Heart device hack could be a shocker

IDG News Service - It didn't take much to hack into the heart monitoring device and get it to administer a 137-volt shock: an oscilloscope, a PC, a wireless radio with a couple of antennas and some free software.

With those tools, a group of university researchers were able to gain access to what is known as an implantable cardioverter defibrillator (ICD), reading sensitive patient information, disrupting its operation and even programming it to repeatedly administer strong electric shocks.

These tiny life-saving ICD devices are surgically implanted in the chests of heart patients, wired to the heart so they can shock it out of ventrical fibrillation. This is a heart-attack condition in which the heart muscle twitches randomly instead of pumping blood in a coordinated fashion.

They've been used in the U.S. for years, but until now have never been subject to a rigorous public security review, according to Tadayoshi Kohno, an assistant professor with the University of Washington, who co-authored a paper (PDF format) looking into the security of ICDs and pacemakers.

"We conducted some experiments that show that although there is a very remote risk of someone tampering [with] or accessing someone's implantable device, there is a risk," he said.

Part of the problem is that some pacemakers and ICD devices, including the Medtronic Maximo studied by the researchers, are designed to be remotely controlled over an unencrypted wireless protocol. That means that, given a "fair bit of time" to figure out the wireless protocol, a technically savvy hacker can start reading data and controlling the defibrillator.

The kind of shock that these devices can deliver at their most powerful settings can be intense, feeling like a kick to the chest.

The research shows that medical regulators now need to think about new issues as computerized and networked equipment is being implanted into humans, said Gadi Evron, a networking security expert based in Israel. "What I would like to see are security standards being put into place alongside with the regulations," he said.

Device manufacturers need to think more about security, said Evron, who discussed the idea of viruses in human implants at the Chaos Computer Camp hacking conference last year.

Although the results of Wednesday's study may seem scary at first glance, Kohno says the odds of someone actually carrying out this attack are low, because the hacker would have to somehow get all of this equipment within 4 inches (10 centimeters) of a target ICD.

Reprinted with permission from

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