# US 11,998,172 B2 · Endoscope and method of use > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,998,172 B2 - Document ID: US11998172B2 - Status: Granted - Kind: B2 - Application number: 16/677,411 - Filed: 2019-11-07 - Published: 2020-05-07 - Granted: 2024-06-04 - Earliest claimed: 2018-11-07 - Assignees: Meditrina, Inc. - Applicants: Meditrina, Inc. - Inventors: Akos Toth; Csaba Truckai - Web page: https://patentgrep.com/patent/US11998172B2 ## CPC - A61B 1/00114: {Electrical cables in or with an endoscope} - A61B 1/00018: {using electrical cables} - A61B 1/00105: {characterised by modular construction} - A61B 1/0052: {Constructional details of control elements, e.g. handles} - A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion - A61B 1/06: with illuminating arrangements - A61B 1/0676: {at distal tip of an endoscope} - A61B 1/0684: {using light emitting diodes [LED]} - A61B 1/018: for receiving instruments - A61B 1/051: {Details of CCD assembly} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An endoscope includes a shaft having proximal and distal ends and a longitudinal axis therebetween. A handle is coupled to the proximal end of the shaft, and an image sensor is carried on the distal end of the shaft. A channel extends through at least a distal shaft portion and has a channel diameter, and a section of the channel is re-configurable between a constricted shape and a non-constricted shape to accommodate tools introduced therethrough. The combined diagonal dimension and channel diameter is usually greater than the outer shaft diameter. The image sensor may be connected to a connector on the housing by a first slack flex circuit and a lights source on the shaft may be connected to a connector on the housing by a second slack flex circuit. ## Claims ### Claim 1 An endoscope, comprising: an endoscope shaft having a longitudinal axis and a working channel therein; an elongated flex circuit extending in a planar shape to a distal end having first and second legs adapted to bend away from the planar shape; an image sensor with a field of view axis operatively coupled to a surface of the first flex leg; an illumination source with a light axis operatively coupled to a surface of the second flex leg; wherein the working channel is configured such that upon advancement of a tool through the working channel, the endoscope shaft flexes such that the image sensor transitions from a repose position to a tensioned position; wherein in the repose position the image sensor is at an angle relative to the longitudinal axis; wherein in the tensioned position the image sensor is parallel to the longitudinal axis; wherein the elongate flex circuit is outside of the working channel; wherein the first and second legs are capable of bending away from the planar shape to a non-planar shape for coupling to an endoscope shaft where the field of view axis and light axis are in a distal-facing orientation; and wherein the image sensor has a plurality of electrical contacts coupled to corresponding a first arrangement of electrical conductors in the flex circuit; and wherein said first arrangement of electrical conductors are disposed in one or more middle layers of the flex circuit, wherein the first arrangement of electrical conductors are spaced apart within the one or more middle layers, wherein superior and inferior dielectric layers surround the one or more middle layers and are sufficient to prevent electrical coupling through said dielectric layers to thereby prevent interference with image sensor signals carried by said first arrangement of electrical conductors, wherein the superior dielectric layer and the inferior dielectric layer each comprise a second arrangement of electrical conductors, wherein the one or more middle layers comprise first and second legs extending laterally to a longitudinal axis of the flex circuit and are coupled to the illumination source, wherein the first and second legs comprise notches adapted to induce bending of the first and second legs. ### Claim 2 (depends on 1) The endoscope of claim 1, wherein the superior and inferior dielectric layers each comprise a polymeric layer having a thickness of at least 0.002″. ### Claim 3 (depends on 1) The endoscope of claim 1, wherein the superior and inferior dielectric layers comprise a polyamide. ### Claim 4 (depends on 1) The endoscope of claim 1, wherein the superior and inferior dielectric layers each comprise a polymeric layer having a thickness of at least 0.003″. ### Claim 5 (depends on 1) The endoscope of claim 1, wherein the superior and inferior dielectric layers each comprise a polymeric layer having a thickness of at least 0.004″. ### Claim 6 (depends on 1) The endoscope of claim 1, wherein said second arrangement of electrical conductors carried by the superior dielectric layer and the inferior dielectric layer prevent electrical coupling therethrough relative to the one or more middle layers. ### Claim 7 (depends on 1) The endoscope of claim 1, wherein the image sensor and the illumination source are coupled to a distal portion of the flex circuit in a first repose spaced apart configuration and is configured for deformation to dispose the image sensor and illumination source in a second spaced apart configuration for coupling to a distal portion of an elongated endoscope shaft. ### Claim 8 (depends on 7) The endoscope of claim 7, wherein the flex circuit has a planar shape in said first configuration and a non-planar shape in said second configuration. ### Claim 9 (depends on 8) The endoscope of claim 8, wherein a first leg of the flex circuit carrying the image sensor is configured for deformation from the planar shape to dispose the image sensor adjacent a proximal end of a lens assembly carried by the endoscope shaft. ### Claim 10 (depends on 9) The endoscope of claim 9, wherein a second leg of the flex circuit carrying the illumination source is configured for deformation to dispose the illumination source proximate to a distal end of the lens assembly. ### Claim 11 (depends on 10) The endoscope of claim 10, wherein the first leg includes a first flex region with increased flexibility for flexing away from said planar shape. ### Claim 12 (depends on 10) The endoscope of claim 10, wherein the second leg includes a second flex region with increased flexibility for flexing away from said planar shape.