System with an endoscope device

Abstract

The invention relates to a system with an endoscope device (10), comprising: a shaft (20) with a shaft longitudinal axis (30); an actuating shaft (40) which is movable parallel to the shaft longitudinal axis (30); and a camera module (50) which is pivotably mounted on the shaft (20) and has a stereoscopic image acquisition unit (60), wherein the camera module (50) can be deflected from an insertion position to an image acquisition position by moving the actuating shaft (40) relative to the camera module (50) parallel to the shaft longitudinal axis (30) and / or by moving the camera module (50) relative to the actuating shaft (40), wherein in the image acquisition position the camera module (50) defines a viewing direction which is angled to the shaft longitudinal axis (30), and wherein in the image acquisition position the stereoscopic image acquisition unit (60) is rotatably mounted to erect the image relative to the actuating shaft (40).

Description

[0001] The present invention relates to a system with an endoscope device, in particular with a stereo laparoscope.

[0002] In minimally invasive surgery, endoscopes are state-of-the-art, enabling the creation of magnified images of an examination area within a patient's body. For improved visualization, endoscopes are equipped with stereoscopic imaging units that can display the surroundings to a surgeon and / or another user in 3D and / or 2D.

[0003] To provide the surgeon and / or other users with a good overview, the image acquisition units are usually angled towards a longitudinal axis of the endoscope in order to visualize images perpendicular to the endoscope's longitudinal axis, thus providing a so-called oblique view. Endoscopes with a 30°, 45°, 60°, or 75° oblique view are most commonly used for this purpose.

[0004] When designing endoscopes with stereoscopic image acquisition units that are intended to provide an oblique view during use, it is particularly challenging to reduce the outer diameter to such an extent that the minimally invasive procedure can be kept to a minimum. Furthermore, to improve user orientation during 3D and / or 2D imaging, the image from the image acquisition unit should ideally be erectable. While 2D images can be erected electronically, this is not possible with 3D images. In this case, image erection can be achieved, for example, through complex mechanical systems for moving the individual image sensors.

[0005] Furthermore, sufficient light must be provided at the distal end of the endoscope to adequately illuminate the inside of the patient's body in order to record the best possible images.

[0006] In addition, endoscopes can be used for medical imaging to visualize different types of tissue, such as organs, blood vessels, and / or tumor tissue, at varying depths under the skin or within body cavities. Fluorescence imaging techniques are employed to better differentiate these tissue types. For this, the patient is administered a medication containing a fluorescent dye, particularly fluorophores, which is deposited in one of the different tissue types. Especially with these fluorescence imaging techniques, it is crucial to provide sufficient excitation light at the distal end of the endoscope to adequately stimulate the fluorescent substances.

[0007] Conventional endoscopes with oblique viewing utilize distal prisms to achieve this oblique view. Integrating sufficient illumination fibers presents a significant challenge, particularly in oblique-viewing endoscopes, as the distal prisms severely restrict the available space within the endoscope for fiber optic integration.

[0008] Furthermore, it is important to be able to flush the distal end of the endoscope during use. A fluid is typically used for flushing the distal end of the endoscope, which is delivered to the distal end via appropriate tubing. However, integrating this tubing into some endoscopes requires an additional flushing shaft, which must be attached to the endoscope. This additional shaft unnecessarily increases the outer diameter of the endoscope. Consequently, a trocar with a larger diameter must be used, further complicating the minimally invasive procedure.

[0009] DE10004264C2 shows a stereo camera that can be extended from the shaft of an endoscope via joints. The extension is controlled by advancing an instrument, which keeps the instrument within the camera's field of view.

[0010] WO2014104405A1 describes an endoscope with an articulated stereo camera that can be moved into the angled position by a sliding mechanism.

[0011] A similar mechanism is also known from EP2123225A1.

[0012] US11064867B2 discloses an endoscope wherein a distal camera unit is deflected outwards by advancing a hollow shaft within the instrument and thus moved into a position offset laterally to the shaft.

[0013] Other similar instruments are known from the documents US 11439429 B2, DE 10 2019 114 817 A1, US 2005 / 0020883 A1, US 2017 / 0325 669 A1, US 2003 / 0220541 A1, US 2011 / 0 306 832 A1, DE 10 2020 132 776 A1 and US 2021 / 0186558 A1.

[0014] Based on the prior art, the invention is based in particular, but not limited to, the objective of creating an endoscope with oblique viewing that enables a user to intuitively erect the image.

[0015] Furthermore, starting from the prior art, the invention is based in particular, but not limited to, the objective of providing, with the smallest possible minimally invasive intervention and plenty of space for the integration of lighting fibers and / or fluid lines, for example.

[0016] At least one of these problems is solved according to the invention by a system with an endoscope device as described herein and defined in the claims.

[0017] The present invention provides a system with an endoscope device comprising a shaft with a longitudinal axis. The endoscope device further comprises an actuating shaft that is movable parallel to the longitudinal axis of the shaft. The endoscope device also includes a camera module that is pivotably mounted on the shaft. The camera module further comprises a stereoscopic image acquisition unit. The camera module can be deflected from an insertion position to an image acquisition position by moving the actuating shaft relative to the camera module, in particular to a position next to the camera module, parallel to the longitudinal axis of the shaft. Alternatively and / or additionally, the camera module can be deflected from an insertion position to an image acquisition position by moving the actuating shaft relative to the camera module, in particular to a position next to the actuating shaft.In the image acquisition position, the camera module defines a viewing direction that is angled relative to the longitudinal axis of the shaft. Additionally, in the image acquisition position, the stereoscopic image acquisition unit is mechanically rotatable for image erection. Specifically, in the image acquisition position, the stereoscopic image acquisition unit is mechanically rotatable relative to the operating shaft for image erection. For example, in the image acquisition position, the stereoscopic image acquisition unit is rotatably mounted relative to the operating shaft for image erection.

