A neural monitoring enabled insulating sleeve for use with a surgical instrument during a surgical procedure in patient body tissue, the sleeve comprising: a tubular portion having a proximal end having a head portion, a distal end, a body extending therebetween, and a bore extending therethrough, the bore being configured to receive the surgical instrument, the tubular portion being formed of a material that electrically insulates the surgical instrument from the patient body tissue characterized in that the tubular portion has a flexible portion being flexible fingers configured to flex between a locked and an unlocked condition; and further characterized in that the sleeve comprises a camming component being a camming collar including a distal end, a proximal end, an outer gripping surface, rotation limiters and an inner bore, the inner bore being formed of a cylindrical portion and a camming portion and the camming portion of the inner bore being formed with a first diameter camming surface and a different second diameter camming surface, wherein the camming collar being configured to interface at the proximal end of the tubular portion and the camming collar being configured to cam the flexible fingers between the locked and unlocked condition, wherein the head portion includes a proximal end surface, the flexible fingers, a collar groove, a rotation limiting guide and a central hollow bore, said collar groove extending radially about the head portion and being configured to engage the camming collar, wherein the flexible fingers comprise camming nubs extending radially outwardly, the camming nubs engaging the camming surfaces (168, 170) on the camming collar and wherein the cylindrical portion fits within the collar groove in the head portion and this interface holds the camming collar onto the tubular portion, but also allows the camming collar to rotate within the groove about the head portion to secure the sleeve in place on the surgical instrument. a tubular portion having a proximal end having a head portion, a distal end, a body extending therebetween, and a bore extending therethrough, the bore being configured to receive the surgical instrument, the tubular portion being formed of a material that electrically insulates the surgical instrument from the patient body tissue characterized in that the tubular portion has a flexible portion being flexible fingers configured to flex between a locked and an unlocked condition; and further characterized in that the sleeve comprises a camming component being a camming collar including a distal end, a proximal end, an outer gripping surface, rotation limiters and an inner bore, the inner bore being formed of a cylindrical portion and a camming portion and the camming portion of the inner bore being formed with a first diameter camming surface and a different second diameter camming surface, wherein the camming collar being configured to interface at the proximal end of the tubular portion and the camming collar being configured to cam the flexible fingers between the locked and unlocked condition, wherein the head portion includes a proximal end surface, the flexible fingers, a collar groove, a rotation limiting guide and a central hollow bore, said collar groove extending radially about the head portion and being configured to engage the camming collar, wherein the flexible fingers comprise camming nubs extending radially outwardly, the camming nubs engaging the camming surfaces (168, 170) on the camming collar and wherein the cylindrical portion fits within the collar groove in the head portion and this interface holds the camming collar onto the tubular portion, but also allows the camming collar to rotate within the groove about the head portion to secure the sleeve in place on the surgical instrument.