The dependence on finite reserves of raw materials and the production of waste are two unsolved problems of the traditional linear economy. Healthcare, as a major sector of any nation, is currently facing them. Hence, in this paper, we report theoretical and practical advances of robotic reprocessing of small medical devices. Specifically, on the theory, we combine compartmental dynamical thermodynamics with the mechanics of robots to integrate robotics into a system-level perspective, and then, propose graph-based circularity indicators by leveraging our thermodynamic framework. Our thermodynamic framework is also a step forward in defining the theoretical foundations of circular material flow designs as it improves material flow analysis (MFA) by adding dynamical energy balances to the usual mass balances. On the practice, we report on the on-going design of a flexible robotic cell enabled by deep-learning vision for resources mapping and quantification, disassembly, and waste sorting of small medical devices.

The adoption of machine-learning-enabled systems in the healthcare domain is on the rise. While the use of ML in healthcare has several benefits, it also expands the threat surface of medical systems. We show that the use of ML in medical systems, particularly connected systems that involve interfacing the ML engine with multiple peripheral devices, has security risks that might cause life-threatening damage to a patient's health in case of adversarial interventions. These new risks arise due to security vulnerabilities in the peripheral devices and communication channels. We present a case study where we demonstrate an attack on an ML-enabled blood glucose monitoring system by introducing adversarial data points during inference. We show that an adversary can achieve this by exploiting a known vulnerability in the Bluetooth communication channel connecting the glucose meter with the ML-enabled app. We further show that state-of-the-art risk assessment techniques are not adequate for identifying and assessing these new risks. Our study highlights the need for novel risk analysis methods for analyzing the security of AI-enabled connected health devices.

A computer vision technology developed by University of Cambridge engineers has now been integrated into a free mobile phone app for regular monitoring of glucose levels in people with diabetes. The app uses computer vision techniques to read and record the glucose levels, time and date displayed on a typical glucose test via the camera on a mobile phone. The technology, which doesn't require an internet or Bluetooth connection, works for any type of glucose meter, in any orientation and in a variety of light levels. It also reduces waste by eliminating the need to replace high-quality non-Bluetooth meters, making it a cost-effective solution. Working with UK glucose testing company GlucoRx, the Cambridge researchers have developed the technology into a free mobile phone app, called GlucoRx Vision.