The Crosswalk

    Head to head

    Flag of United States FDA 524BvsFlag of Japan PMDA

    United States and Japan medical-device cybersecurity, compared.

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    Bottom line

    PMDA's 2024 cybersecurity guidance is the closest international mirror of FDA §524B — same SPDF logic, same SBOM expectation, same lifecycle commitments. The differences are language (Japanese-language IFU/labelling and a Japanese MAH), QMS overlay (PMD Act + Ordinance 169), and the use of JIRA / IMDRF N60 as the harmonisation anchor.

    Who this is for · US-cleared sponsors planning Shonin or third-party certification in Japan.

    Where they differ

    Lifecycle expectation

    Flag of United States FDA 524B

    SPDF under QMSR.

    Flag of Japan PMDA

    PMDA guidance + JIS T 81001-5-1 alignment.

    Takeaway

    Identical content, mapped to Japan-specific standards.

    SBOM

    Flag of United States FDA 524B

    Mandatory machine-readable.

    Flag of Japan PMDA

    Mandatory under 2024 PMDA notification.

    Takeaway

    One CycloneDX file covers both.

    Local rep

    Flag of United States FDA 524B

    U.S. agent for foreign manufacturers.

    Flag of Japan PMDA

    Marketing Authorisation Holder (MAH) in Japan.

    Takeaway

    MAH must hold the technical documentation including your cyber file.

    Language

    Flag of United States FDA 524B

    English.

    Flag of Japan PMDA

    Japanese IFU and labelling mandatory.

    Takeaway

    Translation cost is the predictable extra line item.

    Full profile

    Flag of United StatesUnited States

    FDA Premarket Cybersecurity Guidance & FD&C §524B

    Open profile

    Full profile

    Flag of JapanJapan

    PMSD Act + MHLW Cybersecurity Notifications (2023–24)

    Open profile

    Frequently asked

    How much of my FDA package is reusable in Japan?

    Roughly 85%. The threat model, SBOM, security risk analysis, and pen-test report transfer directly. You'll add Japanese-language summaries, MAH attestations, and JIS T 81001-5-1 conformity references.

    Does PMDA accept FDA clearance as a shortcut?

    No — Japan requires its own Shonin approval or third-party certification. But cybersecurity evidence travels well, and PMDA reviewers explicitly cite FDA alignment as a maturity signal.

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