Abstract: In a first embodiment, electrodes are coupled to a surface at first, second, and third locations, the first location being further from the third location than from the second location. Impedance is measured at distinct frequencies between pairs of the electrodes. As a result, impedance is measured at differing regions below the surface, one region being deeper below the surface than the other region. In a second embodiment, a microfluidic device carries out an analysis. The analysis may be within a flexible patch adhered to a surface, or may be in a solid device implanted in a body of liquid surrounded by tissue. The analysis may involve pumping a fluid or may involve drawing an analyte electrophoretically through a microfluidic channel.

Abstract: A surgical forceps includes a housing having a shaft attached thereto and an end effector assembly disposed at a distal end of the shaft. The end effector assembly includes first and second jaw members having opposed seal plates, each of the seal plates having a width. At least one of the jaw members is moveable from an open position to a closed position for grasping tissue therebetween. A sensing component is configured to determine an output relating to a diameter of tissue or a composition of tissue disposed between the opposed seal plates of the first and second jaw members. An expanding component is configured to expand the width of at least one of the opposed seal plates according to the determined output.

Abstract: Devices for detecting organ contents using impedance and methods of using the same to provide various therapies. In an exemplary embodiment of a device for detecting organ contents of the present disclosure, the device comprises a body having a detector coupled thereto, the device configured for placement at or near an outside of an organ and operable to detect contents on an inside of the organ using impedance.

Abstract: To accurately acquire body composition information using data acquired by another device. Thus, there is provided a body composition monitor with scale including a communication unit for allowing input of biological component information (cross-sectional area, site length, subcutaneous fat percentage, visceral fat percentage, etc.) of a living body measured with another device such as an MRI, where step of calculating the body composition of the living body based on the biological component information, an impedance detected by an impedance detection unit, and a weight measured by a load detection unit is executed.

Abstract: Techniques are provided for use by implantable medical devices such as cardiac resynchronization therapy (CRT) devices for detecting pulmonary edema based on transthoracic impedance sensed using cardiac pacing/sensing leads, wherein detection can be performed while lead maturation occurs. Briefly, the implantable device determines whether the leads are within an initial post-implant interval following implant during which lead maturation generally occurs. The device then detects pulmonary edema or related medical conditions within the patient based on transthoracic impedance using a set of detection parameters adjusted for use during the post-implant interval. Thus, rather than “blanking” impedance data during lead maturation, the device instead detects and processes impedance during this period to identify possible episodes of pulmonary edema so that appropriate measures can be undertaken, such as delivery of warnings or titration of appropriate medications.

Abstract: A medical device utilizing temperature sensing to identify or assess anatomical bodies or structures includes an elongate tubular member, at least one electrode, a thermal sensor, and a temperature response assessment system or component. The at least one electrode may be connected to the distal portion of the elongate tubular member, and the one or more electrode can be configured to provide energy or heat to a portion of an anatomical body or structure. The thermal sensor may be configured to measure the thermal response of the portion of an anatomical body or structure, e.g., tissue or blood pools. The temperature response assessment system or component can be coupled to the thermal sensor. In embodiments, the device may include a lumen and port opening, which may accommodate a tool, such as a needle. Methods for using temperature sensing to identify an anatomical body or structure are also disclosed.

Abstract: Apparatus for performing impedance measurements on a subject. The apparatus includes a first processing system for determining an impedance measurement procedure and determining instructions corresponding to the measurement procedure. A second processing system is provided for receiving the instructions, using the instructions to generate control signals, with the control signals being used to apply one or more signals to the subject. The second processing system then receives first data indicative of the one or more signals applied to the subject, second data indicative of one or more signals measured across the subject and performs at least preliminary processing of the first and second data to thereby allow impedance values to be determined.

Abstract: The present invention provides a bioelectrical impedance measuring apparatus for determining composition data of a human body, the apparatus including a plurality of electrodes and measuring circuitry which inject, through two electrodes, alternating current into the body, and which determine, with two other electrodes on different limbs, the resulting voltages, and which determine therefrom the impedance of body segments. In one apparatus, two hand contact bodies are disclosed, each of which includes a hand seating surface for placement of a hand inner surface thereon, each hand seating surface includes an electrically insulating separating wall extending over a part of the length of the hand seating surface, the separating wall being adapted to project into the space between middle and ring finger when a hand is placed on the hand seating surface, and on both sides of the separating wall an electrode is included.

