Endoscopic System

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Endoscopes

Presented by:
Engr. Sajid Ali Akhtar
Type of Endoscope:-

 Gastroscope : Stomach
 Colonoscope: Lower GI
 Duodenoscope: Gall bladder
Gastroscope:
 Used to visualizes the upper part of the gastrointestinal tract down to the duodenum.
Olympus Pentax SonoScape
Field of view 140º 140º 140º
Direction of view Forwarding Forwarding Forwarding
Depth of field 5-100 mm 5-100mm 3-100 mm
Insertion tube outer 9.9 mm 9.9 mm 9.8 mm
diameter
Channel Inner Diameter 2.8 mm 2.8 mm 3.2 mm
Bending Section 210º/90º/100º/100º 210º/120º/120º/ 210º/90º/100º/100º
Up/Down/Left/Right 120º
Working Length 1030 mm 1050 mm 1050 mm
Total Length 1350 mm 1373 mm 1390 mm
Colonoscope:
Used diagnoses the lower GI patient.

Olympus Pentax SonoScape


Field of view 170º 140 140º
Direction of view Forwarding Forwarding Forward Viewing
Depth of field 3-100 mm 2-100 3-100 mm
Insertion tube outer 13.2 mm 13.2 mm 12.5 mm
diameter
Channel Inner 3.7 mm 3.8 mm 3.8 mm
Diameter
Bending Section 180º/180º/160º/160º 180º/180º/160º/160º 180º/180º/160º/160º
Up/Down/Left/Righ
t
Working Length 1680 mm 1700 mm 1350 mm
Total Length 2005 mm 2023 mm 1700 mm
Duodenoscope:
Duodenoscopes are hollow, flexible, lighted tubes that allow doctors to see the top of a
patient's small intestine, or duodenum. Doctors use them in endoscopic retrograde
cholangiopancreatography (ERCP) procedures.

Olympus Pentax
Field of view 100 100
Direction of view side viewing 15° side viewing 10°

Depth of field 5-60 4-60


Insertion tube outer 13.5 mm 13.6 mm
diameter
Channel Inner Diameter 4.2 mm 4.2 mm
Bending Section 120/90/90/110 120/90/90/105
Up/Down/Left/Right
Working Length 1240 mm 1250 mm
Total Length 1560 mm 1570 mm
Endoscopic Ultrasound System:-

Endoscopic ultrasound (EUS) uses gastro scope to assess digestive tract,


stomach and lung diseases.
Used to actual measurement and location of cancer  
Invasive procedure through upper GI
Up to 1.5hr procedure.

Elastography:
It is an application of ultrasound which tell us about
thickness, softness and hardness of tumor
Type Of Endoscopic Ultrasound:-
Radial Scope:-
Radial ultrasound is a diagnostic tool used to assess anatomy of the GI tract and
surrounding structures. This type of imaging provides a 360 degree, cross-
sectional view of the GI tract and is primarily used for screening.
Fine needle aspiration (FNA) cannot be performed using the radial endoscope
because the ultrasound beam would pass through the needle at right angles and
the needle would appear as a ‘dot’. With the linear endoscope, however, the
needle passes in the same axis as the ultrasound beam, thus it is visible in its
entirety as it is passed into the targeted lesion. 
Radial scope have only suction
channel no instrument channel.
Linear Scope:-
The scanning plane of electronic linear endoscopes is oriented in the same plane
as the scope shaft and accessory channel with the field of view ranging between
120° to 180°.
Ability to perform fine needle aspiration or fine needle biopsy.
Linear scope have both suction channel and instrument channel.
System Overview:-
Main System:
Ultrasound, Video System and Endoscope
Components Of Endoscopes:-

Angulation Wires:-
The angulation system includes a series of control cables connected to a
gear/pulley system in the control body. The cables are manipulated through a
series of metal wiring that runs throughout the insertion tube and into the
bending section.

Water Channel:-
The water-jet feature in these endoscopes produces a forward-directed water
spray from the tip of the endoscope for washing the GI tract.

Air Channel:-
Used to inflate the balloon.
Biopsy Channel:-
The biopsy channel is a straight piece of flexible tubing. Accessories passing
through the channel to collect the sample from area of interest.

Air/Water Button:-
This is used to control the insufflations of air or flush water to clear the lens and
cleaning of stomach.
By pressing half button Air flow will start.
And then pressing full button will start the water flow.

Suction Button:-
Used to aspirate fluids.

Elevator:-
Used to control the movement of FNA/FNB.
Test:-
Leak Test:-
Although it may not always seem like it, a flexible endoscope is an extremely
delicate instrument. A small mistake can lead to big repairs. Unfortunately,
opportunities abound for damage, both internal and external, during transport to
and from the procedure room, during the procedure itself, and during the cleaning
process.

Why Leak Testing is Required for Endoscopes


The main reason why this testing is required is to protect patients from infection or
other complications that can result from scope leaks. But beyond patient safety, if
fluid gets inside the scope, it can damage fiber optic and image bundles, causing
them to get brittle and possibly break. Fluid can also damage video chips and cause
stiffness in, or even loss of, angulation capabilities. These are expensive, time-
consuming repairs.
Risks:-

Risks may include:


 Bleeding
 Infection
 Tearing of the intestinal wall or throat

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