Imaging system for video endoscope

• US 20050154262A1
• Filed: 09/30/2004
• Published: 07/14/2005
• Est. Priority Date: 04/01/2003
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Boulais, Dennis R., Fantone, Stephen D., Couvillon, Lucien Alfred Jr., Banik, Michael S., Orband, Daniel G., Braunstein, Daniel J., Saber, Michael P.
• Application Number:
  US10/955,923
• Publication Number:
  US 20050154262A1
• Time in Patent Office: Days
• US Class Current: 600/179
• CPC Class Codes: A61B 1/00059 provided with identification means for the endoscope
• CPC Class Codes: A61B 1/00071 Insertion part of the endoscope body A61B1/0055 takes precedence
• CPC Class Codes: A61B 1/0008 characterised by distal tip features
• CPC Class Codes: A61B 1/00147 Holding or positioning arrangements
• CPC Class Codes: A61B 1/0016 using motor drive units
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/0653 with wavelength conversion
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 1/128 provided with means for regulating temperature
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes

Abstract

A video endoscope system includes a reusable control cabinet and an endoscope that is connectable thereto. The endoscope may be used with a single patient and then disposed. The endoscope includes an illumination mechanism, an image sensor, and an elongate shaft having one or more lumens located therein. An articulation joint at the distal end of the endoscope allows the distal end to be oriented by the actuators in the control cabinet or actuators in a control handle of the endoscope. Fluidics, electrical, navigation, image, display and data entry controls are integrated into the system along with other accessories.

Claims

1. An endoscope that is removably connectable to a control cabinet to form a system for examining an internal body cavity of a patient, comprising:

a shaft having a proximal end, a distal end and a number of lumens therein;

an imaging assembly at or adjacent the distal end of the shaft to produce image signals representative of an internal body cavity, the imaging assembly including;

a cap having one or more illumination ports through which illumination light is passed and an imaging port; and

a heat exchanger that is insertable into the cap, the heat exchanger including one or more light emitting diodes mounted thereon and aligned with the one or more illumination ports, a cooling channel in thermal contact with the one or more light emitting diodes, a lens assembly aligned with the imaging port and an image sensor that produces the image signals that are representative of the internal body cavity.

2. The endoscope of claim 1, wherein the heat exchanger includes a recess and the lens assembly is shaped to fit in the recess in order to retain the lens assembly in the heat exchanger.

3. The endoscope of claim 1, wherein each of the one or more illumination ports includes a window that is secured into a front face of the cap.

4. The endoscope of claim 3, wherein each window of the illumination port is coated with a phosphor.

5. The endoscope of claim 4, wherein the phosphor is applied to a surface of the illumination port window with an adhesive.

6. The endoscope of claim 4, wherein the phosphor is incorporated into the window.

7. The endoscope of claim 1, wherein the image sensor serially transmits the image signals to a remote camera card in the control cabinet on at least two leads with differential signaling.

8. The endoscope of claim 7, wherein the image sensor receives an externally generated clocking signal used to serially transmit the image signals.

9. The endoscope of claim 1, wherein the shaft includes:

an articulation joint at or adjacent the distal end of the shaft for allowing the distal end to be selectively oriented; and

a number of control cables that orient the distal end of the shaft in a desired direction.

10. An imaging system for use with an endoscope, comprising:

a cap having a front face having openings therein for the disbursement of illumination light and the capture of imaging light;

a heat exchanger that is fitted within the cap, the heat exchanger including;

one or more illumination sources;

a channel in thermal contact with the one or more illumination sources through which a cooling material is passed to remove heat generated by the one or more illumination sources;

an image sensor;

a lens assembly; and

a recess into which the lens assembly is fitted and aligned with the image sensor.

11. The imaging system of claim 10, wherein the cap has windows therein that are aligned with the one or more illumination sources.

