Devices, systems and methods for improved placement of endotracheal tubes which have particular application for awake or sedated intubation, are described. An intubation scope having a handle, a flexible probe, and an articulatable tip where the handle has a control lever to cause and control articulation of the tip of the intubation scope. The system has a locking mechanism to hold the ET tube in desired position over and along the flexible probe during the intubation process. Specific methods of using this system for improvement of the intubation techniques are described.