{"id":10259,"date":"2025-12-11T08:00:40","date_gmt":"2025-12-11T07:00:40","guid":{"rendered":"https:\/\/medtech-ingenieur.de\/?p=10259"},"modified":"2025-12-05T16:04:45","modified_gmt":"2025-12-05T15:04:45","slug":"iec-81001-5-1-medizingeraete-entwicklung","status":"publish","type":"post","link":"https:\/\/medtech-ingenieur.de\/en\/iec-81001-5-1-medizingeraete-entwicklung\/","title":{"rendered":"What IEC 81001-5-1 means for medical device developers"},"content":{"rendered":"<p data-end=\"953\" data-start=\"672\">Cybersecurity is mandatory. EU Regulation 2017\/745 (MDR) requires that medical devices be protected against unauthorized access. For manufacturers of medical devices and health software, this means they must actively address digital threats, both technically and from a regulatory perspective.<\/p>\n<p data-end=\"1132\" data-start=\"955\">IEC 81001-5-1 provides, for the first time, a standalone standard specifically for the cybersecurity of healthcare software throughout the entire software lifecycle.<\/p>\n<h2 data-end=\"1132\" data-start=\"955\">Why a separate standard for cybersecurity?<\/h2>\n<p data-end=\"1247\" data-start=\"1185\">Previously, manufacturers had to rely on general standards:<\/p>\n<ul>\n<li data-end=\"1311\" data-start=\"1251\"><strong data-end=\"1264\" data-start=\"1251\">IEC 62304<\/strong> for embedded software in medical devices,<\/li>\n<li data-end=\"1386\" data-start=\"1314\"><strong data-end=\"1329\" data-start=\"1314\">IEC 82304-1<\/strong> for independently operated health software (e.g. apps).<\/li>\n<\/ul>\n<p><span><img decoding=\"async\" alt=\"\" data-id=\"10666\" width=\"324\" data-init-width=\"1024\" height=\"485\" data-init-height=\"1536\" title=\"assets_task_01jxd1csr3fv9vr7j8c0x7fp12_1749563196_img_0\" loading=\"lazy\" src=\"https:\/\/medtech-ingenieur.de\/wp-content\/uploads\/2025\/06\/assets_task_01jxd1csr3fv9vr7j8c0x7fp12_1749563196_img_0.webp\" data-width=\"324\" data-height=\"485\" style=\"aspect-ratio: auto 1024 \/ 1536;\"\/><\/span><\/p>\n<p>Both standards only touch upon cybersecurity. IEC 81001-5-1 closes this gap. It describes the activities necessary to systematically integrate cybersecurity into the development, maintenance, and marketing of products.<\/p>\n<p>Do you need a quick refresher on medical technology standards and processes?<a href=\"https:\/\/medtech-ingenieur.de\/en\/normen-und-prozesse-in-der-medizintechnik-fuer-neulinge\/\" style=\"outline: none;\">Standards and processes in medical technology for newcomers \u2013 MEDtech Ingenieur GmbH<\/a><\/p>\n<h2>Not yet harmonized, but still &quot;state of the art&quot;\u201e<\/h2>\n<p>Although the standard is not yet harmonized (originally planned for May 2024, currently postponed to May 2028), it is already considered state of the art. It is already being used as a benchmark by authorities, notified bodies, and testing organizations, partly because it is clearer and more specific than the previous MDCG guideline 2019-16 on cybersecurity.