# Patent

## Title
Vibratory device, endoscope having such a device, method for configuring an endoscope, and method of reducing looping of an endoscope

## Abstract

An endoscope assembly includes an insertion tube including a channel and a vibratory device inserted into the channel of the insertion tube.

## Background
This application claims the benefit of U.S. Provisional Patent Application No. 60/793,051, filed Apr. 18, 2006, the entire disclosure of which is incorporated herein by reference.


TECHNICAL FIELD OF THE INVENTION
The present invention relates to a vibratory device, an endoscope having such a vibratory device, a method for configuring an endoscope, and a method of reducing looping of an endoscope.
BACKGROUND OF THE INVENTION
There are many types of endoscopes, and they are named in relation to the organs or areas with which they are used. For example, gastroscopes are used for examination and treatment of the esophagus, stomach and duodenum; endoscope for the colon; bronchoscopes for the bronchi; laparoscopes for the peritoneal cavity; sigmoidoscopes for the rectum and the sigmoid colon; arthroscopes for joints; cystoscopes for the urinary bladder; and angioscopes for the examination of blood vessels.
A conventional endoscope is a medical device comprising a flexible tube, which is insertable into an internal body cavity through a body orifice to examine the body cavity and tissues for diagnosis. An endoscope may include a camera and a light source mounted on the distal end of its flexible tube. The tube of the endoscope has one or more longitudinal channels, through which an instrument can reach the body cavity to take samples of suspicious tissues or to perform other surgical procedures such as polypectomy.
To insert an endoscope into an internal body cavity, a physician advances the endoscope's flexible tube towards the body cavity with the distal end of the flexible tube at the front. The flexible tube may be steered to follow the cavity's contour by controlling a bendable distal end portion of the flexible tube. The advancement of the flexible tube in this manner may lead to a problem known as “looping.” As the flexible tube is inserted farther and farther into the body cavity, it becomes more difficult to advance the flexible tube. At each turn, the flexible tube must maintain the same curve as the body cavity. In some instances, the flexible tube rubs against the inner surface of the body cavity along the outside of a turn. This rubbing creates a frictional force that causes the flexible tube to loop rather than advancing forward. The loop, subsequently, pushes against the body cavity, causing the patient pain and discomfort. In cases of extreme tortuosity, it may become impossible to advance the flexible tube to reach the desired location in the body cavity. In some situations, looping of the flexible tube can create perforations in the body cavity.
Therefore, there is a need to reduce or prevent the problem of “looping.” A solution to the problem would allow for a more widespread use of the procedure and would improve its efficiency.
SUMMARY OF THE INVENTION
In a preferred embodiment of the present invention, a vibratory device may be used to vibrate the insertion tube of the endoscope to prevent the buildup of looping-causing frictional forces when the insertion tube is being advanced into a body cavity. Since the insertion tube is vibrating, any given segment of the insertion tube is only in contact with the body cavity for a brief moment of time. This prevents frictional forces from causing looping.
In accordance with one aspect of the invention, a vibratory device for an endoscope includes a motor, a flexible transmission cable having a longitudinal axis, and a plurality of masses. The flexible transmission cable is connected to the motor for the motor to rotate the flexible transmission cable about its longitudinal axis. Each mass preferably is attached to the flexible transmission cable in a manner that its center of mass is offset from the longitudinal axis of the flexible transmission cable. In a preferred embodiment, each mass includes two portions, one of the portions having a greater density or weight than the other portion.
The flexible transmission cable may include a first section connected to the motor and a second section connected to the first section, and the first section may have a larger cross-section than the second section. In some cases, the masses are attached only to the second section of the flexible transmission cable.
In accordance with another aspect of the invention, a vibratory device for an endoscope includes a flexible transmission cable having a layer of metal wire, a core disposed within the layer of metal wire, and a plurality of masses disposed between the layer of metal wire and the core. Preferably, each mass is attached to the flexible transmission cable in a manner that each mass's center of mass is offset from a longitudinal axis of the transmission cable.
