Abstract: Systems and methods of providing life support are provided. A life support system includes a first life support device that has a control unit and is configured to apply a life support protocol to a subject. The first life support device also includes a memory unit that can store life support protocol information, and the control unit can provide the life support protocol information to a second life support device. The control unit can also receive operating instructions from the second life support device based on the life support protocol information, and can implement the operating instructions.

Abstract: A medical device system that receives cardiac data representing a plurality of stored arrhythmic episodes, and analyzing the cardiac data to identify and display a subset of stored arrhythmic episodes as a function of user-specified episode criteria. The medical device system presents a query window on an interactive display in order to receive user-specified episode criteria via one or more input fields. The medical device displays only those episodes matching the episode criteria such as arrhythmia type, zone of detection, date of occurrence and average heart rate in beats per minute (BPM).

Abstract: In a method and a system for initiating communication with an implantable medical device to conduct a wireless communication session between the implantable medical device and an external programmer device. A directional antenna is employed for initiating communication between a programmer device and an implantable medical device (IMD). The IMD is targeted by the programmer device by having an operator of the programmer device orient the directional antenna toward the IMD and transmitting a communication-initiating signal from the programmer to the IMD via the directional antenna. The directional antenna has a directional characteristic and communication range. the IMD responds to the communication-initiating signal by sending identification information to the programmer. the programmer may then use this identification to establish a communication session with the IMD targeted by the directional antenna.

Abstract: Systems and methods provide intrabody communication using acoustic telemetry. The system includes a first or control implant including a first acoustic transducer, and a second implant including a switch and a second acoustic transducer coupled to the switch. The second acoustic transducer receives acoustic signals from the first acoustic transducer for closing the switch to activate the second implant. The second implant may include a therapeutic device for providing therapy to the patient. For example, the second implant may provide pacing therapy, defibrillation therapy, pain control stimulation, or neuro-stimulation.

Abstract: A method comprises connecting at least one portion of a far-field radio-frequency (RF) first telemetry circuit in an implantable medical device to an energy source through a power connection module, detecting information included in a first predetermined wireless signal, changing a conductivity state of the power connection module when the information in the first predetermined wireless signal is detected to couple power to the at least one portion of the first telemetry circuit, detecting a second predetermined wireless signal, and changing a conductivity state of the power connection module to decouple power to the at least one portion of the first telemetry circuit when the second predetermined wireless signal is detected and the first telemetry circuit enters an idle state.

Abstract: Embodiments of the invention are related to systems for interfacing with implantable medical devices, amongst other things. In an embodiment, the invention includes an external medical system including a processor and a telemetry circuit in communication with the processor, the processor configured to communicate with an implanted medical device. The system can be configured to query a system user after a first period of time in which indicators of system use are not detected. The system can be further configured to deactivate one or more data transmission features of the implanted medical device after a second period of time in which one or more indicators of system use are not detected. Other embodiments are also included herein.

Abstract: A piezoelectric element within an external ultrasonic transducer assembly can be used for wireless communication of data between an implantable device and the external ultrasonic transducer assembly such as using ultrasonic energy coupled to a flexible portion of a housing of the transducer assembly. The flexible portion can be configured to contact skin of a body containing the implantable device. The transducer assembly can be configured to respectively transmit or receive ultrasonic energy using at least partially overlapping respective ranges of resonant frequencies.

Abstract: An implantable medical device includes an acoustic transducer for intra-body communication with another medical device via an acoustic couple. The acoustic transducer includes one or more piezoelectric transducers. In one embodiment, an implantable medical device housing contains a cardiac rhythm management (CRM) device and an acoustic communication circuit. The acoustic communication circuit includes an error detection circuit configured for detecting an error rate associated with demodulated incoming acoustic signals and a frequency selection circuit configured for adjusting a carrier frequency of outbound acoustic signals. The acoustic transducer is electrically connected to the acoustic communication circuit to function as an acoustic coupler and physically fastened to a wall of the implantable housing, directly or via a supporting structure.

Abstract: This disclosure is directed to a three-dimensional antenna that may be used for an implantable medical device (IMD). The antenna includes a first antenna portion that includes a plurality of segments arranged substantially parallel to one another in a first plane. The antenna further includes a second antenna portion that includes a plurality of segments arranged substantially parallel to one another in a second plane that is substantially parallel to the first plane. The antenna further includes a third antenna portion that includes a plurality of segments arranged substantially parallel to one another in a third plane. The plurality of segments of the third portion are coupled between segments of the first and second portions. The third plane is arranged substantially perpendicular to the first plane and the second plane.

