medical device tamper / clinical IoT — quick-start

checklist

1. isolate the suspect device from network write paths — quarantine config push, not just the patient cable.
2. photograph device label (udi, serial, firmware) before biomed touches settings.
3. export pump / monitor / ventilator session logs from the unit or central station — hash immediately.
4. pull udi inventory record for the bedside location — confirm serial matches the physical unit.
5. collect break-glass audit for the patient and unit during the reported window.
6. preserve cmms baseline config snapshot if biomed has one — do not accept a post-incident re-export alone.
7. flag alarm silence or threshold-change events that precede the adverse event timestamp.
8. notify clinical engineering and risk management with a factual device timeline — not a root cause yet.
9. document collector, time, and hash for every export — first custody row goes in now.
10. begin the primary tool path below.

primary tools

1. 01insulin pump log forensic analyzerdrop insulin pump csv export (medtronic / tandem) · parse boluses + basal changes + alarms · runs locally
2. 02philips intellivue monitor alarm log forensic analyzerdrop intellivue alarm export · parse arrhythmia + threshold + silence events · runs locally
3. 03medical device udi tracking log forensic analyzerdrop udi scan + inventory export · parse implant lot + location chain · runs locally
4. 04hipaa break glass access log forensic analyzerdrop break-glass/emergency access export · parse reason code + patient + approver · runs locally
5. 05log file authenticity and integrity scorerdrop any log file · verify internal consistency · line endings · timestamps · detect log injection · fabrication indicators · authenticity score · runs locally
6. 06case report generatorfill in case number · examiner · dates · findings · drop evidence files for auto hash · generates structured forensic report PDF · runs locally

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