Legacy Medical Device Cybersecurity - Compensating Controls & Risk Reduction for Fielded Devices.
We reduce cybersecurity risk for devices in the field - without requiring a redesign, a new FDA submission, or taking the device offline. Whether you're the manufacturer responsible for the device or the hospital managing it, the risk is the same - and the approach differs.
No Redesign. No New Submission. No Downtime.
- Compensating controls
- Network segmentation
- Section 524B documentation
- SBOM reconstruction
- Free 30-min call
- No obligation
- Senior expert on the call
- Fixed-fee quote in 24-hours
- NDA available on request
What an unprotected legacy device costs you
A fielded device that hasn't been re-evaluated against current FDA expectations carries three concurrent forms of risk - and they compound the longer the device stays in service.
Regulatory exposure
FDA's Section 524B obligations now reach legacy devices in ways many manufacturers haven't registered. A fielded device with unaddressed vulnerabilities can trigger a postmarket surveillance action, an inspection finding, or - in the worst case - a recall.
Patient safety drift
A legacy device running unpatched software isn't protected by the cybersecurity controls that cleared it. Attack surfaces expand as the threat landscape evolves; the device doesn't evolve with it. The risk profile that was acceptable at clearance no longer reflects reality.
Commercial fallout
A coordinated vulnerability disclosure event on a fielded device is public. It damages the brand, triggers regulatory scrutiny, and can force a market withdrawal. Compensating controls implemented before disclosure prevent this scenario entirely.
Legacy / installed-base attack surface
Legacy devices were rarely built with current cybersecurity expectations and often can't be redesigned. The engagement focuses on compensating controls, network isolation, and a postmarket plan that keeps the installed base defensible without a re-clearance.
- 01End-of-support OS / RTOS (Win7, XP, RTOS forks)
- 02Hard-coded / shared credentials
- 03Unsigned firmware update paths
- 04Open service / debug ports
- 05Hospital-network exposure (VLAN drift)
- 06Vendor remote-support tunnels
- 07Legacy mobile companions (deprecated APIs)
- 08Decommissioning + media sanitization
Layers shown outermost (top) to innermost (bottom). Dashed rows are part of the surrounding system but out of scope for this view.
Reviewer-ready deliverables in one engagement
Every legacy device protection engagement ships with the artifacts FDA reviewers expect to see - traceable, complete, and aligned with current guidance.
- No redesign required - every deliverable below is built to reduce risk on a device already in the field, with no hardware changes, no new FDA submission, and no removal from service.
- Risk assessment of fielded devices - current-state cybersecurity posture against FDA's 2026 guidance and Section 524B postmarket obligations, with documented findings ready for an inspector.
- Compensating control design - when the device's cleared software can't be changed, we design the surrounding controls (access, segmentation, monitoring) that bring residual risk into an acceptable range.
- Network segmentation guidance - practical, hospital-deployable segmentation patterns that isolate legacy devices from the broader clinical network without breaking integrations.
- Lifecycle extension planning - a documented path that keeps the device commercially viable and audit-defensible until end-of-support, including SBOM reconstruction where the original is missing.
Public postmarket cybersecurity history
Recalls, CISA ICS-MA advisories, and disclosed research that shape what reviewers ask about - and what this engagement is built to cover.
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CISA + the FDA·2019
Urgent/11 IPnet stack vulnerabilities (ICSMA-19-274-01)
Stack-level vulnerabilities affecting 200+ legacy device families. The model case for why an installed-base cybersecurity strategy needs compensating controls when patching is not realistic.
Advisory -
CISA + the FDA·2021-2023
BD Alaris legacy infusion advisories
Long-tail hospital-network exposed devices with hard-coded credentials and auth bypasses. Drove the FDA expectation that legacy devices ship a compensating-controls bulletin to operating organizations, not just a deprecation notice.
Advisory
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Legacy Device Protection - scoped, fixed-fee, FDA-ready.
We reduce cybersecurity risk for devices in the field - without requiring a redesign, a new FDA submission, or taking the device offline. Whether you're the manufacturer responsible for the device or the hospital managing it, the risk is the same - and the approach differs.