Surgical devices, techniques, and process for laparoscopically accessing, dissecting, retracting of, and cuff placement onto a splenic artery via an over-the-wire approach

A method comprising:

• making a first incision and a second incision in the skin of a patient;
• placing a first trocar in the first incision and a second trocar in the second incision;
• insufflating an area underneath the skin of the patient to access a target biological structure;
• guiding a guidewire through the first trocar to a position underneath a target biological structure to the second trocar, the guidewire having a proximal end and a distal end;
• securing the distal end of the guidewire at the second trocar;
• guiding a balloon tool over the guidewire to a position underneath the target biological structure, the balloon tool including a balloon;
• and
• causing the balloon to be inflated when the balloon tool is at the position underneath the target biological structure to provide pressure to the target biological structure;
• guiding a ramp device over the guidewire to a position underneath the target biological structure, the ramp device comprising an end wall having a curvature with respect to a long axis of the guidewire;
• guiding a cuff deployment tool over the guidewire to the ramp device, wherein the cuff deployment tool having an interior volume and a cuff positioned within the interior volume;
• and
• causing the cuff from the cuff deployment tool to deploy such that the cuff moves from within the interior volume to an extended position, wherein at least part of the cuff is positioned between the ramp device and the biological structure in the extended position.