the present invention includes devices and methods for lead , conduit or other medical fixture placement in tissues or organs . the device is configured to permit the placement foot , such as a suction foot , to articulate to a desired position with respect to the target tissue , while the lead , conduit or other medical fixture is releasably attached to the placement foot to permit it to be released from the placement foot after stabilization on the target tissue site . in a preferred embodiment , the invention features an articulating dual suction foot device , an inner lead conduit or guide and foot contained within an outer lead conduit or guide and foot , with the inner conduit or guide configured to extend from the outer conduit or guide , and to be further articulated once extended .