# ICS Medical Advisory (ICSMA-20-177-01)
## Philips Ultrasound Systems
Original release date: June 25, 2020
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### Legal Notice
All information products included in [https://us-cert.gov/ics](/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
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header. For more information about TLP, see [https://www.us-
cert.gov/tlp/](/tlp/).
* * *
## 1\. EXECUTIVE SUMMARY
* **CVSS v3 3.6**
* **Vendor:** Philips
* **Equipment** : Ultrasound ClearVue, Ultrasound CX, Ultrasound EPIQ/Affiniti, Ultrasound Sparq, Ultrasound Xperius
* **Vulnerability:** Authentication Bypass Using an Alternate Path or Channel
## 2\. RISK EVALUATION
Successful exploitation of this vulnerability may allow a non-authenticated
attacker to view or modify information.
## 3\. TECHNICAL DETAILS
### 3.1 AFFECTED PRODUCTS
The following versions of Philips Ultrasound Systems, are affected:
* Ultrasound ClearVue Versions 3.2 and prior
* Ultrasound CX Versions 5.0.2 and prior
* Ultrasound EPIQ/Affiniti Versions VM5.0 and prior
* Ultrasound Sparq Version 3.0.2 and prior and
* Ultrasound Xperius all versions
### 3.2 VULNERABILITY OVERVIEW
#### 3.2.1 [AUTHENTICATION BYPASS USING AN ALTERNATE PATH OR CHANNEL
CWE-288](https://cwe.mitre.org/data/definitions/288.html)
An attacker may use an alternate path or channel that does not require
authentication of the alternate service login to view or modify information.
[CVE-2020-14477](http://web.nvd.nist.gov/view/vuln/detail?vulnId=CVE-2020-14477)
has been assigned to this vulnerability. A CVSS v3 base score of 3.6 has been
calculated; the CVSS vector string is
([AV:L/AC:H/PR:L/UI:N/S:U/C:L/I:L/A:N](https://www.first.org/cvss/calculator/3.0#CVSS:3.0/AV:L/AC:H/PR:L/UI:N/S:U/C:L/I:L/A:N)).
### 3.3 BACKGROUND
* **CRITICAL INFRASTRUCTURE SECTORS** : Healthcare and Public Health
* **COUNTRIES/AREAS DEPLOYED** : Worldwide
* **COMPANY HEADQUARTERS LOCATION** : Netherlands
### 3.4 RESEARCHER
Philips reported this vulnerability to CISA.
## 4\. MITIGATIONS
Philips released Ultrasound EPIQ/Affiniti Version VM6.0 in April 2020 and
recommends users with the Ultrasound EPIQ/Affiniti systems to contact their
local Philips service support team, or regional service support for
installation information.
Philips is currently planning the following new releases:
* Ultrasound ClearVue Version 3.3 release in Q4 2020
* Ultrasound CX Version 5.0.3 release in Q4 2020
* Ultrasound Sparq Version 3.0.3 release in Q4 2020
As an interim mitigation to this vulnerability, Philips recommends customers
ensure service providers can guarantee installed device integrity during all
service and repair operations.
Users with questions regarding their specific Ultrasound installation should
contact the Philips service support team or regional service support.
Users can contact [Philips customer
service](https://www.usa.philips.com/healthcare/solutions/customer-service-
solutions), and find more details in the [Philips advisory
](http://www.philips.com/productsecurity)(external link). Please see the
[Philips product security website](http://www.philips.com/productsecurity) for
the latest security information for Philips products.
CISA recommends users take defensive measures to minimize the risk of
exploitation of this vulnerability. Specifically, users should:
* Implement physical security measures to limit or control access to critical systems.
* Restrict system access to authorized personnel only and follow a least privilege approach.
* Apply defense-in-depth strategies.
* Disable unnecessary accounts and services.
* Where additional information is needed, refer to existing [cybersecurity in medical device guidance issued by the FDA](https://www.fda.gov/MedicalDevices/DigitalHealth/ucm373213.htm).
CISA reminds organizations to perform proper impact analysis and risk
assessment prior to deploying defensive measures.
CISA also provides a section for [control systems security recommended
practices](https://www.us-cert.gov/ics/recommended-practices) on the ICS
webpage on [us-cert.gov](https://www.us-cert.gov/ics). Several recommended
practices are available for reading and download, including [Improving
Industrial Control Systems Cybersecurity with Defense-in-Depth
Strategies](https://www.us-
cert.gov/sites/default/files/recommended_practices/NCCIC_ICS-
CERT_Defense_in_Depth_2016_S508C.pdf).
Additional mitigation guidance and recommended practices are publicly
available on the [ICS webpage on us-cert.gov](https://www.us-cert.gov/ics) in
the Technical Information Paper, [ICS-TIP-12-146-01B--Targeted Cyber Intrusion
Detection and Mitigation Strategies](https://www.us-cert.gov/ics/tips/ICS-
TIP-12-146-01B).
Organizations observing any suspected malicious activity should follow their
established internal procedures and report their findings to CISA for tracking
and correlation against other incidents.
No known public exploits specifically target this vulnerability. This
vulnerability is not exploitable remotely. High skill level is needed to
exploit.
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