WO2002091920A1

WO2002091920A1 - Method and apparatus for obtaining geometrical data relating to the ear canal of the human body

Info

Publication number: WO2002091920A1
Application number: PCT/DK2002/000302
Authority: WO
Inventors: Preben Damgård JENSEN; Tom Olesen
Original assignee: Oticon A/S
Priority date: 2001-05-17
Filing date: 2002-05-08
Publication date: 2002-11-21
Also published as: US20040136010A1; EP1392164B1; US7206067B2; EP1392164A1; DK1392164T3

Abstract

The invention concerns a method for obtaining geometrical data relating to the internal surface of the ear canal and/or ear whereby a probe having a light emitting distal portion is inserted into the ear canal, the method further comprising the steps of: directing light from a distal portion of a probe to illuminate at least one point of the internal circumferential surface of the ear and/or ear canal, receiving the light reflected from the illuminated surface, and directing the received light to at least one light sensitive element to generate an output, analyzing the output to determine the distance from the probe to the internal surface of the ear and/or ear canal at points of the circumference. The invention also relates to an apparatus for obtaining geometrical data relating to the internal surface of ear and ear canal.

Description

TITLE

Method and apparatus for obtaining geometrical data relating to the ear canal ofthe human body.

AREA OF THE INVENTION The invention relates to a method and an apparatus for obtaining geometrical data relating to the ear and ear canal ofthe human body. The method and the apparatus is used to gain a data mapping ofthe internal surface ofthe ear and ear canal, so that a 3- dimensional data or digital model ofthe internal surface ofthe ear and ear canal is obtained. Such a 3 -dimension model can be used to produce a shell, which has the exact shape ofthe canal and the shell may form the basis for an ITE or CIC hearing aid. Also earmoulds or shells for other purposes such as a hearing protection or for headsets may be produced from the data model. The shell can be produced on the basis ofthe data model in different ways, such as by recent developed rapid prototyping methods or by well known machining, e.g. in a CNC machining center.

Today hearing aid shells are produced on the basis of an ear impression taken by introducing a semi-fluent material into the ear canal, which is left to cure in the ear. After curing the semi-fluent material becomes elastic and coherent and is pulled out ofthe ear canal in one piece. A shell is produced on the basis of this ear impression. Having the ear impression taken is associated with discomfort for the patient, and in many cases the resulting shell does not fit the canal very well. Therefor a method and a device is sought whereby a hearing aid shell may be produced without the necessity of taking the ear impression.

The advantage of having a data model ofthe ear canal is that the production ofthe shell can take place at any location, which means that hearing aid manufactures may produce the shells at a central production facility. Uniform quality can then be ensured. Further the data model may be transmitted either as it is obtained or right thereafter for evaluation at a production facility. Thereby a data model ofthe hearing aid, which may be realized based on the dimensions and shape ofthe canal may be generated. The data model ofthe hearing aid can be transmitted back to the end user for visual evaluation. BACKGROUND OF THE INVENTION

In the following documents some ofthe above problems are addressed, but no satisfactory solutions are presented.

US patent No. 5 487 012 discloses a method for computer controlled production of an adaptive earpiece comprising at least one part, which is individually matched to the contours of an auditory canal. The method comprise the steps of tracing ofthe contours ofthe auditory canal to obtain contour data, digitization ofthe contour data and storage ofthe digitized values, converting the digitized values into a multi-dimensional computer model ofthe external contours ofthe adaptive earpiece and producing the earpiece on the basis ofthe computer model. The patent mentions that the tracing ofthe internal contours ofthe ear canal may be performed using ultra sound. The document further discloses a method for tracking the ear canal based on the use of an ear impression, but such a method would not resolve the problems relating to the usual way of producing shells as described above.