[0018] In particular, the endoscope is inserted into the patient's body in the insertion position. For example, the endoscope can be inserted through a trocar. In the image acquisition position, the endoscope has a specific oblique angle. This angle can be, for example, 30°, 45°, 60°, or 75°. For example, in the image acquisition position, the endoscope can be configured to record an image of an environment, such as the inside of the patient's body.

[0019] In particular, the shaft extends from a proximal end to a distal end of the endoscope device. The shaft is preferably rigid and / or flexible. It is preferably round and / or angular. Preferably, the shaft is made entirely or partially of metal, plastic, and / or ceramic. The longitudinal axis of the shaft runs, in particular, from the proximal end to the distal end. In particular, the longitudinal axis of the shaft passes through the center point of a cross-section of the shaft and / or parallel to a principal direction of extension of the shaft.

[0020] The camera module surrounds, in particular, the stereoscopic image acquisition unit. The image acquisition unit is specifically housed within the camera module and thus protected by the camera module and / or by a housing of the camera module.

[0021] In particular, the stereoscopic camera module is positioned at the distal end of the actuating shaft in its insertion position. The stereoscopic camera module is movably attached to the shaft or pivotably mounted on it. The actuating shaft is, in particular, mounted onto the shaft. The stereoscopic camera module comprises a stereoscopic image acquisition unit.

[0022] The stereoscopic image acquisition unit can comprise a first image acquisition device and a second image acquisition device, each sensitive to light in a specific spectral range. Furthermore, the stereoscopic image acquisition unit can comprise a third image acquisition device and / or a fourth image acquisition device, which, for example, are sensitive to light in a further spectral range. In particular, the stereoscopic image acquisition unit is a 3D camera system. The first image acquisition device and / or the second image acquisition device can, in particular, comprise sensors and prisms mounted back-to-back. Furthermore, the first image acquisition device and / or the second image acquisition device and / or the third image acquisition device and / or the fourth image acquisition device can comprise filters and / or optics.

[0023] Using the first and second image acquisition units, stereo imaging can be performed in a first spectral range. Using the third and / or fourth image acquisition units, stereo imaging can be performed in a second spectral range. This allows for fluorescence stereo imaging using the third and / or fourth image acquisition units. To enable fluorescence imaging, the image acquisition units can include additional image sensors that are light-sensitive in different spectral ranges. The first and second image acquisition units can each include a first image sensor that is light-sensitive, at least predominantly, in the first spectral range, which is primarily associated with visible light.The first image sensor enables image acquisition in the wavelength range of visible light. This corresponds, for example, to white light image acquisition. The third and fourth image acquisition units can each include a second image sensor that is sensitive at least predominantly in the second spectral range, which is primarily associated with near-infrared light. This means that the second image sensor enables image acquisition in the wavelength range of near-infrared light.

[0024] Alternatively, the first and second image acquisition devices can be sensitive in both the visual and near-infrared ranges and capture images, such as fluorescence images, in both wavelength ranges.

[0025] The stereoscopic camera module is deflected from its insertion position to the image acquisition position by moving the actuating shaft, specifically by pushing the actuating shaft forward towards one of its distal ends. Alternatively and / or additionally, the camera module can be deflected from its insertion position to the image acquisition position by pulling the camera module back towards one of its proximal ends. In other words, the actuating shaft can be moved parallel to its longitudinal axis alongside the camera module, specifically by pushing the actuating shaft forward towards the patient's body next to the camera module and / or by pushing the camera module back out of the patient's body next to the actuating shaft. This deflection of the stereoscopic camera module achieves the oblique viewing angle of the stereoscopic image acquisition unit.In other words, by deflecting the stereoscopic camera module, the camera module defines a viewing direction that is angled relative to the longitudinal axis of the shaft. This oblique viewing angle can be, for example, 30°, 45°, 60°, and / or 75°.

[0026] In particular, the stereoscopic camera module and / or the stereoscopic image acquisition unit includes an input optic that defines an optical axis. The viewing direction is specifically along the optical axis.

[0027] In the image acquisition position, the stereoscopic image acquisition unit is rotatable relative to the camera module and / or relative to the shaft and / or relative to the actuating shaft. In particular, the stereoscopic image acquisition unit is mechanically rotatable for image erection. For example, the stereoscopic image acquisition unit is rotatably mounted for this purpose.

[0028] Image erection is used to orient an image, such as one recorded by the camera module. When a user rotates the endoscope, the image acquisition unit also rotates, resulting in a rotation of the image on a screen. Such a rotation can make orientation difficult for the user because the spatial directions in the image and in reality differ. For example, a direction that is "up," relative to a horizon or the direction of gravity, might appear to be rotated downwards or sideways in the image. To improve orientation, it is common practice to electronically reverse normal images. However, this is not possible with stereoscopic images, as rotating the endoscopic device also rotates the stereo base. This cannot be electronically reversed.It is advantageously possible in this case to also erect a stereo image by rotating the image capture unit, so that a stereo impression is maintained and the spatial directions in the image correspond to reality or a user setting.

[0029] In particular, the stereoscopic image acquisition unit is rotatably mounted even in the insertion position of the camera module. The stereoscopic image acquisition unit can rotate independently of the image acquisition position. This makes it possible to decouple the image erection of the stereoscopic image acquisition unit from the image acquisition position and / or the oblique viewing angle of the endoscope.

