Abstract: A device for accessing a body orifice is disclosed. The device may include a speculum body having an outer shell and an inner shell nested within the outer shell. A plurality of fluidic channels may be defined in the interstitial space between the inner and outer shells. The outer shell may be configured as an optical waveguide. The inner shell central bore may be configured for viewing and suction. The device may include a speculum body having a tapered shape. The body may be expandable to expand muscles surrounding a body orifice. Programmable controllers, viewing, recording, and communications systems are also described. Methods of using and forming the devices are also described.