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