A ureteroscope system includes a handle including a first port and a second port and an elongated shaft extending from the handle to a distal end and including a shaft lumen open at the distal end of the shaft. The shaft is be inserted through a bodily lumen to a target surgical site. The first port is in communication with a handle channel which is in communication with the shaft lumen and the second port is in communication with a working channel extending through the handle and the shaft lumen to the distal end of the shaft. The system also includes a fluid source connected to the first port and pumps fluid through the handle channel and the shaft lumen to irrigate the site and a vacuum source connected to the second port and applies suction through the working channel to dislodge debris from the site.
