Abstract: An endoscope including a handle; and a shaft extending from the handle. The shaft has a front end with a first active deflection section and a second active deflection section. The first active deflection section is limited to deflection in a first plane and the second active deflection section is limited to deflection in a second different plane. The first plane is angled to the second plane.

Abstract: A pivotable handle assembly for an endoscope such as an operative laparoscope having a proximal end is shown. The handle assembly includes a handle support operatively connected to the proximal end of a laparoscope. A handle including a mounting end is operatively connected by a member to the handle support. The mounting end is pivotally attached to the handle support enabling the handle to be pivoted relative to the operative laparoscope.In the preferred embodiment, the operating laparoscope is a video operating laparoscope and includes an image transferring member for producing an optical image at the proximal end of the laparoscope. A video camera is operatively connected to the proximal end to receive the optical image.A method for using the video operating laparoscope with a pivotable handle assembly in a surgical procedure is also shown.