[0030] To ensure easy and smooth rotation of the image acquisition unit, it can be rotatably mounted within the camera module. Alternatively, the stereoscopic image acquisition unit can be designed to rotate together with the camera module. In this case, particularly in the image capture configuration, the camera module can be mounted on the actuating shaft.

[0031] For ease of use, the image acquisition unit can be rotatable via a cable, particularly for image orientation. This cable can be a torsion cable and / or a power cable. The torsion cable can, for example, run directly alongside the power cable, reinforce the power cable, and / or encase the power cable. The cable can be connected to an electronic unit, especially a camera control unit (CCU), or the cable can connect the camera module to the electronic unit. The cable can be rotated, for example, by a gearbox, which may be electrically driven. Alternatively, the cable can be rotated manually, for example, by the user. The cable can also be rotated together with the electronic unit.

[0032] To allow for space-saving insertion of the endoscope device into the body, the cable can be integrated into the shaft during insertion. This makes it possible to use trocars with the smallest possible diameter, thus minimizing the invasiveness of the procedure. Furthermore, the shaft can, for example, have a slot into which the cable can be inserted. During image acquisition, the cable can protrude from the shaft. This allows the cable to rotate very easily, and thus the image orientation can be adjusted very smoothly.

[0033] In the image acquisition position, the actuating shaft can at least partially accommodate the stereoscopic camera module. In particular, the actuating shaft accommodates the stereoscopic camera module to enable the oblique viewing angle of the stereoscopic image acquisition unit. Furthermore, especially to achieve this oblique viewing angle in the image acquisition position, the surface normal of a distal end face of the actuating shaft can be perpendicular to the shaft's longitudinal axis. For example, the surface normal of the distal end face of the actuating shaft runs parallel to the optical axis of the camera module.

[0034] To reduce contamination between the camera module and the actuator shaft, for example, a distal end of the actuator shaft can be flush with a distal end of the camera module, particularly in the image acquisition position. "Flush" specifically means that slight deviations between the distal end of the actuator shaft and the distal end of the camera module are permitted.

[0035] The actuating shaft may, in particular, have a receptacle into which the camera module is at least partially received. The camera module may, in particular, be pressed onto the receptacle or biased against it in the image capture position. The receptacle may furthermore be angled with respect to a longitudinal axis of the actuating shaft and / or the shaft's longitudinal axis. The receptacle may also be adapted to the shape of the camera module. For example, the receptacle may form and / or have a semicircular, angular, and / or U-shaped recess. Additionally, the camera module may be rotatably mounted with respect to the receptacle.

[0036] To ensure that the camera module rests securely on the operating shaft and / or the mounting, the camera module can, particularly in the image capture position, rest on the operating shaft, especially on the mounting of the operating shaft. Furthermore, particularly in the image capture position, the camera module can be biased against the operating shaft, especially against the mounting of the operating shaft, and in particular pressed against it.

[0037] To define the movement between the camera module and the shaft, the camera module can be pivotally mounted on the shaft by means of a swivel device.

[0038] To ensure secure positioning of the camera module, the camera module can be pressed against the actuating shaft, in particular against the receptacle of the actuating shaft, by the swivel device.

[0039] To define the movement between the camera module and the shaft and to ensure smooth panning, the panning device has a first pivot joint and a second pivot joint. The first and second pivot joints can be spaced apart. In particular, the first pivot joint is connected to the shaft and the second pivot joint to the camera module.

[0040] To ensure secure positioning of the camera module, the first swivel joint and / or the second swivel joint can have a torsion spring that presses the camera module onto the actuating shaft in the image capture position.

[0041] To illuminate the body's interior, the operating shaft can have at least one light-extracting surface designed to direct illumination distally. This light-extracting surface can be formed, in particular, by optical fibers and / or optics and / or LEDs.

[0042] The actuator shaft can include at least one optical fiber and / or lighting fibers, and / or at least one fluid line extending along a longitudinal axis of the actuator shaft. Because the fluid lines extend along the longitudinal axis of the actuator shaft, they are not bent and therefore exhibit greater durability. Furthermore, this results in significantly less frictional fluid loss and allows for at least a largely laminar fluid flow.

[0043] Additionally, the actuator shaft can have at least one opening for a light guide to couple illumination light distally. Alternatively and / or additionally, the actuator shaft can have at least one opening for a fluid line to allow the distal end of the actuator shaft to be cleaned, in particular by means of a fluid, especially air, especially compressed air, and / or gas, especially sterile gas, and / or water. Specifically, the fluid cleans the camera module, especially the image acquisition unit, and / or the light-emitting surface and / or the at least one opening of the light guide and / or at least one opening of the fluid lines. Furthermore, alternatively and / or additionally, a fluid, especially compressed air, and / or gas, especially sterile gas, and / or water and / or blood and / or other bodily fluids, can be aspirated from the distal end through the at least one fluid line.In particular, the optical fiber and / or the fluid line can exit the actuator shaft through at least one opening. Specifically, the illumination light from the optical fiber and / or the fluid from the fluid line can exit the actuator shaft through this opening, and / or the fluid can be drawn off from the distal end through this opening.

[0044] For cost-effective manufacturing, the actuating shaft is made of plastic. Furthermore, the at least one fluid line of the actuating shaft can be connected to at least one supply line. By connecting the at least one supply line to the at least one fluid line of the actuating shaft, the supply lines can be flexible at a proximal end. This allows the at least one supply line to be connected directly to a pump unit and / or insufflation unit without a separate interface.

