A hand-held instrument comprising: a hand piece configured to be held by a user, the hand piece having a proximal end and a distal end and comprising: a receptacle disposed at the distal end and having a conduit therethrough; an intake at the distal end, wherein smoke/fluid can be drawn into the intake, the intake being in fluid communication with the conduit in the receptacle; a channel system that extends along a length of the hand piece between the proximal end and the distal end; and a utility conduit connected and sealed to the receptacle, wherein the utility conduit comprises a smoke/fluid evacuation hose configured to convey smoke/fluid to or from the hand piece and one or more electrical cables, the utility conduit being configured to be selectively received and retained within at least a portion of the channel system, wherein the utility conduit and the channel system cooperate to enable an exit location of the utility conduit from the channel system to be selectively adjusted such that the exit location may be selectively moved along a length of the hand piece between the receptacle and the proximal end; wherein, when the utility conduit exits the channel system from at least a distal-most exit location, the utility conduit is configured to be held as a handle in a user's hand to provide additional stability to the hand piece, the utility conduit being formed of or including a material that is stiff enough to generally maintain the position or orientation of the hand piece when the utility conduit is used as a handle. a hand piece configured to be held by a user, the hand piece having a proximal end and a distal end and comprising: a receptacle disposed at the distal end and having a conduit therethrough; an intake at the distal end, wherein smoke/fluid can be drawn into the intake, the intake being in fluid communication with the conduit in the receptacle; a channel system that extends along a length of the hand piece between the proximal end and the distal end; and a utility conduit connected and sealed to the receptacle, wherein the utility conduit comprises a smoke/fluid evacuation hose configured to convey smoke/fluid to or from the hand piece and one or more electrical cables, the utility conduit being configured to be selectively received and retained within at least a portion of the channel system, wherein the utility conduit and the channel system cooperate to enable an exit location of the utility conduit from the channel system to be selectively adjusted such that the exit location may be selectively moved along a length of the hand piece between the receptacle and the proximal end; wherein, when the utility conduit exits the channel system from at least a distal-most exit location, the utility conduit is configured to be held as a handle in a user's hand to provide additional stability to the hand piece, the utility conduit being formed of or including a material that is stiff enough to generally maintain the position or orientation of the hand piece when the utility conduit is used as a handle. a receptacle disposed at the distal end and having a conduit therethrough; an intake at the distal end, wherein smoke/fluid can be drawn into the intake, the intake being in fluid communication with the conduit in the receptacle; a channel system that extends along a length of the hand piece between the proximal end and the distal end; and a utility conduit connected and sealed to the receptacle, wherein the utility conduit comprises a smoke/fluid evacuation hose configured to convey smoke/fluid to or from the hand piece and one or more electrical cables, the utility conduit being configured to be selectively received and retained within at least a portion of the channel system, wherein the utility conduit and the channel system cooperate to enable an exit location of the utility conduit from the channel system to be selectively adjusted such that the exit location may be selectively moved along a length of the hand piece between the receptacle and the proximal end; wherein, when the utility conduit exits the channel system from at least a distal-most exit location, the utility conduit is configured to be held as a handle in a user's hand to provide additional stability to the hand piece, the utility conduit being formed of or including a material that is stiff enough to generally maintain the position or orientation of the hand piece when the utility conduit is used as a handle.