Comparison guide

    ISO 14971 vs AAMI SW96

    They are not competing standards. SW96 is the cybersecurity overlay on ISO 14971's safety risk-management framework.

    The details

    Side-by-side breakdown

    DimensionISO 14971ANSI/AAMI SW96
    ScopeSafety risk management for medical devices.Cybersecurity risk management for medical devices.
    Current editionISO 14971:2019 (with A11:2021 for EU MDR).ANSI/AAMI SW96:2023.
    StatusFoundational - cited in every medical device regulation.FDA-recognized consensus standard for cybersecurity risk.
    Risk inputsHazards, hazardous situations, harm.Threats, vulnerabilities, exploitability, patient impact.
    Risk fileOne safety risk file (RMF).Parallel security risk file linked to the safety RMF.
    AcceptabilityRisk acceptability defined by manufacturer's policy.Cybersecurity risk acceptability mapped to patient harm; exploitability is a multiplier, not the whole story.
    Used togetherEvery cyber device needs both - SW96 outputs feed into the 14971 RMF for any threat that can cause patient harm.Designed as an overlay; SW96 explicitly references 14971.
    Guidance

    When to use which

    Build one safety RMF under ISO 14971 and one security risk file under SW96. Document the bridge: every SW96 threat with a non-zero patient-harm pathway must have a corresponding entry in the 14971 RMF.

    Do not delete legacy AAMI TIR57 traceability. The FDA accepts a SW96 overlay that demonstrates equivalence - rebuilding from scratch is rarely worth the cost.

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