Abstract: The disclosure describes devices for separating a first tissue from a second tissue at a surgical site, comprising, a hollow body having a distal end and a proximal end, wherein the distal end further comprises an upper separation member extendable laterally from hollow body at a first angle; an inner member slidably disposed within the hollow body, wherein the distal end of the inner member has a lower separation member extendable laterally from inner member at a second angle, wherein the upper separation member and the lower separation member have a first configuration and a second configuration into a tissue in the working zone on the first lateral side of the median plane. Additionally, methods for using the device and kits containing the device are disclosed.

Abstract: An invention is disclosed that describes devices, kits and methods for providing percutaneous access to a surgical site. Suitable devices comprise a hollow body having a distal end and a proximal end, wherein the distal end comprises one or more apertures; a first pivot member disposed within the hollow body; and a tissue excision member mounted in rotatable communication with the pivot member, wherein at least a portion of the tissue excision member is exposed through the one or more side apertures, and wherein the tissue excision member moves in a longitudinal direction around the pivot member in relation to the hollow body.