An electrocautery device and system include retractability and extension of a cauterizing tip without impacting or applying backpressure to the supporting electrical components inside the device. In some embodiments, a conductive rail is in constant contact with a spring contact electrically coupled to the power source as the cauterizing tip is retracted or extended from the main housing. Some embodiments include a vacuum system that draws fluid from the treatment site during operation. The fluid travels through a passageway that is sealed off from the electrical components by virtue of aspects of the device. Some embodiments include an ergonomic design and are lower cost by using membrane switch circuits instead of a printed circuit board.
