specification;
  • Figure 12A schematically depicts an isometric cross section view of an assembled tip section of an endoscope a having I/I channels manifold external to a unitary fluid channeling component of the inner part of the tip section, according to a fourth embodiment of the current specification;
  • Figure 12B schematically depicts an isometric view of an inner part of a tip section having a I/I channels manifold external to the unitary fluid channeling component, according to a fourth embodiment of the current specification;
  • Figure 12C schematically depicts an isometric cross section of a unitary fluid channeling component, according to a fourth embodiment of the current specification
  • Figure 13A schematically depicts an isometric view of an assembled tip section of an endoscope having a I/I channels manifold partially external to a unitary fluid channeling component of an inner part of the tip section, according to a fifth embodiment of the current specification;
  • Figure 13B schematically depicts an isometric view of an inner part of a tip section having a I/I channels manifold partially external to the unitary fluid channeling component, according to a fifth embodiment of the current specification;
  • Figure 13C schematically depicts another isometric view of an inner part of a tip section having a I/I channels manifold partially external to the unitary fluid channeling component, according to a fifth embodiment of the current specification;
  • Figure 13D schematically depicts an isometric cross section of an endoscope tip section according to a fifth embodiment of the current specification
  • Figure 14A schematically depicts an isometric view of an assembled tip section of an endoscope having a I/I channels manifold external to a unitary fluid channeling component of an inner part of the tip section, according to a sixth embodiment of the current specification;
  • Figure 14B schematically depicts an isometric view of a partially disassembled tip section of an endoscope having a I/I channels manifold external to the unitary fluid channeling component, according to a sixth embodiment of the current specification;
  • Figure 15A schematically depicts an isometric proximal view of a main section of an inner part of an endoscope tip section, according to an embodiment of the current specification
  • Figure 15B schematically depicts an isometric cross section of the main section of Figure 15 A, according to an embodiment of the current specification
  • Figure 15C schematically depicts an isometric proximal view of the main section of Figure 15 A, having liquid and gas tubes connected thereto, according to an embodiment of the current specification;
  • Figure 16 schematically depicts an isometric view of a folded flexible electronic circuit board carrying a front view camera, two side view cameras, and illumination sources, according to an embodiment of the current specification
  • Figure 17 schematically depicts an isometric view of a folded flexible electronic circuit board, according to an embodiment of the current specification
  • Figure 18 schematically depicts an isometric view of a flexible electronic circuit board in an unfolded, flat configuration, according to an embodiment of the current specification
  • Figure 19 schematically depicts an isometric exploded view of a folded flexible electronic circuit board, carrying cameras and illumination sources, and a flexible electronic circuit board holder, according to an embodiment of the current specification;
  • Figure 20 schematically depicts an isometric assembled view of a folded flexible electronic circuit board, carrying cameras and illumination sources, and a flexible electronic circuit board holder, according to an embodiment of the current specification
  • Figure 21 schematically depicts an isometric assembled view of a folded flexible electronic circuit board carrying cameras and illumination sources, a flexible electronic circuit board holder, and a fluid channeling component, according to an embodiment of the current specification;
  • Figure 22 schematically depicts an isometric view of a folded flexible electronic circuit board carrying cameras and illumination sources, a flexible electronic circuit board holder, a fluid channeling component, and a tip cover (in an exploded view), according to an embodiment of the current specification;
  • Figure 23A shows a first exploded view of a tip section of a foldable electronic circuit board according to some embodiments
  • Figure 23B shows a second exploded view of a tip section of a foldable electronic circuit board according to some embodiments
  • Figure 23 C shows a third exploded view of a tip section of a foldable electronic circuit board according to some embodiments
  • Figure 23D shows an assembled perspective view of a tip section of a foldable electronic circuit board, such as that shown in Figure 23C, according to some embodiments;
  • Figure 24A shows a first perspective view of a camera circuit board according to some embodiments
  • Figure 24B shows a second perspective view of a camera circuit board according to some embodiments.
  • Figure 24C shows a third perspective view of a camera circuit board according to some embodiments.
  • Figure 25 shows a perspective view of a flexible illumination circuit board according to some embodiments.
  • Figure 26A shows a first perspective view of a foldable electronic circuit board according to some embodiments
  • Figure 26B shows a second perspective view of a foldable electronic circuit board according to some embodiments
  • Figure 26C shows a third perspective view of a foldable electronic circuit board according to some embodiments.
  • Figure 26D shows a fourth perspective view of a foldable electronic circuit board according to some embodiments.
  • Figure 27 A shows a perspective view of an endoscope's tip section according to some embodiments
  • Figure 27B shows a perspective view of a fluid channeling component of the endoscopic tip section of Figure 27A;
  • Figure 28A illustrates an upper base board and a lower base board associated with a fluid channeling component and adapted to support the optical assembly and illuminators of an endoscope, in accordance with an embodiment of the present specification
  • Figure 28B illustrates a top view of an upper base board adapted to support the optical assembly and illuminators of an endoscope, in accordance with an embodiment of the present specification
  • Figure 28C illustrates a bottom side view of a lower base board adapted to support the optical assembly and illuminators of an endoscope, in accordance with an embodiment of the present specification
  • Figure 29A illustrates the optical assembly and illuminators supported by a lower base board, where the upper base board shown in Figure 28A is removed;
  • Figure 29B illustrates another view of the optical assembly supported by a lower base board as shown in Figure 29A with the illuminators removed;
  • Figure 29C illustrates a bottom view of the optical assembly supported by a lower base board, as shown in Figure 29B, where the illuminators are removed;
  • Figure 30A illustrates an image sensor comprising two image sensor contact areas, in accordance with an embodiment of the present specification
  • Figure 3 OB illustrates a lens assembly being coupled with the image sensor, in accordance with an embodiment of the present specification
  • Figure 30C illustrates a metal frame positioned to support and hold the lens assembly and the associated image sensor, in accordance with an embodiment of the present specification
  • Figure 31 A illustrates a viewing element holder for supporting a lens assembly, image sensor and side illuminators, in accordance with an embodiment of the present specification
  • Figure 3 IB illustrates grooves built in the viewing element holder for supporting the illuminators, in accordance with an embodiment of the present specification
  • Figure 32A illustrates a plurality of optical assemblies supported by viewing element holders and assembled to be placed in a tip of an endoscope, in accordance with an embodiment of the present specification
  • Figure 32B illustrates the assembly shown in Figure 32A coupled with an upper circuit board and a lower circuit board and associated with a fluid channeling component in a tip of an endoscope, in accordance with an embodiment of the present specification
  • Figure 33 A illustrates a front illuminator electronic circuit board adapted for supporting the front illuminators of an endoscope, in accordance with an embodiment of the present specification
  • Figure 33B illustrates upper and lower base boards integrated with the front and side illuminator electronic circuit boards, in accordance with an embodiment of the present specification
  • Figure 34 illustrates optical assemblies and illuminators supported by an upper base board with the lower base board shown in Figure 33 A removed, in accordance with an embodiment of the present specification
  • Figure 35A illustrates the metal frame and illuminator circuit boards as shown in Figure 34 with the optical assemblies and upper base board removed, in accordance with an embodiment of the present specification
  • Figure 35B illustrates a metal frame with the illuminator circuit boards shown in Figure 35A removed, in accordance with an embodiment of the present specification
  • Figure 36 illustrates a front illuminator electronic circuit board, in accordance with an embodiment of the present specification
  • Figure 37 illustrates a side illuminator electronic circuit board, in accordance with an embodiment of the present specification
  • Figure 38A illustrates a base board of an electronic circuit board assembly in accordance with an embodiment of the present specification
  • Figure 38B illustrates first and second metal frames for supporting a front looking and a side looking viewing element of an electronic circuit board assembly, in accordance with an embodiment of the present specification
  • Figure 38C illustrates a first intermediate assembly with metal frames placed on the base board of an electronic circuit board assembly, in accordance with an embodiment of the present specification
  • Figure 38D illustrates one embodiment of first and second printed circuit boards for inclusion with an electronic circuit board assembly
  • Figure 38E illustrates a second intermediate assembly formed by attaching printed circuit boards to a first intermediate assembly, in accordance with an embodiment of the present specification
  • Figure 38 a illustrates both horizontal and side lanar views of an image sensor, and a manner of folding the image sensor consistent with one embodiment
  • Figure 38Fb illustrates horizontal and side planar views of an image sensor, and a manner of folding the image sensor in accordance with another one embodiment
  • Figure 38G illustrates one embodiment of a third intermediate assembly formed by attaching image sensors to a second intermediate assembly
  • Figure 38Ha illustrates one embodiment of a front illumination circuit board
  • Figure 38Hb illustrates one embodiment of a side illumination circuit board
  • Figure 381 illustrates one embodiment of an assembled view of an electronic circuit board assembly of the present specification
  • Figure 38 J illustrates one embodiment of a tip section of an endoscope formed by attaching a fluid channeling component to the electronic circuit board assembly of Figure 381;
  • Figure 38K illustrates one embodiment of a fluid channeling component as shown in Figure 38 J;
  • Figure 39A schematically depicts a cross section of an endoscope front head having multiple fields of view showing some details of the head according to an exemplary embodiment of the current specification
  • Figure 39B schematically depicts a cutout isometric view of an endoscope having multiple fields of view according to another exemplary embodiment of the current specification
  • Figure 39C schematically depicts another cutout isometric view of an endoscope having multiple fields of view according to an exemplary embodiment of the current specification
  • Figure 40 schematically depicts a cross section of a lens assembly of a camera head, according to an exemplary embodiment of the current specification
  • Figure 41 A schematically illustrates example of light propagation within an objective lens system according to an exemplary embodiment of the current specification
  • Figure 4 schematically illustrates another example of light propagation within an objective lens system according to an exemplary embodiment of the current specification
  • Figure 41C schematically illustrates another example of light propagation within an objective lens system according to an exemplary embodiment of the current specification
  • Figure 42 shows various components of a modular endoscopic tip, according to one embodiment
  • Figure 43 illustrates one embodiment of a holder for the imaging modules
  • Figure 44 illustrates a top view of the modular imaging units, according to one embodiment of the present specification.
  • Figure 45 illustrates a bottom view of the modular imaging units, according to one embodiment of the present specification
  • Figure 46 illustrates a perspective view of a side -pointing modular imaging unit, according to one embodiment of the present specification
  • Figure 47 illustrates a perspective view of a front-pointing modular imaging unit, according to one embodiment of the present specification
  • Figure 48 illustrates the modular nature of the various elements in the endoscopic tip, according to one embodiment of the present specification
  • Figure 49 illustrates a front-pointing imaging module assembled with side -pointing imaging modules, according to one embodiment of the present specification
  • Figure 50 illustrates a perspective view of assembled components with the modular holder, according to one embodiment of the present specification
  • Figure 51 illustrates another embodiment of the modular endoscopic tip
  • Figure 52 illustrates a detailed view of the coupling mechanism and the modular holder, according to one embodiment
  • Figures 53 A provides a first perspective view of the connecting mechanism between the imaging modules, according to an embodiment
  • Figure 53B provides a second perspective view of the connecting mechanism between the imaging modules, according to an embodiment
  • Figure 54 illustrates a detailed view of the modular holder, according to one embodiment of the present specification
  • Figure 55 A schematically depicts an isometric view of a tip section of an endoscope
  • Figure 55B schematically depicts an isometric view of the tip section of Fig 55A, having an assembled multi component tip cover, according to some exemplary embodiment of the current specification;
  • Figure 56 schematically depicts an isometric view of a tip section of an endoscope (including an electronic circuit board carrying cameras and illumination sources, and a fluid channeling component), having a multi component tip cover (shown in an exploded view), according to an exemplary embodiment of the current specification;
  • Figure 57 schematically depicts an exploded view of a multi component tip cover, according to an exemplary embodiment of the current specification;
  • Figure 58A schematically depicts an isometric view of a tip section of an endoscope (including an electronic circuit board carrying cameras and illumination sources, and a fluid channeling component), having a multi component tip cover (shown in an exploded view), according to an exemplary embodiment of the current specification;
  • Figure 58B schematically depicts an isometric view of the tip section of Figure 58 A, having a multi component tip cover (partially in an exploded view), according to an exemplary embodiment of the current specification;
  • Figure 58C schematically depicts an isometric view of the tip section of Figures 58 A and
  • Figure 59A shows a perspective side view of a tip section of an endoscope assembly according to some embodiments
  • Figure 59B shows a perspective rear view of a tip section of an endoscope assembly according to some embodiments
  • Figure 59C shows a well-defined or deep notch/depression of a side wall of a tip section of an endoscope assembly according to some embodiments
  • Figure 60A shows a first perspective view of a tip section of an endoscope assembly with a medical tool inserted through a side service channel thereof, according to some embodiments;
  • Figure 60B shows a second perspective view of a tip section of an endoscope assembly with a medical tool inserted through a side service channel thereof, according to some embodiments;
  • Figure 61 A shows a perspective view of a tip section of an endoscope assembly comprising two independent side service channel openings in accordance with an embodiment of the present specification
  • Figure 6 IB shows a first perspective view of the tip section of the endoscope assembly of Figure 61 A with a medical tool inserted through a side service channel thereof, according to an embodiment
  • Figure 61C shows a second perspective view of the tip section of the endoscope assembly of Figure 61 A with a medical tool inserted through a side service channel thereof, according to another embodiment
  • Figure 62 shows an exploded view of the tip section of the endoscope assembly of Figure 2A;
  • Figure 63 illustrates a perspective front view of a tip section of an endoscope assembly comprising two front working/service channels in close proximity, in accordance with an embodiment of the present specification
  • Figure 64 illustrates a tip of an endoscope, comprising front jet and nozzle openings adjacent to each other, in accordance with an embodiment of the present specification
  • Figure 65 A shows a perspective view of a tip section of a multi-jet endoscope assembly according to an embodiment of the present specification
  • Figure 65B shows a perspective first side view of the tip section of the multi-jet endoscope assembly of Figure 65 A;
  • Figure 65C shows a perspective second side view of the tip section of the multi-jet endoscope assembly of Figure 65 A;
  • Figure 65D shows a perspective view of a fluid channeling component of the multi-jet endoscope assembly of Figure 65 A;
  • Figure 65E shows the multi-jet endoscope assembly of Figure 65A being moved inside a body cavity
  • Figure 66 shows a side jet sprinkler attachment, in accordance with some embodiments of the specification.
  • Figure 67A shows the position of side jet openings relative to side optical assemblies, in accordance with one embodiment
  • Figure 67B shows the position of side jet openings relative to side optical assemblies, in accordance with another embodiment
  • Figure 68A shows a perspective view of the tip cover of an endoscope assembly according to some embodiments
  • Figure 68B shows another perspective view of the tip cover of an endoscope assembly according to some embodiments
  • Figure 69A shows a perspective view of a tip section of an endoscope assembly according to some embodiments, without the tip cover;
  • Figure 69B shows another perspective view of the tip section of an endoscope assembly according to some embodiments, without the tip cover;
  • Figure 70 shows a side view of the tip section of an endoscope assembly according to some embodiments, without the tip cover;
  • Figure 71 shows a cross-section view of the tip section of an endoscope assembly according to some embodiments, with the tip cover;
  • Figure 72 shows a multi-jet ring assembly of an endoscope assembly according to an embodiment
  • Figure 73 shows a side view of the multi-jet ring assembly placed on a tip cover of an endoscope assembly, according to another embodiment
  • Figure 74 A shows a perspective view of the multi-jet ring assembly placed on the tip cover of an endoscope assembly, according to some embodiments
  • Figure 74B shows another perspective view of the multi-jet ring assembly placed on the tip cover of an endoscope assembly, according to some embodiments
  • Figure 75 A shows a perspective view of the multi-jet ring assembly detached from the tip cover of the endoscope assembly of Figures 74A and 74B;
  • Figure 75B shows another perspective view of the multi-jet ring assembly detached from the tip cover of the endoscope assembly of Figures 74A and 74B;
  • Figure 76A is a cross-sectional view of a tip section of an endoscope assembly, with the tip cover and the multi-jet ring assembly, according to some embodiments;
  • Figure 76B is another cross-sectional view of a tip section of an endoscope assembly, with the tip cover and the multi-jet ring assembly, according to some embodiments;
  • Figure 77A illustrates a multi-jet distributer pump, in accordance with an embodiment of the present specification
  • Figure 77B illustrates another view of the multi-jet distributer pump of Figure 77 A, in accordance with an embodiment of the present specification
  • Figure 77C illustrates yet another view of the multi-jet distributer pump of Figure 77 A, in accordance with an embodiment of the present specification
  • Figure 78A illustrates a distributer disc of a multi-jet distributer, in accordance with an embodiment of the present specification
  • Figure 78B illustrates another view of the distributer disc of a multi-jet distributer, in accordance with an embodiment of the present specification
  • Figure 79 A is a block diagram illustrating the connection between a multi-jet distributor and an endoscope, in accordance with an embodiment of the present specification
  • Figure 79B is a block diagram illustrating another connection between a multi-jet distributor and an endoscope, in accordance with an embodiment of the present specification
  • Figure 80A illustrates a sectional view of a distributor disc of a multi-jet distributor, in accordance with an embodiment of the present specification
  • Figure 80B illustrates another sectional view of a distributor disc of a multi-jet distributor, in accordance with an embodiment of the present specification
  • Figure 81 A shows a perspective view of a main connector employing a multi-jet controller in accordance with an embodiment of the present specification
  • Figure 8 IB shows a first position of a multi-jet controller shaft corresponding to a first control option of the multi-jet controller, according to one embodiment of the present specification
  • Figure 81C shows a second position of the multi-jet controller shaft corresponding to the second control option of the multi-jet controller, according to one embodiment of the present specification
  • Figure 82 shows a perspective view of a multi-camera endoscope according to one embodiment of the present specification
  • Figure 83 shows a perspective view of a full cross section removable tip section removed from the permanent section, in accordance with some exemplary embodiments of the specification
  • Figure 84 shows a perspective view of a full cross section removable tip section attached to the permanent section, in accordance with some exemplary embodiments of the specification
  • Figure 85 shows a perspective view of a partial cross section removable tip section removed from the permanent section, in accordance with some exemplary embodiments of the specification
  • Figure 86 shows a perspective view of a partial cross section removable tip section attached to the permanent section, in accordance with some exemplary embodiments of the specification
  • Figure 87A schematically depicts an endoscope system and an interface unit associated with the endoscope system according to an aspect of some embodiments
  • Figure 87B schematically depicts an embodiment of a tip of the endoscope of Figure
  • Figure 88 schematically depicts a functional block diagram of the interface unit of Figure
  • Figure 89 schematically depicts an exemplary layout of an endoscope system and an interface unit deployed in an operating room, according to one embodiment of the present specification
  • Figure 90 is a block diagram illustrating an exemplary video processing architecture, according to one embodiment of the present specification.
  • Figure 91 A is a first linear configuration of monitors for displaying a plurality of contiguous videos in accordance with an embodiment of the present specification
  • Figure 9 IB is a second linear configuration of monitors for displaying a plurality of contiguous videos in accordance with an embodiment of the present specification
  • Figure 91C is a third linear configuration of monitors for displaying a plurality of contiguous videos in accordance with an embodiment of the present specification
  • Figure 9 ID is a fourth linear configuration of monitors for displaying a plurality of contiguous videos in accordance with an embodiment of the present specification
  • Figure 9 IE is a fifth linear configuration of monitors for displaying a plurality of contiguous videos in accordance with an embodiment of the present specification
  • Figure 92A is a first embodiment of a non-linear configuration of monitors for displaying a plurality of contiguous videos
  • Figure 92B is a second embodiment of a non-linear configuration of monitors for displaying a plurality of contiguous videos
  • Figure 93A shows a first contiguous video feed group displayed on a single monitor in accordance with an embodiment of the present specification
  • Figure 93B shows a second contiguous video feed group displayed on a single monitor in accordance with an embodiment of the present specification
  • Figure 94 shows a panoramic view of video feeds generated by viewing elements of an endoscopic tip and displayed on three square monitors, according to one embodiment of the present specification
  • Figure 95A schematically depicts an embodiment of a tip of an endoscope configured to provide multiple views and having a single image capturing device
  • Figure 95B schematically depicts an embodiment of an image split to three fields as obtained from the image capturing device of Figure 95 A;
  • Figure 96 schematically depicts an embodiment of a tip of an endoscope configured to provide multiple views and having a single image capturing device and a rotatable optical element
  • Figure 97A schematically depicts one embodiment of a tip of an endoscope configured to provide multiple views and having a single image capturing device having several light sensitive elements;
  • Figure 97B schematically depicts another embodiment of a tip of an endoscope configured to provide multiple views and having a single image capturing device having several light sensitive elements;
  • Figure 98 schematically depicts an embodiment of a tip of an endoscope configured to provide three views and having two image capturing devices
  • Figure 99 schematically depicts an embodiment of a tip of an endoscope configured to provide three views and having a single double-sided image capturing device
  • Figure 100 is a table detailing an exemplary set of shared and unshared signals for each camera, according to one embodiment of the present specification
  • Figure 101 illustrates a camera circuit board with a plurality of inputs and outputs, according to one embodiment of the present specification
  • Figure 102A is a block diagram illustrating synchronization of video signals, according to one embodiment
  • Figure 102B is another block diagram illustrating synchronization of video signals, according to one embodiment of the present specification
  • Figure 103 A is a block diagram illustrating compensation of time lag for synchronization signals and pre-video signals in accordance with one embodiment of the present specification
  • Figure 103B is a block diagram illustrating compensation of time lag for synchronization signals and pre-video signals in accordance with another embodiment of the present specification
  • Figure 104 illustrates one embodiment with multiple displays operated with a single endoscope
  • Figure 105 A shows one exemplary configuration of the endoscope handle, according to one embodiment of the present specification
  • Figure 105B illustrates an indication of video recording on display, according to one embodiment
  • Figure 106 A shows another exemplary configuration of the endoscope handle, according to another embodiment of the present specification.
  • Figure 106B illustrates indications of various image management features, according to one embodiment
  • Figure 107 illustrates another embodiment of multiple displays being operated with a single endoscope
  • Figure 108 is a flow chart detailing the process of implementing an image manipulation feature, according to one embodiment of the present specification.
  • Figure 109 illustrates exemplary critical navigation junctures during an endoscopic procedure
  • Figure 11 OA illustrates highlighting the areas of interest in the display image, according to one embodiment of the present specification
  • Figure HOB is a flowchart illustrating the steps involved in a method of visualizing a navigation pathway of an endoscope comprising a tip section having a front-pointing viewing element and two side-pointing viewing elements by using a highlighting feature;
  • Figure 111A illustrates an endoscope handle comprising a service channel port, in accordance with an embodiment of the present specification
  • Figure 11 IB illustrates an exploded view of a service channel connector shown in Figure 111 A, in accordance with an embodiment of the present specification
  • Figure 112 is an illustration of a conventional service channel connector
  • Figure 113A illustrates a service channel connector, having an approximate Y-shape, in accordance with an embodiment of the present specification
  • Figure 113B is an external, cross-sectional view of a first section of a service channel connector having an approximate Y-shape, in accordance with an embodiment of the present specification
  • Figure 113C is an internal, cross-sectional view of a first section of a service channel having an approximate Y-shape, in accordance with an embodiment of the present specification
  • Figure 113D is an external, cross-sectional view of a second section of a service channel connector having an approximate Y-shape, in accordance with an embodiment of the present specification
  • Figure 113E is an internal, cross-sectional view of a second section of a service channel connector having an approximate Y-shape, in accordance with an embodiment of the present specification
  • Figure 113F illustrates another internal, cross-sectional view of a first section of a service channel connector showing edges that are welded, in accordance with an embodiment of the present specification.
  • Figure 113G illustrates another internal, cross-sectional view of a second section of a service channel connector showing edges that are welded, in accordance with an embodiment of the present specification.
  • An aspect of some embodiments relates to an endoscope having a tip section equipped with two or more viewing elements.
  • one of the viewing elements is positioned at a distal end of the tip section and points forward, and the remaining viewing elements(s) is positioned further back in the tip section, and points sideways.
  • one of the viewing elements is positioned at a distal (front) end surface of the tip section and points forward, and the remaining viewing elements(s) is positioned further back in the tip section, and points sideways.
  • two or more viewing elements are positioned in proximity to or at the distal end of the tip section and point sideways such that the field of view provided by the viewing elements covers a front and side views.
  • no viewing element is positioned at the distal (front) end surface of the tip section (or in other words, no viewing element is pointing directly forward)
  • the field of view of the side cameras allows view of the front direction of the tip and accordingly of the endoscope.
  • This configuration advantageously, may allow for a higher rate of detection, compared to conventional configurations, of pathological objects that exist in the body cavity in which the endoscope operates.
  • an endoscope tip section comprises one or more side working/service channels.
  • Endoscopic tip configurations having more than one front and/or side working/service channels may significantly improve the performance of the endoscope and allow the endoscope operator to perform more complex medical procedures using multiple medical tools simultaneously. Such configurations may also provide the endoscope operator better access to the object of interest and greater flexibility with operating the medical tools, while at the same time viewing the procedure by a plurality of front and side pointing viewing elements.
  • Still further aspects of some embodiments relate to an endoscope having a tip section equipped with a plurality of advantageous configurations of an electronic circuit board assembly. These configurations consume less space and leave more volume for additional necessary features.