Abstract: A method of and system for collecting patient event information is described, where the system includes an implantable medical device (IMD) and an external interface device. The external interface device is remote from the IMD and includes a communication module, a display device adapted to prompt a user of the system to select a reason for a particular transmission session and a user input device adapted to accept input indicating a selected reason.

Abstract: Apparatuses and methods support multi-modal operation of a medical device system for a nervous system disorder. The medical device system comprises an implanted component and an external component and supports a first feature and a second feature that are associated with the treatment therapy. The medical device system supports both features when the implanted component and the external component are coupled. If the external component is decoupled, the implanted component continues to support the first feature. Moreover, the embodiment may support a plurality of features during a treatment interval. Another aspect of the invention allows for modularly expanding a medical device system in order to add a feature that enhances existing functionality or that provides additional functionality. In an embodiment, a module that is associated with an external component of the medical device system supports the added feature.

Abstract: An implantable medical device (IMD) and method are provided in which a telemetry module in the IMD includes a configurable polling interval at which the telemetry module is powered up from a low power inactive state to perform sniff operations for detecting whether communication signals are being received from an external device. The IMD includes at least one sensor for sensing at least one parameter, a controller receiving data from the sensor, and the telemetry module coupled to the controller for facilitating communication between the IMD and an external device. The polling interval of the telemetry module is configured based upon the parameter(s) sensed by the sensor, such that the polling interval is configured to conserve power consumption of the IMD. The polling interval is either decreased or increased to respectively increase or decrease the frequency of the sniff operations based on the parameters sensed at the IMD.

Abstract: Disclosed is a remote controller for an implantable medical device having stored contraindication information, which includes information which a patient or clinician might wish to review when assessing the compatibility of a given therapeutic or diagnostic technique or activity with the patient's implant. The stored contraindication information is available through a display of the remote controller or via a wired, wireless, or portable drive connection with an external device. By storing contraindication information with the implant's remote controller, patient and clinician can more easily determine the safety of a particular therapeutic or diagnostic technique or physical activity with the patient's implant, perhaps without the need to contact the manufacturer's service representative.

Abstract: This document discusses, among other things, a system and method for wirelessly transferring information electromagnetically at a first specified operating frequency range and at a second specified operating frequency range using an implantable antenna. In certain examples, the implantable antenna can include a first non-coiled segment and a first coiled segment, and the first specified operating frequency range and the second specified operating frequency range can be provided at least in part by a physical arrangement of the first coiled segment with respect to the first non-coiled segment.

Abstract: An implanted device is equipped with a flag that indicates to a remote monitoring unit that an event such as a patient medical emergency or device failure has occurred. The remote monitoring unit is configured in some embodiments to maintain a low power communication link with the implanted device when they are within range. When the flag indicates an event has occurred, the remote monitoring unit quickly downloads sensed data collected by the implanted device and transfers it over a network so that it can be utilized by a medical practitioner. The remote monitoring unit is further configured in some embodiments to query the implanted device at regular intervals. The remote monitoring unit may read a subset of the data stored by the implanted device and, based on that data, determine whether to complete a full or partial download.

Abstract: External instruments and implantable medical devices communicate using modulation parameter settings that may be adapted during communication sessions based on a quality of the wireless communications link. An analysis of the quality of the link is performed and a request to change modulation parameters is sent to one of the devices by the other. The analysis may be based on measuring noise and interference during idle communication frames. The devices may then change the modulation parameter settings, for the uplink, downlink, or both. The devices may also employ a recovery operation to revert back to the previous modulation parameter settings if the transmissions are not properly received using the changed modulation parameter settings. The modulation parameter settings may include modulation type, modulation symbol rate, and the like.

