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CASE STUDY

Home Renal Dialysis System – Secure Connectivity from Patient’s Home to the Clinical Cloud

Medical System
Home Renal Dialysis System
Project Date
May 2018
Services
Project Leader

About the Author

  • Dr. Mike Rushanan, Chief Scientist, professional headshot
    Chief Scientist

    Dr. Mike Rushanan is the Chief Scientist at Harbor Labs. Dr. Rushanan has been on the front line of the medical device security industry since its inception, serving as the lead engineer on the FDA’s first ever cybersecurity alert in 2015. His extensive experience with all facets of medical cybersecurity, including regulatory policy, clinical technologies, healthcare IT, cryptography, and secure system design is reflected in the countless thousands of fielded medical systems certified through his reviews. Dr. Rushanan is renowned for his work in diabetes care cybersecurity. He has worked with most major providers and a broad set of diabetes care technologies, including insulin pumps, CGMs, closed loop systems, and diabetes management software. Dr. Rushanan also specializes in cardiac care systems, surgical robotics, next-gen sequencing systems, and drug infusion systems. Dr. Rushanan teaches the course Security and Privacy in Computing, and is the course designer and instructor of Medical Device Security at Johns Hopkins University. His Ph.D. from Johns Hopkins University is in the area of Computer System and Network Security.

A major manufacturer of kidney dialysis systems engaged with Harbor Labs to extend the functionality of their line of portable dialysis machines. These models were being designed specifically for home use, disconnected from clinical networks and operated by the patients themselves. With this use model, it was of critical importance that the device’s network connectivity and data storage be secure and compliant with regulatory standards.

The manufacturer contracted Harbor Labs to implement a secure network connection between the device and a cloud backend, which would be used by clinicians to monitor these devices, receive and store patient data, and push out secure software updates.

In addition to Harbor Labs’ medical device security expertise, the company is also an expert in full-stack software development. The project began with a review of the client’s design, architecture, and software requirements. Harbor Labs then implemented a C library using a FIPS-certifiable version of OpenSSL, selecting both the cryptographic algorithms and key sizes. A build system was written using CMake that cross-compiled various architectures, including the client’s embedded architecture (arm and aarch6/arm64). Harbor Labs worked directly with the client’s software development group to integrate the solution into the target product line.

The final implementation significantly expanded the client’s product offering, allowing secure home-use of their medical device while complying with regulatory data privacy standards. This project was somewhat unique for Harbor Labs as it was not directly associated with an FDA regulatory submission. Harbor Labs was selected solely on the basis of the company’s diverse technical resume and the client’s desire to have best-practice security in their core product line.

About the Author

  • Dr. Mike Rushanan, Chief Scientist, professional headshot
    Chief Scientist

    Dr. Mike Rushanan is the Chief Scientist at Harbor Labs. Dr. Rushanan has been on the front line of the medical device security industry since its inception, serving as the lead engineer on the FDA’s first ever cybersecurity alert in 2015. His extensive experience with all facets of medical cybersecurity, including regulatory policy, clinical technologies, healthcare IT, cryptography, and secure system design is reflected in the countless thousands of fielded medical systems certified through his reviews. Dr. Rushanan is renowned for his work in diabetes care cybersecurity. He has worked with most major providers and a broad set of diabetes care technologies, including insulin pumps, CGMs, closed loop systems, and diabetes management software. Dr. Rushanan also specializes in cardiac care systems, surgical robotics, next-gen sequencing systems, and drug infusion systems. Dr. Rushanan teaches the course Security and Privacy in Computing, and is the course designer and instructor of Medical Device Security at Johns Hopkins University. His Ph.D. from Johns Hopkins University is in the area of Computer System and Network Security.

CAPABILITIES

Ready to Help at Any Stage

Not every project fits into a predefined path—and not every security challenge starts with compliance. We also support research teams, software developers, and security leads with targeted expertise and custom testing strategies. If it’s complex, connected, and critical, we’re ready to help.

Persistent Vulnerability Monitoring

Continuous analysis of deployed devices to surface and track emerging threats.

Security & Data Privacy

Design support and documentation to help meet regulatory expectations.

Hardware Testing

Interface validation, physical compromise evaluation, and teardown analysis.

Software & Firmware Testing

Vulnerability analysis, fuzz testing, and formal verification for medical codebases.

Let’s Talk!

Contact Us Today

Whether you’re navigating regulatory hurdles or scaling your security program, our team is here to help. Let’s talk about what’s next.

info@harborlabs.com

1.855.CYBR.SCI

1777 Reisterstown Road, Suite 230
Baltimore, MD 21208

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