The Entire Premarket Cybersecurity Package for Software as a Medical Device.
We own the entire FDA Section 524B premarket cybersecurity submission for your SaMD: threat model, secure architecture, SBOM, cloud + mobile + API pen testing, vulnerability management plan, labeling, and reviewer-ready evidence binder. Most modern SaMD includes AI/ML, so we extend the same package with PCCP, GMLP, adversarial robustness, and transparency labeling when your device uses ML. Postmarket monitoring is a separate annual contract, but you can bundle it with premarket at signature for a single fixed fee from kickoff through your first year on market.
Software as a Medical Device (SaMD) that connects to the internet counts as a cyber device under Section 524B, so it needs the same deliverables as hardware: a threat model, risk assessment, SBOM, architecture views, penetration testing and a postmarket management plan. For SaMD, the cloud, APIs, mobile apps and identity systems are usually the main attack surface, so testing and documentation focus there.
One team owns the full FDA Section 524B premarket package, with AI/ML extensions (PCCP, GMLP, AAMI CR34971) layered in when your SaMD includes a model.
SBOM and vulnerability review, cloud/mobile/API security testing, and eSTAR documentation mapping as specified in the proposal.
Required inputs
Intended use, cloud/mobile/web architecture, data flows, identity and tenancy design, source/build evidence, and software versions.
Hazard analysis, existing cybersecurity records, test accounts, authorized test environments, and regulatory handoff requirements.
Exclusions and separate work
Clinical effectiveness, general software V&V, cloud operation, engineering fixes, and ongoing monitoring are not automatically included. QMS integration and new product versions require separate agreement.
General software verification and validation, clinical performance testing, and full QMS implementation or certification are outside Blue Goat's product cybersecurity scope.
The manufacturer retains engineering changes, clinical-risk evaluation, risk acceptance, release approval, and regulatory submission decisions. No regulatory outcome is promised.
Pricing and scope changes
A written fixed-fee quote after scoping. The proposal names deliverables, versions, assumptions, required inputs, exclusions, and agreed dates. Additional work requires a separately agreed scope change. Missing inputs, access restrictions, manufacturer fixes, and review feedback can affect delivery.
Why generic medical-device cyber programs miss SaMD
Most cybersecurity guidance assumes a connected device with firmware. When the device is a cloud service or a mobile app, the deliverables change.
"Hosted on AWS" is not architecture documentation
The FDA guidance calls for architecture views, including a cloud reference architecture (VPC, IAM boundaries, KMS, tenancy isolation, logging) as a first-class diagram. Pointing at a shared-responsibility matrix draws a deficiency.
SiMD pen tests don't satisfy SaMD reviewers
Network and RF testing won't cover what matters: web app, API, mobile binary, OAuth/SSO redirection, multi-tenant data isolation, and cloud config drift. Scope must cite OWASP ASVS / MASVS.
Because you control the production environment, plan for continuous deployment with documented change control and a CVE-to-patch SLA in days-to-weeks, not the quarterly cycle a SiMD can justify.
AI/ML is now part of most SaMD, and the FDA treats it that way
If your SaMD includes a model (clinical decision support, image analysis, risk scoring, LLM features), plan for a PCCP where applicable, GMLP-aligned lifecycle, adversarial robustness evidence, and transparency labeling on top of the standard Section 524B package. We bundle the AI/ML extension into the SaMD engagement so nothing falls between services.
Attack surface
SaMD attack surface we cover
Scoped to your modality: cloud-hosted CDS, mobile diagnostic app, web image-analysis viewer, digital therapeutic, or AI/ML SaMD.
Cloud architecture & tenancy
IAM, KMS, and service-account review (least privilege, key rotation)
Build provenance and CI/CD pipeline review (SLSA-aligned)
Web app & API
Authenticated and unauthenticated testing per OWASP ASVS L2/L3
OWASP API Top 10: broken object-level authorization, mass assignment, rate limiting
OAuth / SSO redirection, token replay, EHR federation flows
Session management, CSRF, and clinical-workflow business logic abuse
Mobile SaMD (iOS / Android)
OWASP MASVS: local storage, IPC, runtime tampering, certificate pinning
Side-loading and repackaging resistance, code-signing integrity
Backend API coverage from the mobile threat model
Offline-mode and sync-conflict edge cases that affect clinical correctness
SBOM, supply chain, & dependencies
Application SBOM and container base-image SBOM (CycloneDX)
VEX statements covering exploitability in your deployed configuration
Dependency confusion / typosquatting controls in package registries
Third-party API and AI-vendor inventory, including BAAs/DPAs where PHI is in scope
How it works
How we engage
Scope first, then test what matters, then document for the FDA and the notified body.
01
1 · SaMD scoping & threat model
STRIDE-based threat model of the cloud architecture, mobile/web client, CI/CD, and IAM, with explicit RACI for manufacturer, cloud provider, and operating organization per IEC 82304-1.
02
2 · Section 524B documentation
Cybersecurity risk assessment (AAMI SW96), security architecture views, SBOM (app + container), patchability narrative, and operating-environment assumptions for labeling.
