US20230233724A1

Movatterモバイル変換

Info

Publication number: US20230233724A1
Application number: US18/067,618
Authority: US
Inventors: Scott Allen Sundet; Cindy Trosen SUNDET; Randal Alan GATZKE
Original assignee: Clarus Medical LLC
Current assignee: Clarus Medical LLC
Priority date: 2018-01-23
Filing date: 2022-12-16
Publication date: 2023-07-27
Also published as: US20190224357A1; US11559597B2

Abstract

A medical device inspection system may include a base, a medical device holder on the base, a fiber scope holder on the base, a moveable roller moveably attached to the base such that it is free to rotate around an axis and move from a first position to a second position along the base, and a feeder coupled with the base for feeding a flexible portion of the fiber scope into a lumen of the medical device. During use, the flexible portion of the fiber scope may extend from the handle, around the moveable roller, and through the feeder to enter an opening in the lumen of the medical device.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Continuation of U.S. patent application Ser. No. 16/253,439, filed on Jan. 22, 2019, entitled “MEDICAL DEVICE INSPECTION SYSTEM,” which claims the benefit of U.S. Provisional Patent Application No. 62/620,847, filed Jan. 23, 2018, entitled, “MEDICAL DEVICE INSPECTION SYSTEM,” the disclosures of which are hereby incorporated by reference in their entireties. To the extent appropriate a claim of priority is made to each of the above-disclosed applications.

TECHNICAL FIELD

This application is directed to medical devices, systems and methods. More specifically, the application is directed to devices, systems and methods for facilitating the inspection of medical devices.

BACKGROUND

Millions of medical devices are used in hospitals throughout the world every day. With the continuing advancement of medical and surgical procedures over time, one of the trends for many years is toward minimally invasive procedures performed through smaller incisions or even through the body's natural orifices. Examples of this trend include arthroscopic surgery, transcatheter aortic valve replacement (“TAVR”), natural orifice transluminal endoscopic surgery (“NOTES”), robotic surgery and many others. Many of these procedures involve the use of long, flexible catheter instruments and/or long, flexible endoscopes for visualizing the procedure. Additionally, endoscopes are used in countless different diagnostic and therapeutic procedures in many parts of the body.

One of the challenges with the use of endoscopes, fiber scopes, catheter-based medical/surgical instruments and other long, thin, reusable instruments is how to properly and effectively clean them. Many endoscopes and other instruments are too expensive to be disposable and so must be reused. And long, small-diameter, flexible instruments can be extremely hard to clean on the inside. They are also hard to inspect on the inside. Not only can flexible instruments collect bacteria and other contaminants, but they can also crack or become otherwise permanently deformed during use, for example when the instrument is bent or kinked. These instruments are typically processed in a cleaning facility located within the hospital, by workers with very little training. To inspect the inside of such instruments, a small, flexible scope is inserted and advanced through the lumen(s) of the device, so that contaminants and damage can be seen. It can be difficult, however, for the person doing the inspection to effectively identify contaminants and internal damage to the device. Thus, the inspection process can be labor intensive and sometimes ineffective.

Therefore, it would be desirable to have improved devices, systems and methods for inspecting medical devices, specifically endoscopes, catheters and other long, thin, flexible medical devices that are difficult to inspect on the inside. At least some of these objectives are addressed in this application.

BRIEF SUMMARY

According to one aspect of the present disclosure, a medical device inspection system includes: a base; a medical device holder on the base, for holding a medical device to be inspected; a fiber scope holder on the base, for holding a handle of a fiber scope; a moveable roller moveably attached to the base such that it is free to rotate around an axis and move from a first position to a second position along the base; and a feeder coupled with the base for feeding a flexible portion of the fiber scope into a lumen of the medical device. During use, the flexible portion of the fiber scope extends from the handle, around the moveable roller, and through the feeder to enter an opening in the lumen of the medical device. The moveable roller is configured to move from the first position that is farthest away from the handle and the feeder to the second position that is closer to the handle and the feeder as the flexible portion is fed into the lumen of the medical device.

