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    MedTech Cybersecurity · Since 2022

    Postmarket risk

    Controlled vs Uncontrolled Risk Classifier

    Prioritize a fielded vulnerability for review. The score does not determine acceptable residual risk; that requires manufacturer criteria, evidence, and risk-owner approval.

    Christian Espinosa, Founder & CEO, Blue Goat Cyber

    Reviewed by

    Christian Espinosa

    Founder & CEO, Blue Goat Cyber

    Last reviewed October 25, 2026

    1. Is the vulnerable code reachable in the deployed device configuration?

    Reachability = an attacker can actually invoke the affected code path given how the device ships and is used.

    2. If exploited, what is the worst credible patient-safety consequence (ISO 14971)?

    3. What is the public exploit signal today?

    Use CISA KEV, EPSS, public PoC, and active-exploitation reporting.

    4. What access does an attacker need?

    5. What compensating controls are in place right now?

    6. Can you detect exploitation attempts in fielded devices?

    What you'll see after you submit

    Six questions - reachability, harm, exploit signal, access, mitigations, monitoring

    • Review priority only; no automated risk acceptance.
    • Active exploitation with a credible serious-harm pathway prompts urgent risk-owner review.
    • Reporting assessment and evidence checklist, not a blanket deadline.
    • Printable record for the risk file and the postmarket CAPA log.

    Common misconceptions

    What teams usually get wrong

    • Myth: A high CVSS score means uncontrolled risk.

      Reality: CVSS measures the vulnerability, not your residual risk. A technical score cannot establish controlled risk. Assess exploit paths, credible patient harm, and tested controls against manufacturer criteria.

    • Myth: If we patched it, it was never uncontrolled.

      Reality: Document risk at discovery and reassess after mitigation or remediation. A later patch does not erase the original risk or any reporting obligations.

    • Myth: Uncontrolled risk always means a recall.

      Reality: It triggers customer notification, mitigation, and 21 CFR 806 evaluation - which may or may not be a recall depending on the correction.

    References & further reading

    Primary sources behind this tool

    1. 1Cybersecurity in Medical Devices: Quality Management System Considerations and Content of Premarket Submissions (Feb 2026) - FDA
    2. 2Postmarket Management of Cybersecurity in Medical Devices - FDA
    3. 321 CFR 806 - Reports of Corrections and Removals - eCFR
    4. 4CISA Known Exploited Vulnerabilities Catalog - CISA
    Pair this with

    Where controlled-risk decisions live in your program

    Postmarket cadence calculator

    Plan monitoring and testing; assess patch urgency and reporting separately.

    Read Postmarket cadence calculator

    SBOM Diff & VEX Drafter

    Draft optional VEX communication using product-specific affectedness evidence, separately from risk acceptance.

    Read SBOM Diff & VEX Drafter

    Postmarket SBOM & VEX monitoring

    We support ongoing evidence review; the manufacturer owns risk classification, acceptance, and reporting.

    Read Postmarket SBOM & VEX monitoring

    Glossary: Controlled vs Uncontrolled Risk

    Definition, FDA framing, and worked example.

    Read Glossary: Controlled vs Uncontrolled Risk