Medical devices, systems and methods for placing tissue fixation devices areprovided. The medical device includes a plurality of elongate delivery devices,a plurality of elongate tubes, and a distal tip. Each delivery device definesa delivery lumen sized to receive a tissue fixation device. Each elongate tubedefines a tube lumen sized to receive one of the delivery devices. Each tube lumenhas a distal port. The distal tip is connected to the plurality of elongate tubesand defines a guide surface positioned distally of the distal ports. The guidesurface is structured to redirect the plurality of delivery devices radiallyoutwardly as the plurality of delivery devices are distally translated throughthe tube lumens and the distal ports of the plurality of elongate tubes. A medicalsystem is formed by an endoscope that is selectively attachable to the medicaldevice.