A communication system is provided which permits of communication between an
deployed
implantable medical device (IMD) and a large-scale powerful computer capable of
manipulating complex nonlinear modeling of physiologic systems, and also capable
of accounting for large amounts of historical data from a particular patient or
a cohort group for improved modeling and predictive power, which may be expected
to lead to improved patient outcomes. A deployed IMD may be polled by a routing
instrument external to the host patient, and data may be received by wireless communication.
This data may be transmitted to a central large-scale or other relatively powerful
computer for processing according to an appropriate model. A treatment or instruction
regimen, as well as appropriate firmware or software upgrades, may then be transmitted
to the routing instrument for immediate or eventual loading into the IMD via wireless communication.