In accordance with still another aspect of the invention, a vibratory device for an endoscope includes a flexible transmission cable having a longitudinal axis and a plurality of masses attached to the flexible transmission cable. Preferably, each mass includes two portions, and one of the portions has a greater density than the other portion so that each mass's center of mass is offset from the longitudinal axis of the cable. In some embodiments, the flexible transmission cable include a plurality of segments and a plurality of connectors, and each connector connects two segments and includes one of the masses. The vibratory device may also include a motor connected to the flexible transmission cable such that the motor rotates the flexible transmission cable about a longitudinal axis of the flexible transmission cable. Preferably, the flexible transmission cable includes a first section connected to the motor and a second section connected to the first section, and the masses are attached to the second section of the flexible transmission cable.
In accordance with yet another aspect of the invention, a vibratory device for an endoscope includes a flexible transmission cable having a longitudinal axis and a plurality of mass assemblies attached to the flexible transmission cable. Preferably, each mass assembly includes a housing and a mass disposed in the housing, and each mass assembly's center of mass is offset from the longitudinal axis of the cable.
In accordance with still yet another aspect of the invention, a vibratory device for an endoscope includes a flexible transmission cable including a plurality of segments and a plurality of connectors, and each connector connects two segments and includes a mass whose center of mass is offset from a longitudinal axis of the transmission cable.
In accordance with a further aspect of the invention, a vibratory device for an endoscope includes a flexible transmission cable including a first section and a second section connected to the first section, and a power switch positioned adjacent the connection between the first and second sections.
In accordance with a still further aspect of the invention, a vibratory device for an endoscope includes a flexible transmission cable including a first section and a second section connected to the first section, and a seal positioned adjacent the connection between the first and second sections.
In accordance with a yet further aspect of the invention, an endoscope assembly includes an insertion tube including a channel, and a vibratory device inserted into the channel of the insertion tube. In some embodiments, the insertion tube and the vibratory device are integrally formed. In a preferred embodiment, the vibratory device may be any of the vibratory devices described above.
In accordance with a still yet further aspect of the invention, a method for configuring an endoscope includes inserting a vibratory device into a channel of an endoscope. The method may include also the step of connecting a torque transmission cable of the vibratory device to a motor assembly of the vibratory device. The method may further include the step of powering on a motor of the motor assembly. Additionally, the inserting step may include inserting the vibratory device into only a non-steerable region of the endoscope.
In accordance with a still further aspect of the invention, a method for reducing looping of an endoscope includes inserting an endoscope into a body cavity and powering on a motor of a vibratory device of the endoscope to transmit vibration from the vibratory device to the endoscope to reduce looping of the endoscope. The method may further include inserting the vibratory device into a channel of the endoscope before inserting the endoscope into the body cavity. Alternatively, the method may further include inserting the vibratory device into a channel of the endoscope after inserting the endoscope into the body cavity and/or after looping has taken place.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 shows a perspective view of an endoscope (without a vibratory device) according to one embodiment of the present invention.
FIG. 2 shows a perspective view of the distal end of an insertion tube of the endoscope of FIG. 1.
FIG. 3 shows a perspective view of a vibratory device of the endoscope shown in FIG. 1.
FIG. 3A shows a detailed perspective view of a segment of the vibratory device shown in FIG. 3.
FIG. 4 shows a perspective view of the motor assembly of the vibratory device shown in FIG. 3.
FIG. 5 shows an interface between the motor shaft and the transmission cable of the vibratory device shown in FIG. 3.
FIG. 6 shows a cut away view of the transmission cable of the vibratory device shown in FIG. 3.
FIG. 7 shows a perspective view of a connector and a safety switch at the interface between the first and second sections of the transmission cable.
FIG. 8 shows a perspective view of a cage used in the vibratory device shown in FIG. 3.
FIG. 9 shows a perspective view of an off-balance mass of the vibratory device shown in FIG. 3.
FIG. 10 shows an exploded view of an alternate embodiment of the off-balance mass.
FIG. 11 shows a perspective view of another alternate embodiment of the off-balance mass.
FIGS. 12 and 13 show different perspective views of a further alternate embodiment of the off-balance mass.



DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION
FIG. 1 illustrates an exemplary endoscope 10 of the present invention. This endoscope 10 can be used in a variety of medical procedures in which imaging of a body tissue, organ, cavity or lumen is required. The types of procedures include, for example, anoscopy, arthroscopy, bronchoscopy, colonoscopy, cystoscopy, EGD, laparoscopy, and sigmoidoscopy.
The endoscope 10 includes a vibratory device 12 (FIG. 3) that is insertable into an insertion tube 14 of the endoscope 10. The vibratory device 12 is used to generate vibrations that are transmitted to the insertion tube 14. The vibrations reduce the possibility of looping of the insertion tube 14 by reducing the buildup of frictional forces between the body cavity and the insertion tube 14.
As shown in FIG. 2, the insertion tube 14 of the endoscope 10 has two longitudinal channels 16. In general, however, the insertion tube 14 may have any number of longitudinal channels. Each longitudinal channel 16 allows an instrument to reach the body cavity to perform any desired procedures such as to take samples of suspicious tissues or to perform other surgical procedures such as polypectomy. The instruments may be, for example, a retractable needle for drug injection, hydraulically actuated scissors, clamps, grasping tools, electrocoagulation systems, ultrasound transducers, electrical sensors, heating elements, laser mechanisms and other ablation means. In some embodiments, one of the channels can be used to supply a washing liquid such as water for washing. Another or the same channel may be used to supply a gas, such as CO2 or air into the organ. The channels 16 may also be used to extract liquids or inject liquids, such as a drug in a liquid carrier, into the body.
The insertion tube 14 preferably is steerable or has a steerable distal end region 18 as shown in FIG. 1. The length of the distal end region 18 may be any suitable fraction of the length of the insertion tube 14, such as one half, one third, one fourth, one sixth, one tenth, or one twentieth. The insertion tube 14 may have control cables (not shown) for the manipulation of the insertion tube 14. Preferably, the control cables are symmetrically positioned within the insertion tube 14 and extend along the length of the insertion tube 14. The control cables may be anchored at or near the distal end 19 of the insertion tube 14. Each of the control cables may be a Bowden cable, which includes a wire contained in a flexible overlying hollow tube. The wires of the Bowden cables are attached to controls 20 in the handle 22 (FIG. 1). Using the controls 20, the wires can be pulled to bend the distal end region 18 of the insertion tube 14 in a given direction.
As shown in FIG. 1, the endoscope 10 may also include a control handle 22 connected to the proximal end 24 of the insertion tube 14. Preferably, the control handle 22 has one or more ports and/or valves (not shown) for controlling access to the channels 16 of the insertion tube 14. The ports and/or valves can be air or water valves, suction valves, instrumentation ports, and suction/instrumentation ports. As shown in FIG. 1, the control handle 22 may additionally include buttons 26 for taking pictures with an imaging device on the insertion tube 14.
The proximal end 28 of the control handle 22 may include an accessory outlet 30 (FIG. 1) that provides fluid communication between the air, water and suction channels and the pumps and related accessories. The same outlet 30 or a different outlet can be used for electrical lines to light and imaging components at the distal end of the endoscope 10.
As shown in FIG. 2, the endoscope 10 also includes an imaging device 32 and light sources 34, both of which are disposed at the distal end 19 of the insertion tube 14. The imaging device 32 may include, for example, a lens, single chip sensor, multiple chip sensor or fiber optic implemented devices. The imaging device 32, in electrical communication with a processor and/or monitor, may provide still images or recorded or live video images. The light sources 34 may be light emitting diodes (LEDs) or fiber optical delivery of light from an external light source. The light sources 34 preferably are equidistant from the imaging device 32 to provide even illumination. The intensity of each light source 34 can be adjusted to achieve optimum imaging. The circuits for the imaging device 32 and light sources 34 may be incorporated into a printed circuit board (PCB).
FIGS. 3 and 3A illustrate the vibratory device 12 of the endoscope 10. The vibratory device 12 includes a motor assembly 38 and a torque transmission cable 40. The motor assembly 38 includes a motor housing 42 and a motor (not shown) disposed in the motor housing 42. The transmission cable 40 includes off-balance masses 44 and may be rotated by the motor of the motor assembly 38 so that the off-balance masses 44 impart vibrations to the transmission cable 40.
