Blue Goat CyberBlue Goat Cyber(844) 939-4628Call
    FDA RTA: Cybersecurity

    FDA Refuse to Accept for Cybersecurity? Fix the RTA Checklist Gaps

    We map the cybersecurity concerns in your FDA Refuse to Accept (RTA) letter to a rebuild plan and supporting evidence for your resubmission.

    • Fixed fee after scoping
    • Defined deliverables
    • Deficiency responses covered

    If the FDA raises a cybersecurity question, we answer it at no extra cost until the cybersecurity portion is closed.

    275+ FDA submissions supported, zero cybersecurity rejections.

    Book my free 30-min discovery call
    Review the acceptance-stage concerns and resubmission instructions in the actual letter with your regulatory team. Agree evidence updates and dates before rebuilding.

    An RTA on cybersecurity grounds identifies concerns at the FDA acceptance stage. We review the letter and supporting documentation, then rebuild the cybersecurity evidence within the agreed scope for your eSTAR resubmission. Free 30-min discovery call.

    • Free letter review under NDA, with a written rebuild plan
    • SPDF documentation rebuild for the submission
    • SBOM (SPDX or CycloneDX) with VEX
    • STRIDE threat model + risk assessment
    • Penetration test report (device, cloud, wireless)
    • Section 524B attestation + traceability
    • Rebuild delivered in 30 days or less from kickoff
    Book my free 30-min discovery callGet the deficiency response checklist (PDF)(844) 939-4628
    • Fixed fee, quoted in 24 hrs
    • No hourly billing
    • Agreed scope and exclusions
    • Dates agreed after scoping
    • Manufacturer review

    Free 30-min call · Senior US expert · Mutual NDA before the call

    275+
    FDA submissions supported
    Zero
    cybersecurity rejections
    24 hrs
    Quote turnaround

    Last updated October 26, 2026

    Why teams pick Blue Goat

    275+
    FDA submissions supported
    Zero
    cybersecurity rejections
    24 hrs
    Quote turnaround
    “The timeliness of this project exceeded my expectations; this was not my experience with other vendors.”
    Tim Sandberg, Vice President of IT Operations, Matrix One
    • Intuitive
    • Natera
    • bioMérieux
    • Inogen

    “The timeliness of this project exceeded my expectations; this was not my experience with other vendors.”

    Tim Sandberg, Vice President of IT Operations, Matrix One

    • Intuitive
    • Natera
    • bioMérieux
    • Inogen

    Free 30-min discovery call

    Tell us about your RTA letter

    Share a few details about your device and the FDA RTA checklist gaps. We'll sign a mutual NDA, then walk you through a written rebuild plan with effort and timeline on the initial call, typically within one business day.

    • Check calendar availability
    • 30 minutes, your time (UTC)
    1. 1Pick a time
    2. →
    3. 2Confirm your email. That's it.
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    Mutual NDA signed before the call. No pitch, a senior engineer will tell you straight if you don't need us.

    Not ready to pick a time? Send your details and we'll reply within one business day.

    Mutual NDA available on request.

    Not the one who books the call? Send them our one-pager (PDF)

    Trusted by medical device teams worldwide

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    Inogen logo
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    Lifecycle scope

    What we rebuild for your RTA resubmission

    The proposal identifies included deliverables, exclusions, manufacturer inputs, and review responsibilities for this engagement.

    01

    Full RTA checklist coverage

    We map the cybersecurity items identified in your RTA letter to supporting artifacts and document remaining gaps for manufacturer review.

    02

    FDA 2026 guidance aligned

    The rebuild plan is aligned to the February 2026 final premarket cybersecurity guidance and addresses the applicable Section 524B(b)(1)-(3) requirements. Acceptance decisions belong to the FDA.

    03

    SBOM with VEX, ready to attach

    SPDX is the default; CycloneDX can be agreed. Vulnerability assessments use device-specific evidence; VEX is optional manufacturer-reviewed communication.

    04

    STRIDE threat model

    Full threat model with multi-patient harm, updateability, and use-environment views. Aligned to AAMI TIR57 / ANSI/AAMI SW96.

    05

    Pen test mapped to threat model

    Device, cloud, mobile, and wireless attack surfaces tested independently. Findings traced back to threat model and risk file.

    06

    Fixed fee, retests included

    One fixed-fee quote covers the agreed rebuild and retesting scope. If the FDA raises a cybersecurity question, we answer it at no extra cost until the cybersecurity portion is closed.