[0045] Furthermore, at least one component of the business unit and / or the business unit can be designed as a one-off part in order to reduce cleaning costs.

[0046] To ensure that virtually no fluid escapes from the endoscope device at an unwanted location, the actuating shaft can be sealed to the shaft by means of a sealing element, in particular by means of an O-ring.

[0047] To better adapt the operating shaft to its functions, or to improve the adaptation of individual parts of the operating shaft to their functions and / or use, the operating shaft may, in particular, have a receiving shaft. Specifically, the receiving shaft has a channel into which the shaft can be inserted.

[0048] To better adapt the operating shaft to its respective functions, or to improve the adaptation of individual parts of the operating shaft to their functions and / or use, the operating shaft may, in particular, include an illumination rod in addition to or as an alternative to the receiving shaft. Specifically, the illumination rod may have at least one light-extracting surface, in particular light-extracting illumination fibers and / or light-extracting optics, configured to extract illumination light distally.

[0049] To achieve a simple modular design of the operating shaft, the receiving shaft has a channel into which the lighting rod can be inserted.

[0050] To provide illumination, the lighting rod can include at least one light guide extending along a longitudinal axis of the lighting rod. For example, the light guide can be coupled to the light-extracting optical element.

[0051] For cost-effective manufacturing, the receiving shaft can be made of plastic. In particular, the receiving shaft can be designed as a disposable part to avoid the need for time-consuming cleaning.

[0052] To extend its service life, the lighting rod can be made of metal, at least at one distal end or partially. In particular, the lighting rod is designed to be reusable and, especially, autoclavable.

[0053] To allow for flexible connection of the optical fiber to a light source, the fiber can be routed outside the patient's body or trocar, from the proximal end of the illumination rod and / or actuator shaft, through a flexible tube to the light source. Specifically, the optical fiber can run continuously from the distal end to the proximal end of the illumination rod and / or actuator shaft. For example, the optical fiber runs from the distal end to the proximal end of the illumination rod and / or actuator shaft without interruption or any additional connection points. By avoiding the connection points, or by ensuring that the optical fiber runs continuously and without interruption from the proximal end to the distal end of the illumination rod and / or actuator shaft, light loss can be significantly reduced.In this context, the inventors realized that the light loss can be reduced by 30% compared to similar optical fibers connected by an interface.

[0054] To increase the lifespan and light output of the optical fiber, the fiber can be pre-bent and / or polished at a distal end of the illumination rod and / or the actuating shaft in the direction of view. This means that, in particular, a different illumination rod and / or actuating shaft can be provided for each viewing direction, and these can be flexibly interchangeable. Specifically, the various interchangeable illumination rods and / or actuating shafts can be used flexibly with a fixed shaft on which the camera module is pivotably mounted. Furthermore, the optical fiber can be bonded to the illumination rod and / or the actuating shaft, especially at its distal end.

[0055] To prevent fluid from leaking between the shaft and the receiving shaft, the receiving shaft can have at least one sealing element, in particular an O-ring, that seals against the shaft. To prevent fluid from leaking between the lighting rod and the receiving shaft, the receiving shaft can have at least one sealing element, in particular an O-ring, that seals against the lighting rod.

[0056] To achieve a simple modular design, the mounting shaft can, in particular, have a recess into which the camera module is at least partially inserted. To define the camera module, especially in the image capture phase, the camera module can, in particular, be pressed onto the recess.

[0057] To achieve the oblique viewing angle of the camera module and / or the image acquisition unit, the receptacle can be angled relative to a longitudinal axis of the operating shaft and / or a longitudinal axis of the receiving shaft. For example, the receptacle can be designed as a semicircular and / or angular and / or U-shaped recess to securely hold the camera module. Alternatively or additionally, the receptacle can be adapted to the shape of the image acquisition unit.

[0058] To ensure simple and / or user-friendly image setup, the camera module in particular can be rotatably mounted with respect to the recording.

[0059] To define the camera's position in the image acquisition, the camera module can rest on the camera shaft, particularly in the image acquisition position. Specifically, to achieve the oblique viewing angle of the endoscope device, a surface normal of a distal end face of the camera shaft and / or the illumination rod can run perpendicular to the shaft's longitudinal axis. Alternatively, or furthermore, in the image acquisition position, a distal end of the camera shaft and / or the illumination rod can be flush with a distal end of the camera module.

[0060] In particular, the receiving shaft can include at least one fluid line extending along a longitudinal axis of the receiving shaft. This prevents the fluid line from bending within the receiving shaft. This increases the service life of the fluid line and reduces the frictional losses of the fluid conveyed through the fluid line. The receiving shaft can, in particular, have at least one opening for a fluid line. For example, the fluid line and / or the fluid can exit the receiving shaft through at least one opening.

[0061] The invention comprises a system with an endoscope device as described herein and defined in the claims, and a further actuating shaft that can be used in place of the actuating shaft. To enable multiple viewing directions and / or oblique views, the actuating shaft can, in particular, define a first image acquisition position with a first viewing direction. Furthermore, the additional actuating shaft can, in particular, define a second image acquisition position with a second viewing direction different from the first. Thus, multiple actuating shafts can be used in the system to enable different viewing directions and / or oblique views, each providing a different oblique view and / or a different viewing direction.