  • Yet another aspect of some embodiments relates to an endoscope having a tip section comprising a plurality of side jets, in addition to a front jet, to enable improved flushing performance of the endoscope.
  • the viewing elements and optionally other elements that exist in the tip section are uniquely scaled, configured and packaged so that they fit within the minimalistic space available inside the tip section, while still providing valuable results.
  • each of the words “comprise” “include” and “have”, and forms thereof, are not necessarily limited to members in a list with which the words may be associated.
  • Embodiments of methods and/or devices of the specification may involve performing or completing selected tasks manually, automatically, or a combination thereof.
  • Some embodiments of the specification are implemented with the use of components that comprise hardware, software, firmware or combinations thereof.
  • some components are general-purpose components such as general purpose computers or oscilloscopes.
  • some components are dedicated or custom components such as circuits, integrated circuits or software.
  • some of an embodiment is implemented as a plurality of software instructions executed by a data processor, for example, which is part of a general-purpose or custom computer.
  • the data processor or computer comprises volatile memory for storing instructions and/or data and/or a non-volatile storage, for example, a magnetic hard-disk and/or removable media, for storing instructions and/or data.
  • implementation includes a network connection.
  • implementation includes a user interface, generally comprising one or more input devices (e.g., allowing input of commands and/or parameters) and output devices (e.g., allowing reporting parameters of operation and results).
  • endoscope may refer particularly to a colonoscope, according to some embodiments, but is not limited only to colonoscopes.
  • endoscope may refer to any instrument used to examine the interior of a hollow organ or cavity of the body.
  • Utility tube/cable is also umbilical tube/cable
  • Main control unit is also controller unit, main controller or fuse box.
  • Viewing element is also image capturing device/component, viewing components, camera, TV camera or video camera.
  • Illuminator is also LED, illumination source.
  • Endoscopes that are currently being used typically have a front and side viewing elements for viewing the internal organs, illuminators, a fluid injector for cleaning the lens of the viewing elements, and sometimes also illuminators and a working channel for insertion of surgical tools.
  • the illuminators commonly used are fiber optics that transmit light, generated remotely, to the endoscope tip section.
  • the use of light-emitting diodes (LEDs) for illumination is also known.
  • a tip section of the endoscope assembly may be inserted into a patient's body through a natural body orifice, such as the mouth, nose, urethra, vagina, or anus.
  • a tip cover may house the tip section.
  • the tip section, with the tip cover, may be turned or maneuvered by way of a flexible shaft, which may also be referred to as a bending section, for example, a vertebra mechanism.
  • Tip cover may be configured to fit over the inner parts of the tip section, including an electronic circuit board assembly and a fluid channeling component, and to provide protection to the internal components in the inner parts, such as a body cavity.
  • the endoscope can then perform diagnostic or surgical procedures inside the body cavity.
  • the tip section carries one or more viewing elements, such as cameras, to view areas inside body cavities that are the target of these procedures.
  • Tip cover may include panels having optical assemblies of viewing elements.
  • the panels and viewing elements may be located at the front and sides of the tip section.
  • Optical assemblies may include a plurality of lenses, static or movable, providing different fields of view.
  • An electronic circuit board assembly may be configured to carry the viewing elements, which may view through openings on the panels.
  • Viewing elements may include an image sensor, such as but not limited to a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • CCD Charge Coupled Device
  • CMOS Complementary Metal Oxide Semiconductor
  • the electronic circuit board assembly may be configured to carry illuminators that are able to provide illumination through illuminator optical windows.
  • the illuminators may be associated with viewing elements, and may be positioned to illuminate the viewing elements' fields of view.
  • One or more illuminators may illuminate the viewing fields of the viewing elements.
  • the illuminators may be fiber optic illuminators that carry light from remote sources.
  • the optical fibers are light carriers that carry light from a remotely located light source to the illuminators.
  • the optical fibers extend along an insertion tube between the tip section at a distal end of the endoscope, and a handle at a proximal end.
  • An umbilical/utility tube connects the handle to a main control unit.
  • the main control unit enables control of several functions of the endoscope assembly, including power delivered and communication of signals between the endoscope and its display, among others.
  • System 100 may include a multi-viewing elements endoscope 102.
  • Multi-viewing elements endoscope 102 may include a handle 104, from which an elongated shaft 106 emerges. Elongated shaft 106 terminates with a tip section 108 which is turnable by way of a bending section 110.
  • Handle 104 may be used for maneuvering elongated shaft 106 within a body cavity.
  • the handle may include one or more buttons and/or knobs and/or switches 105 which control bending section 1 10 as well as functions such as fluid injection and suction.
  • Handle 104 may further include at least one, and in some embodiments, one or more working channel openings 112 through which surgical tools may be inserted as well as one and more side service channel openings.
  • a utility cable 1 14, also referred to as an umbilical tube, may connect between handle 104 and a Main Control Unit 199.
  • Utility cable 114 may include therein one or more fluid channels and one or more electrical channels.
  • the electrical channel(s) may include at least one data cable for receiving video signals from the front and side -pointing viewing elements, as well as at least one power cable for providing electrical power to the viewing elements and to the discrete illuminators.
  • the main control unit 199 contains the controls required for displaying the images of internal organs captured by the endoscope 102.
  • the main control unit 199 may govern power transmission to the endoscope's 102 tip section 108, such as for the tip section's viewing elements and illuminators.
  • the main control unit 199 may further control one or more fluid, liquid and/or suction pump(s) which supply corresponding functionalities to the endoscope 102.
  • One or more input devices 118 such as a keyboard, a touch screen and the like may be connected to the main control unit 199 for the purpose of human interaction with the main control unit 199.
  • the main control unit 199 comprises a screen/display 120 for displaying operation information concerning an endoscopy procedure when the endoscope 102 is in use.
  • the screen 120 may be configured to display images and/or video streams received from the viewing elements of the multi -viewing element endoscope 102.
  • the screen 120 may further be operative to display a user interface for allowing a human operator to set various features of the endoscopy system.
  • the video streams received from the different viewing elements of the multi- viewing element endoscope 102 may be displayed separately on at least one monitor (not seen) by uploading information from the main control unit 199, either side -by-side or interchangeably (namely, the operator may switch between views from the different viewing elements manually).
  • these video streams may be processed by the main control unit 116 to combine them into a single, panoramic video frame, based on an overlap between fields of view of the viewing elements.
  • two or more displays may be connected to the main control unit 199, each for displaying a video stream from a different viewing element of the multi-viewing element endoscope 102.
  • the main control unit 199 is described in United States Provisional Patent Application Number 61/817,237, entitled “Method and System for Video Processing in a Multi -Viewing Element Endoscope” and filed on April 29, 2013, which is herein incorporated by reference in its entirety.
  • Figure IB shows a perspective view of one embodiment of a control panel of a main control unit of a multi-camera endoscopy system.
  • the control panel 101 contains a main connector housing 103 having a front panel 107.
  • the main connector housing front panel 107 comprises a first section 111, containing a light guide opening 113 and a gas channel opening 115, and a second section 117, comprising a utility cable opening 119.
  • the light guide opening 113 and gas channel opening 115 are configured to receive and connect with a light guide and a gas channel respectively, on a main connector and the utility cable opening 119 is configured to receive and connect with an electric connector of a scope.
  • a switch 121 is used to switch on and switch off the main control unit.
  • Figures 1C through IF show multiple exemplary configurations 123, 125, 127 and 129 of the tip section 108.
  • a front-pointing camera 131 and a side-pointing camera 133 are essentially perpendicular to one another, and have, correspondingly, perpendicular fields of view.
  • a front-pointing camera 137 is essentially perpendicular to a first side -pointing camera 139 and a second side-pointing camera 141.
  • First and second side-pointing cameras 139, 141 are pointing perpendicularly to one another, and are positioned essentially 90 degrees apart in the cylindrical surface of the tip section.
  • first and second side-pointing cameras may be positioned more than 90 degrees apart in the cylindrical surface of the tip section, such as 120-150 degrees apart or 150-180 degrees apart.
  • the first and second side -pointing cameras may be positioned 180 degrees apart, in opposite sides of the cylindrical surface of the tip section, so that they point in opposite directions.
  • three or more side -pointing cameras may be positioned in the cylindrical surface of the tip section, for example, three cameras having 120 degrees in between them.
  • a side-pointing camera 143 is pointing slightly backwards, so that it forms an angle larger than 90 degrees relative to a front-pointing camera 145.
  • an angle of 120 degrees is shown.
  • the angle ranges from 100- 145 degrees.
  • two opposing side cameras, 147 and 149, are shown, which are pointing slightly backwards, so that they each form an angle larger than 90 degrees relative to a front-pointing camera 151.
  • an angle of 120 degrees is shown.
  • the angle is 100-145 degrees.
  • three or more side -pointing cameras may be positioned in the cylindrical surface of the tip section, each pointing slightly backwards and having a certain angle in between; in the case of three cameras, they may have an angle of 120 degrees in between them.
  • Endoscope 153 includes an elongated shaft 155 which typically includes a bending section (not shown) and a tip section 157 which terminates the endoscope.
  • Tip section 157 includes three side -pointing cameras: a first side -pointing camera 158A, a second side -pointing camera, and a third side-pointing camera.
  • the first side-pointing camera 158A has an associated first field of view 159A
  • the second side -pointing camera has an associated second field of view 159B
  • the third side-pointing camera has an associated third field of view 159C.
  • Tip section 157 further includes a working channel 161 which may be a hollow opening configured for insertion of a surgical tool to operate on various tissues. For example, miniature forceps may be inserted through working channel 161 in order to remove a polyp or sample of which for biopsy.
  • Tip 157 may further include other elements/components, (for example, as described herein according to various embodiments) such as fluid injector(s) for cleaning the cameras and/or their illuminators and pathway fluid injector(s) for inflating and/or cleaning the body cavity into which endoscope 153 is inserted.
  • fluid injector(s) for cleaning the cameras and/or their illuminators
  • pathway fluid injector(s) for inflating and/or cleaning the body cavity into which endoscope 153 is inserted.
  • FIG. 1H shows a perspective view of a multi-camera endoscope 153, according to other embodiments.
  • the endoscope shown in Figure 1H is similar to that shown in Figure 1G, however, it does not include a working channel.
  • Elongated shaft 155, tip section 157, first side-pointing camera 158A, second side-pointing camera and third side- pointing camera, and their respective fields of view 159A, 159B, and 159C are similar to those described above with reference to Figure 1G.
  • Figure II shows a cross-sectional view of a tip section 163 of a multi-camera endoscope, according to an embodiment.
  • Tip section 163 may include a front-pointing image sensor 169, such as a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • Front-pointing image sensor 169 may be mounted on an integrated circuit board 179, which may be rigid or flexible.
  • Integrated circuit board 179 may supply front-pointing image sensor 169 with necessary electrical power and may derive still images and/or video feeds captured by the image sensor.
  • Integrated circuit board 179 may be connected to a set of electrical cables (not shown) which may be threaded through an electrical channel running through the elongated shaft of the endoscope.
  • Front-pointing image sensor 169 may have a lens assembly 181 mounted on top of it and providing the necessary optics for receiving images.
  • Lens assembly 181 may include a plurality of lenses, static or movable, which may provide a field of view of at least 90 degrees and up to essentially 180 degrees. Lens assembly 181 may provide a focal length of about 3 to 100 millimeters. Front- pointing image sensor 169 and lens assembly 181, with or without integrated circuit board 179, may be jointly referred to as a "front pointing camera”.
  • One or more discrete front illuminators 183 may be placed next to lens assembly 181, for illuminating its field of view.
  • discrete front illuminators 183 may be attached to the same integrated circuit board 179 on which front-pointing image sensor 169 is mounted (this configuration is not shown).
  • Tip section 163 may include a side -pointing image sensor 185, such as a Charge Coupled
  • CMOS Complementary Metal Oxide Semiconductor
  • Side- pointing image sensor 185 may be mounted on an integrated circuit board 187, which may be rigid or flexible.
  • Integrated circuit board 187 may supply side -pointing image sensor 185 with necessary electrical power and may derive still images and/or video feeds captured by the image sensor.
  • Integrated circuit board 187 may be connected to a set of electrical cables (not shown) which may be threaded through an electrical channel running through the elongated shaft of the endoscope.
  • Side -pointing image sensor 185 may have a lens assembly 168 mounted on top of it and providing the necessary optics for receiving images.
  • Lens assembly 168 may include a plurality of lenses, static or movable, which may provide a field of view of at least 90 degrees and up to essentially 180 degrees.
  • Lens assembly 168 may provide a focal length of about 2 to 33 millimeters.
  • Side -pointing image sensor 185 and lens assembly 168, with or without integrated circuit board 187, may be jointly referred to as a "side pointing camera".
  • One or more discrete side illuminators 176 may be placed next to lens assembly 168, for illuminating its field of view.
  • discrete side illuminators 176 may be attached to the same integrated circuit board 187 on which side-pointing image sensor 185 is mounted (this configuration is not shown).
  • integrated circuit boards 179 and 187 may be a single integrated circuit board on which both front and side -pointing image sensors 169 and 185, respectively, are mounted.
  • the integrated circuit board may be essentially L- shaped.
  • Front and side -pointing image sensors 169 and 185 may be similar or identical in terms of, for example, field of view, resolution, light sensitivity, pixel size, focal length, focal distance and/or the like.
  • side-pointing image sensor 185 and lens assembly 168 are advantageously positioned relatively close to the distal end surface of tip section 163.
  • a center of the side-pointing camera (which is the center axis of side -pointing image sensor 185 and lens assembly 168) is positioned approximately 7 to 11 millimeters from the distal end of the tip section. This is enabled by an advantageous miniaturizing of the front and side -pointing cameras, which allows for enough internal space in the tip section for angular positioning of the cameras without colliding.
  • Tip section 162 may include a front-pointing image sensor 169, such as a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • Front-pointing image sensor 169 may be mounted on an integrated circuit board 179, which may be rigid or flexible.
  • Integrated circuit board 179 may supply front- pointing image sensor 169 with necessary electrical power and may derive still images and/or video feeds captured by the image sensor.
  • Integrated circuit board 179 may be connected to a set of electrical cables (not shown) which may be threaded through an electrical channel running through the elongated shaft of the endoscope.
  • Front-pointing image sensor 169 may have a lens assembly 181 mounted on top of it and providing the necessary optics for receiving images.
  • Lens assembly 181 may include a plurality of lenses, static or movable, which may provide a field of view of at least 90 degrees and up to essentially 180 degrees.
  • Lens assembly 181 may provide a focal length of about 3 to 100 millimeters.
  • Front-pointing image sensor 169 and lens assembly 181, with or without integrated circuit board 179, may be jointly referred to as a "front pointing camera".
  • One or more discrete front illuminators 183 may be placed next to lens assembly 181, for illuminating its field of view.
  • discrete front illuminators 183 may be attached to the same integrated circuit board 179 on which front-pointing image sensor 169 is mounted (this configuration is not shown).
  • Tip section 162 may include, in addition to side-pointing image sensor 185, another side- pointing image sensor 164.
  • Side-pointing image sensors 185 and 164 may include a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • Side-pointing image sensors 185 and 164 may be mounted on integrated circuit boards 187 and 166, respectively, which may be rigid or flexible.
  • integrated circuit boards 187 and 166 may supply side-pointing image sensors 185 and 164 with necessary electrical power and may derive still images and/or video feeds captured by the image sensor.
  • Integrated circuit boards 187 and 166 may be connected to a set of electrical cables (not shown) which may be threaded through an electrical channel running through the elongated shaft of the endoscope.
  • Side -pointing image sensors 185 and 164 may have lens assemblies 168 and 174, respectively, mounted on top of them and providing the necessary optics for receiving images.
  • Lens assemblies 168 and 174 may include a plurality of lenses, static or movable, which may provide a field of view of at least 90 degrees and up to essentially 180 degrees.
  • Lens assemblies 168 and 174 may provide a focal length of about 2 to 33 millimeters.
  • Side -pointing image sensors 185 and 164 and lens assemblies 168 and 174, with or without integrated circuit boards 187 and 166, respectively, may be jointly referred to as a "side pointing cameras".
  • Discrete side illuminators 176 and 189 may be placed next to lens assemblies 168 and 174, respectively, for illuminating its field of view.
  • discrete side illuminators 176 and 189 may be attached to the same integrated circuit boards 187 and 166 on which side-pointing image sensors 185 and 164 are mounted (this configuration is not shown).
  • integrated circuit boards 179, 187, and 166 may be a single integrated circuit board on which front and side -pointing image sensors 169, 185, and 164 , respectively, are mounted.
  • Front and side -pointing image sensors 169, 185, and 164 may be similar, identical or distinct in terms of, for example, field of view, resolution, light sensitivity, pixel size, focal length, focal distance and/or the like.
  • side -pointing image sensors 185 and 164 and lens assemblies 168 and 174 are advantageously positioned relatively close to the distal end surface of tip section 162.
  • a center of the side -pointing cameras (which is the center axis of side -pointing image sensors 185 and 164 and lens assemblies 168 and 174) is positioned approximately 7 to 11 millimeters from the distal end of the tip section. This is enabled by an advantageous miniaturizing of the front and side -pointing cameras, which allows for enough internal space in the tip section for angular positioning of the cameras without colliding.
  • the front and side-pointing cameras are all positioned on the same (imaginary) plain which "divides" tip section 162 into two equal parts along its length. According to some embodiments, each of the side -pointing cameras is perpendicular to the front pointing camera.
  • the fields of view of the front and side -pointing viewing elements overlap. These fields of view are configured to maximize the area of overlap (and minimize a dead space which may be defined as an area that is not covered by the overlap) and bring the point of intersection of the fields of view as close as possible to the endoscope tip.
  • the area of overlap, or intersecting field of view occurs over a depth of field range of between 3 mm and 100 mm for the forward looking viewing element and over a depth of field range of between 3 mm and 100 mm for the first side viewing element. In another embodiment, the area of overlap, or intersecting field of view, occurs over a depth of field range of between the minimum and maximum depth of field for the forward looking viewing element and over a depth of field range of between the minimum and maximum depth of field for the first side viewing element.
  • the area of overlap, or intersecting field of view occurs over a depth of field range of between 3 mm and 100 mm for the forward looking viewing element and over a depth of field range of between 3mm and 100 mm for each of the two side viewing elements. In another embodiment, the area of overlap, or intersecting field of view, occurs over a depth of field range of between the minimum and maximum depth of field for the forward looking viewing element and over a depth of field range of between the minimum and maximum depth of field for each of the side viewing elements.
  • each of the forward looking and side looking viewing elements generates a view ranging from 120 to 180 degrees, as measured from the planar surface defined by the forward looking viewing element surface and the planar surface defined by the side viewing element surface, respectively. In an embodiment, these angle ranges of the forward looking and side viewing elements overlap.
  • the field of view of the first viewing element intersects with the field of view of the second and/or third viewing elements within a distance of 15 mm from the endoscope tip, first viewing element, second viewing element, or third viewing element.
  • the distance is less than 15 mm, such as, 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, or 2 mm.
  • Figures 2A and 2B show exploded views of a tip section 200 of a multi-viewing element endoscope assembly 100 comprising one and two front working/service channels, respectively, according to various embodiments.
  • An aspect of some embodiments also relates to endoscope assembly 100 having the tip section 200 equipped with one or more side working/service channels.
  • each viewing element and related supporting electronic circuitry, dissipates some power in the form of heat.
  • an acceptable working temperature of the tip section and an allowed heat dissipation rate from the tip section to the patient's body impose yet another restriction on the total number of operative viewing elements therein.
  • each viewing element outputs image data through an imaging channel, generally employed by a dedicated video cable.
  • each viewing element may require, for proper operation, dedicated control signals also delivered by wires along the endoscope.
  • the number of viewing elements may also be limited by the amount of wiring that can be included within the endoscope.
  • electronic interference between wires and cables may generally increase with the number of such wires along the endoscope, adversely affecting the quality and integrity of the signals.
  • tip section 200 of the endoscope 100 of Figures 2A and 2B may include a tip cover 300, an electronic circuit board assembly 400 and a fluid channeling component 600.
  • fluid channeling component 600 may be configured as a separate component from electronic circuit board assembly 400. This configuration may be adapted to separate the fluid channels, at least one side service channel, such as side service channel 650, and at least one front working/service channel, such as working/service channel 640, which are located in fluid channeling component 600, from the sensitive electronic and optical parts which may be located in the area of electronic circuit board assembly 400.
  • the component structure of the tip section 200 enables effective insulation of the plurality of electronic elements from the plurality of fluid channels.
  • the use of metal for the construction of a flexible electronic circuit board holder is important for electric conductivity and heat transfer purposes.
  • the flexible electronic circuit board holder according to embodiments of the specification (such as flexible electronic circuit board holder 500 of Figure 19), can be used as a heat sink for some or all of the electronic components located at the tip section, particularly illuminators (such as side or front LEDs) and reduce overall temperature of the endoscope tip. This may solve or at least mitigate a major problem of raised temperatures of the endoscope tip and/or any of its components, particularly when using LED illuminators.
  • the viewing elements and optionally other elements that exist in the tip section are uniquely modularized into a three part component structure comprising the tip cover 300, electronic circuit board assembly 400 and fluid channeling component 600 and packaged so that they fit within the minimalistic space available inside the tip section, while still providing valuable results.
  • the tip section 200 includes a front panel 320 which comprises four quadrants defined by a vertical axis passing through a center of the front panel 320 and a horizontal axis passing through the center, wherein the four quadrants include a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant.
  • a front optical assembly 256 is positioned on the front panel 320.
  • a first front optical window 242b, for a first front illuminator 240b, is positioned on the front panel 320, at least partially within the bottom right quadrant and at least partially within the bottom left quadrant.
  • a second front optical window 242a for a second front illuminator 240a, is positioned on the front panel 320, at least partially within the bottom left quadrant.
  • a third front optical window 242c for a third front illuminator 240c, is positioned on the front panel 320, at least partially within the bottom right quadrant.
  • a front working channel opening 340 for working channel 640, is positioned on the front panel 320, along the vertical axis and at least partially within the top left quadrant and partially within the top right quadrant.
  • a fluid injector opening 346 for a fluid injector channel 646, is positioned on the front panel 320, at least partially within the top right quadrant.
  • a jet channel opening 344 for a jet channel 644, is positioned on the front panel 320, at least partially within the top left quadrant.
  • fluid channeling component 600 may include a proximal fluid channeling section 602 (or base) which may have an essentially cylindrical shape and a unitary distal channeling section 604 (or elongated housing).
  • Distal fluid channeling section 604 may partially continue the cylindrical shape of proximal fluid channeling section 602 and may have a shape of a partial cylinder (optionally elongated partial cylinder).
  • Distal fluid channeling section 604 may have only a fraction of the cylinder (along the height or length axis of the cylinder), wherein another fraction of the cylinder (along the height or length axis of the cylinder) is missing.
  • proximal fluid channeling section 602 has a greater width than distal fluid channeling section 604.
  • Distal fluid channeling section 604 may be integrally formed as a unitary block with proximal fluid channeling section 602. The height or length of distal fluid channeling section 604 may by higher or longer than the height or length of proximal fluid channeling section 602.
  • distal fluid channeling section 604 the shape of the partial cylinder (for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis) may provide a space to accommodate electronic circuit board assembly 400 ( Figure 2A).
  • Distal fluid channeling section 604 may include a working channel 640, which may be configured for insertion of a surgical tool, for example, to remove, treat and/or extract a sample of the object of interest found in the colon or its entirety for biopsy.
  • Distal fluid channeling section 604 may further include a jet fluid channel 644 which may be configured for providing a high pressure jet of fluid, such as water or saline, for cleaning the walls of the body cavity (such as the colon) and optionally for suction.
  • Distal fluid channeling section 604 may further include injector channel 646, which may be used for injecting fluid (liquid and/or gas) to wash contaminants such as blood, feces and other debris from front optical assembly 256 ( Figure 2 A) of forward-looking viewing element 116 ( Figure 2A).
  • Proximal fluid channeling section 602 of fluid channeling component 600 may include a side injector channel 666 which may be connected to side injector opening 266 ( Figure 2A).
  • fluid channeling component 600 comprises a fluid manifold and may include a side service channel 650 having a side service channel opening 350 (Figure 2A).
  • Side service channel 650 includes a proximal section 652, a curve 654 and a distal section 656 and is located within fluid channeling component 600.
  • Proximal section 652 of side service channel 650 is essentially directed along the long dimension of the endoscope.
  • Curve 654 of side service channel 650 is configured to connect proximal section 652 and distal section 656 and curve (at essentially a right angle or in an obtuse angle) distal section 656 towards the side of fluid channeling component 600.
  • a curve such as curve 654 may be configured to create an acute angle between proximal section 652 and distal section 656.
  • Side service channel 650 may be configured to allow the endoscope operator to insert a surgical tool (not shown) and remove, treat and/or extract a sample of the object of interest or its entirety for biopsy.
  • side service channel 650 may allow greater flexibility to the endoscope operator and allow the insertion of extra surgical tools in addition to the surgical tools which may be inserted through working channel 640.
  • the fluid channeling component 700 comprises a jet fluid channel 744 which may be configured for providing a high pressure jet of fluid such as water or saline for cleaning the walls of the body cavity (such as the colon) and optionally for suction.
