TAN Server Authentication for Secure Medical Device Reprogramming
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Solution Overview
Problem
The challenge lies in ensuring that implantable medical devices, such as cardiac pacemakers or defibrillators, are not inadvertently or mistakenly reprogrammed due to erroneous data transmissions or misuse during remote programming processes.
Innovation Solution
A system utilizing a Transaction Number (TAN) server for authenticating and verifying programming instructions, which generates a unique transaction number for authentication and ensures that only authorized users can reprogram the device by matching the TAN stored on the device with the one transmitted via a secure communication channel.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If remote programming is enabled via central service center and patient intermediate device, then programming flexibility and accessibility are improved, but security risk and potential for erroneous reprogramming increase
Solution Approach 1:
The system performs preliminary authentication by generating and verifying Transaction Numbers (TANs) before allowing any programming operation. The TAN is generated in advance, transmitted to the physician's device, and must be entered before programming can occur, preventing unauthorized changes regardless of when the programming attempt occurs
Solution Approach 2:
The Transaction Number (TAN) serves as an intermediary authentication mechanism between the programming device and the implantable medical device. The TAN acts as a mediator that verifies the physician's identity and authorization before allowing programming instructions to be executed, blocking direct unauthenticated access
2Ease of operation
If programming instructions are transmitted remotely, then ease of operation and accessibility are improved, but risk of data transmission errors and misuse increases
Solution Approach 1:
The system implements feedback through the TAN verification process where the transmitted TAN is compared against the expected TAN stored in the implantable medical device. This feedback mechanism immediately detects and prevents erroneous or unauthorized programming attempts, providing real-time security verification before programming occurs
Data Source
AI summary
The invention comprises a system for the secure remote programming of an implant. A TAN server is provided for this purpose, in which a user is first accredited and which then generates a TAN upon a request and provides it to the user on one hand and to a patient intermediate device assigned to the implant to be reprogrammed on the other hand.


