You could interface it directly to the PCs
Parallel Port, or you get get a micro-controller board that interfaces over serial or USB. Then you need to write a program that receives the
hardware data and issues Key-Stroke-Macros.
A better idea would be just use Girder with a Parallel Port plugin, or write your own Girder-Plugin for a serial/USB input device. There is a ton of source code for Girder-Plugins including a generic-serial-port plugin.
FYI: I am currently using Girder with just an IR-Man and I found a device that converts my Steering-Wheel-Controls to IR. I also use my Pioneer hand-held remote control for controlling the PC as well as adjusting the volume of my head-unit (and the steering-wheel controls can adjust head-set volume too since they send IR).
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