A device for creating a pattern of perforations in a tissue, comprising atreating surface coupled to a distal end of the elongated member andconfigured to be positioned adjacent one or more tissue planes, a plurality ofelectrodes extending outwardly from at least one surface of the treatingsurface and adapted for creating simultaneous perforations in one or moretissue layers, wherein the electrodes are provided in a pattern to impart acorresponding pattern of perforations in the one or more tissue layers.Methods of using the device and methods of creating perforations in one ormore layers of tissues are also provided.