US patent No. 5 056204. In this document a method for producing a hearing aid, which is worn in the ear is described. The method comprise the steps of initially taking measurements ofthe inner space ofthe ear up to the eardrum for use in producing an individual shape ofthe body member corresponding with the measurements ofthe inner space ofthe ear. It is mentioned that the measurement is done by means of a laser. How this actually takes place is not disclosed.

PCT application WO 00/34739 discloses a method for manufacture of a hearing aid shell comprising a motor actuated ultrasonic probe used to acquire the shape data ofthe ear canal, an image processing computer, which also incorporates the driving electronics for the probe, with an edge detection algorithm used to filter the data. Thereby a digital image file ofthe three-dimensional topography ofthe ear canal is obtained. The ultrasonic probe is combined with a fiber optic probe used to monitor the position ofthe probe within the canal. The fiber optic probe comprises an inner coherent bundle of fibres and an objective lens that relay the image ofthe canal to a C. CD. camera and an outer incoherent bundle of fibres that surround the coherent bundle and permits the illumination ofthe canal by an external light source that is optically coupled to the other end ofthe incoherent bundle. The position ofthe probe is determined solely by monitoring the displacement ofthe probe in one linear direction. Only the possibility of monitoring the motor, which is a step-motor is mentioned for this purpose. The probe is mounted on a stiff rod, and is not capable of following the possible bends ofthe ear canal. This limits the use ofthe probe, as many hearing-impaired people especially older people have ear canals with sharp bends.

Various methods and apparatuses for determining the internal properties of internal surfaces have been suggested, however none of these are useful when it comes to mapping the internal surface of a canal ofthe human body, in order to generate a digital model ofthe interior wall ofthe canal.

US Patent No. 5 004 339 discloses an apparatus for determining a characteristic ofthe inside surface of a bore comprising: a guided wave fiber optic element capable of insertion into a bore; a laser light source for directing light onto the proximal end of said fiber optic element; means for directing light emanating from the distal end of said fiber optic element onto the inside surface of said bore and for directing light reflected from the inside surface of said bore onto the distal end of said fiber optic element; and photo detector means capable of generating an output signal dependent upon light incident thereon; means for directing light emanating from the proximal end of said fiber optic element onto said photo detector means whereby the output signal of said photo detector provides an indication of a characteristic of an inside surface of a bore. The patent further concerns a method for determining a characteristic ofthe inside surface of a bore using the above apparatus. The method may be employed on a body passage. Obtaining dimensional information concerning a cylindrical surface is mentioned, but not described in detail. Visualization ofthe bore wall of a sample is described. The sampled and held output of array video data is fed to the y and z axis of a storage video display with the x axis comprised by a pickoff of the movement along the bore length. No system for generating precise information concerning the position and orientation ofthe distal end ofthe fiber optic element is mentioned. The means for directing light from the distal end ofthe optic element onto the inside surface ofthe bore may be a mirror surface or a lens such as a wide-angle lens. The mirror surface can be designed to focus light on a point of the bore wall surface which is axially forward ofthe forwardmost portion ofthe mirror. This may be used to examine the bottommost portion of a blind bore. The patent does not mention the combined use of a mirror surface and a lens. Also the use of a semi- transparent mirror intended to direct part ofthe light to the circomferential surface and another part ofthe light to the surface which is axially forward ofthe mirror is not mentioned.

US patent No. 5 469 245 relates to a method and an apparatus for measuring a three- dimensional position of a surface of a lengthwise object such as a pipe having a uniform cross section from a corresponding two-dimensional observed image ofthe object surface to measure, for example, the size of a defect in the surface. The patent does not mention systems to determine the exact location and orientation of a probe, which is inserted into the pipe.

US patent No. 5 895 927 relates to a method and apparatus for profiling and dimensionalizing an interior cross-sectional portion of a tubular structure. The probe utilizes a disc of unfocused light to illuminate a cross-section ofthe interior surface and images the illuminated cross-section from the interior surface to a photo detector array, where the image can be evaluated. The photo detector array provides a continuous video signal, which can be fed to a video monitor and to a frame grabber. The resulting array of numbers can be processed by a computer program to find those pixels, which represent the illuminated cross-section, and through this, dimensional (diameter) data may be obtained. The patent does not mention systems for determining the position and orientation ofthe probe, in order to gain information relating to the length ofthe tubular structure or relating to possible bends in the tubular structure.