12. The imaging system of claim 11, wherein the windows have a phosphor coating thereon.

13. The imaging system of claim 12, wherein the phosphor coating is mixed with an epoxy.

14. The imaging system of claim 13, wherein the epoxy is curable with an ultraviolet light.

15. The imaging system of claim 10, wherein the cap has a flushing port molded into the front face of the cap that directs a flushing liquid over a surface of the lens assembly.

16. An endoscope for use in imaging an internal body cavity of a patient, comprising:

a shaft having a proximal end and a distal end and one or more lumens therein;

means disposed at the distal end of the shaft for allowing the distal end of the shaft to be directed in a desired direction;

imaging means disposed at the distal end of the shaft for illuminating the body cavity and producing image signals that are representative of the body cavity, the imaging means including means for receiving an externally generated clocking signal used to transmit the image signals serially to a remotely located camera card; and

means for selectively coupling the proximal end of the shaft to a control cabinet.

17. The endoscope of claim 16, wherein the imaging means comprises:

a cap having at least one illumination port and an imaging port therein;

one or more illumination sources within the cap;

a heat exchanger within the cap, the heat exchanger including;

a channel in a thermal connection with the one or more illumination sources through which a cooling medium is passed to remove heat generated by the one or more illumination sources;

an image sensor to produce image signals;

a lens assembly; and

a channel that aligns the lens assembly with the image sensor.

18. The endoscope of claim 17, wherein the illumination port includes means for altering the illumination light from the one or more illumination sources.

19. The endoscope of claim 17, wherein the means for altering the illumination light is a phosphor coating on the at least one illumination port.

20. An imaging system for use with a medical device having a distal end that is inserted into a patient, and a proximal end that remains outside of the patient, comprising:

an imaging assembly at or adjacent the distal end of the medical device, the imaging assembly including;

one or more illumination light sources;

an image sensor that produces image signals representative of a scene illuminated by the illumination light source; and

a serializer that serially transmits the image signals to a remotely located camera card; and

a receiver that receives an externally generated clock signal for the serializer.

21. The imaging system of claim 20, wherein the illumination light source includes one or more LEDs.

22. The imaging system of claim 20, wherein the illumination light source includes an illumination light guide.

23. The imaging system of claim 20, wherein the serializer transmits the image signals differentially on a pair of shielded wires to a camera card.

24. An endoscope comprising:

a flexible elongate shaft having a distal end that is inserted into a patient and a proximal end that remains outside the patient;

a mechanism for selectively orienting the distal end of the endoscope; and

an illumination source at or adjacent the distal end of the shaft that produces a flashing light so that the distal end of the shaft can be seen through the patient'"'"'s body.

25. The endoscope of claim 24, wherein the flashing light has a frequency of 8-14 hertz.

26. The endoscope of claim 24, wherein the illumination source includes one or more LEDs.

27. The endoscope of claim 24, wherein the illumination source includes a fiber optic illumination guide.

28. The endoscope of claim 24, fruther comprising an image sensor that produces image signals representative of tissue illuminated by the illumination source, the image signals being displayed on a video monitor, wherein the image sensor or video monitor is disabled when the illumination source produces the flashing display.

29. A system for producing images of an internal body cavity of a patient, comprising:

an elongate medical device having a distal end that is inserted into the patient;

an illumination source that produces illumination light at the distal end of the elongate medical device;

an image sensor for producing image signals representative of tissue illuminated by the illumination light;

a display on which images produced from the image signals are displayed; and

a controller for pulsing the illumination source to produce a flashing illumination and for creating a flicker-free display during the pulsing of the illumination source in order to see the distal end of the medical device through the patient'"'"'s body.

30. The system of claim 29, wherein the display is flicker-free by displaying a static image.

31. The system of claim 29, wherein the display is flicker-free by disabling the image sensor.

32. The system of claim 29, wherein the display is flicker-free by turning off the display.

33. The system of claim 29, wherein the display is flicker-free by disabling electronics that process image signals from the image sensor.