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    MedTech Cybersecurity · Since 2022

    3-minute SBOM score

    Is your SBOM program prepared for an FDA premarket submission?

    Eleven questions combining Section 524B obligations and guidance recommendations with company supply-chain practices, including SLSA, Sigstore, and AI-origin tracking. Get a company checklist score and a prioritized gap list, not a prediction of regulatory acceptance.

    Christian Espinosa, Founder & CEO, Blue Goat Cyber

    Reviewed by

    Christian Espinosa

    Founder & CEO, Blue Goat Cyber

    Last reviewed October 29, 2026
    Question 1 of 110% complete

    What SBOM format do you generate today?

    What you'll see after you submit

    Your answers become a 0-100 readiness score and category breakdown

    • RingScore infographic: overall SBOM readiness as a percentage with tone (green/amber/red).
    • Radial breakdown across format, depth, VEX, monitoring, and update cadence - see exactly which lever is dragging the score.
    • Gap-by-gap remediation list mapped to FDA's premarket and postmarket expectations.
    • Print/PDF view formatted for handing to a CTO or auditor.

    Common misconceptions

    What teams usually get wrong

    • Myth: A top-level dependency list is an SBOM.

      Reality: FDA expects transitive depth. The SBOM must include components your components depend on, down to the smallest unit you can practically resolve (NTIA 'minimum elements').

    • Myth: SPDX and CycloneDX are interchangeable for FDA.

      Reality: Both are accepted, but each has different VEX maturity, hashing conventions, and tooling support. Pick one, document why, and stay consistent across premarket and postmarket.

    • Myth: Once we ship the SBOM, we're done.

      Reality: §524B requires a maintained SBOM with monitoring and updates for the supported lifetime of the device. A static PDF in your submission is a postmarket deficiency in waiting.

    • Myth: VEX is optional.

      Reality: It's not statutorily required, but without VEX every new CVE in your SBOM looks like an open issue. Many teams use VEX to explain non-exploitable findings, though the FDA does not require it.

    References & further reading

    Primary sources behind this tool

    1. 1The Minimum Elements For a Software Bill of Materials (SBOM) - NTIA / CISA
    2. 2SPDX 2.3 Specification - Linux Foundation / ISO/IEC 5962
    3. 3CycloneDX Specification - OWASP Foundation
    4. 4Vulnerability Exploitability eXchange (VEX) - Use Cases - CISA
    5. 5FDA Cybersecurity in Medical Devices Guidance - SBOM expectations - FDA
    Why this tool is current

    Recent regulatory + supply-chain activity

    Tracked signals that change what reviewers expect. Items move on as new ones land.

    • Apr 22, 2026CISA KEV

      CISA adds use-after-free in Linux kernel netfilter to KEV (CVE-2026-0511)

    • Apr 15, 2026CISA KEV

      BLE pairing bypass in widely embedded Bluetooth stack added to KEV

    • Jan 8, 2026CycloneDX

      CycloneDX 1.6.1 errata - clarifies VEX status semantics for medical devices

    • Nov 12, 2025OpenSSF

      SLSA v1.1 published - tightened build-provenance language for regulated industries

    Close the gaps

    Where to go next.

    Medical device SBOM services

    SPDX/CycloneDX SBOMs generated each build with CVE/KEV/VEX maintenance.

    Read Medical device SBOM services

    SBOM vs CBOM

    What's actually required vs. legacy terminology reviewers still use.

    Read SBOM vs CBOM

    SPDX vs CycloneDX

    Which format to choose for a medical device submission.

    Read SPDX vs CycloneDX

    More tools

    PCCP, §524B checker, SaMD classifier, readiness quiz.

    Read More tools