[0062] Furthermore, the invention comprises a system with an endoscope device as described herein and defined in the claims, comprising an actuating shaft with a receiving shaft and an illumination rod. The actuating rod particularly includes at least one further receiving shaft that can be used in place of the receiving shaft. To enable multiple viewing directions and / or oblique views, the receiving shaft can, in particular, define a first image acquisition position with a first viewing direction. Furthermore, the additional receiving shaft can, in particular, define a second image acquisition position with a second viewing direction different from the first. Thus, several different receiving shafts, each providing a different oblique view and / or a different viewing direction, can be used in the system to enable different viewing directions and / or oblique views.The lighting rod, on the other hand, can be designed in such a way that it can be used with different camera shafts. Alternatively, a separate lighting rod can be used for each camera shaft, which in particular has a light-emitting surface that emits light in the direction of view achieved with the respective camera shaft.

[0063] The present invention is described below by way of example with reference to the accompanying figures. The drawing, the description, and the claims contain numerous features in combination. A person skilled in the art will expediently consider the features individually and use them meaningfully in combination within the scope of the claims.

[0064] If more than one instance of a particular object exists, only one of them may be identified with a reference symbol in the figures and description. The description of this instance can then be applied to the other instances of the object. If objects are named using numerical terms, such as first, second, third object, etc., these serve to identify and / or classify objects. Thus, for example, a first object and a third object, but not a second object, may be included. However, numerical terms could also indicate a number and / or sequence of objects.

[0065] They show: Fig. 1 an exemplary embodiment of an endoscope device according to the invention; Fig. 2 an exemplary embodiment of an endoscope device according to the invention in an image recording position; Fig. 3 a distal view of an exemplary embodiment of an endoscope device according to the invention in the image acquisition position; Fig. 4 an exemplary embodiment of a stereoscopic camera module according to the invention, which is pivotably mounted on the shaft; Fig. 5 a distal view of the exemplary embodiment shown in Fig. 4 is shown; Fig. 6 an exemplary embodiment of a lighting rod according to the invention; Fig. 7 a distal view of the exemplary embodiment shown in Fig. 6 is shown; Fig. 8 an exemplary embodiment of a receiving shaft according to the invention; Fig. 9 a distal view of an exemplary embodiment of a receiving shaft according to the invention.

[0066] Fig. Figure 1 shows an exemplary embodiment of an endoscope device 10 according to the invention in an insertion position in which the endoscope device 10 can be inserted into the interior of a patient's body, for example by means of a trocar 200. Fig. Figure 2 shows an exemplary embodiment of an endoscope device 10 according to the invention in an image recording position of the camera module 50.

[0067] The endoscope device 10 comprises, in both embodiments, the following: Fig. 1 and Fig. Figure 2 shows a stereoscopic camera module 50, which is pivotably mounted on a shaft 20, and an actuating shaft 40. The shaft 20 has a longitudinal axis 30 extending from a proximal end to a distal end of the shaft 20. For example, the shaft 20 can extend through the actuating shaft 40. For example, the camera module 50 can be pivotably mounted on the shaft 20 by means of a pivoting device 100. In particular, the pivoting device 100 comprises a first pivot joint 110 and a second pivot joint 120, as well as a bridge connecting the first pivot joint 110 and the second pivot joint 120. The first pivot joint 110 can, for example, be connected to the camera module 50, and the second pivot joint 120 can, for example, be connected to the shaft 20.

[0068] The second pivot joint 120 can, for example, be mounted on one side of the shaft 20 and / or on both sides of the shaft 20. The second pivot joint 120 can, for example, comprise a shaft that passes through the shaft 20 and is rigidly connected to the web. The second pivot joint 120 can thus be rotatably mounted to the shaft 20 via the shaft. In particular, the mounting is achieved by means of a sliding bearing between the shaft 20 and the shaft.

[0069] The first pivot joint 110 can, for example, be mounted on one side of the camera module 50 and / or on both sides of the camera module 50. The first pivot joint 110 can, for example, include a shaft that passes through the camera module 50 and is rigidly connected to the bridge. The first pivot joint 110 can thus be rotatably mounted to the camera module 50 via the shaft. In particular, the mounting is achieved by means of a sliding bearing between the camera module 50 and the shaft.

[0070] Additionally, the camera module 50 can be connected to a cable 70. The camera module can be rotated in its image-capturing position via the cable 70, particularly for image orientation. Specifically, the cable 70 can comprise a power supply cable and a torsion cable. For example, the torsion cable can encase the power supply cable.

[0071] To enable the swivel device 100 to press the camera module 50 onto the actuating shaft 40, the first pivot joint 110 and / or the second pivot joint 120 can have a torsion spring. The torsion spring can be pre-tensioned by the deflection of the swivel device 100 by moving the actuating shaft 40 next to the camera module 50. In particular, the torsion spring is pre-tensioned such that it exerts a rotational torque on the swivel device 100. This rotational torque allows the camera module 50 to be pressed onto the actuating shaft 40.

[0072] The actuating shaft 40 and / or the receiving shaft 170 described later can, for example, have a receptacle 175 into which the camera module 50 can be received to define the image acquisition position of the camera module 50. In particular, the receptacle 175 can have a round and / or angular geometry. Preferably, the receptacle 175 is adapted to the shape of the camera module 50.

[0073] An optical fiber 150 can pass through the actuating shaft 40, the light from which exits the actuating shaft 40 via a light-extracting surface 140 and which extends along a longitudinal axis 45 of the actuating shaft 40. The light-extracting surface 140 is, for example, arranged at the distal end of the actuating shaft 40. The light-extracting surface 140 can alternatively and / or additionally be formed by, for example, an LED. Preferably, the light-extracting surface 140 is angled at a similar and / or identical angle to the longitudinal axis 30 of the shaft at which the camera module 50 is angled to the longitudinal axis 30 of the shaft in the image acquisition position. That is, the light-extracting surface 140 is preferably oriented in a direction that corresponds to the oblique viewing angle of the endoscope device 10 in the image acquisition position.

