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-----BEGIN PGP SIGNED MESSAGE----- Hash: SHA256 =========================================================================== AUSCERT External Security Bulletin Redistribution ESB-2019.2526 Advisory (icsma-19-190-01) GE Aestiva and Aespire Anesthesia 10 July 2019 =========================================================================== AusCERT Security Bulletin Summary --------------------------------- Product: GE Aestiva and Aespire Anesthesia Publisher: ICS-CERT Operating System: Network Appliance Impact/Access: Unauthorised Access -- Remote/Unauthenticated Resolution: Patch/Upgrade CVE Names: CVE-2019-10966 Original Bulletin: https://www.us-cert.gov/ics/advisories/icsma-19-190-01 - --------------------------BEGIN INCLUDED TEXT-------------------- ICS Medical Advisory (ICSMA-19-190-01) GE Aestiva and Aespire Anesthesia Original release date: July 09, 2019 Legal Notice All information products included in http://ics-cert.us-cert.gov 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 http://www.us-cert.gov/tlp/ . 1. EXECUTIVE SUMMARY o CVSS v3 5.3 o ATTENTION: Exploitable remotely/low skill level to exploit o Vendor: GE o Equipment: Aestiva and Aespire Anesthesia o Vulnerability: Improper Authentication 2. RISK EVALUATION Successful exploitation of this vulnerability could allow an attacker the ability to remotely modify GE Healthcare anesthesia device parameters. This results from the configuration exposure of certain terminal server implementations that extend GE Healthcare anesthesia device serial ports to TCP /IP networks. 3. TECHNICAL DETAILS 3.1 AFFECTED PRODUCTS The following versions of GE Aestiva and Aespire Anesthesia Machines, are affected: o GE Aestiva and Aespire Versions 7100 o GE Aestiva and Aespire Versions 7900 3.2 VULNERABILITY OVERVIEW 3.2.1 IMPROPER AUTHENTICATION CWE-287 A vulnerability exists where serial devices are connected via an added unsecured terminal server to a TCP/IP network configuration, which could allow an attacker to remotely modify device configuration and silence alarms. CVE-2019-10966 has been assigned to this vulnerability. A CVSS v3 base score of 5.3 has been calculated; the CVSS vector string is ( AV:N/AC:L/PR:N/UI:N/S:U/ C:N/I:L/A:N ). 3.3 BACKGROUND o CRITICAL INFRASTRUCTURE SECTORS: Healthcare and Public Health o COUNTRIES/AREAS DEPLOYED: United States o COMPANY HEADQUARTERS LOCATION: United States 3.4 RESEARCHER Elad Luz of CyberMDX reported this vulnerability to NCCIC. 4. MITIGATIONS GE Healthcare recommends organizations use secure terminal servers when connecting GE Healthcare anesthesia device serial ports to TCP/IP networks. Secure terminal servers provide robust security features, including strong encryption, VPN, authentication of users, network controls, logging, audit capability, and secure device configuration and management options. GE Healthcare recommends that organizations utilize best practices for terminal servers that include governance, management, and secure deployment measures such as network segmentation, VLANs, and device isolation to enhance existing security measures. GE Healthcare plans to provide updates and additional security information about this vulnerability for affected users at the following location: http://www3.gehealthcare.com/en/support/security NCCIC recommends users take defensive measures to minimize the risk of exploitation of this vulnerability. Specifically, users should: o Minimize network exposure for all medical devices and/or systems. o Locate medical devices behind firewalls and isolate them where possible. o Restrict system access to authorized personnel only and follow a least privilege approach. o Apply defense-in-depth strategies. o Disable any unnecessary accounts, protocols and services. o Where additional information is needed, refer to existing cybersecurity in medical device guidance issued by the FDA at the following location: https://www.fda.gov/MedicalDevices/DigitalHealth/ucm373213.htm 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 . 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. No known public exploits specifically target this vulnerability. - --------------------------END INCLUDED TEXT-------------------- You have received this e-mail bulletin as a result of your organisation's registration with AusCERT. The mailing list you are subscribed to is maintained within your organisation, so if you do not wish to continue receiving these bulletins you should contact your local IT manager. If you do not know who that is, please send an email to auscert@auscert.org.au and we will forward your request to the appropriate person. NOTE: Third Party Rights This security bulletin is provided as a service to AusCERT's members. As AusCERT did not write the document quoted above, AusCERT has had no control over its content. The decision to follow or act on information or advice contained in this security bulletin is the responsibility of each user or organisation, and should be considered in accordance with your organisation's site policies and procedures. AusCERT takes no responsibility for consequences which may arise from following or acting on information or advice contained in this security bulletin. NOTE: This is only the original release of the security bulletin. It may not be updated when updates to the original are made. If downloading at a later date, it is recommended that the bulletin is retrieved directly from the author's website to ensure that the information is still current. Contact information for the authors of the original document is included in the Security Bulletin above. If you have any questions or need further information, please contact them directly. Previous advisories and external security bulletins can be retrieved from: https://www.auscert.org.au/bulletins/ =========================================================================== Australian Computer Emergency Response Team The University of Queensland Brisbane Qld 4072 Internet Email: auscert@auscert.org.au Facsimile: (07) 3365 7031 Telephone: (07) 3365 4417 (International: +61 7 3365 4417) AusCERT personnel answer during Queensland business hours which are GMT+10:00 (AEST). On call after hours for member emergencies only. =========================================================================== -----BEGIN PGP SIGNATURE----- Comment: http://www.auscert.org.au/render.html?it=1967 iQIVAwUBXSVb4maOgq3Tt24GAQidxg/9G+AbqDequZ1gkj1SScwnJHfivkYVnZu4 D8zTCrEGQ9eyAx6MdQV9VgKPDnOwcxfBiAsJllCmZkCFpa30H1tR1bPwVy6N+3SN kOjYRr/OfdAQUSlutuEWIvM9epCfnSMdevVAHAY9H12Sg7KhfPG6Hes9Hk7lwFOI 5nBOS8CRSX0WcpGTHxUQcbDosDcY6pn/IwRmaP8N5XuueofHLZPNOFOmcdHQIjf1 I2haYFSluKAbSo/y0cBxYOuBARUyoV6X4PbWxjn3iVQDoxxy/heq4GSo3D3Djk76 8yUTp16hdwRQSBhUIK+n8TbMvm8XCHLrLmO8BljhOkVZAJrryPCHraGKQzrtiYDL gKS4IDdRoj1jV8be5OzIiFN1k/kInM3Sou5DR8uG+wpJTfCcmX4znBcrolE9bP/P ckst4PZ0ksISWDjNL/NSh62xJBZDbnUpw6ciNU69vTK9OJpZFB4xyCiyZLY8eC6w nAMaX/ptw4QLN7AOYlrPdBBQ68FpZCck0ZPSIXzc1Qg9aFGjTW5/4N5KTVcFc+ZW m+3QM7rSeQV3ffITPtyJ/F+tGzt1SSLL20BDYoT/BaNrAX2szensc5SY5ho69Nal qjQKItjrCBrs2yCYjPJzR5Kv2LsALCNjBUAsEv7irvu/P4+cqscnXQheyzoWNvEN YSFhVN4w87o= =Q/H3 -----END PGP SIGNATURE-----