The growing use of Wireless Body Area Networks (WBANs) and the Internet of Medical Things (IoMT) has transformed healthcare through constant, remote patient monitoring and data harvesting. Healthcare is a top target of cyberattacks, ranging from crippling ransomware attacks and data breaches, highlighting the critical need for strong end-to-end protection of medical telemetry. In WBANs sensitive physiological information is sent over short-range connections to a local gateway. Conventional Datagram Transport Layer Security (DTLS) exposes vulnerabilities at these gateways, while software-only cryptography is inefficient. This paper presents a hardware- accelerated approach using Ephemeral Diffie-Hellman Over COSE (EDHOC) and Object Security for Constrained RESTful Environments (OSCORE) on the Analog Devices MAX32666 MCU, exploiting on-chip cryptographic engines and secure elements. Hardware-in-the-loop (HIL) experiments, combined with Contiki-NG simulations in the Cooja emulator show the Time-to-First Secure Sample and the lower energy use than DTLS, with real MAX32666 tests validating~25% energy reduction and 40% latency improvement over DTLS. Analysis further confirms that hardware-software co-design is a practical path for secure, efficient, and long-lived IoMT systems.

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Energy-Efficient End-to-End Security for IoMT Devices: Hardware-Accelerated EDHOC–OSCORE Implementation in Contiki-NG

  • Nmari Ferdaouss,
  • Idrissi Najlae

摘要

The growing use of Wireless Body Area Networks (WBANs) and the Internet of Medical Things (IoMT) has transformed healthcare through constant, remote patient monitoring and data harvesting. Healthcare is a top target of cyberattacks, ranging from crippling ransomware attacks and data breaches, highlighting the critical need for strong end-to-end protection of medical telemetry. In WBANs sensitive physiological information is sent over short-range connections to a local gateway. Conventional Datagram Transport Layer Security (DTLS) exposes vulnerabilities at these gateways, while software-only cryptography is inefficient. This paper presents a hardware- accelerated approach using Ephemeral Diffie-Hellman Over COSE (EDHOC) and Object Security for Constrained RESTful Environments (OSCORE) on the Analog Devices MAX32666 MCU, exploiting on-chip cryptographic engines and secure elements. Hardware-in-the-loop (HIL) experiments, combined with Contiki-NG simulations in the Cooja emulator show the Time-to-First Secure Sample and the lower energy use than DTLS, with real MAX32666 tests validating~25% energy reduction and 40% latency improvement over DTLS. Analysis further confirms that hardware-software co-design is a practical path for secure, efficient, and long-lived IoMT systems.