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Medical Device
Medical Device Coordination Group Document MDCG 2019-16 rev. 1
MDCG 2019-16
Guidance on Cybersecurity
for medical devices
December 2019
July 2020 rev.1
This document has been endorsed by the Medical Device Coordination Group
(MDCG) established by Article 103 of Regulation (EU) 2017/745. The MDCG is
composed of representatives of all Member States and it is chaired by a
representative of the European Commission.The document is not a European
Commission document and it cannot be regarded as reflecting the official position of
the European Commission. Any views expressed in this document are not legally
binding and only the Court of Justice of the European Union can give binding
interpretations of Union law.
Page 1 of 46
Medical Device
Medical Device Coordination Group Document MDCG 2019-16 rev. 1
Table of Contents
1. Introduction4
1.1. Background 4
1.2. Objectives 4
1.3. Cybersecurity Requirements included in Annex I of the Medical Devices Regulations 4
1.4. Other Cybersecurity Requirements 6
1.5. Abbreviations 7
2. Basic Cybersecurity Concepts 8
2.1. IT Security, Information Security, Operation Security 8
2.2. Safety, Security and Effectiveness 9
2.3. Intended use and intended operational environment of use 10
2.4. Reasonably foreseeable misuse 11
2.5. Operating Environment 11
2.6. Joint Responsibility - Specific expectations from other stakeholders 12
2.6.1. Integrator 12
2.6.2. Operator 13
2.6.3. Users including healthcare medica
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