A surgical tool handle comprising a tool attachment coupling having locking piston subassembly is described. The attachment coupling is designed with a bayonet-type fitting having a series of coupling grooves constructed to accept surgical cutting tools having an attachment member of different cross-sectional geometries. More specifically, the attachment coupling comprises a coupling groove that accepts tool attachment members having both curved and rectangular cross-sectional geometries. In addition, a locking piston subassembly biases against the surgical tool attachment member received in the coupling groove to further stabilize the tool during a surgical procedure.