In various embodiments, the medical device holder may be a clamp or similar holding device. The feeder may sometimes include a first spinning drum, a drive mechanism attached to the first spinning drum, and a second spinning drum. The flexible portion of the fiber scope may pass between, and be advanced by, the first and second spinning drums. In some embodiments, a contact surface of the first spinning drum and/or a contact surface of the second spinning drum may be made at least partially of a compliant polymer. Some embodiments may also include a tensioner coupled with the feeder to adjust an amount of force applied between the first and second spinning drums.

Some embodiments may also optionally include a controller attached to the feeder, where the controller includes a processor with computer readable instructions for causing the feeder to advance the fiber scope automatically into the lumen of the medical device. In some embodiments, the controller causes the feeder to advance the fiber scope automatically into the lumen in incremental steps. Optionally, the controller may be further in communication with the fiber scope, and the processor may be configured to instruct the fiber scope to capture images at multiple positions within the lumen of the medical device. In some embodiments, the processor is further configured to determine, from an image captured by the fiber scope, that the lumen contains a defect, and instruct the feeder and/or the fiber scope to record a location of the defect in the lumen. For example, the location may be a distance from the opening in the lumen to the defect. In some embodiments, the processor may use artificial intelligence to determine that the lumen contains the defect. For example, the processor may use artificial intelligence to distinguish differently labeled shapes within the lumen of the medical device, such as normal, gouged, oval, wet and debris-containing. In various embodiments, the processor may use artificial intelligence to record an image, a location, a description, a date, a time, a name of a person operating the system, and/or a recommended course of corrective action pertaining to an identified defect in the lumen of the medical device. In some embodiments, artificial intelligence is embodied in an artificial intelligence chip located the base, the feeder, or the fiber scope.

In some embodiments, the handle of the fiber scope and the medical device are attached to the base, such that they face in the same direction, toward the moveable roller. Some embodiments of the system may further include a first fixed roller fixedly attached to the base between the moveable roller and the feeder, where the handle of the fiber scope and the medical device face in different directions. In some embodiments, the system may include a first fixed roller fixedly attached to the base between the moveable roller and the feeder and a second fixed roller fixedly attached to the base between the moveable roller and the fiber scope. In such embodiments, the handle of the fiber scope and the medical device may face toward one another.

In some embodiments, the system may include the fiber scope. For example, the fiber scope may be a water resistant fiber scope. The scope may include multiple internal applications of adhesive to provide water resistance. Optionally, the fiber scope may include an ultraviolet light emitter for emitting light onto a contaminated portion of the lumen of the medical device to help treat the contaminated portion. The fiber scope may further include a light diffuser at or near a distal tip of the fiber scope for diffusing the emitted ultraviolet light. The fiber scope may further include a handle and a flexible portion. The flexible portion may include a sheath, a laser fiber disposed in the sheath to provide kink resistance, at least one light emitting fiber, and at least one image capturing fiber. In alternative embodiments, the fiber scope may include an image capturing chip at a distal end of the sheath. The scope may also include a lock-out feature that prevents use of the fiber scope after a predetermined number of uses. The feeder may include a torque sensor to prevent applying excessive force to the flexible portion of the fiber scope.

In another aspect of the present disclosure, a medical device inspection system may include: a base; a medical device holder on the base, for holding a medical device to be inspected; a roller attached to the base such that it is free to rotate around an axis, wherein the roller holds a flexible portion of a fiber scope; a feeder coupled with the base for feeding the flexible portion of the fiber scope from the roller into a lumen of the medical device; and a communications module for transmitting images captured by the flexible portion of the fiber scope to a handle or other control portion of the fiber scope. During use, the flexible portion of the fiber scope extends from the roller through the feeder to enter an opening in the lumen of the medical device. The communications module may, for example, be a Bluetooth communication module.

In another aspect of the present disclosure, a method for inspecting an inside of a medical device may involve: positioning a flexible fiber scope around a portion of a first roller of a medical device inspection system, such that a handle of the flexible fiber scope is positioned on one side of the first roller and a feeder of the medical device inspection system is on an opposite side of the roller; positioning the flexible fiber scope through the feeder; advancing a distal end of the flexible fiber scope into an opening in a lumen of the medical device; advancing the distal end of the flexible fiber scope farther into the lumen of the medical device, using the feeder, where advancing the distal end farther causes the first roller to turn around an axis and move along the medical device inspection system toward the handle and the feeder; and capturing at least one image of the lumen of the medical device with the flexible fiber scope.

