A mechanical leech system may include a fluid exchange assembly. The fluid exchange assembly may be attached to a patients target tissue area via suturing or the like, and may be activated to perform blood removal and treatment agent infusion. The fluid exchange assembly may include an inflow pathway for infusion of treatment agents into the tissue area, and an outflow pathway for removal of blood. The outflow pathway may be sized and/or shaped to promote laminar fluid flow and avoid coagulation. The assembly may include a channel housing, gasket, and base. Needles seated in the assembly may receive blood from a patient and infuse a treatment agent into the patient. The assembly may be connectable to a pump to urge the blood and the treatment agent through the inflow and outflow pathways. A cradle optionally provides protection and storage for the assembly.