  • Component 700 may further include injector channel 746, which may be used for injecting fluid (liquid and/or gas) to wash contaminants such as blood, feces and other debris from front optical assembly 256 ( Figure 2A) of forward-looking viewing element 116 ( Figure 2A).
  • fluid channeling component 700 may include a proximal fluid channeling section 702 (or base) which may have an essentially cylindrical shape and a unitary distal channeling section 704 (or elongated housing).
  • Distal fiuid channeling section 704 may partially continue the cylindrical shape of proximal fluid channeling section 702 and may have a shape of a partial cylinder (optionally elongated partial cylinder).
  • Distal fluid channeling section 704 may have only a fraction of the cylinder (along the height or length axis of the cylinder), wherein another fraction of the cylinder (along the height or length axis of the cylinder) is missing.
  • proximal fluid channeling section 702 has a greater width than distal fluid channeling section 704.
  • Distal fluid channeling section 704 may be integrally formed as a unitary block with proximal fiuid channeling section 702.
  • the height or length of distal fluid channeling section 704 may by higher or longer than the height or length of proximal fluid channeling section 702.
  • the shape of the partial cylinder for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis
  • fluid channeling component 700 comprises a fiuid manifold and may include a side service channel 750 having two side service channel openings 758a and 758b.
  • side service channel openings 758a and 758b have an angle of exit ranging from 5 to 90 degrees relative to the longitudinal axis of the endoscope. In one embodiment, side service channel openings 758a and 758b have an angle of exit of 45 degrees relative to the longitudinal axis of the endoscope.
  • Side service channel 750 may be located within fluid channeling component 700 and may include a proximal section 752, a split 754 and two distal sections 756a and 756b.
  • Proximal section 752 of side service channel 750 may be essentially directed along the long dimension of the endoscope and may be positioned at the bottom and center of the proximal fluid channeling section 702.
  • Split 754 of side service channel 750 may be configured to split proximal section 752 into two distal sections 756a and 756b and divert distal sections 756a and 756b towards two essentially opposite sides of fluid channeling component 700.
  • the distal sections 756a and 756b bend at different angles relative to the long dimension of the endoscope. In one embodiment, the distal sections 756a and 756b bend at an acute angle relative to the long dimension of the endoscope. In another embodiment, the distal sections 756a and 756b bend at an angle having a range between 45 to 60 degrees relative to the long dimension of the endoscope. In another embodiment, the distal sections 756a and 756b bend at an angle of 90 degrees relative to the long dimension of the endoscope. In another embodiment, the distal sections 756a and 756b bend at an obtuse angle relative to the long dimension of the endoscope. In yet another embodiment, the distal sections 756a and 756b bend at an angle having a range of 120 to 135 degrees relative to the long dimension of the endoscope.
  • Side service channel 750 may be configured to allow the endoscope operator to insert a surgical tool (not shown) and remove, treat and/or extract a sample of the object of interest or its entirety for biopsy.
  • side service channel 750 may allow greater flexibility to the endoscope operator and allow the insertion of extra surgical tools in addition to the surgical tools, which may be inserted through working channel 740.
  • a surgical tool inserted into the side service channel 650 or 750 will exit the endoscope at different angles relative to the long dimension of the endoscope, dependent upon the degree of the bend of the distal sections of said service channel 650 or 750.
  • the surgical tool exits the endoscope at an acute angle relative to the long dimension of the endoscope.
  • the surgical tool exits the endoscope at an angle having a range between 45 to 60 degrees relative to the long dimension of the endoscope.
  • the surgical tool exits the endoscope at an angle of 90 degrees relative to the long dimension of the endoscope.
  • the surgical tool exits the endoscope at an obtuse angle relative to the long dimension of the endoscope. In yet another embodiment, the surgical tool exits the endoscope at an angle having a range of 120 to 135 degrees relative to the long dimension of the endoscope.
  • FIGS. 5A and 5B show a perspective view of a fluid channeling component 815 of an endoscope assembly according to another embodiment.
  • fluid channeling component 815 may include a proximal fluid channeling section 802 (or base) which may have an essentially cylindrical shape and a unitary distal channeling section 804 (or elongated housing).
  • Distal fluid channeling section 804 may partially continue the cylindrical shape of proximal fluid channeling section 802 and may have a shape of a partial cylinder (optionally elongated partial cylinder).
  • Distal fluid channeling section 804 may have only a fraction of the cylinder (along the height or length axis of the cylinder), wherein another fraction of the cylinder (along the height or length axis of the cylinder) is missing.
  • proximal fluid channeling section 802 has a greater width than distal fluid channeling section 804.
  • Distal fluid channeling section 804 may be integrally formed as a unitary block with proximal fluid channeling section 802.
  • the height or length of distal fluid channeling section 804 may by higher or longer than the height or length of proximal fluid channeling section 802.
  • the shape of the partial cylinder for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis
  • the fluid channeling component 815 comprises two side service channels 810a, 810b leading to corresponding two side service channel openings 805a, 805b on either side of a tip section of an endoscope, such as the tip section 200 of Figure 61 A.
  • two independent and distinct side service channels 810a, 810b, one for each side are located within the fluid channeling component 815.
  • the side service channels 810a, 810b comprise proximal sections 812 directed along the long dimension of the endoscope and distal sections 813 that bend towards the respective sides of the fluid channeling component 815.
  • the proximal sections 812 of the two side service channels 810a, 810b extend through a bottom portion of the proximal fluid channeling section 802.
  • the distal sections 813 bend at acute angles with reference to the long dimension of the endoscope. In an embodiment, the distal sections 813 bend at a range of 5 degrees to 90 degrees and any increment therein, but preferably 45 degrees relative to the long dimension of the endoscope.
  • an endoscope such as a colonoscope
  • an endoscope that includes (in a tip section thereof), in addition to a front viewing element and one or more side viewing elements, and in addition to a front working/service channel, a second front working/service channel that is configured for insertion of a medical (such as a surgical) tool, optionally in addition to a medical tool inserted from the front working/service channel.
  • a medical such as a surgical
  • FIG. 2B shows perspective views of a fluid channeling component 600 of an endoscope assembly 100 according to another embodiment.
  • fluid channeling component 600 may be configured as a separate component from electronic circuit board assembly 400 ( Figure 2B). This configuration may be adapted to separate the fluid channels 640b and working channels 640a, which are located in fluid channeling component 600, from the sensitive electronic and optical parts which may be located in the area of electronic circuit board assembly 400 ( Figure 2B).
  • fluid channeling component 600 may include a proximal fluid channeling section 602 which may have an essentially cylindrical shape, a primary distal channeling section 604a and a secondary distal channeling section 604b.
  • Primary distal fluid channeling section 604a and secondary distal channeling section 604b may partially continue the cylindrical shape of proximal fluid channeling section 602 and may have a shape of a partial cylinder (optionally elongated partial cylinder).
  • Primary distal fluid channeling section 604a and secondary distal channeling section 604b may form solely two parallel fractions of the cylinder (along the height axis of the cylinder), wherein the third fraction of the cylinder (along the height axis of the cylinder) is missing.
  • Primary distal fluid channeling section 604a and secondary distal channeling section 604b may be integrally formed as a unitary block with proximal fluid channeling section 602.
  • the height of primary distal fluid channeling section 604a and secondary distal channeling section 604b may by higher than that of proximal fluid channeling section 602.
  • the primary distal fluid channeling section 604a and secondary distal channeling section 604b may have the shape of the partial cylinder (for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis) and provide a space to accommodate electronic circuit board assembly 400 ( Figure 2B).
  • Proximal fluid channeling section 602 may include integrated screw nuts 606a and 606b, which may be configured for securing tip section 200 (Figure 2B) to the endoscope shaft (not shown).
  • Primary distal fluid channeling section 604a may include working channel 640a having a working channel opening 340a, which may be configured for insertion of a medical (such as a surgical) tool, for example, to remove, treat and/or extract a sample of the object of interest found in the colon or its entirety for biopsy.
  • a medical such as a surgical
  • Working channel 640a may be formed as an essentially cylindrical channel located within primary distal channeling section 604a along the long dimension of the endoscope and placed in parallel to primary distal fluid channeling section 604a.
  • the endoscope operator may desire to insert one or more medical tools and remove, treat and/or extract a sample of the polyp or its entirety for biopsy. Therefore, it may be beneficial for the endoscope's operator to be able to use more than one medical tool.
  • secondary distal channeling section 604b may include a second working channels 640b having a working channel opening 340b which may be similar to working channel 640a and may be configured for insertion of a medical tool, for example but not necessarily, in addition to the medical tool which may be inserted through working channel 640a.
  • the operator may also choose from which working channel he or she would like to insert the medical tool, for example, according to the position of the polyp.
  • Second working channel 640b may be formed as an essentially cylindrical channel located within secondary distal channeling section 604b along the long dimension of the endoscope and placed in parallel to secondary distal channeling section 604b. Other configurations may also be possible. First and second working channels may be the same or different in shape and size. Second working channel 640b may be configured to improve the performance of the endoscope (particularly, the colonoscope). Current colonoscopes typically have one working channel, which opens at the front distal section of the colonoscope. Such front working channel is adapted for insertion of a surgical tool. The physician is required to perform all necessary medical procedures, such as biopsy, polyp removal and other procedures, via this one channel.
  • a second working channel such as second working channel 640b, allows greater flexibility to the endoscope operator and allows the insertion of medical tools in addition to (or instead of) the medical tools which may be inserted through working channel 640a.
  • Second working channel 640b provides the endoscope operator better access to the object of interest and greater flexibility with operating the medical tools while at the same time viewing the procedure by the front pointing viewing element 116a ( Figure 2B). This substantially increases the performance of the endoscope.
  • the two front working channels may be used simultaneously for medical procedures. An example of such a procedure may include surgery that requires stitching which can more easily be performed using two tools from two channels.
  • Another example of simultaneous usage of two working channels may include cleaning of the colon.
  • the two channels can be used simultaneously for cleaning.
  • a cleaning fluid such as water or water with air
  • a cleaning fluid may be inserted through one working channel and suctioned out from a second working channel. This may allow a better cleaning procedure that may solve or mitigate the problem of less efficient colonoscopies due to a non-cleaned colon.
  • a colonoscopy performed using a colonoscope may save the need of a cleaning procedure, currently performed by the patient him/herself, prior to colonoscopy.
  • Distal fluid channeling section 604a may further include a jet fluid channel 644 which may be configured for providing high pressure jet of fluid such as water or saline for cleaning the walls of the body cavity (such as the colon) and optionally for suction.
  • Distal fluid channeling section 604a may further include an injector channel pathway 647 of fluid injector channel 646, which may be used for blending two fluids (like air and water) and convey the fluid blend into injector channel 646 which may be configured to inject the fluid blend and wash contaminants such as blood, feces and other debris from front optical assembly 256a ( Figure 2B) of front- pointing viewing element 116a ( Figure 2B).
  • Proximal fluid channeling section 602 of fluid channeling component 600 may include side injector channels 666a and 666b, which may be connected to a first side injector opening 266a and a second side injector opening (not visible, but present on the opposite side of opening 266a of Figure 2B) respectively.
  • the present specification provides an endoscope with a second front working/service channel in close proximity to a first front working/service channel.
  • the distance between the two front working/service channels provided ranges from 0.40 mm to 0.45 mm.
  • the two front working/service channels may be configured for insertion of medical tools allowing simultaneous operation for a specific treatment, such as, treating a tumor or polyp.
  • one or both of the front working/service channels may be adapted to allow for suction during a procedure.
  • Figure 7 illustrates a perspective view of a tip section of an endoscope assembly showing a fluid channeling component or manifold 645, in accordance with an embodiment of the present specification.
  • fluid channeling component or manifold 645 includes a proximal fluid channeling section, end or base 702, which has a substantially cylindrical shape, and a primary distal channeling section or casing 704.
  • the fluid channeling component or manifold 645 is L-shaped.
  • Primary distal fluid, channeling section or casing 704 partially continues the cylindrical shape of proximal fluid channeling section or end 702 and has a shape of a partial cylinder (optionally elongated partial cylinder).
  • Primary distal fluid channeling sectio or casing 704 forms a fraction of the cylinder (along the height axis of the cylinder), wherein the other fraction of the cylinder (along the height axis of the cylinder) i missing.
  • Primary distal fluid channeling section or casing 704 is integrally formed as a unitary block with proximal fluid channeling section or base 702 and extends outward from the base 702.
  • the fluid channeling component or manifold 645 comprises a distal end 321 having a jet fluid channel 644, an injector channel pathway 647, a first front working/service channel 648 and a second front working/service channel 649.
  • Each of the four channels 644, 647, 648 and 649 are fluidically isolated from each other and extend from the base or proximal end 702 to the distal end 321. Also, each of the four channels 644, 647, 648 and 649 has a diameter that remains substantially uniform or constant from the length spanning the proximal end 702 to the distal end 321. In one embodiment, the diameter of the first front working/service channel 648 is in a range of 3.6 mm to 4.0 mm and the diameter of the second front working/service channel 649 is in a range of 2.6 mm to 3.0 mm.
  • the diameter of the first working/service channel 340a is in a range of 3.4 mm to 4.2 mm and the diameter of the second working/service channel 340b is in a range of 2.4 mm to 3.2 mm.
  • the diameters of the first and the second front working/service channels 648, 649 are 3.8 mm and 2.8 mm respectively.
  • the front panel 320 of the fluid channeling component 645 depicted in Figure 7 comprises four quadrants defined by a vertical axis passing through a center of the front panel 320 and a horizontal axis passing through the center, wherein the four quadrants include a top left quadrant, a top right quadrant, a bottom left quadrant and a bottom right quadrant.
  • the first front working/service channel 648 includes an exit port positioned substantially within the top right quadrant of the front panel 320 and the second working/service channel 649 includes an exit port positioned substantially within the top left quadrant of the front panel 320.
  • Provision of the two front working/service channels may significantly improve the performance of the endoscope and allow the endoscope operator to perform more complex medical procedures using two medical tools.
  • the second working/service channel provides the endoscope operator better access to an object of interest and greater flexibility with operating the medical tools while simultaneously viewing the procedure via the front-pointing viewing element. This substantially increases the performance of the endoscope.
  • the two front working/service channels may be used simultaneously for medical procedures. An example of such a procedure includes a surgery that requires stitching which can more easily be performed using two tools from two channels.
  • Another example employing simultaneous usage of two front working/service channels include cleaning of the colon.
  • the two channels can be used simultaneously for cleaning.
  • a cleaning fluid such as water or water with air
  • a cleaning fluid may be inserted through one service channel and suctioned out from a second service channel. This may allow a better cleaning procedure that may solve or mitigate the problem of less efficient colonoscopies due to a non-cleaned colon.
  • a colonoscopy performed using a colonoscope may eliminate the need of a cleaning procedure, currently performed by the patient him/herself, prior to colonoscopy.
  • a gastroscopy performed using a gastroscope may eliminate the need of a cleaning procedure, currently performed by the patient him/herself, prior to gastroscopy.
  • the two front working/service channels are provided in a colonoscope with a front optical assembly and two side optical assemblies. In another embodiment, the two front working/service channels are provided in a gastroscope with a front optical assembly and one side optical assembly.
  • a tip section of a multi -viewing element endoscope comprising: a unitary fluid channeling component adapted to channel fluid for insufflation and/or irrigation (hereinafter abbreviated to ⁇ / ⁇ ), the unitary fluid channeling component comprising: a proximal opening adapted to receive a fluid tube, the proximal opening being in fluid flow connection with a front fluid channel and a side fluid channel, in accordance with an embodiment.
  • Figure 8 schematically depicts an isometric proximal view of an inner part of a tip section of an endoscope according to an exemplary embodiment of the current specification, showing the entrances of various channels in the inner part of a tip section.
  • Inner part 890 of a tip section is located within the tip section and may be used for holding in place the components of the endoscope's tip section such as injectors 364, 366a and 366b, viewing elements, lenses and other elements.
  • a cover (not seen in this figure) is placed over inner part 890.
  • injectors 364, 366a, and 366b may be assembled after the cover is placed.
  • Inner part 890 of a tip section may comprise of several parts.
  • inner part 890 of the tip section comprises: unitary fluid channeling component 190, central section 192 and front section 194 (also seen in Figures 9A, 9B below).
  • Unitary fluid channeling component 190 may be made of a metal or any other material, such as a polymer, a composite material or any other appropriate material or combination of materials.
  • Unitary fluid channeling component 190 may generally include two parts: a proximal fluid channeling component section 190a and a distal fluid channeling component section 190b.
  • Proximal fluid channeling component section 190a may have an essentially cylindrical shape.
  • Distal unitary channeling component section 190b may partially continue the cylindrical shape of proximal fluid channeling component section 190a and may have a shape of a partial cylinder (optionally elongated partial cylinder), having only a fraction of the cylinder (along the height axis of the cylinder), wherein another fraction of the cylinder (along the height axis of the cylinder) is missing.
  • a partial cylinder optionally elongated partial cylinder
  • Distal fluid channeling component section 190b may be integrally formed as a unitary block with proximal fluid channeling component section 190a.
  • the height of distal fluid channeling component section 190b may be higher than that of proximal fluid channeling component section 190a.
  • the shape of the partial cylinder (for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis) may provide a space to accommodate central section 192.
  • Central section 192 may include electronics and optical components, such as light means (LEDs for example), viewing elements (CCD or CMOS, for example), lenses, and other elements.
  • This configuration of inner part 890 of the tip section may thus be adapted to separate the fluid channels and working channels, which are located in fluid channeling component 190 from the sensitive electronic and optical parts which are located in central section 192.
  • On the proximal surface 191 of unitary fluid channeling component 190 is proximal opening 144 of the jet fluid channel leading to a distal opening of the jet channel.
  • Fluid tube (not shown in this figure for simplification purposes) may be inserted into, and affixed to the distal opening of the jet fluid channel.
  • the jet fluid tube is threaded through a flexible shaft and is used for delivering fluid to the body cavity.
  • proximal opening 165 of a working channel leading to distal opening 340 ( Figure 9B) of the working channel On the proximal surface 191 of unitary fluid channeling component 190 is proximal opening 165 of a working channel leading to distal opening 340 ( Figure 9B) of the working channel.
  • Working channel tube/tools may be inserted into, and optionally affixed to proximal opening 165 of the working channel.
  • the working channel is threaded through the flexible shaft and is used for delivering surgical tools to the body cavity.
  • the working channel may also be used for suction of fluid from the body cavity.
  • unitary fluid channeling component 190 On the proximal surface 191 of unitary fluid channeling component 190 is the electric cable opening 150 for an electrical cable.
  • the electrical cable is connected at its distal end to the electronic components such as cameras and light sources in the endoscope's tip section.
  • the electrical cable is threaded through the flexible shaft and is used for delivering electrical power and command signals to the tip section and transmitting video signal from the cameras to be displayed to the user.
  • I/I tubes proximal opening 891 for gas tube 892 and liquid tube 893 (seen in Figure 9A).
  • Gas and fluid tubes may be inserted into, and affixed to proximal opening 110 of I/I channels manifold which delivers cleaning fluids to I/I injectors 364, 366a, and 366b.
  • the gas and liquid tubes (such as gas tube 892 and liquid tube 893) may be threaded through the flexible shaft and are used for delivering fluid (gas and/or liquid) to I/I injectors 364, 366a, and 366b for cleaning the optical surfaces on the endoscope's tip section and for inflating a body cavity.
  • the gas and liquid tubes (such as gas tube 892 and liquid tube 893) may also be combined into one tube and connected to the tip section as one tube.
  • Figure 8 generically depicts the unitary fluid channeling component 190, and shows its proximal surface 191
  • Figure 9 A schematically depicts a partially disassembled tip section 230a of an endoscope having I/I channels manifold internal to unitary fluid channeling component 894 according to a first exemplary embodiment of the current specification.
  • Cover 196a is designed to fit over inner part (of the tip section) 890a, and to provide protection to the internal components in the inner part. Holes 164', 340', 344', 242a', 336',
  • 242b', 256b', 252b' and 166b' in cover 196a are aligned with the corresponding components and channel openings 164, 165, 144, 242a, 336, 242b, 256b, 252b and 366b in inner part 890a respectively.
  • Optional groove 370b in cover 196a enables cleaning fluid from injector 366b to arrive, and clean the front surface 252b of side looking viewing element.
  • grooves and holes in cover 196a which are aligned with the corresponding components and channel openings on the other side of inner part 100a respectively.
  • injectors 364, 366b and 366a may be inserted into the corresponding front opening 164, first side opening 166b and opposite side opening respectively, in unitary fluid channeling component 894 through the corresponding front hole 164', first side hole 166b' and opposite side hole respectively, in cover 196a.
  • injectors 364, 366a and 366b may be removed from their corresponding openings for cleaning the endoscope after use.
  • injectors 364, 366a and 366b may be replaceable or disposable.
  • nozzles such as nozzle 348 (seen in Figures 2A and 2B) or any other nozzle, may be inserted into the unitary fluid channeling component, such as unitary fluid channeling component 894, within an isolating (e.g., plastic) part into the opening to allow better electric isolation, particularly when the unitary fluid channeling component and the nozzles are made of metal.
  • front opening 164, first side opening 166b and the opening on the opposite side are connected to proximal opening 891 for gas tube 892 and liquid tube 893 via I/I manifold channels which are within unitary fluid channeling component 894.
  • Distal opening 344' is the opening of a jet fluid channel which may be used for providing a high pressure jet of fluid, such as water or saline, for cleaning the walls of the body cavity (such as the colon) and optionally for suction.
  • Figure 9B schematically depicts an isometric cross section of inner part 890a having I/I channels manifold internal to unitary fluid channeling component 894 according to a first exemplary embodiment of the current specification.
  • gas tube 892 and liquid tube 893 are terminated in a plug 109 adapted to fit into proximal opening 891. It should be noted that although gas tube 892 appears above liquid tube 893, their order may be reversed, they may be positioned side by side, or replaced with a single tube or the tubes may be joined to one tube before entering inner part 890a. Alternatively, each of gas tube 892 and liquid tube 893 is separately connected to unitary fluid channeling component 894, and their lumens open to a common conduit.
  • Proximal opening 891 for gas tube 892 and liquid tube 893 is opened to I/I channel manifold.
  • This cross section shows proximal opening 891 opened to front channel 171 leading to front opening 164 into which front injector 364 is inserted.
  • front channel 171 (may also be referred to as front fluid channel) may be drilled in unitary fluid channeling component 894.
  • unitary fluid channeling component 894 and other parts of inner part 890a may be machined or be made by casting, sintering, injection or other manufacturing techniques.
  • FIG. 9C schematically depicts an isometric cross section of unitary fluid channeling component 894 having I/I channels manifold internal to it according to a first exemplary embodiment of the current specification
  • FIG. 9D schematically depicts another isometric cross section of inner part 890a, showing unitary fluid channeling component 894 having I/I channels manifold internal to it according to a first exemplary embodiment of the current specification.
  • Proximal opening 891 for gas tube 892 and liquid tube 893 is seen in this figure opened to I/I channel manifold.
  • This cross section shows proximal opening 891 opened to cross channel 172 (may also be referred to as side fluid channel or side channel) leading to left opening 166a into which left injector 366a is inserted and to right opening 166b into which right injector 366b is inserted.
  • cross channel 172 may be drilled in unitary fluid channeling component 894.
  • proximal opening 891 for gas tube 892 and liquid tube 893 is directly opened to I/I channel manifold, within unitary fluid channeling component 894 which comprises:
  • a right opening 166b connected to proximal opening 891, and into which right injector 366b is inserted;
  • a cross channel 172 connected to the proximal opening 891, and which is opened to left opening 166a into which left injector 366a is inserted.
  • Figure 10A schematically depicts an isometric view of a partially disassembled tip section 230b of an endoscope having I/I channels manifold partially internal and partially external to unitary fluid channeling component 894b according to a second exemplary embodiment of the current specification.
  • cleaning fluids are supplied to left injector 366a via a groove 472 in unitary fluid channeling component 894b.
  • Groove 472 is connected in one side to proximal opening 891 by hole 474 and is opened to left opening 166a which can hardly be seen in this view.
  • Cover 196b is designed to fit over inner part 890b, and to provide protection to the internal components of inner part 890b. Additionally, cover 196b is tightly fitted and preferably hermetically seals groove 472 to convert it to a fluid tight conduit.
  • Figure 10B schematically depicts an isometric view of inner part 890b of an endoscope tip section having I/I channels manifold partially internal and partially external to unitary fluid channeling component 894b according to a second exemplary embodiment of the current specification.
  • Figure IOC schematically depicts an isometric cross section of unitary fluid channeling component 894b according to the second exemplary embodiment of the current specification.
  • proximal opening 891 for gas tube 892 and liquid tube 893 is seen in this figure opened to I/I channel manifold which comprises:
  • a right opening 166b connected to proximal opening 891, into which right injector 366b is inserted;
  • Figure 11A schematically depicts an isometric view of a partially disassembled tip section 230c of an endoscope having I/I channels manifold partially internal and partially external to unitary fluid channeling component 894c according to a third exemplary embodiment of the current specification.
  • fluids are supplied to left injector 366b via a groove 572 in unitary fluid channeling component 894c.
  • groove 572 is connected in the right side to right opening 166b and opened on the left to left opening 166a which can hardly be seen in this view.
  • Cover 196c is designed to fit over inner part 890c, and to provide protection to the internal components of inner part 890c. Additionally, cover 196c is tightly fitted and preferably hermetically seals groove 572 to convert it to a fluid tight conduit.
