Noise-Driven AI Sensors: Secure Healthcare Monitoring with PUFs

Abstract: Wearable and implantable healthcare sensors are pivotal for real-time patient monitoring but face critical challenges in power efficiency, data security, and signal noise. This paper introduces a novel platform that leverages hardware noise as a dual-purpose resource to enhance ML robustness and secure data via Physical Unclonable Functions (PUFs). By integrating noise-driven signal processing, PUFbased authentication, and ML-based anomaly detection, our system achieves secure, low-power monitoring for devices like ECG wearables. Simulations demonstrate that noise improves ML accuracy by 8% (92% for detecting premature ventricular contractions (PVCs) and atrial fibrillation (AF)), while PUFs provide 98% uniqueness for tamper-resistant security, all within a 50 uW power budget. This unified approach not only addresses power, security, and noise challenges but also enables scalable, intelligent sensing for telemedicine and IoT applications.