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Richard Wolf Medical Instruments Corporation
353 Corporate Woods Pkwy
Vernon Hills, IL 60061
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The Endoscope: A Closer Look

The Origins of Endoscopy and its Development

The origins of endoscopy can be traced back to ancient Greece and Rome. Endoscopy, as we know it, was first introduced in 1805 by Philip Bozzini who was the first to attempt endoscopy with a rudimentary, light-guiding instrument created to view the urinary tract, pharynx, and rectum. In 1853, Antoine Jean Desormeaux of France developed an instrument to view urinary structures and was the first to name the instrument an “endoscope.” Over time, different experiments were carried out and prototypes developed to allow new areas of the human body to be viewed via endoscopy.

 

The modern era of endoscopy began with the development of fiber optics in the 1960’s. This allowed a major reduction in the size of the endoscope and clarified the doctor’s view, thus dramatically increasing the implementation of endoscopes in medical practice.

 

Future developments in endoscopy include capsule endoscopes that can be swallowed and take images to gain otherwise impossible visual access to the digestive system, i.e. small intestine, and can assist in earlier diagnoses of digestive conditions.

Common Types of Endoscopes and Typical Uses

Rigid Endoscopes:

Consisting of a metal tube containing a series of lenses, fiber optics or video chips for image transmission and fiber optic bundles to deliver light, rigid endoscopes offer the best image quality and resolution of all endoscope types. A working channel found in some scopes allows instruments to be passed through so surgeons can work in real-time. Rigid endoscopes are commonly used in urology, gynecology, ENT, arthroscopy, endoscopic spine surgery and general surgery.

 

Flexible Endoscopes:

The flexible endoscope is more agile than the rigid endoscope, allowing the user to navigate hard-to-reach areas by controlling the directional movement of the scope’s distal end. Since the lenses consist of flexible fibers, the image delivered is not as crisp and defined as with a rigid endoscope. Common areas of use include: bronchoscopy, colonoscopy and viewing of the upper gastroenterological systems. 

Both types of scopes are also used outside the medical field in technical areas such as automotive technology, architecture, building inspection and many other fields. Current flexible endoscopes may offer a built-in chip at the distal end of the flexible endoscope. Flexible endoscopes with built-in video chips provide the best visualization possible.

 


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Endoscopy


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Richard Wolf at the AUA 2012

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AAO-HNSF Annual Meeting In-Line Booth Award!

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