Disclosed is a surgical tool holder adapted to connect to a disposable cutting tool, and the surgical instrument combination. The tool holder has a shank with a quick tool coupling at one end and a drive adaptor at a second end. The coupling assembly has a coupling interface for holding the tool, and has a debris reservoir. A locking mechanism is engageable with the shank by a lock interface that holds the coupling assembly in functional assembly, and when unlocked allows component parts of the coupling assembly to be separated for cleaning and sterilization. The surgical tool has a flat base and complementary fittings adapted to be received by the holders coupling interface. The combination of the flat base with the reservoir defines a relatively enclosed collection space to receive cutting debris from the tool while the holder and tool are coupled together.
