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    MedTech Cybersecurity · Since 2022

    Deliverable

    PCCP cybersecurity appendix

    One document that ties every planned change in your PCCP to your threat model and risk assessment, so a reviewer can see what each change touches and how you will prove it is still secure.

    Short answer

    The PCCP cybersecurity appendix is a deliverable in our PCCP cybersecurity engagements. For each class of planned change, it names the threat model elements and Threat Table rows affected, the security risk impact traced to your ISO 14971 file, the triggers that force a full reassessment, and the tests and pass criteria needed before release.

    What the appendix contains

    1. A1. Modification class register

      Every planned change in your PCCP, grouped into classes (for example model retraining, cryptographic library upgrade, OS baseline update). Each class gets an ID that the rest of the appendix refers back to.

    2. A2. Threat model impact map

      For each class, the data flow elements, trust boundaries and entry points it can touch, and the Threat Table rows it could change. A class that touches nothing security-relevant says so, with the reason.

    3. A3. Security risk impact

      For each affected Threat Table row, how the change could move exploitability, which harm in your ISO 14971 file it traces to, and whether residual risk could cross your acceptance criteria. Severity stays on your existing safety scale.

    4. A4. Reassessment triggers

      The conditions that send a change back to the full threat model and risk assessment instead of the PCCP route: a new entry point, a new trust boundary, a new data type, or a residual risk that would no longer be acceptable.

    5. A5. Verification methods and pass criteria

      The security tests each class needs before release: SBOM regeneration and vulnerability check, security regression suite, and when a scoped penetration test is required. Each test has a written pass criterion.

    6. A6. Boundary and fallback

      What takes a change outside the PCCP, and which route it then follows: your postmarket cybersecurity plan, a letter to file, or a new submission.

    Sample entry

    An illustrative entry for one modification class. Real appendices use your own IDs.

    MC-03: Third-party TLS library minor version update
    Threat model elementsDevice to cloud link (DF-4), mobile app to device link (DF-2); entry points EP-2 and EP-4
    Threat Table rowsT-07 spoofed cloud endpoint, T-11 session hijack, T-12 downgrade to weak cipher
    Risk impactExploitability may drop (fixes) or rise (new defaults). Harms H-03 and H-05 unchanged. Residual risk must stay at or below current rating.
    Reassessment triggerNew cipher suite, certificate handling change, or any change to authentication flow
    VerificationSBOM diff and vulnerability check; TLS configuration scan; regression tests for T-07, T-11, T-12; no pen test unless a trigger fires
    Pass criteriaNo new high or critical vulnerability; TLS 1.2 or later only; all three regression tests pass
    Outside the PCCP ifA major version change or any trigger above fires

    How it connects to the threat model

    The appendix uses the IDs from your threat model: data flow elements, entry points, and Threat Table rows. When a change ships, the matching rows are updated and the test-case IDs in the Threat Table point to the regression tests that ran. If a change would add an entry point or trust boundary, it leaves the PCCP route and goes back to a full threat model update.

    How it connects to the risk assessment

    Each affected Threat Table row carries its exploitability rating and the harm it traces to in your ISO 14971 file. The appendix states how a change could move exploitability and confirms residual risk stays inside the acceptance criteria you set before scoring. If it would not, the change is outside the PCCP. For how the two risk files fit together, read ISO 14971 and AAMI SW96.

    What we check before writing it

    • The threat model matches the device you are submitting
    • Every Threat Table row has an ID, a control, and a test-case ID
    • Cybersecurity hazards trace to harms in the ISO 14971 file
    • Acceptance criteria are written down before scoring
    • Planned changes are specific enough to be classed

    If any of these are missing, we start with a threat model and hazard analysis gap assessment. To draft the plan itself, try the free PCCP Builder or read the FDA PCCP guide.

    FAQ

    What is a PCCP cybersecurity appendix?
    A document that sits behind the cybersecurity content of your Predetermined Change Control Plan. It maps each planned modification class to the threat model elements and risk rows it can affect, sets the triggers that force a full reassessment, and lists the security tests and pass criteria for each change.
    Does the FDA require an appendix in this format?
    No. The FDA's August 18, 2025 final AI PCCP guidance recommends a Description of Modifications, a Modification Protocol, and an Impact Assessment, and the February 2026 premarket guidance sets the cybersecurity expectations. The appendix is how we package the security evidence so a reviewer can follow it. You can attach it or fold its content into the three main sections.
    What do you need from us?
    Your list of planned changes, a current threat model with its Threat Table, and the cybersecurity-related rows of your hazard analysis. If the threat model or hazard analysis is missing or out of date, we fix that first.
    Does the appendix stay current after clearance?
    It should. Each time a change ships under the PCCP, the matching rows in the threat model and risk assessment are updated, and the appendix records which tests ran and their results. We can maintain it for you or hand it over.
    How is it priced?
    It is part of our PCCP cybersecurity engagements, quoted as a fixed fee after a scoping call.

    Scope your PCCP appendix

    Tell us about your device and the changes you plan to make. We'll set up a short scoping call and quote a fixed fee.

    Or skip the form - book a strategy session →

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