Section 524B Compliance
ADB Consulting reviews your cyber device submission documentation against FDA Section 524B requirements for a $3,495 flat fee. You receive a written gap report identifying every missing or insufficient element — threat model, SBOM, security architecture, vulnerability assessment, and coordinated disclosure policy — prepared from your provided device documentation.
By Andre D. Butler, Principal Consultant · reviewed August 2026
Since March 29, 2023, FDA can issue a Refuse to Accept (RTA) finding for any cyber device submission that is missing required cybersecurity documentation. The gap assessment identifies every missing or insufficient element — threat model, SBOM, security architecture, vulnerability assessment, and coordinated disclosure policy — before you submit, not after.
ADB Consulting reviews cyber device submission documentation against FDA Section 524B requirements for a $3,495 flat fee. You receive a written gap report identifying missing or insufficient elements — threat model, SBOM, security architecture, vulnerability assessment, and coordinated disclosure policy — prepared from your provided device documentation.
Statutory & Guidance Requirements
Seven distinct content requirements apply to any device that contains software and connects to a network. Missing any one of them is grounds for an RTA finding.
Design and maintain processes to confirm the device and related systems are cybersecurity-secure throughout the device lifecycle.
Provide a complete SBOM covering all commercial, open-source, and off-the-shelf software components with version information.
Monitor, identify, and address post-market cybersecurity vulnerabilities and exploits within a reasonable time.
Design and maintain processes and procedures for coordinated vulnerability disclosure to FDA and the public.
Systematically document cybersecurity threats, attack surfaces, and their potential patient safety impacts for the device's clinical environment.
Assess identified threats against the SBOM and device architecture; score vulnerabilities with clinical safety context, not raw CVSS scores alone.
Document security controls, authentication mechanisms, encryption standards, network segmentation, and audit logging capabilities.
Cyber Device Definition
Section 524B applies only to devices that meet FDA's three-part statutory definition of a "cyber device." All three elements have to be true — a device that fails any one of them falls outside 524B's scope, even if it otherwise resembles a connected product.
FDA reads "ability to connect" broadly — a device that connects only through a companion app, a charging station with network access, or an intermediary router still meets the second prong. Devices with no software at all, or software with no network-facing pathway of any kind, fall outside the definition. Most connected Class II and Class III devices submitted today meet all three prongs.
Qualification In Practice
The three-part test above is easy to state and surprisingly easy to misapply at the edges. In our gap assessments, the qualification question rarely gets stuck on the plain reading of the statute — it gets stuck on a short list of recurring edge cases.
Rule of thumb: if your device's software can exchange data with anything outside itself — a phone, a hub, a cloud service, even over a USB cable — assume Section 524B applies until a documented three-prong analysis says otherwise.
Software Bill of Materials
Section 524B(b)(3) requires a Software Bill of Materials — a complete inventory of every software component in the device, including commercial, open-source, and off-the-shelf components, each with version information. FDA's expectation is a living document, not a one-time snapshot: it should stay current as components are patched or replaced across the device's lifecycle.
FDA does not require one specific SBOM file format, but its guidance and the eSTAR template point to the two machine-readable formats the industry has standardized on: SPDX (Software Package Data Exchange) and CycloneDX. Either is acceptable as long as it is machine-readable and carries, at minimum, the elements the NTIA's minimum-elements framework specifies — component name, version, supplier, and known dependency relationships. A spreadsheet or PDF component list does not satisfy the machine-readable expectation on its own; the underlying data needs to also exist as an SPDX or CycloneDX export.
The gap assessment reviews whichever component inventory you already have — even an informal one — against these completeness and format expectations, rather than requiring a specific starting template.
SBOM In Practice
FDA's format-agnostic language above is accurate but incomplete on its own. In practice, the choice between SPDX and CycloneDX usually comes down to what a manufacturer's existing toolchain already generates rather than a regulatory preference — and reviewers reject far more SBOMs for completeness gaps than for format choice.
SPDX tends to fit organizations already documenting license compliance, since it originated in that space and carries strong licensing metadata. CycloneDX tends to fit organizations coming from a security-tooling background, since it was built for vulnerability and dependency-tracking use cases and integrates more directly with common software-composition-analysis scanners. Either format satisfies FDA's machine-readability expectation when it's complete.
