The present invention is directed to a device to approximate multiple tissue edges, comprising a clip, the clip comprising a first arm, a second arm and a center arm positioned between the first and second arms, the first and second arms being attached to the center arm at attachment sections, respectively, at a proximal region of the center arm, wherein the first and second arms are bent away from the center arm such that the distal regions of these arms make an angle with a distal region of the center arm, wherein the first arm is bent away from the center arm at a first section and the second arm is bent away from the center arm at a second section, the first section being displaced longitudinally from the second section.
