We offer regularly scheduled clinics with a device company representative to check your pacemaker or defibrillator on a regular scheduled basis, as directed by your physician. In addition to your scheduled device checks, your physician now has the capability of monitoring your defibrillator or pacemaker from home with a remote communicator. The patient management system is used to remotely communicate with your device and send data to a central database. The patient management system is designed to tell your physician within 24 hours if alert conditions are detected. This can be done once a week or daily depending on the capabilities of your device. The devices also have the capability of detecting early signs of heart failure.