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Writer's pictureGunashree RS

Creating a Threat Model Sample for IoT and Medical Devices

Updated: Aug 19

In today’s rapidly evolving technological landscape, where the Internet of Things (IoT) and medical devices are becoming increasingly integrated into our daily lives, the importance of security cannot be overstated. With the potential for severe consequences if these devices are compromised, threat modeling has become an essential practice in identifying and mitigating risks before they lead to catastrophic outcomes.


This guide will walk you through the concept of threat modeling, provide a real-world example, and help you create a threat model sample that you can apply to your own projects. Whether you’re a developer, security analyst, or quality assurance professional, understanding how to effectively model threats is crucial for ensuring the safety and security of your products.



Introduction: Understanding the Importance of Threat Modeling

Threat modeling is a structured process for identifying, assessing, and mitigating security risks in a system or application. It involves thinking like an attacker to uncover potential vulnerabilities and then implementing safeguards to protect against those threats.


As technology advances, the complexity of systems, especially in IoT and medical devices, increases. These devices often interact with the physical world and can have life-or-death consequences if they fail. For instance, a compromised medical implant could endanger a patient's life, while a hacked IoT device could expose sensitive data or disrupt critical infrastructure.


Given these high stakes, threat modeling is not just a good practice—it's a necessity. It helps you understand the risks your system faces, prioritize those risks, and design security controls that protect against potential attacks.



What is a Threat Model?

A threat model is a blueprint that outlines the security threats to a system, the possible vulnerabilities those threats could exploit, and the measures you can take to mitigate those risks. It is a proactive approach to security, helping you identify potential threats before they become actual problems.


Threat Model

Key Components of a Threat Model

A comprehensive threat model typically includes the following components:

  • Assets: What are you trying to protect? These could be data, devices, networks, or users.

  • Threats: What are the potential dangers? These could include unauthorized access, data breaches, physical tampering, or denial of service attacks.

  • Vulnerabilities: Where is the system weak? Vulnerabilities could be in the hardware, software, network configuration, or even human factors.

  • Attack Vectors: How could an attacker exploit these vulnerabilities? This includes methods like phishing, malware, brute force attacks, or exploiting software bugs.

  • Mitigations: What can you do to prevent these attacks? Mitigations could include encryption, access controls, firewalls, or user education.

  • Likelihood and Impact: How likely is the threat to occur, and what would be the consequences? This helps prioritize which threats to address first.


Why is Threat Modeling Important?

Threat modeling is important because it allows you to:

  • Identify Security Weaknesses Early: By anticipating potential threats, you can address vulnerabilities before they are exploited.

  • Prioritize Security Efforts: Not all threats are equally likely or equally damaging. Threat modeling helps you focus on the most critical risks.

  • Design with Security in Mind: Instead of bolting on security as an afterthought, threat modeling encourages you to integrate security into the design and development process.

  • Save Time and Resources: Addressing security issues early in the development process is far more cost-effective than fixing problems after they’ve been exploited.



Creating a Threat Model Sample: A Step-by-Step Guide

Creating a threat model may seem daunting at first, but by following a structured approach, you can systematically identify and mitigate risks. In this section, we’ll walk through the process of creating a threat model sample, using a real-world scenario to illustrate each step.


Step 1: Define the Scope and Assets

The first step in threat modeling is to define the scope of the system you’re analyzing and identify the assets you need to protect. Assets are anything of value that could be targeted by an attacker.


Example Scenario: Medical Implant Device Let’s consider a medical implant device, such as a pain management neurostimulator. The device is implanted in the patient’s body and is controlled by a remote, with the ability to adjust stimulation levels and recharge wirelessly.

Assets to Protect:

  • The neurostimulator device

  • Patient data stored or transmitted by the device

  • The remote control unit

  • The wireless charging system


Step 2: Identify Potential Threats

Once you’ve identified the assets, the next step is to think about the potential threats that could target those assets. A useful way to approach this is by considering the STRIDE model, which categorizes threats into six types:

  • Spoofing: Impersonating a legitimate user or device

  • Tampering: Altering data or components

  • Repudiation: Denying actions or transactions

  • Information Disclosure: Exposing sensitive data

  • Denial of Service (DoS): Disrupting service availability

  • Elevation of Privilege: Gaining unauthorized access


Potential Threats to the Medical Implant Device:

  1. Spoofing: An attacker could impersonate the remote control to change device settings.

  2. Tampering: Physical tampering with the implant or remote could alter its functionality.

  3. Information Disclosure: Wireless communication between the device and remote could be intercepted, exposing patient data.

