The colonoscope has a camera, fiberoptic light source, and means to perform biopsies and remove polyps. During a colonoscopy, doctors are able to closely examine the inner surface of the colon for abnormalities such as tumors, enlarged tissues, bleeding sites, and inflamed areas.
The colonoscopy devices allows doctors to diagnose conditions such as colorectal cancer, inflammatory bowel disease, ulcers, polyps, and diverticulitis. It also helps monitor known conditions and screen for colon cancer. Before the procedure, patients are given mild sedatives or anesthesia to reduce discomfort during the exam. The colonoscope is gently inserted into the rectum and pushed through the entire colon, making it possible to carefully examine the colon lining.
Colonoscopy Devices
Several key devices are used during a colonoscopy procedure to examine the colon and perform necessary functions. The colonoscope itself is the main device that provides visualization and access throughout the colon. Other important Colonoscopy Devices include:
Biopsy Forceps: Precision biopsy forceps with smooth jaws are used to gently grasp and remove small tissue samples from abnormalities seen on the colonoscope camera. Multiple biopsy samples can be collected for further analysis by pathologists.
Polypectomy Snares: Loop snares made of wire or nylon are used to excise or remove colon polyps. The snare is threaded through the colonoscope biopsy channel and placed around the base of the polyp. Electrocautery or mechanical snipping is then used to remove the polyped tissue from the colon wall.
Injection Needles: Fine injection needles can be used to deliver targeted injections of saline, medications, or dye to abnormal areas during colonoscopy. This enhances visualization or treatment of certain lesions.
Retrieval Basket or Balloon: Devices like baskets or small deflated balloons on the end of guidewires can capture and contain removed polyps and tissues for removal without having the samples get lodged or lost in the colon during withdrawal of the colonoscope.
Colonoscopy Camera
The most important device at the tip of the colonoscope is the miniature video camera and light source. High definition cameras and fiberoptic light bundles allow physicians to clearly visualize the mucosal surface and any abnormalities present. The camera transmits real-time images to a monitor in the endoscopy suite where the doctor and staff can closely examine the colon during insertion and withdrawal of the instrument.
This high quality visualization enables accurate detection of suspicious lesions only a few millimeters in size. Dyes can also be sprayed onto the mucosa during the procedure to enhance contrast of abnormalities and pathological features. Digital images and video clips obtained from the colonoscopy camera are stored and can be reviewed later or used for comparison during future exams.
Colonoscopy Devices Design
Modern colonoscopes come in various shaft lengths and diameters depending on patient factors like size and prior surgeries. The flexible insertion tube may be as long as 6-7 feet to achieve total colon visualization. Key design elements of the colonoscope include:
- Bending Section: The flexible insertion shaft has a pattern of interlocking bending parts to allow controlled flexure of the tip in multiple directions for navigation of colonic loops and turns.
- Suction/Irrigation Port: Channels allow continuous suction removal of gas, fluids, and debris during examination. Saline can also be flushed through for improved cleaning and visualization.
- Biopsy Channel: A working channel runs through the insertion tube to permit passage of biopsy forceps, snares, and other devices.
- Control Handle: The proximal end has control knobs that allow controlled flexure of the insertion tip when pushed/pulled and rotated by the endoscopist during insertion.
- Light Source Connector: Attaches to an external light source unit for bright, shadow-free illumination transmitted through fiberoptic bundles in the colonoscope shaft.
Advancements in high definition imaging, miniaturization, and shaft flexibility have made colonoscopy a safer and more comfortable screening procedure over the decades. Ongoing innovation also strives to further optimize colonoscope design for diagnostic accuracy and therapeutic capabilities.
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