In some embodiments, the method may further involve attaching the medical device to the medical device inspection system before advancing the distal end of the fiber scope into the lumen. In some embodiments, positioning the flexible fiber scope through the feeder may involve positioning the flexible fiber scope between a first spinning drum and a second spinning drum of the feeder. Embodiments may also involve adjusting a tensioner of the medical device inspection system to adjust an amount of force applied to the flexible fiber scope by the first and second spinning drums. In some embodiments, advancing the distal end of the flexible fiber scope farther into the lumen of the medical device is performed automatically by the feeder in a stepwise fashion. Some embodiments may also include recording, with the medical device inspection system, multiple distances into the lumen of the medical device at which images are captured by the flexible fiber scope.

In some embodiments, a controller of the medical device inspection system instructs the flexible fiber scope to acquire at least one image. Optionally, the method may also involve determining, from an image captured by the fiber scope, that the lumen contains a defect, and instructing the feeder and/or the fiber scope to record a location of the defect in the lumen. Some embodiments may further involve determining a distance from the opening in the lumen to a defect in the lumen, using a processor of the medical device inspection system. The method may also involve using artificial intelligence in the medical device inspection system to determine that the lumen contains the defect. Optionally, the method may also involve using the artificial intelligence to distinguish differently labeled shapes within the lumen of the medical device. The method may also involve using the artificial intelligence to record an image, a location, a description, a date, a time, a name of a person operating the system, and/or a recommended course of corrective action pertaining to an identified defect in the lumen of the medical device.

In some embodiments, the method may also involve attaching the handle of the fiber scope to the medical device inspection system. The method may also involve positioning the flexible fiber scope around a first fixed roller fixedly attached to the medical device inspection system between the roller and the feeder. The method may also involve positioning the flexible fiber scope around a second fixed roller fixedly attached to the medical device inspection system between the roller and the handle of the flexible fiber scope. Optionally, the method may involve emitting ultraviolet light from the flexible fiber scope onto a contaminated portion of the lumen of the medical device to help treat the contaminated portion. Such an embodiment may further involve diffusing the ultraviolet light with a light diffuser before emitting it from the flexible fiber scope. In some embodiments, the ultraviolet light may be emitting pulsed light.

In some embodiments, the method may also involve preventing kinking of the flexible fiber scope by housing a laser fiber in a sheath of the flexible fiber scope. In some embodiments, the method may also involve preventing the flexible fiber scope from being used more than a predetermined number of times by including a lock-out feature in the medical device inspection system. The method may further involve preventing the flexible fiber scope from being used with unapproved medical devices or by unapproved inspection personnel by including a lock-out feature in the medical device inspection system. The method may also involve sensing an amount of torque applied to the flexible fiber scope by the medical device inspection system to prevent applying excessive force to the flexible fiber scope.

These and other aspects and embodiments are described more fully below, in reference to the attached drawing figures.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG.1 is a diagrammatic representation of one example of a medical device inspection system;

FIG.2 is a diagrammatic representation of another example of a medical device inspection system;

FIG.3 is a diagrammatic representation of another example of a medical device inspection system;

FIG.4 is a diagrammatic representation of another example of a medical device inspection system;

FIG.5 is a diagrammatic representation of example shapes of an interior of a lumen of a medical endoscope, illustrating a method according to one example; and

FIG.6 is a flow diagram of a method of inspecting a medical device, according to one example.

DETAILED DESCRIPTION OF THE INVENTION

Disclosed in this application are various examples of a medical device inspection system and method. In general, the system and method provide for automatic feeding of a fiber scope into the lumen of a medical device in order to inspect the medical device. Feeding of the fiber scope may be done in a stepwise fashion, images may be captured at specified intervals, and the locations of the intervals may be recorded. In some embodiments, artificial intelligence may be used to help the operator of the system identify imperfections in the lumen of the medical device, such as contaminations and defects. These concepts and many others are described in greater detail below. The examples described herein are not intended to limit the scope of the invention but are provided for descriptive purposes only.