  4. Denial of Service: An attacker could jam the wireless signals, preventing the remote from controlling the device.

  5. Elevation of Privilege: Exploiting a software vulnerability to gain control of the device.


Step 3: Identify Vulnerabilities

Next, identify the vulnerabilities that could be exploited to realize the threats you’ve identified. Vulnerabilities are weaknesses in the system that could be targeted by an attacker.


Vulnerabilities in the Medical Implant Device:

  1. Lack of Encryption: If wireless communication is not encrypted, it could be intercepted.

  2. Insecure Firmware: The device firmware could contain bugs or backdoors that allow unauthorized access.

  3. Weak Authentication: The remote control might use weak or easily guessable authentication methods.

  4. Physical Access: If the remote control is not securely stored, it could be physically tampered with or stolen.

  5. Insufficient EMI Shielding: The device might be vulnerable to electromagnetic interference, disrupting its operation.


Step 4: Analyze Attack Vectors

Attack vectors are the paths that an attacker could use to exploit vulnerabilities and realize threats. By analyzing potential attack vectors, you can better understand how an attacker might target your system.


Attack Vectors for the Medical Implant Device:

  1. Wireless Interception: An attacker could intercept wireless signals between the device and the remote, potentially modifying commands or extracting data.

  2. Firmware Exploitation: An attacker could exploit a bug in the device firmware to gain control or disrupt functionality.

  3. Physical Tampering: An attacker with physical access to the remote could modify it to send malicious commands.

  4. EMI Disruption: An attacker could use electromagnetic interference to disrupt the device’s operation, causing it to malfunction.


Step 5: Implement Mitigations

After identifying the threats, vulnerabilities, and attack vectors, the next step is to implement mitigations that reduce or eliminate the risks. Mitigations can include technical controls, process changes, or even design alterations.


Mitigations for the Medical Implant Device:

  1. Encryption: Implement strong encryption for all wireless communication between the device and remote to prevent interception.

  2. Firmware Security: Conduct thorough security audits of the firmware and implement secure boot mechanisms to prevent unauthorized updates.

  3. Strong Authentication: Use multi-factor authentication for the remote control to prevent unauthorized access.

  4. Secure Storage: Ensure that the remote control is securely stored when not in use to prevent physical tampering.

  5. EMI Shielding: Enhance the electromagnetic shielding of the device to prevent disruption from external interference.


Step 6: Assess Likelihood and Impact

Not all threats are equally likely or equally damaging. Assessing the likelihood and impact of each threat helps you prioritize your mitigations.


Likelihood and Impact Assessment for the Medical Implant Device:

Threat

Likelihood

Impact

Mitigation Priority

Spoofing the Remote Control

Low

High (Patient harm)

High

Wireless Communication Interception

Medium

Medium (Data leak)

Medium

Firmware Exploitation

Low

High (Device failure)

High

Physical Tampering

Low

High (Device misuse)

Medium

EMI Disruption

Very Low

High (Device failure)

Low

Step 7: Document and Review the Threat Model

Once you’ve completed your threat model, it’s essential to document your findings and review them with stakeholders. This ensures that everyone is aware of the risks and the steps taken to mitigate them.


Sample Documentation for the Medical Implant Device Threat Model:

Asset: Medical Implant Device

Threat: Spoofing the Remote Control

Vulnerability: Weak Authentication

Attack Vector: Wireless Interception

Mitigation: Implement Multi-Factor Authentication

Likelihood: Low

Impact: High

Mitigation Priority: High


Review this document with your development, QA, and security teams to ensure that the mitigations are implemented and that the threat model remains up to date as the system evolves.



Real-World Example: Threat Modeling for a Medical Implant

To further illustrate the process, let’s examine a real-world example involving a medical implant device. In this case, Brian Knopf, a security expert, faced the challenge of securing a pain management device implanted in his wife’s back.


Scenario Overview

The device in question was a neurostimulator, designed to manage chronic pain by generating electrical impulses in the body. It was controlled by a remote and charged wirelessly. Given the high stakes—potential harm to his wife—Knopf couldn’t afford to run traditional security tests on the device. Instead, he opted for threat modeling to identify and mitigate risks.


Threat Model for the Neurostimulator

Assets to Protect:

  • Neurostimulator device

  • Patient safety

  • Wireless communication channels


Identified Threats:

  1. EMI Interference: Strong electromagnetic interference could damage the device or disrupt its operation.

  2. Unauthorized Signal Interception: An attacker could intercept wireless signals and alter the device’s settings.

  3. High Voltage Activation: An attacker could potentially increase the device’s voltage, causing pain or harm to the patient.

