You got me thinking, so I looked up the protocols used. It's apparently not nearly that complex or limited:
http://www.secure-medicine.org/public/publications/icd-study...
http://en.wikipedia.org/wiki/Medical_Implant_Communication_S...
http://www.secure-medicine.org/public/publications/icd-study...
http://en.wikipedia.org/wiki/Medical_Implant_Communication_S...