Abstract: One aspect of the invention relates to an implantable medical device comprising a device housing (100), at least one radio frequency circuit (104) for radio frequency communication, at least one antenna, at least one terminal to electromagnetically couple said at least one antenna to said at least one radio frequency circuit, and a dielectric compartment (101, 1661) that encompasses at least a portion of said at least one antenna. The antenna comprises a conducting pattern, at least a portion of which is shaped as a curve, wherein said curve comprises at least five segments, wherein each of said at least five segments forms an angle with each adjacent segment in said curve, wherein at least three of the at least five segments of said curve are shorter than one-fifth of the longest free-space operating wavelength of the antenna, wherein each angle between adjacent segments is less than 180°, and at least two of the angles between adjacent sections are less than approximately 115°.

Abstract: The invention relates to an emergency response system. The emergency response system (10) comprises a central station (4) for receiving information about emergencies, whereby position information of a victim is provided and stored in a look-up table (6) of the central station (4). The central station addresses a list (7) of publicly available actuatable emergency response devices and selects a suitable device. The central station (4) transmits a trigger signal by means of a suitable communication network (3) to the selected remote actuatable emergency response device (14), which comprises communication means (13) for activating the signaling means (15) upon receipt of the trigger signal. Also, the actuatable emergency response device (14) comprises storage means (11) arranged to store the position information of the emergency response device and the provided position information of the victim.

Abstract: A wireless communication threshold for an implantable medical device is automatically adapted in an attempt to maintain optimum signal detection sensitivity. In some aspects, a threshold level may be adapted to account for current environmental conditions, implant conditions, device conditions, or other conditions that may affect the reception of wireless signals at the device. In some aspects, the determination of an optimum level for the threshold involves a tradeoff relating to effectively detecting target signals while avoiding detection of noise and/or interference. In some aspects, adaptation of a threshold may be based on maximum energy levels associated with one or more sets of RF energy sample data. In some aspects, adaptation of a threshold may be based on the number of false wakeups that occur during a period of time.

Abstract: In general, the invention is directed to techniques for using an external defibrillator to detect a presence of an implantable medical device (IMD) implanted within a patient, and providing therapy to the patient through communication between the external defibrillator and the IMD. An external defibrillator provides prompts to a user of the external defibrillator to determine the presence of an IMD implanted within the patient. For example, the external defibrillator may prompt the user to visually inspect the patient's chest for signs that an IMD was implanted, such as a scar or raised portion of skin near the patient's clavicles. As another example, the external defibrillator may prompt the user to place a detection device on the patient's chest. The detection device may be coupled to the external defibrillator, and may employ a magnet to initiate telemetry by the IMD to detect the presence of the IMD.

Abstract: An interactive implantable medical device system includes an implantable medical device and a network-enabled external device capable of bi-directional communication and interaction with the implantable medical device. The external device is programmed to interact with other similarly-enabled devices. The system facilitates improved patient care by eliminating unnecessary geographic limitations on implantable medical device interrogation and programming, and by allowing patients, physicians, and other users to access medical records, history, and information and to receive status and care-related alerts and messages anywhere there is access to a communications network.

Abstract: A method comprises connecting at least one portion of a far-field radio-frequency (RF) first telemetry circuit in an implantable medical device to an energy source through a power connection module, detecting information included in a first predetermined wireless signal, changing a conductivity state of the power connection module when the information in the first predetermined wireless signal is detected to couple power to the at least one portion of the first telemetry circuit, detecting a second predetermined wireless signal, and changing a conductivity state of the power connection module to decouple power to the at least one portion of the first telemetry circuit when the second predetermined wireless signal is detected and the first telemetry circuit enters an idle state.

Abstract: As described herein vascular anchoring systems are used to position an implant in a vascular area such as a bifurcated vasculature with relatively high fluid flow, for instance, in an area of a pulmonary artery with associated left and right pulmonary arteries. Implementations include an anchoring trunk member having a first anchoring trunk section and a second anchoring trunk section. Further implementations include a first anchoring branch member extending from the anchoring trunk member. Still further implementations include a second anchoring branch member extending from the anchoring trunk member.

Abstract: Devices and methods for sleep detection involve the use of an adjustable threshold for detecting sleep onset and termination. A method for detecting sleep includes adjusting a sleep threshold associated with a first sleep-related signal using a second sleep-related signal. The first sleep-related signal is compared to the adjusted threshold and sleep is detected based on the comparison. The sleep-related signals may be derived from implantable or external sensors. Additional sleep-related signals may be used to confirm the sleep condition. A sleep detector device implementing a sleep detection method may be a component of an implantable pulse generator such as a pacemaker or defibrillator.

