Comparison guide

    IEC 62304 vs IEC 81001-5-1

    IEC 62304 addresses medical device software lifecycle processes. IEC 81001-5-1 addresses secure health-software lifecycle activities.

    The details

    Side-by-side breakdown

    DimensionIEC 62304IEC 81001-5-1
    ScopeSoftware lifecycle processes for medical device software.Health software security activities across the lifecycle.
    Current editionIEC 62304:2006/AMD1:2015.IEC 81001-5-1:2021.
    Safety classificationClass A / B / C by potential harm.Risk-based; layers on top of 62304 safety class.
    ActivitiesPlanning, requirements, architecture, detailed design, implementation, verification, release, maintenance.Secure-by-design, threat modeling, vulnerability management, security testing, secure update, postmarket monitoring.
    FDA recognitionRecognized consensus standard.Recognized; cited in 2026 premarket guidance as the SPDF underpinning.
    RelationshipFoundational SDLC standard.Cybersecurity overlay that maps each activity to a 62304 lifecycle stage.
    Guidance

    When to use which

    Update your software development plan to reference both standards. Every 62304 activity should have an 81001-5-1 cybersecurity counterpart - design review includes threat-model review, verification includes security testing, release includes SBOM generation.

    Review actual implementation as well as documents. Identify gaps in security requirements, threat modeling, testing, vulnerability handling, and maintenance; existing software procedures do not establish that security activities are performed.

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