Refine
Publication Type
- Conference Proceeding (17) (remove)
Keywords
- Cyber Security (3)
- Open Document Format (1)
- PGP (1)
- Privacy (1)
- S/MIME (1)
- Security (1)
- docx (1)
- networked computer tomography scanner (1)
Background: Modern healthcare devices can be connected to computer networks and many western healthcareinstitutions run those devices in networks. At the same time, cyber attacks are on the rise and there is evidence thatcybercriminals do not spare critical infrastructure such as major hospitals, even if they endanger patients. Intuitively,the more and closer connected healthcare devices are to public networks, the higher the risk of getting attacked.
Methods: To asses the current connectivity status of healthcare devices, we surveyed the field of German hospitalsand especially University Medical Center UMCs.
Results: The results show a strong correlation between the networking degree and the number of medical devices.The average number of medical devices is 25.150, with a median of networked medical devices of 3.600. Actual keyusers of networked medical devices are the departments Radiology, Intensive Care, Radio-Oncology RO, NuclearMedicine NUC, and Anaesthesiology in the group of UMCs. In the next five years, the usage of networked medicaldevices will increase significantly in the departments of Surgery, Intensive Care, and Radiology. We detected a strongcorrelation between the degree of connectivity and the likelihood of being attacked.The survey answers regarding the cyber security status reveal a lack of security basics in some of the inquiredhospitals. We did discover successful attacks in hospitals with separated or subsidiary departments. A fusion ofcompetencies on an organizational level facilitates the right behavior here. Most hospitals rated themselvespredominantly positively in the self-assessment but also stated the usefulness of IT security insurance.Conclusions:Concluding our results, hospitals are already facing the consequences of omitted measures within theirgrowing pool of medical devices. Continuously relying on historically grown structures without adaption and trustingmanufactures to solve vectors is a critical behavior that could seriously endanger patients.
KIM: Kaos In der Medizin
(2024)
Die sichere E-Mail-Infrastruktur für Ärzt*innen, Apotheker*innen, Krankenversicherungen und Kliniken in Deutschland, KIM - Kommunikation im Gesundheitswesen - ist mit über 200 Millionen E-Mails in den vergangenen zwei Jahren eine der am meisten genutzten Anwendungen in der Telematikinfrastruktur. Mit dem Ausgeben von S/MIME-Zertifikaten für alle medizinische Beteiligten in Deutschland verspricht KIM sichere Ende-zu-Ende-Verschlüsselung von E-Mails zwischen Heilberufler*innen in ganz Deutschland.
In diesem Paper analysieren wir die KIM-Spezifikation sowie eine beispielhafte KIM-Installation in einer deutschen Zahnarztpraxis. Wir zeigen, dass KIM kryptografisch ein sehr hohes Sicherheitslevel erfüllt, doch in der Verarbeitung der E-Mails bei den Clients eine schwerwiegende Sicherheitslücke besteht. Weiterhin zeigen wir zwei Sicherheitslücken in dem KIM-Verarbeitungsmodul eines großen deutschen Unternehmens für medizinische Software. Diese Defizite zeigen außerdem Mängel in dem verpflichtenden Zulassungsprozess der KIM-Komponenten auf.
Smart wearable devices become more and more prevalent in the age of the Internet of Things. While people wear them as fitness trackers or full-fledged smartphones, they also come in unique versions as smartwatches for children. These watches allow parents to track the location of their children in real-time and offer a communication channel between parent and child.
In this paper, we analyzed six smartwatches for children and the corresponding backend platforms and applications for security and privacy concerns. We structure our analysis in distinct attacker scenarios and collect and describe related literature outside academic publications. Using a cellular network Man-in-the-Middle setup, reverse engineering, and dynamic analysis, we found several severe security issues, allowing for sensitive data disclosure, complete watch takeover, and illegal remote monitoring functionality.
Medizinische Einrichtungen waren in den letzten Jahren immer wieder von Cyber-Angriffen betroffen. Auch wenn sich diese Angriffe derzeit auf die Office-IT-Infrastruktur der Einrichtungen konzentrieren, existiert mit medizinischen Systemen und Kommunikationsprotokollen eine weitere wenig beachtete Angriffsoberfläche.
In diesem Beitrag analysieren wir die weit verbreiteten medizintechnischen Kommunikations-Protokolle DICOM und HL7 sowie Protokoll-Implementierungen auf ihre IT-Sicherheit. Dafür präsentieren wir die Ergebnisse der Sicherheitsanalyse der DICOM- und HL7-Standards, einen Fuzzer “MedFUZZ” für diese Protokolle sowie einen Schwachstellenscanner “MedVAS”, der Schwachstellen in medizintechnischen Produktivumgebungen auffinden kann.
Modern implantable cardiologic devices communicate via radio frequency techniques and nearby gateways to a backend server on the internet. Those implanted devices, gateways, and servers form an ecosystem of proprietary hardware and protocols that process sensitive medical data and is often vital for patients’ health.
