Abstract: A miniaturized video image device 22 includes a video image sensor 32 provided in optical communication with a probe 40 which is comprised of a rod lens or fiber optics or the like. The probe 40 includes a tip deflection wire 64 for deflecting and positioning the distal end 62 of the probe 40. A balloon 70 is provided adjacent the distal end 62 of the probe 40 in order to assist in positioning the distal end 62 and to allow for the performing of various surgical techniques. Additionally conduits 72, 78 and ports are provided for providing fluids to the distal end 62 in order to flush distal end 62 and for additionally allowing aspiration of fluids from the distal end 62 as a procedure is being performed. In an embodiment the probe 40 is rotatable with respect to the housing 30 containing the image sensor 32 in order to allow the distal end 42 to be deflected in a desired direction.