Cyber Security for Surgical Remote Intelligent Robotic Systems

This paper highlights the progress toward securing teleoperating devices over the past ten years of active technology development. The relevance of this issue lies in the widespread development of teleoperating systems with a small number of systems allowed for operations. Anomalous behavior of the operating device, caused by a disruption in the normal functioning of the system modules, can be associated with remote attacks and exploitation of vulnerabilities, which can lead to fatal consequences. There are regulations and mandates from licensing agencies such as the US Food and Drug Administration (FDA) that place restrictions on the architecture and components of teleoperating systems. These requirements are also evolving to meet new cybersecurity threats. In particular, consumers and safety regulatory agencies are attracted by the threat of compromising hardware modules along with software insecurity. Recently, detailed security frameworks and protocols for teleoperating devices have appeared. However, a matter of intelligent autonomous controllers for analyzing anomalous and suspicious actions in the system remain unattended, as well as emergency protocols from the point of cybersecurity view. This work provides a new approach for the intraoperative cybersecurity of intelligent teleoperative surgical systems, taking into account modern requirements for implementing into the Surgical Remote Intelligent Robotic System LevshAI. The proposed principal security model allows a surgeon or autonomous agent to manage the operation process during various attacks.