Integrated endoscope irrigation

1. An endoscopic device comprising:

(a) a handle section,

(b) an insertion tube connected to the handle section,

(c) a distal tip at the distal end of the insertion tube,

(d) a plurality of longitudinal elements comprised of tubes, wires, and cables which pass through the interior of the insertion tube, and

(e) empty spaces between the plurality of longitudinal elements, wherein the empty spaces are configured to be utilized as a channel which enables liquid or gas to flow from the handle section to the distal tip,

further comprising an articulation section located at the distal end of the insertion tube proximally to the distal tip, the articulation section activated by articulation cables or wires which pass through the length of the interior of the insertion tube from the handle section to the articulation section, and

wherein the handle section comprises at least a portion of said articulation cables or wires in one or more fluid sealed compartments to steer the articulation section without leakage of liquid or gas out of the fluid sealed compartments.

2. The endoscopic device of claim 1 , further comprising a fluid inlet port coupled to the fluid sealed compartments for introducing fluid through the compartments into the insertion tube.

3. The endoscopic device of claim 1 , further comprising an imaging device located in the distal tip, the imaging device activated by power delivered thereto and transmitting images captured therewith via one or more cables, wires, or optical fibers passing through one or more tubes extending the length of the interior of the insertion tube from the handle section to the distal tip.

4. The endoscopic device of claim 3 , wherein the imaging device is a video camera.

5. The endoscopic device of claim 1 , further comprising illumination devices located in the distal tip, the illumination devices activated by wires or optical fibers passing through one or more tubes extending the length of the interior of the insertion tube from the handle section to the distal tip.

6. The endoscopic device of claim 1 , further comprising one or more working channels passing through the interior of the insertion tube from the handle section to the distal tip.

7. The endoscopic device of claim 1 , further comprising one or more surgical tools each of which is located at a location on the insertion tube or on the distal tip and is associated with a tube, wire and/or cable passing through the interior of the insertion tube from the handle section to said location.

8. The endoscopic device of claim 1 , further comprising one or more therapy devices selected from lasers and radio frequency generators, located at a location on the insertion tube or on the distal tip.

9. The endoscopic device of claim 1 , wherein the liquid or gas flowing through the empty spaces is capable of reaching at least one nozzle located in the distal tip.

10. The endoscopic device of claim 1 , wherein the distal tip comprises a pattern of alternating grooves and lands on its outer surface and a cap configured to fit over said lands.

11. A method of reducing the diameter of an endoscopic device, wherein the endoscope device comprises:

(a) a handle section,

(b) an insertion tube connected to the handle section,

(c) a distal tip at the distal end of the insertion tube,

(d) a plurality of longitudinal elements comprised of tubes, wires, and cables passing through the interior of the insertion tube, and

(e) empty spaces between the plurality of longitudinal elements;

the method comprising:

utilizing the empty spaces between the plurality of longitudinal elements as a liquid or gas channel which enables liquid or gas to flow from the handle section to the distal tip,

wherein the endoscope device further comprises:

an articulation section located at the distal end of the insertion tube proximally to the distal tip, the articulation section activated by articulation cables or wires which pass through the length of the interior of the insertion tube from the handle section to the articulation section, and

wherein the handle section comprises at least a portion of said articulation cables or wires in one or more fluid sealed compartments to steer the articulation section without leakage of liquid or gas out of the fluid sealed compartments.

12. The method of claim 11 , further comprising, connecting said fluid sealed compartments to a fluid inlet port.

13. The method of claim 12 , further comprising introducing fluid through the handle and said empty spaces to at least one nozzle at the distal tip of the insertion tube.

14. The method of claim 11 , further comprising controlling an imaging device located in the distal tip, the imaging device activated by power delivered thereto and transmitting images captured therewith via one or more longitudinal elements.

15. The method of claim 11 , further comprising controlling operation of one or more surgical tools each of which is located at a location on the insertion tube or on the distal tip and is associated with one or more longitudinal elements.

16. The method of claim 11 , further comprising utilizing the liquid or gas for at least one of: irrigation, insufflation, suction, cooling, heating, staining, and therapy.