The Pedicle Endoscope represents a new way to image the insertion of screws in vertebrae with the aid of fiber optics. The endoscope can operate in the visible and infrared spectra and is used in conjunction with a polyaxial or multiaxial screwdriver assembly. The mechanical assembly is comprised of a screwdriver, a polyaxial or multiaxial shaft, and a pedicle screw. The polyaxial shaft is inserted in the screwdriver and this assembly couples with the pedicle screw. Once this mechanical assembly is integrated, the endoscope is inserted through a bore that runs along the polyaxial shaft and the pedicle screw and it comes out of the screw tip, imaging the progression of the screw as it penetrates the incision in the vertebra. The endoscope consists of three fiber cores, one for imaging and two for illumination and a conduit for irrigation and air suction. Externally, the fiber cores and the conduit terminate in a fiber bundle that connects the imaging fibers to an imaging device, the illumination fibers to an illumination source and the conduit to an irrigation or suction device.
