612445 Disclosed is a hand-held instrument with a hand piece configured to be held by a user. The hand piece has a proximal end and a distal end and includes a receptacle disposed between the proximal end and the distal end and a channel system that extends along a length of the hand piece between the proximal end and the distal end. The hand-held instrument also includes a utility conduit connected to the receptacle. The utility conduit has a hose through which a gas, smoke, or fluid may be conveyed. The utility conduit is selectively received and retained within at least a portion of the channel system and 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. The utility conduit is configured such that it may be held as a handle in a user’s hand to provide additional stability to the hand piece.