  4. Overheating During Charging: The device could overheat while charging, leading to burns or other injuries.


Mitigations:

  1. EMI Shielding: The device was equipped with EMI shielding to protect against interference.

  2. Signal Security: The remote control was designed to only work when directly against the skin, reducing the risk of unauthorized signal interception.

  3. Voltage Control: The device included safeguards to prevent unauthorized changes to voltage settings.

  4. Temperature Monitoring: The device monitored its temperature and that of the surrounding skin, automatically stopping charging if overheating occurred.


Outcome

By carefully threat modeling the neurostimulator, Knopf was able to ensure that the device was safe for his wife to use, despite the inherent risks associated with its operation. The threat model helped identify potential issues that could have been catastrophic if left unaddressed.



Best Practices for Threat Modeling

To ensure that your threat modeling efforts are effective, consider the following best practices:


1. Start Early in the Development Process

The earlier you start threat modeling, the better. Integrating security into the design phase helps you build a more secure system from the ground up, reducing the need for costly fixes later on.


2. Involve Cross-Functional Teams

Threat modeling should be a collaborative effort involving developers, security experts, quality assurance professionals, and other stakeholders. This ensures that all perspectives are considered and that potential risks are not overlooked.


3. Keep the Threat Model Up to Date

As your system evolves, so too should your threat model. Regularly review and update the model to account for new features, changes in the threat landscape, and any new vulnerabilities that may emerge.


4. Use Established Frameworks

Leverage established frameworks like STRIDE, DREAD, or PASTA to guide your threat modeling process. These frameworks provide a structured approach to identifying and assessing threats.


5. Prioritize High-Impact Threats

Not all threats are equally significant. Focus your efforts on the threats that pose the greatest risk to your system, prioritizing those with high impact and high likelihood.


6. Document and Communicate Findings

Thorough documentation is essential for ensuring that your threat model is understood and implemented by all stakeholders. Clearly communicate the risks, mitigations, and priorities to ensure that everyone is on the same page.



Conclusion

Threat modeling is a powerful tool for identifying and mitigating security risks in complex systems, especially in high-stakes environments like IoT and medical devices. By following the steps outlined in this guide, you can create a comprehensive threat model sample that protects your assets, anticipates potential attacks, and ensures the safety and security of your users.

Whether you’re developing a medical implant, an IoT device, or any other technology, threat modeling should be an integral part of your security strategy. By thinking like an attacker and proactively addressing potential risks, you can build systems that are not only functional but also secure.



Key Takeaways

  1. Threat modeling is a proactive approach to security that helps identify, assess, and mitigate risks in a system.

  2. Key components of a threat model include assets, threats, vulnerabilities, attack vectors, mitigations, and an assessment of likelihood and impact.

  3. Real-world example: Brian Knopf’s threat modeling for a medical implant illustrates the importance of this process in high-stakes environments.

  4. Best practices for threat modeling include starting early, involving cross-functional teams, keeping the model up to date, using established frameworks, prioritizing high-impact threats, and documenting findings.

  5. Documentation and communication are crucial for ensuring that all stakeholders understand and implement the threat model effectively.




FAQs


1. What is a threat model?

A threat model is a structured representation of potential security threats to a system, including the identification of assets, threats, vulnerabilities, and mitigations.


2. Why is threat modeling important?

Threat modeling is important because it helps you proactively identify and mitigate security risks, ensuring that your system is secure and resilient against attacks.


3. What are the key components of a threat model?

The key components of a threat model include assets, threats, vulnerabilities, attack vectors, mitigations, and an assessment of the likelihood and impact of each threat.


4. How do you create a threat model?

To create a threat model, define the scope and assets, identify potential threats and vulnerabilities, analyze attack vectors, implement mitigations, assess the likelihood and impact, and document the findings.


5. Can you provide a real-world example of threat modeling?

Yes, a real-world example is the threat modeling performed by security expert Brian Knopf for a medical implant device, where he identified potential risks and implemented mitigations to ensure the device’s safety.


6. What are some best practices for threat modeling?

Best practices for threat modeling include starting early, involving cross-functional teams, keeping the model up to date, using established frameworks, prioritizing high-impact threats, and documenting findings.


7. How often should a threat model be updated?

A threat model should be updated regularly, especially when new features are added to the system, when the threat landscape changes, or when new vulnerabilities are discovered.


8. What frameworks can be used for threat modeling?

Common frameworks for threat modeling include STRIDE, DREAD, and PASTA, which provide structured approaches to identifying and assessing threats.



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