# ICS Medical Advisory (ICSMA-20-049-02)
## GE Ultrasound products
Original release date: February 18, 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
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://www.us-
cert.gov/tlp/](/tlp/).
* * *
## 1\. EXECUTIVE SUMMARY
* **CVSS v3 6.8**
* **ATTENTION:** Low skill level to exploit
* **Vendor:** GE
* **Equipment:** Ultrasound Products
* **Vulnerability:** Protection Mechanism Failure
## 2\. RISK EVALUATION
The affected GE Healthcare ultrasound devices utilize a method of software
application implementation called "Kiosk Mode." This Kiosk Mode is vulnerable
to local breakouts, which could allow an attacker with physical access to gain
access to the operating system of affected devices.
## 3\. TECHNICAL DETAILS
### 3.1 AFFECTED PRODUCTS
The following versions of GE ultrasound products are affected:
* Vivid products, all versions
* LOGIQ, all versions, not including LOGIQ 100 Pro
* Voluson, all versions
* Versana Essential, all versions
* Invenia ABUS Scan station, all versions
* Venue, all versions, not including Venue 40 R1-3 and Venue 50 R4-5
### 3.2 VULNERABILITY OVERVIEW
#### 3.2.1 [PROTECTIONS MECHANISM FAILURE
CWE-693](https://cwe.mitre.org/data/definitions/693.html)
A restricted desktop environment escape vulnerability exists in the Kiosk Mode
functionality of affected devices. Specially crafted inputs can allow the user
to escape the restricted environment, resulting in access to the underlying
operating system.
[CVE-2020-6977](http://web.nvd.nist.gov/view/vuln/detail?vulnId=CVE-2020-6977)
has been assigned to this vulnerability. A CVSS v3 base score of 6.8 has been
calculated; the CVSS vector string is
([AV:P/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H](https://www.first.org/cvss/calculator/3.0#CVSS:3.0/AV:P/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H)).
### 3.3 BACKGROUND
* **CRITICAL INFRASTRUCTURE SECTORS:** Healthcare and Public Health
* **COUNTRIES/AREAS DEPLOYED:** Worldwide
* **COMPANY HEADQUARTERS LOCATION:** United States
### 3.4 RESEARCHER
This vulnerability was first reported to GE Healthcare by researchers Marc
Ruef and Rocco Gagliardi of scip AG. Additional reports were provided to GE
Healthcare by Michael Aguilar of Secureworks and Jonathan Bouman of
Protozoan.nl.
## 4\. MITIGATIONS
GE Healthcare recommends organizations restrict physical access to devices by
unauthorized individuals. Additionally, where available, GE recommends users
enable the "system lock" password in the Administration GUI menu if possible.
This will require a password to be entered before the system can be accessed.
The 'system lock' would limit non-authenticated users from accessing the
application.
GE recommends that users with questions reach out to a GE service
representative and users with an active support account visit
[https://securityupdate.gehealthcare.com](https://securityupdate.gehealthcare.com/en)
(login required).
CISA recommends users take defensive measures to minimize the risk of
exploitation of this vulnerability. Specifically, users should:
* Ensure there is physical protections in place to prevent the devices from any unauthorized access.
* Encourage security awareness throughout the hospital staff to ensure clinical staff will report any unauthorized person trying to login or otherwise tamper with a medical device.
* Educate employees on social engineering, both online and in-person/on-site. This is often used to gain confidence to unauthorized resources.
* Where additional information is needed, refer to [existing cybersecurity in medical device guidance](https://www.fda.gov/MedicalDevices/DigitalHealth/ucm373213.htm) issued by the FDA.
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.
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