A device for visualizing and providing suction for a surgical procedure in an ear includes a handle, a main shaft extending from the handle, an imaging sensor at a distal end of the main shaft, a light source at the distal end of the main shaft, a first suction tube extending along a proximal portion of a first side of the main shaft, a second suction tube extending along a proximal portion of a second side of the main shaft, and a first suction component. The first suction component includes a first suction shaft, a first thumb depress member coupled with a proximal end of the first suction shaft, a first spring disposed over a proximal portion of the first suction shaft, and a first suction tubing for connecting the first suction shaft or the first thumb depress member with the handle.