This document discusses, among other things, techniques for generating and delivering a high voltage defibrillation shock using an implantable cardiac rhythm management device. This system operates by positioning a first mask over a photoresist layer on a surface of a semiconductor wafer. The method for diagnostic NO measurements comprises steps for controlling the inhalation of NO free air, as well as the exhalation, both by built-in means and by audible andor visual feedback to the patient. The system may detect, based on measuring the first sample, a first edge of the first signal. In this mode, certain identification parameters of an initial portion of a received signal are detected, such as a source identifier. A stiffening shank material is located adjacent the first dielectric material, the first electrical conducting material, and the first interconnection trace electrical conducting material.