An active endoscope with small sweep volume that preserves image orientation for arthroscopic surgery.

Affiliation

Ryu G(1)(2), Kim J(1), Park C(3), Kim K(1)(2).
Author information:
(1)Robotics & Media Institute, Korea Institute of Science and Technology, Seoul, Republic of Korea.
(2)Division of Bio-Medical Science & Technology, Korea Institute of Science and Technology School, University of Science and Technology, Daejeon, Republic of Korea.
(3)Medical Device Development Center, Daegu-Gyeongbuk Medical Innovation Foundation, Daegu, Republic of Korea.

Abstract

BACKGROUND: Microsurgery is generally performed in narrow spaces with limited movement. Endoscopes that allow for angle changes have been developed using elastic materials, but they require a large bending space. We propose a new endoscope with a small sweep volume for angle changes. METHODS: We fabricated a prototype with a thumb-operated joystick. The image sensor is attached to the tooltip. The image signal is input to a motor control board which computes inverse kinematics and transforms it into joint angle values. Each axis is positioned according to these values. RESULTS: The tooltip sweeping volume was 104 mm3 . Surgeons at the Asan Medical Center used our endoscope to obtain images of the biceps tendon and subscapularis joints of a cadaver. CONCLUSION: Currently, a low-resolution image sensor is attached to endoscope tooltips. In the future, we will develop a high-resolution image module equipped with an ultra-small complementary metal oxide semiconductor sensor.