  • Figure 11B schematically depicts an isometric view of inner part 890c of an endoscope tip section having I/I channels manifold partially internal and partially external to unitary fluid channeling component 894c according to a third exemplary embodiment of the current specification.
  • groove 572 on surface of unitary fluid channeling component 894c may be different.
  • Figure 11C schematically depicts an isometric cross section of unitary fluid channeling component 894c according to the third exemplary embodiment of the current specification.
  • Proximal opening 891 for gas tube 892 and liquid tube 893 is seen in this figure opened to right opening 166b and through it to groove 572 leading to left opening 166a.
  • Figure 11D schematically depicts another isometric cross section of unitary fluid channeling component 894c according to the third exemplary embodiment of the current specification.
  • Proximal opening 891 for gas tube 892 and liquid tube 893 is seen in this figure opened to right opening 166b and through it to I/I manifold which comprises:
  • a right opening 166b connected to proximal opening 891, into which right injector 366b is inserted;
  • Figure 12A schematically depicts an isometric cross section view of an assembled tip section 23 Od of an endoscope having I/I channels manifold external to unitary fluid channeling component 894d according to a fourth exemplary embodiment of the current specification.
  • groove 672 is connected in the right side to right opening 166b and opened on the left to left opening 166a (seen in Figure 12C).
  • fluids are supplied to front injector 364 via a front groove 671 in unitary fluid channeling component 894d.
  • Front groove 671 is opened in its proximal end to groove 672, and at its distal end to front opening 164.
  • Cover 196d is designed to fit over inner part 890d, and to provide protection to the internal components of inner part 890d. Additionally, cover 196d is tightly fitted and preferably hermetically seals grooves 671 and 672 to convert them to fluid tight conduits.
  • Figure 12B schematically depicts an isometric view of inner part 890d of an endoscope tip section having I/I channels manifold external to unitary fluid channeling component 894d according to a fourth exemplary embodiment of the current specification.
  • the location of grooves 671 and 672 on surface of unitary fluid channeling component 894d, and their depth and shape may be different.
  • the location of any of the grooves may be completely or partially inside the cover, for example, within the walls of the cover.
  • Figure 12C schematically depicts an isometric cross section of unitary fluid channeling component 894d according to the fourth exemplary embodiment of the current specification.
  • Proximal opening 891 for gas tube 892 and liquid tube 893 is seen in this figure opened to right opening 166b and through it to groove 672 leading to left opening 166a. Also seen in this figure is the intersection of groove 672 and front groove 671.
  • proximal opening 891 for gas tube 892 and liquid tube 893 is opened to right opening 166b and through it to an I/I manifold which comprises:
  • a right opening 166b connected to proximal opening 891, into which right injector 366b is inserted;
  • groove 672 which receives I/I fluids from right opening 166b, and is opened to left opening 166a into which left injector 366a is inserted;
  • front groove 671 receiving I/I fluids from groove 672, and connected to front opening 164 (seen in Figure 12 A) into which front injector 364 (seen in Figures 12A and 12B) is inserted.
  • Figure 13A schematically depicts an isometric view of an assembled tip section 230e of an endoscope having I/I channels manifold partially external to unitary fluid channeling component 894e according to a fifth exemplary embodiment of the current specification.
  • cover 196d was drawn partially transparent to show inner part 890e.
  • groove 772 is connected to proximal opening 891 (seen in Figure 13D) by hole 774 and opened on the left to left opening 166a (seen in Figure 13C).
  • cleaning fluids are supplied to front injector 364 via a front groove 771 in unitary fluid channeling component 894e.
  • Front groove 771 is opened in its proximal end to groove 772, and at its distal end to front opening 164 (seen in Figure 13D).
  • Cover 196e is designed to fit over inner part 890e, and to provide protection to the internal components of inner part 890e. Additionally, cover 196e is tightly fitted and preferably hermetically seals grooves 771 and 772 to convert them to fluid tight conduits.
  • Figure 13B schematically depicts an isometric view of inner part 890e of an endoscope tip section having I/I channels manifold partially external to unitary fluid channeling component 894e according to a fifth exemplary embodiment of the current specification.
  • grooves 771 and 772 on surface of unitary fluid channeling component 190d may be different.
  • Figure 13C schematically depicts another isometric view of inner part 890e of an endoscope tip section having I/I channels manifold partially external to unitary fluid channeling component 894e according to a fifth exemplary embodiment of the current specification.
  • This embodiment depicts groove 772 connection to left opening 166a (seen in Figure
  • Figure 13D schematically depicts an isometric cross section of endoscope tip section 23 Oe according to the fifth exemplary embodiment of the current specification.
  • Proximal opening 891 for gas tube 892 and liquid tube 893 is seen in this figure opened to right opening 166b. Also seen in this figure is hole 774 connecting proximal opening 891 to front groove 771 and the connection of front groove 771 to front opening 164.
  • proximal opening 891 for gas tube 892 and liquid tube 893 is opened to right opening 166b and through hole 774 to I/I manifold which comprises:
  • a right opening 166b connected to proximal opening 891, into which right injector 366b is inserted;
  • groove 772 (seen in Figures 13A through 13C) which receives fluids via hole 774 connected to proximal opening 891, and is opened to left opening 166a (seen in Figure 13C) into which left injector 366a (seen in Figures 13A through 13C) is inserted;
  • front groove 771 receiving I/I fluids from hole 774, and connected to front opening 164 into which front injector 364b is inserted.
  • Figure 14A schematically depicts an isometric view of an assembled tip section 23 Of of an endoscope having I/I channels manifold external to unitary fluid channeling component 894f in inner part 890f according to a sixth exemplary embodiment of the current specification.
  • groove 872 in unitary fluid channeling component 894f is connected in the right side to right opening 166b and opened on the left to left opening 166a.
  • front groove 871 is connected in its proximal end to groove 872.
  • cleaning fluids are supplied to grooves 871 and 872 via hole 874, connecting them to proximal opening 891.
  • Cover 196f is designed to fit over inner part 890f, and to provide protection to the internal components of inner part 890f. Additionally, cover 196f is tightly fitted and preferably hermetically seals grooves 871 and 872 to convert them to fluid tight conduits.
  • Figure 14B schematically depicts an isometric view of a partially disassembled tip section 23 Of of an endoscope having I/I channels manifold external to unitary fluid channeling component 894f in inner part 890f according to a sixth exemplary embodiment of the current specification.
  • grooves 871 and 872 on surface of unitary fluid channeling component 894d may be different.
  • I/I manifold which comprises:
  • groove 872 which receives cleaning fluids from proximal opening 891 via hole 874 and is connected to right opening 166b into which right injector 366b is inserted;
  • I/I injectors 336a and 336b, and optionally also 364 may be constructed as identical interchangeable inserts.
  • FIG. 15A schematically depicts an isometric proximal view of a main section of an inner part of an endoscope tip section, according to an exemplary embodiment of the current specification and to Figure 15B, which schematically depicts an isometric cross section of the main section of Figure 15 A, according to an exemplary embodiment of the current specification.
  • Unitary fluid channeling component 990 of an inner part of a tip section of an endoscope (such as a colonoscope) is configured to be located within the tip section and may be used for accommodating fluid channels, working channels and optionally cable channel/recess and for holding in place the components, such as tubing/tubes and injectors.
  • Unitary fluid channeling component 990 may be a part of the inner part of the tip section in a similar manner to that described, for example, in Figure 8.
  • Unitary fluid channeling component 990 may generally include two parts: a proximal fluid channeling component section 990' and a distal fluid channeling component section 990".
  • Proximal fluid channeling component section 990' may have an essentially cylindrical shape.
  • Distal fluid channeling component section 990" may partially continue the cylindrical shape of proximal fluid channeling component section 990 ' and may have a shape of a partial cylinder (optionally elongated partial cylinder), having only a fraction of the cylinder (along the height axis of the cylinder), wherein another fraction of the cylinder (along the height axis of the cylinder) is missing.
  • Distal fluid channeling component section 990" may be integrally formed as a unitary block with proximal fluid channeling component section 990'.
  • the height of distal fluid channeling component section 990" may be higher than that of proximal fluid channeling component section 990'.
  • the shape of the partial cylinder (for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis) may provide a space to accommodate a central section (not shown).
  • proximal opening 944 of the jet fluid channel leading to distal opening of a jet channel (not shown).
  • a jet fluid tube may be inserted through a flexible shaft and may be used for delivering fluid to, and optionally suction of fluid from the body cavity, for cleaning purposes.
  • proximal opening 991 of unitary fluid channeling component 990 is proximal opening
  • Unitary fluid channeling component 990 includes groove 950 extending from proximal surface 991 along the length of proximal fluid channeling component section 990'.
  • Groove 950 is adapted to guide (and optionally hold in place) an electric cable(s) which may be connected at its distal end to the electronic components such as viewing elements (for example, cameras) and/or light sources in the endoscope's tip section and deliver electrical power and/or command signals to the tip section and/or transmit video signal from the cameras to be displayed to the user.
  • the electrical cable(s) do not have to be threaded through proximal fluid channeling component section 990' (which may be complicated) but can be simply placed in groove 950 and held by it.
  • proximal opening 910 On proximal surface 991 of unitary fluid channeling component 990 are I/I tubes proximal openings: front proximal opening 910; right side proximal opening 911 ; and left side proximal opening 913.
  • Front proximal opening 910, right side proximal opening 911 and left side proximal opening 913 lead to front channel 970 (seen in Figure 15B), right side channel, and left side channel 973, respectively.
  • Front channel 970 extends from front proximal opening 910, through proximal fluid channeling component section 990' and distal fluid channeling component section 990" to front opening 960.
  • Left side channel 973 extends from right proximal opening 913, through proximal fluid channeling component section 990' to left opening 963.
  • Right side channel extends from right proximal opening 911, through proximal fluid channeling component section 990' to right opening, similar to the left side arrangement.
  • Front channel 970 may include two parts: a proximal part 970' (extending through proximal fluid channeling component section 990') and a distal part 970" extending through distal fluid channeling component section 990").
  • Proximal part 970' of front channel 970 is adapted to receive, through front proximal opening 910, tube 980 (shown in Figure 15C) which is adapted to transfer fluid (liquid and/or gas) to front channel 970.
  • Tube 980 may be divided at any point along its length (for example at junction 981) into two tubes, one adapted to transfer gas and the other adapted to transfer liquid (such as water).
  • Left side channel 973 may be adapted to receive, at its proximal part, through left side proximal opening 913, tube 982 (shown in Figure 15C) which is adapted to transfer fluid (liquid and/or gas) to left side channel 973.
  • Tube 982 may be divided at any point along its length (for example at junction 983) into two tubes, one adapted to transfer gas and the other adapted to transfer liquid (such as water).
  • Right side channel may be adapted to receive, at its proximal part, through right side proximal opening 911, tube 984 (shown in Figure 15C) which is adapted to transfer fluid (liquid and/or gas) to right side channel.
  • Tube 984 may be divided at any point along its length (for example at junction 985) into two tubes, one adapted to transfer gas and the other adapted to transfer liquid (such as water). The endoscopist can thus decide which fluid (gas, liquid or both) he would like to pass through the I/I channel, which fluid, as mentioned herein, may be used for cleaning and/or insufflation purposes.
  • Figure 15C schematically depicts an isometric proximal view of the main section of Figure 15 A, having liquid and gas tubes connected thereto, according to an exemplary embodiment of the current specification.
  • electronic circuit board assembly 400 may be configured to carry a front looking viewing element 116, a first side looking viewing element and a second side viewing element 116b which may be similar to front looking viewing element 116 and may include a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • CCD Charge Coupled Device
  • CMOS Complementary Metal Oxide Semiconductor
  • Electronic circuit board assembly 400 may be configured to carry front illuminators 240a, 240b, 240c, which may be associated with front looking viewing element 116 and may be positioned to essentially illuminate the field of view of front looking viewing element 116.
  • electronic circuit board assembly 400 may be configured to carry side illuminators 250a and 250b, which may be associated with side looking viewing element 116b and may be positioned to essentially illuminate side looking viewing element's 116b field of view.
  • Electronic circuit board assembly 400 may also be configured to carry side illuminators, which may be associated with the opposite side looking viewing element, which may be similar to side illuminators 250a and 250b.
  • Front illuminators 240a, 240b, 240c and side illuminators 250a and 250b may optionally be discrete illuminators and may include a light-emitting diode (LED), which may be a white light LED, an infrared light LED, a near infrared light LED, an ultraviolet light LED or any other LED.
  • LED light-emitting diode
  • discrete may refer to an illumination source, which generates light internally, in contrast to a non-discrete illuminator, which may be, for example, a fiber optic merely transmitting light generated remotely.
  • a flexible electronic circuit for carrying and packing within the limited inner volume of the endoscope's tip, at least a front viewing element and one or more (for example two) side view viewing elements and their respective illumination sources.
  • the flexible circuit board consumes less space and leaves more volume for additional necessary features.
  • the flexibility of the board adds another dimension in space that can be used for components positioning.
  • circuit board according to embodiments of the specification can significantly increase reliability of the electric modules connection thereto as no wires are for components connectivity.
  • the components assembly can be machined and automatic.
  • the use of the circuit board may also allow components (parts) movement and maneuverability during assembly of the viewing element head (tip of the endoscope) while maintaining a high level of reliability.
  • the use of the circuit board may also simplify the (tip) assembling process.
  • the flexible circuit board is connected to the main control unit via multi-wire cable; this cable is welded on the board in a designated location, freeing additional space within the tip assembly and adding flexibility to cable access. Assembling the multi-wire cable directly to the electrical components was a major challenge which is mitigated by the use of the flexible board according to embodiments of the specification.
  • Figure 16 schematically depicts an isometric view of a folded flexible electronic circuit board carrying a front view camera, two side view cameras, and illumination sources, according to embodiments of the specification.
  • Flexible electronic circuit board 400 shown here in a folded configuration, is configured to carry: forward looking viewing element 116; LEDs 240a, 240b and 240c positioned to essentially illuminate the field of view (FOV) of forward looking viewing element 116; side looking viewing element 116b; LEDs 250a and 250b positioned to essentially illuminate the FOV of side looking viewing element 116b; side looking viewing element 116c and LEDs 250a' and 250b' positioned to essentially illuminate the FOV of side looking viewing element 116c.
  • FOV field of view
  • flexible electronic circuit board 400 includes three sections: front section 1702, main section 1704 and rear section 1706.
  • Front section 402 of flexible electronic circuit board 1700 includes first front LED surface 1708, second front LED surface 1710 and a bottom front LED surface 1712.
  • First front LED surface 1708, second front LED surface 1710 and a bottom front LED surface 1712 are flat surfaces formed from a unitary piece of a printed circuit board (PCB) layer.
  • First front LED surface 1708 is adapted to carry front LED 240b
  • second front LED surface 1710 is adapted to carry front LED 240a
  • a bottom front LED surface 1712 is adapted to carry front LED 240c.
  • First front LED surface 1708, second front LED surface 1710 and a bottom front LED surface 1712 have an arcuate shape when viewed as a whole, which is configured to support forward looking viewing element 116.
  • Front section 1702 of flexible electronic circuit board 400 is connected to main section 1704 through bottom section 1712.
  • Main section 1704 of flexible electronic circuit board 1700 includes a center portion 1718, a first foldable side panel 1714 and a second foldable side panel 1716.
  • first foldable side panel 1714 and second foldable side panel 1716 are configured to fold upwards (towards the length axis of the endoscope tip), for example, as shown herein, forming an angle of about 45 degrees with center portion 1718 of main section 1704.
  • First foldable side panel 1714 also includes an arm section 1720, extending therefrom, having a front sensor surface 1722 (may also be referred to as a camera surface) adapted to carry forward looking viewing element 116.
  • arm section 1720 When flexible electronic circuit board 400 is in a folded position, arm section 1720 is folded to be essentially perpendicular to center portion 1718 of main section 1704, and front sensor surface 1722 is folded to be essentially perpendicular to center portion 1718 and to arm section 1720, such that it faces forwards, essentially at the same direction of first front LED surface 1708, second front LED surface 1710 and a bottom front LED surface 1712.
  • This configuration enables forward looking viewing element 116 and LEDs 240a, 240b, and 240c to face the same direction.
  • main section 1704 is connected to bottom section 1712 of front section 1702. On the opposing end of main section 1704, it is connected to rear section 1706.
  • Rear section 1706 includes a rear central portion 1724.
  • Rear central portion 1724 is connected to a first rear arm section 1726, extending from one side of rear central portion 1724 and to a second rear arm section 1728, extending from the opposing side of rear central portion 1724.
  • First rear arm section 1726 includes a first side sensor surface 1730 (adapted to carry side looking viewing element 116b).
  • Second rear arm section 1728 includes a second side sensor surface 1732 (adapted to carry side looking viewing element 116c).
  • First rear arm section 1726 further includes a first side LED surface 1734 and a second side LED surface 1736, adapted to carry side LEDs 250a and 250b, respectively.
  • Second rear arm section 1728 further includes a third side LED surface 1738 and a fourth side LED surface 1740, adapted to carry side LEDs 250a' and 250b', respectively.
  • front sensor surface 1722 (which is adapted to carry forward looking viewing element 116), first side sensor surface 1730 and second side sensor surface 1732 (which are adapted carry side looking viewing elements 116b and 116c respectively) are thicker than the front and side LED surfaces.
  • the sensor surface thickness is configured for locating the sensor (of the viewing element) such that the welding pins of the sensor wrap the surface and are welded on the opposite side of the sensor in specific welding pads.
  • the sensor surfaces may be rigid and used as a basis for the viewing element assembly.
  • the height of the sensor surface has significant importance allowing the sensor conductors to bend in a way such that they will directly reach the welding pads on the opposite side of the sensor rigid surface.
  • the rigid basis also serves as electrical ground filtering electromagnetic noise to and from the sensor and thus increasing signal integrity.
  • first side sensor surface 1730 and second side sensor surface 1732 are positioned perpendicularly to center potion 1718 and also perpendicularly to rear central portion 1724.
  • first side sensor surface 1730 and second side sensor surface 1732 are positioned essentially parallel and "back to back" to each other such that when they carry side looking viewing element 116b and side looking viewing element 116c, these viewing elements view opposing sides.
  • First side LED surface 1734 and a second side LED surface 1736 are positioned perpendicularly to first side sensor surface 1730 and adapted to carry, on their inner sides, side LEDs 250a and 250b, respectively, such that LEDs 250a and 250b are positioned in proximity to side looking viewing element 116b.
  • 1740 are positioned perpendicularly to second side sensor surface 1732 and adapted to carry, on their inner sides, side LEDs 250a' and 250b', respectively, such that LEDs 250a' and 250b' are positioned in proximity to side looking viewing element 116c.
  • front section 1702 main section
  • Figure 19 shows an exploded view of a folded flexible electronic circuit board carrying viewing elements and illumination sources and a flexible electronic circuit board holder, according to an exemplary embodiment of the current specification.
  • flexible electronic circuit board 400 shown in Figure 19 in its folded configuration, is configured to carry: forward looking viewing element 116; LEDs 240a,
  • 240b and 240c positioned to illuminate essentially the FOV of forward looking viewing element 116; side looking viewing element 116b; LEDs 250a and 250b positioned to illuminate essentially the FOV of side looking viewing element 116b; side looking viewing element 116c and LEDs 250a' and 250b' positioned to illuminate essentially the FOV of side looking viewing element 116c.
  • Flexible electronic circuit board holder 500 is adapted to hold flexible electronic circuit board 400 in its desired folded position, and secure the front and side looking viewing elements and their corresponding illuminators in place. As shown in Figure 19, flexible electronic circuit board holder 500 is a unitary piece of rigid material, such as brass, stainless steel, aluminum or any other material.
  • the use of metal for the construction of the flexible electronic circuit board holder is important for electric conductivity and heat transfer purposes.
  • the flexible electronic circuit board holder (such as flexible electronic circuit board holder 500) can be used as a heat sink for some or all of the electronic components located at the tip section, particularly illuminators (such as side or front LEDs) and reduce overall temperature of the endoscope tip. This may solve or at least mitigate a major problem of raised temperatures of the endoscope tip and/or any of its components, particularly when using LED illuminators.
  • Flexible electronic circuit board holder 500 includes a back portion 502 adapted to support second side LED surface 1736 and fourth side LED surface 1740.
  • Flexible electronic circuit board holder 500 further includes front portions 504a and 504b, supporting the back sides (opposing to the sides where the LEDs are attached) of first front LED surface 1708 and second front LED surface 1710, respectively.
  • Flexible electronic circuit board holder 500 further includes two side portions 506a and 506b on the two opposing sides of flexible electronic circuit board holder 500.
  • Each of side portions 506a and 506b include two small openings for the side LEDs (250a, 250b, 250a', 250b') and one opening for side looking viewing element 116b and 116a.
  • Side portions 506a and 506b of flexible electronic circuit board holder 500 abut first and second side foldable panels 1716 and 1714, respectively, of flexible electronic circuit board 400.
  • Flexible electronic circuit board holder 500 further includes a top part including top portions 508a and 508b (the top part of the flexible electronic circuit board holder may also include one top portion) covering the top part of flexible electronic circuit board 400 and configured to support fluid channeling component 600 (shown in Figure 21).
  • Figure 21 schematically depicts an isometric view of a folded flexible electronic circuit board carrying cameras and illumination sources, a flexible electronic circuit board holder, and a f uid channeling component, according to an exemplary embodiment of the current specification.
  • Figure 20 schematically depicts an isometric view of a folded flexible electronic circuit board carrying cameras and illumination sources and a flexible electronic circuit board holder.
  • Figure 21 adds to the configuration of Figure 20, a fluid channeling component 600, which includes irrigation and insufflation (I/I) channels, jet channel and a working channel.
  • Fluid channeling component 600 is a separate component from flexible electronic circuit board 400. This configuration is adapted to separate the fluid channels and working channel, which are located in fiuid channeling component 600, from the sensitive electronic and optical parts which are located in the area of flexible electronic circuit board 400.
  • Fluid channeling component 600 may generally include two parts: a proximal fluid channeling component section 690' and a distal fluid channeling component section 690".
  • Proximal fluid channeling component section 690' may have an essentially cylindrical shape.
  • Distal unitary channeling component section 690" may partially continue the cylindrical shape of proximal fluid channeling component section 690' and may have a shape of a partial cylinder (optionally elongated partial cylinder), having only a fraction of the cylinder (along the height axis of the cylinder), wherein another fraction of the cylinder (along the height axis of the cylinder) is missing.
  • Distal fluid channeling component section 690" may be integrally formed as a unitary block with proximal fluid channeling component section 690'.
  • the height of distal fluid channeling component section 690" may be higher than that of proximal fluid channeling component section 690'.
  • the shape of the partial cylinder (for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis) may provide a space to accommodate flexible electronic circuit board 400 and flexible electronic circuit board holder 500.
  • Front face 620 of distal fluid channeling component section 690" includes a distal opening 640 of a working channel (located inside fluid channeling component 690). Front face 620 of distal fluid channeling component section 690" further includes distal opening 691 of a jet fluid channel which may be used for providing a high pressure jet of fluid, such as water or saline, for cleaning the walls of the body cavity (such as the colon) and optionally for suction. Front face 620 of distal fluid channeling component section 690" further includes irrigation and insufflation (I/I) opening 664 which may be used for injecting fluid (liquid and/or gas) to wash contaminants such as blood, feces and other debris from front optical assembly 256 of forward looking viewing element 116.
  • I/I irrigation and insufflation
  • Proximal fluid channeling component section 690' of fluid channeling component 600 includes I/I openings aimed at a first side optical assembly 256b and at a second, opposite side optical assembly, and used for injecting fluid (the term "fluid” may include gas and/or liquid) to wash contaminants such as blood, feces and other debris from the first side optical assemblies 256b and second, opposite side optical assembly of a first side looking viewing element 116b and a second, opposite side looking viewing element.
  • the injectors may supply liquid for cleaning any of the tip elements (such as any optical assembly, windows, LEDs, and other elements).
  • Figure 22 schematically depicts an isometric view of a folded flexible electronic circuit board carrying cameras and illumination sources, a flexible electronic circuit board holder, a fluid channeling component, and a tip cover (in an exploded view), which together form a tip section of an endoscope, according to an exemplary embodiment of the current specification.
  • Tip cover 2200 is designed to fit over the inner parts of the tip section 2230, and to provide protection to the internal components in the inner part.
  • Tip cover 2200 includes hole 2236 configured to align with front optical assembly 256 of forward looking viewing element 116; optical windows 242a, 242b and 242c of LEDs 240a,
  • distal opening 340 of a working channel distal opening 344 of a jet fluid channel
  • I/I injector 346 having a nozzle 348 (aligning with I/I opening 664 of fluid channeling component 600); a first hole 2256b and a second hole on the opposite side configured to align with a first side optical assembly 256b and a second, opposite side optical assembly of side looking viewing elements; optical windows 252a and 252b for LEDs 250a and 250b for a first side viewing element; and optical windows on the opposite side for LEDs for an opposite side viewing element ; a first side hole 2266b and a second side hole adapted to align with a first I/I opening 2267b and a second, opposite side I/I opening.
  • the electronic circuit board is configured to be foldable.
