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PicoEndo -- world's smallest tethered endoscope also provides dramatic cost reduction
The PicoEndo endoscope is the smallest tethered endoscope in the world (4.5mm x 12.0mm). It is also inexpensive enough to use and discard. It provides a dramatic cost reduction in equipment requirements from conventional endoscope or pill camera systems, which can cost upwards of $30,000 USD. PicoEndo delivers more images at an improved quality. The PicoEndo system is applicable to medical tasks such as photographing the surface of the esophagus and to applications in any other industry that needs to place a tiny electronic camera eye in a location that is difficult to view, such as inspecting the interiors of assembled engines. It can be adapted to optical biopsy by changing its lighting mix. Because of its string (or tether), which also acts as an electronic connection and steering cable, the body of the endoscope does not have to contain batteries, memory, or processing electronics as do the much larger camera pills. The size of the camera and lens system determines the size of the unit. PicoEndo currently uses a camera and lens system 2.55mm across, but a system about half that size is under development. The unit is small enough for even children to swallow easily without sedation. The attached electronic tether string allows the camera capsule to be withdrawn or steered after it has entered as far as the operator needs. The tether connects PicoEndo to a special signal processing unit that in turn connects to a standard office PC. The 30 fps video signal further can be processed into a 3D image. The disposable endoscopy head, image processing unit, and software are estimated to cost $1,000 USD, a substantial cost reduction from the less capable larger systems.

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