| CPC A61N 1/36514 (2013.01) [A61B 5/352 (2021.01); A61B 5/36 (2021.01); A61B 5/686 (2013.01); A61B 5/7292 (2013.01); A61N 1/36585 (2013.01); A61N 1/3702 (2013.01); A61N 1/37288 (2013.01); A61N 1/3756 (2013.01)] | 19 Claims |

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1. A medical device system, comprising:
a first device comprising:
a housing;
a first housing-based electrode;
a second housing-based electrode;
sensing circuitry enclosed by the housing and configured to sense via a sensing electrode vector between the first housing-based electrode and the second housing-based electrode a P-wave attendant to an atrial activation of a patient's heart; and
a signal generator coupled to at least one of the first housing-based electrode and the second housing-based electrode for transmitting a communication signal via one or both of the first housing-based electrode and the second housing-based electrode, the signal generator being configured to, in response to the sensing circuitry sensing the P-wave, transmit the communication signal in timed relation to the P-wave sensed by the sensing circuitry; and
a second device comprising:
a receiver configured to receive the transmitted communication signal;
a power source comprising at least one battery; and
a pacing pulse generator configured to:
receive power from the at least one battery for generating a pacing pulse; and
deliver the pacing pulse in response to the receiver receiving the transmitted communication signal.
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