A tissue removal system may include a tissue removal device including a handpiece and an upper housing, and configured with an outer cannula having an outer cannula opening for severing tissue, an inner cannula disposed in the outer cannula and reciprocal within the outer cannula, an illumination device having a sleeve arranged at least partially on the outer cannula, and a fiber optic channel defining an opening and arranged offset from the sleeve, and a light source arranged within the channel and configured to supply light from the opening to a surgical site.