BITS: A Blockchain-driven Intelligent Scheme for Telesurgery System

Intelligent Telesurgery (TS) system with 6G-enabled Tactile Internet (TI) based on the blockchain has tremendous potential to deliver real-time and intelligent ultra-responsive healthcare services remotely with high quality and reliability. It would be significantly beneficial for the society in the prospect that high-quality medical service could be delivered to deprived areas and a highly promising surgical diagnosis could be achieved. However, the state-of-the-art TS systems have security, privacy, reliability, latency, and high-cost blockchain-based storage concerns, which limit the applicability of TS in surgical operations across the globe in the near future. To mitigate the aforementioned issues, we in this paper propose a novel approach named BITS an intelligent and blockchain-based TS framework. The issues pertaining to security, privacy, and lack of trust could be resolved through employing a smart contract. The issues related to the cost of data storage could be resolved by employing the InterPlanetary File System (IPFS) protocol. Moreover, we incorporate Artificial Intelligent (AI) algorithms for training of surgical robots. The proposed scheme also prevents the execution of malicious commands transmitted by an intruder to a great extent. The 6G communication channel significantly mitigates the latency issues in exchanging surgical commands. Finally, we highlight some issues of the state-of-art TS systems and how the proposed BITS will be beneficial to combat those issues.