This article presents a novel hardware-assisted distributed ledger-based solution for simultaneous device and data security in smart healthcare. This article presents a novel architecture that integrates PUF, blockchain, and Tangle for Security-by-Design (SbD) of healthcare cyber–physical systems (H-CPSs). Healthcare systems around the world have undergone massive technological transformation and have seen growing adoption with the advancement of Internet-of-Medical Things (IoMT). The technological transformation of healthcare systems to telemedicine, e-health, connected health, and remote health is being made possible with the sophisticated integration of IoMT with machine learning, big data, artificial intelligence (AI), and other technologies. As healthcare systems are becoming more accessible and advanced, security and privacy have become pivotal for the smooth integration and functioning of various systems in H-CPSs. In this work, we present a novel approach that integrates PUF with IOTA Tangle and blockchain and works by storing the PUF keys of a patient’s Body Area Network (BAN) inside blockchain to access, store, and share globally. Each patient has a network of smart wearables and a gateway to obtain the physiological sensor data securely. To facilitate communication among various stakeholders in healthcare systems, IOTA Tangle’s Masked Authentication Messaging (MAM) communication protocol has been used, which securely enables patients to communicate, share, and store data on Tangle. The MAM channel works in the restricted mode in the proposed architecture, which can be accessed using the patient’s gateway PUF key. Furthermore, the successful verification of PUF enables patients to securely send and share physiological sensor data from various wearable and implantable medical devices embedded with PUF. Finally, healthcare system entities like physicians, hospital admin networks, and remote monitoring systems can securely establish communication with patients using MAM and retrieve the patient’s BAN PUF keys from the blockchain securely. Our experimental analysis shows that the proposed approach successfully integrates three security primitives, PUF, blockchain, and Tangle, providing decentralized access control and security in H-CPS with minimal energy requirements, data storage, and response time. 
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                            PUFchain 4.0: Integrating PUF-based TPM in Distributed Ledger for Security-by-Design of IoT
                        
                    
    
            his work presents a sustainable cybersecurity solution using Physical Unclonable Functions (PUF), Trusted Platform Module (TPM), and Tangle Distributed Ledger Technology (DLT) for sustainable device and data security. Security-by-Design (SbD) or Hardware- Assisted Security (HAS) solutions have gained much prominence due to the requirement of tamper-proof storage for hardwareassisted cryptography solutions. Designing complex security mechanisms can impact their efficiency as IoT applications are more decentralized. In the proposed architecture, we presented a novel TPM-enabled PUF-based security mechanism with effective integration of PUF with TPM. The proposed mechanism is based on the process of sealing the PUF key in the TPM, which cannot be accessed outside the TPM and can only be unsealed by the TPM itself. A specified NV-index is assigned to each IoT node for sealing the PUF key to TPM using the Media Access Control (MAC) address. Access to the TPM's Non-Volatile Random Access Memory (NVRAM) is defined by the TPM's Enhanced Authorization policies as specified by the Trust Computing Group (TCG). The proposed architecture uses Tangle for sustainable data security and storage in decentralized IoT systems through a Masked Authentication Messaging (MAM) scheme for efficient and secure access control to Tangle. We validated the proposed approach through experimental analysis and implementation, which substantiates the potential of the presented PUFchain 4.0 for decentralized IoT-driven security solutions. 
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                            - Award ID(s):
- 2101181
- PAR ID:
- 10417430
- Date Published:
- Journal Name:
- GLSVLSI '23: Proceedings of the Great Lakes Symposium on VLSI 2023
- Page Range / eLocation ID:
- 231 to 236
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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