[0074] Furthermore, at least one fluid line 160 can pass through the actuating shaft 40 and extend along the longitudinal axis 45 of the actuating shaft 40. A fluid, for example water and / or air and / or gas, can be conveyed through the at least one fluid line 160 from a proximal end of the actuating shaft 40 to a distal end of the actuating shaft 40.

[0075] In particular, the fluid exits the actuating shaft 40 through at least one opening. This at least one opening is preferably located at the distal end of the actuating shaft 40. For example, and / or preferably, the distal end of the actuating shaft 40 is angled at a similar and / or identical angle to the shaft's longitudinal axis 30 as the angle at which the camera module 50 is angled to the shaft's longitudinal axis 30 in the image acquisition position. That is, the at least one opening is preferably oriented in a direction corresponding to the oblique viewing angle of the endoscope device 10 in the image acquisition position.

[0076] The operating shaft 40 can comprise a receiving shaft 170 and a lighting rod 180. The operating shaft 40 can also be configured as a receiving shaft 170. The receiving shaft 170 and the lighting rod 180 can be separate components. In particular, the lighting rod 180 can be guided through the receiving shaft 170 or inserted through the receiving shaft 170. However, the receiving shaft 170 and the lighting rod 180 can also form a single component or a connected component. Furthermore, the receiving shaft 170 can have a cavity for receiving the shaft 20.

[0077] The mounting shaft 170 can be configured to hold the camera module 50 in the image acquisition position, thus enabling the oblique viewing angle of the camera module 50. Furthermore, the mounting shaft 170 can include at least one fluid line 160 and at least one opening for which at least one fluid line is provided. For example, the mounting shaft 170 is made of plastic. Additionally, the mounting shaft 170 can be manufactured in such a way that it is suitable for single use only.

[0078] The illumination rod 180 can comprise at least one light guide 150. The light guide 150 can extend from a proximal end of the illumination rod 180 to a distal end of the illumination rod 180 and emerge from the distal end 178 of the receiving shaft 180 in the form of the light-emitting surface 140. For example, the illumination rod 180 is at least partially formed from a durable material, such as metal, and / or encased in the durable material.

[0079] As in Fig. As shown in Figure 1, the camera module 50 can be arranged at a distal end of the actuating shaft 40 to facilitate the insertion of the endoscope device 10 through the trocar. This allows the endoscope device 10 to be inserted into the patient's body through the trocar 200, even though the camera module 50 and the actuating shaft 40 both fill one inner diameter of the trocar.

[0080] As in Fig. As shown in Figure 2, the camera module 50 can be deflected by the swivel device 100 by moving and / or advancing the actuating shaft 40 towards the interior of the patient next to the camera module 50 and / or by retracting the camera module 50 from the interior of the patient next to the actuating shaft 40, such that the camera module 50 is pressed against the actuating shaft 40 in the image acquisition position. In particular, a distal end 90 of the camera module 50 is flush with a distal end 80 of the actuating shaft 40 in the image acquisition position. For example, the distal end 90 of the camera module 50 can be parallel to the distal end 80 of the actuating shaft 40 in the image acquisition position. The camera module 50 is rotatably mounted relative to the actuating shaft 40, as indicated by an arrow.The camera module 50 can be rotated manually or by a motor, for example by rotating the cable 70 connected to the camera module 50 to rotate the stereo base of the camera module and erect an image.

[0081] Fig. Figure 3 shows a distal view of an exemplary embodiment of an endoscope device 10 according to the invention in the image acquisition position. Fig. Figure 3 shows the distal end 90 of the camera module 50 and the distal end 80 of the actuating shaft 40. In the exemplary embodiment shown in Fig. As shown in Figure 3, the operating shaft 40 comprises the receiving shaft 170 and the lighting rod 180. Therefore, the Fig. 3 also the distal end 178 of the receiving shaft 170 and the distal end 188 of the illumination rod 180.

[0082] The camera module 50 is connected to the shaft on the proximal side by the swivel device 100. Furthermore, the camera module is connected to the cable 70 on the proximal side. In the distal view of the exemplary embodiment of the endoscope device 10, which is shown in Fig. As shown in Figure 3, the swivel device 100 and the cable 70 are arranged behind the camera module 50 and are therefore obscured by the camera module 50. Therefore, the swivel device 100 and the cable 70 are shown with dashed lines.

[0083] The illumination rod 180 can be inserted into the receiving shaft 170. To ensure that the illumination rod 180 is filled as completely as possible with the light guide and / or at least one light guide, the illumination rod 180 can have guides, in particular guide lugs, 210, 210', 210'', 210''' at its edge, by means of which the illumination rod 180 can be fixed in the receiving shaft 170. A light-extracting surface 140 is arranged at the distal end 188 of the illumination rod 180.

[0084] The distal end 178 of the receiving shaft 170 has openings 176 and 176' for the fluid lines 160 and 160'. In particular, the openings 176 and 176' are located between the guides 210, 210', 210'', 210'''. Preferably, the openings 176 and 176' are arranged such that they can clean the camera module 50, in particular an image acquisition unit (not shown) of the camera module 50, and / or the light-extracting surface 140.