    Common FDA findings

    Why cyber-grounded RTAs land in the first place

    The RTA letter identifies the concerns to address. We review the items below against your letter and documentation to define the rebuild scope.

    No Section 524B attestation in eSTAR

    Review whether the applicable attestation and supporting cybersecurity evidence are included in the submission.

    SBOM missing entirely or wrong format

    Review whether an SBOM is included and whether its contents and format address the concerns identified in the RTA letter.

    Threat model not attached

    A threat model may exist internally but be absent from the eSTAR cybersecurity attachments. Check the submitted attachments against the RTA letter.

    Pen test report scope mismatch

    Compare the documented test scope with the device's cloud, mobile, and wireless interfaces. Explain exclusions and identify evidence gaps.

    SPDF documented but not in eSTAR

    Check whether the submission contains the relevant Secure Product Development Framework documentation and supporting evidence.

    Cybersecurity labeling missing

    No customer security guide, no SBOM disclosure, no end-of-support communication. Reviewer cites missing transparency under 524B(b)(2).

    Blue Goat Cyber vs. the alternatives

    What you actually get versus a generic regulatory consultant or scrambling to fix the cyber RTA findings in-house.

    CapabilityBlue Goat CyberGeneric regulatory consultantIn-house
    RTA cybersecurity-checklist coverageIdentified cyber RTA items mapped to supporting deliverablesRegulatory focus, cyber items left thinFirst time mapping the checklist
    Speed to resubmissionDates agreed after letter and evidence reviewHourly, drifts with scopeCompetes with engineering work
    eSTAR-attachable deliverablesOrganized for attachment to the resubmissionWord docs that need reformattingReformatted each time
    Track record275+ FDA submissions supported, zero cybersecurity rejections.Variable, cyber-specific track unclearFirst-submission risk
    Pricing modelFixed fee, revisions includedHourly + change ordersHidden internal cost

    What happens after you book the call

    1. 1Scoping

      Review your letter and evidence

      Discuss architecture, available records, access, responsibilities, and target dates. Agree confidential handling before transferring device material.

    2. 2Proposal

      Agree deliverables, fee, and dates

      The proposal identifies included work, exclusions, manufacturer inputs, and delivery milestones. The 24-hour quote turnaround is separate from delivery, remediation, and review time.

    3. 3Agreed dates

      Prepare the response evidence

      Update the artifacts and testing identified by the letter review. Deliver a point-by-point response with evidence references for your regulatory team to review and submit. The FDA decides the outcome.

    "The timeliness of this project exceeded my expectations; this was not my experience with other vendors. Blue Goat Cyber delivered a thorough, detailed report and complete testing faster than I anticipated, without compromising quality."
    Tim Sandberg, Vice President of IT Operations, Matrix One

    Support matched to your scope

    If the FDA raises a cybersecurity question, we answer it at no extra cost until the cybersecurity portion is closed.

    Mutual NDA before the call

    We sign a mutual NDA before the initial call so you can share device details, architecture, and FDA correspondence freely.

    Fixed-fee quote within 24 hours of the call

    The quote identifies deliverables, assumptions, and dates. Quote turnaround is separate from the time needed to deliver the work.

    Senior US engineers, fixed fee

    Senior-led cybersecurity work within the agreed scope. Your team reviews the evidence and owns risk, release, and submission decisions.

    Common questions

    Christian Espinosa, Founder & CEO of Blue Goat Cyber

    Who you're talking to

    Christian Espinosa, Founder & CEO

    MBA, CISSP · U.S. Air Force Academy graduate · 30+ years in cybersecurity

    Christian leads the senior medical device cybersecurity team behind 275+ FDA submissions supported, zero cybersecurity rejections. Author of three books including Medical Device Cybersecurity: An In-Depth Guide.

    LinkedInFull bio

    RTA'd on cybersecurity? Let's resubmit.

    30-minute call with a senior medical device cybersecurity expert. Fixed-fee quote within 24 hours of the scoping call. Your regulatory team reviews and submits the rebuilt evidence on separately agreed dates.

    Pick a time that worksCall (844) 939-4628
    Replies in 1 business day/Mutual NDA first/US-based senior engineer/No sales pitch
    See the full deficiency response service →

    Blue Goat Cyber

    Scottsdale, Arizona, USA · (844) 939-4628

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