Referring now toFIG.1, in one example, a medicaldevice inspection system10 may include a base12 (or “tower,” in the case of a vertical arrangement, as shown inFIG.1) and multiple components attached to or embedded inbase12. This embodiment ofsystem10 is shown with the bottom ofbase12 resting on aflat surface32, such as a table. In another example,system10 may be flipped, so thatbase12 hangs from a ceiling or other elevated structure. In yet another example,base12 may lie flat onsurface32. Attached tobase12 is amoveable roller14, which is free to rotate about its central axis ofrotation15 and also move back and forth along alongitudinal axis17 ofbase12. Also attached tobase12 is a fiber scopehandle attachment member19, by which a fiber scope handle16 is attached tobase12. Handleattachment member19 may be multiple clips (as shown), clamps or any other suitable attachment structure(s).

Regarding the fiber scope shown inFIG.1 and subsequent figures, the term “fiber scope” is used in this application to mean any type of elongate, flexible scope device, including a fiber optic scope and/or a digital scope. The fiber scope is shown as including ahandle16, which may include a processor and a light source for the scope, and a flexible,image capturing portion18, which passes aroundmoveable roller14 to afeeder20, which is also attached tobase12.Image capturing portion18 may include a sheath, one or more fiber optic fibers, a “camera on a chip,” such as a CMOS camera and/or the like. In some embodiments (for example, the one shown inFIG.4), the scope may not include a handle but may house the light source and processor elsewhere.

Feeder

20 includes afirst spinning drum22 and asecond spinning drum24. One of the two

drums

22,24, in this examplefirst drum22, is connected to a drive mechanism or motor, which spins thefirst drum22 about its axis.Second drum24 spins freely when pressure fromfirst drum22 is applied to it and motor spinsfirst drum22.Feeder20 also includes atensioner28 for adjusting an amount of tension between the two surfaces of the two

drums

22,24 against one another.System10 also includes a medical device attachment clamp26 (or other attachment member) coupled withbase12, for attachingmedical device30 tosystem10. Neithermedical device30 norsurface32 is typically part ofsystem10, but they are illustrated for exemplary purposes. Finally,system10 may include a display and control module13 (or multiple modules).Module13 may include a display portion, such as a video monitor with or without touch screen capabilities.Module13 may also include one or more controls for controllingfeeder20, controlling the fiber scope and the like. The display portion ofmodule13 may show images taken with the fiber scope, indicator light(s) signifying a contaminated or damaged area in the lumen ofmedical device30, information about a contamination or damaged area inmedical device30, identifying information identifyingmedical device30 and/or any other suitable information.

In use, handle16 is attached to handleattachment member19, andflexible scope portion18 is passed around moveable roller and through

drums

22,24.Tensioner28 is adjusted to adjust the tension placed onflexible portion18 by

drums

22,24. In one embodiment, the contact (outer) surfaces of

drums

22,24 may be made of nylon or other polymer and may be somewhat compliant, to better advanceflexible portion18 without damaging it.Medical device30 is attached to clamp26, and the distal end offlexible portion18 is advanced into an opening in a lumen at the distal end ofmedical device30.Feeder20 then feedsflexible portion18 of the fiber scope farther and farther into the lumen of medical device, until the entire device30 (or a desired portion of device30) is inspected. Asfiber scope18 advances, it may take multiple still images and/or video images of the lumen. As more and more offiber scope18 is advanced intomedical device30,moveable roller14 moves longitudinally (or “translates”) alongbase12 from a first position (solid-lined version at the top ofFIG.1) to a second position (dotted-line version at the bottom ofFIG.1), to accommodate for the shorter amount offlexible portion18 betweenhandle16 andmedical device30. At the same time,moveable roller14 also rotates around itsrotational axis15. As illustrated, in the second position,roller14 is closer to handle16 andfeeder20 than in the first position. Onceflexible portion18 has been advanced as far intomedical device30 as desired, it is retracted byhandle16,roller14 andfeeder20, androller14 moves back to the first position from the second position.

