Parallel guide for access needle

1. A parallel spacer for parallel spacing of a plurality of guiding elements during surgery, comprising:

a parallel spacer body having a proximal surface and a distal surface, the body defining:

a first guide aperture extending through the parallel spacer body between an opening in the proximal surface and an opening in the distal surface and defined by an internal wall, the first guide aperture being sized to receive a first guiding element in a first orientation with respect to the parallel spacer body and hold the guiding element at the first orientation; and

a second guide aperture extending through the parallel spacer body between an opening in the proximal surface and an opening in the distal surface and defined by internal walls, sized to receive an access needle;

a first external positioning protrusion extending distally from the distal surface of the parallel spacer body, with the first guide aperture extending through the first external positioning protrusion; and

a second external positioning protrusion extending distally from the distal surface of the parallel spacer body, with the second guide aperture extending therethrough;

wherein an inner surface of the second guide aperture defines the second guide aperture; and

wherein the second guide aperture is open from a proximal end of the parallel spacer body to a distal end of the second external positioning protrusion and is configured to receive or extract therefrom the access needle.

2. The parallel spacer of claim 1 , wherein the first guide aperture aligns to a first axis, and wherein the second guide aperture aligns to a second axis.

3. The parallel spacer of claim 2 , wherein the second guide aperture is open from the proximal end of the parallel spacer body to the distal end of the second external positioning protrusion in a direction radial to the first axis.

4. The parallel spacer of claim 2 , wherein the second guide aperture is open from the proximal end of the parallel spacer body to the distal end of the second external positioning protrusion in a direction radial to the second axis.

5. The parallel spacer of claim 2 , wherein the first axis and the second axis are parallel.

6. The parallel spacer of claim 1 , wherein the second guide aperture is disposed to hold the second guiding element at a distance from the first guiding element.

7. The parallel spacer of claim 1 , wherein the second guide aperture narrows toward the distal end of the second external positioning protrusion.

8. The parallel spacer of claim 1 , wherein the first external positioning protrusion is configured to fit within at least one of a drill guide or tissue protector.

9. The parallel spacer of claim 1 , wherein the inner surface of the second guide aperture includes:

a proximal portion;

a distal portion that is narrower than the proximal portion; and

a step between the proximal and distal portions, such that the proximal and distal portions and the step collectively define the narrowing secondary aperture.

10. A system for parallel spacing a plurality of guiding elements during surgery, comprising:

a tissue protector positioned over a first guiding element; and

the parallel spacer of claim 1 , wherein the first external positioning protrusion is configured to be inserted into a portion of the tissue protector;

wherein the access needle has a shape corresponding to the second guide aperture.

11. The system of claim 10 , wherein the second guide aperture is configured to align the access needle with an axis of the first aperture.

12. The system of claim 10 , wherein:

the tissue protector defines a bore extending completely therethrough; and

the second guide element is receivable within an end of the bore.

13. A parallel spacer for parallel spacing of a plurality of guiding elements during surgery, comprising:

a parallel spacer body having a proximal surface and a distal surface, the body defining:

a first guide aperture extending through the parallel spacer body between an opening in the proximal surface and an opening in the distal surface and defined by an internal wall, the first guide aperture being sized to receive a first guiding element in a first orientation with respect to the parallel spacer body and hold the guiding element at the first orientation; and

a second guide aperture extending through the parallel spacer body between an opening in the proximal surface and an opening in the distal surface and defined by internal walls, sized to receive an access needle;

a first external positioning protrusion extending distally from the distal surface of the parallel spacer body, with the first guide aperture extending through the first external positioning protrusion; and

a second external positioning protrusion extending distally from the distal surface of the parallel spacer body, with the second guide aperture extending therethrough;

wherein an inner surface of the second guide aperture defines the second guide apertures;

wherein the second guide aperture narrows toward the distal end of the second external positioning protrusion.

14. The parallel spacer of claim 13 , wherein:

the first guide aperture aligns to a first axis; and

the second guide aperture aligns to a second axis.

15. The parallel spacer of claim 14 , wherein the first axis and the second axis are parallel.

16. The parallel spacer of claim 13 , wherein the inner surface of the second guide aperture includes:

a proximal portion;

a distal portion that is narrower than the proximal portion; and

a step between the proximal and distal portions, such that the proximal and distal portions and the step collectively define the narrowing secondary aperture.

17. A system for parallel spacing a plurality of guiding elements during surgery, comprising:

a tissue protector positioned over a first guiding element; and

a parallel spacer comprising:

a parallel spacer body having a proximal surface and a distal surface, the body defining:

a first guide aperture extending through the parallel spacer body between an opening in the proximal surface and an opening in the distal surface and defined by an internal wall, the first guide aperture being sized to receive a first guiding element in a first orientation with respect to the parallel spacer body and hold the guiding element at the first orientation; and

a second guide aperture extending through the parallel spacer body between an opening in the proximal surface and an opening in the distal surface and defined by internal walls, sized to receive an access needle;

a first external positioning protrusion extending distally from the distal surface of the parallel spacer body, with the first guide aperture extending through the first external positioning protrusion; and

a second external positioning protrusion extending distally from the distal surface of the parallel spacer body, with the second guide aperture extending therethrough;

wherein an inner surface of the second guide aperture defines the second guide aperture;

wherein the first external positioning protrusion is configured to be inserted into a portion of the tissue protector; and

wherein the access needle has a shape corresponding to the second guide aperture.

18. The system of claim 17 , wherein the second guide aperture is configured to align the access needle with an axis of the first aperture.

19. The system of claim 17 , wherein:

the tissue protector defines a bore extending completely therethrough; and

the second guide element is receivable within an end of the bore.

20. The parallel spacer of claim 1 , wherein the first and second external positioning protrusions are separated by a gap.

21. The parallel spacer of claim 1 , wherein the first external positioning protrusion is longer than the second external positioning protrusion.