The completeness failures we see recur across both formats: dependency depth that stops at the first layer of libraries instead of tracing transitive dependencies, component entries missing version numbers — the single most common finding — and a generation date that predates the device's current software build, which is evidence the document wasn't regenerated after the last release.
Before submission, we run a short self-check against whatever inventory a client already has: does every component carry a version, does the dependency tree go at least two layers deep, and does the generation date match the build under review. For a deeper walkthrough of SBOM construction, see our SBOM requirements guide.
Premarket Documentation
FDA's eSTAR template — used for 510(k), De Novo, and PMA submissions — includes a dedicated cybersecurity section for any device meeting the cyber device definition. That section expects five categories of documentation, each tracing back to the obligations above: a cybersecurity management plan describing how the sponsor will maintain security across the device lifecycle, a threat model, security architecture views, a vulnerability/risk assessment, and security testing evidence.
The security architecture views FDA expects typically include a system-level architecture diagram showing all interfaces, data flows, and trust boundaries; an interoperability diagram if the device connects to other systems; and a global system view for networked device families. These are the documents FDA reviewers use to check that the threat model's assumptions match how the device actually communicates.
Threat modeling follows a structured methodology — FDA references AAMI TIR57 (Principles for medical device security — Risk management) as an accepted framework. The threat model needs to identify assets, entry points, and attack surfaces, then map credible threats against each one with a documented risk rationale for what was, and wasn't, mitigated.
Collectively, FDA calls this lifecycle approach — security built into design, confirmed through testing, and maintained after release — the Secure Product Development Framework (SPDF). A submission's cybersecurity section is evidence that an SPDF was actually followed, not a static bundle of documents assembled at the end.
If your submission is a 510(k), see our 510(k) Gap Assessment for how cybersecurity documentation fits into the broader submission package.
Testing Evidence
Yes — FDA's premarket cybersecurity guidance expects security testing evidence, and penetration testing is the specific method FDA names for confirming that a device's security controls hold up against realistic attack attempts, not just design-stage analysis. Vulnerability scanning — static and dynamic analysis of code and third-party components — is expected in addition to, not instead of, penetration testing.
FDA's stated expectation covers testing at multiple levels: fuzz testing of network-facing interfaces, vulnerability scanning against the SBOM's known-CVE data, penetration testing of the device and any companion apps or cloud backend, and testing that specific security controls — authentication, encryption, access control — function as designed. Devices with anti-rollback protection, which prevents an attacker from forcing a device back to an older, vulnerable firmware version, are expected to have that mechanism tested and documented as part of this evidence set when the device's architecture supports firmware updates.
The gap assessment does not conduct this testing — testing is a client-provided input, arranged through your own test lab or security firm — but it does review whether your existing testing evidence, or testing plan, covers what FDA's guidance expects before you submit.
Gap Assessment Service
The gap assessment reviews your existing documentation against FDA's 524B content expectations and delivers a written report. Remediation services are scoped separately based on what the report finds.
If the report identifies gaps, remediation work is scoped from the findings — you see exactly what needs to be built and a fair estimate before committing to anything additional.
Remediation Services — Scoped from Assessment Findings
Draft or refine your cybersecurity management plan to meet FDA's premarket content expectations for cyber devices — delivered as a structured document aligned to FDA's 2023 guidance framework.
Scoped per engagementBuild a compliant SBOM from your component list — commercial, open-source, and off-the-shelf software inventoried and versioned to FDA's expectations. Includes known-vulnerability cross-reference.
Scoped per engagementFull 524B documentation set: threat model, security architecture, vulnerability assessment, testing summary, and coordinated disclosure policy — assembled for premarket submission.
Scoped per engagement524B Compliance & RTA Risk
An RTA finding under 524B is rarely "the SBOM was missing entirely." In practice, the deficiencies FDA cites most often are narrower and easier to miss: an SBOM that lists components but not versions, a threat model that doesn't trace back to the device's actual architecture diagram, a vulnerability assessment that scores risk using raw CVSS scores instead of clinical-safety-adjusted severity, or a coordinated disclosure policy that describes a process but doesn't name a point of contact or timeline.
