Introduction Welcome to XDREMES™ – Universal Version, a bold new vision redefining the pacemaker as we know it. This project introduces an extra-cardiac, wearable, intelligent, and self-powered device designed to protect the heart without ever touching it. Why “Outside the Heart” Our dual mission is simple yet revolutionary: prevent before treating, and intervene just before it’s too late. By relocating the pacemaker outside the chest cavity, we eliminate the risks of invasive surgery, simplify maintenance, and broaden access in remote or under-resourced areas. In emergencies, the system autonomously detects anomalies and either initiates stimulation or displays critical data to first responders. Energy for Everyone, Anytime Inspired by solar calculators, XDREMES integrates a nano-Li battery + supercapacitor module, recharged by a multi-directional photovoltaic panel. From dim camping lights to harsh desert sun, every photon becomes a life-saving charge. An embedded AI manages energy intelligently—deciding when to store, when to conserve, and when to unleash therapeutic shocks. A Display That Speaks When You Can’t In critical situations, the Quad-Core Emergency Display activates to show your name, blood type, encrypted QR health record, and device status. In normal conditions, it remains invisible. This ultra-low-power OLED/e-paper screen, thermally isolated and solar-powered, becomes your voice in moments of silence, displaying: “Life-saving device – do not remove.” Modular Intelligence & Security by Design An integrated AI core processes biosignals, energy levels, and environmental data in real time to determine the safest intervention. It supports models like Med-GEMMA, LLaVA, and GPT, running in sandboxed containers. No data is shared without explicit consent—ensuring GDPR and HIPAA compliance. A hardware root-of-trust layer signs every firmware and triggers defensive protocols in case of tampering. An Open Platform XDREMES is open and modular. Engineers, researchers, and clinicians can swap sensors, modify the open-source Python code, train custom models, and integrate new connectivity protocols (BLE, NB-IoT, LoRa, Wi-Fi 6) for secure telemetry. The goal isn’t just a device—it’s a living ecosystem that evolves with its developers and users. “When the voice is gone, I show the life that remains.” — Mantra engraved on the device casing This is the dawn of a pacemaker that breathes light, learns from your body, and protects itself. If you’re here to use it or build it, this is your first heartbeat—a gateway into the next generation of life-saving technology.