US patent No. 6 073 043. This document describes a method and apparatus for determining the position and orientation of a remote object relative to a reference coordinate frame. The method and apparatus includes a plurality of field-generating elements for generating electromagnetic fields and a drive for applying signals to the generating elements. The signals generate a plurality of electromagnetic fields that are distinguishable from one another. The apparatus comprises a remote sensor having one or more field-sensing elements for sensing the fields generated and a processor for processing the outputs ofthe sensing element(s) into remote object position and orientation relative to the generating element reference coordinate frame. The position and orientation solution is based on the exact formulation ofthe magnetic field coupling. The system can be used for locating the end of a catheter or endoscope, digitizing objects for computer databases, virtual reality and motion tracking.

SUMMARY OF THE INVENTION

The object ofthe invention is to provide a method for obtaining geometrical data relating to the internal surface ofthe ear and ear canal ofthe human body in order to be able to generate a model ofthe internal surface ofthe ear and ear canal.

This is achieved by the method according to claim 1. The invention uses light to determine the distance from the tip of a probe to the internal wall ofthe ear canal, and based on the position ofthe probe, this information is used to generate information about the shape of tl e canal. By the use of light to determine the distance between the probe and the surface ofthe canal, it is possible to locate foreign object in the canal such as hair or earwax, and these objects are left out ofthe data model. In this way a more precise model is obtained. Further the use of light makes it possible to obtain very precise data. The inside ofthe ear canal need not be touched during measurement, and this is important for two reasons. Firstly because the internal surface ofthe ear canal is very sensitive and touching thereof is unpleasant for the patient, and secondly the ear canal may deform when touched, and this might disturb the measured distance values and thereby corrupt the obtained data model.

In an embodiment ofthe method distance data are obtained and recorded while position data concerning the spatial position and rotation ofthe distal portion ofthe probe are obtained and recorded during movement ofthe probe from a first to a second location. Thereby an operator may map a larger coherent area ofthe internal surface ofthe ear canal in an easy and straightforward way as the data are recorded during operator controlled motion ofthe probe.

Preferably the light sensitive element comprises an array of light sensitive elements such as CCD elements.

In a further embodiment the probe has a flexible part and is capable of bending. This has the advantage that the probe is capable of assuming the shape ofthe ear canal. This makes it possible to insert and retract the probe the full length ofthe ear canal as the probe continually assumes the shape ofthe ear canal. The ear canal of especially elderly people may have sharp bends, and by using the invention, the probe may be carefully maneuvered past such bends as data are recorded, and without making impressions in the tissue ofthe ear canal, which might corrupt the measurements.

Foreign objects such as earwax may corrupt the obtained date. In an embodiment ofthe invention this is avoided by analyzing the light in order to recognize such objects. This may be done on the basis ofthe spectral composition ofthe light received at the CCD.

Measurements may be performed while moving the probe either towards or away from the tympanic membrane. In an embodiment according to the invention the measurements are performed while moving the probe away from the tympanic membrane. The operator may then place the probe deep in the ear, while taking care that the tympanic membrane is not touched, and then start the measurements and pull the probe gently out ofthe ear while taking the measurements. The probe may either be pulled out by hand, or a guiding mechanism may be provided, to make sure that the probe is moved at a uniform speed.

