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Cybersecurity [Connected & Cyber-Physical Devices](/ecosystems/connected-devices)ICSMA 

# ICS Medical Advisory

CISA's official vulnerability advisories for medical devices, the public record of disclosed device cybersecurity issues, indexed as ICSMA-YY-DDD-NN.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed June 20, 2026 

## Definition

ICS Medical Advisories (ICSMAs) are official cybersecurity advisories published by CISA for medical devices, distinct from the more general ICS-Advisory (ICSA) series for industrial control systems. Each ICSMA describes affected products, vulnerability details ( [CVE](/terms/cve) IDs,  [CVSS](/terms/cvss) scores), risk evaluation, mitigations, and the responsible manufacturer's coordinated disclosure timeline. ICSMAs are the public artifact of FDA-coordinated and  [H-ISAC](/terms/h-isac)\-coordinated vulnerability disclosures and are referenced by hospital procurement, HDOs, and insurers when evaluating device cyber risk. 

What the regulation says

CISA publishes ICSMAs under its sector-specific advisory authority and coordinates closely with FDA's CDRH. FDA's 2023 Cybersecurity in Medical Devices guidance expects manufacturers to have processes for  [coordinated vulnerability disclosure](/terms/cvd) with CISA. Section  [524B](/terms/section-524b)'s post-market expectations align with the ICSMA workflow. 

## What this means in practice

Receiving an ICSMA is a defining moment for a medical device manufacturer's post-market cybersecurity program. The advisory triggers customer notifications, board-level reporting, often FDA Form 3500A scrutiny if patient harm is plausible, and a measurable test of the manufacturer's  [CVD](/terms/cvd) and post-market plan. Manufacturers should map their disclosure SOPs explicitly to the ICSMA process and know who at CISA, FDA, and  [H-ISAC](/terms/h-isac) their coordination contacts are before an incident. 

Common pitfalls

-   • Discovering ICSMA process for the first time during an incident, pre-establish CISA and FDA contacts and run a tabletop. 
-   • Treating ICSMAs as marketing damage to be minimized, incomplete or evasive advisories destroy trust with hospital customers far more than the underlying vulnerability. 
-   • Ignoring competitor ICSMAs, they are the best public signal of what credible attacks against your product class look like. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Cybersecurity

CISA Known Exploited Vulnerabilities Catalog(KEV) 

CISA's authoritative list of CVEs with confirmed in-the-wild exploitation, with mandatory federal remediation deadlines.





](/terms/kev)[

Cybersecurity

Common Vulnerabilities and Exposures(CVE) 

A globally unique identifier for a publicly disclosed cybersecurity vulnerability.





](/terms/cve)[

Cybersecurity

Common Vulnerability Scoring System(CVSS) 

An industry-standard 0–10 score that quantifies the severity of a software vulnerability.





](/terms/cvss)[

Cybersecurity

Coordinated Vulnerability Disclosure(CVD) 

A documented process for receiving, triaging, and responsibly disclosing security vulnerabilities reported by external researchers.





](/terms/cvd)

### More in Cybersecurity

· Same category 

[

Cybersecurity

Health Information Sharing and Analysis Center(H-ISAC) 

Member-driven nonprofit that operates the trusted sharing community for cyber and physical threat intelligence across the healthcare sector.





](/terms/h-isac)[

Cybersecurity

Premarket Cybersecurity Submission

The bundle of cybersecurity artifacts a sponsor includes in a 510(k), De Novo, PMA, or HDE submission for a cyber device.





](/terms/premarket-cybersecurity)[

Cybersecurity

Section 524B of the FD&C Act(524B) 

The federal statute that gives FDA explicit premarket authority over cybersecurity for cyber devices.





](/terms/section-524b)[

Cybersecurity

Vulnerability Exploitability eXchange(VEX) 

A machine-readable statement that explains whether a known vulnerability is actually exploitable in a specific product.





](/terms/vex)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Connected & Cyber-Physical Devices](/ecosystems/connected-devices)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

CISA· 1 MDCG· 1 HSCC· 1 

1.  [1 
    
    CISA Coordinated Vulnerability Disclosure Process
    
    Verified 
    
    CISA · cisa.gov 
    
    
    
    ](https://www.cisa.gov/coordinated-vulnerability-disclosure-process)
2.  [2 
    
    MDCG Cybersecurity Guidance
    
    Verified 
    
    MDCG · health.ec.europa.eu 
    
    
    
    ](https://health.ec.europa.eu/medical-devices-sector/new-regulations/guidance-mdcg-endorsed-documents-and-other-guidance_en)
3.  [3 
    
    HSCC - Health Sector Coordinating Council
    
    Verified 
    
    HSCC · healthsectorcouncil.org 
    
    
    
    ](https://healthsectorcouncil.org/)

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

Sponsor note

### Working on medical device cybersecurity?

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MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor.

On this term

Category

Cybersecurity

Acronym

ICSMA

Sources

3

Updated

6/20/2026

[Compare with another term](/compare?a=ics-medical-advisory)

Learn in 60 seconds

Card Lesson Quiz

CISA's official vulnerability advisories for medical devices, the public record of disclosed device cybersecurity issues, indexed as ICSMA-YY-DDD-NN.

-   · Receiving an ICSMA is a defining moment for a medical device manufacturer's post-market cybersecurity program. 
-   · The advisory triggers customer notifications, board-level reporting, often FDA Form 3500A scrutiny if patient harm is plausible, and a measurable test of the manufacturer's CVD and post-market plan. 
-   · Manufacturers should map their disclosure SOPs explicitly to the ICSMA process and know who at CISA, FDA, and H-ISAC their coordination contacts are before an incident. 

Remember this

Watch out: Discovering ICSMA process for the first time during an incident, pre-establish CISA and FDA contacts and run a tabletop.

Related terms

-   [CISA Known Exploited Vulnerabilities Catalog(KEV) ](/terms/kev)
-   [Common Vulnerabilities and Exposures(CVE) ](/terms/cve)
-   [Common Vulnerability Scoring System(CVSS) ](/terms/cvss)
-   [Coordinated Vulnerability Disclosure(CVD) ](/terms/cvd)
-   [Health Information Sharing and Analysis Center(H-ISAC) ](/terms/h-isac)
-   [Section 524B of the FD&C Act(524B) ](/terms/section-524b)
-   [Premarket Cybersecurity Submission ](/terms/premarket-cybersecurity)
-   [Vulnerability Exploitability eXchange(VEX) ](/terms/vex)

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Related resources and services on this topic.

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    MedTech Cybersecurity Standards 
    
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    ](https://medtechcyberstandards.com)
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    MedTech Cyber Tips 
    
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    ](https://mdccrosswalk.com)
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    Code Blue 
    
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    ](https://codebluechart.com)

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