A cannula lock for holding a medical device static in a select orientation relative to tissue. The cannula lock includes a shell with anchors. The anchors are deployed to the hold the shell static to the tissue. A pivoting brake (95) is disposed in the shell. The brake holds the medical device. When the orientation of the brake, by extension, the orientation of the device is established, the brake is set. The brake is set by expanding the brake (95) outwardly against the inner surfaces of the shell so as to hold the brake and medical device in the select orientation.