Abstract: An improved hand held medical instrument having an instrument tip having a preferred orientation, and rotatable to at least one other orientation, the tip being attached to an instrument handle adapted to be held in the hand of the user, the handle having at least one substantially round body portion for facilitating rotation of the instrument, and an at least generally flat reference surface on the body portion, the reference surface engagable by the hand of the user for orienting the instrument in the preferred orientation, or as a reference point in facilitating rotation to another position.