<\/p>\n<p>Precisely because cybersecurity is indirectly mandatory in the MDR (\u201eMedical Device Regulation\u201c), for example via the topic of \u201erisk analysis\u201c or \u201eprotection against unauthorized access\u201c, IEC 81001-5-1 provides concrete process specifications and best practices with which manufacturers can meet the regulatory requirements in a structured manner.<\/p>\n<p>Conclusion: Anyone developing health software should take this standard into account today.<\/p>\n<h2>What exactly does IEC 81001-5-1 require?<\/h2>\n<p data-end=\"636\" data-start=\"440\">The standard describes requirements for processes and activities throughout the entire lifecycle of health software. Among other things, it requires:<\/p>\n<ul>\n<li data-end=\"710\" data-start=\"640\">secure design (e.g. Defense-in-Depth, Secure Coding Standards),<\/li>\n<li data-end=\"805\" data-start=\"713\">Threat modeling and risk management based on threats (not just hazards),<\/li>\n<li data-end=\"872\" data-start=\"808\">Security requirements already in the specification phase,<\/li>\n<li data-end=\"960\" data-start=\"875\">Vulnerability tests, penetration tests, software composition analysis (SCA),<\/li>\n<li data-end=\"1030\" data-start=\"963\">Processes for updates, patch management, and safe decommissioning.<\/li>\n<\/ul>\n<p data-end=\"1335\" data-start=\"1032\">The structure is roughly based on IEC 62304. However, there is no classification into A, B, and C. Instead, IEC 81001-5-1 relies on a risk-based selection of measures. This means that the scope of activities is not determined by the safety class, but by:<\/p>\n<ul>\n<li data-end=\"1367\" data-start=\"1339\">the threat potential,<\/li>\n<li data-end=\"1443\" data-start=\"1370\">the need for protection (e.g. protection of sensitive data, system availability),<\/li>\n<li data-end=\"1506\" data-start=\"1446\">the deployment environment (e.g., hospital network vs. home use).<\/li>\n<\/ul>\n<h2>How does IEC 81001-5-1 integrate into the QMS?<\/h2>\n<p>IEC 81001-5-1 does not stand alone, but builds upon existing standards. It explicitly requires that all cybersecurity activities be implemented within the framework of an established quality management system. This is typically ISO 13485.<\/p>\n<p>What changes will this bring?<\/p>\n<ul>\n<li>Cybersecurity processes (secure development, maintenance, patch strategies) must be integrated into the existing QMS.<\/li>\n<li>Responsibilities, roles, and training measures related to security topics must be documented.<\/li>\n<li>Suppliers of software components must be integrated into the security processes.<\/li>\n<\/ul>\n<h2>And what about risk management?<\/h2>\n<p data-end=\"1523\" data-start=\"1289\">IEC 81001-5-1 requires a specific risk management process for cybersecurity that goes beyond the traditional security approach of ISO 14971. Instead of only considering threats and their impact, it focuses on:<\/p>\n<ul>\n<li data-end=\"1567\" data-start=\"1527\">Threat Modeling<strong data-end=\"1566\" data-start=\"1527\">)<\/strong>,<\/li>\n<li data-end=\"1599\" data-start=\"1570\">Assessment of weaknesses,<\/li>\n<li data-end=\"1675\" data-start=\"1602\">and the appropriateness of protective measures from the perspective of potential attackers.