Inclusion Criteria:  ≥ 21 years of age  Life expectancy > 6 months HF, NYHA class II-IV > 1 HF related admissions in the last 12 months Fluid congestion (2 signs of pitting oedema, jugular distention, BW elevation, nocturnal dyspnoea score, respiration rate, pulmonary congestion and/or pleural effusion per chest x-ray, ascites) Failure to achieve effective diuresis and congestion relief despite appropriate or escalating diuretic doses or combination of diuretics (eg. Furosemide and Metolazone) Eligible for general anaesthesia and laparoscopic procedure Able to give written informed consent Ability to comply with study procedures and ability to operate the device Women of childbearing potential should use adequate contraception for as long as the device is implanted.  Exclusion Criteria:  • Any non-cardiac disease with life expectancy < 1 year  Any patient listed for solid organ transplantation Patients with history, or with indication for, mechanical circulatory support iv inotropes required in last 3 months (INTERMACS Score ≤3) Immunocompromised (e.g. chronic steroid treatment, HIV, etc.) Insulin dependent diabetes Severe hyponatraemia as defined by a serum Sodium < 120 mmol/l Serum Albumin < 2.5 g/dL eGFR < 25 ml/min/1.73m2 by MDRD method Previous significant intraabdominal surgery, severe abdominal adhesions, intra-abdominal foreign body (except for small inguinal mesh) Large diaphragmatic hernia, or surgically irreparable, complex or recurring hernia 6 minutes' walk test of less than 100 meter History (>6 months) of diaphragmatic hernia, inflammatory or ischemic bowel disease and frequent episodes of diverticulitis Gastrointestinal haemorrhage within the last 4 months Bacterial peritonitis episode within the last 24 months > 2 systemic or local infections, such as urinary tract infection or abdominal skin infection within the last 6 months Liver cirrhosis BMI > 40 presenting a risk for surgery Patients with contraindications for general anaesthesia or laparoscopic surgery Unsuitability for self-maintenance of the experimental home set-up Presence of any current cancer Presence of any active implantable or body-worn devices that cannot be removed excluding ICD / pacemaker Pregnancy Patients being in another therapeutic clinical study