Abstract: A patient treatment unit and method analyzes and treats pain in tissues by applying an electrical pulse train to the affected tissue. The impedance of the affected tissue is measured, and the measured impedance is correlated to a level of pain in the patient. The pulse train is further applied in response to the measured impedance to reduce the patient's pain. The patient treatment unit includes a probe stimulus generator that outputs the pulse train. The treatment unit also includes a pair of probes for contacting the patient's body and receiving the pulse train. The pulse has improved shaping based on isolation of high voltage from a low voltage control. The unit further includes a body impedance analysis circuit that senses voltage and current via the probes when the probes are contacting the patient and observe the impedance. A monitor is electrically coupled to the body impedance analysis circuit and provides an indication of the measured impedance indicative of the patient's level of pain in real-time.

Abstract: A method and system for determining a body impedance (Zbody) of a user are disclosed. The method comprises coupling a sensor device to the user, wherein the sensor device includes at least a first and a second electrode. The method includes applying a voltage signal (Vin) through a first impedance (Zin1) to the first electrode and through a second impedance (Zin2) to the second electrode to produce an output signal. The method includes measuring a differential voltage (Vbody) across the first and second electrodes and calculating the body impedance (Zbody) using the measured differential voltage (Vbody), the voltage signal (Vin), the first impedance (Zin1), and the second impedance (Zin2).

Abstract: A body composition monitor of the present invention includes means for measuring a body composition, means for storing a measured body composition value, and body composition comparison means for comparing the measured body composition value and a stored body composition value, in which the body composition monitor further includes means for inputting a body weight value, means for storing an inputted body weight, body weight comparison means for comparing the inputted body weight and stored body weight, body composition change determination means for determining a change degree of the body composition value with using a comparison result of the body composition comparison means and a comparison result of the body weight comparison means, and display means for displaying a determination result determined by the body composition change determination means.

Abstract: A body composition monitor of the present invention includes means for inputting a reference value of a body composition component, means for inputting a measurement value of the body composition component, body composition comparison means for comparing the reference value and the measurement value so as to determine a body composition component change amount of the measurement value relative to the reference value, display means provided with a plurality of stages for displaying one of the stages corresponding to the body composition component change amount, and stage determination means provided with a plurality of determination widths respectively corresponding to the plurality of stages for determining one of the stages corresponding to the body composition component change amount with using the plurality of determination widths, wherein the plurality of determination widths are not identical to each other.

Abstract: Modular user-exchangeable accessory for bio-signal controlled mechanism. In some embodiments, a biosensor and a feedback mechanism is disclosed. In some embodiments, a modular user-exchangeable accessory for bio-signal controlled mechanism includes detecting bio-signal using a bio-sensor; and sending a control signal to a modular user-exchangeable accessory for bio-signal controlled mechanism. In some embodiments, the biosensor is connected to a headset, wherein the modular user-exchangeable accessory is attachable to the headset. In some embodiments, the modular user-exchangeable accessory is shaped to resemble an animal ear.

Abstract: Apparatus for performing impedance measurements on a subject. The apparatus includes a first processing system for determining an impedance measurement procedure and determining instructions corresponding to the measurement procedure. A second processing system is provided for receiving the instructions, using the instructions to generate control signals, with the control signals being used to apply one or more signals to the subject. The second processing system then receives first data indicative of the one or more signals applied to the subject, second data indicative of one or more signals measured across the subject and performs at least preliminary processing of the first and second data to thereby allow impedance values to be determined.

Abstract: A method and apparatus for detection of changes in impedance a patient that includes generating measured impedances, generating an adaptive baseline trend of the measured impedances corresponding to a first time period, generating a short term trend of the measured impedances corresponding to a second time period less than the first time period, determining changes in relative position of the short term trend and the baseline trend, the determined changes in relative position corresponding to determining intersecting of the baseline trend by the short term trend, determining differences between the baseline trend and calculated period average impedances, and accumulating, in response to determining no intersecting of the baseline trend by the short term trend, the determined differences between the baseline trend and the calculated period average impedances.

Abstract: In an abdominal fat measuring device that is a health managing device, vertical and horizontal widths of the abdomen of a subject are measured, and an ellipse defined by such widths is defined as an outer shape ellipse. The abdominal fat measuring device stores in advance an image representing the subcutaneous fat of the abdominal back side as an additional image in association with a proportion of the visceral fat mass and the subcutaneous fat mass. In the abdominal fat measuring device, the corresponding image is extracted from the stored additional images from the measured proportion of the visceral fat mass and the subcutaneous fat mass of the subject, added to the outer shape ellipse, and then a figure representing the measured fat free mass, visceral fat mass, and subcutaneous fat mass is drawn and displayed in the outer shape ellipse.

