The present disclosure is directed to a medical device. Systems and methods are provided for accessing and visualizing the pancreatico-biliary system. The medical device may include a guide catheter with a first lumen and a second lumen. A first elevator may be disposed in the first lumen, wherein the first elevator is movable relative to the first lumen for elevating a first tool insertable into the first lumen. A second elevator may be disposed in the second lumen, wherein the second elevator is movable relative to the second lumen for elevating a second tool insertable into the second lumen.
