An ear speculum that includes a body having an ear-contacting tip with an opening a light providing member a viewing member and a vacuum intake port, wherein the members and intake port are provided within the ear speculum with the vacuum intake port occupying a larger portion of the of the cross-sectional area of the ear speculum opening than the light providing or viewing members to facilitate removal of material from an ear canal. Also, an otoscope that includes a head an ear speculum as described herein in operative association with the head an image detector in image communication with the viewing member a suction source in vacuum communication with the vacuum intake port and a light source in illumination communication with the light providing member. Also, a system and method for removing material or debris from an ear canal using the otoscope described herein.