FIG. 4 provides a more detailed view of the motor assembly 38. The motor assembly 38 may includes a power switch 46 and a speed adjustor 47. The power switch 46 is used to turn on or turn off the motor assembly 38, and the speed adjustor 47 is used to control the speed of the motor. The motor may be a direct current (DC) motor. The direct current supplied to the motor may be converted from an alternating current (AC), and the motor assembly 38 may include an inverter (not shown) for this purpose. The inverter may be placed inside the motor housing 42 or incorporated into the power plug (not shown) of the motor assembly 38. In addition, the motor assembly 38 may include a variable transformer, which can be adjusted by the speed adjustor 47 to vary the voltage to the motor in order to control motor speed. In addition to or as an alternative to AC power, one or more batteries may be used to supply DC power to the motor. In some embodiments, the motor may be integrated into the handle 22 of the endoscope 10. All electrical components of the motor assembly 38 may be disposed in the motor housing 42.
FIG. 5 illustrates how in the illustrated embodiment the shaft 50 of the motor is connected to the proximate end 52 of the transmission cable 40. In general, however, the motor shaft 50 may be connected to the proximate end 52 of the transmission cable 40 in any suitable manner. In FIG. 5, the vibratory device 14 includes a sleeve-shaped interface 54 that connects the motor shaft 50 to the proximate end 52 of the transmission cable 40. The proximate end 52 of the transmission cable 40 and the motor shaft 50 preferably extend into the interface 54 from different ends of the interface 54. The transmission cable 40 and the motor shaft 50 may be connected to the interface 54 via an engagement mechanism such as detent springs, mechanical keying features or threaded fasteners. In the illustrated embodiment, each of the transmission cable 40 and the motor shaft 50 includes one or more spring loaded ball-nose plungers 55 that mate with complementary notches 57 on the interior surface of the interface 54. In some alternative embodiments, the sleeve-shaped interface 54 may be an integral part of the motor shaft 50, and the proximate end 52 of the transmission cable 40 may engage the interface 54 as described above. Or the sleeve-shaped interface 54 may be an integral part of the proximate end 55 of the transmission cable 40, and the motor shaft 50 may engage the interface 54 as described above. The above-described connection between the motor shaft 50 and the proximate end 52 of the transmission cable 40 allows for the transmission of torque between the motor shaft 50 and the transmission cable 40, while also allowing for a quick attachment or detachment between the motor shaft 50 and the transmission cable 40.
As illustrated in FIG. 3, the transmission cable 40 may include a first section 56 and a second section 58. The first section 56 may be an interconnecting section, and the second section 58 may be a distal section. Preferably, the second section 58 is designed to extend through a longitudinal channel 16 of the insertion tube 14, and the off-balance masses 44 are placed in the second section 58. The second section 58 preferably is as flexible as the insertion tube 14. The first section 56 allows the placement of the motor assembly 38 away from the insertion tube 14.
In the illustrated embodiment, as shown in FIG. 6, the first section 56 of the transmission cable 40 has a core 60, two layers 62, 64 of metal wires that surround the core 60, and a flexible tube 66 that surrounds the core 60 and layers 62, 64 to protect them. In the preferred embodiment, the first section 56 includes engagement interfaces on both ends. On one end, the first section 56 preferably includes the proximate end 52 of the transmission cable 40 that is rotationally engaged with the motor shaft 48 (FIG. 5). On the other end, the first section 56 includes an interface that can be suitably connected to the second section 58. For example, this interface of the first section 56 may include notches that engage spring loaded ball-nose plungers on the second section 58, just like how the proximate end 50 of the transmission cable 40 is connected to the motor shaft 48.
The second section 58 of the transmission cable 40 may be similar to the first section 56 and may include a core 60, two layers 62, 64 of metal wires that surround the core 60, and a flexible tube 66 that surrounds the core 60 and layers 62, 64. The second section 58 may have a smaller diameter than the first section 56. In some embodiments, as shown in FIG. 3A, the off-balance masses 44 are not covered by the flexible tube 66. In some other embodiments, the off-balance masses 44 are covered by the flexible tube 66, and the vibration caused by the rotating off-balance masses 44 is transmitted to the flexible tube 66 and, when the second section 58 is inserted into the insertion tube 14, from the flexible tube 66 to the insertion tube 14.