Abstract: Methods and systems for determining information about a vascular bodily lumen are described. An exemplary method includes generating an electrical signal, delivering the electrical signal to a plurality of excitation elements in the vicinity of the vascular bodily lumen, measuring a responsive electrical signal from a plurality of sensing elements in response to the delivered electrical signal, and determining a lumen dimension. Specific embodiments include generating a multiple frequency electrical signal. Another embodiment includes measuring a plurality of responsive signals at a plurality of frequencies. Still other embodiments include using spatial diversity of the excitation elements. Yet other embodiments use method for calibration and de-embedding of such measurements to determine the lumen dimensions. Diagnostic devices incorporating the method are also disclosed, including guide wires, catheters and implants.

Abstract: The invention relates to a system for determining the quality of a bone structure, comprising: a body adapted for drilling through the bone structure; a first electrode arranged on the body so as to come into contact with the bone structure during drilling; a second electrode arranged on the body so as to come into contact with the bone structure at a distance from the first electrode during drilling; an electric generator adapted to apply an electric current between the first and second electrodes for a pre-determined period of time; a measuring device adapted (i) to measure the electric current, continuously and over the pre-determined period, an electrical magnitude representative of the aptitude of the bone structure for allowing electric current to pass therethrough and (ii) to deliver, continuously and over the pre-determined period, a signal representative of the quality of the bone structure between the contact surfaces of the first and second electrodes, using the determined electrical magnitude.

Abstract: A method of monitoring amount of milk consumed by an infant being breastfed by a breast is disclosed. The method comprises: determining variations in electric capacitance of the breast during breastfeeding, and correlating the electric capacitance variations to an amount of milk consumed by the infant.

Abstract: An ICG/ECG electrode includes a first electrode and a second electrode, wherein at least one of the first or second electrode senses both an ICG signal and an ECG voltage signal. A physiologic parameter monitoring apparatus includes a set of electrodes, including an electrode for sensing both an ICG voltage signal and an ECG voltage signal corresponding to a patient. The apparatus further includes an ICG monitor for processing the ICG voltage signal sensed by the electrode and an ECG monitor for processing the ECG voltage signal sensed by the same electrode.

Abstract: A system for determining a position of a medical device within a body is provided that reduces positional error by establishing a reference origin closer to the device and/or simplifies the system by integrating components and functions. In one embodiment, a pair of drive electrodes are affixed to opposed surfaces of the body and create a pathway for transmission of current through a position sensor related to the medical device. A pair of reference electrodes proximate the drive electrodes are coupled to a common reference node outputting a reference signal establishing the reference origin. An electronic control unit determines the position of the medical device responsive to the position signal and the reference signal. In another embodiment, a patch affixed to an external surface of the body has a base layer and multiple devices supported on the base layer, electrically isolated from one another, and configured to perform different functions.

Abstract: A differential voltage sensing method for achieving input impedance matching comprises the steps of: providing a first bio-potential signal to a first variable resistor for generating a first signal; providing a second bio-potential signal to a second variable resistor for generating a second signal; differentially amplifying first and second signals for generating a third signal; selecting an operation band of the third signal for generating first and second logic signals; and dynamically adjusting one of the impedances of the first and second variable resistors according to the first and second logic signals, wherein each of the first and second bio-potential signals has a common signal voltage level and a differential signal voltage level.

Abstract: A method and apparatus for determining the volume of a pouch formed in a stomach during bariatric surgery comprises a balloon catheter having an inflatable balloon located at a distal end of a catheter for locating in the stomach. A pair of spaced apart stimulating electrodes are located on the catheter within the balloon and a plurality of spaced apart sensing electrodes are located on the catheter between the stimulating electrodes. The balloon in the stomach is inflated by a saline solution to define the interior of the pouch. By applying a constant current signal to the stimulating electrodes, the volume of the pouch is determined from signals read from the sensing electrodes.

