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    AAMI TIR57

    AAMI Technical Information Report providing MedTech-specific guidance on cybersecurity risk management.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed September 19, 2026

    Definition

    AAMI TIR57:2016 "Principles for medical device security - Risk management" is a technical information report that adapts general security risk-management principles to medical devices, with explicit bridges to ISO 14971 (safety risk management) and IEC 80001 (network risk). TIR57 is the MedTech-specific reference for integrating cybersecurity risk into the existing safety risk management file rather than running it as a separate process.
    What the regulation says
    FDA's 2023 guidance cites TIR57 as a relevant consensus standard. The integration of cybersecurity risk with ISO 14971 safety risk that TIR57 prescribes is exactly the unified risk picture FDA reviewers expect.

    What this means in practice

    TIR57 is most useful as the bridge document that lets MedTech risk and security teams speak the same language. Together with TIR97 (post-market security risk management) it forms the AAMI cybersecurity playbook.

    Examples

    • A device manufacturer used AAMI TIR57 to integrate the potential for unauthorized access to patient data into their existing ISO 14971 safety risk analysis, ensuring a holistic view of device risks.
    • During the design phase, a development team referenced AAMI TIR57 to identify and mitigate cybersecurity vulnerabilities that could compromise the intended function of a network-connected infusion pump, aligning with IEC 80001 principles.
    • A MedTech company applied AAMI TIR57 to document how they assessed the risk of a denial-of-service attack impacting device availability, connecting it to potential patient harm identified in their safety risk management file.
    Common pitfalls
    • •Treating cybersecurity risk and safety risk as parallel processes producing two different files.
    • •Ignoring TIR97 for post-market - TIR57 is the design-side reference, TIR97 covers the operational side.

    Frequently asked questions

    No - it's a Technical Information Report (TIR), which is a consensus document but not a normative standard. FDA recognizes it as guidance for cybersecurity risk management.
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    Sources

    3 sources

    Every citation below opens the original document. Each is graded against our source-tier hierarchy so you can see what rests on binding law versus commentary.

    Tier 2Regulator guidance and consensus· 2Tier 4Trade press and expert commentary· 1
    Link health: 3 verified· last checked 2026-06-20
    FDA·1HSCC·1CISA·1
    1. 1
      FDA Cybersecurity Guidance (Sept 2023)
      Tier 2 Verified
      FDAfda.gov
    2. 2
      HSCC - Health Sector Coordinating Council
      Tier 4 Verified
      HSCChealthsectorcouncil.org
    3. 3
      CISA - Healthcare and Public Health Sector
      Tier 2 Verified
      CISAcisa.gov

    Inline markers like [1] jump to the matching reference above.