  • the configuration of a foldable electronic circuit board enables having a slim and compact design and improves the performance of the endoscope (particularly, the colonoscope) by allowing the incorporation of additional elements into the endoscope tip section, for example, having an endoscope tip section with an additional working channel (as that in
  • Figure 2A which may be used for threading a second medical tool.
  • Figures 23 A, 23B, 23C and 23D show exploded views of a foldable electronic circuit board 400 of an endoscope assembly 100 of Figure 2A according to an embodiment.
  • foldable electronic circuit board 400 has several internal parts including a flexible optical carrier substrate or camera circuit board 440, a flexible
  • LED carrier substrate or illumination circuit board 420 a partially enclosed housing or bottom circuit board holder 460 and a front circuit board holder 462.
  • the internal parts of foldable electronic circuit board 400 is configured to be assembled, connected or attached together into a condensed structure having a slim and compact design. Additionally, it should be noted that the internal parts of foldable electronic circuit board 400 is electrically connected and configured to share resources as electrical power and electrical signals.
  • the flexible optical carrier substrate or camera circuit board 440 is configured to carry, support or position a front-pointing viewing element 116a and two side-pointing viewing elements 116b, 116c which may be similar to front-pointing viewing element 116a and include a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • CCD Charge Coupled Device
  • CMOS Complementary Metal Oxide Semiconductor
  • side -pointing viewing elements 116b and 116c are installed such that their field of views are substantially opposing.
  • different configurations and number of side -pointing viewing elements are possible within the general scope of the current specification.
  • Flexible LED carrier substrate or illumination circuit board 420 which is formed as a flexible unitary piece of a PCB layer, includes two main sections 424a and 424b, a front foldable panel 422a and four side foldable panels 422b, 422c, 422d, 422e.
  • front foldable panel 422a and four side foldable panels 422b, 422c, 422d, 422e are configured to fold downwards forming a right angle with two main sections 424a and 424b.
  • Front foldable panel 422a is configured to carry front illuminators 240a, 240b, which are associated with front-pointing viewing element 116a and positioned to essentially illuminate front-pointing viewing element's 116a field of view.
  • front foldable panel 422a When front foldable panel 422a is in a folded configuration, it forms a right angle with main sections 424a and 424b such that it faces forward, essentially at the same direction of front- pointing viewing element 116a and therefore enables front illuminators 240a, 240b to face the same direction as front-pointing camera 116a and essentially illuminate front-pointing viewing element's 116a field of view.
  • Side foldable panels 422b, 422c are configured to carry side illuminators 250a, 250b respectively, which are associated with side -pointing viewing element 1 16b and positioned to essentially illuminate side-pointing viewing element's 116b field of view.
  • 422b, 422c are configured to form a right angle with main section 424a such that it faces sideways, essentially at the same direction of side -pointing viewing element 116b and therefore enables side illuminators 250a, 250b to face the same direction as side -pointing viewing element 116b and essentially illuminate side -pointing viewing element's 116b field of view.
  • Side foldable panels 422d, 422e are configured to carry side illuminators 260a, 260b respectively, which are associated with side -pointing viewing element 116c and positioned to essentially illuminate side-pointing viewing element's 116c field of view.
  • side foldable panels 422d, 422e When side foldable panels 422d, 422e are in a folded configuration, side foldable panels 422d, 422e are configured to form a right angle with main section 424b such that it faces sideways, essentially at the same direction of side -pointing viewing element 116c and therefore enables side illuminators 260a, 260b to face the same direction as side -pointing viewing element 116c and essentially illuminate side -pointing viewing element's 116c field of view.
  • Front illuminators 240a, 240b and side illuminators 250a, 250b, 260a and 260b are optionally be discrete illuminators and may include a light-emitting diode (LED), which may be a white light LED, an infrared light LED, a near infrared light LED, an ultraviolet light LED or any other LED.
  • LED light-emitting diode
  • discrete refers to an illumination source, which generates light internally, in contrast to a non-discrete illuminator, which may be, for example, a fiber optic merely transmitting light generated remotely.
  • Partially enclosed housing or bottom circuit board holder 460 is configured to hold and support flexible LED carrier substrate 420 in its desired folded configuration and secure flexible optical carrier substrate 440, including side pointing viewing elements 116b and 116c and their corresponding illuminators, in place.
  • Partially enclosed housing 460 includes a bottom portion 462 and two side portions 464a and 464b formed as a unitary piece of rigid material, such as brass, stainless steel, aluminum or any other material.
  • Each of side portions 464a and 464b are perpendicularly connected to bottom portion 462 at each opposite side and have an aperture configured to fit side pointing viewing elements 116b and 116c.
  • Front circuit board holder 462 is configured to work in conjunction with partially enclosed housing 460 and hold and support flexible LED carrier substrate 420 in its desired folded configuration and secure flexible optical carrier substrate 440 including front pointing camera 116a and its corresponding illuminator in place.
  • Partially enclosed housing 460 is formed as a unitary piece of rigid material, such as brass, stainless steel, aluminum or any other material.
  • partially enclosed housing 460 and front circuit board holder 462 improves electric conductivity and allows efficient heat dissipation.
  • partially enclosed housing 460 and front circuit board holder 462 function as a heat sink for some or all of the electronic components located within foldable electronic circuit board 400, particularly illuminators (such as front illuminators 240a, 240b and side illuminators 250a, 250b, 260a and 260b) and reduce overall temperature of the endoscope tip section. This will solve or at least mitigate a major problem of raised temperatures of endoscope tip and/or any of its components, particularly when using LED illuminators.
  • Figures 24 A, 24B and 24C show a perspective view of a flexible optical carrier substrate or camera circuit board 770 of an endoscope assembly according to an embodiment.
  • the flexible optical carrier substrate 770 is configured for the endoscope assembly 100 of Figure 2A that comprises a single front working channel.
  • Flexible optical carrier substrate 770 may be similar to flexible optical carrier substrate 440 ( Figures 23A through 23D) and is configured to carry, support or position a front-pointing camera 716a and two side-pointing cameras 716b, 716c which may be similar to front-pointing camera 116 ( Figure 2A) and may include a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor.
  • CCD Charge Coupled Device
  • CMOS Complementary Metal Oxide Semiconductor
  • side-pointing cameras 716b and 716c are installed such that their field of views are substantially opposing.
  • different configurations and number of side -pointing cameras are possible within the general scope of the current specification.
  • a partially enclosed housing or circuit board holder 780 which is further discussed below, holds and supports flexible optical carrier substrate 770, as shown in Figure 24C.
  • an endoscopic tip such as tip section 200 of Figures 2A and 2B, has a distal face 320 and side edges 362a, 362b extending proximally from the distal face 320.
  • the distal face 320 and side edges 362a, 362b together define an internal volume of the tip 200.
  • flexible LED carrier substrate 720 which is formed as a folded unitary piece of a PCB layer, comprises front/central carrier portion or panel 722a, connector 726 which is attached to a first end of central carrier portion or panel 722a, two main sections or parallel strips 724a and 724b, which are connected to a second end of central carrier portion or panel 722a, and four side foldable protrusions or panels 722b, 722c, 722d, 722e that protrude from respective portions of parallel strips 724a and 724b.
  • foldable central carrier portion or panel 722a and four side foldable protrusions or panels 722b, 722c, 722d, 722e are configured to fold downwards, forming right angles with the two parallel strips or main sections 724a and 724b.
  • Foldable central carrier portion or panel 722a is configured to carry front illuminators 740a, 740b and 740c, which are associated with front-pointing camera 716a ( Figures 24A through 24C) and positioned to essentially illuminate front-pointing camera's 716a ( Figures 24A through 24C) field of view.
  • the central carrier portion 722a approximates a U-shape, having a first arm 722a' and a second arm 722a".
  • the first arm 722a' extends from the central carrier portion 722a to connect the central carrier portion 722a at its second end with the first strip 724a while the second arm 722a' ' extends from the central carrier portion 722a to connect the central carrier portion 722a at its second end with the second strip 724b.
  • the first and second arms 722a', 722a" are configured to carry first and second illuminators 740a and 740b.
  • the third illuminator 740c is mounted centrally on a base segment of the U-shape of the central carrier portion 722a.
  • front foldable central carrier portion or panel 722a along with first and second arms 722a', 722a"
  • front foldable central carrier portion or panel 722a along with first and second arms 722a', 722a
  • it forms a right angle with the two parallel strips 724a and 724b such that it faces forward, essentially at the same direction of front-pointing camera 716a ( Figures 24A through 24C) and therefore enables front illuminators 740a, 740b and 740c, to face the same direction as front-pointing camera 716a ( Figures 24A through 24C) and essentially illuminate front-pointing camera's 716a ( Figures 24A through 24C) field of view.
  • the front-pointing camera 716a ( Figures 24 A through 24C) is positioned between the first and second illuminators 740a and 740b when the central carrier portion 722a, along with first and second arms 722a', 722a", is in a folded configuration.
  • the front-pointing camera 716a ( Figures 24A through 24C) is surrounded by the first, second and third illuminators 740a, 740b, 740c when the central carrier portion 722a, along with first and second protrusions 722a', 722a", is in a folded configuration. In the folded configuration, the front-pointing camera and the three illuminators 740a, 740, 740c lie within a plane defined by the distal face 320 (of the endoscopic tip 200 of Figures 2A, 2B).
  • Side foldable protrusions or panels 722b, 722c are configured to carry side illuminators 750a, 750b respectively, which are associated with side-pointing camera 716b ( Figures 24A through 24C) and positioned to essentially illuminate side -pointing camera's 716b ( Figures 24A through 24C) field of view.
  • side foldable protrusions or panels 722b, 722c When side foldable protrusions or panels 722b, 722c are in a folded configuration, side foldable protrusions or panels 722b, 722c are configured to form a right angle with first strip 724a such that they face sideways, essentially at the same direction of side -pointing camera 716b ( Figures 24A through 24C) and therefore enable side illuminators 750a, 750b, to face the same direction as side -pointing camera 716b ( Figures 24A through 24C) and essentially illuminate the field of view of side -pointing camera 716b ( Figures 24 A through 24C).
  • the side -pointing camera 716b ( Figures 24A through 24C) is positioned between the side illuminators 750a, 750b when the side foldable protrusions 722b, 722c are in a folded configuration.
  • the side -pointing camera 716b and the side illuminators 750a, 750b lie within a plane defined by a first side edge, such as side edge 362a of the endoscopic tip 200 of Figure 2B.
  • Side foldable protrusions or panels 722d, 722e are configured to carry side illuminators 760a, 760b respectively, which are associated with side-pointing camera 716c ( Figures 24A through 24C) and positioned to essentially illuminate side -pointing camera's 716c field of view.
  • side foldable protrusions or panels 722d, 722e When side foldable protrusions or panels 722d, 722e are in a folded configuration, side foldable protrusions or panels 722d, 722e form a right angle with second strip 724b such that they face sideways, essentially at the same direction of side -pointing camera 716c ( Figures 24A through 24C) and therefore enable side illuminators 760a, 760b, to face the same direction as side -pointing camera 716c ( Figures 24 A through 24C) and essentially illuminate side-pointing camera's 716c ( Figures 24A through 24C) field of view.
  • the side -pointing camera 716c ( Figures 24A through 24C) is positioned between the side illuminators 760a, 760b when the side foldable protrusions 722d, 722e are in a folded configuration. In the folded configuration, the side -pointing camera 716c and the side illuminators 760a, 760b lie within a plane defined by a second side edge, such as side edge 362b of the endoscopic tip 200 of Figure 2B.
  • the number of front/central carrier portion and side foldable protrusions or panels and associated number of front and side illuminators may vary in various embodiments.
  • first and second arms carry illuminators 740a, 740b while the base of the central carrier portion 722a may not carry any illuminator.
  • the central carrier portion 722a along with the first and second arms 722a', 722a" together support at least two illuminators.
  • the central carrier portion 722a along with the first and second arms 722a', 722a" together support at least one illuminator.
  • Front illuminators 740a, 740b, 740c and side illuminators 750a, 750b, 760a and 760b may optionally be discrete illuminators and may include a light-emitting diode (LED), which may be a white light LED, an infrared light LED, a near infrared light LED, an ultraviolet light LED or any other LED.
  • LED light-emitting diode
  • Connector 726 is configured to connect flexible LED carrier substrate 720 to a partially enclosed housing 780 ( Figures 26A through 26D). Once folded, the two parallel strips 724a, 724b extend in a proximal direction from the central carrier portion 722a, as shown in Figures 26 A through 26D.
  • Figures 25 show a perspective view of a foldable electronic circuit board 2600 of an endoscope assembly 800 according to an embodiment.
  • Partially enclosed housing or circuit board holder 780 is configured to hold and support flexible LED carrier substrate 720 in its desired folded configuration and secure flexible optical carrier substrate 770 including front pointing camera 716a, side pointing cameras 716b and 716c and their corresponding illuminators in place.
  • Partially enclosed housing 780 is formed as a unitary piece of rigid material, such as brass, stainless steel, aluminum or any other material.
  • partially enclosed housing 780 improves electric conductivity and allows efficient heat dissipation.
  • partially enclosed housing 780 is used as a heat sink for some or all of the electronic components located within foldable electronic circuit board 2600, particularly illuminators (such as front illuminators 740a, 740b, 740c and side illuminators 750a, 750b, 760a and 760b) and reduce the overall temperature of the endoscope tip section. This will solve or at least mitigate a major problem of raised temperatures of endoscope tip and/or any of its components, particularly when using LED illuminators.
  • illuminators such as front illuminators 740a, 740b, 740c and side illuminators 750a, 750b, 760a and 760b
  • Figure 27A shows a perspective view of a tip section 801 of an endoscope assembly 800 (which, in one example, is similar to endoscope assembly 100 of Figure 2A), according to an embodiment.
  • fluid channeling component or manifold 2700 is configured as a separate component from foldable electronic circuit board 2600 ( Figures 26A through 26D). This configuration is adapted to separate the fluid channels 2744 (jet channel), 2764 (injector channel) and working channel 2740a which are located in fluid channeling component or manifold 2700, from the sensitive electronic and optical parts which are located in the area of the foldable electronic circuit board.
  • Figures 38 J and 38K described later in this specification, also show another perspective view of a tip 3801 and manifold 600.
  • fluid channeling component or manifold 2700 includes a proximal fluid channeling section or base 2702, which has a substantially cylindrical shape, and a primary distal channeling section or casing 2704.
  • Primary distal fluid channeling section or casing 2704 partially continues the cylindrical shape of proximal fluid channeling section or base 2702 and has a shape of a partial cylinder (optionally elongated partial cylinder).
  • Primary distal fluid channeling section or casing 2704 forms a fraction of the cylinder (along the height axis of the cylinder), wherein the other fraction of the cylinder (along the height axis of the cylinder) is missing.
  • Primary distal fluid channeling section or casing 2704 is integrally formed as a unitary block with proximal fluid channeling section or base 2702 and extends outward from the base 2702.
  • the height or width, along axis 'y', of primary distal fluid channeling section or casing 2704 is less than that of proximal fluid channeling section or base 2702.
  • the length, along axis ' ⁇ ' , of casing 2704 is greater than the length of base 2702.
  • the casing 2704 has the shape of a partial cylinder (for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis 'y') and provide a space to accommodate foldable electronic circuit board 2600 ( Figures 26 A through 26D).
  • a partial cylinder for example, partial cylinder having only a fraction of a cylinder shape along one side of the height axis 'y'
  • Proximal fluid channeling section or base 2702 includes integrated screw nuts 2706b, which are configured for securing tip section 801 to an endoscope shaft.
  • the fluid channels 2744, 2764 and working channel 2740a extend through the base and the casing.
  • Primary distal fluid channeling section or casing 2704 includes working channel 2740a which is configured for insertion of a medical (such as a surgical) tool, for example, to remove, treat and/or extract a sample of the object of interest found in the colon or its entirety for biopsy.
  • a medical such as a surgical
  • a fluid channeling component or manifold such as manifold 2700
  • manifold 2700 can be used as a heat sink for some or all of the illuminators (such as side or front LEDs) and/or other electronic components, and reduce overall temperature of the endoscope tip. This will solve or at least mitigate a major problem of raised temperatures of the endoscope tip and/or any of its components, particularly when using LED illuminators.
  • Figure 27B shows an embodiment of the fluid channeling component or manifold 2700 which also includes parts enabling this component to function as a flexible electronic circuit board holder.
  • Manifold 2700 includes a front portion 2750 (shown here as formed of two front portions 2750a and 2750b), supporting the back sides (opposing to the sides where the LEDs are attached) of the first front LED surface (740a of Figure 27A) and second front LED surface (740b of Figure 27B), respectively.
  • Front portions 2750a and 2750b form an arc shape between them which is configured to accommodate and support forward looking viewing element 716a of Figure 27A. According to some embodiments, front portion 2750 distally protrudes from front face 2720.
  • Fluid channeling component or manifold 2700 further includes a first side portion 2760 and a second, opposite side portion on the two opposing sides thereof.
  • Each of side portions include two small openings for the side LEDs (760a, 760b of one side in Figure 27A, the LEDs on the other side are not visible) and one opening for side looking viewing elements.
  • Each of the side portions further includes an I/I injector opening 2766b aimed at side optical assembly 716b of Figure 27A on the first side portion 2760, and a similar I/I injector opening on the second, opposite side portion, used for injecting fluid (the term "fluid” may also include gas and/or liquid) to wash contaminants such as blood, feces and other debris from side optical assemblies of side looking viewing elements.
  • the openings may supply liquid for cleaning any of the tip elements (such as any optical assembly, windows, LEDs, and other elements).
  • Each of the side portions further includes two viewing element holders, for example viewing element holders 2730a and 2730b of first side portion 2760, adapted to receive a viewing element bridge which is adapted to support assemblies (716b of Figure 27 A) of side looking viewing elements.
  • two viewing element holders for example viewing element holders 2730a and 2730b of first side portion 2760, adapted to receive a viewing element bridge which is adapted to support assemblies (716b of Figure 27 A) of side looking viewing elements.
  • Figure 28 A illustrates an upper base board and a lower base board associated with a fluid channeling component wherein jet and nozzle openings may be placed adjacent to each other or on either side of a working/service channel and adapted to support the optical assembly and illuminators of an endoscope, in accordance with an embodiment of the present specification.
  • Figure 28A illustrates upper base board 2802 and lower base board 2804 supporting the optical assembly and illuminators shown in the endoscope assembly 6400 of Figure 64.
  • the front optical assembly comprises a front lens assembly 2806 and a front image sensor.
  • the side optical assembly comprises a side lens assembly 2814 and a side image sensor.
  • the front image sensor's pins and rigid area 2820 are bent to be soldered to the upper base board 2802 and lower base board 2804.
  • the side image sensors' pins and rigid areas 2822 and 2824 (for the right and left side image sensors respectively) are bent to be soldered to the upper base board 2802 and lower base board 2804.
  • the upper base board 2802 and the lower base board 2804 have grooves/holes enabling the front and side illuminators to be placed within the grooves/holes.
  • the upper and lower base boards 2802, 2804 hold three sets of front illuminators 2808, 2810, 2812 and on each side panel two sets of illuminators 2816, 2818 (the figure illustrates only one side panel of the endoscope, however it should be understood by those of ordinary skill in the art that the other side panel is equivalent to this side panel).
  • Front illuminators 2808, 2812 are placed between the upper and lower base boards 2802, 2804, while front illuminator 2810 is placed above front lens assembly 2806.
  • the two sets of illuminators 2816, 2818 are placed between the upper and lower base boards 2802, 2804.
  • jet opening 2826 and nozzle opening 2824' may be positioned adjacent to each other on front panel of the tip in accordance with an embodiment. In another embodiment, the jet opening 2826 and nozzle opening 2824' may be positioned on either side of the working/service channel opening 2822' on the front panel of the tip.
  • a tip cover sheaths the endoscope tip and the components therein.
  • Figure 28B illustrates a top view of an upper base board 2802 adapted to support the optical assembly and illuminators of an endoscope, in accordance with an embodiment of the present specification.
  • the upper base board 2802 is provided with grooves/holes 2832 for the front illuminators 2808, 2810, 2812 and for the first set of side illuminators 2816, 2818 and the second set of side illuminators to be placed within.
  • one groove is provided on the upper base board 2802 for each illuminator supported by the upper base board 2802.
  • grooves 2832 are identical for all illuminators, while in another embodiment each groove may be adapted to different sizes of illuminators.
  • different sizes of illuminators may comprise LEDs (Light Emitting Diode) adapted to emit white light, infrared light, ultraviolet light, near-infrared light and other wavelengths of light.
  • LEDs Light Emitting Diode
  • An electrical cable 2850 threaded through the upper base board 2802 transfers the information from the optical assemblies to the illuminators and to a main control unit.
  • Figure 28C illustrates a bottom side view of a lower base board 2804 of the electronic circuit board adapted to support the optical assembly and illuminators of an endoscope, in accordance with an embodiment of the present specification.
  • the lower base board 2804 is provided with grooves/holes 2834 for front illuminators 2808, 2810, 2812 and for the first set of side illuminators 2816, 2818 and the second set of side illuminators to be placed within.
  • one groove is provided on the lower base board 2804 for each illuminator supported by the base board 2804.
  • the pins and the rigid area(s) of the endoscope's image sensors are bent to be soldered to the upper and lower base boards 2802, 2804.
  • grooves 2834 are identical for all illuminators, while in another embodiment each groove may be adapted to different sizes of illuminators.
  • different sizes of illuminators may comprise LEDs (Light Emitting Diode) adapted to emit white light, infrared light, ultraviolet light, near-infrared light and other wavelengths of light.
  • Figure 29A illustrates the optical assembly and illuminators supported by a lower base board 2902 with the upper base board shown in Figure 28 A removed.
  • metal frames are provided to hold the front and side lens assemblies and also to support the associated image sensors.
  • a metal frame 2904 is provided to support front lens assembly 2906 and support the image sensor 308 associated with the front lens assembly 2906.
  • Metal frames 2910 and 2912 are provided to support side lens assemblies 2914, 2916 and support the associated image sensors 2918 and 2920, respectively.
  • the metal frames 2904, 2910, and 2912 may also serve as a heat sink to the light emitting diodes (LEDs) and sensors incorporated in the endoscope.
  • Illuminators 2922 are attached to the lower base board 2902 by means of grooves/holes (shown in Figure 29B) made in the lower base board 2902.
  • Figure 29B illustrates another view of the optical assembly supported by a lower base board 2902 as shown in Figure 29A with the illuminators 2922 (shown in Figure 29A) removed.
  • the lower base board 2902 comprises grooves 2924 for enabling the illuminators 2922 (shown in Figure 29A) to be coupled with the based board 2902.
  • Figure 29C illustrates a bottom view of the optical assembly supported by a lower base board 2902 as shown in Figure 29B with the illuminators 2922 removed.
  • the lower base board 2902 fits around the image sensors exposing the image contact areas and supports the lens assemblies.
  • the grooves 2924 allow the illuminators 2922 (shown in Figure 29A) to be secured to the base board 2902.
  • FIG. 30A illustrates an image sensor 3002 (shown as 2908, 2918 and 2920 in Figures
  • a s sho wn, image sensor 3002 comprises a first plurality of connector pins 3012a on a first end of the sensor 3002 and a second plurality of connector pins 3022a on the opposite end of the sensor, in accordance with one embodiment of the present specification.
  • the image sensor 3002 includes an inner surface comprising a piece of glass 3010 and an outer surface comprising a printed circuit board or computer chip 3030, As shown, the image sensor 3002 comprises two horizontal folded/bent image sensor contact areas 3002a and 3002b, positioned parallel to a plane of the upper and lower base boards (not shown in figure). Once the image sensor 3002 is positioned within Ihe endoscope, the first and second plurality of connector pins 3012a, 3022a. and image sensor contact areas 3002a, 3002b extend away from a center of the endoscope tip.
  • first horizontal image sensor coniact area 3002a When placed onto the supporting circuit board, first horizontal image sensor coniact area 3002a is aligned parallel to a plane of ihe upper and lower base boards, and comprises first top surface and an opposing first bottom surface forming at least first and second parallel edges 3012a and 3012b.
  • Second horizontal image sensor coniact area 3002b is aligned parallel to said first horizontal image sensor contact area 3002a, where the second contact area 3002b comprises a. second top surface and an opposing second bottom surface forming at least third and fourth parallel edges 3022a and 3022b.
  • the first edge 3012a of the first coniact area is aligned in a vertical axis with the third edge 3022a of the second contact area and the second edge 3012b of the first contact area is aligned in a vertical axis with the fourth edge 3022b of the second coniact area.
  • Th image sensor 3002 further comprises first and second vertical portions positioned between the image sensor contact areas 3002a and 3002b.
  • the first vertical portion comprises a first mner surface 3010 which, in an embodiment, is made of glass and the second vertical portion comprises an opposing second outer surface 3030 which, in an embodiment, comprises a printed circuit board or a computer chip.
  • the image sensor 402 captures still images and/or video feeds and in various embodiments comprises a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor (not shown in figure).
  • CCD Charge Coupled Device
  • CMOS Complementary Metal Oxide Semiconductor
  • the image sensor 3002 is incorporated in the endoscope and is associated with a lens assembly as illustrated in Figures 28 A through 28C and 29 A through 29C.
  • three sets of optical assemblies each comprising a lens assembly associated with an image sensor in a folded position as shown in Figure 30A, are assembled in a tip portion of the endoscope.
