Abstract: A surgical access device includes a tubular housing having two ends. Each end of the tubular housing has an opening there-through. A malleable bulbous exterior region is present along a portion of the tubular housing. The malleable bulbous exterior region is sufficiently adaptable to be compression fit within a bone tunnel. A flanged opening is provided at one of the ends of the tubular housing. A seal may be provided integral with the flanged opening.

Abstract: A portal device maintains an opening in the skin of a patient to allow for the passage of surgical device therethrough. Tabs disposed at one end of the portal device may be used to resist removal of the device, retract soft tissue from the operative site, and seal the opening to prevent the escape of gases or liquids.

Abstract: A surgical instrument fluid shield is disclosed having a radially proximal edge, at least a portion thereof defining an adjustable aperture for engaging an elongated object, and a conical-shaped section which opens outward from the radially proximal edge, to a wider radially peripheral edge. A portion of the adjustable aperture preferably is in the shape of a sleeve or the like which sealingly engages the elongated object, forming a generally fluid tight seal between the shield and the elongated object and helping to maintain proper alignment of the shield while on the endoscope or other device. The shield may be made of a rubber material such as silicone or a biocompatible elastomer material. The shield may be sufficiently stiff to generally maintain its shape while being simultaneously resilient to allow the aperture at the radially proximal edge to adjust to the outside dimension of the elongated object.