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A proposed class action accuses University Hospitals of negligence after an October 22 cyberattack that took its MyChart portal offline; the Cleveland patient's suit, filed October 28, claims more than a million records were exposed, a number University Hospitals has not confirmed. University of New Mexico Health Sciences Center disclosed a cyberattack October 26 that diverted ambulances for about two hours; the BYOD extortion group claims it compromised 36,000 systems, a figure UNM has not confirmed. Philips updated its Node2Shell advisory October 27 for CVE-2026-111497, the Node.js Brotli decoder flaw it first flagged October 26 against PIC iX 4.x; the advisory still names no impacted products or fixed version. Philips updated its PHP2Shell advisory October 27 for CVE-2026-109618 and CVE-2026-109619, adding five more affected products including IntelliSpace Portal V12 and Philips Axon to the seven already listed. NorthShore Health Centers disclosed a data breach to patients October 27, one of several Midwest provider notifications issued that week. Denver Health Medical Plan notified more than 238,000 members October 26 about a vendor-related data incident. A proposed class action accuses University Hospitals of negligence after an October 22 cyberattack that took its MyChart portal offline; the Cleveland patient's suit, filed October 28, claims more than a million records were exposed, a number University Hospitals has not confirmed. University of New Mexico Health Sciences Center disclosed a cyberattack October 26 that diverted ambulances for about two hours; the BYOD extortion group claims it compromised 36,000 systems, a figure UNM has not confirmed. Philips updated its Node2Shell advisory October 27 for CVE-2026-111497, the Node.js Brotli decoder flaw it first flagged October 26 against PIC iX 4.x; the advisory still names no impacted products or fixed version. Philips updated its PHP2Shell advisory October 27 for CVE-2026-109618 and CVE-2026-109619, adding five more affected products including IntelliSpace Portal V12 and Philips Axon to the seven already listed. NorthShore Health Centers disclosed a data breach to patients October 27, one of several Midwest provider notifications issued that week. Denver Health Medical Plan notified more than 238,000 members October 26 about a vendor-related data incident.

Vulnerability

B. Braun names the Outlook 400ES pump as its only product with Ripple20 Treck code

MedDevice Cyber Staff · Oct 8 · 2 min read · Via B. Braun Ripple20 statement, October 2021 update

B. Braun published an update to its Ripple20 statement on October 8, 2021. The Outlook 400ES infusion pump, part of the Outlook ES Safety Infusion System, is the only B. Braun product using the vulnerable Treck TCP/IP code covered by ICSA-20-168-01.

B. Braun rated the vulnerabilities controlled risk and scored CVE-2020-11903, CVE-2020-11906, CVE-2020-11912 and CVE-2020-11914 at 0.0 for the Outlook ES. It released software versions with additional enhancements, enhancement software 151738 Rev A and 151738 MP.

A 0.0 score is a statement about this pump's configuration, so it holds only while the configuration does.

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Remediation Desk

For ProvidersOperators, hospitals, and clinical engineering

Install B. Braun enhancement software 151738 Rev A or 151738 MP on Outlook 400ES pumps. B. Braun rates the Ripple20 exposure as controlled, so keep the pumps in the configuration that rating assumes.

Install the enhancement software. Load 151738 Rev A or 151738 MP on each Outlook 400ES pump.
Hold the configuration. Avoid changes to pump connectivity that B. Braun's 0.0 scoring did not consider.
Record the stack. List the Treck component against the Outlook 400ES in the asset inventory.

For Device ManufacturersAm I affected, and how to fix the class

Am I affected?

This class applies to devices with the signals and properties below. Check them against your product to gauge exposure. The named product rows list what the sources state about the affected product.

Required

Off-the-shelf software

Contributing

Therapy delivery

Outlook 400ES infusion pump

Therapy delivery Off-the-shelf software

Fix the class in your product

The advisory is not for a bug you wrote; it is in a component you embed. As the maker, pin dependencies to fixed versions, generate an SBOM on every build including transitive components, and gate the pipeline on known-vulnerable components so an advisory maps to your products automatically.

Pin and inventory. Exact versions, and a CycloneDX or SPDX SBOM as a build artifact including transitive deps.
Gate on advisories. A CI scan fails a release carrying a component with a known advisory.
Own the field patch path. Know how you deliver a dependency or platform patch to fielded devices before you need it.

Mapped EMB3D mitigations

Questions & Answers

Which B. Braun product uses the Treck TCP/IP stack affected by Ripple20?

B. Braun says the Outlook 400ES infusion pump in the Outlook ES Safety Infusion System is its only product using the vulnerable Treck TCP/IP code covered by ICSA-20-168-01.

How did B. Braun score the Ripple20 CVEs for the Outlook 400ES?

B. Braun scored CVE-2020-11903, CVE-2020-11906, CVE-2020-11912 and CVE-2020-11914 at 0.0 for the Outlook ES, rated the risk controlled, and released enhancement software 151738 Rev A and 151738 MP.

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