Regulatory-ready cybersecurity for medical devices

Stratigos consultants have been testing cybersecurity for medical devices for over 20 years. We provide a high-assurance cybersecurity pathway to market success by bringing together deep offensive security expertise, medical device safety knowledge, and firsthand regulatory experience in a single team that works alongside yours from scoping through submission.

Our methodology aligns with the standards and frameworks that regulators and notified bodies expect:

FDA Premarket Guidance FDA Postmarket Guidance EU MDR ISO 14971 IEC 62304 IEC 81001-5-1 AAMI TIR57 AAMI TIR97 ANSI/AAMI SW96 IEC 62443-4-1 UL 2900 ISO 27001 NIST 800-115 NIST CSF MDIC Threat Modeling Playbook MDIC Penetration Testing Guide
Across the lifecycle

Premarket and postmarket – one team across both

Premarket

Threat modeling, penetration testing, vulnerability assessment, and submission-ready reporting for 510(k), De Novo, and PMA submissions, as well as EU MDR and other international pathways. We work alongside your team throughout the engagement, ensuring you're informed and contributing to the process from scoping through submission.

Postmarket

Ongoing vulnerability monitoring, vulnerability disclosure support, and periodic retesting as your device platform evolves. The FDA's postmarket guidance – echoed by EU MDR and other regulatory regimes – makes continuous monitoring, coordinated vulnerability disclosure, and patch management mandatory for all connected devices. Annual post-market testing structured as a new engagement, informed by the most recent vulnerabilities and adversary techniques relevant to your device, is the pattern that best addresses these requirements.

Not all penetration tests are equal

What separates a regulator-ready report from a generic one

Regulatory documentation quality

Typical cybersecurity outputs are often at odds with quality management system and regulatory submission artifacts. Reviewers expect findings contextualized against your other documentation and traceable to hazard analysis and threat model. And quality processes frequently require sound evidence and methodological support to substantiate findings. Unfortunately most off-the-shelf penetration testing reports do not satisfy these.

How we deliver cyber certainty →
Clinical contextualization

A cardiac rhythm management device has a fundamentally different risk profile than a glucose monitor. Understanding this clinical context is vital in scoping, performing testing, and creating a report appropriately prioritized for your specific device and its intended use. Otherwise, you may experience excess cost, delay, and risk to your submission.

Evidence standards, expertise, and independence

Regulatory guidance requires test reports to document both the technical findings and the independence and expertise of the testers. Stratigos' experience and expertise drives us to a rigorous standard: each finding documents a set of techniques that produced a specific condition, with methodology and evidence sufficient for an independent party to reproduce it. That discipline makes our reports defensible under any level of scrutiny, including reviewers, legal counsel, and independent experts.

How we deliver cyber certainty →
Remediation and retest rigor

Regulators expect to see a documented remediation and retesting cycle. Our post-remediation testing addendum documents each original finding's status in an updated device version, including what was retested, what was observed, and how the evidence supports closure. The addendum passes the same independent review process as the original report, giving you a clean, regulator-ready record of the test-remediate-test cycle.

Focused specialty

Medical device penetration testing demands a specialized toolkit: firmware reverse engineering, wireless protocol fuzzing, hardware interface analysis, and vulnerability chaining in a safety-critical context. Each member of our team has spent years or decades in these specialties and our methodology reflects that focus. When you engage Stratigos, you get a team that does this work every day for manufacturers for whom safety and effectiveness is a top priority.

Timeline is the real economics

For most device programs, development and regulatory timelines influence total cost far more than testing fees. A six-month delay that burns $30K per day in overhead and lost sales is a huge financial burden. Cybersecurity testing that's designed for submission success from the start buys down the greatest risk and cost.

The confidence story

From cyber uncertainty to confident submission

What you're dealing with now

  • Unclear cybersecurity expectations and inconsistent reviewer feedback
  • Penetration testing outputs that surface issues without clinical context or prioritization
  • Information requests arriving at the worst possible moment in your submission timeline
  • Schedule slips and budget volatility from late-stage cybersecurity surprises
  • A penetration test report you're not sure regulators will actually understand

What Stratigos delivers

  • Cybersecurity expertise combined with medical device safety and firsthand regulatory experience
  • Testing and documentation calibrated to real-world regulatory behavior
  • Findings aligned to your hazard analysis and clinical context
  • A collaborative process from scoping through submission, ensuring you're informed and contributing throughout
  • Right-sized security investment scaled to your device, timeline, and regulatory pathway
Built by regulatory advisors, trusted by innovators

Four reasons to work with a team that helped define the rules

Regulatory fluency

Our team directly informed the cybersecurity guidance that reviewers use today. That perspective allows us to anticipate what reviewers expect and provide output that survives regulatory scrutiny.

Engineer-to-engineer

We speak the language of firmware, cloud, and clinical workflows, and we frame results in ways your quality team can immediately use in submissions and medical device files.

Startup speed

We deliver reports your team can act on in days or weeks, not months. For growth-stage manufacturers on a tight submission timeline, that gets you to revenue faster and bolsters investor confidence.

Proven track record

Tested across diabetes technology, surgical robotics, bioelectronic medicine, and diagnostics, including novel devices and first-to-market submissions where regulatory rigor is highest.

Get started

If you're building a life-saving device, we'll help you get it to the people who need it

Quickly. Confidently. With the regulatory, clinical, and cybersecurity expertise you need in a single team.