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A Unified Approach to Flexible Single-Use Endoscopy

AdaptivEndo’s platform of flexible single-use endoscope designs represent a holistic approach to the address the unique needs of each clinical setting.  

 

Larger diameter endoscopes for the gastrointestinal (GI) market incorporate complex electronic and fluid controls, as well as two axis precision articulation and brake controls for steering. The need to preserve this high-quality clinical interface while avoiding incorporating the cost of the handle into a single use endoscope resulted in the AdaptivEndo™ hybrid endoscope design.

 

Alternatively, smaller diameter endoscopes typically articulate in a single plane and have at most a single fluid control valve. The AdaptivEndo™ team has utilized techniques associated with other steerable minimally invasive devices, as well as clinician input intending to design a line of innovative single-use small diameter endoscope designs that improve the user experience while improving economics.

 

Regardless of the approach, all AdaptivEndo™ flexible endoscope designs are based on modular unified platform that utilize common components and designs.

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(These designs are investigational, have not been reviewed or cleared by the U.S. Food and Drug Administration, and are not available for sale in the United States.)

Hybrid Single-Use Flexible Endoscopy Platform
(Large Diameter)

Advantages​​

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  • Compatible with other endoscopy and practice management systems

  • Quality clinician interface maintained and enhanced

  • Compatible with standard support equipment and tubing

  • Clinician customizable handle (color, size and programming)

  • Any scope, anywhere, anytime (OR, ER, and rural settings)

  • No wetted valves contained in the handle

  • All direct and indirect exposed components are discarded

  • Reduced cost and reduced waste-stream

Duodenoscope

Duodenoscope

The AdaptivEndo™ Duodenoscope is a specialized endoscope used primarily for ERCP, but also for Cholangioscopy. It is side-viewing and enables direct visualization of the major duodenal papilla en-face. The steering and elevator response provides a familiar interface for clinicians. The single-use Duodenoscope cartridge eliminates reprocessing and the related infection risks.

Specifications

 

  • Working length: 124 cm

  • Insertion tube diameter: 11.5 mm

  • Tool channel diameter: 4.2 mm

  • Integrated suction, insufflation, and camera flush controls

  • 4-way deflection (up/down/right/left): 120°/90°/110°/90°

  • CMOS imaging sensor with LED illumination

  • Image/video capture and programmable buttons

  • Thumb operated software navigation

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Duodenoscope

Single-use Duodenoscope and Cholangioscope setup.

(These designs are investigational, have not been reviewed or cleared by the U.S. Food and Drug Administration, and are not available for sale in the United States.)

Pediatric Duodenoscope

Pediatric Duodenoscope

Therapeutic Specifications

 

  • Working length: 124 cm

  • Insertion tube diameter: 8.5 mm

  • Tool channel diameter: 2.8 mm

  • Integrated suction, insufflation, and camera flush controls

  • 4-way deflection (up/down/right/left): 120°/90°/90°/90°

  • CMOS imaging sensor with LED illumination

  • Image/video capture and programmable buttons

  • Thumb operated software navigation

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Pediatric Duodenoscope

Standard Specifications

 

  • Working length: 124 cm

  • Insertion tube diameter: 7.5 mm

  • Tool channel diameter: 2.0 mm

  • Integrated suction, insufflation, and camera flush controls

  • 4-way deflection (up/down/right/left): 120°/90°/90°/90°

  • CMOS imaging sensor with LED illumination

  • Image/video capture and programmable buttons

  • Thumb operated software navigation

Gastroscope

Gastroscope​

The AdaptivEndo™ Gastroscope Cartridge is a conceptual design under development as part of a modular endoscope platform. Two developmental cartridge sizes are planned: one incorporating a smaller insertion tube and one incorporating a larger insertion tube with an expanded tool channel.

