A system for creating a passage through the pericardium of a patient to
permit access of a cardiac harness delivery device, including a tubular
introducer sleeve and a tubular dilator sleeve insertable into the
introducer sleeve. The introducer sleeve has a slot and a distal portion
biased in a reduced opening. The distal end being positioned within an
incision through the pericardium. Insertion of the dilator sleeve into
the introducer sleeve causes it to push outwardly against the reduced
opening, thereby expanding the reduced opening of the introducer sleeve
sufficiently to permit a cardiac harness delivery device to access the
epicardium. The introducer sleeve is releasably locked to the dilator
sleeve by operation of a slot on the introducer sleeve and a protrusion
on the dilator sleeve, which slides within the slot. The slot has detents
that releasably lock the dilator sleeve at alternative positions within
the introducer sleeve, thereby maintaining the reduced opening or,
alternatively, the expanded opening to facilitate operation of a cardiac
harness delivery device.