That certainly makes the mechanics complicated, an array of such pins is not exactly off the shelf today either, I think?
It feels like the rest of the system, including of course the optical part which was a major achievement back then with custom silicon to get 144 photodiodes on a single chip, are more or less trivial today. But the complexity of a mechanical "display" is still not something that is solved by mainstream components as far as I know.
I wonder how reliable they are, I hope it's "very" since people are still using mechanical devices from 15+ years ago for something as critical. :/
Edit: I found this link [1] which shows a cross-section of a sensing pin connected to a piezoelectric bimorph. I can't imagine packing 144 of that structure that closely together, though. But perhaps the device offsets the bimorphs from the array, connecting the pins and bimorphs mechanically.