SBOM minimum elements for medical devices
CISA's 2026 minimum elements replace the 2021 NTIA baseline, and FDA asks device makers for more than either. Here is what changed, field by field, and what a premarket submission needs.
How we got here
Data fields, NTIA 2021 vs CISA 2026
CISA kept all seven 2021 fields, renamed four of them, and added ten. An SBOM built to the 2026 list still covers the NTIA baseline that FDA's guidance points to.
What changed in the practices
All components, including transitive dependencies. In CISA's words, "There is no minimum depth."
Separate what is truly unknown from what is deliberately withheld.
SPDX and CycloneDX. SWID tags are no longer listed.
Assumes the data is accurate and focuses on keeping it current.
The separate access control element was removed.
A new SBOM with each build or release.
What FDA asks for beyond the fields
The minimum elements describe an SBOM. FDA's premarket guidance also asks what you know about each component and its risks.
Required for cyber devices
Section 524B(b)(3) of the FD&C Act requires an SBOM covering commercial, open-source and off-the-shelf components.
Machine-readable
Consistent with the NTIA minimum elements, in an industry-accepted format, and maintained under configuration management.
Support level and end-of-support
For each component, the level of support from its manufacturer and its end-of-support date.
Known vulnerabilities, assessed
All known vulnerabilities, including those in CISA's KEV catalog, how you found them, and a safety and security risk assessment of each.
If some SBOM information cannot be provided, FDA asks for a justification in the submission.
In the EU, devices sit outside the Cyber Resilience Act
Article 2(2) of the CRA (Regulation (EU) 2024/2847) excludes products covered by the MDR and IVDR. Device makers follow the MDR and IVDR software and IT security requirements and the MDCG 2019-16 cybersecurity guidance instead.
Neither names an SBOM outright, but MDCG 2019-16 expects ongoing vulnerability monitoring, and IEC 81001-5-1 describes an SBOM. In practice an SBOM is how you show both in the technical file.
Submission checklist
From the library
Open the library →Questions
General information, not legal or regulatory advice.
- CISA, 2026 Minimum Elements for a Software Bill of Materials (Jul 29, 2026)
- NTIA, The Minimum Elements for a Software Bill of Materials (Jul 12, 2021)
- FDA, Cybersecurity in Medical Devices, Quality System Considerations and Content of Premarket Submissions (Feb 3, 2026), section V.A.4
- Regulation (EU) 2024/2847 (Cyber Resilience Act), Article 2
- IMDRF N73, Principles and Practices for SBOM for Medical Device Cybersecurity (2023)
