Abstract: A surgical device includes an inner stylet component and an outer stylet component. The inner stylet component includes a first handle and an elongated rod having a proximal end attached to a bottom surface of the first handle and a distal end comprising a needle tip. The outer stylet component includes a second handle and an elongated cannula having a proximal end attached to a bottom surface of the second handle and a distal open end comprising cutting elements formed on an outer surface. The elongated rod is sized to removably fit and slide within the elongated cannula, and the first handle is configured to interlock with the second handle. Rotating the interlocked first and second handles moves forward the elongated cannula and the needle tip and cuts a profile in an insertion site with the cutting elements of the outer cannula.