ICSMA-19-178-01

Vulnerability from csaf_cisa - Published: 2019-06-27 00:00 - Updated: 2019-06-27 00:00
Summary
Medtronic MiniMed 508 and Paradigm Series Insulin Pumps

Notes

CISA Disclaimer
This CSAF advisory was extracted from unstructured data and may contain inaccuracies. If you notice any errors, please reach out to the designated contact at CISA CSAF: central@cisa.dhs.gov
Legal Notice
All information products included in https://us-cert.cisa.gov/ics are provided "as is" for informational purposes only. The Department of Homeland Security (DHS) does not provide any warranties of any kind regarding any information contained within. DHS does not endorse any commercial product or service, referenced in this product or otherwise. Further dissemination of this product is governed by the Traffic Light Protocol (TLP) marking in the header. For more information about TLP, see https://us-cert.cisa.gov/tlp/.
Risk evaluation
Successful exploitation of this vulnerability may allow an attacker with adjacent access to one of the affected products to intercept, modify, or interfere with the wireless RF (radio frequency) communications to or from the product. This may allow attackers to read sensitive data, change pump settings, or control insulin delivery.
Critical infrastructure sectors
Healthcare and Public Health
Countries/areas deployed
Worldwide
Company headquarters location
Ireland
Recommended Practices
NCCIC recommends users take defensive measures to minimize the risk of exploitation of this vulnerability. Specifically, users should:
Recommended Practices
NCCIC reminds organizations to perform proper impact analysis and risk assessment prior to deploying defensive measures. NCCIC also provides a section for control systems security recommended practices on the ICS-CERT web page. Several recommended practices are available for reading and download, including Improving Industrial Control Systems Cybersecurity with Defense-in-Depth Strategies.
Recommended Practices
Additional mitigation guidance and recommended practices are publicly available on the ICS-CERT website in the Technical Information Paper, ICS-TIP-12-146-01B--Targeted Cyber Intrusion Detection and Mitigation Strategies. Organizations observing any suspected malicious activity should follow their established internal procedures and report their findings to NCCIC for tracking and correlation against other incidents.
Exploitability
No known public exploits specifically target this vulnerability. This vulnerability is not exploitable remotely. High skill level is needed to exploit.

