The Crosswalk

    SFDA

    Flag of Saudi ArabiaSaudi Arabia β€” SFDA

    GuidanceLast updated Β· 2024 (MDS-G42 update cycle)Verified Β· 2026-05-28

    MDS-G42 Guidance on Cybersecurity of Medical Devices

    Authority

    Saudi Food and Drug Authority

    Enforced

    2022

    Legal framework

    Medical Devices Law + MDS-G42 + NCA Essential Cybersecurity Controls

    FDA package reuse

    ~85%

    Scope

    All medical devices with cybersecurity-relevant features. Reference jurisdiction model accelerates clearance.

    Pre-market

    Threat modelling, security risk management aligned to AAMI TIR57 / IEC 81001-5-1.

    Post-market

    Incident reporting to SFDA, coordinated disclosure expected.

    SBOM

    Recommended

    Encouraged, mirrors FDA approach.

    Vulnerability disclosure

    Recommended via Saudi NCA channels.

    Penalty

    Marketing authorisation withdrawal, sanctions under NCA framework.

    Unique requirements

    • 01Authorized Representative in KSA
    • 02MDMA (Medical Device Marketing Authorization)
    • 03NCA ECC overlap for healthcare entities

    Highlights

    • Closely tracks IMDRF N60 & FDA
    • Overlaps with NCA Essential Cybersecurity Controls
    • Reference jurisdiction model

    Aligns with

    IMDRF N60 FDA 2023 Guidance IEC 81001-5-1 NCA ECC

    Timeline

    1. 2022

      MDS-G42 published

    Key documents

    Related markets

    Frequently asked about Saudi Arabia

    Is SBOM required for medical devices in Saudi Arabia?

    Recommended. Encouraged, mirrors FDA approach.

    What does SFDA require for pre-market cybersecurity?

    Threat modelling, security risk management aligned to AAMI TIR57 / IEC 81001-5-1.

    What are the post-market cybersecurity obligations under SFDA?

    Incident reporting to SFDA, coordinated disclosure expected.

    What is the penalty for non-compliance with SFDA cybersecurity rules?

    Marketing authorisation withdrawal, sanctions under NCA framework.

    How much of my FDA cybersecurity package is reusable in Saudi Arabia?

    Roughly 85% β€” an editorial estimate based on overlapping evidence requirements (threat model, SBOM, security risk assessment, pen-test report).