<\/li>\n<\/ul>\n<p data-end=\"1788\" data-start=\"1677\">Anyone who wants to be on the safe side should, in addition to ISO 14971, also consider the following: <strong data-end=\"1771\" data-start=\"1757\">AAMI TIR 57<\/strong> take into account.<\/p>\n<p data-end=\"1788\" data-start=\"1677\">More information about the AAMI TIR 57 can be found here. <a href=\"https:\/\/medtech-ingenieur.de\/en\/aami-tir57\/\" style=\"outline: none;\">in this blog<\/a> from us: <a href=\"https:\/\/medtech-ingenieur.de\/en\/aami-tir57\/\" style=\"outline: none;\">AAMI TIR57 \u2013 Cybersecurity Risk Management for Medical Devices \u2013 MEDtech Ingenieur GmbH<\/a><\/p>\n<p data-end=\"1788\" data-start=\"1677\">If you would like to learn how risk management according to IEC 62304 and ISO 14971 can be implemented in practice, then you should <a href=\"https:\/\/medtech-ingenieur.de\/en\/software-risikomanagement-nach-iec-62304-und-iso-14971-sw-fmea-fmeca-bei-medizinprodukt-software\/\" style=\"outline: none;\">this article<\/a> look at: <a href=\"https:\/\/medtech-ingenieur.de\/en\/software-risikomanagement-nach-iec-62304-und-iso-14971-sw-fmea-fmeca-bei-medizinprodukt-software\/\" style=\"outline: none;\">Software risk management according to IEC 62304 and ISO 14971 \u2013 SW FMEA \/ FMECA for medical device software? \u2013 MEDtech Ingenieur GmbH<\/a><\/p>\n<p>Are you developing health software or a networked medical device and wondering how to implement cybersecurity in a standards-compliant and pragmatic way? We at MEDtech Ingenieur can support you. Whether it&#039;s gap analysis, threat modeling, secure software architecture, or the implementation of IEC 81001-5-1.<\/p>","protected":false},"excerpt":{"rendered":"<p>Cybersecurity ist Pflicht. Die EU-Verordnung 2017\/745 (MDR) verlangt, dass Medizinprodukte gegen unbefugten Zugriff gesch\u00fctzt sind. F\u00fcr Hersteller von Medizinger\u00e4ten und Health-Software hei\u00dft das: Sie m\u00fcssen digitale Bedrohungen aktiv adressieren, sowohl technisch als auch regulatorisch. Die IEC 81001-5-1 liefert erstmals eine eigenst\u00e4ndige Norm speziell f\u00fcr die Cybersicherheit von Gesundheitssoftware und das \u00fcber den gesamten Software-Lebenszyklus hinweg. [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":10671,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tve_updated_post":"<div class=\"thrv_wrapper thrv-columns\" style=\"--tcb-col-el-width: 900;\"><div class=\"tcb-flex-row v-2 tcb--cols--2 tcb-resized\" style=\"\" data-css=\"tve-u-197b0ee7f30\"><div class=\"tcb-flex-col\" data-css=\"tve-u-197b0e5330e\" style=\"\"><div class=\"tcb-col\"><div class=\"thrv_wrapper thrv_text_element\">\t<p data-end=\"953\" data-start=\"672\">Cybersecurity ist Pflicht. Die EU-Verordnung 2017\/745 (MDR) verlangt, dass Medizinprodukte gegen unbefugten Zugriff gesch\u00fctzt sind. F\u00fcr Hersteller von Medizinger\u00e4ten und Health-Software hei\u00dft das: Sie m\u00fcssen digitale Bedrohungen aktiv adressieren, sowohl technisch als auch regulatorisch.<\/p><p data-end=\"1132\" data-start=\"955\">Die IEC 81001-5-1 liefert erstmals eine eigenst\u00e4ndige Norm speziell f\u00fcr die Cybersicherheit von Gesundheitssoftware und das \u00fcber den gesamten Software-Lebenszyklus hinweg.