As shown in FIG. 7, the second section 58 may also include a connector 68 at its proximal interface with the first section 56. The connector 68, preferably made of a flexible material such as rubber, may have a generally cylindrical configuration with a circular groove 70 at its end. When the second section 58 is fully and securely inserted into the longitudinal channel 16 of the insertion tube 14, the groove 70 preferably receives, and is secured to, the tubular end of the insertion tube's longitudinal channel 16. This ensures that the transmission cable 40 moves together with the insertion tube 14, as the physician advances the endoscope 10 through the body cavity.
The second section 58 may further include a safety switch 72 as illustrated in FIG. 7. Preferably, the safe switch 72 is placed at the bottom of the circular groove 70 of the connector 68. When the second section 58 is fully and securely inserted into the insertion tube's longitudinal channel 16, the tubular end of the longitudinal channel 16 preferably reaches the bottom of the circular groove 70 to contact the safety switch 72 to activate it. The motor cannot operate without the activation of this switch 72, preventing the use of the vibratory device 12 outside the insertion tube 14. Electrical wires may extend through the transmission cable 40 to connect the safety switch 72 to the motor for transmitting a signal from the switch 72 to the motor.
The second section 58 may additionally include a removable flexible sheath (not shown). The sheath may be removed when the second section 58 is to be inserted into the insertion tube 14. The sheath protects the components of the second section 58, such as the off-balance masses 44, when the vibratory device 12 is not in operation. Additionally, the transmission cable 40 including the off-balance masses 44 may be coated with a polymer that prevents wear to the inner surface of the longitudinal channel 16 of the insertion tube 14.
In another embodiment, the torque transmission cable 40 provides a fluid conduit that can be used to suck fluid from the body cavity or supply fluid to the body cavity during a procedure. This fluid conduit may be provided in any suitable manner. For example, the transmission cable 40 may retain the two layers 62, 64 of coiled metal wires, but the solid core 60 may be removed to provide the transmission cable 40 with a hollow central lumen. The final mass on the transmission cable 40 may include a hole in order to allow suction through the hole and into the lumen of the transmission cable 40. Additionally, the insertion tube' channel 16, in which the transmission cable 40 is inserted, may still be used to suck fluid from the body cavity or supply fluid to the body cavity. To that end, the transmission cable 40 may include one or more metal cages 73 that, as illustrated in FIG. 12, allow air or fluid to pass through them and at same time can transmit torque. One of the metal cages 73 may be situated proximally in the endoscope 10 such that the suction port on the endoscope's handle 22 can be employed to perform the necessary operation even with the transmission cable 40 in the channel 16. The connector 68 at the proximal end of the second section 58 may serve as a seal over the opening of the channel 16 in order to allow suction.
In some embodiments, the vibratory device 12 may be integrated into the endoscope 10. This may be accomplished, for example, by integrating or disposing the transmission cable 40 in a dedicated channel of the endoscope 10. The power switch, speed adjustor, and/or the motor of the vibratory device 12 may be placed on the handle 22 of the endoscope 10.
The off-balance masses 44 may be arranged and mounted in the second section 58 of the transmission cable 40 in any suitable manner. For example, the off-balance masses 44 may be arranged at a set interval or at variable intervals in the second section 58. The spacing of the off-balance masses 44 may affect the oscillatory pattern of the transmission cable 40. Masses that are spaced too closely or too far may not generate vibrations of sufficient magnitude to affect looping. The angle of orientation from one set of masses to the next will determine the shape of the vibration along the transmission cable 40. The off-balance masses 44 may have the same weight or different weights and/or the same offset or different offsets between the off-balance masses' centers of mass and their axes of rotation. In many cases, an off-balance mass's axis of rotation is the same or substantially the same as the longitudinal axis of the transmission cable 40.
The offset between each off-balance mass's center of mass and its axis of rotation may be created in any suitable manner. In the illustrated embodiment, for example, an off-balance mass 44 may be constructed from at least two different materials as shown in FIG. 9. One part 74 (such as one half) of the off-balance mass 44 may be made from a heavier material (i.e., a material with a higher density) such as a metallic material (for example, iron or copper), while the other part 76 (such as the other half) may be made from a lighter material (i.e., a material with a lower density) such as a plastic material (for example, polyurethane). Additionally, the two parts of the off-balance mass may have different volumes with one of the parts being larger than the other part.