Control anddisplay module13 may include any type of computing device, including a processor, and the processor may contain instructions for drivingfeeder20 and/or the fiber scope. For example, in some embodiments, the drive mechanism offeeder20 may be a step motor, and the controller may control incremental advancement offlexible portion18 intomedical device30 viafeeder20. In some examples, the processor may include an artificial intelligence chip or other mechanism for artificial intelligence. Artificial intelligence may be used, for example, to allow the processor to identify irregularities inside the lumen ofmedical device30 in images of the lumen captured by the fiber scope. For example, the processor may be able to identify contaminants, gouges, kinks, cracks, moisture and/or the like insidemedical device30. This identification may be enhanced via artificial intelligence, where the processor has been “taught” to detect irregularities by learning images of similar irregularities in other medical devices. In some embodiments, the processor may be used to detect an irregularity in the lumen during advancement, instruct the fiber scope to capture an image of the irregularity, determine a location of the irregularity in the form of a distance of the irregularity from a distal opening of the lumen, and store identifying information about the type and location of the irregularity in the controller. The controller may also store additional information, such as the type ofmedical device30 being examined, the date, the time, the identity of the personnel conducting the examination, how many times the particular fiber scope has been used to inspect medical devices, and/or the like. In some embodiments,feeder20 feedsflexible portion18 intomedical device30 in predetermined increments, and an image is taken by the fiber scope at each increment. In other embodiments, the fiber scope may take continual video footage throughout the advancement, and the scope may also take still images at any identified areas of irregularity. Virtually any combination of fiber scope advancement and image capture is possible, and the controller/processor ofsystem10 may be capable of controlling any of a large number of different protocols.

Additionally,system10 may be used to inspect any suitable medical or surgical device. The types of devices may include endoscopes of any kind, catheters, flexible instruments with lumens or channels, or virtually any other type of device with an inner portion that is hard to inspect visually from outside the device.System10 may also have a number of different sizes and shapes in different examples. In the example ofFIG.1, whenroller14 moves all the way to the second position (dotted lines), it may be necessary to have about12 inches of extraflexible portion18 of the fiber scope, in order to extend from the distal end ofhandle16, aroundroller14, throughfeeder20 and into the distal end ofmedical device30. Other examples ofsystem10 may require shorter or longer segments of flexible portion.

Referring now toFIG.2, another example of a medicaldevice inspection system50 is illustrated diagrammatically.FIG.2 does not illustrate a base, tower or platform ofsystem50, and it also does not show the control/display module, but these features may be the same as, or similar to, those shown inFIG.1, with the exception that theoverall system50 is L-shaped. Similar to the example ofFIG.1,system50 includes amoveable roller54, which is rotatable about itsown axis55 and also slidable along alongitudinal axis57 from a first position to a second position (and back).Roller54 may be spring loaded (same as in the previous example), so that when it is not under tension it returns to the first position.System50 also includes a fiber scope with ahandle56 and aflexible portion58, as well as afeeder60 with afirst spinning drum62, asecond spinning drum64, atensioner68 and amedical device clamp66, all as described above. Amedical device70 is typically not part ofsystem50, but rather is the item inspected bysystem50.

The main difference betweensystem50 ofFIG.2 andsystem10 ofFIG.1 is that the former includes a second, fixed-location roller52, about whichflexible portion58 of the fiber scope wraps. This allows the two

rollers

52,54 to act as two pulleys, which may enhance feeding of flexible portion intomedical device70. This example may require a longer extra portion of flexible portion than in the previous example, such as about14 inches to about16 inches in one example. In all other respects,system50 may share any or all of the characteristics and features ofsystem10 described above.

Referring now toFIG.3, another example of a medicaldevice inspection system100 is illustrated diagrammatically.FIG.3 also does not illustrate a base, platform or tower for holdingsystem100, but it may be similar to that shown inFIG.1, with the exception that theoverall system100 has a three-prong (or triangular) shape. Similar to the example ofFIG.2,system100 includes amoveable roller104, which is rotatable about itsown axis105 and also slidable along alongitudinal axis107 from a first position to a second position (and back).Roller104 may be spring loaded, as described previously.System100 also includes a fiber scope with ahandle106 and aflexible portion108, as well as afeeder110 with afirst spinning drum112, asecond spinning drum114, atensioner118 and amedical device clamp116, all as described above. Amedical device120 is typically not part ofsystem100, but rather is the item inspected bysystem100.

