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sdb-explorer is a tool that provides the ability to read and write Microsoft Fix-It In-memory patches, also known as SDB files.
For more information see:
https://www.blackhat.com/asia-14/archives.html#Erickson
http://www.youtube.com/watch?v=Gx6OgCxPBIQ
New: Please see my slides from Codeblue 2014: http://sdb.io/erickson-codeblue.pdf