A hysteroscope includes a base and a handle attached to the base. The handle has a first trigger and a second trigger. An outer barrel is attached to the base. The outer barrel has a plurality of channels. An actuatable tool is located within at least one channel. The first trigger is in communication with the actuatable tool for extending the tool from within the at least one channel. The second trigger in communication with the actuatable tool for actuating the tool. The hysteroscope may further include a third trigger to pivot a distal portion of the outer barrel.