Because RTA resets the review clock rather than pausing it, a 524B-related RTA is one of the more costly submission mistakes available — the full administrative review cycle restarts once the missing elements are resubmitted. Sponsors researching section 524B compliance ahead of submission are almost always trying to avoid this specific outcome rather than resolve an open technical question.
The gap assessment is built around this pattern: it checks each 524B content expectation against what FDA reviewers are actually citing in deficiency letters, not just against the statute's plain text.
Deficiency Patterns
Across the assessments we run, the same handful of deficiency patterns account for most of what gets flagged — pattern-level observations, not any one client's specific finding.
Postmarket Obligations
Section 524B(b)(1)(B) and (b)(4) extend cybersecurity obligations past clearance. A postmarket vulnerability management plan needs to describe how the manufacturer will monitor for new vulnerabilities — including vulnerabilities discovered in third-party SBOM components after clearance — assess their severity, and issue patches or updates within a reasonable time relative to the risk.
Coordinated vulnerability disclosure (CVD) is the specific mechanism FDA expects for the disclosure half of this obligation: a documented process, typically aligned to ISO/IEC 29147 and 30111, for accepting vulnerability reports from external researchers, working with them on a disclosure timeline, and communicating fixes to affected customers without exposing the vulnerability before a patch exists. A policy statement alone isn't sufficient — FDA expects the underlying process (a security contact, an intake channel, a triage SLA) to actually exist.
Patching and update obligations aren't unlimited — FDA doesn't expect every device to receive over-the-air updates. What it expects is that the sponsor's plan matches the device's actual update mechanism, or lack of one, and that the plan is honest about how a device with no field-update capability will be handled when a critical vulnerability is found.
Legacy & Already-Marketed Devices
524B's documentation requirements attach to premarket submissions, not to the installed base directly — a device cleared in 2019 that has never had a new submission filed is not retroactively required to produce an SBOM or threat model today. The obligation is triggered the moment that device's manufacturer files any new premarket submission — a new 510(k) for a labeling change, a PMA supplement, even a De Novo for a related product — for a device that meets the cyber device definition.
This creates a practical planning issue for manufacturers with long-lived device families: a legacy device with no cybersecurity documentation on file can suddenly need a full 524B package the moment an unrelated design change requires a new submission. Sponsors with aging connected-device portfolios are often better served building the SBOM and threat model ahead of time, before a submission forces the timeline.
Separately, FDA's broader postmarket cybersecurity expectations — vulnerability monitoring, patching — apply as a general quality-system matter regardless of submission history. The 524B statute's premarket documentation trigger is distinct from the ongoing postmarket vulnerability management expectation that already-marketed connected devices are expected to maintain.
Effort & Cost
The gap assessment itself is a $3,495 flat fee — a fixed two-week engagement regardless of device complexity, since its scope is a structured document review, not open-ended work. Where effort actually varies is in remediation, which is scoped from the assessment's findings rather than priced upfront.
Three factors drive remediation effort more than anything else: how mature the existing documentation already is — a device with a draft SBOM and threat model in hand needs far less work than one starting from a blank page; how many distinct network interfaces and communication pathways the device has, since each generally needs its own entry in the threat model and architecture views; and how much off-the-shelf and third-party software the device relies on, since each OTS component needs its own vulnerability cross-reference in the SBOM.
None of this is priced here — remediation is scoped per engagement once the gap report identifies what's actually missing — but knowing what drives the estimate before you start is usually more useful to a sponsor than a number would be.
How It Works
Structured document review against FDA's 524B content expectations — every gap identified and documented. We review whatever you have: existing SBOM drafts, design controls, threat models in any state of completion.
Written findings with a clear description of each gap, the FDA content expectation it relates to, and a realistic effort estimate for remediation. Prioritized by submission impact — RTA-blocking gaps flagged separately.
60-minute call to walk through the report, answer questions, and agree on which gaps to address before submission. If remediation work is needed, a scoped proposal follows the debrief.
