[Federal Register Volume 90, Number 122 (Friday, June 27, 2025)]
[Notices]
[Pages 27634-27635]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-11669]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2021-D-1158]


Cybersecurity in Medical Devices: Quality System Considerations 
and Content of Premarket Submissions; Guidance for Industry and Food 
and Drug Administration Staff; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a final guidance entitled ``Cybersecurity in 
Medical Devices: Quality System Considerations and Content of Premarket 
Submissions.'' This guidance updates the previous version of the 
guidance, of the same title, issued on September 27, 2023, and 
finalizes the draft guidance entitled ``Select Updates for the 
Premarket Cybersecurity Guidance: Section 524B of the FD&C Act'' issued 
on March 13, 2024. This guidance provides FDA's recommendations to 
industry regarding cybersecurity device design, labeling, and the 
documentation that FDA recommends be included in premarket submissions 
for devices with cybersecurity risk. Additionally, this guidance has 
been updated to identify the information FDA generally considers to be 
necessary for cyber devices to support obligations under the new 
amendments to the Federal Food, Drug, and Cosmetic Act (FD&C Act) for 
ensuring cybersecurity of devices.

DATES: The announcement of the guidance is published in the Federal 
Register on June 27, 2025.

ADDRESSES: You may submit either electronic or written comments on 
Agency guidances at any time as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2021-D-1158 for ``Cybersecurity in Medical Devices: Quality System 
Considerations and Content of Premarket Submissions.'' Received 
comments will be placed in the docket and, except for those submitted 
as ``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday, 240-402-7500.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, 240-402-7500.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    An electronic copy of the guidance document is available for 
download from the internet. See the SUPPLEMENTARY INFORMATION section 
for information on electronic access to the guidance. Submit written 
requests for a single hard copy of the guidance document entitled 
``Cybersecurity in Medical Devices: Quality System Considerations and 
Content of Premarket Submissions'' to the Office of Policy, Center for 
Devices and Radiological Health, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 66, Rm. 5441, Silver Spring, MD 20993-0002. 
Send one self-addressed adhesive label to assist that office in 
processing your request.

FOR FURTHER INFORMATION CONTACT: Suzanne Schwartz, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5410, Silver Spring, MD 20993-0002, 301-
796-6937; or Phillip Kurs, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 240-402-7911.

SUPPLEMENTARY INFORMATION:

I. Background

    Section 3305 of the Food and Drug Omnibus Reform Act of 2022, 
enacted on December 29, 2022, added section 524B ``Ensuring 
Cybersecurity of Medical Devices'' to the FD&C Act. Under section 
524B(a) of the FD&C Act

[[Page 27635]]

(21 U.S.C. 360n-2(a)), a person who submits a 510(k), premarket 
approval application (PMA), product development protocol (PDP), De 
Novo, or humanitarian device exemption (HDE) for a device that meets 
the definition of a cyber device, as defined under section 524B(c) of 
the FD&C Act, is required to submit information to ensure that cyber 
devices meet the cybersecurity requirements under section 524B(b) of 
the FD&C Act.
    FDA has updated the final guidance ``Cybersecurity in Medical 
Devices: Quality System Considerations and Content of Premarket 
Submissions'' to identify the cybersecurity information FDA considers 
to generally be necessary to support obligations under section 524B of 
the FD&C Act for cyber devices. Specifically, the new section in this 
guidance discusses who is required to comply with section 524B, the 
devices subject to section 524B, and the documentation recommendations 
for applicable premarket submissions. Additionally, FDA provides 
recommendations regarding premarket submissions for changes to cyber 
devices that had been previously authorized by FDA through 510(k), PMA, 
PDP, De Novo, and HDE submission pathways, and that require premarket 
submission. The new section also discusses FDA's review of whether 
there is a reasonable assurance that the device and related systems are 
cybersecure for marketing authorizations submitted for cyber devices. 
The new section of the guidance provides recommendations specifically 
for cyber devices, however, the recommendations throughout the guidance 
may help manufacturers of cyber devices meet their obligations under 
section 524B of the FD&C Act.
    This guidance updates the final guidance ``Cybersecurity in Medical 
Devices: Quality System Considerations and Content of Premarket 
Submissions.'' This guidance also finalizes the draft guidance entitled 
``Select Updates for the Premarket Cybersecurity Guidance: Section 524B 
of the FD&C Act.'' FDA considered the applicability of Executive Order 
14192, per OMB guidance in M-25-20, and finds this action to be 
deregulatory in nature.
    A notice of availability of the draft guidance appeared in the 
Federal Register of March 13, 2024 (89 FR 18421). FDA considered 
comments received and revised the draft guidance as appropriate in 
response to the comments, including providing additional examples to 
help clarify new terminology used as a result of the requirements in 
section 524B of the FD&C Act. Additionally, FDA has provided additional 
clarity regarding the recommended documentation manufacturers should 
submit when submitting a premarket submission for a device modification 
that is unlikely to impact the cybersecurity of the device.
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on Cybersecurity in Medical Devices: Quality 
System Considerations and Content of Premarket Submissions. It does not 
establish any rights for any person and is not binding on FDA or the 
public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations.

II. Electronic Access

    Persons interested in obtaining a copy of the guidance may do so by 
downloading an electronic copy from the internet. A search capability 
for all Center for Devices and Radiological Health guidance documents 
is available at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/guidance-documents-medical-devices-and-radiation-emitting-products. This guidance document is also 
available at https://www.regulations.gov, https://www.fda.gov/regulatory-information/search-fda-guidance-documents or https://www.fda.gov/vaccines-blood-biologics/guidance-compliance-regulatory-information-biologics. Persons unable to download an electronic copy of 
``Cybersecurity in Medical Devices: Quality System Considerations and 
Content of Premarket Submissions'' may send an email request to [email protected] to receive an electronic copy of the document. 
Please use the document number GUI00001825 and complete title to 
identify the guidance you are requesting.

III. Paperwork Reduction Act of 1995

    While this guidance contains no new collection of information, it 
does refer to previously approved FDA collections of information. The 
previously approved collections of information are subject to review by 
the Office of Management and Budget (OMB) under the Paperwork Reduction 
Act of 1995 (PRA) (44 U.S.C. 3501-3521). The collections of information 
in the following table have been approved by OMB:

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    21 CFR part or guidance             Topic           OMB Control No.
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807, subpart E................  Premarket                      0910-0120
                                 notification.
814, subparts A through E.....  Premarket approval...          0910-0231
814, subpart H................  Humanitarian Use               0910-0332
                                 Devices;
                                 Humanitarian Device
                                 Exemption.
812...........................  Investigational                0910-0078
                                 Device Exemption.
860, subpart D................  De Novo                        0910-0844
                                 classification
                                 process.
``Requests for Feedback and     Q-submissions and              0910-0756
 Meetings for Medical Device     Early Payor Feedback
 Submissions: The Q-Submission   Request Programs for
 Program''.                      Medical Devices.
800, 801, 809, and 830........  Medical Device                 0910-0485
                                 Labeling
                                 Regulations; Unique
                                 Device
                                 Identification.
820...........................  Current Good                   0910-0073
                                 Manufacturing
                                 Practice (CGMP);
                                 Quality System (QS)
                                 Regulation.
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    Dated: June 20, 2025.
Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2025-11669 Filed 6-26-25; 8:45 am]
BILLING CODE 4164-01-P