03
3 · Test execution
Manual-led web/API pen test (OWASP ASVS), mobile pen test (MASVS) where applicable, cloud configuration review, and IAM/tenancy isolation validation. Reproducible artifacts.
04
4 · Submission package
FDA-reviewer-ready evidence binder mapped to the 2026 premarket guidance and Section 524B, plus a parallel pack aligned to MDCG 2019-16 / IEC 81001-5-1 for EU MDR.
05
5 · Optional postmarket bundle
Postmarket monitoring (continuous SBOM monitoring, CSPM drift alerts, CVE-to-patch SLA, CVD intake) is a separate annual contract. You can bundle it with premarket at signature so the same team carries you from kickoff through your first year on market under one fixed fee.
What's included
Reviewer-ready deliverables in one engagement
Every engagement ships with documented artifacts, traceable, complete, and aligned with current guidance.
Entire FDA Section 524B premarket cybersecurity package, owned end-to-end
Threat model, secure design docs, architecture views, and labeling
Cloud + mobile + API pen testing (OWASP ASVS / MASVS) and IAM/tenancy review
SBOM (app + container) with VEX, vulnerability mgmt plan, and patchability narrative
Relevant standards
Standards SaMD cybersecurity maps to
Every samd cybersecurity engagement produces evidence aligned to the regulatory and consensus standards FDA reviewers and notified bodies expect to see, traceable, complete, and ready to drop into your ISO 13485 quality system.
Featured site-wide
FDA 2026 Guidance Featured
FDA Premarket Cybersecurity Guidance (Feb 3, 2026)
Recommends risk-based cybersecurity evidence, including threat modeling, architecture views, and testing. An SPDF is encouraged, not mandatory; Section 524B separately establishes statutory duties for covered cyber devices.
Section 524B
FD&C Act Cyber Device Requirements
Statutory duties for cyber devices on covered 510(k), De Novo, PMA, PDP, and HDE pathways: a postmarket vulnerability plan, cybersecurity and update processes, and an SBOM. IDE applications are not Section 524B submissions.
SPDF
Secure Product Development Framework
An end-to-end secure development approach encouraged in Section IV.A.1. Other approaches may satisfy the QMSR; Section 524B does not require a named SPDF.
IEC 81001-5-1
Health Software Security Activities
International standard for security activities across the health software product lifecycle.
ANSI/AAMI SW96 Featured
Medical Device Security Risk Management
The consensus standard for medical device security risk management, asset, threat, vulnerability, likelihood, severity, and residual risk acceptability.
ISO 14971 Featured
Medical Device Risk Management
Foundational risk management standard. Cybersecurity risk is tied directly to patient-safety risk in the 14971 file.
OWASP ASVS
Application Security Verification Standard
Verification requirements for web and application security controls.
OWASP MASVS
Mobile Application Security Verification Standard
Verification requirements for iOS / Android companion app security controls.
OWASP API Top 10
API Security Top 10
The most common and impactful API security risks - required reading for any device with cloud or partner APIs.
Services mapped to the same standards as samd cybersecurity
Medical device advisories and safety communications, with links to original sources. An alert is a reason to assess applicability, not proof that your device is affected.
Connect threats to controls and test evidence. Compare the CISA 2026 SBOM fields with the NTIA 2021 baseline the FDA still cites, plus its support fields. Guidance recommendations remain separate from statutory duties.
SaMD Cybersecurity - scoped, fixed-fee, built for FDA premarket submissions.
We own the entire FDA Section 524B premarket cybersecurity submission for your SaMD: threat model, secure architecture, SBOM, cloud + mobile + API pen testing, vulnerability management plan, labeling, and reviewer-ready evidence binder. Most modern SaMD includes AI/ML, so we extend the same package with PCCP, GMLP, adversarial robustness, and transparency labeling when your device uses ML. Postmarket monitoring is a separate annual contract, but you can bundle it with premarket at signature for a single fixed fee from kickoff through your first year on market.
Pick the shape that looks like your device. Same fixed-fee package, scoped to the attack surface that actually applies.
Cloud-hosted CDS or workflow SaMD
Multi-tenant SaaS that ingests clinical data, runs decision logic, and writes back to the EHR. We cover IAM, KMS, tenancy isolation, OWASP ASVS, and CSPM drift baselines.
Mobile diagnostic or therapeutic app
Native iOS / Android SaMD where the phone is the device. We cover OWASP MASVS, certificate pinning, runtime tampering, code-signing, and the backend API the app talks to.
Web image-analysis viewer
Browser-based viewer for radiology, pathology, or wound imaging. We cover OAuth/SSO redirection, DICOM transport, session management, and clinical-workflow business-logic abuse.
AI/ML SaMD with a model in the clinical path
ML clinical decision support, image analysis, risk scoring, or LLM features. We layer PCCP, GMLP, adversarial robustness, and transparency labeling on top of the standard Section 524B package.
Standards crosswalk
One evidence binder. Four regulators happy.
