Christian Holz, Tovi Grossman, George Fitzmaurice and Anne Agur. CHI 2012.
Autodesk Research, Toronto, Canada.
We have experienced an obvious transition of computing to mobile devices: we communicate and access information on our mobile devices, anytime and anywhere. At the same time, there has been another transition, one that has been far less obvious. People have started to receive implanted devices for medical purposes, such as pacemakers and hearing aids.
Such implanted devices along with the information they store always travel with the user; there is no need for manually attaching them and the user can never forget or lose them. Thus, implanted devices are available at all times. While they are invisible to other people, over 3 million people have implanted pacemakers alone.
However, to check on their own status, a user needs to see a physician—the user is not able to directly interact with the implanted device themselves. Since it is unclear how a user might interact with an implanted device directly, we explored the four core areas of interfaces that implanted devices provide: accepting input from the user, providing output to the user, communicating wirelessly with external devices, as well as wireless powering.
We investigate implanted user interfaces that small devices provide when implanted underneath human skin. Such devices always stay with the user, making their implanted user interfaces available at all times. We discuss four core challenges of implanted user interfaces: how to sense input through the skin, how to produce output, how to communicate amongst one another and with external infrastructure, and how to remain powered. We investigate these four challenges in a technical evaluation where we surgically implant study devices into a specimen arm. We find that traditional interfaces do work through skin. We then demonstrate how to deploy a prototype device on participants, using artificial skin to simulate implantation. We close with a discussion of medical considerations of implanted user interfaces, risks and limitations, and project into the future.
@inproceedings{holz2012, author = {Holz, Christian and Grossman, Tovi and Fitzmaurice, George and Agur, Anne}, title = {Implanted user interfaces}, booktitle = {Proceedings of the 2012 ACM annual conference on Human Factors in Computing Systems}, series = {CHI '12}, year = {2012}, isbn = {978-1-4503-1015-4}, location = {Austin, Texas, USA}, pages = {503--512}, numpages = {10}, url = {http://doi.acm.org/10.1145/2207676.2207745}, doi = {10.1145/2207676.2207745}, acmid = {2207745}, publisher = {ACM}, address = {New York, NY, USA}, keywords = {augmented humans, disappearing mobile devices, implantables, implanted devices, implanted interfaces, mobile devices, wearable computing, wireless power}, }
We covered a prototype device (a) with a layer of artificial skin (b) to collect qualitative feedback from use in an outdoor scenario. Participants received output triggers through the artificial skin and responded with input.
These devices were implanted during the study. Plastic bags around devices prevent contact with tissue fluid.
A piston repeatedly dropped from controlled heights onto the sensors.
All devices were implanted between the skin and the subcutaneous fatty tissue.
On average, skin accounts for 3N overhead for impact forces on pressure and touch sensors.
The piston activated the button from all tested heights in the baseline condition, but activated the button reliably only from a height of 1cm and up when implanted.
(left) Impact on sensed brightness and on sensed capacitance (right). Curves average the values of all five trials.
a) A camera captured the intensity of produced light and (b) an accelerometer measured vibration intensities.
(left) Minimum perceivable LED intensity. (right) The accelerometer did not pick up a signal through skin at motor intensities of 40% and lower. Dotted lines indicate the participant’s absolute perception thresholds.
Sound perception through skin is possible, but skin substantially takes away from the output intensity (left). This effect grows with the distance between listener and speaker (right). Dotted lines indicate absolute perception thresholds.
The differences in perceived sound intensities were nearly constant between the implant and the baseline session.
The wireless charging mat docks to the receiver, which is implanted inside the specimen.
Skin affected the current provided through the wireless connection only at higher current values.
(left) Bluetooth exchanges data reliably when running slow, but comes with data loss when running fast. (right) Implanting affected fast transmission rates negatively.
Artificial skin, created from silicon, covered the 3in3out device to simulate implantation and allow for testing.