Software that controls your body should always respect your freedom. This article is a recap of scandals of medical devices, like hearing aids, insulin pumps, bionic eyes, and pacemakers, and what we can learn from them. It’s astonishing: you wouldn’t expect these devices to be run by software in such a way that they can leave you completely helpless.

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I couldn’t disagree more with you. If you are running something REAL life critical the moment there is a patch you install it and deploy as fast as possible. And if it contains any severe patch it is even the vendor who recalls all the equipment with service bulletin and advisory letters.

With life critical you don’t wait the bug to appear because It maybe too late to avoid deadly consequences.

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No. If you’re working with life-critical systems, you only apply patches that are relevant to you. For example, an implantable insulin pump with Bluetooth capability. If there’s a patch that changes the Bluetooth functionality, but you don’t use that functionality, there’s no point in applying the patch.

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Oh yes, why would I apply a security patch for Bluetooth which I don’t even use, on my life-supporting device which someone else could connect to via Bluetooth without me knowing or noticing?

What you are saying is far from reality. Most patches only state vague stuff like “security” or “Bluetooth”.
How would you know, what those mean? Bluetooth could be “Hey, you can now monitor even more with your app” or “fixed some big holes in the chips security which made it hack able via Bluetooth”.

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You say it’s far from reality, but I’m speaking from experience. I was responsible for maritime life safety systems. When those systems were implemented, they were tested and qualified for use. It didn’t matter how many updates came out, if they weren’t qualified, they didn’t get deployed. If I had deployed an update that hadn’t been qualified, it would have put lives at risk, such as by causing issues with ship detection or man overboard alerts not going off.

If you want to get really into it, like the systems that run aircraft and nuclear reactors, look up formal verification.

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