access pathway 20 and attach directly to insertion body 80 expansion prong 122 of expansion mechanism 120 is inserted proximally onto insertion prong 86 of insertion body 80 while probe 100 is within needle 110 of hollow screw mechanism 130 of expansion mechanism 120 and all extend more proximally out the proximal portion of insertion prong 86 rotational cap gear 91 of rotation cap 90 interlocks with dumbbell gear 96 so as to transfer rotational force from cap 90 to hollow screw mechanism 130 within locking block 94 spring 92 biases probe holder 84 which is connected to probe 100 so that probe 100 extends distally to the end of needle 110 in its initial position further in this initial position probe holder 84 moves distally to cause prong 82 to engage with grooves 72 on access holder 70 moving now specifically to fig3 and fig5 attachment device 140 is shown having device port 150 at its distal end and chest tube cap 190 at its proximal end the middle of attachment device 140 contains chest tube 170 within sheath 180 device port 150 contains device door 152 biased to close behind device entrance 154 by a torsion spring not shown it also contains locking prong 156 and chest tube clamp 160 chest tube 170 is connected to chest tube cap 190 but slides within device port 150 such that it can extend out of device entrance 154 if sheath 180 is collapsed distally by the operator further the area within sheath 180 is sterile such that the chest tube within will also remain sterile despite outside manipulation due to closed door 152 and chest tube cap 190 the exit 192 of which is also in various embodiments covered with a removable cap or has an automatic door.