In the opening keynote of AMI 2009 Frits Grotenhuis (who stepped in for Emil Aarts) looked back at the last 10 years ambient intelligence. In his talk he showed a number of examples of devices that Philips created in this time, including iCat, the Entertaible, Ambilight, and medical devices. He discussed briefly the forces in such developments between market-pull and technology-push and it became evident that many products in this domain are more technology push than market-pull.
I liked the reference back to the Electronic Poem at the 1958 Brussels World’s Fair, which must have been at that time an amazing large scale installation (creating "surround sound" with more than 200 speakers).
The update of the vision (title of the keynote was Ambient Intelligence 2.0: Towards Synergetic Prosperity) suggests a model where the human is in the center and the surrounded by the Mind (well being), Community (participation), Body (health), and Environment (responsibility). I found this did not offer many new insights as by now the human centered approach is widely accepted. Looking at the examples it seems that the vision is very much centering on the "rich" world's problem… perhaps it is really hard to update a vision.