<\/p><h2 data-end=\"1132\" data-start=\"955\" class=\"\">Warum eine eigene Norm f\u00fcr Cybersecurity?<\/h2><p data-end=\"1247\" data-start=\"1185\">Bisher mussten Hersteller auf allgemeine Normen zur\u00fcckgreifen:<\/p><ul class=\"\"><li data-end=\"1311\" data-start=\"1251\"><strong data-end=\"1264\" data-start=\"1251\">IEC 62304<\/strong> f\u00fcr eingebettete Software in Medizinprodukten,<\/li><li data-end=\"1386\" data-start=\"1314\"><strong data-end=\"1329\" data-start=\"1314\">IEC 82304-1<\/strong> f\u00fcr selbst\u00e4ndig betriebene Health-Software (z.\u202fB. Apps).<\/li><\/ul><\/div><\/div><\/div><div class=\"tcb-flex-col\" data-css=\"tve-u-197b0e52544\" style=\"\"><div class=\"tcb-col\" data-css=\"tve-u-197b0f084eb\" style=\"\"><div class=\"tcb-clear\" data-css=\"tve-u-197b0e38731\"><div class=\"thrv_wrapper tve_image_caption\" data-css=\"tve-u-197b0e2e12f\" style=\"\"><span class=\"tve_image_frame\"><img decoding=\"async\" class=\"tve_image wp-image-10666 tcb-moved-image\" alt=\"\" data-id=\"10666\" width=\"324\" data-init-width=\"1024\" height=\"485\" data-init-height=\"1536\" title=\"assets_task_01jxd1csr3fv9vr7j8c0x7fp12_1749563196_img_0\" loading=\"lazy\" src=\"https:\/\/medtech-ingenieur.de\/wp-content\/uploads\/2025\/06\/assets_task_01jxd1csr3fv9vr7j8c0x7fp12_1749563196_img_0.webp\" data-width=\"324\" data-height=\"485\" data-css=\"tve-u-197b0e2f884\" style=\"aspect-ratio: auto 1024 \/ 1536;\"><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"thrv_wrapper thrv_text_element\">\t<p>Beide Normen behandeln Cybersecurity nur am Rande. Die IEC 81001-5-1 schlie\u00dft diese L\u00fccke. Sie beschreibt, welche Aktivit\u00e4ten notwendig sind, um Cybersecurity systematisch in die Entwicklung, Wartung und das Inverkehrbringen einzubinden.<\/p><p>Sie brauchen eine kurze Auffrischung zu Normen und Prozessen der Medizintechnik?<br data-start=\"1695\" data-end=\"1698\"><a href=\"https:\/\/medtech-ingenieur.de\/normen-und-prozesse-in-der-medizintechnik-fuer-neulinge\/\" class=\"\" style=\"outline: none;\" data-css=\"tve-u-197b0f4240b\">Normen und Prozesse in der Medizintechnik f\u00fcr Neulinge - MEDtech Ingenieur GmbH<\/a><\/p><\/div><div class=\"thrv_wrapper thrv_text_element\"><h2 class=\"\">Noch nicht harmonisiert, aber trotzdem \"Stand der Technik\"<\/h2><p>Obwohl die Norm noch nicht harmonisiert ist (geplant war Mai 2024, aktuell verschoben auf Mai 2028), gilt sie bereits heute als Stand der Technik. Sie wird schon jetzt von Beh\u00f6rden, benannten Stellen und Pr\u00fcforganisationen als Ma\u00dfstab herangezogen, auch weil sie klarer und konkreter ist als die bisherige MDCG-Leitlinie 2019-16 zur Cybersecurity.<\/p><p>Gerade weil Cybersecurity in der MDR (\u201eMedical Device Regulation\u201c) indirekt verpflichtend ist, etwa \u00fcber das Thema \u201eRisikoanalyse\u201c oder \u201eSchutz vor unbefugtem Zugriff\u201c, liefert die IEC 81001-5-1 konkrete Prozessvorgaben und Best Practices, mit denen Hersteller die regulatorischen Anforderungen strukturiert erf\u00fcllen k\u00f6nnen.<\/p><p>Fazit: Wer Health-Software entwickelt, sollte diese Norm schon heute ber\u00fccksichtigen.