[0085] Furthermore, the mounting shaft 170 has a recess 175 through which the camera module 150 is received in the image acquisition position. Preferably, the recess 175 is adapted to the shape of the camera module 150. For example, the recess 175 can have a semicircular shape and the camera module 150 a round shape. The receptacle 175 can be angled relative to the longitudinal axis 45 of the actuating shaft 40 and / or to the longitudinal axis of the receptacle shaft 170.

[0086] Fig. Figure 4 shows an exemplary embodiment of the stereoscopic camera module 50 according to the invention, which is pivotably mounted on the shaft 20 by means of the pivoting device 100. The pivoting device 100 can comprise a first pivot joint 110 and a second pivot joint 120. In particular, the first pivot joint 110 is connected to the camera module 50 and the second pivot joint 120 to the shaft 20.

[0087] The shaft 20 has the shaft longitudinal axis 30. The camera module 50 is connected to the cable 70. The cable 70 can be, as in Fig. As shown in Figure 4, the cable 70 is guided through the shaft 20. The shaft 20 can have a slot or, for example, a U-shaped receptacle into which the cable 70 is inserted. That is, in the insertion position, the cable 70 can be received into the shaft 20, and in the image acquisition position, the cable 70 can protrude from the shaft 20, or the cable 70 can be driven out of the shaft 20 by the deflection of the camera module 50 into the image acquisition position. This allows the camera module 50 to rotate freely relative to the actuating shaft 40 and the receptacle 175 in the image acquisition position via the cable 70. However, it is also possible for the cable 70 to be guided through the shaft 20 in both the insertion and image acquisition positions. For example, the cable 70 can also be guided through the swivel device 100.

[0088] This can reduce the risk of injury to unwanted areas inside the patient's body.

[0089] Fig. Figure 5 shows a distal view of the exemplary embodiment, which is described in Fig. Figure 4 shows the distal end 90 of the camera module 50. A stereoscopic image acquisition unit 60 is integrated into the camera module 50. The image acquisition unit 60 comprises a first image acquisition device 61 and a second image acquisition device 62. The first image acquisition device 61 and the second image acquisition device 62 can be separated by a stereo base distance.

[0090] Fig. Figure 6 shows an exemplary embodiment of the lighting rod 180 according to the invention. At its distal end 188, the lighting rod 180 has a light-extracting surface 140. For example, the light-extracting surface 140 can, as shown, project from the lighting rod 180 at its distal end 188. However, it is also possible for the light-extracting surface 140 to be integrated into the lighting rod 180 in such a way that it does not project from the lighting rod 180. The light-extracting surface 140 is connected to an optical fiber 150 that passes through the lighting rod 180. In particular, the optical fiber 150 has no interruptions and / or interfaces so that the amount of light transported through the optical fiber 150 to the light-extracting surface 140 can be increased.The distal end 188 of the lighting rod 180 is angled, in particular, to a perpendicular to the shaft's longitudinal axis and / or to a perpendicular to a longitudinal axis of the lighting rod 180. Specifically, the distal end 188 of the lighting rod 180 is angled such that, in the image acquisition position, it is flush with the camera module 50. In other words, the distal end 188 of the lighting rod 180 is angled such that, in the image acquisition position, it is perpendicular and / or approximately perpendicular to the camera module 50's viewing direction.

[0091] Fig. Figure 7 shows a distal view of the exemplary embodiment, which is described in Fig. 6 is shown, or the distal end 188 of the lighting rod 180 with the light-extracting surface 140.

[0092] Fig. Figure 8 shows an exemplary embodiment of the receiving shaft 170 according to the invention, into which the illumination rod 180 is received. The light-extracting surface 140 of the illumination rod 180 protrudes from the receiving shaft 170. Furthermore, the receiving shaft 170 has a fluid line 160 and a fluid line 160°, which pass through the receiving shaft 170. For example, a fluid, in particular air and / or water and / or sterile gas, can be supplied to the distal end 178 of the receiving shaft 170 via the fluid line 160. In addition, for example, another fluid, for example a contaminated fluid, in particular blood and / or air and / or water and / or sterile gas, can be drawn off from the distal end 178 of the receiving shaft 170 via the fluid line 160'.

[0093] Fig. Figure 9 shows a distal view of an exemplary embodiment, which is described in Fig.Figure 8 shows the distal end 178 of the receiving shaft 170. The distal end 178 of the receiving shaft 170 has an opening 176 for the fluid line 160 and an opening 176' for the fluid line 160'. Additionally, the distal end 178 of the receiving shaft 170 can have an opening 177 for the light-extracting surface 140. For example, the opening 176 of the fluid line 160 and the opening 176' of the fluid line 160' can be arranged on opposite sides of the opening 177 for the light-extracting surface 140. In particular, the opening 176 of the fluid line 160 and the opening 176' of the fluid line 160' can be arranged at the same level on opposite sides of the opening 177 for the light-extracting surface 140. Furthermore, the distal end 178 of the receiving shaft 170 can have the receptacle 175 into which the camera module 50 can be received. Reference symbol list 10 Endoscope device 20 shaft 30 Shaft longitudinal axis 40 business 45 Longitudinal axis 50 camera modules 60 image capture units 61 first image capture device 62 second image capture device 70 cables 80 distal end of the actuating shaft 90 distal end of the camera module 100 swivel device 110 first pivot joint 120 second pivot joint 140 light-extracting area 150 fiber optic cables 160 Fluid line 170 admissions 175 recording 176 Opening for the fluid line 177 Opening for the light-extracting surface 178 distal end of the receiving shaft 180 Lighting Rod 188 distal end of the lighting rod 200 trocars 210, 210', 210'', 210''' Leadership