Gastroscope

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Standard Specifications

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  • Working length: 103 cm

  • Insertion tube diameter: 9.5 mm

  • Tool channel diameter: 2.8 mm 

  • Integrated suction, insufflation, and camera flush controls

  • Tissue irrigation channel 

  • 4-way deflection (up/down/right/left): 210°/90°/100°/100°

  • CMOS imaging sensor with LED illumination

  • Image/video capture and programmable buttons

  • Thumb operated software navigation

Therapeutic Specifications

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  • Working length: 103 cm

  • Insertion tube diameter: 11.5 mm

  • Tool channel diameter: 3.7mm 

  • Integrated suction, insufflation, and camera flush controls

  • Tissue irrigation channel 

  • 4-way deflection (up/down/right/left): 210°/90°/100°/100°

  • CMOS imaging sensor with LED illumination

  • Image/video capture and programmable buttons

  • Thumb operated software navigation

Colonoscope

Colonoscope/Sigmoidscope​

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AdaptivEndo™ has designed five (5) different cartridges for lower GI procedures. The shortest is a sigmoidoscope with a 12.5 mm tool channel. Colonoscope cartridges have been designed with options for two (2) different diameter insertion tubes (10 mm and 12.5 mm), as well as two (2) different lengths (long versus standard). The 12.5 mm insertion tube versions provide a large 3.7 mm tool channel and a tissue irrigation nozzle for therapeutic applications.​

Colonoscope/Sigmoidscope

Proposed Design Specifications

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  • Working length: 168 cm / 133 cm / 73 cm

  • Insertion tube diameter: 10 mm / 12.5 mm

  • Tool channel diameter: 3.2 mm (10 mm) / 3.7 mm (12.5 mm)

  • Irrigation channel (12.5 mm versions)

  • Integrated suction, insufflation, and camera flush controls

  • 4-way deflection (up/down/right/left): 180°/180°/160°/160°

  • CMOS imaging sensor with LED illumination

  • Image/video capture and programmable buttons

  • Thumb-operated software navigation

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DuoVue Control Console

DuoVue™ Control Console

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The AdaptivEndo™ DuoVue control console is only 3.5" tall and can easily be added to an existing tower stack. The DuoVue provides the ability to operate two (2) endoscopes simultaneously. The DuoVue control console supports procedures across multiple disciplines, including urology and gastroenterology. Examples of dual endoscope applications include ERCP/cholangioscopy (gastroenterology) and PCNL (urology). In addition to supporting dual endoscope procedures, the DuoVue is also capable of interfacing with any AdaptivEndo™ hybrid endoscope and up to two AdaptivEndo™ single-use endoscopes.

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DuoVue™ Control Console

Specifications

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  • Dimensions: 34.9 cm width x 8.3 cm height x 28 cm depth

  • Insufflation compatibility: Any industry standard insufflator with a standard tubing set

  • Irrigation compatibility: Any industry standard irrigation pump with a standard tubing set

  • Hybrid Endoscope fluid control: AdaptivEndo Quick Connect Fluid Control Cartridge with sealed fluid pathways (video 1 only)

  • Gain control: Three (3) levels (video 1 and 2)

  • Illumination levels: Eight (8) levels (video 1 and 2)

  • Illumination On/Off: Quick on/off switch for backloading of guidewires (video 1 and 2)

  • Transillumination: Quick full power settings switch for gastroenterology applications (video input 1 only)

  • Video inputs: Two shielded barrel style video inputs (video 1 and 2)

  • Video outputs: 1920x1080 HDMI (both video outputs). Additional video outputs available via TEAC UR-4MD

  • Video/Image recording: 1920x1080 video and images stored to removable USB drives (video 1 and 2)

Single-Use Endoscopy Platform

(Small Diameter)

Advantages (Developmental Focus)​

 

  • Designs informed by clinician input and ergonomic considerations

  • Integrated fluid control concepts

  • Development work focused on imaging system integration

  • Modular design approach intended to support streamlined workflows

  • EndoVue™ Console development is focused on modular small‑diameter scope connectivity


(The AdaptivEndo™ platform is an investigational device, has not been reviewed or cleared by the U.S. Food and Drug Administration, and is not available for sale in the United States. The safety and effectiveness of these devices have not been established.)

