Schinzel, Sebastian
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Institute
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.
S/MIME and OpenPGP use cryptographic constructions repeatedly shown to be vulnerable to format oracle attacks in protocols like TLS, SSH, or IKE. However, format oracle attacks in the End-to-End Encryption (E2EE) email setting are considered impractical as victims would need to open many attacker-modified emails and communicate the decryption result to the attacker. But is this really the case?
In this paper, we survey how an attacker may remotely learn the decryption state in email E2EE. We analyze the interplay of MIME and IMAP and describe side-channels emerging from network patterns that leak the decryption status in Mail User Agents (MUAs). Concretely, we introduce specific MIME trees that produce decryption-dependent network patterns when opened in a victim’s email client.
We survey 19 OpenPGP- and S/MIME-enabled email clients and four cryptographic libraries and uncover a side-channel leaking the decryption status of S/MIME messages in one client. Further, we discuss why the exploitation in the other clients is impractical and show that it is due to missing feature support and implementation quirks. These unintended defenses create an unfortunate conflict between usability and security. We present more rigid countermeasures for MUA developers and the standards to prevent exploitation.
The Lightweight Directory Access Protocol (LDAP) is the standard technology to query information stored in directories. These directories can contain sensitive personal data such as usernames, email addresses, and passwords. LDAP is also used as a central, organization-wide storage of configuration data for other services. Hence, it is important to the security posture of many organizations, not least because it is also at the core of Microsoft’s Active Directory, and other identity management and authentication services.
We report on a large-scale security analysis of deployed LDAP servers on the Internet. We developed LanDscAPe, a scanning tool that analyzes security-relevant misconfigurations of LDAP servers and the security of their TLS configurations. Our Internet-wide analysis revealed more than 10k servers that appear susceptible to a range of threats, including insecure configurations, deprecated software with known vulnerabilities, and insecure TLS setups. 4.9k LDAP servers host personal data, and 1.8k even leak passwords. We document, classify, and discuss these and briefly describe our notification campaign to address these concerning issues.
OpenPGP is one of the two major standards for end-to-end email security. Several studies showed that serious usability issues exist with tools implementing this standard. However, a widespread assumption is that expert users can handle these tools and detect signature spoofing attacks. We present a user study investigating expert users' strategies to detect signature spoofing attacks in Thunderbird. We observed 25 expert users while they classified eight emails as either having a legitimate signature or not. Studying expert users explicitly gives us an upper bound of attack detection rates of all users dealing with PGP signatures. 52% of participants fell for at least one out of four signature spoofing attacks. Overall, participants did not have an established strategy for evaluating email signature legitimacy. We observed our participants apply 23 different types of checks when inspecting signed emails, but only 8 of these checks tended to be useful in identifying the spoofed or invalid signatures. In performing their checks, participants were frequently startled, confused, or annoyed with the user interface, which they found supported them little. All these results paint a clear picture: Even expert users struggle to verify email signatures, usability issues in email security are not limited to novice users, and developers may need proper guidance on implementing email signature GUIs correctly.
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.
Technical and organizational steps are necessary to mitigate cyber threats and reduce risks. Human behavior is the last line of defense for many hospitals and is considered as equally important as technical security. Medical staff must be properly trained to perform such procedures. This paper presents the first qualitative, interdisciplinary research on how members of an intermediate care unit react to a cyberattack against their patient monitoring equipment. We conducted a simulation in a hospital training environment with 20 intensive care nurses. By the end of the experiment, 12 of the 20 participants realized the monitors’ incorrect behavior. We present a qualitative behavior analysis of high performing participants (HPP) and low performing participants (LPP). The HPP showed fewer signs of stress, were easier on their colleagues, and used analog systems more often than the LPP. With 40% of our participants not recognizing the attack, we see room for improvements through the use of proper tools and provision of adequate training to prepare staff for potential attacks in the future.
Due to the increasing connectivity of modern vehicles, collected data is no longer only stored in the vehicle itself but also transmitted to car manufacturers and vehicle assistant apps. This development opens up new possibilities for digital forensics in criminal investigations involving modern vehicles. This paper deals with the digital forensic analysis of vehicle assistant apps of eight car manufacturers. We reconstruct the driver’s activities based on the data stored on the smartphones and in the manufacturer’s backend.
For this purpose, data of the Android and iOS apps of the car manufacturers Audi, BMW, Ford, Mercedes, Opel, Seat, Tesla, and Volkswagen were extracted from the smartphone and examined using digital forensic methods following forensics guidelines. Additionally, manufacturer data was retrieved using Subject Access Requests. Using the extensive data gathered, we reconstruct trips and refueling processes, determine parking positions and duration, and track the locking and unlocking of the vehicle.
Our findings show that the digital forensic investigation of smartphone applications is a useful addition to vehicle forensics and should therefore be taken into account in the strategic preparation of future digital forensic investigations.
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.