Computers can, in fact, trivially do all of these things. Counting to large numbers quickly is what they do best. Accordingly, if "Guess my large number" is sufficient to remote control the machine, then that's a pretty critical finding.

And there is no work that the attacker can do which will make his life more difficult. Trivial inspection of any machine establishes the upper bound of how hard it will be to compromise. Any attack he can use to reduce entropy only makes that number shrink, potentially radically. We would worry if you could shrink a 2048 bit keys even by a bit, because it suggests a hidden systemic weakness. The second serial number examined is likely to shrink the keyspace - which will not be 2048 bits to begin with - by tens of bits.

There are classes of attackers for whom killing a single named individual is not a goal. "Oh drats, we were only able to kill fifteen people chosen at random from this hospital, Superdome, or session of Congress" would not br a failure condition for them or a victory condition for the public.

Serial numbers usually have a check digit, so it is likely we are down to only 6 digits.

That's easily brute-forceable.

Right now, a hacker can kill a specific person, within 30 days, given the following assumptions:

  - that person is wearing an insulin pump with the
    remote control feature turned ON

  - the serial number is 32-bits or less

  - the attacker can test 5000 serial numbers per second
    for at least 8 hours per day, every day

If the attacker then retrieves the device (so it doesn't fall into the hands of law enforcement), there would be absolutely no way to prove he killed you.

Obviously, this is an incredibly unlikely sequence of events. Nevertheless it IS possible, which is very irresponsible of the medical industry.

Most premeditated murder is perpetrated by someone very familiar with the victims.

The device is configured to 1) detect when you're there, then 2) try to guess your serial number every second you're within range, then 3) kills you.

Better yet, just get the serial number.

If the attacker then retrieves the device (so it doesn't fall into the hands of law enforcement), there would be absolutely no way to prove he killed you.

Put yourselves in the shoes of the prosecutor. How are you going to explain all this to the jury? In how many ways will the defense be able to attack the delicate task of explaining the technical details?

Obviously, this is an incredibly unlikely sequence of events. Nevertheless it IS possible, which is very irresponsible of the medical industry.

The "alibi machine" aspect of this scenario actually makes it more likely.

   -- He is standing next to the victim.
   -- He has a hammer.

    - Makes it look like a medical emergency
    - Doesn't splatter you with bodily fluids
    - Can be executed in a way that gives you an alibi

A critical insulin overdose with the pump log full of remote access entries will look like murder.

Anyway, dropping poison in their drink while they're in the bathroom is easier, cheaper, more practical and gives the same "benefits".

I am not actually afraid that people are going to start doing this, however such flaws and failures in security thinking are systemic. Bad security is not limited to insulin pumps, but insulin pumps are a great way of getting the publics attention and (hopefully) getting programmers to consider the impact their laziness could have on the world.

If you want to kill someone, there are considerably cheaper options available at your local big-box store's home and garden center.

Seriously, though, I do agree with your concern for systemic problems in security thinking. Given the vastly more concentrated effort required, I don't think it's a problem that one could theoretically kill with GNU Radio and a laptop, versus any of the hundreds of tools more readily repurposed as a murder weapon, but such exploits are best addressed while they are unfeasable.

As the potential cost of attempting murder involves the risk of getting caught, it's entirely reasonable to expect murderers to go to great lengths to conceal their actions, even if in involves highly technical means. If such highly technical means are actually inexpensive and widely available, then this raises the level of concern with regards to the cost/benefit analyses.

In short:

Cost factors "pro" murder through wireless control of medical equipment

    - getting caught is very expensive, so obscure and 
      invisible methods are attractive.  
    - time and materials costs are low for a suitable expert
    - the method enables an alibi

"Even if entropy is low are - how are you going to randomly select a person, and know their serial ID ? Unless you know what units are distributed to what hospitals/doctors - at exact times - at exact shipments and then from the sample delivered know the exact unit given to any person at any particular time."

A sufficiently low entropy serial number would mean you don't need to know those things. Because it is low entropy.