In an embodiment ofthe invention the position data are obtained using transducing means transmitting a magnetic field associated with the distal portion ofthe probe and second transducing means fixed relative to the head ofthe patient and detecting the magnetic field generated by the transmitter. The use of this method of obtaining the position data is very precise. Further it is possible to make the measurement noise insensitive. Also the transmitter ofthe magnetic field may be made small, so that it may easily be build into the tip ofthe probe. A further object ofthe invention is to provide an apparatus for obtaining geometrical data relating to the internal surface ofthe ear and ear canal ofthe human body in order to be able to generate an exact model ofthe internal surface ofthe ear and ear canal.

This is achieved with the apparatus according to claim 8.

Claims 9- 13 contain advantageous embodiments ofthe apparatus.

Further advantageous embodiments ofthe apparatus are contained in claims 14 - 19

A very simple apparatus for obtaining geometrical data is achieved by the apparatus comprising:

- a probe having a rod part with a proximal end and a distal portion and comprising at least one light guide and a light source at the proximal end ofthe light guide,

- a light emitting distal portion insertable into the ear canal and having means for directing light from the distal end ofthe light guide onto at least one point of an internal circumferential surface area ofthe ear and/or ear canal,

- means for receiving the light reflected from the illuminated area, and means for directing the received light to at least one light sensitive element to generate an output,

- means for analyzing the output to determine the distance from the probe to the internal surface ofthe canal at points ofthe circumference.

Focusing means in the form of a lens may be inserted in the light path between the light guides and the mirror, to obtain a focused light beam directed towards the internal canal surface.

Preferably the light sensitive element in the apparatus comprises an array of light sensitive elements such as CCD elements.

In and advantageous embodiment the light path between the second mirror surface and the CCD element comprises an image guide between the distal end and the proximal end δ ofthe probe, and the CCD element is arranged at the proximal end ofthe probe, and receives the light emitting from the image guide. A flexible image guide is chosen, so that it may bend along with the probe to follow the bends ofthe ear canal. The CCD element is arranged at the proximal end ofthe image guide, away from the ear ofthe patient during measurement. The advantage is here that no severe space restrictions exist, and the most suitable CCD element may be chosen along with possible lenses, without regard to size.

In an advantageous embodiment the light source generates light containing wavelengths within a first wavelength range and a second wavelength range, and at least the first mirror surface is arranged on a transparent body, whereby the mirror surface reflects light in a first wavelength range and is transparent to light in a second wavelength range and transmits the light in the second wavelength range and whereby the light in the second wavelength range is directed to the area in front ofthe distal portion ofthe probe, and the light reflected from any objects in this area is directed through the transparent body and guided towards the CCD element. By this arrangement it becomes possible to receive two images at the CCD element, one ofthe circumference ofthe ear canal, and one ofthe environment in front ofthe tip ofthe probe. The two images will be in each their wavelength range and may then be captured by one and the same CCD element.

The mirror surface preferably comprises a coating on the transparent body.

Preferably the CCD element is sensitive to light in both the first and the second wavelength range and the first or the second sensitive wavelength range may be selected. Thereby one and the same CCD element may be used to capture pictures from the circumference and from the front ofthe probe.

Control ofthe light received at the CCD may be achieved by controlling the light input to the light guide. When the area in front ofthe probe is to be illuminated, light in the second wavelength range is inputted to the light guide, and when the circumference is to be illuminated, light in the first wavelength is used. Control ofthe light input to the light guide may be obtained through control ofthe light source or by the use of filters. In another embodiment the probe comprises two CCD elements sensitive to each their wavelength range, whereby a mirror having a semitransparent coating is arranged such that one ofthe CCD elements receives the light from the circumference and the other CCD element receives the light reflected from the area in front ofthe distal portion ofthe probe. In this case the two pictures are available at all times at the two CCD elements.

BRIEF DESCRIPTION OF THE DRAWINGS

Fig. 1 is a sectional view of a the distal end of a probe showing the light path for determining the distance to the inside wall of a canal,

Fig. 2 is a sectional view ofthe probe in fig. 1 showing the light path for determining the distance to an object in front ofthe distal portion ofthe probe,

Fig. 3 is a side view showing the human ear and the arrangement ofthe position sensors.