  • the three sets of optical assemblies comprise a front lens assembly associated with a front image sensor, a first side lens assembly associated with a first side image sensor and a second side assembly associated with a second side image sensor.
  • the two side image sensors are assembled back to back as shown in Figures 29A through 29C such that the two glass surfaces 3010 are facing in opposite directions.
  • the folded position of the image sensor 3002 causes the first vertical portion of the image sensor 3002, comprising the first inner glass surface 3010 and associated with a from lens assembly, to face in a direction away from a center of the tip of the endoscope when the image sensor 3002 is positioned between upper and lower base boards (not shown m Figure 30A) and assembled in the tip portion of the endoscope.
  • the second vertical portion comprising the second opposing printed circuit board or computer chip surface 3030, faces in an opposite direction towards an electrical connector end and a center of the tip of the endoscope whe the image sensor 3002 is in the illustrated folded position.
  • the glass surface 3010 faces in an outward direction when viewed with respect to the center of the endoscope tin.
  • Figure 30B illustrates a lens assembly 404 being coupled with the image sensor 3002.
  • the lens assembly 3004 is positioned between the image sensor contact areas 3002a and 3002b, such that a rear portion of the lens assembly 3004 is closely associated and/or in contact with the first glass surface 3010 of the first vertical portion of the image sensor 3002.
  • a front portion of the lens assembly 3004 projects in an outward direction and the lens assembly 3004 extends outwards beyond the area defined by the image sensor contact areas 3002a and 3002b.
  • the effective area occupied by just the lens assembly 3004 on a circuit board of the endoscope is limited to the portion of the lens assembly 3004 that extends outwards beyond the area occupied by the image sensor contact areas 3002a and 3002b as shown in Figure 30B.
  • the folded position of the image sensor 3002 reduces the length of space occupied by the lens assembly 3004 on a circuit board placed in an endoscope tip, thereby enabling the two side optical assemblies to be placed closer to each other than would have been possible with the methods of folding the image sensor used in prior art.
  • This reduces the distance between the first and the second side assemblies, such as the first and second side assemblies 6406, 6408 illustrated in Figure 64.
  • each of the side optic assembly occupies approximately 1.3 mm less space on the endoscope circuit board, thereby leading to the diameter of the endoscope tip being reduced by approximately 2.6 mm as compared to prior art.
  • Figure 30C illustrates a metal frame 3006 positioned to support and hold the lens assembly 3004 and the associated image sensor 3002.
  • the metal frame 3006 is molded to enclose the lens assembly 3002 in a manner that supports the image sensor 3002 and the image sensor contact areas 3002a and 3002b.
  • a viewing element holder is employed for supporting the lens assembly and the image sensor as well as the illuminators associated with the lens assembly.
  • Figure 31 A illustrates a viewing element holder for supporting a lens assembly, image sensor and side illuminators, in accordance with an embodiment of the present specification.
  • viewing element holder 3102 which, in one embodiment, is a metal frame, is fitted around image sensor 3104, lens assembly 3106 and illuminators 3108, 3110, such that image sensor contact area 3112 is exposed as shown.
  • the frame 3102 provides support to the image sensor 3104, lens assembly 3106 and illuminators 3108, 3110, enabling the said components to remain in a fixed position.
  • the image sensor 3104 is coupled with the frame 3102 in a manner identical to that illustrated in Figures 30B and 30C.
  • the folding position of the image sensor 3104 inside the viewing element holder 3102 results in a reduction of the endoscope tip diameter.
  • the image sensor 3104 is soldered to upper and lower base boards such as shown in Figure 28B.
  • Figure 3 IB illustrates grooves built in the viewing element holder for supporting the illuminators, in accordance with an embodiment of the present specification.
  • Grooves 3114 and 3116 are provided in the viewing element holder 3102 for supporting illuminators 3108 and 3110 (shown in Figure 31 A) respectively.
  • grooves 3114, 3116 are identical for all illuminators, while in another embodiment each groove may be adapted to different sizes of illuminators.
  • different sizes of illuminators may comprise LEDs (Light Emitting Diode) adapted to emit white light, infrared light, ultraviolet light, near-infrared light and other wavelengths of light.
  • more number of grooves may be provided in the viewing element holder 3102 in order to support more number of illuminators.
  • FIG 32A illustrates a plurality of viewing element holders that are assembled to be placed in a tip of an endoscope, in accordance with an embodiment of the present specification.
  • viewing element holder metal frame 3202 supports a front lens assembly 3204, associated image sensor 3206 and illuminators 3208 and 3210.
  • Viewing element holder metal frame 3212 supports a side lens assembly 3214, associated image sensor 3216 and illuminators 3218 and 3220.
  • Viewing element holder metal frame 3222 supports a side lens assembly 3224, associated image sensor 3226 and illuminators 3228 and 3230.
  • the viewing element holder metal frames act as a heat sink for the light emitting diodes employed in the illuminators.
  • a metal component such as metal supporting frame 3250 is placed between the viewing element holders 3202, 3212 and 3222.
  • Metal supporting frame 3250 acts as a heat sink for the illuminators and also supports the viewing element holders 3202, 3212 and 3222 by fixedly placing them between the upper and lower base boards (not shown in Figure 32A).
  • the metal supporting frame 3250 may also integrate with the optical assemblies and act as a heat sink for the LEDs while supporting the optical assemblies to be fixedly placed between the upper and lower base boards.
  • Figure 32B illustrates the assembly shown in Figure 32A coupled with an upper circuit board 3252 and a lower circuit board 3254 and associated with a fluid channeling component 3270 in a tip of an endoscope, in accordance with an embodiment of the present specification.
  • the metal supporting frame 3250 of the front viewing element holder 3202, first side viewing element holder 3212 and a second side viewing element holder is adapted to act as a heat sink and is connected to the fluid channeling component 3270 such that the heat generated by the front illuminators 3208, 3210, the first side illuminators 3218, 3220, and second side illuminators and associated sensors may be transferred to the fluid channeling component 3270, causing a lowering of the temperature of the tip of the endoscope.
  • jet opening 3226' and nozzle opening 3224' which may be positioned adjacent to each other on front panel of the tip. In another embodiment, the jet opening 3226' and nozzle opening 3224' may be positioned on either side of the working/service channel opening 3222' on the front panel of the tip.
  • a tip cover sheaths the endoscope tip and the components therein.
  • the present specification discloses circuit boards particularly designed to hold front and side illuminators (associated with front and side optical assemblies of an endoscope respectively) in a desired position within a tip portion of an endoscope.
  • the use of the illuminator circuit boards provided by the present specification eases the assembly of the illuminators within the circuit board placed in an endoscope's tip portion, as the illuminator boards pre-define precise locations for the front and side illuminators.
  • the present specification provides a convenient way of separating the optical assemblies from their associated illuminators. It is easier to first assemble an optical assembly and then to place the associated illuminators within the confined space of an endoscope tip. As the sizes of the components in an assembled endoscope's tip are very small, the pre-defined illuminator board helps keep all the components in desired, fixed positions.
  • Figure 33 A illustrates a front illuminator electronic circuit board 3306 adapted for supporting the front illuminators 3308a, 3308b, 3308c of an endoscope, in accordance with an embodiment of the present specification.
  • Figure 33A illustrates upper base board 3302, lower base board 3304, a front illuminator electronic circuit board 3306 for supporting the front illuminators 3308a, 3308b, 3308c, and a side illuminator electronic circuit board 3310 for supporting the side illuminators 3312a, 3312b.
  • the front illuminators 3308a, 3308b, 3308c are associated with a front optical assembly comprising a front lens assembly 3314 and a front image sensor.
  • the side illuminators 3312a, 3312b are associated with a side optical assembly comprising a side lens assembly 3316 and a side image sensor.
  • the front image sensor's pins and rigid area 3320 are bent to be soldered to the upper base board 3302 and lower base board 3304.
  • the side image sensors' pins and rigid areas 3322 and 3324 (for the right and left side image sensors respectively) are bent to be soldered to the upper base board 3302 and lower base board 3304.
  • An electrical cable 3350 threaded through the upper base board 3302 transfers the information from the optical assemblies to a main control unit.
  • the front illuminator electronic circuit board 3306 holds a set of three front illuminators 3308a, 3308b, and 3308c.
  • a side illuminator electronic circuit board 3310 holds a set of side illuminators 3312a, 3312b (the figure illustrates only one side panel of the endoscope, however it should be understood by those of ordinary skill in the art that the other side panel is equivalent to the shown side panel).
  • front illuminators 3308a, 3308b are positioned between the upper 3302 and lower 3304 base boards while front illuminator 3308c is positioned above front lens assembly 3314 and above the upper base board 3302.
  • the two side illuminators 3312a, 3312b on both sides of the endoscope tip are positioned between the upper 3302 and lower 3304 base boards on either side of the side lens assembly 3316.
  • any material that is used for constructing a PCB may be used for constructing the front and side illuminator circuit boards.
  • Typical materials used for making PCB boards are ceramic, polyamides for flexible board, and glass- reinforced epoxy, such as, FR4 (a composite material composed of woven fiberglass cloth with an epoxy resin binder that is flame resistant (self-extinguishing)).
  • FR4 a composite material composed of woven fiberglass cloth with an epoxy resin binder that is flame resistant (self-extinguishing)
  • the front and side illuminator circuit boards may or may not be made of the same materials as the upper and lower base boards.
  • Figure 33B illustrates upper 3302 and lower 3304 base boards integrated with the front 3306 and side 3310 illuminator electronic circuit boards, in accordance with an embodiment of the present specification.
  • the front illuminator electronic circuit board 3306 is integrated with the upper base board 3302 and lower base board 3304 and holds the front illuminators 3308a, 3308b, 3308c in place and enables the front lens assembly 3314 to protrude therethrough.
  • the side illuminator circuit board 3310 is positioned in a side panel of the endoscope tip between the upper base board 3302 and lower base board 3304 and the side illuminators 3312a, 3312b in place and enables the side lens assembly 3316 to protrude therethrough.
  • An electrical cable 3350 threaded through the upper base board 3302 transfers the information from the optical assemblies to the illuminators and to a main control unit.
  • Figure 34 illustrates optical assemblies and illuminators supported by an upper base board 3402 with the lower base board shown as 3304 in Figure 33A removed to assist visualization.
  • the endoscope tip has been flipped about its horizontal axis such that the tip is being viewed from its underside as compared to the view depicted in Figure 33.
  • a metal frame 3405 having front 3411 and rear 3413 portions is provided to support the associated image sensors 3415, 3417, 3419 and also the front 3414 and side 3416, 3418 lens assemblies.
  • the illuminator circuit boards 3406, 3410 and 3420 are soldered to the lower (removed for visualization) and upper 3402 base boards and are supported by the metal frame 3405.
  • the metal frame 3405 includes a front portion 3411 provided to support the front lens assembly 3414 and support the front image sensor 3415 associated with the front lens assembly 3414.
  • the front 3411 and rear 3413 portions of the metal frame 3405 support the side lens assemblies 3416, 3418 and support their associated image sensors 3417, 3419, respectively.
  • the metal frame 3405 also serves as a heat sink to the light emitting diodes (LEDs) and sensors incorporated in the endoscope.
  • LEDs light emitting diodes
  • a front illuminator circuit board 3406 holds the front illuminators 3408a, 3408b, 3408c in place and two side illuminator circuit boards 3410, 3420 hold the side illuminators 3412a, 3412b and 3422a, 3422b respectively, associated with the side optical lens assemblies 3416 and 3418 respectively, in place.
  • a left side illuminator circuit board 3410 supports the side illuminators 3412a, 3412b.
  • a right side illuminator circuit board 3420 supports the illuminators 3422a, 3422b associated with the right side lens assembly 3418.
  • the front illuminators circuit board 3406 is soldered to the metal frame 3405 which supports all three optical assemblies and separates the optical assemblies form one another.
  • the front illuminator circuit board 3406 is supported by a front portion 3411 of the metal frame and the side illuminator circuit boards 3410, 3420 are supported by both the front portion 3411 and a rear portion 3413 of the metal frame 3405.
  • front illuminator circuit board 3406 is adapted to hold three sets of illuminators 3408a, 3408b, 3408c in place, wherein each set of illuminators may have 1, 2, 3 or more light sources such as, but not limited to, an LED.
  • side illuminator circuit boards 3410 and 3420 are adapted to hold two set of illuminators 3412a, 3412b and 3422a, 3422b in place, wherein each set of illuminators may have 1, 2, 3 or more light sources such as, but not limited to, an LED.
  • Figure 35 A illustrates the metal frame 3505 and illuminator circuit boards 3506, 3510, 3520 of Figure 34 with the optical assemblies and upper base board removed to assist with visualization.
  • Metal frame 3505 comprises a front recess area 3521 for a front lens assembly to protrude therethrough, a first side recess area 3523 for a first side lens assembly to protrude therethrough and a second side recess area 3525 on an opposite side for a second side lens assembly to protrude therethrough.
  • a front illuminator electronic circuit board 3506 holds front illuminators 3508a, 3508b, 3508c.
  • the front illuminator electronic circuit board 3506 is 'U' shaped and is coupled with the metal frame 3505 in a manner such that the front recess 3521 of the metal frame 3505 aligns with the inner surface of the curved portion of the 'U' shaped circuit board 3506.
  • Side illuminator electronic circuit boards 3510,3520 hold side illuminators 3512a, 3512b and 3522a, 3522b respectively.
  • the side illuminator electronic circuit boards 3510, 3520 are 'U' shaped and are coupled with the metal frame 3505 in a manner such that the side recesses 3523, 3525 of the metal frame 3505 align with the inner surface of the curved portions of the 'U' shaped circuit boards 3510, 3520.
  • Figure 35B illustrates the metal frame 3505 with the illuminator circuit boards shown in Figure 35A removed.
  • the metal frame 3505 approximates an 'FT shape with side support walls 3512a, 3512b, 3520a, 3520b extending outwardly at 90 degrees from each leg of the 'FT.
  • Two front support walls 3506a, 3506b are positioned at the end of and perpendicular to side support walls 3520a, 3512a respectively.
  • the metal frame 3505 is designed to comprise recesses 3521, 3523, 3525 to accommodate the front lens assembly and the two side lens assemblies respectively in an endoscope tip.
  • the frame 3505 comprises: front support walls 3506a and 3506b for supporting the front illuminator electronic circuit board shown as 3506 in Figure 35 A; side support walls 3512a, 3512b for supporting the side illuminator electronic circuit board shown as 3510 in Figure 35 A; and support walls 3520a, 3520b for supporting the second side illuminator electronic circuit board shown as 3520 in Figure 35 A.
  • Figure 36 illustrates a front illuminator electronic circuit board 3606, in accordance with an embodiment of the present specification.
  • the circuit board 3606 is shaped as a 'U' and holds front illuminators 3608a, 3608b, 3608c in place.
  • the length / of the front illuminator electronic circuit board 3606 ranges from 7.5 mm to 9.5 mm and in an embodiment the length / is approximately 8.8 mm.
  • the height h of the front illuminator electronic circuit board 3606 ranges from 5 mm to 6.5 mm and in an embodiment the height h is approximately 5.7 mm.
  • Figure 37 illustrates a side illuminator electronic circuit board 3710, in accordance with an embodiment of the present specification.
  • the circuit board 3710 is shaped as a 'U' and holds side illuminators 3712a, 3712b in place.
  • the length / of the side illuminator electronic circuit board 3710 ranges from 7.5 mm to 9.5mm and in an embodiment the length / is approximately 8.8 mm.
  • the height h of the side illuminator electronic circuit board 3710 ranges from 3 mm to 4.5 mm and in an embodiment the height h is approximately 3.7 mm.
  • an advantageous configuration of the electronic circuit board assembly enables having a slim and compact design of the endoscope.
  • the configuration of the electronic circuit board assembly in this embodiment, is described with reference to a tip section that includes a single side looking viewing element.
  • tip section may include more than one side looking viewing elements - in which case, the side looking viewing elements may be installed such that their fields of views are substantially opposing.
  • different configurations and number of side looking viewing elements are possible within the general scope of the current specification.
  • Figures 38A through 38F show exploded views of a plurality of internal parts of an electronic circuit board assembly, which when assembled, connected or attached together, form a condensed tip section of a multi-viewing elements endoscope, according to an aspect of the present specification.
  • the plurality of internal parts of the electronic circuit board assembly may be electrically connected and may be configured to share resources, such as electrical power and electrical signals.
  • Figure 38A illustrates a base board 3805 of an electronic circuit board assembly in accordance with one embodiment of the present specification.
  • the base board 3805 is shaped roughly as an "L" with a first member 3805a extending in a y direction and in an x direction.
  • the first member 3805a is integrally formed with a second member 3805b, wherein said first member 3805a and said second member 3805b lie in the same horizontal plane and said second member 3805b extends from said first member 3805a at an angle of substantially 90 degrees.
  • the second member 3805b extends in a y direction and in an x direction. In one embodiment, the length of the second member 3805b is greater than the length of the first member 3805a.
  • the second member 3805b extends further in the x direction than the first member 3805a extends in the y direction.
  • the second member 3805b is further integrally formed with an offset member 3805c at the end of the second member 3805b that is opposite the end to which the first member 3805a is formed.
  • the offset member 3805c lies in the same horizontal plane as the first member 3805a and second member 3805b and extends in a y direction and in an x direction.
  • the offset member 3805c is offset from the second member 3805b in the same y direction in which the first member 3805a is formed to the second member 3805b.
  • each member 3805a, 3805b, 3805c has the same thickness and therefore the entire base board 3805 has a single thickness.
  • the first member 3805a comprises at least two openings 3806 for the insertion of attachment pegs of a first metal frame as described with reference to Figures 38B and 38C below.
  • the second member 3805b comprises at least two openings 3807 for the insertion of attachment pegs of a second metal frame as described with reference to Figures 38B and 38C below.
  • the offset member comprises at least one opening 3808 for a multi-wire electrical cable which is welded on the base board 3805 in a designated location, thereby freeing additional space within the tip assembly. The opening 3808 is where the electrical cable is welded to the base board 3805.
  • Figure 38B illustrates one embodiment of a first metal frame 3810 and a second metal frame 3812 for supporting a front looking viewing element and a side looking viewing element respectively, of an electronic circuit board assembly.
  • the first metal frame 3810 and the second metal frame 3812 are identical in shape.
  • the first and second metal frames 3810, 3812 comprise substantially rectangular shaped metal bodies 3840a, 3840b each having a substantially oval shaped opening 3841a, 3841b at the center of each metal body 3840a, 3840b.
  • each metal body 3840a, 3840b comprises a top surface 3842a, 3842b and a bottom surface 3843a, 3843b.
  • each metal body 3840a, 3840b Extending from the bottom surface 3843a, 3843b of each metal body 3840a, 3840b are at least two attachment pegs 3844a, 3844b to be inserted into corresponding openings in the first and second members of the base board as discussed with reference to Figures 38A and 38C.
  • each metal body 3840a, 3840b includes a front surface 3845a, 3845b comprising a first pair of side walls 3846a, 3846b and a rear surface 3847a, 3847b comprising a second pair of side walls 3848a, 3848b.
  • the front surfaces 3845a, 3845b and first pairs of side walls 3846a, 3846b are configured to receive image sensors as discussed with reference to Figure 38G below.
  • the rear surfaces 3847a, 3847b and second pairs of side walls 3848a, 3848b are configured to receive printed circuit boards as discussed with reference to Figure 38E below.
  • Figure 38C illustrates a first intermediate assembly 3815 with first 3810 and second 3812 metal frames placed on the base board 3805 of an electronic circuit board assembly, in accordance with one embodiment of the present specification.
  • the attachment pegs (3844a in Figure 38B) of the first metal frame 3810 have been inserted into the openings (3806 in Figure 38A) of the first member 3805a of the base board 3805.
  • the first metal frame 3810 is attached to the base board 3805 such that the front surface 3845a of the first metal frame 3810 faces forward and outward from the center of the endoscope tip and the rear surface 3847a of the first metal frame 3810 faces inward toward the center of the endoscope tip, once fully assembled.
  • the attachment pegs (3844b in Figure 38B) of the second metal frame 3812 have been inserted into the openings (3807 in Figure 38 A) of the second member 3805b of the base board 3805.
  • the second metal frame 3812 is attached to the base board 3805 such that the front surface 3845b of the second metal frame 3812 faces sideward and outward from the center of the endoscope tip and the rear surface 3847b of the second metal frame 3812 faces inward toward the center of the endoscope tip, once fully assembled.
  • the first 3810 and second 3812 metal frames are soldered to the base board 3805.
  • the base board 3805 is rigid while in another embodiment it is semi- rigid.
  • the two metal frames 3810, 3812 form base structures for respectively supporting a front and a side looking viewing element of the endoscope.
  • the metal frames 3810, 3812 are placed on the base board 3805 such that the respective central axes 3811, 3813 of the frames form an angle 'N' to each other.
  • the angle 'N' ranges from 70 to 135 degrees. In one embodiment the angle 'N' is 90 degrees.
  • Figure 38D illustrates one embodiment of a first printed circuit board 3817 and a second printed circuit board 3818 for inclusion with an electronic circuit board assembly.
  • the printed circuit boards 3817, 3818 are substantially rectangular shaped and each includes a top surface 3852a, 3852b, a bottom surface 3853a, 3853b, a front surface 3855a, 3855b, a rear surface 3857a, 3857b, and two side surfaces 3858a, 3858b.
  • the two printed circuit boards (PCBs) 3817, 3818 are placed against the rear surfaces 3847a, 3847b of the respective metal frames 3810, 3812 to form a second intermediate assembly 3820.
  • the first printed circuit board 3817 is positioned on the base board 3805 such that the front surface (3855a in Figure 38D) of the first printed circuit board 3817 touches the rear surface 3847a of the first metal frame 3810 and the side surfaces (3858a in Figure 38D) of the first printed circuit board 3817 touch the second pair of side walls 3848a of the first metal frame 3810.
  • the second printed circuit board 3818 is positioned on the base board 3805 such that the front surface (3855b in Figure 38D) of the second printed circuit board 3818 touches the rear surface 3847b of the second metal frame 3812 and the side surfaces (3858b in Figure 38D) of the second printed circuit board 3818 touch the second pair of side walls 3848b of the second metal frame 3812.
  • the printed circuit boards 3817, 3818 are flipped horizontally such that their rear surfaces (3857a, 3857b in Figure 38D) touch the rear surfaces 3847a, 3847b of the metal frames 3810, 3812.
  • the rear surfaces 3847a, 3847b and second pairs of side walls 3848a, 3848b of the metal frames 3810, 3812 act to contain the printed circuit boards 3817, 3818.
  • the printed circuit boards 3817, 3818 fit snugly within the pairs of side walls 3848a, 3848b and against the rear surfaces 3847a, 3847b of the metal frames 3810, 3812. The snug fit helps to maximize the use of available area in the tip, allowing the endoscope tip to have a smaller overall diameter.
  • the bottom surfaces 3853a, 3853b of the printed circuit boards 3817, 3818 are soldered to the base board 3805.
  • Figure 38Fa illustrates horizontal and side planar views of an image sensor 3802, with a first plurality of connector pins 3803a on a first end of the sensor 3802 a d a second plurality of connector pins 3804a on the opposite end of the sensor 3802, and a manner of folding the image sensor 3802 consistent with one embodiment.
  • the image sensor 3802 also includes piece of glass 3835 and a printed circuit board or computer chip 3830. To be placed into the endoscope tip, the image sensor 3802 is folded into a T.P shape such that the first plurality of connector pins 3803a and second plurality of connector pins 3804a form the "arms' of the U while the glass 3835 and printed circuit board or computer chip 3830 form the 'base' of the II.
  • inner surface refers to the surface of the base of the U which faces in the same direction as the arms extend or, in other words, into the mside of the U shape while “'outer surface” refers to the surface of the base of the U which faces in the opposite direction in which the arms extend or, in other words, in the opposite direction of the inside of the U shape, in the conventional design, the image sensor 3802 is folded, as denoted by the arrows 3828 in Figure 38Fa, such that the glass 3835 becomes positioned on the outer surface and the printed circuit board or computer chip 3830 becomes positioned on the inner surface of the image sensor 3802.
  • the glass 3835 is always associated with the lens assembly and therefore the glass 3835 of the image sensor 3802 always faces away from a center of the endoscope tip and toward an object to be viewed. Therefore, in the conventional design, since the glass 3835 is on the outer surface with respect to the U shaped fold, the first and second plurality of connector pins 3803a, 3804a extend in toward a center of the tip of the endoscope.
  • Figure 38Fb i llustrates horizontal and side views of an image sensor 3802 (shown as
  • the image sensor 3802 is configured such that the glass 3835 becomes positioned on the inner surface of the ⁇ shaped image senor 3802 and the printed circuit board or computer chip 3830 becomes positioned on the outer surface of the U shape image sensor 3802,
  • This folding design is advantageous because, once the image sensor 3802 is assembled with the lens assembly (as shown in Figure 30B), the overal l footprint of the image sensor 3802 and lens assembly combination is smaller when compared to that of the conventional design.
  • the first and second plurality of connector pins 3803a, 3804a act to embrace or cradle the lens assembly, allowing the lens assemblies to be positioned further back within the endoscope and thereby providing more space wkhin the endoscope Op.
  • Figure 38G illustrates one embodiment of a third intermediate assembly 3825 formed by attaching image sensors 3822, 3823 to a second intermediate assembly (3820 from Figure 38E).
