A control system for orienting a medical device (14), comprising:a rail (18) having a longitudinal axisa control (10) coupled to the rail to permit movement of the control along the longitudinal axis of the rail, the control including:a body (12) andan actuator (20) coupled to the body such that the actuator can be tilted relative to the body about a first axis and rotated relative to the body about a second axis that is different to the first axis, wherein the actuator is coupled to at least two pairs of cables (56,58,90,92) that control the orientation of a distal tip of the medical device such that tilting of the actuator causes the distal tip of the medical device to move in a first plane and rotation of the actuator causes the distal tip of the medical device to move in another plane that is generally perpendicular to the first plane.