Alternatively, an off-center mass 44 may be constructed from at least a cap 78, a housing 80, and a mass 82, as shown in FIG. 10. The cap 78 and housing 80 may be made from a light metal such as aluminum, while the mass 82 may be made from a heavier metal such as iron. As shown in FIG. 10, the mass 82 occupies about one half of the housing 80, although the mass may occupies any portion (but not all) of the housing 80. The cap 78 is used to secure the mass 82 in the housing 80.
In another embodiment, as shown in FIG. 11, the off-balance masses 44 may be integrated inside the transmission cable 40. As the transmission cable 40 is constructed, the off-balance masses 44 preferably are simultaneously integrated. The off-balance masses 44 may be disposed between the core 60 and the layers 62, 64 of metal wires and may be secured there by means of, for example, overmolding, extruding, and using an adhesive.
In a further embodiment, as shown in FIGS. 12 and 13, an off-balance mass 44 is part of a connector 84A, 84B that joins two segments of the transmission cable 40. This allows the customization of the length of the transmission cable 40. In this embodiment, the connector 84A, 84B includes two housing segments 84A, 84B and an off-balance mass 44 disposed in the housing 84A, 84B. The two housing segments 84A, 84B are joined to each other to form the housing 84A, 84B.
In a still further embodiment, the final off-balance mass 44 on the distal end of the transmission cable 40 may be tapered. This feature facilitates entry of the vibratory device 12 into a channel 16 of the insertion tube 14. Preferably, the final off-balance mass 44 has the previously-described cylindrical mass assembly and a conical section attached to the cylindrical mass assembly by any suitable means such as welding, overmolding, and using an adhesive.
The off-balance masses 44 may be mounted to the transmission cable 40 in any suitable manner. In the illustrated embodiment, for example, the off-balance masses 44 may be mounted to the transmission cable 40 by ultrasonic welding, overmolding, and using an adhesive.
In operation, the motor of the vibratory device 12 rotates the transmission cable 40 and the off-balance masses 44 in the transmission cable 40. Each rotating off-balance mass 44 generates a centrifugal force that is equal to F=M·R·ω2, where F is the centrifugal force, M is the mass, ω is the angular velocity, and R is the distance between the off-balance mass's center of mass and its axis of rotation. The centrifugal force in any particular radial direction (i.e., any direction that is perpendicular to the longitudinal direction of the transmission cable 40) oscillates in a sinusoidal pattern. This oscillatory centrifugal force imparts vibration to the transmission cable 40. This principle of rotating an off-balance mass to induce vibration is the basis for vibratory devices such as electric toothbrushes and is well documented and understood in the consumer electronics art. The oscillations create the vibrations necessary to prevent the buildup of looping-causing frictional forces when an endoscope 10 is advanced through the body cavity.
During a procedure, after connecting the torque transmission cable 40 to the motor assembly 38 to assemble the vibratory device 12, a physician can insert the vibratory device 12 into a channel 16 of the endoscope's insertion tube 14. In some cases, the vibratory device 12 is not advanced to the steerable end region 18 of the insertion tube 14 to maintain the steerability of the end region 18. The endoscope 10 is then advanced through the patient's body cavity. If looping begins to occur, the physician turns on the motor to vibrate the insertion tube 14. The vibrations mitigate looping effects by reducing the buildup of frictional forces between the body cavity and the insertion tube 14. Since the insertion tube 14 is vibrating, any given segment of the insertion tube 14 is only in contact with the body cavity for a brief moment of time. This prevents frictional forces from causing looping. The physician may vary, as needed, the characteristics (such as the intensity) of the oscillations by adjusting the speed adjustor 47. Once the endoscope 10 is placed in the body cavity, the physician may turn off the motor and remove the vibratory device 14 from the channel 16 of the endoscope's insertion tube 14. The physician is then free to use the longitudinal channel 16 for other purposes as she performs the regular procedure. After the medical procedure is complete, the transmission cable 40 (or the second section 58 thereof) may be disconnected and, in some cases, disposed of.
The aforementioned order of events is only one of many possibilities. For example, the vibratory device 14 may also be inserted into the insertion tube 14 after looping has occurred. The vibratory device 14 may even be removed and inserted as needed in order to accommodate other uses of the longitudinal channel 16.
While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that changes and modifications can be made without departing from this invention in its broader aspects. Therefore, the appended claims are to encompass within their scope all such changes and modifications as fall within the true spirit and scope of this invention.

