Modern healthcare is increasingly reliant on active implanted medical devices (AIMDs) to monitor, control, and treat a growing number of chronic and acute conditions. However, despite their technological sophistication, these devices remain fundamentally limited by their inability to communicate efficiently within the human body, a so-called *wave-denied environment* where electromagnetic signals are strongly attenuated, energy-constrained, or restricted by safety regulations. This limitation represents a critical bottleneck, preventing real-time interaction, adaptive control, and continuous monitoring.
ERMES addresses this challenge by introducing a new communication paradigm based on synthetic molecular communication (MC), where information is encoded, transmitted, and decoded through chemical messengers rather than electromagnetic waves. This approach aligns with Horizon Europe priorities in digital health, advanced medical technologies, and next-generation communication systems, addressing the need for more effective, less invasive, and more sustainable healthcare solutions.
The overall objective of ERMES is to develop the scientific and technological foundations that will enable future AIMDs to communicate with each other and with medical doctors through molecular messengers. The project does not aim at developing medical devices themselves, but at establishing the communication layer that will make such devices interoperable and functionally advanced in wave-denied environments.
To achieve this, ERMES is structured along four tightly interconnected pillars: theoretical modelling and system design (Pillar 1), in-vitro experimental platforms (Pillar 2), in-vivo validation systems (Pillar 3), and secure and trusted communication frameworks (Pillar 4). Together, these components define a coherent pathway from concept to component validation, targeting TRL 4.
The project pathway to impact is based on the development of a multilevel toolbox integrating modelling, molecular carriers, experimental validation, and communication strategies. This toolbox is designed to be adopted by future developers of AIMDs and related technologies, enabling applications such as real-time biomarker monitoring, targeted therapy control, and continuous data exchange between implanted systems and external interfaces. Given the multi-billion-euro scale of the relevant markets, even limited adoption of this enabling technology would generate significant economic and societal impact.