Likesystem50 ofFIG.2,system100 ofFIG.3 includes a second, fixed-location roller102, about whichflexible portion108 of the fiber scope wraps. Additionally,system100 includes a fixedcylinder122, about whichflexible portion108 also wraps. In this example, fixedcylinder122 does not rotate but merely acts as a third surface about whichflexible portion108 curves, thus providingsystem100 with effectively three pulleys. This example may require about 12 inches of extraflexible portion108 in one example. In all other respects,system100 may share any or all of the characteristics and features of

systems

10 and50 described above.

Referring now toFIG.4, another example of a medicaldevice inspection system150 is illustrated diagrammatically. This example ofsystem150 includes abase152 and onelarge roller154, which rotates about itsown axis155 but is fixed relative to base152 (e.g., it does not move laterally along base152). In this embodiment, the fiber scope is housed withinroller154. The processor and light source that are housed in a handle in other embodiments are housed somewhere withinroller154, and theflexible portion158 is also housed inroller154 in a spool-like fashion. To advanceflexible portion158 of the fiber scope intomedical device170,roller154 rotates to unspoolflexible portion158. As in previous embodiments,system150 also includes a display andcontrol module153 and afeeder160 with afirst spinning drum162, asecond spinning drum164, atensioner168 and amedical device clamp166, all as described above. Amedical device170 is typically not part ofsystem150, but rather is the item inspected bysystem150.

The main difference betweensystem150 ofFIG.4 and previously described embodiments isroller154, and the housing of the fiber scope inroller154. In all other respects,system150 may share any or all of the characteristics and features the previously described embodiments.

Referring now toFIG.5, as mentioned briefly above, in some examples the medical device inspection system may include a computer processor with artificial intelligence capabilities and/or instructions for running an algorithm, either or both of which may allow the system to identify abnormalities within a medical device and even label the abnormalities according to types. For example, the system processor may be able to learn multiple shapes of medical device lumens and identify abnormalities by shape.FIG.5 illustrates just several examples of such learned shapes. These examples include normal200, kinked202 (or oval), wet204 (signifying accumulated moisture in the device), gouged206, debris208 (which could include contamination) and unidentified210. The last of these—unidentified210—could be a shape or collection of shapes that the system processor is able to identify as abnormal but is not able to assign to a particular category.

In various examples, the system may do any or all of the following. (1) The feeder may advance the camera through the medical device lumen in stepwise fashion or continuously until the system identifies an abnormality in the lumen, at which point the system may automatically stop advancing the camera and capture a video or still image of the area with the abnormality. (2) The system may identify the abnormality in the lumen based on learned shapes of images of medical device lumens stored in the system's processor. (3) The system may display the irregularity on the system display with some kind of label, such as a word description and/or an indicator light. (4) The system may provide other information about the irregularity, such as its location in the lumen (a distance from one end of the medical device, for example). (5) The system may automatically emit a UV light to disinfect an identified contamination in the lumen. Any combination of these activities, as well as others, may be performed by the system.

Referring now toFIG.6, one example of amethod250 for inspecting a medical device, such as a lumen (or “channel”) of an endoscope is described. According to one example, amethod250 for inspecting an inside of a medical device may first involve setting up252 or positioning the fiber scope on or in the medical device inspection system. This step of setting up252 may include, for example, positioning a flexible fiber scope around a portion of a first roller of a medical device inspection system, such that a handle of the flexible fiber scope is positioned on one side of the first roller and a feeder of the medical device inspection system is on an opposite side of the roller. Themethod250 may then involve positioning the flexible fiber scope through the feeder and advancing254 a distal end of the flexible fiber scope into an opening in a lumen of the medical device. Next, the distal end of the flexible fiber scope is advanced farther into the lumen of the medical device, using the feeder. In some embodiments, alladvancement254 of the fiber scope into the medical device is done through the feeder. Alternatively, theinitial advancement254 may be performed manually, andsubsequent advancement254 may be with the feeder. Thisadvancement254, in some examples, causes the first roller to turn around an axis and move along the medical device inspection system toward the handle and the feeder. In other embodiments, the first roller does not move along the medical device.

