Automated control of irrigation and aspiration in a single-use endoscope

Abstract

The present invention is an integrated and automated irrigation and aspiration system for use in an endoscopic imaging system. The system provides for the automated cleaning of poorly prepared patients during a colonoscopy procedure as well as automated cleaning of an imaging system of an endoscope. The invention analyzes images obtained from an image sensor to detect the presence of an obstructed field of view, whereupon a wash routine is initiated to remove the obstruction. The wash routine may be adjusted in accordance with environmental conditions within the patient that are sensed by one or more sensors within the endoscope. In another embodiment, insufflation is automatically controlled to inflate a patient's colon as a function of one or more sensor readings obtained from one or more environmental sensor(s) on the endoscope.

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows: 
     
       1. A system for automatically controlling the delivery of insufflation gas gas or liquid to a patient, the system comprising:
 a control cabinet including a processor and one or more valves configured to control the delivery of insufflation gas or liquid to a the patient; and 
 an endoscope removably connected to the control cabinet and elongate member including a pressure sensor and an image sensor at or adjacent a distal end of the endoscope elongate member; 
 wherein the processor is configured to obtain an image signals signal from the image sensor and a pressure readings reading from the pressure sensor and automatically control insufflation gas or liquid delivered to the patient as a function of the image signals signal and the pressure readings reading. 
 
     
     
       2. The system of  claim 1 , wherein the delivery of insufflation gas is controlled to maintain a predefined field of view in the image signals signal produced by the image sensor. 
     
     
       3. The system of  claim 1 , further comprising a sensor configured to determine a size of an inflated body cavity, and wherein the processor is configured to control the delivery of insufflation gas to maintain a predetermined inflated cavity size. 
     
     
       4. The system of  claim 1 , wherein the processor is configured to control the delivery of insufflation gas to maintain a predetermined pressure in a body cavity. 
     
     
       5. The system of  claim 1 , further comprising a sensor configured to detect a thickness of a tissue wall surrounding the endoscope elongate member, and wherein the processor is configured to control the delivery of insufflation gas as a function of the wall thickness detected. 
     
     
       6. The system of  claim 1 , wherein the endoscope is dispensable. 
     
     
       7. A system for automatically controlling the delivery of insufflation gas fluid, the system comprising:
 a control cabinet unit including a processor and at least one valve configured to control the delivery of insufflation gas fluid; and 
 an endoscope removably connected to the control cabinet unit and including a pressure sensor and an image sensor at or adjacent a distal end of the endoscope; 
 wherein the processor is configured to receive an image signals signal from the image sensor and a pressure readings reading from the pressure sensor and automatically control the delivery of insufflation gas fluid as a function of the image signals signal and the pressure readings by controlling actuation of the at least one valve reading. 
 
     
     
       8. The system of  claim 7 , wherein the processor is configured to control the delivery of insufflation gas fluid to maintain a predefined view produced by the image sensor. 
     
     
       9. The system of  claim 7 , wherein the processor is configured to control the delivery of insufflation gas fluid to maintain a predetermined pressure in the body cavity and to maintain a predefined view produced by the image sensor. 
     
     
       10. The system of  claim 7 , wherein the control cabinet unit includes a manifold configured to supply insufflation at least one of gas, a liquid, and aspiration to the endoscope. 
     
     
       11. The system of  claim 10 , wherein the further including at least one valve that is configured to control the supply of insufflation at least one of gas, the liquid, and aspiration from the manifold. 
     
     
       12. The system of  claim 11 , wherein the endoscope is removably coupled to the manifold. 
     
     
       13. A system for automatically controlling the delivery of insufflation gas or liquid, the system comprising:
 a control cabinet unit including a processor and at least one valve configured to control the delivery of insufflation gas or liquid; and 
 an endoscope removably connected to the control cabinet unit and including a pressure sensor configured to determine a pressure in a body cavity and an image sensor; 
 wherein the processor is configured to receive an image signals signal from the image sensor and a pressure readings reading from the pressure sensor and automatically control the delivery of insufflation gas or liquid as a function of the image signals signal and the pressure readings reading to maintain a predetermined pressure in the body cavity by controlling actuation of the at least one valve. 
 
     
     
       14. The system of  claim 13 , wherein the processor is configured to control the delivery of insufflation gas or liquid to maintain the predetermined pressure in the body cavity and to maintain a predefined view produced by the image sensor. 
     
     
       15. The system of  claim 13 , wherein the control cabinet unit includes a manifold configured to supply insufflation gas, a liquid, and aspiration to the endoscope. 
     
     
       16. The system of  claim 15 , wherein the at least one valve is configured to control the supply of insufflation gas, the liquid, and aspiration from the manifold, wherein the endoscope is removably coupled to the manifold. 
     
     
       17. The system of  claim 16 , wherein the endoscope is removably coupled to the manifold. 
     
     
       18. The system of claim 1, wherein the elongate member is an endoscope.  
     
     
       19. The system of claim 18, wherein a control cabinet includes the processor and one or more valves configured to control the delivery of gas or liquid to the patient, and wherein the endoscope is removably connected to the control cabinet.  
     
     
       20. The system of claim 19, wherein the processor is configured to obtain image signals from the image sensor and pressure readings from the pressure sensor and automatically control gas or liquid delivered to the patient as a function of the image signals and the pressure readings.  
     
     
       21. The system of claim 7, wherein the control unit is a control cabinet that further includes at least one valve, and the processor is configured to control the delivery of fluid by controlling actuation of the at least one valve.  
     
     
       22. The system of claim 21, wherein the processor is configured to receive image signals from the image sensor and pressure readings from the pressure sensor and automatically control fluid delivered to the patient as a function of the image signals and the pressure readings.  
     
     
       23. The system of claim 13, wherein the control unit is a control cabinet, and wherein the processor is configured to obtain image signals from the image sensor and pressure readings from the pressure sensor and automatically control gas or liquid delivered to the patient as a function of the image signals and the pressure readings.