A leak testing device (126) for use with an endoscope (100) having a leak test port (106), said leak testing device (126) comprising: negative pressure leak test functionality (220) configured to be coupled to the leak test port (106) of the endoscope (100) for sensing leaks in said endoscope (100) under negative pressure; and an indicator (242,244) operative in response to operation of said negative pressure leak test functionality (220) for indicating the presence or absence of a leak in said endoscope (100).