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Peer-to-Peer Networking and Applications

Secure and lightweight key agreement protocol for remote surgery over tactile internet using physically unclonable functions

Tian‐Fu Lee, Wei-Jie Huang, I‐Pin Chang

Published Oct 2, 2024• 0 citations
Publisher
DOI
10.1007/s12083-024-01793-w

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E-health has risen to popularity with the advancement in technology. Technological innovations have made it feasible for doctors around the world to provide healthcare assistance remotely. Medical practitioners perform sensitive surgeries by sitting at different corners of the world. Healthcare is a very delicate field with human lives at stake at all times. The remote devices that are used to perform surgeries need to function accurately and any mishap can claim a life. Thus, only authentic users, in this case the doctors, should be allowed to have control of the robotic surgery devices. Several authentication protocols are presented in the literature to secure critical remote health applications. One such protocol was proposed by Kamil et al. in 2021 for authentication and key agreement between a remote surgeon and robotic arm in tactile Internet environment via a gateway. In this paper, we analyse Kamil et al's protocol and prove that their protocol is not secure against known session specific temporary information (ephemeral secrets) attack and impersonation attack. We also point out some additional security issues, such as weak authentication and traceability. As a result, Kamil et al.'s protocol is not suitable for critical health applications.

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With the recent advancements in wireless communications, Tactile Internet (TI) has witnessed a major blow. TI is considered the next big evolution that will provide real-time control in industrial setups, particularly in the domain of tele-surgery. However, in remote-surgery ecosystems the transmission of data is prone to different attack vectors. Thus, to realize the true potential of secure tele-surgery under the umbrella of TI, it is required to design a secure authentication and key agreement protocol for tele-surgery. In this paper, we present an effective and secure mutual authentication and session establishment protocol for TI-driven remote surgery setups. The designed protocol enables secure communications between the surgeon, robotic arm, and the trusted authority (TA); where the protocol leverages the advantages of Elliptic Curve Cryptography (ECC) and biometrics. The protocol operates along the following three phases: i) setup phase, ii) registration phase, and iii) mutual authentication and key agreement phase. During the third phase, the surgeon and the robotic arm mutually authenticate each other with the help of the TA. Further, the security features of the designed protocol have been established using formal and informal means. The obtained results indicate the resiliency of the protocol against offline password guessing attacks, replay attacks, impersonation attacks, man-in-the-middle attacks, denial of service attacks, etc.
E-health has risen to popularity with the advancement in technology. Technological innovations have made it feasible for doctors around the world to provide healthcare assistance remotely. Medical practitioners perform sensitive surgeries by sitting at different corners of the world. Healthcare is a very delicate field with human lives at stake at all times. The remote devices that are used to perform surgeries need to function accurately and any mishap can claim a life. Thus, only authentic users, in this case the doctors, should be allowed to have control of the robotic surgery devices. Several authentication protocols are presented in the literature to secure critical remote health applications. One such protocol was proposed by Kamil et al. in 2021 for authentication and key agreement between a remote surgeon and robotic arm in tactile Internet environment via a gateway. In this paper, we analyse Kamil et al's protocol and prove that their protocol is not secure against known session specific temporary information (ephemeral secrets) attack and impersonation attack. We also point out some additional security issues, such as weak authentication and traceability. As a result, Kamil et al.'s protocol is not suitable for critical health applications.