Common Questions
Section 524B applies to "cyber devices" — any device that contains software (including firmware) and connects to the internet, a local area network, a wireless network, or another product. Any device with Wi-Fi, Bluetooth, USB data, or cellular connectivity likely qualifies. The definition is broad and applies regardless of device class or submission type.
FDA expects a cybersecurity management plan, threat model, SBOM, vulnerability assessment, security testing documentation, coordinated vulnerability disclosure policy, and a post-market monitoring plan. Submissions missing required elements may receive a Refuse to Accept (RTA) finding, which returns the submission without substantive review.
A Software Bill of Materials (SBOM) is a complete inventory of all software components, libraries, and dependencies in your device — including commercial, open-source, and off-the-shelf software — with version information. FDA requires it so that when new vulnerabilities are discovered, manufacturers can quickly identify affected devices and confirm patient safety impact.
FDA does not mandate one specific format, but expects a machine-readable SBOM, and SPDX and CycloneDX are the two formats the industry and FDA's eSTAR template have standardized on. A spreadsheet or PDF component list alone does not satisfy the machine-readable expectation.
The eSTAR cybersecurity section expects a cybersecurity management plan, threat model, security architecture views, vulnerability assessment, and security testing evidence, each traceable back to the same device architecture. Collectively these demonstrate that FDA's Secure Product Development Framework (SPDF) was followed, not just assembled as standalone paperwork.
Yes — FDA's premarket cybersecurity guidance expects penetration testing evidence in addition to vulnerability scanning, confirming that security controls hold up against realistic attack attempts rather than design-stage analysis alone. This testing is a client-provided input arranged through your own test lab or security firm, not something ADB conducts.
FDA may issue a Refuse to Accept (RTA) finding, returning the submission without substantive review. This resets the review clock entirely and can add months to time to market. RTA resolution requires assembling the missing documentation and resubmitting. Addressing gaps before submission is significantly more efficient than responding to an RTA.
The installed base of legacy devices already on the market is not retroactively required to comply with Section 524B. However, any new premarket submission for a device that meets the cyber device definition — regardless of when first cleared — is subject to 524B requirements. A device cleared in 2019 that submits a new 510(k) for an updated indication must include the required 524B documentation.
It is a documented plan describing how a manufacturer will monitor for new vulnerabilities — including those discovered later in third-party SBOM components — assess their severity, and issue patches or updates within a reasonable time. FDA expects the plan to match the device's actual field-update capability rather than assume one that doesn't exist.
Coordinated vulnerability disclosure (CVD) is a documented process for accepting and responding to vulnerability reports from outside researchers before a vulnerability becomes public, typically aligned to ISO/IEC 29147 and 30111. Section 524B(b)(1)(B) requires this process to actually exist — a disclosure policy statement alone is not sufficient.
SPDF is FDA's term for a lifecycle approach to device cybersecurity — security built into design, confirmed through testing, and maintained after release. A 524B submission's cybersecurity documentation serves as evidence that an SPDF was actually followed, not a static checklist completed once.
The assessment typically completes within two weeks of kickoff. Timeline depends on the maturity of existing documentation and device complexity. A well-documented device with an existing SBOM and threat model requires less time than a device starting from scratch. The timeline is confirmed at kickoff after reviewing current documentation.
Yes — Section 524B's connectivity prong is satisfied by connection to the internet, a local network, a wireless network, or another product, and each of these qualifies independently. A device that exchanges data with a companion device only over USB or Bluetooth still meets the definition.
The recurring patterns are an SBOM listing components without version data and a threat model that doesn't map to the device's actual architecture. Generic Secure Product Development Framework language without device-specific detail is also a frequent flag.
Either format satisfies FDA's machine-readability expectation when it's complete — the choice usually comes down to what your existing toolchain already generates. What gets rejected isn't the format choice, it's incomplete dependency depth, missing component versions, or a stale generation date.
Effort scales with documentation maturity, network interface count, and how much off-the-shelf software the device relies on. The $3,495 gap assessment itself is a fixed two-week engagement; remediation is scoped separately from its findings.
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Submit your details and we will confirm next steps within one business day. The kickoff call takes about 60 minutes — we review your current documentation and set the assessment timeline.
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