Abstract: A method of determining one or more physiological parameter of a patient by providing a plurality of implantable electrodes proximate a blood vessel of the patient, applying a measurement signal through the plurality of electrodes, the measurement signal having a known parameter, obtaining a resultant signal through the plurality of electrodes, the resultant signal having a resultant parameter, calculating vascular impedance based on the measurement signal and the resultant signal, and calculating a physiological parameter based on the vascular impedance. In some embodiments, the physiological parameter is utilized to modify a therapy signal controlling therapy delivered to the patient.

Abstract: This disclosure relates to systems and methods for measuring the composition of a body part of a patient, or for otherwise determining a clinically relevant fact using characteristics of tissue in or proximal to said body part. In an example, this disclosure relates to measuring the electrical impedance of an organ or portion of an organ, such as the female breast, so as to obtain clinically relevant information. In an aspect, the system and method can be used for measuring and utilizing certain information such as breast density data and other risk factors for determination or classification of a woman's likelihood to develop breast cancer. Other aspects quantify or qualify a woman's responsiveness to a drug or hormonal therapy.

Abstract: An electrode assembly for an EIT scanning device (11) including an electrode (15), a current supply unit (17), a voltage buffer unit (19), a switch logic unit (21), and lines for connecting the different elements, whereby the switch logic unit (21) comprises at least one element of a first shift register (27) and at least one element of a second shift register (29). A belt-like device comprising a plurality of said electrode assemblies. A method of measuring an EIT-image using such electrode assemblies preferably arranged in such a belt-like device.

Abstract: An ultrasound medical system includes an interstitial end effector. The interstitial end effector is interstitially insertable into patient tissue, includes at least one medical-treatment ultrasound transducer, and includes at least one end-effector-tissue-track ablation device. One method for ultrasonically treating a lesion in a patient includes the steps of obtaining the interstitial end effector and inserting it into the patient creating a tissue track which is surrounded by patient tissue and which ends at the distal end of the inserted interstitial end effector. Other steps include ultrasonically ablating the lesion using the at-least-one medical-treatment ultrasound transducer, using the at-least-one end-effector-tissue-track ablation device to ablate the patient tissue surrounding the tissue track along substantially the entire tissue track, and withdrawing the end effector from the patient.

Abstract: The invention relates to a system and a method in which an electrophysiological signal is sensed capacitively with at least two closely spaced electrodes such that the electrodes experience strongly correlated skin-electrode distance variations. To be able to derive a motion artifact signal, the capacitive coupling between the electrodes and skin is made intentionally different. With a signal processing means the motion artifact signal can be removed from the measured signal to leave only the desired electrophysiological signal. Since the measured quantity is dependant on the electrode-skin distance itself, the system and method do not need to rely on the constancy of a transfer function. Hereby, they give reliable motion artifact free output signals.

Abstract: A method of estimating cerebral blood flow by analyzing IPG and PPG signals of the head, the method comprising: a) finding a maximum slope or most negative slope or the IPG signal, within at least a portion of the cardiac cycle; b) finding a maximum slope or most negative slope of the PPG signal, within at least a portion of the cardiac cycle; c) finding a ratio of the maximum or most negative slope of the IPG signal to the maximum or most negative slope of the PPG signal; and d) calculating a cerebral blood flow indicator from the ratio.

Abstract: The present invention is directed toward a system and method utilizing a biofeedback mediated color, sound, and aroma therapy. The visual, auditory, and aromatic stimulation is intended to alleviate stress and/or anxiety by relaxing and stimulating the brain, thereby correcting any neurophysical imbalances. Reduction in the levels of stress and/or anxiety is achieved through the use of the auditory, visual, and aromatic sequences which are individually specific and systematic. The system and method is preferably provided in multiple sessions with each session providing both a mechanism for providing treatment as well as assessment which is used to form the basis for future treatments.

Abstract: An apparatus for in-situ sensing of longitudinal and transverse strain in biological tissue (e.g. tendons and ligaments) includes a set of sensing electrodes that contact biological tissue and enable measurement of an electrical property of the biological tissue along two or more directions. The apparatus may also include a sensing module that senses the electrical property of the biological tissue along the two or more directions to provide multi-directional measurements that are captured by a logging module. The apparatus may also include a transmission module that transmits the captured measurements to a data analysis workstation or the like. The data analysis workstation may include a strain estimation module that receives the multi-directional measurement and estimates a longitudinal strain and a transverse strain therefrom. A corresponding system and method for in-situ sensing of longitudinal and transverse strain in biological tissue is also presented.

