# ICS Medical Advisory (ICSMA-19-311-01)
## Medtronic Valleylab FT10 and LS10
Original release date: November 07, 2019
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* * *
## 1\. EXECUTIVE SUMMARY
* **CVSS v3 4.8**
* **ATTENTION:** Low skill level to exploit
* **Vendor:** Medtronic
* **Equipment:** Valleylab FT10, Valleylab LS10
* **Vulnerabilities:** Improper Authentication, Protection Mechanism Failure
## 2\. RISK EVALUATION
Successful exploitation of these vulnerabilities may allow an attacker to
connect inauthentic instruments to the affected products by spoofing RFID
security mechanisms. This may lead to a loss of performance integrity and
platform availability due to incorrect identification of instrument and
associated parameters.
## 3\. TECHNICAL DETAILS
### 3.1 AFFECTED PRODUCTS
The following Medtronic Valleylab energy and electrosurgery products, are
affected:
* Valleylab FT10 Energy Platform (VLFT10GEN)
* Version 2.1.0 and lower
* Version 2.0.3 and lower
* Valleylab LS10 Energy Platform (VLLS10GEN--not available in the United States)
* Version 1.20.2 and lower
### 3.2 VULNERABILITY OVERVIEW
#### 3.2.1 [IMPROPER AUTHENTICATION
CWE-287](https://cwe.mitre.org/data/definitions/287.html)
The RFID security mechanism used for authentication between the FT10/LS10
Energy Platform and instruments can be bypassed, allowing for inauthentic
instruments to connect to the generator.
[CVE-2019-13531](http://web.nvd.nist.gov/view/vuln/detail?vulnId=CVE-2019-13531)
has been assigned to this vulnerability. A CVSS v3 base score of 4.8 has been
calculated; the CVSS vector string is
([AV:P/AC:H/PR:N/UI:N/S:U/C:N/I:H/A:L](https://www.first.org/cvss/calculator/3.0#CVSS:3.0/AV:P/AC:H/PR:N/UI:N/S:U/C:N/I:H/A:L)).
#### 3.2.2 [PROTECTION MECHANISM FAILURE
CWE-693](https://cwe.mitre.org/data/definitions/693.html)
The RFID security mechanism does not apply read protection, allowing for full
read access of the RFID security mechanism data.
[CVE-2019-13535](http://web.nvd.nist.gov/view/vuln/detail?vulnId=CVE-2019-13535)
has been assigned to this vulnerability. A CVSS v3 base score of 4.6 has been
calculated; the CVSS vector string is
([AV:P/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:N](https://www.first.org/cvss/calculator/3.0#CVSS:3.0/AV:P/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:N)).
### 3.3 BACKGROUND
* **CRITICAL INFRASTRUCTURE SECTORS:** Healthcare and Public Health
* **COUNTRIES/AREAS DEPLOYED:** Worldwide
* **COMPANY HEADQUARTERS LOCATION:** Ireland
### 3.4 RESEARCHER
Medtronic reported these vulnerabilities to CISA.
## 4\. MITIGATIONS
A software patch is available now for the affected Valleylab platforms. If you
suspect you are in possession of an instrument that is not FDA approved or
cleared to be used with Medtronic Valleylab FT10 or LS10, please contact
Medtronic or your medical device supplier. If you have concerns about FDA
clearance or approval of current or future instruments, please contact your
medical device supplier. Please contact
[Medtronic](https://www.medtronic.com/covidien/en-us/support/software.html) to
obtain the software patch.
Medtronic has released additional patient focused information at the following
location:
<https://www.medtronic.com/security>
CISA recommends users take defensive measures to minimize the risk of
exploitation of these vulnerabilities. Specifically, users should:
* Restrict system access to authorized personnel only and follow a least privilege approach.
* Apply defense-in-depth strategies.
* 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/medical-devices/digital-health/cybersecurity>
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.
These vulnerabilities are not exploitable remotely.
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