In modern minimally invasive surgery and diagnostic imaging, the quality of the image you see on the screen is only as good as the cable that carries it. For endoscopic systems, that critical link is the micro coaxial cable for endoscope medical equipment—a specialized, ultra-fine cable that forms the high-fidelity data path between the tiny camera or sensor at the tip of the endoscope and the external processing unit.
This article explains what these cables are, how they are constructed, why they are indispensable for endoscopy, and what to consider when selecting one for your medical device project.
Defining the Micro Coaxial Cable
A micro coaxial cable is an ultra-thin version of a standard coaxial cable. It is engineered to carry high-frequency signals (video, data, or sensing) through extremely confined spaces while maintaining signal integrity.
In the context of endoscopy, it serves as the primary transmission medium for:
Image Signals: From CMOS/CCD sensors to the video processor.
Control Signals: For camera control and system feedback.
Power: For miniature lighting (LEDs) or sensor operation.
These cables are designed to be extremely small in diameter (often below 1 mm), highly flexible, and capable of withstanding the stresses of repeated bending and sterilization that occur during clinical use.
Anatomy of a Medical-Grade Micro Coaxial Cable
A typical medical-grade micro coaxial cable is built with multiple layers, each serving a critical function:
Center Conductor
Material: High-purity copper or silver-plated copper.
Gauge: Very fine, often in the 36–46 AWG range, to achieve a small diameter.
Function: Carries the signal current with minimal loss.
Dielectric Insulation
Material: Low-loss fluoropolymers like PTFE, FEP, or PFA.
Function: Maintains a consistent distance from the conductor to stabilize the cable’s characteristic impedance (typically 50 Ω or 75 Ω).
Shielding Layer
Structure: A combination of aluminum foil and a tinned copper braid.
Function: Provides 360° shielding to minimize electromagnetic interference (EMI) and radio-frequency interference (RFI), which is crucial in the electrically noisy environment of an operating room.
Inner Jacket (Optional)
Material: PFA or other flexible medical-grade polymers.
Function: Bundles multiple micro-coax cables and provides an additional layer of protection.
Outer Jacket
Material: Medical-grade polyurethane (PU), silicone, or TPE.
Function: Provides the final layer of mechanical protection, chemical resistance, and biocompatibility.
Why Micro Coaxial Cables Are Essential for Endoscopes
Endoscopes are used in delicate, high-stakes environments where failure is not an option. Micro coaxial cables are chosen for several critical reasons:
Miniaturization: They enable the creation of ultra-thin, flexible scopes that can navigate narrow body lumens, such as in neuroendoscopy or pediatric applications.
High-Fidelity Signal Transmission: Their controlled impedance and shielding ensure the delivery of sharp, clear images by minimizing signal loss and interference, which is vital for accurate diagnosis.
Mechanical Durability: They are engineered to endure hundreds of thousands of bending cycles and the high-flex, high-torsion stress of articulated scopes without degradation.
Sterilization Compatibility: The materials are selected to withstand repeated exposure to harsh sterilization methods like autoclaving (steam), ethylene oxide (EtO), and chemical disinfectants without cracking or losing flexibility.
EMI/RFI Immunity: In an OR filled with equipment like electrocautery units and MRI scanners, robust shielding is non-negotiable to prevent image artifacts and data corruption.
Key Applications in Endoscopic Systems
Micro coaxial cables are the backbone of signal transmission in a wide range of endoscopic equipment:
Flexible Endoscopes: Used in GI (gastroscopy, colonoscopy), ENT, and urology. Multiple micro-coax bundles transmit R, G, B, and sync signals for high-resolution video.
Rigid Endoscopes: Used in arthroscopy and laparoscopy. They offer a balance of high strength and excellent shielding for reliable HD video transmission.
Disposable & Single-Use Endoscopes: Integrated micro-coax assemblies are used in cost-effective, single-patient devices, eliminating cross-contamination risks.
Capsule Endoscopes: Ultra-fine, highly flexible micro-coax or coax-based flat cables connect internal cameras to the transmitter module.
Ultrasound Imaging Probes: In intravascular ultrasound (IVUS) and endoscopic ultrasound (EUS), they transmit high-frequency signals from the transducer array to the system.
Surgical Robotics & Advanced Imaging: They provide high-speed, low-latency data links for robotic arms, haptic feedback, and high-definition video feeds.
Technical Parameters to Consider
When evaluating a micro coaxial cable, focus on these key specifications:
Outer Diameter (OD): Dictates flexibility and the minimum bend radius. Endoscopic cables are often 0.3–1.0 mmin diameter.
Characteristic Impedance: Must match the system (typically 75 Ωfor analog video, 50 Ωfor RF/data). Mismatches cause signal reflections and image ghosting.
Attenuation: Indicates signal loss over distance. For HD video, low-loss constructions are essential to maintain image clarity.
Bandwidth: Determines the maximum resolution. Modern systems may require bandwidths from hundreds of MHz to over 1 GHz.
Shielding Effectiveness: A high-quality shield (e.g., >70 dB @ 1 GHz) is critical for reliable performance in an OR.
Bend Life: For hand-held scopes, a life of 50,000 to 100,000+flex cycles is common.
Sterilization & Biocompatibility: The cable must be compatible with your chosen sterilization method and pass tests like ISO 10993 for skin contact.
Micro-Coax vs. Other Transmission Methods
Feature
Micro-Coaxial Cable
Twisted Pair / LVDS
Fiber Optic
Signal Type
Analog video, RF, high-speed data
Digital video (LVDS, HDMI)
Light (digital video, data)
EMI Immunity
Very High (with good shielding)
Moderate to High
Immune
Bandwidth
High (up to several GHz)
High
Very High
Transmission Distance
Short (meters)
Medium
Very Long (tens of meters+)
Bendability
Excellent (for fine cables)
Good
Moderate (brittle if tight bent)
Power Delivery
Possible (with hybrid cable)
Not typical
Not typical
Cost & Complexity
Moderate
Moderate
Higher (requires opto-electronics)
In practice, many high-end endoscopes use a hybrid approach, combining micro-coax for short, high-bandwidth video runs with other media for power or longer-distance links.
How to Select the Right Cable
Choosing the correct micro coaxial cable involves a systematic approach:
Define the Application: Is it a reusable GI scope, a single-use bronchoscope, or a surgical robot? The application dictates all other parameters.
Match Electrical Specs: Ensure the impedance, bandwidth, and attenuation meet or exceed your system’s requirements.
Verify Mechanical Fit: The cable’s diameter and bend radius must fit within the tight confines of your device’s bending section.
Confirm Sterilization Compatibility: The chosen materials must survive your facility’s standard sterilization protocol for the intended number of cycles.
Evaluate the Supplier: Look for suppliers with ISO 13485certification, a proven track record in medical cables, strong documentation (test reports, traceability), and the ability to provide custom assemblies.
The Future of Micro Coaxial Cables in Endoscopy
The demand for smaller, more flexible, and higher-resolution endoscopes is driving innovation in micro-coax technology. Key trends include:
Pushing the Size Limit: Developing cables with diameters below 0.2–0.3 mmfor next-generation ultra-thin scopes.
Higher Bandwidth: New designs are emerging to reliably support 4K and even 8Kvideo over micro-coax.
System Integration: Increased use of hybrid cables that combine coax, power, data, and fluid lines into a single, streamlined assembly.
Advanced Materials: New polymers and conductor platings are being developed to further improve flexibility, chemical resistance, and biocompatibility.
As endoscopy evolves, the micro coaxial cable will remain a critical, enabling technology, ensuring that the images guiding life-saving procedures are always clear, reliable, and safe.
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