We report on the development of a novel modulation technique for UWB wireless optical communication systems for application in a transcutaneous biotelemetry. The solution, based on the generation of short laser pulses, allows for a high data rate link whilst achieving a significant power reduction (energy per bit) compared to the state-of-the-art. These features make this particularly suitable for emerging biomedical applications such as implantable neural/biosensor systems. The relatively simple architecture consists of a transmitter and receiver that can be integrated in a standard CMOS technology in a compact Silicon footprint. These parts include circuits for bias and drive current generation, conditioning and processing, optimised for low-volt age/low-power operation. Preliminary experimental findings validate the new paradigm and show good agreement with expected results. The complete system achieves a BER less than 10-7, with maximum data rate of 125Mbps and estimated total power consumption of less than 3mW