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

# Penetration Testing

Hands-on adversarial testing in which qualified independent testers attempt to exploit a device's security controls.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

Penetration testing (pen testing) is hands-on adversarial security testing in which qualified, sufficiently independent testers attempt to exploit a medical device's security controls - network services, web/API interfaces, wireless protocols, physical interfaces (USB, JTAG, UART), companion apps, and back-end cloud - to uncover weaknesses that automated scanners miss. A pen test produces an evidence package: methodology, findings (with reproduction steps), severity ratings, and remediation recommendations. 

What the regulation says

FDA's 2023 guidance explicitly expects penetration testing for cyber-device submissions, performed by personnel with sufficient independence from the development team. The submission should describe the testing scope, qualifications of the testers, methodology (e.g., NIST SP 800-115, OWASP MASTG/WSTG), and how findings were addressed.  [AAMI TIR57](/terms/aami-tir57) and  [IEC 81001-5-1](/terms/iec-81001-5-1) also reference penetration testing as a lifecycle activity. 

## What this means in practice

Pen testing is most valuable when scoped against a current threat model and run before  [V&V](/terms/verification-validation) freeze so findings can be designed-out rather than risk-accepted. Mature MedTech teams budget for an annual external pen test plus targeted retests after major changes. Findings flow into  [CAPA](/terms/capa) and re-test verification. 

Common pitfalls

-   • Hiring a generic pen-test firm with no medical-device experience - they'll miss the device-specific attack surface. 
-   • Scoping the test too narrowly (only the web UI) and missing the wireless, hardware, or backend channels. 
-   • Treating the pen-test report as a one-time deliverable instead of feeding remediation into CAPA and re-test. 

## Frequently asked questions

How independent do testers need to be? 

FDA expects 'sufficient independence' - practically, that means testers who did not author the code under test. External firms or an internal red team that reports outside the product engineering line both qualify. 

How often should we pen-test? 

Is automated scanning enough? 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Cybersecurity

AAMI TIR57

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





](/terms/aami-tir57)[

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

SAST and DAST

Automated security testing - SAST analyzes source code at rest, DAST exercises a running application.





](/terms/sast-dast)[

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)

### More in Cybersecurity

· Same category 

[

Cybersecurity

Secure Product Development Framework(SPDF) 

A documented, risk-based set of processes that build cybersecurity into a medical device across its full lifecycle.





](/terms/spdf)[

Cybersecurity

Threat Modeling

A structured analysis that identifies how an attacker could compromise a medical device and what controls mitigate each threat.





](/terms/threat-modeling)[

Cybersecurity

AAMI SW96

AAMI/ANSI standard establishing requirements for medical-device cybersecurity activities throughout the lifecycle.





](/terms/aami-sw96)[

Cybersecurity

AAMI TIR97(TIR97) 

AAMI Technical Information Report on post-market security risk management for medical device manufacturers, the operational companion to TIR57.





](/terms/aami-tir97)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

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

## Mentioned in recent activity

1 entry 

FDA 510(k) (1)

[Fastep COVID-19 Antigen Pen Home Test; Fastep COVID-19 Antigen Pen Test ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K260754)

Assure Tech., LLC · 2026-06-05 

## Latest in MedTech

[View all](/latest?term=pen-test)

Recent regulatory actions, publications, and trials matched to this term. Updated daily.

-   510(k) 2026-06-05 
    
    [Fastep COVID-19 Antigen Pen Home Test; Fastep COVID-19 Antigen Pen Test ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K260754)
    
    Assure Tech., LLC
    

## Primary references

3 sources 

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

FDA· 1 NIST· 1 HSCC· 1 

1.  [1 
    
    FDA Cybersecurity Guidance (Sept 2023)
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/regulatory-information/search-fda-guidance-documents/cybersecurity-medical-devices-quality-system-considerations-and-content-premarket-submissions)
2.  [2 
    
    NIST SP 800-115 Technical Guide to Information Security Testing
    
    Verified 
    
    NIST · csrc.nist.gov 
    
    
    
    ](https://csrc.nist.gov/publications/detail/sp/800-115/final)
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

### Penetration testing for a connected device?

We perform medical-device-specific penetration testing aligned to FDA premarket guidance and AAMI TIR57.

[Book a 30-minute discovery session](https://go.bluegoatcyber.com/meetings/blue-goat-cyber/discovery-session)

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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

Sources

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Updated

5/5/2026

[Compare with another term](/compare?a=pen-test)

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Card Lesson Quiz

Hands-on adversarial testing in which qualified independent testers attempt to exploit a device's security controls.

-   · Pen testing is most valuable when scoped against a current threat model and run before V&V freeze so findings can be designed-out rather than risk-accepted. 
-   · Mature MedTech teams budget for an annual external pen test plus targeted retests after major changes. 
-   · Findings flow into CAPA and re-test verification. 

Remember this

Watch out: Hiring a generic pen-test firm with no medical-device experience - they'll miss the device-specific attack surface.

Related terms

-   [SAST and DAST ](/terms/sast-dast)
-   [Premarket Cybersecurity Submission ](/terms/premarket-cybersecurity)
-   [Section 524B of the FD&C Act(524B) ](/terms/section-524b)
-   [AAMI TIR57 ](/terms/aami-tir57)
-   [Threat Modeling ](/terms/threat-modeling)
-   [Secure Product Development Framework(SPDF) ](/terms/spdf)

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-   [
    
    MedTech Cybersecurity Standards 
    
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    ](https://medtechcyberstandards.com)
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    MedTech Cyber Tips 
    
    Practical, organized tips for medical device cybersecurity teams.
    
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