A tissue tunneling device is configured to be delivered within the body. A configuration can be provided that includes a structure which is expandable having andor forming at least one opening or a working space through which the anatomical tissue is placed in the structure. The virtual speech interface server device for sending andor receiving command information to the virtual speech interface client program for controlling the client device using speech commands. The system utilizes an artificial intelligence engine driving individualized and dynamic feedback with synchronized video and graphics used to simulate real-world environment and interactions.