OOBKey: Key Exchange with Implantable Medical Devices Using Out-Of-Band Channels

Implantable Medical Devices (IMDs) are widely deployed today and often use wireless communication. Establishing a secure communication channel to these devices is challenging in practice. To address this issue, researchers have proposed IMD key exchange protocols, particularly ones that leverage an Out-Of-Band (OOB) channel such as audio, vibration and physiological signals. While these solutions have advantages over traditional key exchange, they are often proposed in an ad-hoc manner and lack a systematic evaluation of their security, usability and deployability properties. In this paper, we provide an in-depth analysis of existing OOB-based solutions for IMDs and, based on our findings, propose a novel IMD key exchange protocol that includes a new class of OOB channel based on human bodily motions. We implement prototypes and validate our designs through a user study (N = 24). The results demonstrate the feasibility of our approach and its unique features, establishing a new direction in the context of IMD security.