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Endoskopet är en viktig del av den visuella kedjan. Det är ett rent optiskt system som överför bilden från kroppskaviteten till chip-kameran via ett glasstångs-linssystem. Dessutom lyser endoskopets transportljud in i kroppshålan. Moderna endoskop kan vara autoklaverade eller kemiskt steriliserade. För skydd av de bräckliga stavlinserna finns specialdesignade optikbrickor.
