A sealing device is disclosed which is intended for use with an access device, such as a trocar, canula or the like, that passes from the outside to the inside of a patient, through an incision in the patient during a minimally invasive diagnostic or surgical procedure to secure one or more tethers, tubes, or the like to the exterior surface of the access device. The sealing device secures one or more tethers in position between the access device and an incision by creating a smooth profile for the access device and tethers and substantially seals against insufflation leakage.