  • a first image sensor 3822 is positioned such that the outer surface of the first image sensor 3822, comprising a computer chip, comes to rest on the front surface 3845a and between the first pair of side walls 3846a of the first metal frame 3810.
  • the inner surface of the first image sensor 3822 comprising a piece of glass 3835, faces forward and outward from the center of the endoscope tip, once fully assembled.
  • the first plurality of connector pins 3824a on a first end of the image sensor 3822 is folded underneath the base board 3805 and soldered to the base board 3805.
  • the second plurality of connector pins 3825a on a second end of the first image sensor 3822 is folded over the top surface of the first metal frame 3810 and soldered to the first printed circuit board 3817.
  • a second image sensor 3823 is positioned such that the outer surface of the second image sensor 3823, comprising a computer chip, comes to rest on the front surface 3845b and between the first pair of side walls 3846b of the second metal frame 3812. In this manner, the inner surface of the second image sensor 3823, comprising a piece of glass, faces sideward and outward from the center of the endoscope tip, once fully assembled.
  • the first plurality of connector pins on a first end of the image sensor 3823 is folded underneath the base board 3805 and soldered to the base board 3805.
  • the second plurality of connector pins 3825b on a second end of the second image sensor 3823 is folded over the top surface of the second metal frame 3812 and soldered to the second printed circuit board 3818.
  • the front and side looking image sensors 3822, 3823 are similar or identical in terms of, for example, field of view, resolution, light sensitivity, pixel size, focal length, focal distance and/or the like.
  • the printed circuit boards 3817, 3818 supply respective front and side looking viewing sensors 3822, 3823 with electrical power and derive still images and/or video feeds captured by the image sensors.
  • each of the front and side looking image sensors 3822, 3823 has a lens assembly mounted on their outer surfaces to provide necessary optics for receiving images.
  • Each lens assembly comprises a plurality of lenses, static or movable, which provide a field of view of at least 90 degrees and up to essentially 180 degrees.
  • Front looking image sensor 3822 and corresponding lens assembly with associated printed circuit board 3817 are together referred to as the 'front looking viewing element'.
  • side looking sensor 3823 and corresponding lens assembly with associated printed circuit board 3818 are together referred to as the 'side looking viewing element'.
  • the metal frames 3810, 3812 not only serve as mechanical support to the printed circuit boards 3817, 3818 and sensors 3822, 3823, thereby providing structural ruggedness, but also act as heat sinks, allowing efficient heat dissipation from the sensors 3822, 3823.
  • Figure 38Ha illustrates one embodiment of a front illumination circuit board 3826a comprising a front panel 3827a approximating a "U" shape.
  • the front panel 3827a is configured to carry three sets of front illuminators 3829a, 3829b, 3829c wherein each set comprises a single illuminator element.
  • the front foldable panel 3827a may be configured to carry three sets of front illuminators 3829a, 3829b, 3829c wherein each set may further comprise 2, 3, or 4 illuminator elements.
  • the three sets of front illuminators 3829a, 3829b, and 3829c are associated with the front looking viewing element of the endoscope and positioned to illuminate the field of view of the front looking viewing element.
  • sidewall 3827b of the circuit board 3827a is truncated in order to align with a corresponding sidewall design, wherein the sidewall of a tip cover is adapted to include a depression.
  • Figure 38Hb illustrates one embodiment of a side illumination circuit board 3826b comprising a side panel 3827c approximating a "U" shape.
  • the side panel 3827c is configured to carry two sets of side illuminators 3829d, 3829e wherein each set comprises a single illuminator element in accordance with an embodiment.
  • the side panel 3827c may be configured to carry two sets of side illuminators 3829d, 3829e wherein each set may further comprise 2, 3, or 4 illuminator elements.
  • the side illuminators 3829d, 3829e are associated with the side looking viewing element of the endoscope and positioned to essentially illuminate the field of view of the side looking viewing element.
  • the side illuminators are positioned such that the distance between the center of side illuminator 3829d and the center of side illuminator 3829e is in a range of 5.5 - 6.5 mm.
  • the base board 3805 is configured to hold and support the illumination circuit boards 3826a and 3826b and their corresponding illuminators 3829a through 3829e in the desired configuration.
  • the base board 3805 secures the front and side looking viewing elements 3832, 3833 in place to form an electronic circuit board assembly 400 of the present specification.
  • Figures 38 J through 38K illustrate an endoscope tip 3801 and a fluid channeling component or manifold 600 attached to the electronic circuit board assembly 400 of the present specification.
  • Fluid channeling component or manifold 600 includes a front working/service channel 640 that is configured for insertion of a medical (such as a surgical) tool and for applying suction to tissue.
  • an endoscope such as, but not limited to, a gastroscope or colonoscope
  • a gastroscope or colonoscope that includes (in a tip section thereof), in addition to a front viewing element and one side viewing element, and in addition to a front working/service channel 640, a front nozzle opening 3824 and a front jet opening 3826.
  • optical setup for endoscopes typically used in the prior art requires a relatively large overall optical length (total optical track) of the entire optical system, which is disadvantageous for endoscopes, in particular those used as colonoscopes and gastroscopes, particularly if used in endoscopes having side -viewing camera or cameras, such as endoscopes according to embodiments of the present specification.
  • sensors such as CCD sensors used in endoscopes of the prior art
  • the pixels are partially covered by a photo-shielding film, so that the light energy is concentrated in the center of the pixel, where there is a "window" in the photo -shielding film.
  • This improves the signal-to-noise ratio and increases the light utilization efficiency.
  • this also causes the sensor to be sensitive to incident angles between the light rays which have passed the micro- lenses of the sensor and the optical axis of the system.
  • light rays having relatively small incident angles may reach the pixel, while light rays having relatively large incident angles (between the light rays which have passed the micro-lenses of the sensor and the optical axis of the system) may not reach the "window" and thus the pixel, leading to significant energy losses.
  • the losses are maximized at the edges of the field of view, i.e. for light rays having incident angles close to that of the chief ray.
  • a lens system configured for use in an endoscope, such as a colonoscope, particularly for use in a multi-sensor endoscope/colonoscope.
  • the lens system (optionally together with the sensor) according to some embodiments of the specification, has a short total optical length (track), for example, 5 mm or less.
  • the lens system is configured to provide a large incident angle, for example, a chief incident angle (for example the incident angles forming by rays R6 in Figures 41 A through 41C) larger than 20°, larger than 25°, larger than 30° or between about 20-40°.
  • the lens system according to some embodiments of the specification, provides minimal distortion (for example, less than 80%).
  • the senor which is used together with the lens system is configured to have a window in the photo-shielding film configured to allow rays having large incident angle (for example, a chief incident angle larger than 20°, larger than 25°, larger than 30° or between about 20-40°) to reach the pixel and thus improve the distortion.
  • the width of the window (or any other dimensional parameter) may be about 30- 60% of the width of the corresponding pixel.
  • the micro-lenses of the sensor may be configured to provide substantially aplanatic conditions. In other words, the sensor may be configured to provide an image substantially free of aberrations.
  • Figure 39A schematically depicts a cross section of an endoscope 3900 having multiple fields of view showing some details of the head 3930 according to an exemplary embodiment of the current specification.
  • head 3930 of endoscope 3900 comprises at least a forward looking camera 39116 and two side looking cameras 3920a and 3920b.
  • Each of cameras 39116 and 3920a, 3920b is provided with an optical imaging system such as lens assemblies (systems) 39132 and 3932 respectively and solid state detector arrays 39134 and 3934 respectively.
  • Front camera elements 3936 and 3956 of cameras 39116 and 3920 respectively may be a flat protective window, but optionally an optical element used as part of the imaging systems such as solid state detector arrays 39134 and 3934 respectively.
  • cameras 39116 and 3920 are similar or identical, however different camera designs may be used, for example, field of views 39118 and 3918 may be different. Additionally or alternatively, other camera parameters such as, resolution, light sensitivity, pixel size and pixel number, focal length, focal distance and depth of field may be selected to be the same or different.
  • LED light emitting diodes
  • white light LEDs may be used.
  • other colors of LEDs or any combination of LEDs may be used (for example, red, green, blue, infrared, and ultraviolet).
  • field of view 391 18 of forward looking camera 39116 is illuminated by two LEDs 3940a and 3940b located within the endoscope head 3930 and protected by optical windows 3942a and 3942b respectively.
  • fields of view of side looking cameras 3920a and 3920b are each illuminated by a single LED 3950 located within the endoscope head 3930 and each protected by optical window 3952.
  • number of LED light sources and their position in respect to the cameras may vary within the scope of the current specification. For example, few LEDs may be positioned behind the same protective window, a camera and an LED or plurality of LED may be located behind the same protective window, etc.
  • Head 3930 of endoscope 3900 is located at the distal end of a flexible shaft 3960. Similar to shafts of the art, shaft 3960 comprises a working channel 3962 for insertion of surgical tools. Additionally, shaft 3960 may comprises channels for irrigation, insufflation, suction and supplying liquid for washing the colon wall.
  • Figure 39B schematically depicts a cross section cutout of an endoscope showing some details of the head 3930 according to an exemplary embodiment of the current specification. For simplicity, details of one of the two side looking cameras are marked in the figure.
  • head 3930 of the endoscope comprises at least one side looking camera 3920.
  • Each of cameras 3920 is provided with an optical imaging system such as lens assemblies 3932 and solid state detector arrays 3934.
  • Front camera element 3956 of camera 3920 may be a flat protective window or an optical element used as part of the imaging system 3932.
  • Figure 39C schematically depicts a cross section of an endoscope having multiple fields of view showing some details of the head 3930 according to an exemplary embodiment of the current specification.
  • the interior of the head 3930 comprises forward looking and side looking cameras 39116 and 3920, respectively.
  • Cameras 39116 and/or 3920 comprise lens assemblies 39132 having a plurality of lenses 430 to 434 and protective glass 3936 and a solid state detector array 39134 connected to a printed circuit board 39135 and 3935.
  • cameras 39116 and 3920 or any element related to them may be the same or different.
  • the front looking camera and the side looking camera(s) may be the same or different in any one or any combinations of their components or other element related to them (such as optical elements).
  • Figure 40 schematically depicts a cross section of cameras 39116 or 3920, showing some details of lens assemblies 39132 and 3932 according to an exemplary embodiment of the current specification. It should be noted that according to some embodiments of the specification, cameras 39116 and 3920 may be similar or different. Optionally, the focusing distance of camera 39116 is slightly different than that of camera 3920. Differences in focusing distances may be achieved, for example, by (slightly) changing the distance between the lenses that comprise the lens assemblies 39132 and/or 3932, or between the lens assembly and the detector array.
  • Air gap "S" between lenses 431 and 432 acts as a stop. Air gap S may affect the focal range (the distance between the closest object and farther objects that can be imaged without excessive blurring caused by being out of optimal focusing of the lens system).
  • cameras 39116 and 3920 comprise lens assemblies 39132 and 3932 respectively.
  • the lens assemblies comprise a set of lenses 430 to 434 and protective glass 436.
  • Lenses 430 to 434 are situated within a (optionally metallic) barrel 410 and connecter thereto (for example, glued in barrel 410). Any one of lens assemblies 39132 and/or 3932 may also include an adapter 411, optionally, as shown in Figure 40, positioned within barrel 410. Adapter 411 is configured to adjust the location of one or more of the lenses and adjust the distance between lenses. Adapter 411 may also be configured to function as a stop (in this case, between lenses 432 and 433.
  • Protective glass 436 is situated in proximity to the solid state detector arrays 39134 or 3934 and is optionally attached thereto. Focal distance (the distance to the object to be optimally focused by the lens system) may be changed by changing the distance between lenses 434 and protective glass 436.
  • lens 434 As lens 434 is fixed to the barrel 410, and protective glass 436 is fixed to lens holder 39136 (3936), this distance may be varied by changing the relative positioning of lens holder 39136 (3936) with respect to barrel 410.
  • the space between the lenses 434 and protective glass 436 may be an empty space or may be filled with glass or other transparent material, or a tubular spacer may be inserted to guarantee the correct distance between these lenses.
  • optical filters may be placed within the space.
  • Cameras 39116 and 3920 further comprise solid state detector arrays 39134 and 3934 respectively. Solid state detector arrays 39134 and 3934 may each be connected to printed circuit boards. An electrical cabling may connect the printed boards to a central control system unit of the endoscope.
  • Solid state detector arrays 39134 and 3934 are attached to lens holders 39136 and 3936 respectively.
  • Lens holder 39136 or 3936 is attached to lens assemblies 39132 or 3932 respectively by attaching detector array cover to barrel 410.
  • protective glass 436 may be a flat-flat optical element, acting primarily as a protection of the detector array (such as detector arrays 39134 and 3934), and may optionally be supplied with the array. However, optical properties of protective glass 436 need to be accounted for in the optical design.
  • lens 430 may first be inserted from the left, then 431, and 432 from the right. Lenses 433 and 434 which may be glued together (or separated for example by air) are then inserted from right. The complete set is now assembled in a barrel. The assembled detector (such as detector arrays 39134 and 3934), protective glass 436 and cover 39136(3936) are then added.
  • Figures 41a, 41b and 41c illustrate three examples for the lens assemblies such as lens assemblies 39132 and 3932 according to the present specification, having objective lens systems 510, 520 and 530 respectively.
  • the sensor used in the lens assemblies 39132 and 3932 may be a Charge Coupled Device sensor (CCD) having an array of micro-lenses but other sensors, such as CMOS, may also be used.
  • CCD Charge Coupled Device sensor
  • a color CCD camera having resolution of approximately 800x600 pixels is used with total active area of approximately 3.3 x 2.95 mm.
  • the optical resolution of the lens is designed to match the resolution of the sensor.
  • the objective lens systems 510 (520/530) are preferably corrected for chromatic, spherical and astigmatism aberrations.
  • objective lens systems 510, 520, 530 are approximately 4.60 mm (4.62) in total length, measured from front face of front lens to the front surface of the sensor.
  • objective lens systems 510 and 520 are wide angle objectives having approximately 170 degrees acceptance angle.
  • objective lens systems 510, 520, 530 have a short focal distance of measured from the front surface of the front lens to the imaged object.
  • objective lens systems 510, 520, 530 have depth of focus (DOF) allowing to effectively image objects between 4-110 mm (or between, 3.5-50 mm).
  • objective lens systems 510, 520 and 530 have a maximum diameter of about 2.5 mm, defined by the diameter of the front lens, and are housed in a barrel having a maximum outer diameter of approximately 3.6 mm. It should be noted that other design parameters may be selected within the general scope of the current specification.
  • the objective lens systems 510, 520, 530 have an optical axis "O" depicted by the dashed line.
  • the lens systems each comprise a front sub-system 510a, 520a, 530a and a rear sub-system 510b, 520b, 530b.
  • Front sub-systems 510a and 520a of Figures 41A and 41B each comprise a front lens 430, 430' located closest to the object to be viewed, having a negative power and lens 431 , 43 having a positive power.
  • Front lens 430, 430' is oriented with its concave surface facing the object to be viewed and optionally has a diameter substantially greater than the largest dimension of the rear subsystem 510b, 520b in the direction perpendicular to the optical axis.
  • Lens 431 , 43 ⁇ has a positive power.
  • Rear sub-systems 510b, 520b comprise lenses 432, 433, 434 and protective glass 436 and lenses 432', 433', 434', and protective glass 436' respectively, wherein 432 and 432' have a negative power, 433 and 433' have a positive power, 434 and 434' have a negative power, and 436 and 436' have essentially no optic power.
  • protective glass 436 and 436' may be a part of the sensor or a part of the rear sub-system 510b, 520b.
  • Lenses 433 and 434, and 433' and 434', of the rear sub-systems 510b and 520b respectively, compose an achromatic subassembly (a compound achromatic sub-assembly as seen in Figure 41 A, where lenses 433 and 434 are cemented or non-compound achromatic sub-assembly as seen in Figure 4 IB, where lens 433' and lens 434' are separated).
  • Lens 433 and 433' may be biconvex with radius of curvature of its front surface being smaller than radius of curvature of its rear surface, as indicated in Tables Tl and T2 below.
  • Lens 432' of the objective lens systems 520 may have a focal length f432' satisfying the following condition: f432 ⁇ 1.8f.
  • the lenses may be coated with an anti-reflection coating (A coating) for further improving the efficiency of the lens assemblies 39132, 232.
  • a coating anti-reflection coating
  • An effective aperture stop SI , S2 is formed between lenses 431 and 432, 43 and 432'.
  • Effective aperture stop SI S2 may separate between front sub-system 510a, 520a) and rear subsystem 510b, 520b.
  • Front sub-system 530a seen in Figure 41C, comprises a front lens 430" located closest to the object to be viewed, having a negative power and lens 431", having a positive power. Front sub-system 530a further comprises an additional front positive lens (such as the meniscus lens 429) disposed between the first front negative lens 430" and the second front positive lens 431".
  • an additional front positive lens such as the meniscus lens 429
  • Front lens 430" is oriented with its concave surface facing the object to be viewed and optionally having a diameter substantially greater than the largest dimension of the rear subsystem 530b in the direction perpendicular to the optical axis.
  • Rear sub-system 530b comprises lenses 432", 433", 434", and protective glass 436", wherein 432" has a negative power, 433" has a positive power, 434" has a negative power, and 436" has essentially no optic power.
  • protective glass 436" may be a part of the sensor or a part of the rear sub-system 530b.
  • Lenses 433" and 434" compose an achromatic subassembly of the rear sub-system 530b and may or may not be cemented to each other.
  • Lens 433" may be biconvex with radius of curvature of its front surface being smaller than radius of curvature of its rear surface, as indicated in Table T3 below.
  • the lenses may be coated with an anti-reflection coating (A coating) for further improving the efficiency of the lens assemblies 39132, 3932.
  • a coating anti-reflection coating
  • An effective aperture stop S3 is formed between lenses 431 " and 432". Effective aperture stop S3 may separate between front sub-system 530a and rear sub-system 530b.
  • Tables Tl, T2 and T3 summarize the parameters of lenses in the objective lens systems 510, 520 and 530, respectively, according to some embodiments of the current specification:
  • Table T3 shows an example of a six-component system also comprising an additional positive lens 429 (for example, as indicated in Table T3, a meniscus lens).
  • Th - thickness of the lens from center of front surface to center of rear surface
  • D - distance between components such as lenses, measured front center of rear surface of the component, such as lens to the front surface of the next optical element in the case of a stop, S, the distance is measured front center of rear surface of a component on the front side of the stop, to the front surface of the next component
  • radius of curvature equal to infinity is interpreted as planar. All lenses are optionally spherical.
  • Figures 41 A, 4 IB and 41C also show the propagation of six incident rays of light Rl to R6 through the objective lens system 510, 520 and 530 respectively, from the front lens 430 ( Figure 41a), 430' ( Figure 41b) or 430" ( Figure 41c) till the creating of an image of the object at an image plane.
  • the corresponding incident angles are ⁇ (beta 1) - ⁇ 6 (beta 6).
  • the chief incident angle is larger than 20°, larger than 25°, larger than 30° or between about 20-40°.
  • the lens system according to some embodiments of the specification provides minimal peripheral distortion (for example, less than 80%).
  • the optical system assembly 39132, 3932 may be assembled by a method comprising the steps of:
  • front lens 430 (430') may be assembled last.
  • each of the multiple viewing elements of a tip section of an endoscope is embodied as a separate imaging module.
  • the imaging modules are encapsulated together in the endoscopic tip cavity.
  • the modules are individually sealed such that in case of failure in one module, only the failed module is replaced without affecting the other modules.
  • each of the front and side -pointing image sensors and their respective lens assemblies, together with their circuit boards comprise individual imaging modules, which are described in greater detail with reference to the figures below.
  • these modules can be individually replaced or repaired without affecting the other modules.
  • all the imaging modules are advantageously positioned relatively close to the distal end surface of the tip section. This is enabled by an advantageous miniaturizing of the front and side -pointing viewing elements in modular design, which allows for enough internal space in the tip section for angular positioning of the cameras without colliding.
  • the modular design makes use of the same space or volume for imaging modules, as used by cameras in existing designs, and does not affect the functionality and design of other components in the tip such as fluid channels, illuminators, etc.
  • a modular tip cover or housing comprises a front tip cover 4201 and a rear tip cover 4202.
  • a fluid channeling component or manifold 4203 is designed to fit between the two tip covers.
  • Both front tip cover 4201 and rear tip cover 4202 have a plurality of front and side openings, such as side optical windows 4204, for the purpose of covering, protecting and sealing the viewing elements and the illuminators within the tip.
  • the modular endoscopic tip 4200 also has a partially enclosed housing or holder 4205 in which an assembly of flexible LED carrier substrate 4210 and imaging module (that in one embodiment is supported or positioned on a flexible optical carrier substrate, such as substrate 770 of Figure 24A through 24C) 4206 together with their electrical cable 4207 is placed.
  • the partially enclosed housing 4205 has appropriate slots 4208 to fit in the flexible optical carrier substrate or imaging module 4206. It also has a protrusion or portion 4209 for carrying or supporting the associated electrical cable.
  • the proximal base 4215 of the manifold 4203 comprises a groove adapted to receive, align or mate with the protrusion 4209 thereby enabling a snug fit between the manifold 4203 and the partially enclosed housing 4205 when assembled.
  • the manifold 4203 and the partially enclosed housing 4205 when assembled form a substantially cylindrical housing defining an internal volume to accommodate the assembly of flexible LED carrier substrate 4210 and imaging module 4206.
  • the internal volume (of an endoscopic tip) ranges from 2.75 cm3 to 3.5 cm3.
  • the flexible LED carrier substrate 4210 is configured to carry the module 4206 which comprises imaging elements as well as optics.
  • the flexible LED carrier substrate and optical carrier substrate - together referred to as flexible electronic circuit board has been described earlier in this specification. Particularly, as described earlier, the flexible circuit board consumes less space and leaves more volume for additional necessary features.
  • the flexible circuit board can be folded to allow two side imaging modules to be positioned parallel to each other. Thus, the flexibility of the board adds another dimension in space that can be used for components positioning.
  • the use of the flexible circuit board can significantly increase reliability of the electric modules connected thereto as no wires are used for components connectivity.
  • the components assembly can be machined and automatic.
  • the flexible circuit board assists in maneuverability of components during assembly of the modular tip 4200 and also simplifies the assembly process.
  • the flexible circuit board is connected to the control unit of the endoscope via a multi-wire electrical cable which is welded on the board in a designated location, thereby freeing additional space within the tip assembly.
  • Figure 43 provides a detailed view of the partially enclosed housing or holder 4300 (shown as 4205 in Figure 42) for housing the imaging module 4206 of Figure 42, which in one embodiment is positioned or supported on a flexible optical carrier substrate.
  • holder 4300 comprises a concave area 4301 in the front, where the front-pointing imaging module can be placed.
  • the holder 4300 further comprises two compartments 4302 and 4303 for carrying the first and the second side -pointing imaging modules, respectively.
  • the compartments are also provided with circular slots or openings 4304 and 4305 to carry the optics of the imaging modules.
  • a rectangular strip or protrusion 4306 in the holder is provided to carry the electrical cable and, as shown in Figure 42, mate with a groove on the proximal base 4215 of the manifold 4203. It may be appreciated that the holder 4300 is designed such that it corresponds to the shape and size of flexible optical carrier substrate or modular imaging units together with the electrical cable. This can also be seen in elements 4205, 4206 and 4207 of Figure 42 as described above.
  • Figure 44 illustrates a top view of the modular imaging units when integrated with one another, in accordance with an embodiment.
  • three modular imaging units are employed, in a similar configuration as described with reference to Figure 1 J.
  • the front-pointing modular unit 4410 comprises a front printed circuit board with integrated sensor 4401.
  • Front-pointing modular unit 4410 further comprises a front lens holder 4402 within which the optics of the imaging unit are placed.
  • the first-side pointing modular unit 4420 comprises a side printed circuit board with integrated sensor 4403. It further comprises a side lens holder 4404 where the optics of the imaging unit are placed.
  • the other side -pointing modular imaging unit 4430 also comprises a side printed circuit board with integrated sensor 4405, together with a side lens holder 4407. All the modular units are supplied power through the electrical cable 4406.
  • Figure 45 illustrates a bottom view of the three modular imaging units, including one front-pointing imaging unit 4510 and two side-pointing units 4520 and 4530.
  • the side printed circuit boards with integrated sensors 4501, 4502 are visible for both the side-pointing modular units 4520 and 4530. Also visible are the side lens holders 4503, 4504, and the front printed circuit board with integrated sensor 4505 and the front lens holder 4506 of the front- pointing modular imaging unit 4510.
  • the electrical cable 4507 is connected to the printed circuit boards 4505, 4501, and 4502 of the front-pointing as well as the side pointing imaging units, respectively.
  • each imaging module comprises a lens assembly, an image capturing device and an integrated circuit board.
  • Image capturing devices may be Charged Coupled Devices (CCD's) or Complementary Metal Oxide Semiconductor (CMOS) image sensors, or other suitable devices having a light sensitive surface usable for capturing an image.
  • CCD's Charged Coupled Devices
  • CMOS Complementary Metal Oxide Semiconductor
  • the front printed circuit board with integrated sensor 4401 and the side printed circuit boards with integrated sensors 4501, 4502 are supported or positioned over a flexible optical carrier substrate (such as substrate 770 of Figure 24 A through 24C).
