Medical Device SecurityCybersecurity for Connected Medical Devices

Kayten supports medical device manufacturers with security engineering for connected devices — from hardware root of trust and signed firmware updates to certificate lifecycle management for entire device fleets.

Security for connected medical technology — from the embedded system to the hospital fleet

Connected medical devices — from infusion pumps and patient monitoring to diagnostic equipment with cloud connectivity — process sensitive health data and directly affect patient care. Cybersecurity is not an add-on here; it is a prerequisite for approval and safe operation.

Kayten brings many years of embedded security experience from regulated industries into your product development. Our methodology from the automotive domain (ISO/SAE 21434) — from threat analysis to evidence generation — transfers structurally to the requirements of IEC 81001-5-1 and medical device cybersecurity guidance.

Security engineering aligned with IEC 62304 & IEC 81001-5-1
Transferable methodology from ISO/SAE 21434
Managed device fleet with authenticated identities — connected medical devices in clinical use

Services for the Security of Connected Medical Devices

We support you across the entire product lifecycle — from security risk analysis in the concept phase, through the implementation of hardware-backed security mechanisms, to secure update and identity management in the field.

Security Risk Analysis & Threat Modeling for Medical Devices

Systematic threat analysis and security risk assessment for connected medical devices — methodically aligned with your ISO 14971 risk management and your IEC 62304 software lifecycle.

Hardware Root of Trust & Secure Boot

Anchoring device security in hardware: protected key storage with kHSM and a verified boot chain with kFBL, so that only authentic firmware ever runs on your medical device.

Signed Firmware Updates in the Field

Design and implementation of secure update mechanisms with signature verification and rollback protection based on kFBL — update capability is a core requirement of current regulations such as FDA Section 524B and MDCG 2019-16.

Device Identity & Certificate Lifecycle

Unique cryptographic device identities, secure provisioning, and certificate management across the entire lifecycle — from manufacturing to fleet operation in hospitals, supported by our KSP solution.

Protecting Patient Data on the Device

Encryption of sensitive health data at rest and in transit, hardware-backed key management, and access control on the embedded system — as a technical building block for your data protection evidence.

Securing Connectivity: BLE, Wi-Fi & Cloud

Securing communication between medical device, gateway, and cloud backend through mutual authentication, encrypted channels, and robust, well-tested protocol implementations.

Our Products at Work in Medical Technology

kHSM, kFBL, and KSP address recurring security requirements of connected medical devices — as integrable building blocks that fit into your device architecture and your lifecycle processes.

kFBL

Signed Updates & Rollback Protection for Infusion Pumps and Patient Monitoring

Medical devices often remain in the field for well over a decade. Regulatory requirements such as FDA Section 524B require manufacturers to demonstrate processes and technical capabilities to remediate vulnerabilities through updates — without compromising device integrity.

Challenges:

  • Firmware authenticity and integrity across the entire product lifecycle
  • Rollback protection against re-installing vulnerable older versions
  • Updates that can be scheduled around clinical operation
  • Traceable update chains as evidence for audits and regulators

Our solution:

The kFBL Secure Flash Bootloader verifies firmware signatures before activation, prevents downgrades to known-vulnerable versions, and provides the technical foundation for a controlled, documentable update process.

kFBL – Secure Flash Bootloader
Verified boot and update chain with signature verification
kHSM

Key Protection and Cryptography for Patient Data

Connected medical devices process and store sensitive health data — often on resource-constrained platforms and in environments where physical access to the device cannot be ruled out.

Challenges:

  • Secure generation and storage of cryptographic keys on the device
  • Encryption of patient data at rest with hardware-backed keys
  • Protection against extraction and tampering under physical access
  • Cryptographic foundation for secure boot and authenticated communication

Our solution:

The kHSM provides a hardware-based root of trust: keys never leave the protected environment, and cryptographic operations run isolated from application code — the foundation for data protection and device integrity.

kHSM – Hardware Security Module
Hardware-based root of trust for key storage and cryptography
KSP

Fleet Provisioning and Certificate Lifecycle for Hospital Deployments

Once devices are operated at scale in hospitals or home-care settings, managing identities and certificates becomes an operational challenge — from onboarding new devices to certificate rollover during live operation.

Challenges:

  • Unique, cryptographically anchored device identities from manufacturing onwards
  • Certificate renewal without on-site service visits
  • Secure integration into hospital networks and cloud backends
  • Scaling from pilot series to a fully deployed device fleet

Our solution:

The Kayten Security Platform (KSP) automates provisioning, certificate issuance, and renewal for device fleets, giving manufacturers and operators a traceable view of the identity status of every device.

KSP – Kayten Security Platform
Centrally managed device fleet with certificates and authenticated connections

Security Engineering in the Regulatory Context

We help you translate cybersecurity requirements from standards and guidance documents into concrete technical measures and robust evidence. Responsibility for approval and conformity assessment remains with you as the manufacturer — we deliver the security engineering and the technical documentation that supports your submissions.

IEC 62304

Software lifecycle processes for medical device software. We integrate security activities into your existing development and maintenance processes rather than building parallel structures.

IEC 81001-5-1

Security lifecycle for health software and health IT systems. We support you with activities such as threat modeling, vulnerability management, and security testing in line with the standard.

ISO 14971

Risk management for medical devices. We methodically interlink security risk analysis with your safety risk management so that interactions between safety and security become visible.

EU MDR & MDCG 2019-16

Cybersecurity requirements of the Medical Device Regulation and the associated MDCG guidance. We support you with the technical implementation and the corresponding evidence documentation.

FDA Premarket Cybersecurity Guidance & Section 524B

Requirements for cybersecurity plans, SBOMs, and update capability for "cyber devices" in the US submission process. We deliver the technical building blocks and evidence for your submission.

Why Kayten for Medical Device Security?

Experience from regulated industries

Since 2007 we have been building embedded security for industries where evidence generation and auditability are part of daily work — automotive, defense, and industrial. We bring this way of working into medical technology projects.

Products, not just concepts

With kHSM, kFBL, and KSP we rely on proven, integrable building blocks for root of trust, secure updates, and identity management — instead of starting every project from scratch.

Safety and security, considered together

From functional safety (ISO 26262) we know how safety and security argumentation interlock — a way of thinking that the ISO 14971 world of medical technology immediately recognizes.

Talk to Us About the Security of Your Medical Device

Whether you are starting a new development or securing an existing platform: our experts will analyze your device's security architecture with you and outline concrete paths to regulatorily robust cybersecurity.