Fluid delivery or removal systems and methods for use during a medical procedure are disclosed. A system can include a base member, a receptacle configured to be received by a chamber of the base member, and a pressure sensor. The base member can include a piston having the pressure sensor positioned at or near its tip, a powered actuator for imparting motive forces to the piston, and a rechargeable power supply to energize the actuator. The receptacle is configured to contain a volume of fluid partially retained by a seal member. A surface of the seal member opposite the fluid can include a cavity to receive and engage the piston's tip when the receptacle is placed in the chamber. Based on a user-defined parameter input (e.g., a desired pressure set point) received by the system, the piston can be driven in an axial direction by the powered actuator, thereby urging an amount of fluid through a distal opening in the receptacle.
