| CPC A61B 17/3203 (2013.01) [A61B 17/32037 (2013.01); A61B 18/04 (2013.01); A61B 18/14 (2013.01); A61B 18/1485 (2013.01); A61B 18/18 (2013.01); A61B 18/201 (2013.01); A61B 18/24 (2013.01); A61F 9/007 (2013.01); A61F 9/00736 (2013.01); A61B 2017/00274 (2013.01); A61B 2017/22079 (2013.01); A61B 2018/00196 (2013.01); A61B 2018/00285 (2013.01); A61B 2018/00547 (2013.01); A61B 2018/00577 (2013.01); A61B 2018/00583 (2013.01); A61B 2018/00946 (2013.01); A61B 2018/00952 (2013.01); A61B 2018/046 (2013.01); A61B 2018/1472 (2013.01); A61B 2018/1497 (2013.01); A61B 2018/1861 (2013.01); A61B 2218/002 (2013.01); A61B 2218/007 (2013.01)] | 22 Claims |

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1. A tissue modification device for the treatment of a tissue, comprising:
an elongate element having a proximal end and a distal end, wherein the elongate element is configured to be inserted into the tissue;
a first lumen in the elongate element configured to deliver a fluid into a working space in the tissue to flush the working space;
a pressure sensor to measure a pressure of the fluid and maintain the pressure of the fluid within a range;
an energy source disposed within the elongate element, wherein the energy source is configured to modify a volume of tissue through the working space; and
a second lumen in the elongate element to remove tissue products treated with the energy source.
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