A handpiece (100) coupled to the distal end of elongate body of a lighting device quecomprendeun lighting device (10) comprising an elongated body (12) having a distal portion (24) and unaparte proximal (26), the distal part (24) comprising a unitary tube distal portion (24) having a lumen (14), and the proximal portion (26) including a plurality of proximal portion tubes (22), each tube parteproximal (22) having a lumen in communication with the lumen (14) of the tube distal portion (24) of cuerpoalargado (12) an optical fiber power (20) having an inner first transmission in which the inside of transmissions for transmitting power laser cutting, a proximal end in communication with a first lostubos proximal portion (22) and a distal end in communication with the lumen and the tube distal portion (24) an optical fiber lighting (16) It is having a second internal transmission difie re first transmission r interiorde, a proximal end in communication with the second of the proximal portion tubes (22) anda distal end in communication with the lumen (14) and the distal portion, a positioned to intercept the laser light reflector the optical fiber output (20) and for directing light láseren a direction towards the outlet end of a handpiece (100), the reflector (30) being ademásposicionado to intercept illumination light optical illumination fiber (16 ) and to direct the deiluminación light in a direction towards the outlet end of the handpiece (100), a first waveguide outlet tip (40) having an inner laser transmission and configured pararecibir laser light fiber optical power (20) and for directing the laser light away from the outlet end of Lapieza bag (100) yun second waveguides outlet tip (38) having an internal transmission light, which is not elmismo that Inside laser transmission, and configured to receive visible light from the optical fiber deiluminación (16) and to direct visible light away from the outlet end of the handpiece (100).Una pieza de mano (100) acopla