{
  "document": {
    "acknowledgments": [
      {
        "names": [
          "Nathanael Paul",
          "Jay Radcliffe",
          "Barnaby Jack"
        ],
        "summary": "discovering the vulnerability"
      },
      {
        "names": [
          "Billy Rios",
          "Jonathan Butts",
          "Jesse Young"
        ],
        "organization": "Medtronic",
        "summary": "performing additional variant analysis and reporting this vulnerability to NCCIC"
      }
    ],
    "category": "csaf_security_advisory",
    "csaf_version": "2.0",
    "distribution": {
      "text": "Disclosure is not limited",
      "tlp": {
        "label": "WHITE",
        "url": "https://us-cert.cisa.gov/tlp/"
      }
    },
    "lang": "en-US",
    "notes": [
      {
        "category": "general",
        "text": "This CSAF advisory was extracted from unstructured data and may contain inaccuracies. If you notice any errors, please reach out to the designated contact at CISA CSAF: central@cisa.dhs.gov",
        "title": "CISA Disclaimer"
      },
      {
        "category": "legal_disclaimer",
        "text": "All information products included in https://us-cert.cisa.gov/ics are provided \"as is\" for informational purposes only. The Department of Homeland Security (DHS) does not provide any warranties of any kind regarding any information contained within. DHS does not endorse any commercial product or service, referenced in this product or otherwise. Further dissemination of this product is governed by the Traffic Light Protocol (TLP) marking in the header. For more information about TLP, see https://us-cert.cisa.gov/tlp/.",
        "title": "Legal Notice"
      },
      {
        "category": "summary",
        "text": "Successful exploitation of this vulnerability may allow an attacker with adjacent access to one of the affected products to intercept, modify, or interfere with the wireless RF (radio frequency) communications to or from the product. This may allow attackers to read sensitive data, change pump settings, or control insulin delivery.",
        "title": "Risk evaluation"
      },
      {
        "category": "other",
        "text": "Healthcare and Public Health",
        "title": "Critical infrastructure sectors"
      },
      {
        "category": "other",
        "text": "Worldwide",
        "title": "Countries/areas deployed"
      },
      {
        "category": "other",
        "text": "Ireland",
        "title": "Company headquarters location"
      },
      {
        "category": "general",
        "text": "NCCIC recommends users take defensive measures to minimize the risk of exploitation of this vulnerability. Specifically, users should:",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "NCCIC reminds organizations to perform proper impact analysis and risk assessment prior to deploying defensive measures.\nNCCIC also provides a section for control systems security recommended practices on the ICS-CERT web page. Several recommended practices are available for reading and download, including Improving Industrial Control Systems Cybersecurity with Defense-in-Depth Strategies.",
        "title": "Recommended Practices"
      },
      {
        "category": "general",
        "text": "Additional mitigation guidance and recommended practices are publicly available on the ICS-CERT website in the Technical Information Paper, ICS-TIP-12-146-01B--Targeted Cyber Intrusion Detection and Mitigation Strategies.\nOrganizations observing any suspected malicious activity should follow their established internal procedures and report their findings to NCCIC for tracking and correlation against other incidents.",
        "title": "Recommended Practices"
      },
      {
        "category": "other",
        "text": "No known public exploits specifically target this vulnerability. This vulnerability is not exploitable remotely. High skill level is needed to exploit.",
        "title": "Exploitability"
      }
    ],
    "publisher": {
      "category": "coordinator",
      "contact_details": "Email: CISAservicedesk@cisa.dhs.gov;\n Toll Free: 1-888-282-0870",
      "name": "CISA",
      "namespace": "https://www.cisa.gov/"
    },
    "references": [
      {
        "category": "self",
        "summary": "ICS Advisory ICSMA-19-178-01 JSON",
        "url": "https://raw.githubusercontent.com/cisagov/CSAF/develop/csaf_files/OT/white/2019/icsma-19-178-01.json"
      },
      {
        "category": "self",
        "summary": "ICS Advisory ICSMA-19-178-01 Web Version",
        "url": "https://www.cisa.gov/news-events/ics-medical-advisories/icsma-19-178-01"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.cisa.gov/news-events/ics-medical-advisories/icsma-19-178-01"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://www.us-cert.gov/sites/default/files/recommended_practices/NCCIC_ICS-CERT_Defense_in_Depth_2016_S508C.pdf"
      },
      {
        "category": "external",
        "summary": "Recommended Practices",
        "url": "https://ics-cert.us-cert.gov/tips/ICS-TIP-12-146-01B"
      }
    ],
    "title": "Medtronic MiniMed 508 and Paradigm Series Insulin Pumps",
    "tracking": {
      "current_release_date": "2019-06-27T00:00:00.000000Z",
      "generator": {
        "engine": {
          "name": "CISA CSAF Generator",
          "version": "1.0.0"
        }
      },
      "id": "ICSMA-19-178-01",
      "initial_release_date": "2019-06-27T00:00:00.000000Z",
      "revision_history": [
        {
          "date": "2019-06-27T00:00:00.000000Z",
          "legacy_version": "Initial",
          "number": "1",
          "summary": "ICSMA-19-178-01 Medtronic MiniMed 508 and Paradigm Series Insulin Pumps"
        }
      ],
      "status": "final",
      "version": "1"
    }
  },
  "product_tree": {
    "branches": [
      {
        "branches": [
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed Paradigm 522K/722K pumps: All versions",
                  "product_id": "CSAFPID-0001"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 522K/722K pumps"
          },
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed Paradigm 515/715 pumps: All versions",
                  "product_id": "CSAFPID-0002"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 515/715 pumps"
          },
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed 508 pump: All versions",
                  "product_id": "CSAFPID-0003"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed 508 pump"
          },
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed Paradigm 712E pump: All versions",
                  "product_id": "CSAFPID-0004"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 712E pump"
          },
          {
            "branches": [
              {
                "category": "product_version_range",
                "name": "\u003c= 2.6A",
                "product": {
                  "name": "MiniMed Paradigm Veo 554/754 pumps: Software versions 2.6A or lower",
                  "product_id": "CSAFPID-0005"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm Veo 554/754 pumps"
          },
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed Paradigm 522/722 pumps: All versions",