<\/p><h2 class=\"\">Was fordert die IEC 81001-5-1 konkret?<\/h2><p data-end=\"636\" data-start=\"440\">Die Norm beschreibt Anforderungen an Prozesse und Aktivit\u00e4ten \u00fcber den gesamten Lebenszyklus von Health-Software hinweg. Gefordert wird u.\u202fa.:<\/p><ul class=\"\"><li data-end=\"710\" data-start=\"640\">sicheres Design (z.\u202fB. Defense-in-Depth, Secure Coding Standards),<\/li><li data-end=\"805\" data-start=\"713\">Threat Modeling und Risikomanagement auf Basis von Bedrohungen (nicht nur Gef\u00e4hrdungen),<\/li><li data-end=\"872\" data-start=\"808\">Sicherheitsanforderungen bereits in der Spezifikationsphase,<\/li><li data-end=\"960\" data-start=\"875\">Tests auf Schwachstellen, Penetrationstests, Software Composition Analysis (SCA),<\/li><li data-end=\"1030\" data-start=\"963\">Prozesse f\u00fcr Updates, Patch-Management und sichere Stilllegung.<\/li><\/ul><p data-end=\"1335\" data-start=\"1032\">Dabei orientiert sich die Struktur grob an der IEC 62304. Aber: Es gibt keine Klassifizierung in A, B und C. Stattdessen setzt die IEC 81001-5-1 auf eine risikobasierte Auswahl von Ma\u00dfnahmen. Das bedeutet: Der Umfang der Aktivit\u00e4ten richtet sich nicht nach der Sicherheitsklasse, sondern nach:<\/p><ul class=\"\"><li data-end=\"1367\" data-start=\"1339\">dem Bedrohungspotenzial,<\/li><li data-end=\"1443\" data-start=\"1370\">dem Schutzbedarf (z.\u202fB. Schutz sensibler Daten, Systemverf\u00fcgbarkeit),<\/li><li data-end=\"1506\" data-start=\"1446\">der Einsatzumgebung (z.\u202fB. Kliniknetzwerk vs. Home-Use).<\/li><\/ul><h2 class=\"\">Wie integriert sich die IEC 81001-5-1 ins QMS?<\/h2><p>Die IEC 81001-5-1 steht nicht isoliert im Raum, sondern setzt auf bestehenden Normen auf. Sie fordert explizit, dass alle Cybersecurity-Aktivit\u00e4ten im Rahmen eines etablierten Qualit\u00e4tsmanagementsystems umgesetzt werden. In der Regel ist das die ISO 13485.<\/p><p>Welche \u00c4nderungen haben wir dadurch?<\/p><ul class=\"\"><li>Cybersecurity-Prozesse (sichere Entwicklung, Wartung, Patch-Strategien) m\u00fcssen in das bestehende QMS eingebunden werden<\/li><li>Verantwortlichkeiten, Rollen, Schulungsma\u00dfnahmen zu Security-Themen m\u00fcssen dokumentiert sein<\/li><li>Lieferanten von Softwarekomponenten m\u00fcssen in die Security-Prozesse eingebunden werden<\/li><\/ul><h2 class=\"\">Und das Risikomanagement?<\/h2><p data-end=\"1523\" data-start=\"1289\">Die IEC 81001-5-1 fordert einen spezifischen Risikomanagementprozess f\u00fcr Cybersecurity, der \u00fcber das klassische Sicherheitsdenken der ISO 14971 hinausgeht. Statt nur Gef\u00e4hrdungen und Schadensauswirkungen zu betrachten, geht es um:<\/p><ul class=\"\"><li data-end=\"1567\" data-start=\"1527\">Bedrohungsanalyse (Threat Modeling<strong data-end=\"1566\" data-start=\"1527\">)<\/strong>,<\/li><li data-end=\"1599\" data-start=\"1570\">Bewertung von Schwachstellen,<\/li><li data-end=\"1675\" data-start=\"1602\">und die Angemessenheit von Schutzma\u00dfnahmen aus Sicht m\u00f6glicher Angreifer.<\/li><\/ul><p data-end=\"1788\" data-start=\"1677\">Wer hier auf Nummer sicher gehen will, sollte zus\u00e4tzlich zur ISO 14971 auch die <strong data-end=\"1771\" data-start=\"1757\">AAMI TIR 57<\/strong> ber\u00fccksichtigen.