DESCRIPTION OF A PREFERRED EMBODIMENT

The probe shown in fig. 1 has a distal light emitting portion and a rod portion 9, which connects the distal portion to a proximal part (not shown). The rod portion 9 comprises a flexible pipe 8 and a set of light guides 3 and an image guide 1. The image guide 1 is placed centrally in the pipe 8, and the light guides 3 are arranged between the pipe 8 and the image guide 1. Near the tip ofthe probe the light guides 3 are fastened between an inner bushing 2 and an outer tube 6. An annular lens 4B is arranged at the bushing 2 to capture the light emitting from the light guides 3, in order to focus said light. The focused light beam is directed to a first portion of a mirror 5 mounted at the tip ofthe tube 6. The first portion ofthe mirror 5 has a circumferential conical plane with a top angle of 45°. Thereby the focused light beam emitted from the lens 4B will be directed in a right angel away from the longitudinal axis ofthe probe, and towards the surrounding canal wall 11. The tip portion ofthe tube 6 is made of a transparent material, so that the light may be transmitted freely through the tube wall.

In fig. 1 the wall 11 is shown as an example in a first distance at 11 A near the tip ofthe probe and in a second distance 1 IB farther away from the tip ofthe probe. Light reflected from the wall at 11 A of the canal will enter the tube 6 and be reflected from a second portion ofthe mirror 5 and enter a second lens 4A. From the lens 4A the light is directed towards the surface ofthe image guide 1. If light is reflected from a wall part 1 IB farther away from the probe, it will also be directed towards the surface ofthe image guide 1, but as can be seen in the enlarged section labeled "5x" this light enters the image guide 1 closer to the center thereof. The second portion ofthe mirror 5 has a circumferential conical plane, but with a top angle which may differ from 45°.

The image received on the surface ofthe image guide 1 is transmitted through the image guide 1, and will appear at the other end thereof. Here the image is captured by a CCD array (not shown). The signal from the CCD is transferred to a signal processing unit for further processing in order to calculate the distance from the probe to the canal wall. This is done by a triangulation method well known in the art.

In stead of an image guide, it is possible to arrange the CCD array at the distal end ofthe probe, such that the reflected light is captured at the distal end ofthe probe. This is a simpler construction, but it requires a CCD element, which is small enough to be mounted at the tip ofthe probe, which is going to enter the ear canal. The signal from the CCD element in this case is carried in the usual way by wire back to the proximal end of the probe to be analyzed as described to determine the distance to the wall ofthe ear canal.

In the preferred embodiment a focused light beam is directed towards the wall ofthe canal, but also unfocused light may be used. The advantage of using focused light is that the focused light provides better contrast and this result in a more precise detection ofthe distance between the probe and the canal wall.

A single light guide may be used for both directing light to the tip ofthe probe and for transmitting the reflected light back to the CCD element. But this requires a beamsplitter, and has the disadvantage of a reduced signal to noise ratio, and therefore the separate light guides are preferred. In fig. 2 the light path is shown in a second mode of operation ofthe probe. The mirror surface 5 is coated with a coating, which in a first wavelength range reflects all light, but which in a second wavelength range transmits all light. The light path ofthe light in the second wavelength range is shown in fig. 2. Here light in the second wavelength range emitted from the lens 4B passes through the lens 5 and is reflected from any object 12 A, 12B in front ofthe probe. At 12A and 12B the end wall ofthe canal is shown at two different distances from the probe. When an ear canal is scanned the tympanic membrane is the end ofthe canal. The reflected light is also transmitted right through mirror element 5 and through lens 4A and forms an image ofthe area in front ofthe probe on the surface of image guide 1. At the proximal end ofthe image guide the two pictures, namely the front and the circumferential picture, are either led to each their CCD element by the use of a further semitransparent mirror, or led to one and the same CCD element which is chosen so as to be selectively sensitive to the two wavelength ranges.