                  "product_id": "CSAFPID-0006"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 522/722 pumps"
          },
          {
            "branches": [
              {
                "category": "product_version_range",
                "name": "\u003c= 2.7A",
                "product": {
                  "name": "MiniMed Paradigm Veo 554CM and 754CM models only: Software versions 2.7A or lower",
                  "product_id": "CSAFPID-0007"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm Veo 554CM and 754CM models only"
          },
          {
            "branches": [
              {
                "category": "product_version_range",
                "name": "\u003c= 2.4A",
                "product": {
                  "name": "MiniMed Paradigm 523K/723K pumps: Software versions 2.4A or lower",
                  "product_id": "CSAFPID-0008"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 523K/723K pumps"
          },
          {
            "branches": [
              {
                "category": "product_version_range",
                "name": "\u003c= 2.4A",
                "product": {
                  "name": "MiniMed Paradigm 523/723 pumps: Software versions 2.4A or lower",
                  "product_id": "CSAFPID-0009"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 523/723 pumps"
          },
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed Paradigm 511 pump: All versions",
                  "product_id": "CSAFPID-00010"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 511 pump"
          },
          {
            "branches": [
              {
                "category": "product_version",
                "name": "vers:all/*",
                "product": {
                  "name": "MiniMed Paradigm 512/712 pumps: All versions",
                  "product_id": "CSAFPID-00011"
                }
              }
            ],
            "category": "product_name",
            "name": "MiniMed Paradigm 512/712 pumps"
          }
        ],
        "category": "vendor",
        "name": "Medtronic"
      }
    ]
  },
  "vulnerabilities": [
    {
      "cve": "CVE-2019-10964",
      "cwe": {
        "id": "CWE-284",
        "name": "Improper Access Control"
      },
      "notes": [
        {
          "category": "summary",
          "text": "The affected insulin pumps are designed to communicate using a wireless RF with other devices, such as blood glucose meters, glucose sensor transmitters, and CareLink USB devices. This wireless RF communication protocol does not properly implement authentication or authorization. An attacker with adjacent access to one of the affected insulin pump models can inject, replay, modify, and/or intercept data. This vulnerability could also allow attackers to change pump settings and control insulin delivery.CVE-2019-10964 has been assigned to this vulnerability. A CVSS v3 base score of 7.1 has been calculated; the CVSS vector string is (AV:A/AC:H/PR:N/UI:N/S:U/C:L/I:H/A:H).",
          "title": "Vulnerability Summary"
        }
      ],
      "product_status": {
        "known_affected": [
          "CSAFPID-0001",
          "CSAFPID-0002",
          "CSAFPID-0003",
          "CSAFPID-0004",
          "CSAFPID-0005",
          "CSAFPID-0006",
          "CSAFPID-0007",
          "CSAFPID-0008",
          "CSAFPID-0009",
          "CSAFPID-00010",
          "CSAFPID-00011"
        ]
      },
      "references": [
        {
          "category": "external",
          "summary": "web.nvd.nist.gov",
          "url": "http://web.nvd.nist.gov/view/vuln/detail?vulnId=CVE-2019-10964"
        },
        {
          "category": "external",
          "summary": "www.first.org",
          "url": "https://www.first.org/cvss/calculator/3.0#CVSS:3.0/AV:A/AC:H/PR:N/UI:N/S:U/C:L/I:H/A:H"
        }
      ],
      "remediations": [
        {
          "category": "vendor_fix",
          "details": "Medtronic recommends U.S. patients who are currently using the affected products talk to their healthcare provider about changing to a newer model insulin pump with increased cybersecurity protection. Patients outside the U.S. will receive a notification letter with instructions based on the country where they live.",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ]
        },
        {
          "category": "vendor_fix",
          "details": "Medtronic recommends all patients take the cybersecurity precautions indicated below.",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ]
        },
        {
          "category": "vendor_fix",
          "details": "CYBERSECURITY PRECAUTIONS RECOMMENDED FOR ALL PATIENTS:",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ]
        },
        {
          "category": "vendor_fix",
          "details": "Medtronic has released additional patient-focused information, at the following location:",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ]
        },
        {
          "category": "vendor_fix",
          "details": "https://www.medtronic.com/security",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ],
          "url": "https://www.medtronic.com/security"
        },
        {
          "category": "vendor_fix",
          "details": "Additionally, Medtronic will be sending a letter to all patients who are current known users of these pumps further detailing the risks and defensive measures.",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ]
        },
        {
          "category": "vendor_fix",
          "details": "https://www.fda.gov/MedicalDevices/DigitalHealth/ucm373213.htm",
          "product_ids": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ],
          "url": "https://www.fda.gov/MedicalDevices/DigitalHealth/ucm373213.htm"
        }
      ],
      "scores": [
        {
          "cvss_v3": {
            "baseScore": 7.1,
            "baseSeverity": "HIGH",
            "vectorString": "CVSS:3.0/AV:A/AC:H/PR:N/UI:N/S:U/C:L/I:H/A:H",
            "version": "3.0"
          },
          "products": [
            "CSAFPID-0001",
            "CSAFPID-0002",
            "CSAFPID-0003",
            "CSAFPID-0004",
            "CSAFPID-0005",
            "CSAFPID-0006",
            "CSAFPID-0007",
            "CSAFPID-0008",
            "CSAFPID-0009",
            "CSAFPID-00010",
            "CSAFPID-00011"
          ]
        }
      ]
    }
  ]
}


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Sightings

Author Source Type Date

Nomenclature

  • Seen: The vulnerability was mentioned, discussed, or observed by the user.
  • Confirmed: The vulnerability has been validated from an analyst's perspective.
  • Published Proof of Concept: A public proof of concept is available for this vulnerability.
  • Exploited: The vulnerability was observed as exploited by the user who reported the sighting.
  • Patched: The vulnerability was observed as successfully patched by the user who reported the sighting.
  • Not exploited: The vulnerability was not observed as exploited by the user who reported the sighting.
  • Not confirmed: The user expressed doubt about the validity of the vulnerability.
  • Not patched: The vulnerability was not observed as successfully patched by the user who reported the sighting.


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