Abstract: An electronic implantable device with a power saving circuit incorporates a radio frequency receiver with high power consumption. The first power radio receiver of high power is normally turned off during a period of inactivity. When an analyzer forming part of a second radio receiver and coupled to the first radio receiver detects a predetermined identification code in a received radio frequency signal received by the second radio receiver, it outputs a signal to turn on the first power receiver.

Abstract: A medical device programmer comprises a medical device module and a computer module. The medical device module comprises a telemetry module that wirelessly communicates with an implantable medical device (IMD) and a medical device module processor communicates with the IMD via the telemetry module. The computer module housing mates with the medical device module housing to form a congruent external surface of the programmer. The computer module comprises a user interface including a touchscreen that displays data received from the IMD and receives input from a user, a memory that stores selectable patient therapy parameters for the IMD, a computer module interface in electrical communication with the medical device module interface, and a computer module processor that communicates with the medical device module. The medical device module processor forwards communications between the computer module processor and the IMD via the medical device module interface and the telemetry module.

Abstract: A neural prosthesis includes a centralized device that can provide power, data, and clock signals to one or more individual neural prosthesis subsystems. Each subsystem may include a number of individually addressable, programmable modules that can be dynamically allocated or shared among neural prosthetic networks to achieve complex, coordinated functions or to operate in autonomous groups.

Abstract: An exemplary method includes a sound processing unit 1) directing an implantable cochlear stimulator coupled to a plurality of electrodes to generate an electrical stimulation current in accordance with one or more stimulation parameters, 2) automatically detecting an impedance of at least one of the electrodes, and 3) directing, in accordance with the detected impedance, the implantable cochlear stimulator to adjust a pulse width of the electrical stimulation current to maintain constant a total electric charge level of the electrical stimulation current.

Abstract: A system for providing temporary therapy, such as cardiac resynchronization therapy, to a patient suffering a decompensation event. The system can include a device having an external module for generating electrical stimuli, a first lead coupled to the module and implanted into an atrial region of a patient's heart, and a second lead coupled to the module and implanted into a ventricular region of the patient's heart. The device can also include a storage module coupled to the external module to store data associated with physiological data measured by the device. The external module is configured to temporarily generate electrical stimuli that are delivered by at least one of the first and second leads to provide therapy cardiac resynchronization therapy to the heart. A network can be coupled to the device to allow data stored in the device to be downloaded through the network to a central repository.

Abstract: This document discusses, among other things, methods and systems for facilitating automated device programming at changeout. A method comprises receiving, from a first device, physiological data at a temporary storage device; and processing the received physiological data, wherein the processing includes determining if a first signal processing function was used by the first device and substantially offsetting the first signal processing function if the first signal processing function was used by the first device; and processing the resultant physiological data to be compatible with a second device. The method further comprising providing the processed resultant physiological data to the second device.

Abstract: Implant devices described herein may be adapted to communicate with other devices via an antenna array. The antenna array may be configured to minimize radiation to surrounding tissue and/or maximize signal power in a direction of device(s) with which the implant device communicates.

Abstract: A system includes bio-medical units and an electromagnetic signal generating unit. A bio-medical unit includes a power harvesting module, a wireless communication module, a processing module, and a functional module that performs physical therapy function and generates physical therapy data. The electromagnetic signal generating unit that includes at least one signal generating module and a plurality of near field communication (NFC) modules. The signal generating module generates one or more signals and an NFC module converts the one or more signals into a component of electromagnetic signal, which the power harvesting module converts into a supply voltage that powers the other modules of the bio-medical unit.

Abstract: An implanted device is equipped with a flag that indicates to a remote monitoring unit that an event such as a patient medical emergency or device failure has occurred. The remote monitoring unit is configured in some embodiments to maintain a low power communication link with the implanted device when they are within range. When the flag indicates an event has occurred, the remote monitoring unit quickly downloads sensed data collected by the implanted device and transfers it over a network so that it can be utilized by a medical practitioner. The remote monitoring unit is further configured in some embodiments to query the implanted device at regular intervals. The remote monitoring unit may read a subset of the data stored by the implanted device and, based on that data, determine whether to complete a full or partial download.

