Biblio
Digital connectivity is fundamental to the health care system to deliver safe and effective care. However, insecure connectivity could be a major threat to patient safety and privacy (e.g., in August 2017, FDA recalled 465,000 pacemakers because of discovering security flaws). Although connecting a patient's pacemaker to the Internet has many advantages for monitoring the patient, this connectivity opens a new door for cyber-attackers to steal the patient data or even control the pacemaker or damage it. Therefore, patients are forced to choose between connectivity and security. This paper presents a framework for secure and private communications between wearable medical devices and patient monitoring systems. The primary objective of this research is twofold, first to identify and analyze the communication vulnerabilities, second, to develop a framework for combating unauthorized access to data through the compromising of computer security. Specifically, hiding targets from cyber-attackers could prevent our system from future cyber-attacks. This is the most effective way to stop cyber-attacks in their first step.
In this work, we propose a novel approach for decentralized identifier distribution and synchronization in networks. The protocol generates network entity identifiers composed of timestamps and cryptographically secure random values with a significant reduction of collision probability. The distribution is inspired by Unique Universal Identifiers and Timestamp-based Concurrency Control algorithms originating from database applications. We defined fundamental requirements for the distribution, including: uniqueness, accuracy of distribution, optimal timing behavior, scalability, small impact on network load for different operation modes and overall compliance to common network security objectives. An implementation of the proposed approach is evaluated and the results are presented. Originally designed for a domain of proactive defense strategies known as Moving Target Defense, the general architecture of the protocol enables arbitrary applications where identifier distributions in networks have to be decentralized, rapid and secure.