Blue Goat CyberSMMedical Device Cybersecurity
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    Comparison guide

    STRIDE vs PASTA

    Two threat-modeling methodologies, two very different costs - and only one is a fast match for an FDA submission.

    The details

    Side-by-side breakdown

    Dimension STRIDE PASTA
    Origin Microsoft, 1999. Process for Attack Simulation and Threat Analysis, 2012.
    Type Threat-categorization mnemonic (6 threat types). Seven-stage risk-centric methodology.
    Inputs Data-flow diagram of the system. Business objectives + technical scope + threat intelligence.
    Effort per device 1-3 weeks for a typical Class II device. 6-12 weeks; requires business-impact workshops.
    Output Threat list mapped to STRIDE categories with mitigations. Attack scenarios with business-impact scoring and mitigation roadmap.
    FDA suitability Direct fit - maps cleanly to the FDA's threat-modeling expectations. Overkill for most submissions; useful for Class III or life-sustaining devices.
    Tooling Microsoft Threat Modeling Tool, OWASP Threat Dragon, IriusRisk. IriusRisk, ThreatModeler (with custom PASTA templates).
    Guidance

    When to use which

    Start every program with STRIDE on a current data-flow diagram. The output is exactly what reviewers want to see and what AAMI SW96 expects as the spine of the security risk file.

    Layer PASTA only when the device class or harm profile demands business-impact analysis (typically PMA-class implantables). Use it to extend, not replace, the STRIDE output.

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