A combination aspiration/irrigation and illumination device using optical fibers circumferentially disposed around the aspiration conduit for transmitting illuminating light to a cavity to be aspirated. The aspiration conduit having a tip that is detachably affixed to and end of the aspiration conduit. The optical fibers terminated at a distance (d) from a distal end of the tip. Also provided is an image fiber(s) for transmitting image data from the distal end of the device.