A work tip for an ultrasonic surgical hand piece has a solid knife with a sharp distal edge. A first fluid tube located on one side of the knife and has open ends to receive or discharge fluid. A second fluid tube is located on the other side of the knife and is slidably connected with the knife. The second fluid tube has an opening at a distal end and a smaller side hole. During phacoemulsification the knife is vibrated independent of the fluid tubes. The second fluid tube has irrigation fluid passing from the opening and side hole, and the first fluid tube is positioned so as to receive fluid from the second tube. During I/A cleanup the second fluid tube receives aspiration fluid only through the side hole because the knife is positioned to block the aspiration fluid from entering through the opening.
