A handle for a tool is provided that is formed of a core positioned within a sleeve of a temperature resistant material to form a handle with a space between the core and the sleeve. The core can be formed by machining a metal material while the sleeve and an optional skin positioned on the sleeve can be molded. The materials forming the sleeve and skin, and the space formed between the core and sleeve, create a handle that can be adapted to form a variety of different tools with different mechanisms located in the core that also has improved heat transfer characteristics for sterilization purposes.