An endoscopic medical device system includes an elongated shaft assembly and an articulating distal end assembly. The elongated shaft assembly extends along a main axis and includes an outer tube, an inner tube, and an actuator rod. The outer tube is slidably disposed around the inner tube and the actuator rod is slidably disposed within the inner tube. The articulating distal end assembly extends from the inner tube and is configured to be oriented longitudinally along the main axis when disposed within the outer tube and angularly from the main axis as it slides out of the outer tube. The articulating distal end assembly includes a tubular body having equally spaced apart slots separated by solid segments and terminates in a distal segment. Each slot is configured to collapse individually and to form a known angle relative to the main axis as it slides out of the outer tube.