CVE-2021-27410

9.8 CRITICAL

📋 TL;DR

This critical vulnerability allows attackers to write data beyond intended memory boundaries in Welch Allyn medical device management tools, potentially leading to remote code execution or system corruption. It affects multiple Welch Allyn medical devices and management software versions. Healthcare organizations using these devices are at risk.

💻 Affected Systems

Products:
  • Welch Allyn Service Tool
  • Welch Allyn Connex Device Integration Suite - Network Connectivity Engine (NCE)
  • Welch Allyn Software Development Kit (SDK)
  • Welch Allyn Connex Central Station (CS)
  • Welch Allyn Service Monitor
  • Welch Allyn Connex Vital Signs Monitor (CVSM)
  • Welch Allyn Connex Integrated Wall System (CIWS)
  • Welch Allyn Connex Spot Monitor (CSM)
  • Welch Allyn Spot Vital Signs 4400 Device
  • Welch Allyn Spot 4400 Vital Signs Extended Care Device
Versions: Prior to v1.10 (Service Tool), v5.3 (NCE), v3.2 (SDK), v1.8.6 (CS), v1.7.0.0 (Service Monitor), v2.43.02 (CVSM/CIWS), v1.52 (CSM), v1.11.00 (Spot 4400)
Operating Systems: Unknown
Default Config Vulnerable: ⚠️ Yes
Notes: All affected versions are vulnerable by default. Medical devices may be connected to hospital networks.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Remote unauthenticated attacker gains full control of medical devices, potentially compromising patient safety by manipulating device functionality or accessing sensitive health data.

🟠

Likely Case

Attacker exploits the vulnerability to execute arbitrary code, disrupt medical device operations, or exfiltrate patient data from connected systems.

🟢

If Mitigated

With proper network segmentation and access controls, impact is limited to isolated medical device networks without affecting critical healthcare systems.

🌐 Internet-Facing: HIGH
🏢 Internal Only: HIGH

🎯 Exploit Status

Public PoC: ✅ No
Weaponized: UNKNOWN
Unauthenticated Exploit: ⚠️ Yes
Complexity: LOW

CVSS 9.8 indicates critical severity with low attack complexity. No authentication required for exploitation.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: v1.10 (Service Tool), v5.3 (NCE), v3.2 (SDK), v1.8.6 (CS), v1.7.0.0 (Service Monitor), v2.43.02 (CVSM/CIWS), v1.52 (CSM), v1.11.00 (Spot 4400)

Vendor Advisory: https://us-cert.cisa.gov/ics/advisories/icsma-21-152-01

Restart Required: Yes

Instructions:

1. Contact Welch Allyn for updated firmware/software. 2. Schedule maintenance window for medical devices. 3. Apply patches according to vendor instructions. 4. Restart affected devices. 5. Verify patch installation.

🔧 Temporary Workarounds

Network Segmentation

all

Isolate medical devices on separate VLANs with strict firewall rules

Access Control

all

Implement strict network access controls to limit connections to medical devices

🧯 If You Can't Patch

  • Segment medical device networks from general hospital networks
  • Implement strict firewall rules to block unnecessary inbound connections to medical devices

🔍 How to Verify

Check if Vulnerable:

Check device firmware/software version against affected versions list

Check Version:

Check device settings or management interface for version information

Verify Fix Applied:

Verify installed version matches or exceeds patched versions listed in fix_official.patch_version

📡 Detection & Monitoring

Log Indicators:

  • Unexpected device restarts
  • Unusual network connections to medical devices
  • Device error messages

Network Indicators:

  • Unusual traffic patterns to/from medical device IPs
  • Attempts to access device management ports

SIEM Query:

source_ip IN (medical_device_ips) AND (port=management_port OR protocol=unusual)

🔗 References

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