Ureteroscope​

Ureteroscope​

The clinical need for a single-use ureteroscope with quality imaging and a large tool channel is significant. Reusable ureteroscopes require frequent repairs costing thousands of dollars and often undergo only soak HLD to avoid procedural delays. The AdaptivEndo™ ureteroscope provides a cost effective alternative with integrated irrigation control. The AdaptivEndo™ ureteroscope incorporates innovative construction techniques to make single-use ureteroscopes an economically viable alternative.

Specifications

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  • Working length: 68 cm

  • Insertion tube diameter: 3.2 mm

  • Tool channel diameter: 1.2 mm

  • Integrated variable control for primary irrigation

  • Secondary port for single action pump or suction

  • Tool port irrigation backflow preventer

  • 2-way deflection: 270°/270°

  • CMOS imaging sensor with dual LED illumination

  • Single umbilical cord (fluids and signals)

  • Compatible with the DuoVue and AdaptiVue Consoles

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Ureteroscope

Cytoscope

Cystoscope

Specifications

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  • Working length: 39 cm

  • Insertion tube diameter: 5.4 mm

  • Tool channel diameter: 2.2 mm

  • Integrated variable control for primary irrigation

  • Secondary port for aspiration

  • Tool port irrigation backflow preventer

  • 2-way deflection: 210°/210°

  • CMOS imaging sensor with dual LED illumination

  • Single umbilical cord (fluids and signals)

  • Compatible with the DuoVue and AdaptiVue Consoles

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Cystoscope

Cholangioscope

Cholangioscope​

Compatible with both the AdaptiVue and the DuoVue Consoles, the AdaptivEndo™ Cholangioscope provides 4-way steering and works seamlessly with either a reusable duodenoscope or the AdaptivEndo Single-use Hybrid Duodenoscope. 

Specifications

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  • Working length: 210 cm

  • Insertion tube diameter: 3.5 mm

  • Tool channel diameter: 1.3 mm

  • Dual tissue irrigation channels

  • Integrated suction control

  • 4-way deflection: 70°/70°/70°/70°

  • CMOS imaging sensor with dual LED illumination

  • Compatible with both the DuoVue and AdaptiVue Consoles

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Cholangioscope

Choledocoscope

Choledocoscope

Specifications

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  • Working length: 38 cm

  • Insertion tube diameter: 3.1 mm

  • Tool channel diameter: 1.3 mm

  • Dual tissue irrigation channels

  • Integrated suction control

  • 2-way deflection: 180°/180°

  • CMOS imaging sensor with dual LED illumination

  • Compatible with the DuoVue and AdaptiVue Consoles

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Choledocoscope

Hysteroscope

Hysteroscope

Specifications

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  • Working length: 24 cm

  • Insertion tube diameter: 3.1 mm

  • Tool channel diameter: 1.2 mm

  • 2-way deflection: 100°/100°

  • CMOS imaging sensor with dual LED illumination

  • Compatible with the DuoVue and AdaptiVue Consoles

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Hysteroscope

EndoVue Console

AdaptiVue Console

The AdaptivEndo™ AdaptiVue console provides a simple image processing solution for small diameter single-use endoscopes in medical offices, ER, and OR settings. The AdaptiVue console can be mounted on a mobile pole or easily added to an endoscopy cart. The AdaptiVue console offers the same upscaling and image enhancement features associated with the DuoVue console.

Specifications

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  • Dimensions: 20 cm width x 7.5 cm height x 22 cm depth

  • Gain control: Three (3) levels

  • Illumination levels: Eight (8) levels

  • Illumination On/Off: Quick on/off switch for backloading of guidewires 

  • Video input: Shielded barrel style video input 

  • Video outputs: 1920x1080 HDMI. Additional video outputs available via TEAC UR-4MD

  • Video/Image recording: 1920x1080 video and images stored to removable USB drives 

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AdaptiVue Console

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Patent Notice:
Products shown on this page are subject to one or more pending or issued U.S. or international patents.

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Disclaimer:
The flexible endoscope designs shown are investigational and in various stages of development. These devices have not been reviewed or cleared by the U.S. Food and Drug Administration (FDA) and are not currently available for sale.

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