1) if a person has diabetes [in this context]

2) if you know where this person lives

3) if you know a person uses a remote insulin delivery pump

4) if you know the model of the device

5) if entropy of serial numbers, for this specific device, is low enough

6) if you are able place a device within range to where this person is living for a sustained period

7) if you are able to ensure remote wireless control is on for this period

8) if you are able to then hack the device [edit: remove - in order to find the exact serial number of the device]

9) if you are able to then change the insulin delivery such that it injects too much or too little

10) if the person is unaware of such a change through external bio-identifiable changes [ http://en.wikipedia.org/wiki/Diabetes_mellitus#Signs_and_sym... ]

11) if the person consequentially is unable to reach medical assistance within such a period in order to receive more or less insulin resulting in their death

12) if you are able to remove any evidence of tampering with their device without being caught

yes, then this is a concern and low entropy is relevant. But pragmatically and realistically - if you can do all this - then you could execute a murder anyway :P

Also, point 8 makes absolutely no sense.

"but your dealing with minute hardware where every single ms of processing power counts. Simple encryption should be utilized [but then this might be easily hacked anyway ?] but for units placed inside the body [pacemakers and the like] - splitting the units resources between keeping the patient alive vs. encryption for wireless protocols seems to weigh more heavily on the former than the later given how unlikely - for the majority of the world - these 'attacks' are going to be."

So your solution is to increase security such that it compromises the functionality of the device itself through it's utility ? High security, poor battery life ? High security, high replacement cost ?

"Point 5 is the only one that I am concerning myself with." - and delivering insulin isn't important ?

Get realistic - security loopholes are only as important as what you are trying to practically protect and at what cost with what risk. This is what I am trying to make evident.

The assumption that every single manufacturer in the medical industry hasn't considered security of remote devices seems a far stretch to me given the prominence of medical litigation and the fact your dealing with someones life. Is a high security cost, high device cost, low battery life and therefore low adoption for patients and community accessibility acceptable? No, it's not.

The world is not based on everyone wanting to kill each other because entropy of serial numbers [which you nor I have any idea about] are low so they can hack insulin devices and kill someone. That said - it needs to be fixed with a balance to risk and all these other factors.

  "2. "all he requires to perpetrate the hack is the target pump's
  serial number."

  Do we know how much entropy is in those? They could very
  well be sequential or date derived.

Allow me to be perfectly blunt to get across my point once and for all: I don't give a shit about insulin. I don't give a shit about insulin pumps. I care misconceptions about security, and improper security implementation. This article serves as nothing to me other than a vehicle to discuss these things.

Most importantly: I am more concerned with your apparent suggestion that "a serial number is probably a sufficient shared secret" than I am with anything in the story. Serial numbers, as a general rule, make terrible shared secrets.

where have I made any such "apparent suggestion" in any of my comments. i haven't - i've stated that, and at least I believed I made quite clear, that the risk and practicality of using this hack is negligible. i haven't stated that it does not exist or that it should not be fixed. to the contrary - it should be fixed.

you're focusing on a singular aspect in a vacuum. "improper security implementation." - yes in this singular vacuum - you're correct and that's great - it's a concern. But what point is there focusing on security implementations in a vacuum when your dealing with real devices on real people and the practicality of using such improper implementations. The entire BlackHat conference is about exposing hacks in vendor-neutral software and devices that affect the real world. As I stated:

"Get realistic - security loopholes are only as important as what you are trying to practically protect and at what cost with what risk. This is what I am trying to make evident."

i'm focusing on the practicality in the real world as is the entire point of the BlackHat Security Conference. Arguably any device which opens itself to wireless communication could be hacked - and a device like this should have some cryptographic system requiring two separate keys - but at what practical cost is my point.

as hanslemen says in his article - the easiest way to resolve this is just to build in upper and lower limits of insulin delivery. at least you can't kill someone - but I acknowledge that even controlling it is a concern.

[peace, not trying to get all up and hot in here :)]

The real concern isn't random killing. It's targeted killing. Most premeditated murder is targeted, is perpetrated by someone for a specific motivation, and is perpetrated by someone close to the victim.

The sort of medical emergency caused by an insulin pump malfunction doesn't raise the suspicion of today's typical police officer. Likewise, the likelihood that someone has the right medical and technical knowledge to investigate such a crime is much lower.

People covering murder by faking a random crime are operating in an area of their ignorance, versus the expert's knowledge and practice. A hacker killing someone through medical equipment would be operating as the expert while the officials and professionals whose job it would be to catch him may well be the newbies.

It would be easy to concoct an alibi with a murder technique like this. This is the most concerning thing about it.