Abstract: A system for illuminating a body orifice includes: a frustoconical optical waveguide speculum includes a distal end, a proximal end wider than the distal end, an at least partially circumferential body wall having a bore passing between the proximal and distal ends of the speculum; and a base that couples to the speculum and receives a light source such that the speculum is configured to propagate light from the light source along the body wall. In a preferred embodiment, the body wall defines between an inner and outer surface of the body wall a fluidic channel configured to delivery fluid to the distal end of the speculum and a suction channel configured to drain fluid from distal end of the speculum.

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.

Abstract: A system for illuminating a body orifice includes: a frustoconical optical waveguide speculum includes a distal end, a proximal end wider than the distal end, an at least partially circumferential body wall having a bore passing between the proximal and distal ends of the speculum; and a base that couples to the speculum and receives a light source such that the speculum is configured to propagate light from the light source along the body wall. In a preferred embodiment, the body wall defines between an inner and outer surface of the body wall a fluidic channel configured to delivery fluid to the distal end of the speculum and a suction channel configured to drain fluid from distal end of the speculum.