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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

Philips flags Pinnacle 18.x for the exploited Apache HTTP Server SSRF CVE-2021-40438

MedDevice Cyber Staff · Dec 10 · 2 min read · Via Philips security advisory

Philips issued an advisory on December 10, 2021 on CVE-2021-40438, a server-side request forgery vulnerability in Apache HTTP Server versions 2.4.48 and earlier. Reports confirmed active exploitation of the previously fixed flaw.

Philips lists Pinnacle 18.x as affected. SSRF lets an attacker make the server send requests on their behalf, often into internal services the attacker cannot reach directly. Fixed upstream months earlier, it was still being exploited, which says plenty about patch lag.

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Remediation Desk

For ProvidersOperators, hospitals, and clinical engineering

Pinnacle 18.x bundles an Apache HTTP Server version exposed to CVE-2021-40438. Get the Philips approved Apache update and restrict which hosts can reach the Pinnacle web service.

Confirm the Apache version. Check the Apache HTTP Server version shipped with Pinnacle 18.x.
Apply the Philips update. Install the Apache fix through Philips service.
Restrict inbound access. Allow the Pinnacle web service only from planning workstations.

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

Web interface

Pinnacle

PID-311

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

Is Philips Pinnacle affected by CVE-2021-40438?

Yes. Philips' December 10, 2021 advisory lists Pinnacle 18.x as affected by CVE-2021-40438, a server-side request forgery flaw in Apache HTTP Server 2.4.48 and earlier.

What is CVE-2021-40438 in Apache HTTP Server?

CVE-2021-40438 is a server-side request forgery vulnerability in Apache HTTP Server versions 2.4.48 and earlier that was under active exploitation when Philips flagged Pinnacle 18.x on December 10, 2021.

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