The method may further include identifying anabnormality256 in the medical device lumen. This identification step may be achieved using the processor, and in some cases artificial intelligence, of the system. Finally, the method may include capturing at least oneimage258 of the lumen of the medical device with the flexible fiber scope. Thisimage capturing step258 may be done automatically in some examples, where the processor identifies the abnormality and sends a signal to the camera to capture theimage258.

In some examples, the method also includes attaching the medical device to the medical device inspection system before advancing the distal end of the fiber scope into the lumen. In some embodiments, positioning the flexible fiber scope through the feeder may involve positioning the flexible fiber scope between a first spinning drum and a second spinning drum of the feeder. Some embodiments may further include adjusting a tensioner of the medical device inspection system to adjust an amount of force applied to the flexible fiber scope by the first and second spinning drums. Advancing the distal end of the flexible fiber scope farther into the lumen of the medical device may sometimes be performed automatically by the feeder in a stepwise fashion.

Some examples of the method may include recording, with the medical device inspection system, multiple distances into the lumen of the medical device at which images are captured by the flexible fiber scope. In some examples, a controller (or processor) of the medical device inspection system instructs the flexible fiber scope to acquire at least one image. In some examples, the method may include distinguishing, from an image captured by the fiber scope, that the lumen contains a defect, and instructing the feeder and/or the fiber scope to record a location of the defect in the lumen. Some examples may involve determining a distance from the opening in the lumen to a defect in the lumen, using a processor of the medical device inspection system.

Some examples of the method involve using artificial intelligence in the medical device inspection system to determine that the lumen contains the defect. Some examples of the method involve using the artificial intelligence to distinguish differently labeled shapes within the lumen of the medical device, where the differently labeled shapes may include normal, gouged, oval, wet and debris-containing. The artificial intelligence may also be used to record an image, a location, a description, a date, a time, a name of a person operating the system, and/or a recommended course of corrective action pertaining to an identified defect in the lumen of the medical device.

In some examples, the method may involve attaching the handle of the fiber scope to the medical device inspection system. Some embodiments may involve positioning the flexible fiber scope around a first fixed roller fixedly attached to the medical device inspection system between the roller and the feeder. Some examples may involve positioning the flexible fiber scope around a second fixed roller fixedly attached to the medical device inspection system between the roller and the handle of the flexible fiber scope.

In some embodiments, the method may involve emitting ultraviolet light from the flexible fiber scope onto a contaminated portion of the lumen of the medical device to help treat the contaminated portion. Alternatively, any other type or wavelength of light may be emitted to treat a contaminated area in a medical device. Light may alternatively or additionally be emitted to help identify an area of damage or contamination in the medical device lumen. For example, chemoluminescence may be used in some examples. In some examples, the method may also include diffusing the ultraviolet light (or other form of light) with a light diffuser before emitting it from the flexible fiber scope. In some embodiments, emitting the ultraviolet light involves emitting pulsed light.

The method may also involve preventing kinking of the flexible fiber scope by housing a laser fiber in a sheath of the flexible fiber scope. The method may also involve preventing the flexible fiber scope from being used more than a predetermined number of times by including a lock-out feature in the medical device inspection system. The method may also involve preventing the flexible fiber scope from being used with unapproved medical devices or by unapproved inspection personnel by including a lock-out feature in the medical device inspection system. The method may also involve sensing an amount of torque applied to the flexible fiber scope by the medical device inspection system to prevent applying excessive force to the flexible fiber scope.

The above description is intended to be complete and accurate. It is meant to be a description of various embodiments, however, and is not intended to limit the scope of the invention. Various changes may be made to any of the embodiments described above, without departing from the scope of the invention described in the following claims. For example, features of one embodiment may be combined with a different embodiment, the order of steps in a given method may be changed, or the like.

Claims

1-51. (canceled)

52. An inspection system for inspecting a lumen of a medical device, the inspection system comprising:

a fiber scope having a distal end and a proximal end, the distal end including a camera configured to capture images of the lumen of the medical device; and

a processor loaded with a learning algorithm trained on training images of medical device lumens with irregularities, the learning algorithm configured to receive data from the camera to identify one or more irregularities in the lumen of the medical device.

