Blue Goat Cyber logoBlue Goat CyberSMMedical Device Cybersecurity
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    Comparison guide

    Black-Box vs White-Box Pen Test

    What you give the tester decides what they will find.

    The details

    Side-by-side breakdown

    Dimension Black-box White-box
    Info given to tester Just the device and its external interfaces. Source code, threat model, design docs, SBOM, credentials.
    Simulates External attacker with zero insider knowledge. Informed adversary who has compromised internal documents or staff.
    Coverage Strong on external-facing attack surface; limited on internal logic. Comprehensive - finds logic and design flaws unreachable from outside.
    Effort 2-4 weeks typical. 4-8 weeks; cheaper per finding due to higher signal.
    FDA expectation Acceptable for some external interfaces but rarely sufficient on its own. Preferred for the full cybersecurity testing report; aligns with AAMI SW96.
    When to choose Sanity-check a release candidate; vendor due diligence. Premarket submission; deficiency-letter response; PMA support.
    Guidance

    When to use which

    Default to white-box or gray-box testing for any premarket submission. Provide the testers with the threat model, SBOM, design docs, and a non-production credential set so they can verify each documented control.

    Use black-box testing later in the lifecycle as a periodic external-attacker check (e.g. annually or after major releases), not as the primary premarket evidence.

    FAQ

    Frequently asked questions

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