The FDA's Feb 3, 2026 final premarket cybersecurity guidance raised the bar on pen test scope, methodology, and tester independence. Reports written to older 2023-era framing are drawing first-cycle deficiencies.
A plain-English breakdown of what the FDA, ANSI/AAMI SW96:2023 (with TIR57 as informative guidance), and eSTAR actually require for medical device penetration testing - the scope reviewers expect, the methodology they want documented, and the report format that survives a cybersecurity review without a deficiency letter.
Section 524B(b)(2) - what 'reasonable assurance of cybersecurity' really means
FDA Feb 3, 2026 final premarket guidance - pen test expectations
ANSI/AAMI SW96:2023 (with TIR57 as informative) - scope, methodology, and evidence requirements
eSTAR cybersecurity attachments - what must be in the report
Scope coverage: device, cloud, mobile, BLE/RF, OTA
Common deficiency-letter triggers and how to avoid them
Free 30-min call · Senior US expert · Mutual NDA before the call
275+
Devices supported
None
Cybersecurity-related rejections to date
24 hrs
Quote turnaround
Last updated
“Blue Goat provided testing on our system for cybersecurity and provided the necessary documentation to add to our regulatory submission.”
Bernie Lane, Engineer Manager, CSA Medical Inc
275+FDA medical device pen tests shipped
100%Pen tests that surfaced at least one finding. We have never returned a clean report
0FDA cybersecurity rejections on a Blue Goat Cyber pen test report
FDA Feb 2026 guidance · §V.C
Tester independence, documented the way reviewers expect
The FDA Test Report requirement asks for an explicit independence statement. Reviewers check for it before they read findings. Every Blue Goat Cyber report includes it, named oversight included.
External independence
Our pen test team has no role in writing your device firmware, cloud code, or mobile app, and never has. No remediation work, no architecture authorship, no source contributions. The independence statement in your report names the team and the boundary.
Internal independence
Inside Blue Goat Cyber, the pen test team is structurally separate from any consulting or remediation work we do for you. Oversight sits with our CTO and our VP of Regulatory Affairs, both named in the report so reviewers can trace accountability.
One fixed fee
Retesting included until clean
3 to 4 retest rounds is typical. Some submissions take 20+. One fixed fee covers them all. We do not bill per retest, per finding, or per round.
Every closed finding gets re-executed against the original exploit path
Retest evidence is appended to the same report your reviewer sees
Scope creep that introduces new surfaces is a separate quote, on purpose
Trusted by medical device teams worldwide
Lifecycle scope
What FDA reviewers expect in a medical device pen test
Premarket to postmarket. One senior team owns every cybersecurity artifact the FDA reviewer will open.
01
Section 524B(b)(2) coverage
The pen test must demonstrate the device is 'cyber secure' - meaning every attack surface in the threat model has been exercised by an independent tester, not just a vendor self-attestation.
02
Scope tied to the threat model
Reviewers expect a one-to-one mapping: every STRIDE threat → at least one test case → a documented result. A pen test that ignores threats in your own model is a near-automatic deficiency.
03
All connected interfaces in scope
Device firmware, cloud backend + APIs, mobile companion apps, BLE/Wi-Fi/RF, and OTA update channels. Web-app-only testing on a connected medical device will be rejected.
04
Methodology documented
Reviewers want to see the methodology (e.g. OWASP, PTES, NIST 800-115), tools used, test cases run, and the rationale for what was in/out of scope - not just a list of findings.
05
Reviewer-format report + evidence
Executive summary, scope, methodology, findings with CVSS, remediation, retest results, and tester credentials - formatted to be dropped straight into the eSTAR cybersecurity attachments.
06
Independent tester
FDA expects testing performed by qualified personnel independent of the development team. Self-tests by the dev team rarely satisfy reviewers and frequently trigger deficiency letters.
Common FDA findings
Where pen test reports get cited as deficient
These are the report-level gaps that trigger FDA cybersecurity deficiency letters even when the underlying testing was solid.
No tester independence statement
Report doesn't document that testers are independent of the development team. Reviewer flags it as a 524B(b)(2) gap regardless of test quality.
Scope doesn't match the threat model
Threat model lists 30 STRIDE entries, pen test report exercises 8. Reviewer asks for the missing 22 - and the submission stalls.
Cloud or mobile out of scope
Only the device firmware was tested. Cloud APIs, mobile companion apps, and OTA channels are out of scope. Reviewer requires the full attack surface.
No methodology section
Findings are listed but the report doesn't say which methodology (OWASP, PTES, NIST 800-115) was followed, what tools were used, or what was deliberately out of scope.
Findings without CVSS or remediation
A finding list with severities but no CVSS vectors, no remediation guidance, and no retest evidence. Reviewer cannot evaluate residual risk.
BLE / RF assumed not tested
If the report doesn't explicitly call out BLE, Wi-Fi, or RF testing, reviewers assume it wasn't done. Easy fix - say so in the report.
Blue Goat Cyber vs. the alternatives
What you actually get versus a generic pen test shop or doing it in-house against a regulatory clock.
Capability
Blue Goat Cyber
Generic pen test shop
In-house
Senior medical device cybersecurity engineers
Every project, US-based
Junior pen testers, rotating
Hard to hire and retain
FDA reviewer-format reports
eSTAR-attachable, 524B-mapped
Raw findings dump
Built from scratch each time
Retests included until findings close
Included, fixed fee
Billed per retest
Internal cycle cost
FDA submission track record
275+
Rare medical device experience
First submission risk
Mutual NDA before first call
Standard
Usually after SOW
n/a
What happens after you book the call
1Day 0
Mutual NDA + 30-min requirements review
We sign a mutual NDA, then map your existing pen test (or planned one) against Section 524B, the FDA's Feb 3, 2026 premarket guidance, and ANSI/AAMI SW96:2023.
2Day 1
Free 30-min discovery call
We walk your current pen test scope on the discovery call and return a fixed-fee quote within one business day showing exactly what's missing and what it takes to close.
3Weeks 2-6
eSTAR-ready pen test (if needed)
If a re-scoped or supplemental pen test is the right move, we run it - device, cloud, mobile, wireless - and deliver a reviewer-format report eSTAR-attachable.
"Blue Goat provided testing on our system for cybersecurity and provided the necessary documentation to add to our regulatory submission. They were very knowledgeable in the requirements, and performed the testing onsite which made the logistics of equipment availability easier for us. The communication was excellent, and they were able to expedite the testing and provide final reports in a very short period of time."
- Bernie Lane, Engineer Manager, CSA Medical Inc
Cybersecurity deficiency remediation included
If the FDA raises a cybersecurity deficiency, we fix it at no additional cost. 275+ devices supported.
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
No sales pressure. After the call, you get a concrete written strategy mapped to Section 524B and the FDA February 2026 final guidance.
Senior US engineers, fixed fee
Senior-led delivery on every FDA-facing artifact. No offshoring, no hourly billing. Revisions included. Every artifact is eSTAR-ready.
Common questions
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+ devices supported. Author of three books including Medical Device Cybersecurity: An In-Depth Guide.
30-minute call with a senior medical device cybersecurity expert. Fixed-fee quote within 24 hours of the call. Reviewer-ready report, retests included.