Abstract: The invention relates to the field of monitoring the hydration and/or nutrition status of a patient. According to the invention a method is provided to determine at least one of a mal-hydration component, an adipose tissue component and a lean tissue component of a patient comprising the steps of determining chemical or physical properties of the patient and deriving the at least one component on the basis of the determined chemical or physical properties of the patient and previously determined values of a mass or volume fraction of water in lean tissue and a mass or volume fraction of water in adipose tissue. The invention also relates to a device for carrying out the method according to the invention and to a computer program product to be used on such a device.

Abstract: A method for characterizing tissues within a subject as cancerous or non-cancerous includes determining the electrical properties of the subject. The electrical properties of the subject are fit to a model and a specific range of a set of characteristic frequencies of each tissue is then calculated. Each tissue is finally characterized as cancerous or non-cancerous if the specific range of the set of characteristic frequencies inside or outside, respectively, a pre-determined spread of characteristic frequencies.

Abstract: A method of analysing cardiac functions in a subject using a processing system is described. The method may include applying one or more electrical signals having a plurality of frequencies to the subject and detecting a response to the applied one or more signals from the subject. A characteristic frequency can then be determined from the applied and received signals, and at least one component of the impedance (e.g., reactance, phase shift) can be measured at the characteristic frequency. The impedance or a component of impedance at a characteristic frequency can be determined for a number of sequential time instances. A new characteristic frequency may be determined within a cardiac cycle or the same characteristic frequency may be used throughout the cardiac cycle during which instantaneous values of impedance are determined. These values may be used to determine an indicia of cardiac function.

Abstract: The subject matter is a patient supporting device for supporting a patient during a medical treatment, in particular a dialysis treatment, and a treatment apparatus with such a patient supporting device, and a corresponding method for controlling and/or regulating a medical treatment device, in particular a dialysis device, using such a patient supporting device.

Abstract: Disclosed herein are contact sensors having a conductive composite material formed of a polymer and a conductive filler. In one particular aspect, the composite materials can include less than about 10 wt % conductive filler. The composite material of the contact sensors can have physical characteristics essentially identical to the polymer, while being electrically conductive with the electrical resistance proportional to the load on the sensor. Also disclosed herein are novel force/pressure sensors that include conductive polymer elements.

Abstract: A system and method for identifying a stimulation location on a nerve is disclosed. The system includes an image-based navigation interface used to facilitate advancing a stimulation element within a patient body toward a target nerve stimulation site. Using the system one determines, separately for each potential target nerve stimulation site, a neuromuscular response of muscles produced upon applying a stimulation signal at the respective separate potential target stimulation sites. The image-based navigation interface is configured to display a graphic identification of which muscles were activated for each respective potential target nerve stimulation site upon applying the stimulation signal.

Abstract: Methods and apparatus for predicting/estimating the dry weight of an individual, e.g., a patient undergoing dialysis treatment, are provided. The techniques employ a bioimpedance measurement (303) on the individual's calf (101) to obtain information regarding the extracellular fluid volume of the calf. Using a measurement of the calf's circumference (309), a resistivity value is calculated, normalized by the individual's body mass index (BMI), and then offset by a reference value to obtain a new variable, ?nRho, which is shown, by comparison with a “gold standard” (FIGS. 5-9), to be highly effective in predicting/estimating dry weight (FIGS. 10-13 and 15-16). The techniques are easy to use and provide accurate dry weight predictions/estimations without substantially adding to the complexity or cost of dialysis procedures. The techniques can also be used for individuals who are not renal patients, e.g.

Abstract: Disclosed techniques include monitoring a physiological characteristic of a patient with a sensor that is mounted to an inner wall of a thoracic cavity of the patient, and sending a signal based on the monitored physiological characteristic from the sensor to a remote device.

Abstract: In an implantable medical device and a method for monitoring ventricular synchronicity of a heart. In particular, impedance signals are measured and an occurrence of a notch is detected in the impedance signal coincident with a period including a change from rapid to slow filling of a ventricle. The notch is indicated by a first positive slope change in a negative slope in a predetermined time window during a diastolic phase of a cardiac cycle. A degree of synchronicity is determined based on the notch feature, wherein a decreasing notch feature indicates an increased degree of synchronicity in the filling phase of the ventricles.