Abstract: Enhanced security is provided in a system comprising a medical device and a monitoring device. The medical device is configured for implantation into a living organism, and comprises processing circuitry and an interface for communicating with the monitoring device. Access to the medical device by the monitoring device is controlled based on measurement of one or more physiological values of the living organism by at least one of the two devices. In an illustrative embodiment, the medical device and the monitoring device are configured to include respective physiological value sensors for measuring respective dynamic physiological values of the living organism. The medical device is further configured to determine if the dynamic physiological values are sufficiently similar to one another and to grant or deny the monitoring device access to the medical device based on the determination.

Abstract: This document discusses, among other things, an implantable device comprising a communication circuit configured to communicate with an external device, a logic circuit communicatively coupled to the communication circuit, and a processor, communicatively coupled to the logic circuit and the communication circuit. The processor is configured to communicate information with the external device, via the communication circuit and the logic circuit, using a set of communication messages. While in a device safety mode, the processor is held in an inactive state and the logic circuit is configured to communicate with the external device using a subset of the set of communication messages.

Abstract: A communication device for communicating with an external device using a human body as a signal transmission path, includes an electric field strength measuring unit configured to measure a noise level from a detected received electric field strength at the time of no signal after the received electric field strength is detected by the communication device when a transmission signal to be output to the external device is absent, a transmission output determination unit configured to determine an output level of the transmission signal to be transmitted to the external device on the basis of the measured noise level, and an output execution unit configured to output a transmission signal of the determined output level to the external device.

Abstract: A far-field radio frequency (RF) telemetry system for communicating with an implantable medical device includes a diversity antenna system. Multi-frame messages each including multiple outgoing data frames are transmitted to the implantable medical device. In response, the implantable medical device transmits response data frames each following one or more of the outgoing data frames, according to a predetermined communication protocol. An antenna control circuit selects an antenna of the diversity antenna system for transmitting the outgoing data frames and/or receiving the response data frames based on the quality of signal reception associated with the response data frames.

Abstract: This disclosure is directed to the synchronization of clocks of a secondary implantable medical device (IMD) to a clock of a primary IMD. The secondary IMD includes a communications clock. The communications clock may be synchronized based on at least one received communications pulse. The secondary IMD further includes a general purpose clock different than the communications clock. The general purpose clock may be synchronized based on at least one received power pulse. The communications clock may also be synchronized based on the at least one received power pulse.

Abstract: An antenna system for an implantable device like a cardiac pacemaker or a cochlear implant. The antenna system includes at least two coil units coupled with their terminals to a control circuit which can selectively connect the coil units in series or in anti-series, corresponding to a “operational mode” and a “safety mode”, respectively. In the operational mode, magnetically induced voltages in the coil units add, while they subtract and therefore completely or partially compensate in the safety mode. Thus the implantable device can be protected from damage due to extraordinarily large changing rates of external magnetic fields as they exist for example during MRI examinations.

Abstract: A medical device having a unit in communication with ancillary components wherein the unit and the ancillary components each have a sensory output through which communication with a user of the medical device may be accomplished and to which the user's attention directed. In one aspect, the medical device is an AED unit with associated pads, which are an ancillary component electrically connected to the AED unit. In this illustrative example, the unit has a unit sensory output (e.g., a speaker or a display), and the pads, and/or their associated packaging, have an ancillary sensory output (e.g. a speaker or display). Programming in the AED unit controls output to the sensory outputs such that the user's attention is directed between the unit and the ancillary components.

Abstract: An external programming system for programming an implantable medical device includes a user display and a memory storing multiple intracardiac lead images. The intracardiac lead images correspond to lead types and includes electrodes spaced according to the spacing of electrodes of a particular lead type. The programmer selects one of the lead images for display based on an indication of which type of lead has been implanted in a patient. The selected image is displayed to a user as part of a graphical user interface for programming cardiac pacing therapy for the patient.

Abstract: A data collection system collects and stores physiological data from an ambulatory patient at a high resolution and/or a high data rate (“more detailed data”) and sends a low-resolution and/or downsampled version of the data (“less detailed data”) to a remote server via a wireless network. The server automatically analyzes the less detailed data to detect an anomaly. A two-tiered analysis is used, where the first tier is less specific than the second tier. If the less specific analysis detects or suspects the anomaly, the server signals the data collector to send more detailed data that corresponds to a time period associated with the anomaly. The more specific second tier analysis the more detailed data to verify the anomaly. The server may also store the received data and make it available to a user.

