CVE-2023-31222 | Medtronic Paceart MSMQ Deserialization of Untrusted Data

Deserialization of untrusted data in Microsoft Messaging Queuing Service in Medtronic's Paceart Optima versions 1.11 and earlier on Windows allows an unauthorized user to impact a healthcare delivery organization’s Paceart Optima system cardiac device causing data to be deleted, stolen, or modified, or the Paceart Optima system being used for further network penetration via network connectivity.

Published: 2023-06-29 Last update: 2024-11-21 Assigner: [email protected] Source: [email protected]

Conclusion & alert: CVE-2023-31222 is rated High Risk (73.7/100): CVSS Critical severity, with high exploitation likelihood (EPSS 25.80%, 98th percentile). Core evidence: EPSS ranks this CVE among the most likely to be exploited in the near term. Mandatory action: High exploitation likelihood—assess exposure and prioritize remediation.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

Exploit prediction scoring system (EPSS) score for CVE-2023-31222

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-06-15 25.50% 25.80% +0.30%
2 2026-04-25 25.35% 25.50% +0.16%
3 2026-03-24 25.35%

Full EPSS history (14 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2023-31222

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
9.8 3.1 CRITICAL
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:N)
No account or special rights needed—anonymous or random user is enough.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:H)
They could widely tamper with or forge data—trust in the data is badly hurt.
Availability (A:H)
Could take the service down hard or make it unusable for people who depend on it.
3.9 5.9 [email protected]
8.8 3.1 HIGH
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:L)
A normal user session is enough; they don’t have to be admin.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:H)
They could widely tamper with or forge data—trust in the data is badly hurt.
Availability (A:H)
Could take the service down hard or make it unusable for people who depend on it.
2.8 5.9 [email protected]

Weakness enumeration for CVE-2023-31222

Affected software / configurations for CVE-2023-31222

Vendor Product Version Raw CPE
medtronic paceart_optima < 1.12 cpe:2.3:a:medtronic:paceart_optima:*:*:*:*:*:windows:*:*

References for CVE-2023-31222

cvelogic Threat Intelligence