Endoscope and method of use

An endoscopic device, comprising:

• a handle coupled to an elongated shaft extending about a longitudinal axis to a distal end;
• a flex circuit within the elongated shaft;
• a ramp element extending proximally towards the longitudinal axis;
• and
• a spring structure carrying an image sensor at the distal end of the elongated shaft, wherein the spring structure is connected to the ramp element via one or more coupling elements, wherein the elongated shaft comprises an outer sleeve and an inner sleeve that is coupled to the spring structure, where the spring structure is moveable between an insertion position having a first reduced shaft profile where a field of view is oriented to observe insertion of the elongated shaft through a body passage and at least one deployed position having a second expanded shaft profile with the image sensor moved away from the longitudinal axis such that the field of view is oriented to observe a tool introduced through a working channel of the elongated shaft into a working space, wherein the spring structure is between the outer sleeve and the inner sleeve, wherein the outer sleeve is configured to slidably contact the ramp element having a superior deflecting surface on the spring structure and the tool is configured to contact an inferior deflecting surface on the spring structure to move the spring structure between the insertion position and the at least one deployed position.