This paper analyzes the security of this Ecosystem, from technical gateway aspects, via the programmer, to configure the implanted device, up to the processing of personal medical data from large cardiological device producers. Based on a real-world attacker model, we evaluated different devices and found several severe vulnerabilities. Furthermore, we could purchase a fully functional programmer for implantable cardiological devices, allowing us to re-program such devices or even induce electric shocks on untampered implanted devices.
Additionally, we sent several Art. 15 and Art. 20 GDPR inquiries to manufacturers of implantable cardiologic devices, revealing non-conforming processes and a lack of awareness about patients’ rights and companies’ obligations. This, and the fact that many vulnerabilities are still to be found after many vulnerability disclosures in recent years, present a worrying security state of the whole ecosystem.
TLS is one of today's most widely used and best-analyzed encryption technologies. However, for historical reasons, TLS for email protocols is often not used directly but negotiated via STARTTLS. This additional negotiation adds complexity and was prone to security vulnerabilities such as naive STARTTLS stripping or command injection attacks in the past.
We perform the first structured analysis of STARTTLS in SMTP, POP3, and IMAP and introduce EAST, a semi-automatic testing toolkit with more than 100 test cases covering a wide range of variants of STARTTLS stripping, command and response injections, tampering attacks, and UI spoofing attacks for email protocols. Our analysis focuses on the confidentiality and integrity of email submission (email client to SMTP server) and email retrieval (email client to POP3 or IMAP server). While some of our findings are also relevant for email transport (from one SMTP server to another), the security implications in email submission and retrieval are more critical because these connections involve not only individual email messages but also user credentials that allow access to a user's email archive.
We used EAST to analyze 28 email clients and 23 servers. In total, we reported over 40 STARTTLS issues, some of which allow mailbox spoofing, credential stealing, and even the hosting of HTTPS with a cross-protocol attack on IMAP. We conducted an Internet-wide scan for the particularly dangerous command injection attack and found that 320.000 email servers (2% of all email servers) are affected. Surprisingly, several clients were vulnerable to STARTTLS stripping attacks. In total, only 3 out of 28 clients did not show any STARTTLS-specific security issues. Even though the command injection attack received multiple CVEs in the past, EAST detected eight new instances of this problem. In total, only 7 out of 23 tested servers were never affected by this issue. We conclude that STARTTLS is error-prone to implement, under-specified in the standards, and should be avoided.
The Portable Document Format, better known as PDF, is one of themost widely used document formats worldwide, and in order to en-sure information confidentiality, this file format supports documentencryption. In this paper, we analyze PDF encryption and showtwo novel techniques for breaking the confidentiality of encrypteddocuments. First, we abuse the PDF feature ofpartially encrypteddocuments to wrap the encrypted part of the document withinattacker-controlled content and therefore, exfiltrate the plaintextonce the document is opened by a legitimate user. Second, we abusea flaw in the PDF encryption specification to arbitrarily manipulateencrypted content. The only requirement is that a single block ofknown plaintext is needed, and we show that this is fulfilled bydesign. Our attacks allow the recovery of the entire plaintext of en-crypted documents by using exfiltration channels which are basedon standard compliant PDF properties.We evaluated our attacks on 27 widely used PDF viewers andfound all of them to be vulnerable. We responsibly disclosed thevulnerabilities and supported the vendors in fixing the issue
OOXML and ODF are the de facto standard data formats for word processing, spreadsheets, and presentations. Both are XML-based, feature-rich container formats dating back to the early 2000s. In this work, we present a systematic analysis of the capabilities of malicious office documents. Instead of focusing on implementation bugs, we abuse legitimate features of the OOXML and ODF specifications. We categorize our attacks into five classes: (1) Denial-of-Service attacks affecting the host on which the document is processed. (2) Invasion of privacy attacks that track the usage of the document. (3) Information disclosure attacks exfiltrating personal data out of the victim's computer. (4) Data manipulation on the victim's system. (5) Code execution on the victim's machine. We evaluated the reference implementations – Microsoft Office and LibreOffice – and found both of them to be vulnerable to each tested class of attacks. Finally, we propose mitigation strategies to counter these attacks.
We show practical attacks against OpenPGP and S/MIMEencryption and digital signatures in the context of email. Instead of tar-geting the underlying cryptographic primitives, our attacks abuse legiti-mate features of the MIME standard and HTML, as supported by emailclients, to deceive the user regarding the actual message content. Wedemonstrate how the attacker can unknowingly abuse the user as a de-cryption oracle by replying to an unsuspicious looking email. Using thistechnique, the plaintext of hundreds of encrypted emails can be leakedat once. Furthermore, we show how users could be tricked into signingarbitrary text by replying to emails containing CSS conditional rules.An evaluation shows that "out of" OpenPGP-capable email clients,as well as "out of" clients supporting S/MIME, are vulnerable to atleast one attack. We provide different countermeasures and discuss theiradvantages and disadvantages.