While adoption of these network standards has been widely viewed as successful and deployments are wide spread (including healthcare institutions), initial mechanisms provided by these standards for managing a secure network have been proven to be vulnerable.
However, commercial products that implement these standards rely on the
host processor in a PDA,
laptop or desktop computer to implement the computationally intensive Public Key portions of these standards.
When these products are applied to the types of Medical Devices introduced above, this places an enormous computational burden on a real-time processor that is generally not well suited to the task.
While
chip manufacturers typically develop drivers and supplicants for common operating systems and microprocessors, these are generally not available for embedded platforms.
Porting this sizable set of functionality to a broad range of processors and real-time operating systems (RTOS) for a diverse set of medical devices presents a significant development and computational burden that impacts each of the products that need
wireless connectivity.
Many of these legacy medical devices simply do not have the CPU or memory resources necessary to accommodate
Public Key Cryptography.
In the case of a network-unaware medical instrument, there are likely no available computational resources within the medical device to assist in any aspect of
wireless connectivity.
Configuring medical devices on a medical network, particularly if
authentication is used, can be a daunting and
time consuming process as every device must be manually configured.
Even if many clients use
strong authentication and encrytion, when some
client devices do not, unauthorized devices may access the network, leaving it vulnerable unless the network is careful designed.
Another problem in adding a network-unaware medical device to a medical network involves defining the instrument and its control and measurement parameters and presenting them in a meaningful way to the medical network.
WiFi products that have been developed for the
laptop and
general purpose computer market lack the power options needed for the typical
modes of operation used by wireless medical devices and do not support the complexities of state of the art medical-grade wireless devices and networks.
Another problem with commercial WiFi products is personal
radio frequency (RF) safety.
However, these methods require ongoing communications operations of the commercial WiFi device and if the commercial WiFi device is set to a power save mode where the
transceiver is inactive, tracking ceases.
Yet another problem with commercially available WiFi devices is reliability.
A static
discharge or other interfering
signal can cause most WiFi devices to do an uncommanded reset.
A related problem with commercial WiFi devices is that these devices can hang or freeze in operation.
In fact, a medical device
reboot could be dangerous or life threatening to the patient in the case of some critical care medical devices.
Yet another problem for a commercial WiFi device is to reestablish its network association after a reset.
Yet another problem for commercial WiFi devices involves updating the configuration and
firmware within the device.
The problem is that in a typical medical environment the
host processor might only be minimally involved in WiFi operation and not able to conveniently accept (as by download) and then update its attached (or otherwise installed) medical WiFi adapter.
Moreover, some medical WiFi adapters might not have an available
host processor to assist in performing
software updates.
Medical devices typically lack a interface for configuration and further lack a means of remotely configuring the medical device.
Another problem in medical device applications is that a very large number of medical monitors, instruments, and network-unaware devices can be spread out over a large building or complex of buildings and over many floors of the buildings.
Another problem is that commercially available WiFi devices are not well suited to handling input and output (I / O) to or from any port or
bus other than the port or
bus to which the WiFi device is attached.
Bartek does not teach an adapter capable of transmitting data wirelessly to a network, such as a healthcare provider's wireless infrastructure.
Like Bartek, however, Al-Ali does not teach an adapter that is capable of transmitting the data to a health care provider's wireless infrastructure.
Parks II, however, does not teach a medical adapter that includes a bi-directional wireless radio
transceiver.