Abstract: Various configurations of systems that employ leadless electrodes to provide pacing therapy are provided. In one example, a system that provides multiple sites for pacing of myocardium of a heart includes wireless pacing electrodes that are implantable at sites proximate the myocardium using a percutaneous, transluminal, catheter delivery system. Each of the electrodes contains a source of electrical energy for pacing the myocardium and is adapted to receive electromagnetic energy from a source outside the myocardium. The system also includes a source adapted for placement outside the myocardium and that uses locally measured electrocardiograms to synchronize pacing of the heart by sending electromagnetic commands to the electrodes to pace the myocardium surrounding the electrodes. Also disclosed is various configurations of such systems, wireless electrode assemblies, and delivery catheters for delivering and implanting the electrode assemblies.

Abstract: By incorporating magnetic field sensing coils in an external charger, it is possible to determine the position of an implantable device by sensing the reflected magnetic field from the implant. In one embodiment, two or more field sensing coils are arranged to sense the reflected magnetic field. By comparing the relative reflected magnetic field strengths of the sensing coils, the position of the implant relative to the external charger can be determined. Audio and/or visual feedback can then be communicated to the patient to allow the patient to improve the alignment of the charger.

Abstract: In a medical telemetry system for synchronizing an implantable medical device to a base station of the telemetry system, a communication channel is selected for communication between the implantable medical device and the base station, and the implantable medical device is synchronized to the base station by selecting a synchronizing word associated with the selected channel, wherein at least two different communication channels within the medical telemetry system are associated with different synchronization words. By this procedure, crosstalk is eliminated.

Abstract: An external controller/charger system for an implantable medical device is disclosed, in which the external controller/charger system provides automatic switching between telemetry and charging without any manual intervention by the patient. The external controller/charger system includes an external controller which houses a telemetry coil and an external charging coil coupled to the external controller. Normally, a charging session is carried out using the external charging coil, and a telemetry session is carried out using the telemetry coil. However, when a patient requests to carry out telemetry during a charging session, the external charging coil is used instead of the internal telemetry coil.

Abstract: A method and apparatus for determining a position of an external transceiver (24) relative to an implanted transceiver (23) comprising means (30) for measuring the strength of a magnetic field proximal to the external transceiver (24) and means for determining a position of the external transceiver (24) relative to the implanted transceiver (23) from said measured magnetic field strength. Furthermore there is disclosed is a method and apparatus for determining a skin flap thickness of a recipient of a prosthesis including a transcutaneous link between the external transceiver (24) and the implanted transceiver (23). A skin-flap thickness meter is also provided.

Abstract: An apparatus and method for enabling an implanted fractal antenna for radio frequency communications between an implantable medical device and an external device. The fractal antenna may be disposed within or outside of a header assembly of the device housing. Various examples include a three dimensional patterned cylinder usable as a tissue anchor or stent. In another embodiment the antenna may be cast, molded, stamped, punched, milled, laser cut, etched or other methods to form a fractal pattern in conductive media. In another embodiment the antenna may be formed of a printed circuit board (PCB) either with or without an included ground reference plane. In another embodiment the antenna may be formed in a fractal pattern and then wrapped around a part of the implantable device.

Abstract: A leadless intra-cardiac medical device is configured to be implanted entirely within a heart of a patient. The device includes an intra-cardiac extension and a housing. The intra-cardiac extension includes a loop body having at least one loop segment retaining at least one coil group that is configured to one or both of receive and transmit radio frequency (RF) energy, wherein the loop body is configured to extend into a first chamber of the heart. The housing is in electrical communication within the loop body, and includes a transceiver, control logic and an energy source. The housing is configured to be securely attached to an interior wall portion of a second chamber of the heart, wherein the transceiver is configured to communicate with an external device through the RF energy.

Abstract: Various embodiments concern a method which may include communicating medical information between a PIMD and an interface module via a first channel in compliance with a predetermined medical information regulatory standard, preventing access to the PIMD via the interface module other than through the first channel, detecting a communication protocol used by an available generic network access device, selecting a communication protocol rule set from a plurality of communication protocol rule sets to effect communication between the interface device and an available generic network access device of a plurality of generic network access devices, and transferring at least some of the medical information to the remote network via a second channel established between the interface module and the available generic network access device using the selected communication protocol rule set.