A method and apparatus accurately maintains alignment of a surgical
instrument. The apparatus includes a base with an attached movable
member. The movable member includes a passage forming a portion of a
trajectory path. A relaxable or rigid material has a similar passage in
common with the passage of the movable member. If a relaxable material is
used, the passage portion of the relaxable region is held open by an
inserted stem removably attached to the movable member. The instrument is
then inserted into the center of the stem and thus into the trajectory
path. The stem is removed by withdrawing it from the movable member over
the proximal portion of the instrument. This releases the relaxable
region to tightly hold the instrument in place. Alternatively, using a
relaxable or rigid component, the component is slid laterally to at least
partially offset a passage through the component from the passage of the
movable member to reduce a combined effective area of the passages and to
grasp an instrument.