Using a colour sensitive CCD element has the further advantage that colour information may be used when analyzing the light reflected from the surface of an ear canal. If white light is used, it is possible to determine the relative content of red, green and blue light in the received signal, and thereby foreign objects such as earwax may be identified. This is because earwax will reflect the light in other wavelength ranges than the naked skin of the ear canal. If the semitransparent mirror option described above is employed this will cause some restrictions as to how detailed the colour information is, as only a limited range of wavelengths may be reflected from the mirror surface 5. In the generated data model any lump of earwax may be left out, and the data for the particular surface ofthe ear canal may be generated through extrapolation using the data from the surrounding wall parts.

The semitransparent mirror surface 5 provides another possibility, namely that a conventional picture is captured through this mirror. This is done by using the image guide in the same fashion as in usual endoscobes. Here light in the wavelength range in which the mirror surface is transparent is guided through the image guide from the proximal end thereof to the tip ofthe probe. Reflected light is transmitted back through the image guide and by means of a beamsplitter directed towards the surface of a CCD. Thereby the CCD may capture a natural image ofthe objects in front ofthe probe, and such an image could be valuable for the person conducting an ear scan.

In fig. 1 and 2 a coil 7 is shown at the tip ofthe probe. The coil is used to generate a magnetic field, which is picked up by sensors shown schematically in Fig 3. At each sensor position A, B and C two ore more sensors are located, which are designed to register the magnetic field in each their direction. Through this arrangement the exact location and orientation ofthe tip ofthe probe can be determined at any time. In the case shown in fig. 3, the probe is located inside the canal of a human ear, shown schematically in the figure. The three sensor locations are arranged in a fixed construction, which in use is held immobilized relative to the patient's head. In the embodiment shown in fig. 3, the fixed construction comprises a tripod, whereby each of the sensor positions are placed at the outer end of each ofthe branches ofthe tripod. In use the coil 7 at the probe tip is driven at a fixed frequency and by using a lock-in procedure, any noise coming from other magnetic fields in the surroundings may be cancelled out from the sensor signals.

In the described embodiment only one coil is located at the tip ofthe probe, and the coil is aligned with the length axis ofthe probe. This means that rotational movement ofthe probe about its length axis cannot be detected by measuring the magnetic field. It is suggested according to the invention, that the probe is made rotationally rigid, so that if the proximal end ofthe probe is retained and prevented from rotation about the length axis, then the distal end cannot rotate either. In this way only three different position and two different rotational parameters must be obtained to fully locate the probe in the canal.

A guiding arrangement for the probe may be located at the tripod shown in fig. 3. A guiding arrangement may comprise two or more opposite flat rollers between which the probe is to pass. By slightly squeezing the probe between the rollers, rotational movement ofthe probe around the length direction is prevented. Such a guiding mechanism may however be implemented in many different ways. In use the probe is gently inserted into the ear, and the magnetic sensors are placed in close relation to the patient's head. Placing the probe in the ear is done while objects in front ofthe probe are monitored as described through the semi transparent mirror. A real picture may be obtained, and/or the distance to the tympanic membrane is measured as previously described. The picture captured this way is displayed on a monitor, so that the operator may know when the probe is approaching the tympanic membrane. Once the region near the tympanic membrane is reached, the measurements may commence. This is done while retracting the probe as corresponding values ofthe distances to the canal wall and the position ofthe probe are recorded. The recording is continued until the probe reaches the outer regions ofthe outer ear.

Claims

1. A method for obtaining geometrical data relating to the internal surface ofthe ear canal and/or ear whereby a probe having a light emitting distal portion is inserted into the ear canal, the method further comprising the steps of:

- directing light from a distal portion of a probe to illuminate at least one point of the internal circumfenrential surface ofthe ear and/or ear canal, receiving the light reflected from the illuminated surface, and directing the received light to at least one light sensitive element to generate an output, - analyzing the output to determine the distance from the probe to the internal surface ofthe ear and/or ear canal at points ofthe circumference.

