Towards realistic battery-DoS protection of implantable medical devices

Modern Implantable Medical Devices (IMDs) feature wireless connectivity, which makes them vulnerable to security attacks. Particular to IMDs is the battery Denial-of-Service attack whereby attackers aim to fully deplete the battery by occupying the IMD with continuous authentication requests. Zero-Power Defense (ZPD) based on energy harvesting is known to be an excellent protection against these attacks. This paper establishes essential design specifications for employing ZPD techniques in IMDs, offers a critical review of ZPD techniques found in literature and, subsequently, gives crucial recommendations for developing comprehensive ZPD solutions.