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| Main Authors: | , , , |
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| Format: | Preprint |
| Published: |
2026
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| Subjects: | |
| Online Access: | https://arxiv.org/abs/2605.20208 |
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| _version_ | 1866910237157490688 |
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| author | James, Austin Palmer, Xavier-Lewis Potter, Lucas Oscar, Celisha |
| author_facet | James, Austin Palmer, Xavier-Lewis Potter, Lucas Oscar, Celisha |
| contents | Automated insulin delivery (AID) and artificial pancreas systems increasingly serve as safety-critical cyber-physical technologies in clinical care, integrating sensors, algorithms, software, and insulin-delivery hardware to automate a life-sustaining therapy. While regulated commercial systems are supported by formal approval pathways, manufacturer governance, and post-market surveillance, clinicians are also encountering patients who rely on do-it-yourself (DIY) artificial pancreas systems that operate outside conventional regulatory and institutional control structures. This paper examines how routine clinical handling practices intersect with cyberbiosecurity risk across both regulated and DIY AID systems. When insulin delivery systems are fundamentally reconfigured into a bespoke AID system, with the patient-user becoming the primary threat vector by assuming manufacturer-level roles without mandated governance, the entire ecosystem of stakeholders is placed in legal and clinical uncertainty. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2605_20208 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Artificial Pancreas Implantables -- How Healthcare Professionals May Deal With DIY Bio Cases James, Austin Palmer, Xavier-Lewis Potter, Lucas Oscar, Celisha Cryptography and Security Computers and Society Tissues and Organs Automated insulin delivery (AID) and artificial pancreas systems increasingly serve as safety-critical cyber-physical technologies in clinical care, integrating sensors, algorithms, software, and insulin-delivery hardware to automate a life-sustaining therapy. While regulated commercial systems are supported by formal approval pathways, manufacturer governance, and post-market surveillance, clinicians are also encountering patients who rely on do-it-yourself (DIY) artificial pancreas systems that operate outside conventional regulatory and institutional control structures. This paper examines how routine clinical handling practices intersect with cyberbiosecurity risk across both regulated and DIY AID systems. When insulin delivery systems are fundamentally reconfigured into a bespoke AID system, with the patient-user becoming the primary threat vector by assuming manufacturer-level roles without mandated governance, the entire ecosystem of stakeholders is placed in legal and clinical uncertainty. |
| title | Artificial Pancreas Implantables -- How Healthcare Professionals May Deal With DIY Bio Cases |
| topic | Cryptography and Security Computers and Society Tissues and Organs |
| url | https://arxiv.org/abs/2605.20208 |