This is a systems security paper whose main objective is to present a framework for the evaluation of the security and privacy of wireless IMD’s (Implantable medical devices). An outline of the security and privacy design goals for IMDs is presented. Conflicts between security/privacy goals and safety/utility goals of IMD designs are discussed and future research directions are proposed.
This paper has a bit of a different flavor from the other papers we have discussed in this seminar. It is informal, and its main objective is to bring to attention of various research communities, such as computer science, electrical and computer engineering, and medicine, the issues involved in the design of IMDs. The authors of this paper do a good job of describing major safety and utility goals followed by major privacy and security goals. Then, the authors discuss the inherent tensions between the goals of privacy and security and those of safety and utility w. r. t. IMD design. Currently, this is a very important topic as, while the use of IMDs becomes more ubiquitous in US, very little research has been done as far as protection of privacy of users of IMDs goes. It is a very challenging field of study since some problems do not seem to have any feasible solutions. For instance, how does one carry out software updates securely without disrupting the state of an IMD which may be a function of the history of the patient carrying that IMD? Another example, how does one protect patient personal data stored on an IMD and communication of an IMD with IMD monitoring devices while not incurring significant computational penalties? Good cryptography can be computationally costly. As an example, authentication of access to IMDs can be done with identity-based encryption, but the latter can be quite expensive. The authors finish the paper by presenting a long list of possible future work. This is very exciting point of the paper as it defines new directions which global research communities could follow in an attempt to resolve the issues mentioned above (and perhaps pose new questions). However, there are a few things that were not clear. How popular is the use of IMDs in other parts of the world? The authors mostly used permanent Pacemakers and ICDs as motivating examples throughout the paper, but why are they good examples? Is it true that the list of issues that come up when designing these devices encompasses all the IMD-design issues that could ever come up?