  • the front printed circuit board with integrated sensor 4401 and the side printed circuit boards with integrated sensors 4501, 4502 are all individual units.
  • each camera may capture images, substantially independently, and the images may be displayed, substantially simultaneously, using one or more displays e.g. as described in PCT/ILlO/000476, which is incorporated herein by reference.
  • Figure 46 illustrates a perspective view of a side -pointing modular imaging unit.
  • the side-pointing modular imaging unit 1000 comprises a viewing element 1001 in the front.
  • the viewing element may comprise an optic array camera.
  • the imaging module further comprises sensor such as a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor and a lens holder 1002 for carrying the optics of the imaging system.
  • the printed circuit board 1003 is used to supply power to and derive images from the image sensor.
  • the image sensor is integrated with the printed circuit board.
  • the optics of the image system may include a plurality of lenses, static or movable, which may provide a field of view of at least 90 degrees and up to essentially 180 degrees.
  • the lens assembly provides a focal length of about 2 to 100 millimeters.
  • Side-pointing image sensor 1001 and optics (contained in the lens holder 1002), together with integrated circuit board 1003, may be jointly referred to as a "side -pointing imaging module”.
  • Figure 47 illustrates a perspective view of a front-pointing modular imaging unit.
  • the front-pointing modular imaging unit 1100 comprises a viewing element 1101 in the front.
  • the viewing element may comprise an optic array.
  • the imaging module further comprises sensor such as a Charge Coupled Device (CCD) or a Complementary Metal Oxide Semiconductor (CMOS) image sensor and a lens holder 1102 for optical imaging system.
  • the printed circuit board 1103 is used to supply power to and derive images from the image sensor.
  • the optics of the image system may include a plurality of lenses, static or movable, which may provide a field of view of at least 90 degrees and up to essentially 180 degrees. In one embodiment, the lens assembly provides a focal length of about 3 to 100 millimeters.
  • Front- pointing image sensor 1101 and optics (contained in the lens holder 1102), together with integrated circuit board 1 103 may be jointly referred to as a "front-pointing imaging module".
  • front and side -pointing image sensors may be similar or identical in terms of, for example, field of view, resolution, light sensitivity, pixel size, focal length, focal distance and/or the like.
  • Figure 48 illustrates the modular nature of the various elements in the endoscopic tip, according to one embodiment of the present specification.
  • front-pointing imaging module 1201, side-pointing imaging modules 1202 and 1203, and the electric cable 1204 are all individual units. These units can be housed in the endoscopic tip using the partially enclosed housing or modular holder 1205.
  • the holder allows all the modular units to function together and yet be separate, such that each unit can be individually removed from the assembly.
  • modular units can be individually installed into the tip assemble. This allows individual units to be repaired or replaced without affecting the other parts in the endoscopic tip.
  • Figure 49 illustrates the front-pointing imaging module 1301 assembled with the side- pointing imaging modules 1302 and 1303.
  • the circuit boards 1304 of all the imaging modules are coupled to each other, in accordance with an embodiment, and connected with the electrical cable 1305.
  • Figure 49 also shows the partially enclosed housing or holder 1306 which has compartments 1307 for each imaging unit. The compartments enable the imaging modules to be encapsulated from each other, and therefore removal of one imaging module does not damage or affect the other modules.
  • Figure 50 illustrates a perspective view of the assembled components, wherein the partially enclosed housing, curved member or modular holder 1401 carries the modular imaging units 1402 and the electrical cable 1403.
  • Figure 51 illustrates another embodiment of the modular endoscopic tip.
  • the endoscope tip comprises a front tip cover 1501 and a rear tip cover 1502.
  • a fluid channeling component or manifold 1503 is designed to fit between the two tip covers.
  • a mechanism for coupling the modular imaging units is integrated with the imaging units themselves.
  • This mechanism referred to as image modular holder 1504 is used to connect the modular imaging units 1505.
  • the overall structure (comprising all three modular units) is then supported by a partially enclosed housing, curved member or frame 1506, also known as the modular supporter frame.
  • Figure 54 illustrates a detailed view of the modular holder 1801.
  • the substrate of the modular holder 1801 is flexible so that it can be folded to form the holder 1801 shown in the figure.
  • the modular holder comprises recesses 1802 into which corresponding connectors of imaging units are designed to fit. These connectors are shown and described further with reference to Figures 52, 53 A and 53B.
  • the recesses 1802 that correspond to the imaging module connectors allow the modules to be physically coupled to each other and to the endoscope tip. Further, the recesses also enable the flow of power and data between the endoscope and the imaging modules.
  • Modular holder comprises recesses 1802 also has a portion 1803 for carrying the associated electrical cable.
  • Figure 52 illustrates a detailed view of the coupling mechanism and the modular holder.
  • the lens holders 1601, 1602 and 1603 of each imaging unit are provided with protruding connectors 1604 that are designed to fit into corresponding recesses or slots 1605 in the modular holder 1606.
  • the modular imaging units are held by the partially enclosed housing, curved member or supporter frame 1607.
  • the electric cable may be connected to modular holder 1606 in the far end relative to lens holder 1601.
  • Figures 53A and 53B provide perspective views of the connecting mechanism between the imaging modules.
  • the modular holder 1701 has slots or recesses 1702 on all three sides 1703, 1704, and 1705 where corresponding connectors 1706 of the three lens holders 1707, 1708 and 1709 can fit in.
  • connector mechanism as shown in Figures 52 and 53A, 53B further simplifies the process of assembling or removing an individual imaging module from the endoscope tip. It may be noted that in the embodiment shown in Figures 42 through 50, the components can be assembled by soldering the flexible printed circuit boards of imaging modules at the rear part of the tip and connecting them with the electrical cable. Another embodiment is shown in Figures 51 through 54, wherein connectors are provided to connect between the flexible PCBs of imaging modules.
  • each imaging module is connected through a different cable to ease the replacement of each imaging module.
  • the imaging modules are a part of removable tip.
  • an endoscope comprises an elongated shaft terminating with a tip section, wherein said tip section comprises a permanent section connected to the elongated shaft and a removable section securely connectable to the permanent section.
  • the removable section comprises imaging modules and at least one light source.
  • Figure 55 A schematically depicts an isometric view of a tip section of an endoscope (including an electronic circuit board carrying cameras and illumination sources, and a fluid channeling component), having a multi component tip cover (shown in an exploded view), according to an exemplary embodiment of the current specification and to Figure 55B, which schematically depicts an isometric view of the tip section of Figure 55 A, having an assembled multi-component tip cover, according to some exemplary embodiments of the current specification.
  • Tip section 5500 generally includes an inner part 5510 which includes electronics (such as cameras, a circuit board such as electronic circuit board 400, illumination sources, such as LEDs etc.), fluid channels (such as fluid channeling component 600) and a multi-element tip cover 300.
  • Multi-element tip cover 300 is designed to fit over the inner parts of the tip section 5500, and to provide protection to the internal components in the inner part.
  • Multi-element tip cover 300 includes, according to this embodiment, three parts: a front component 710 configured to cover a front part of the tip section; a right side component 730 configured to cover a right side part of the tip section; and a left side component 5550 configured to cover a left side part of the tip section, wherein the front, right side and left side components are configured to abut each other to cover the tip section, in such way that they cover essentially all inner parts of the tip section.
  • Front component 710 includes hole 736 configured to align with (and accommodate) front optical assembly 236 of forward looking camera 116; optical windows 242a, 242b and 242c of LEDs 240a, 240b and 240c; distal opening 340 of a working channel; distal opening 344 of a jet fluid channel 644; and irrigation and insufflation (I/I) injector 346 having a nozzle 348 (aligning with opening 664 of fluid channeling component 600).
  • I/I irrigation and insufflation
  • Left side component 5550 includes hole 756b configured to align with (and accommodate) side optical assembly 256b of side looking cameras 220b; optical windows 252a and 252b of LEDs 250a and 250b on both sides of optical assembly 256b; side I/I injector 266b adapted to align with side I/I opening 666b of fluid component 600. Also seen in Figures 55 A and 55B are nozzles 267b and a for side I/I injector 266b and a side I/I injector on the opposite side, respectively.
  • Right side component 730 includes similar elements as left side component 5550.
  • Left side component 5550 and right side component 730 are each in a shape of essentially half a cylinder (without top and bottom).
  • Front component 710 has essentially a cup shape having two opposing arms 712 and 714 extending perpendicularly to the cup bottom (which may also be referred to as the cup's front face) and protruding from the cup edges.
  • front component 710 may be installed first, and then the side components such that their long edges meet each other on both sides over arms 712 and 714 to assure sealing (Figure 55B).
  • Adhesives such as glue, may be added, for example, in cavities 716 (along the external parts of the edges of component 710), 718 (along the internal edges of component 730) and 5520 (along the internal edges of component 5550) to allow complete sealing of tip section 5500.
  • Multi-element tip covers according to embodiments of the specification, such as multielement tip cover 300 or any other multi-element tip cover as disclosed herein, solve a significant problem that exists in the art when attempts are made to pack all necessary components into the small inner volume of an endoscope tip and to cover and seal these components.
  • Regular cup shaped tip covers are used for standard tips having just one front camera.
  • protruding inner tip elements such as lenses or other parts of the side optical assemblies, are often damaged during the sliding of the cover over them. Using a multi-element tip cover may solve this problem.
  • a multi-element tip cover assists in aiming its holes/openings/windows exactly at their right place over the corresponding tip inner elements. This is almost impossible using a unitary piece cover.
  • separately sealing each one of the elements of the multi-element tip cover improves the overall sealing of the tip due to better access to each element (for example an optical window) compared to the limited access of the same element in a unitary piece cover, such as a cup shaped cover.
  • Separately sealing (and optionally checking for satisfactory sealing) of each one of the elements of the multi-element tip cover may be performed prior to assembling of the cover. This may also improve the sealing of the tip.
  • Tip section 5500 may include front optical assembly 236 of forward looking camera 116.
  • Optical axis of forward looking camera 116 is substantially directed along the long dimension of the endoscope.
  • forward looking camera 116 is typically a wide angle camera, its FOV may include viewing directions at large angles to its optical axis.
  • number of illumination sources such as LEDs used for illumination of the FOV may vary (for example, 1-5 LEDs may be used on a front face of tip section 5500).
  • Distal opening 340 of a working channel is also located on the front face of tip section 5500, such that a surgical tool inserted through working channel tube, and through the working channel in the endoscope's tip section 5500 and deployed beyond the front face may be viewed by forward looking camera 116.
  • Distal opening 344 of a jet fluid channel is also located on the front face of tip section
  • Distal opening 344 of a jet fluid channel may be used for providing a high pressure jet of fluid, such as water or saline, for cleaning the walls of the body cavity.
  • I/I injector 346 located on the front face of tip section 5500 is an irrigation and insufflation (I/I) injector 346 having a nozzle 348 aimed at front optical assembly 236.
  • I/I injector 346 may be used for injecting fluid (liquid and/or gas) to wash contaminants such as blood, feces and other debris from front optical assembly 236 of forward looking camera.
  • the same injector is used for cleaning front optical assembly 236 and one, two or all of optical windows 242a, 242b and 242c.
  • I/I injector 346 may be fed by fluid such as water and/or gas which may be used for cleaning and/or inflating a body cavity.
  • tip section 5500 Visible on a left side of tip section 5500 is the side camera (side looking camera) element
  • a second side looking camera is positioned on the right side of the tip section 5500 and can be similar to camera 220b.
  • Optical axis of the right side looking camera is substantially directed perpendicular to the long dimension of the endoscope.
  • Optical axis of left side looking camera 220b is substantially directed perpendicular to the long dimension of the endoscope.
  • the right side looking camera and left side looking camera 220b re typically wide angle cameras, their fields of view may include viewing directions at large angles to their optical axes.
  • Side I/I injector 266b having a nozzle 267b aimed at side optical assembly 256b may be used for injecting fluid to wash contaminants such as blood, feces and other debris from side optical assembly 256b of side looking camera.
  • the fluid may include gas which may be used for inflating a body cavity.
  • the same injector is used for cleaning both side optical assembly 256b and optical windows 252a and/or 252b.
  • the tip may include more than one window and LEDs, on the side and more than one window and LEDs in the front (for example, 1-5 windows and two LEDs on the side). Similar configurations of I/I injector and nozzle exists for cleaning right side optical assembly and optical windows located on the other side of tip 5500.
  • the I/I injectors are configured to clean all or a part of these windows/LEDs.
  • I/I injectors 346 and 266b may be fed from same channel.
  • the side wall 362 has a form of an essentially flat surface which assists in directing the cleaning fluid injected from left side I/I injector 266b towards side optical assembly 256b and optical windows 252a and/or 252b.
  • a right side wall on the other side of the cover is also essentially flat. Lack of such a flat surface may result in dripping of the cleaning fluid along the curved surface of tip section 5500 of the endoscope without performing the desired cleaning action.
  • At least two side looking cameras may be located within tip section 5500.
  • the side looking cameras are preferably installed such that their field of views are substantially opposing.
  • different configurations and numbers of side looking cameras are possible within the general scope of the current specification.
  • the circuit board used for carrying electronic components such as cameras and/or LEDs may be a flexible circuit board that may consume less space and leaves more volume for additional necessary features.
  • the flexibility of the board adds another dimension in space that can be used for components positioning.
  • a flexible circuit board according to embodiments of the specification can significantly increase reliability of the electric modules connection thereto as no wires are for components connectivity.
  • the components assembly can be machined and automatic.
  • a flexible circuit board may also allow components (parts) movement and maneuverability during assembly of the camera head (tip of the endoscope) while maintaining a high level of reliability.
  • the use of the circuit board according to embodiments of the specification may also simplify the (tip) assembling process.
  • a flexible circuit board may be connected to the main control unit via a multi-wire cable.
  • This cable may be welded on the board in a designated location freeing additional space within the tip assembly and adding flexibility to cable access. Assembling the multi-wire cable directly to the electrical components was a major challenge which is mitigated by the use of the flexible board according to embodiments of the specification.
  • Tip section 200 generally includes an inner part 5610 which may be similar to inner part 5510 of tip section 5500 of Figures 55 A, 55B and a multi-element tip cover 300.
  • Multi-element tip cover 300 is designed to fit over the inner parts of the tip section 200, and to provide protection to the internal components in the inner part.
  • Multi-element tip cover 300 includes, according to this embodiment, a main component 830, configured to cover the majority of the tip section, and a removable window component 850 configured to cover a window opening 860 located on main component 830, such that removable window component 850 is configured to allow access to an inner part 5610 of tip section 200 without removing main component 830.
  • This may allow fixing or replacing one of the components of inner part 5610 (such as a LED, an optical element or any other element) without removing main component 830 and damaging the packing and sealing of tip section 200.
  • Main component 830 has essentially a cup shape having a front face part configured to cover the front face of tip section 200 and cup edges configured to cover the side surface of tip section 200.
  • Main component 830 may further include front and side holes, openings, windows and surfaces similar to those of multi-component cover 300 of Figures 55 A, 55B.
  • Multi-element tip cover 5700 is designed to fit over the inner part of a tip section and to provide protection to the internal components in the inner part.
  • Multi-element tip cover 5700 includes, according to this embodiment, a front-side component 5730 configured to cover a front part and a side part of the tip section and a side component 5750 configured to cover another side part of the tip section, wherein front- side component 5730 and side component 5750 are configured to abut to cover the tip section.
  • Figure 58A schematically depicts an isometric view of a tip section of an endoscope (including an electronic circuit board carrying cameras and illumination sources, an electronic circuit board holder, a fluid channeling component), having a multi-component tip cover (shown in an exploded view), according to an exemplary embodiment of the current specification.
  • Figure 58B schematically depicts an isometric view of the tip section of Figure 58 A, having a multi-component tip cover (partially in an exploded view), according to an exemplary embodiment of the current specification.
  • Figure 58C schematically depicts an assembled isometric view of the tip section of Figures 58A and 58B having a multi-component tip cover, according to an exemplary embodiment of the current specification.
  • Tip section 5800 generally includes an inner part 5810 which includes electronics (such as cameras, circuit board, LEDs etc.), fluid channels (such as fluid channeling component 1600) and a multi-element tip cover 1010.
  • Multi-element tip cover 1010 is designed to fit over the inner parts of the tip section 5800, and to provide protection to the internal components in the inner part.
  • Multi-element tip cover 1010 includes, according to this embodiment, two parts: a distal component 1050 configured to cover a distal part of the tip section and a proximal component 1030 configured to cover a proximal part of the tip section, wherein the distal component and the proximal component are configured to abut to cover the tip section.
  • Distal component 1050 has a shape of a cylinder having a side wall 1052 and a front face 1054, wherein front face 1054 is configured to cover a front part 5802 of inner part 5810 of tip section 5800 and proximal component 1030 has a shape of a cylinder having a side wall 1032 without a top or a bottom, configured to cover a proximal part 1104 of inner part 5810 of tip section 5800.
  • Distal component 1050 includes on front face 1054 thereof hole 1056 configured to align with front optical assembly 1236 of forward looking camera 1116; optical windows 1242a, 1242b and 1242c of LEDs 1240a, 1240b and 1240c; distal opening 1340 of a working channel; distal opening 1344 of a jet fluid channel 1644; and I/I injector 1346 (aligning with opening 1664 of fluid channeling component 1600).
  • Distal component 1050 further includes on side wall 1052 thereof optical windows 1252a of LED 1250a and on an opposing side of side wall 1052 another optical window of another LED.
  • Distal component 1050 further includes on the edge of side wall 1052 thereof a recess 1756' (essentially in a shape of half a hole) configured to accommodate (along with a recess 1756" on the edge of side wall 1032 of proximal component 1030) optical assembly 1256b of side looking camera 1220b.
  • a recess 1756' essentially in a shape of half a hole
  • optical assembly 1256b of side looking camera 1220b On an opposing side of side wall 1052 there may be a similar recess to accommodate (along with another recess on the edge of side wall 1032 of proximal component 1030) an optical assembly of a side looking camera located on the other side of inner part 5810.
  • Proximal component 1030 includes on side wall 1032 thereof optical windows 1252b of
  • Proximal component 1030 further includes on the edge of side wall 1032 thereof a recess 1756" (essentially in a shape of half a hole) configured to accommodate (along with recess 1756' on the edge of side wall 1052 of distal component 1050) optical assembly 1256b of side looking cameras 220b.
  • a recess 1756a On an opposing side of side wall 1032 there is a similar recess 1756a" to accommodate (along with another recess on the edge of side wall 1032 of proximal component 1050) an optical assembly of a side looking camera located on the other side of inner part 5810.
  • Proximal component 1030 further includes side I/I injector 1266b adapted to align with side I/I opening 1666b.
  • Other parts of inner part 5810 of tip section 5800 may generally be similar to inner part 5810 of tip section 100 of Figures 55A, 55B.
  • the method of assembling tip section 5800 over inner part 5810 may include assembling distal component 1050 from the distal part of tip section 5800, assembling proximal component 1030 from the proximal part of tip section 5800 and joining distal component 1050 and proximal component 1030 along their edges (line 1500) such that none of the tip cover components slides over the optical assemblies of the side looking cameras.
  • FIG. 2 A shows a perspective view of a tip section 200 of an endoscope assembly 100 according to an embodiment.
  • Tip cover 300 may be configured to fit over the inner parts of the tip section 200 including electronic circuit board assembly 400 and fluid channeling component 600 and to provide protection to the internal components in the inner parts.
  • Tip cover 300 may include a front panel 320 having a front optical assembly 256, of front looking camera 116.
  • Front optical assembly 256 may include a plurality of lenses, static or movable, which may provide a field of view of 90 degrees or more, 120 degrees or more or up to essentially 180 degrees.
  • Front optical assembly 256 may provide a focal length in the range of about 3 to 100 millimeters.
  • Optical axis of front looking camera 116 may be essentially directed along the long dimension of the endoscope. However, since front looking camera 116 is typically a wide angle camera, its field of view may include viewing directions at large angles to its optical axis. Additionally, front panel 320 may include optical windows 242a, 242b and 242c of illuminators 240a, 240b and 240c, respectively. It should be noted that number of illumination sources used for illumination of the field of view may vary.
  • front panel 320 may include a working channel opening 340 of a working channel 640, which is further discussed below.
  • the front panel may include more than one working channel opening.
  • Jet channel opening 344 of jet channel 644 may also be located on front panel 320 of tip cover 300. Jet channel 644 may be configured for providing a high-pressure jet of fluid, such as water or saline, for cleaning the walls of the body cavity.
  • a high-pressure jet of fluid such as water or saline
  • injector channel 646 may be configured for injecting fluid (liquid and/or gas) to wash contaminants such as blood, feces and other debris from front optical assembly 256 of front looking camera 116.
  • injector channel 646 may be configured for cleaning front optical assembly 256 and one, two or all of optical windows 242a, 242b and 242c.
  • Injector channel 646 may be fed by fluid, such as water and/or gas, which may be used for cleaning and/or inflating a body cavity.
  • side optical assembly 256b for side looking camera 116b Visible on the sidewall 362 of tip cover 300 is side optical assembly 256b for side looking camera 116b, which may be similar to front optical assembly 256 and optical windows 252a and 252b of illuminators 250a and 250b for side looking camera 116b.
  • an optical assembly for another side looking camera on the opposing side to side optical assembly 256b, is an optical assembly for another side looking camera , which may be similar to side optical assembly 256b and optical windows 252a and 252b of illuminators 250a and 250b for side looking camera 116b.
  • the side optical assembly 256b may provide a focal length in the range of about 3 to 100 millimeters.
  • Optical axis of side looking camera 116b may be essentially directed perpendicular to the long dimension of the endoscope. Optical axis of side looking camera 116b is essentially directed perpendicular to the long dimension of the endoscope. However, since side looking camera 116b is typically a wide angle camera, its field of view may include viewing directions at large angles to its optical axis. In accordance with some embodiments, the side looking camera 116b has a field of view of 90 degrees or more, 120 degrees or more or up to essentially 180 degrees.
  • a maximum volume of an endoscopic tip comprising the optical assemblies is less than 3.12 cm .
  • the optical assemblies of the present specification do not include any aspherical components, as such components that would lead to an increase in manufacturing cost of the optic assemblies.
  • each of the optical assemblies has a focal length of approximately 1.2 mm.
  • the maximum volume of an endoscopic tip containing an optical assembly within is 3.12 cm 3 , which may be obtained by using the equation: h*pi*r2; where h and r represent a length and a radius of the endoscope tip respectively.
  • the volume of the endoscope tip may be obtained as:
  • the maximum volume of an endoscopic tip ranges
  • side injector opening 266 of side injector channel 666 may be located at distal end of sidewall 362.
  • a nozzle cover 267 may be configured to fit side injector opening 266.
  • nozzle cover 267 may include a nozzle 268 which may be aimed at side optical assembly 256b and configured for injecting fluid to wash contaminants such as blood, feces and other debris from side optical assembly 256b of side looking camera 116b.
  • the fluid may include gas which may be used for inflating a body cavity.
  • nozzle 268 may be configured for cleaning both side optical assembly 256b and optical windows 252a and/or 252b.
  • side injector channel 666 may be configured to supply fluids for cleaning any of the tip elements (such as any optical assembly, windows, illuminators, and other elements).
  • injector channel 646 and side injector channel 666 may be fed from the same channel.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Multimedia (AREA)
  • Signal Processing (AREA)
  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
  • Lenses (AREA)
EP14798234.2A 2013-05-17 2014-05-15 Endoskop mit mehreren ansichtselementen mit zwei frontdienstkanälen Withdrawn EP2996542A4 (de)

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US201361824863P 2013-05-17 2013-05-17
US201361828039P 2013-05-28 2013-05-28
PCT/US2014/038096 WO2014186521A1 (en) 2013-05-17 2014-05-15 Multiple viewing elements endoscope having two front service channels

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US10561308B2 (en) 2009-06-18 2020-02-18 Endochoice, Inc. Systems and methods for regulating temperature and illumination intensity at the distal tip of an endoscope
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US10516865B2 (en) 2015-05-17 2019-12-24 Endochoice, Inc. Endoscopic image enhancement using contrast limited adaptive histogram equalization (CLAHE) implemented in a processor
US10791308B2 (en) 2015-05-17 2020-09-29 Endochoice, Inc. Endoscopic image enhancement using contrast limited adaptive histogram equalization (CLAHE) implemented in a processor
US11529197B2 (en) 2015-10-28 2022-12-20 Endochoice, Inc. Device and method for tracking the position of an endoscope within a patient's body
US10898062B2 (en) 2015-11-24 2021-01-26 Endochoice, Inc. Disposable air/water and suction valves for an endoscope
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US10292570B2 (en) 2016-03-14 2019-05-21 Endochoice, Inc. System and method for guiding and tracking a region of interest using an endoscope
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CN109549613A (zh) 2019-04-02
JP2019058756A (ja) 2019-04-18
JP2021100630A (ja) 2021-07-08
EP2996542A4 (de) 2017-03-22
JP2023179608A (ja) 2023-12-19
JP6859373B2 (ja) 2021-04-14
JP2016524492A (ja) 2016-08-18
WO2014186521A1 (en) 2014-11-20
CN105636500A (zh) 2016-06-01
CN105636500B (zh) 2018-08-21
JP6466412B2 (ja) 2019-02-06
JP7361739B2 (ja) 2023-10-16

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