53. The inspection system ofclaim 52, further comprising:

a medical device holding member for holding the medical device;

a fiber scope holder configured to receive a proximal end of the fiber scope;

a pair of opposed rotatable drums for moving the distal end of the fiber scope relative to the lumen of the medical device; and

a translatable roller configured to both rotate and slide relative to the pair of opposed rotatable drums to take up slack in the fiber scope as the fiber scope is moved through the lumen of the medical instrument.

54. The inspection system ofclaim 52, wherein the one or more irregularities comprise at least one of contaminants, bacteria, gouges, kinks, cracks, or moisture.

55. The inspection system ofclaim 52, wherein the processor is further configured to capture an image of the one or more irregularities in the lumen of the medical device.

56. The inspection system ofclaim 52, wherein the processor is further configured to determine a location of each irregularity of the one or more irregularities in the form of the distance of the irregularity from a distal opening of the lumen.

57. The inspection system ofclaim 52, wherein the processor is further configured to store identifying information about the type and location of each irregularity in a controller.

58. The inspection system ofclaim 52, wherein the processor is configured to label the one or more irregularities with an indicator light.

59. The inspection system ofclaim 52, wherein the processor is further configured to activate an ultraviolet light source in response to an identified irregularity.

60. The inspection system ofclaim 52, wherein the processor loaded with the learning algorithm is located at a base of the inspection system.

61. The inspection system ofclaim 53, wherein the processor is further configured to provide drive instructions to the pair of opposed rotatable drums to move the distal end of the fiber scope relative to the lumen of the medical device.

62. The inspection system ofclaim 53, wherein movement of the distal end of the fiber scope relative to the lumen of the medical device is performed manually.

63. A method for inspecting a lumen of a medical device, comprising:

holding the medical device using a medical device holding member;

using a fiber scope having a distal end and a proximal end, where the distal end includes a camera configured to capture images of the lumen of the medical device;

receiving the proximal end of the fiber scope in a fiber scope holder;

moving the distal end of the fiber scope relative to the lumen of the medical device using a pair of opposed rotatable drums;

taking up slack in the fiber scope as the fiber scope is moved through the lumen of the medical instrument using a translatable roller that is configured to both rotate and slide relative to the pair of opposed rotatable drums; and

using a processor loaded with a learning algorithm trained on training images of medical device lumens with irregularities, where the learning algorithm is configured to receive data from the camera to identify one or more irregularities in the lumen of the medical device.

64. The method ofclaim 63, wherein the one or more irregularities comprise at least one of contaminants, bacteria, gouges, kinks, cracks, or moisture.

65. The method ofclaim 63, wherein the processor is further configured to capture an image of the one or more irregularities in the lumen of the medical device.

66. The method ofclaim 63, wherein the processor is further configured to determine a location of each irregularity of the one or more irregularities in the form of the distance of the irregularity from a distal opening of the lumen.

67. The method ofclaim 63, wherein the processor is further configured to store identifying information about the type and location of each irregularity in a controller.

68. The method ofclaim 63, wherein the processor is configured to label the one or more irregularities with an indicator light.

69. The method ofclaim 63, wherein the processor is further configured to activate an ultraviolet light source in response to an identified irregularity.

70. The method ofclaim 63, wherein movement of the distal end of the fiber scope relative to the lumen of the medical device is performed manually.

71. A medical device inspection system comprising:

a medical device holding member configured to receive an elongated flexible medical device defining a lumen to be visually inspected;

a flexible borescope having a distal end and a proximal end, the distal end including a camera configured to capture images of the lumen of the elongated flexible medical device; and

an apparatus configured enabling relative movement between the flexible borescope and the medical device to progress the camera of the flexible borescope through the lumen of the elongated flexible medical device, the apparatus including,

a borescope holding member, the borescope holding member configured to receive a proximal end of the flexible borescope;

a pair of opposed rotatable drums, the pair of opposed rotatable drums configured to receive a portion of the flexible borescope therebetween; and

a translatable roller over which a portion of the flexible borescope is positioned, wherein the translatable roller is moveable relative to the borescope holding member and the pair of opposed rotatable drums to take up slack in the flexible borescope as the flexible borescope passes through the pair of opposed rotatable drums.