Claims

[1] System, encompassing: an endoscope device (10), comprising: a shaft (20) with a shaft longitudinal axis (30); an actuating shaft (40) which is movable parallel to the longitudinal axis of the shaft (30); and a camera module (50) which is pivotably mounted on the shaft (20) and has a stereoscopic image acquisition unit (60), wherein the camera module (50) can be deflected from an insertion position to an image acquisition position by moving the actuating shaft (40) relative to the camera module (50) and / or by moving the camera module (50) relative to the actuating shaft (40), parallel to the shaft longitudinal axis (30), wherein in the image acquisition position the camera module (50) defines a viewing direction which is angled to the shaft longitudinal axis (30), and wherein in the image acquisition position the stereoscopic image acquisition unit (60) is rotatably mounted to erect the image relative to the actuating shaft (40), and another business activity which can be used in place of the business activity (40), wherein the operating shaft (40) defines a first image capture position with a first viewing direction and wherein the further operating shaft defines a second image capture position with a second viewing direction different from the first viewing direction. [2] System according to claim 1, wherein the image acquisition unit (60) is rotatably mounted in the insertion position of the camera module (50). [3] System according to claim 1 or 2, wherein the image acquisition unit (60) is rotatably mounted within the camera module (50). [4] System according to one of the preceding claims, wherein the image acquisition unit (60) is rotatable for image erection by means of a cable (70), in particular a torsion cable and / or a supply cable. [5] System according to one of the preceding claims, wherein the camera module (50) is at least partially received in the image recording position of the actuating shaft (40). [6] System according to one of the preceding claims, wherein in the image acquisition position a surface normal of a distal end surface of the actuating shaft (40) is angled to the shaft longitudinal axis (30). [7] System according to one of the preceding claims, wherein in the image acquisition position a distal end (80) of the actuating shaft (40) is flush with a distal end of the camera module (90). [8] System according to one of the preceding claims, wherein in the image acquisition position the camera module (50) rests on the actuating shaft (40) and in particular the camera module (50) is biased against the actuating shaft (40). [9] System according to one of the preceding claims, wherein the camera module (50) is pivotably mounted on the shaft (20) by means of a pivoting device (100). [10] System according to claim 9, wherein the camera module (50) is pressed against the actuating shaft (40) by the swivel device (100). [11] System according to one of claims 9 or 10, wherein the swivel device (100) has a first pivot joint (110) and a second pivot joint (120) which are spaced apart from each other, wherein the first pivot joint (110) is connected to the shaft (20), and wherein the second pivot joint (120) is connected to the camera module (50). [12] System according to claim 11, wherein the first pivot joint (110) and / or the second pivot joint (120) has a torsion spring by which the camera module (50) is pressed onto the actuating shaft (40) in the image recording position. [13] System according to one of the preceding claims, wherein the actuating shaft (40) has at least one light-extracting surface (140), in particular light-extracting illumination fibers, which is configured to extract illumination light distally. [14] System according to one of the preceding claims, wherein the actuating shaft (40) comprises at least one optical fiber (150) and / or at least one fluid line (160) extending along a longitudinal axis (45) of the actuating shaft (40). [15] System according to one of the preceding claims, wherein the actuating shaft (40) has at least one opening for a light guide (150) and / or a fluid line (160). [16] System according to one of the preceding claims, wherein the actuating shaft (40) is made of plastic. [17] System according to one of the preceding claims, wherein at least one component of the actuating shaft (40) and / or the actuating shaft (40) is designed as a one-off part. [18] System according to one of the preceding claims, wherein the actuating shaft (40) seals to the shaft (20) by means of a sealing element. [19] System according to one of the preceding claims, wherein the actuating shaft (40) comprises a receiving shaft (170), wherein the receiving shaft (170) has a channel into which the shaft (20) can be inserted. [20] System according to one of the preceding claims, wherein the actuating shaft (40) comprises an illumination rod (180) which has at least one light-extracting surface (140), in particular light-extracting illumination fibers, which is configured to extract illumination light distally. [21] System according to claims 19 and 20, wherein the receiving shaft (170) has a channel into which the lighting rod (180) can be inserted. [22] System according to claim 21, wherein the lighting rod (180) comprises at least one light guide (150) extending along a longitudinal axis of the lighting rod (180). [23] System according to one of claims 19 to 22, wherein the receiving shaft (170) is designed as a single-use part; and / or wherein the lighting rod (180) is reusable and in particular autoclavable. [24] System according to any one of claims 19 to 23, wherein the receiving shaft (170) has at least one sealing element, in particular an O-ring, which seals against the shaft (20), and / or wherein the receiving shaft (170) has at least one sealing element, in particular an O-ring, which seals against the lighting rod (180). [25] System according to one of the preceding claims, wherein the actuating shaft (40) and / or the receiving shaft (170) has a receiving (175) into which the camera module (50) is at least partially received. [26] System according to claim 25, wherein the camera module (50) is pressed onto the recording (175). [27] System according to one of claims 25 or 26, wherein the receiving (175) is angled to a longitudinal axis (45) of the actuating shaft (40) and / or to a longitudinal axis of the receiving shaft (170). [28] System according to one of claims 25 to 27, wherein the receptacle (175) is designed as a semicircular and / or angular recess. [29] System according to one of claims 25 to 28, wherein the receiver (175) is adapted to a shape of the camera module (50). [30] System according to one of claims 25 to 29, wherein the camera module (50) is rotatably mounted with respect to the recording (175).

Images