#$%^&*AU2012201686A120121018.pdf#####SURGICAL ACCESS ASSEMBLY WITH SLEEVE AND ADJUSTABLE FASTENER Abstract A surgical access assembly (100) is disclosed, including an access member (110), a tissue engaging member (130), a sleeve (140) extending from a portion of the membrane (132), and a fastening member (150) to couple the access member (110) to the sleeve (140). The access member (110) includes proximal and distal ends (1 10a, 1 Ob), at least one lumen (120) disposed therethrough, and defines a longitudinal axis. The tissue engaging member (130) includes a membrane (132) having proximal and distal ends (132a, 132b) with opposing openings, and a passage therethrough for receiving the access member (110). A length of the tissue engaging member (130) may be selectively adjustable by a user so as to provide a retraction force. The sleeve (140) extends proximally from a portion of the membrane (132). The sleeve (140) has a proximal end and a distal end (140a, 140b) with opposing openings, the distal end (140b) of the sleeve (140) defined by a portion of the membrane (132). A fastening member (150) couples the access member (110) to the sleeve (140). Also disclosed is a method of placing and securing the surgical access assembly (100) into a tissue site.1/14 100 140a 152 150- ~ ~ 142a 110a 120F 11120 15- --- -- - - 4 140b 134a 112b132b 130 132 132a 134a FIG. 1