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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

Baxter says every ExactaMix compounder version is exposed to PrintNightmare

MedDevice Cyber Staff · Jul 23 · 2 min read · Via Baxter ExactaMix PrintNightmare bulletin

Baxter published a bulletin on July 23, 2021, citing CERT/CC Vulnerability Note VU#383432. All versions of ExactaMix compounders contain the Windows operating system and are therefore impacted by CVE-2021-34527, the PrintNightmare Windows Print Spooler remote code execution vulnerability. Listed are ExactaMix 1200 v1.1, v1.2, v1.4 and v1.5 and ExactaMix 2400 v1.10, v1.11, v1.13 and v1.14.

PrintNightmare abuses the Print Spooler service to run code with SYSTEM privileges. Ask Baxter whether the spooler can be turned off on units that do not print before waiting on a vendor-validated patch.

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Remediation Desk

For ProvidersOperators, hospitals, and clinical engineering

Every listed ExactaMix 1200 and 2400 build carries the vulnerable Print Spooler. Apply the Microsoft update only as Baxter validates it, and until then ask Baxter whether the spooler can be disabled or blocked from the network on each unit.

Get Baxter's validated update. Install only the Windows update Baxter approves for ExactaMix.
Limit the spooler. Disable or firewall the Print Spooler where Baxter confirms the unit does not need it.
Keep compounders isolated. Restrict inbound connections to the ExactaMix units to known service hosts.

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

Named operating system

ExactaMix

PID-23 Named operating system

Fix the class in your product

The flaw is in the OS inside the controller, or a system past end of service still in the field. As the maker, own the embedded OS and server lifecycle as a safety obligation, design controllers to update in the field, and make every fault degrade to a defined safe state.

Own the OS lifecycle. Patch the OS and server components on a schedule with a tested delivery path.
Design for field update. And for planned replacement, so an unpatchable unit has a path off the network.
Degrade to safe. A fault drives a defined safe state, never an unexpected stop on a life-sustaining device.

Mapped EMB3D mitigations

Questions & Answers

Is Baxter ExactaMix affected by PrintNightmare CVE-2021-34527?

Yes. Baxter's July 23, 2021 bulletin says all ExactaMix compounder versions, including ExactaMix 1200 v1.1 to v1.5 and ExactaMix 2400 v1.10 to v1.14, contain Windows and are impacted by CVE-2021-34527.

What is CERT/CC VU#383432?

CERT/CC Vulnerability Note VU#383432 covers PrintNightmare, CVE-2021-34527, a Windows Print Spooler remote code execution flaw that Baxter says affects all ExactaMix compounder versions.

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