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MED	HJERTET	PÅ	INTERNETT	-
SIKKERHET	I	MIN	PERSONLIGE	
KRITISKE	INFRASTRUKTUR
Marie	Moe,	SINTEF	IKT
@MarieGMoe @SINTEF_Infosec
Min	personlige	kritiske	infrastruktur
3
Kan	vi	stole	på	teknologien?
Pacemaker
Nyeste	generasjon	pacemaker
I	en	ganske	nær	fremtid?
https://www.youtube.com/watch?v=ZiQJIpd2n8k
Fremtiden	er	nå
Pacemaker/ICD Programmer
Home	monitoring
unit
Cellular	or	
Telephone	Network Web	portal
Inductive
near	field
communicationMICS/
ISM
POTS/SMS
Kommunikasjonsgrensesnitt
Hva kan gå galt?
Sårbarheter	i	pacemakeren?
Sårbarheter I	aksesspunktet?
Kan vi	stole	på	mobilnettet?
Er leverandørens	servere/skytjeneste	sikret?
Sårbarheter i	webportalen?	Menneskelige feil?
Mulige konsekvenser
Personvernsproblematikk
Batteritømming
Endring av	kritiske	funksjoner
Dødstrusler og	utpressing
Mord som	beskrevet	i	TV-serier/krimbøker…
HVORFOR HACKER	JEG	
MITT	EGET	HJERTE?
TRAPPA	SOM	
HOLDT	PÅ	Å	TA	
KNEKKEN	MEG
DEBUGGING	AV	
MEG
13
Dagens Næringsliv Magasinet ,	9.	januar 2016
NÅR	TILLITEN	BRYTES...
19
20
• Fikk	”root”	på	Merlin@home
• Angrep	som	påstås	å	”kræsje”	
pacemakeren
• Batterislukings-angrep
• Referanser:
• http://www.muddywatersresearch.com/res
earch/stj/mw-is-short-stj/
• https://vimeo.com/180593205
MedSec resultater
21
22
http://ns.umich.edu/new/releases/24153-holes-found-in-report-on-st-jude-medical-device-security
23
ETISKE BETRAKTNINGER
Hva	sier	Twitter?
Hvordan	reagerer	pasientene?
The	bad	"news"	was	promoted	by	a	
short-seller	of	the	companies	stock.	
That	brings	serious	credibility	
issues,	in	my	opinion.
Ed	Bolton,	pasient	med	implantert	ICD
All	electronics	are	vulnerable	today.	
I'm	glad	it's	being	talked	about	and	
not	kept	secret.	Now	all	they	need	
to	do	is	fix	the	problem	and	move	
on.
Pasient	med	implantert	ICD
It	makes	me	curiously	scared,	but	at	
the	same	time	makes	me	wonder	
how	true	it	actually	is.	If	it's	a	
gimmick	or	fear	mongering,	it	pisses	
me	off.
Pasient	med	implantert	ICD	fra	St.	Jude
In	Collaboration	With
Hippocratic Oath
Cyber	Safety	Capabilities	What	is	your	ready	posture	toward	failure?
⚕ Cyber	Safety	by	Design	– Anticipate	and	avoid	failure
⚕ Third-Party	Collaboration	– Engage	willing	allies	to	avoid	failure
⚕ Evidence	Capture	– Observe	and	learn	from	failure
⚕ Resilience	and	Containment	– Prevent	cascading	failure
⚕ Cyber	Safety	Updates	– Correct	failure	conditions	once	known
Policy
Makers
Insurers
&	Payers
Standards
Organizations
Government
Agencies
For Connected Medical Devices
⚕
Patients
Healthcare
Providers
Physicians	&
Care	Givers
Device
Makers
Security
Researchers
https://www.iamthecavalry.org/oath
• Medisinsk utstyr med	åpen
kildekode
• Kryptografi tilpasset medisinsk utstyr
• Personal	area	network	monitoring
• Jamming	protection
• Forensics	evidence	capture
VI	TRENGER	MER	
FORSKNING!
wocintechchat.com
Noen referanser
Pacemakere:
• Kevin	Fu	et	al:
• Pacemakers	and	implantable	cardiac	defibrillators:	Software	radio	attacks	and	zero-power	defenses
(2008)
• Mitigating	EMI	signal	injection	attacks	against	analog	sensors	(2013)
• Barnaby	Jack
Annet medisinsk utstyr:
• Hardkodede passord og “medical	device	honeypots”	(Scott	Erven)
• Medisinpumper (Billy	Rios,	Jeremy	Richards)
• Insulinpumper (Jay	Radcliffe)
Takk	til
Éireann Leverett (@blackswanburst)
Tony	Naggs (@xa329)
Terje Frøysa
Gunnar	Alendal (@gradoisageek)
Hugo	Campos	(@HugoOC)
Scott	Erven (@scotterven)
Alexandre Dulaunoy (@adulau)
Claus	Cramon Houmann (@ClausHoumann)
Joshua	Corman (@joshcorman)
Beau	Woods	(@beauwoods)
Spørsmål?
marie.moe @	sintef.no
www.infosec.sintef.no
www.iamthecavalry.org
@MarieGMoe @SINTEF_Infosec

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