| CPC A61N 1/37252 (2013.01) [A61N 1/37235 (2013.01); A61N 1/365 (2013.01)] | 8 Claims |

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1. A communication system for a wireless message transfer between an implantable medical device (IMD) and an external device, wherein the IMD is configured to monitor a health status of a patient and/or configured to deliver a therapy signal to the patient, wherein the IMD comprises a processor and a transceiver module configured to bi-directionally exchange messages with the external device via a single threaded command architecture, wherein the processor is configured to switch between a predefined active state and a predefined processing state, wherein the external device is configured to produce and send request messages to a transceiver module of the IMD, wherein each request message comprises a sequence field at a predefined location within the request message which is toggled between at least a first value and a second value associated to the sequence field, wherein the request messages comprise a first request message and a second request message, wherein when the external device receives a valid response from the IMD to an immediately previously sent first request message, the second request message contains the second value, and wherein when the external device does not receive a valid response from the IMD to an immediately previously sent first request message, the second request message contains the first value.
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