Abstract: A body fat measurement device includes: hand electrodes that make contact with both hands; back area electrodes that makes contact with the surface of the back area side of the trunk area; foot electrodes that make contact with both feet; a body impedance measurement unit that measures a body impedance in a body using these multiple electrodes; and a body fat mass calculation unit that calculates a body fat mass based on the body impedance measured by the body impedance measurement unit. The foot electrodes that make contact with both feet are provided on a platform unit in an exposed state, and the hand electrodes that make contact with both hands and the back area electrodes that make contact with the surface of the back area side of the trunk area are all provided on a fitting unit in an exposed state.

Abstract: Diagnostic apparatus (24) includes a sealed case (80), comprising a biocompatible material and configured for implantation within a body of a human subject (22). A dielectrometric probe (26, 50, 63, 66, 70, 102, 160) is connected to the case and includes first and second conductors (40, 42, 54, 56, 64, 67, 68, 72, 74, 162, 164), which are configured to be placed in proximity to a target tissue (34) in the body. A driving circuit (82), which is contained in the case, is coupled to apply a radio-frequency (RF) signal to the probe and to sense the signal returned from the probe. Processing circuitry (84) is configured to evaluate, responsively to the returned signal, a dielectric property of the target tissue.

Abstract: An exemplary includes acquiring an electroneurogram of the right carotid sinus nerve or the left carotid sinus nerve, analyzing the electroneurogram for at least one of chemosensory information and barosensory information and calling for one or more therapeutic actions based at least in part on the analyzing. Therapeutic actions may aim to treat conditions such as sleep apnea, an increase in metabolic demand, hypoglycemia, hypertension, renal failure, and congestive heart failure. Other exemplary methods, devices, systems, etc., are also disclosed.

Abstract: A body fat measurement device includes multiple electrodes, a trunk area width detection unit for measuring a trunk area width and a trunk area depth, a body impedance measurement unit that measures a body impedance of a body using the multiple electrodes, and a body fat mass calculation unit that calculates a body fat mass based on the measured body impedance and the trunk area width and trunk area depth. A frame-shaped fitting unit in which the trunk area width detection unit is provided and that is capable of being disposed so as to surround a measurement subject's trunk area can be mounted on and removed from a platform unit in which foot electrodes are provided, and is stored within the platform unit during a stored state.

Abstract: A method of screening for breast cancer, including determining at least one first electrical impedance related characteristic for a first breast of a patient, determining at least one second electrical impedance related characteristic for a second breast of a patient and classifying the patient as requiring additional testing, responsive to the value of the first and second characteristics, wherein classifying is not based on a difference between the first and second characteristics.

Abstract: A system for bioimpedance analysis of a biological tissue includes a tissue inspector and an impedance calculator. The tissue inspector includes an inspecting circuit for receiving a test signal, a plurality of electrode sets respectively corresponding with a plurality of test parts, and a multiplexer operable to couple a selected electrode set at a detected test part to the inspecting circuit to detect a signal response resulting from the test signal. The impedance calculator is operable to compute impedance information corresponding to the detected test part based on the test signal and the detected signal response.

Abstract: Methods and systems for monitoring contact between a medical probe and tissue are provided. A medical probe is introduced into a patient adjacent the tissue. An electrical parameter, e.g., electrical admittance, is measured between a first electrode located on the medical probe and a second electrode remote from the first electrode. The electrical parameter is amplitude modulated in response to a physiological cycle of the patient. Contact between the medical probe and the tissue is detected based on the amplitude modulation of the measured electrical parameter.

Abstract: The invention provides a biometric apparatus which is able to determine the orientation of a measured person irrespective of the orientation of the measured person on the biometric apparatus or irrespective of the orientation of arrangement of the biometric apparatus and hence flow an electric current constantly through the same route and measure the voltage generated in the route, thereby providing accurate and reliable biometric data.

Abstract: A first fluid status indicator of a pulmonary fluid status associated with pulmonary edema and a second fluid status indicator of a non-pulmonary fluid status can be used to provide an alert or to control a therapy for pulmonary edema. Additionally, intermittent cardiac blood volume redistribution therapy can be used to provide cardiac conditioning in heart failure patients.

Abstract: In a method and an implantable medical device for assessing a degree of pulmonary edema of a patient, at least two specific body patients of the patent are detected and at least one impedance sensing session is initiated to sense trans-thoracic impedance signals from the patient when the patient is in one of the at least two specific positions. Impedance values are obtained from the impedance signals, and a relation between respective impedance values at the at least two positions is determined. This relation is then used as a metric of pulmonary edema to assess the degree of pulmonary edema, and is provided as an output.