an access device includes a body , a first tube , a second tube , and a mechanism . the first and second tubes extend through the body . the mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube . the body may form a substantially fluid - tight seal at the incision . in another embodiment , the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube .