The ethical issues concerning the AI-based exoskeletons used in healthcare have already been studied literally rather than technically. How the ethical guidelines can be integrated into the development process has not been widely studied. However, this is one of the most important topics which should be studied more in real-life applications. Therefore, in this paper we highlight one ethical concern in the context of an exoskeleton used to train a user to perform a gesture: during the interaction between the exoskeleton, patient and therapist, how is the responsibility for decision making distributed? Based on the outcome of this, we will discuss how to integrate ethical guidelines into the development process of an AI-based exoskeleton. The discussion is based on a case study: AiBle. The different technical factors affecting the rehabilitation results and the human-machine interaction for AI-based exoskeletons are identified and discussed in this paper in order to better apply the ethical guidelines during the development of AI-based exoskeletons.

翻译：关于医疗保健领域使用的基于AI的外骨骼的伦理问题，现有研究多从文献层面而非技术层面展开。如何将伦理准则融入开发过程尚未得到广泛研究。然而，这恰恰是实际应用中最应深入探讨的重要议题之一。为此，本文聚焦于用于训练用户完成特定动作的外骨骼所涉及的一项伦理关切：在外骨骼、患者与治疗师的三方交互过程中，决策责任应如何分配？基于此分析，我们将探讨如何将伦理准则整合到基于AI的外骨骼开发流程中。讨论依托案例研究AiBle展开。本文识别并讨论了影响基于AI的外骨骼康复效果及人机交互的各类技术因素，旨在为开发过程中更有效地贯彻伦理准则提供参考。