## Claims

1. An endoscope assembly, comprising:
an insertion tube including a channel, a light source, and an imaging device; and
a mechanical vibratory device disposed within the channel of the insertion tube, the vibratory device including:
a flexible transmission cable having a longitudinal axis and being configured to rotate with respect to the insertion tube; and

a plurality of masses coupled to the flexible transmission cable, each mass having a non-uniform weight distribution about the longitudinal axis of the flexible transmission cable such that each mass has a center of mass that is offset from the longitudinal axis, and wherein the vibratory device being configured to vibrate the insertion tube within a body cavity to limit frictional forces between the insertion tube and the body cavity and inhibit looping of the insertion tube within the body cavity.

2. The endoscope assembly of claim 1, wherein the insertion tube and the vibratory device are integrally formed.

3. The endoscope assembly of claim 1, wherein the vibratory device includes a motor configured to rotate the flexible transmission cable.

4. The endoscope assembly of claim 3, wherein the flexible transmission cable includes a first section connected to the motor and a second section connected to the first section, and wherein the first section has a larger cross-section than the second section.

5. The endoscope assembly of claim 3, wherein the flexible transmission cable includes a first section connected to the motor and a second section connected to the first section, and wherein the masses are coupled to the second section of the flexible transmission cable.

6. The endoscope assembly of claim 1, wherein the vibratory device includes a sheath that encloses at least a portion of the flexible transmission cable.

7. The endoscope assembly of claim 1, wherein each mass includes two portions, a first portion having a greater density than a second portion.

8. The endoscope assembly of claim 1, wherein each mass includes two portions, a first portion having a greater weight than a second portion.

9. The endoscope assembly of claim 1, wherein each mass assembly includes a housing and a mass disposed in the housing.

10. The endoscope assembly of claim 1, wherein
the flexible transmission cable includes a first section and a second section connected to the first section; and
a power switch positioned between the first and second sections.

11. The endoscope assembly of claim 1, wherein
the flexible transmission cable includes a first section and a second section connected to the first section; and
a seal positioned between the first and second sections.