2. A method as claimed in claim 2, where the at least one light sensitive element comprises an array of light sensitive elements such as CCD elements.

3. A method as claimed in claim 2, where distance data are obtained while position data concerning the spatial position and rotation ofthe distal portion ofthe probe are obtained during movement ofthe probe from a first to a second location.

4. A method as claimed in claim 2, where the probe has a flexible part and is capable of bending in correspondence to the bends ofthe ear canal during the movement ofthe probe from the first to the second location.

5. A method as claimed in claim 2, where the light received at the CCD is analyzed in order to identify foreign objects such as earwax.

6. A method as claimed in claim 2, where the probe is initially inserted to a position adjacent the tympanic membrane and where the geometrical data are obtained during extraction ofthe probe from the ear canal.

7. A method as claimed in claim 2, where position data are obtained using first transducing means associated with the distal portion ofthe probe and second transducing means fixed relative to the head ofthe patient, where the first transducing means is transmitting a magnetic field, and the second transducing means are detecting the magnetic field generated by the transmitter.

8. An apparatus for obtaining geometrical data relating to the internal surface ofthe ear and/or ear canal, the apparatus comprising,

9. An apparatus as claimed in claim 8, wherein the apparatus is constructed to obtain and retrieve distance data during motion ofthe probe from a first location to a second location and where the apparatus comprises means for obtaining position data concerning the spatial position and rotation ofthe distal end ofthe probe during the motion ofthe probe from the first location to the second location.

10. An apparatus as claimed in claim 9, wherein means are provided for generating a data model ofthe internal surface ofthe canal on the basis ofthe retrieved position and distance data.

11. An apparatus as claimed in claim 9, wherein the light sensitive element comprises an array of light sensitive elements such as CCD elements.

12. An apparatus as claimed in claim 11, wherein the light source has a wavelength range and the CCD has a sensitivity range such that foreign objects such as earwax in the ear canal may be detected and identified.

13. An apparatus as claimed in claim 8 where the means for obtaining position data regarding the probe comprise transmitting means associated with the distal portion of the probe, and receiving means arranged at fixed positions outside the canal.

14. An apparatus as claimed in claim 13, where the transmitting means comprise a magnetic field generating coil, and the receiving means comprise magnetic sensitive elements such as Hall-elements.

15. An apparatus as claimed in claim 11 where the probe comprise first light guides for transmitting light from the proximal to the distal end and a first mirror surface for directing the light onto the internal circumferential surface ofthe canal and a second mirror surface for directing the light reflected from the circumferential surface ofthe canal towards the CCD element.

16. An apparatus as claimed in claim 11 where the light path between the second mirror surface and the CCD further comprise an image guide between the distal end and the proximal end ofthe probe, and where the CCD element is arranged at the proximal end ofthe probe, so as to receives the light emitting from the image guide.

17. An apparatus as claimed in claim 11 where the light source generates light containing wavelengths within a first wavelength range and a second wavelength range, and where at least the first mirror surface is arranged on a transparent body, whereby the mirror surface reflects light in the first wavelength range and is transparent to light in the second wavelength range and transmits the light in the second wavelength range and where the light in the second wavelength range is directed to the area in front of the distal portion ofthe probe, and where light reflected from any objects in this area is directed through the transparent body and guided towards the CCD element.

18. An apparatus as claimed in claim 17 where the CCD element is sensitive to light in both the first and the second wavelength range and where the first or the second sensitive wavelength range may be selected.

9. An apparatus as claimed in claim 17 where the probe comprises two CCD elements sensitive to each their wavelength range, whereby a second mirror having a semitransparent coating is arranged such that one ofthe CCD elements receives the light from the circumference and the other CCD element receives the light reflected from the area in front ofthe distal portion ofthe probe.