The same SaMD artifacts satisfy the FDA Section 524B, AAMI SW96, IEC 81001-5-1, and MDCG 2019-16 - mapped row-by-row so you don't pay to rebuild evidence for each filing. This is the table reviewers cite when they ask "where is your control for X?"
Deliverable
FDA §524B
+ 2026 guidance
AAMI SW96
ANSI/AAMI
IEC 81001-5-1
lifecycle activities
MDCG 2019-16
EU MDR notified body
Cybersecurity threat model (STRIDE)
Cloud architecture, mobile/web client, CI/CD, IAM and tenancy boundaries.
Primary
Primary
Primary
Primary
Cybersecurity risk assessment
Patient-safety risk linkage to ISO 14971; AAMI SW96 risk-acceptability rationale.
Primary
Primary
Primary
Primary
Secure design & architecture views
Reference architecture, trust boundaries, data flows, IAM/KMS, multi-tenant isolation.
Primary
Supports
Primary
Primary
SBOM (application + container)
CycloneDX, third-party + transitive dependencies, container base images.
Primary
Supports
Primary
Primary
VEX statements
Exploitability per CVE in the deployed configuration; published alongside advisories.
Primary
Supports
Supports
Primary
Penetration testing (web / API / mobile / cloud)
OWASP ASVS L2/L3, OWASP API Top 10, OWASP MASVS, cloud configuration review.
Layered when the SaMD includes a model; references AAMI CR34971 and NIST AI RMF.
Primary
Supports
Supports
Supports
Primary = framework explicitly requires this artifact. Supports = framework accepts it as evidence or references it indirectly.
How we compare
Blue Goat vs. a boutique pen-test shop vs. a big consultancy
Most SaMD founders compare us against either a boutique app-security shop or a Big-4 medical-device practice. Here's how the three options actually stack up on what reviewers care about.
Dimension
Blue Goat Cyber
SaMD specialists
Boutique pen-test shop
app-security focus
Big consultancy
Big-4 / large MedTech advisory
SaMD-specific scope (cloud + mobile + API + AI/ML)
no-cost deficiency resolution commitment on cybersecurity deficiencies
Yes
No
No
Generalized comparison based on common engagement structures we encounter in scoping calls. Individual firms may differ.
Recent SaMD outcomes
Software-only devices, scoped for cybersecurity review
Cycle time and outcome from recent SaMD engagements. Device names withheld under NDA; modality, class, and the actual evidence binder are available under MNDA on request.
Cloud CDS · Class II
Multi-tenant cloud CDS cleared
Full Section 524B package: STRIDE threat model of the cloud architecture, OWASP ASVS web/API pen test, CycloneDX SBOM, IAM and tenancy isolation review, reviewer-ready evidence binder.
Cycle time
8 weeks · kickoff to submission
Outcome
Cleared with zero cybersecurity deficiencies
Mobile diagnostic · Class II
iOS + Android diagnostic app cleared
OWASP MASVS mobile pen test on both platforms, backend API testing, code-signing and pinning review, IEC 82304-1 operating-environment labeling, MDCG 2019-16 parallel pack for EU MDR.
Cycle time
7 weeks · kickoff to submission
Outcome
Cleared with one minor information request, resolved in 5 days
AI/ML SaMD · Class II
ML image-analysis SaMD with PCCP cleared
Section 524B core package plus AI/ML extension: PCCP, GMLP-aligned lifecycle, adversarial robustness evidence (FGSM + PGD), AAMI CR34971 risk extension, transparency labeling for the ML model card.
Cycle time
10 weeks · kickoff to submission
Outcome
Cleared with PCCP accepted as filed
Pricing approach
One fixed fee. Scoped to your device's complexity and timeline.
We don't bill hourly and we don't sell tiers. Every SaMD engagement is a single fixed fee, quoted in writing within 24 hours of a free 30-minute discovery call. The fee tracks the actual attack surface of your device and the submission window you're working against - not seat counts, not retainers, not add-ons.
What's always included
Section 524B premarket package, end to end
STRIDE threat model + AAMI SW96 risk assessment
OWASP ASVS / MASVS pen testing scoped to your surfaces
CycloneDX SBOM + VEX + vulnerability management plan
Reviewer-ready evidence binder mapped to the 2026 guidance
Retests until reviewers are satisfied
What drives your fee
Number of exposed surfaces (web, API, mobile platforms, embedded SDKs)
Multi-tenancy model and IAM/KMS complexity
Whether an AI/ML model sits in the clinical path
Dual-jurisdiction filing (the FDA + EU MDR notified body)
Postmarket bundle (12-month vs. premarket only)
Submission timeline and parallel-track requirements
SaMD engagements are typically lower than comparable connected-hardware projects because there is no firmware or RF testing scope. Postmarket is a separate annual contract; bundle pricing is quoted alongside.
Backed by our no-cost deficiency resolution commitment: if a cybersecurity deficiency in our deliverables delays your submission, we resolve it at no additional cost until clearance.
Related reading
Go deeper on SaMD cybersecurity
Background reading and adjacent services for teams scoping a SaMD premarket submission.