<\/p><p data-end=\"1788\" data-start=\"1677\">Mehr Informationen zur AAMI TIR 57 finden Sie <a href=\"https:\/\/medtech-ingenieur.de\/aami-tir57\/\" class=\"\" style=\"outline: none;\" data-css=\"tve-u-197b0f365f4\">in diesem Blog<\/a> von uns: <a href=\"https:\/\/medtech-ingenieur.de\/aami-tir57\/\" class=\"\" style=\"outline: none;\" data-css=\"tve-u-197b0f3a67e\">AAMI TIR57 - Cybersecurity-Risikomanagement f\u00fcr Medizinger\u00e4te - MEDtech Ingenieur GmbH<\/a><\/p><p data-end=\"1788\" data-start=\"1677\">Wenn Sie erfahren m\u00f6chten, wie das Risikomanagement nach IEC 62304 und ISO 14971 praktisch umgesetzt werden kann, dann sollten Sie sich <a href=\"https:\/\/medtech-ingenieur.de\/software-risikomanagement-nach-iec-62304-und-iso-14971-sw-fmea-fmeca-bei-medizinprodukt-software\/\" class=\"\" style=\"outline: none;\" data-css=\"tve-u-197b0f3d64d\">diesen Artikel<\/a> anschauen: <a href=\"https:\/\/medtech-ingenieur.de\/software-risikomanagement-nach-iec-62304-und-iso-14971-sw-fmea-fmeca-bei-medizinprodukt-software\/\" class=\"\" style=\"outline: none;\" data-css=\"tve-u-197b0f3eb0b\">Software Risikomanagement nach IEC 62304 und ISO 14971 - SW FMEA \/ FMECA bei Medizinprodukt-Software? - MEDtech Ingenieur GmbH<\/a><\/p><p>Sie entwickeln Health-Software oder ein vernetztes Medizinger\u00e4t und fragen sich, wie Sie Cybersecurity normkonform und pragmatisch umsetzen k\u00f6nnen? Wir bei MEDtech Ingenieur unterst\u00fctzen Sie dabei. Ob Gap-Analyse, Threat Modeling, sichere Softwarearchitektur oder die Umsetzung der IEC 81001-5-1.<\/p><\/div><div class=\"thrv_wrapper thrv-button thrv-button-v2 tcb-local-vars-root\" data-css=\"tve-u-197b0e8c07d\">\n\t<div class=\"thrive-colors-palette-config\" style=\"display: none !important\">__CONFIG_colors_palette__{\"active_palette\":0,\"config\":{\"colors\":{\"62516\":{\"name\":\"Main Accent\",\"parent\":-1}},\"gradients\":[]},\"palettes\":[{\"name\":\"Default Palette\",\"value\":{\"colors\":{\"62516\":{\"val\":\"var(--tcb-skin-color-0)\"}},\"gradients\":[]}}]}__CONFIG_colors_palette__<\/div>\n\t<a href=\"https:\/\/medtech-ingenieur.de\/kontakt\/\" class=\"tcb-button-link tcb-plain-text\" target=\"_blank\">\n\t\t<span class=\"tcb-button-texts\"><span class=\"tcb-button-text thrv-inline-text\"><strong>Kontaktieren sie uns<\/strong><\/span><\/span>\n\t<\/a>\n<\/div>","tve_custom_css":"@media (min-width: 300px){.tcb-post-list[data-css=\"tve-u-18d31773283\"] .post-wrapper.thrv_wrapper { width: calc(33.3333% - 13.3333px); 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Die EU-Verordnung 2017\/745 (MDR) verlangt, dass Medizinprodukte gegen unbefugten Zugriff gesch\u00fctzt sind. F\u00fcr Hersteller von Medizinger\u00e4ten und Health-Software hei\u00dft das: Sie m\u00fcssen digitale Bedrohungen aktiv adressieren, sowohl technisch als auch regulatorisch. Die IEC 81001-5-1 liefert erstmals eine eigenst\u00e4ndige Norm speziell f\u00fcr die Cybersicherheit von Gesundheitssoftware und das \u00fcber den gesamten Software-Lebenszyklus hinweg. 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