Industry

Why TARA Matters in Medical Devices

Atefeh Asayesh
Published on Jun 02, 2025

Why TARA Matters in Medical Devices

As industries quickly move toward digital technology, cybersecurity is no longer optional; it’s essential.

Automotive and medical device industries share the same high-stakes goals:

✔ Protecting lives

✔ Securing data

✔ Keeping systems reliable

✔ Avoiding costly failures

But the way they handle cybersecurity—and the challenges they face—are very different.

I work with TARA every day in the automotive industry. I’ve seen how structured cybersecurity assessments do much more than meet regulations. They help find hidden risks early, guide better design decisions, and most importantly, save lives.

Medical devices are becoming more connected, more complex—and unfortunately, more vulnerable. Yet when I talk to people outside the automotive field, I often hear:

“We don’t really do TARA. We do some risk assessment, but not like you do for vehicles.”

That’s a missed opportunity. In the automotive world, we’ve improved TARA to cover safety, system function, data privacy, and financial risk throughout the entire product lifecycle. I believe the healthcare industry can benefit from the same clear, structured, and proactive approach.

Automotive vs. Medical Device Cybersecurity

Let me show you what I mean. Here’s a quick comparison of how cybersecurity risks are handled in the automotive and medical device industries:

Dimension Automotive Industry Medical Device Industry
Safety Focuses on preventing accidents and ensures the vehicle works as expected to protect people. Includes attacks like hacking brakes or steering. Ensures devices work correctly and aren’t misused or hacked in ways that cause harm or incorrect treatment.
Financial Covers losses from cyberattacks, recalls, brand damage, and cybersecurity lifecycle costs. Includes lawsuits, recalls, fines, IP theft, and compliance costs for protecting patient data.
Operational Covers risks like DoS attacks on vehicles, OTA update disruptions, or fleet system failures. Ensures devices work when needed and avoid disrupting healthcare delivery (e.g., monitor failure).
Privacy Protects driver data (location, habits, logs) from misuse. Complies with GDPR and other data laws. Protects patient health data (PHI) per HIPAA. Prevents unauthorized access or leaks of sensitive info.
Overall Cybersecurity Goals Protects hardware, software, and data. TARA is central due to automation/connectivity. Secures device connections, prevents attacks, protects data, and ensures correct function.
Regulatory Compliance Follows ISO/SAE 21434, UN R155, requires CSMS and TARA lifecycle coverage. Follows FDA, MDR, ISO 14971, IEC 62304, and HIPAA. Requires lifecycle risk and control planning.

Now, let’s see how TARA can help in the medical device space.

It starts by understanding what the device does, who uses it, and how it connects to other systems.

Then, we identify possible threats—like patient harm, data leaks, or system misuse.

After that, we evaluate how likely and how serious each risk is.

Finally, we apply the right controls and keep monitoring to make sure the device stays safe over time.

Real-World Example: ECG Device & Mobile App Breach

Here’s how TARA could have helped prevent a real-world security incident.

A wearable ECG device sent data to a mobile app. The app's API had no rate limiting or authentication. An attacker exploited this and accessed sensitive health records from multiple patients.

🛠️ TARA Applied — Step by Step

TARA Steps Description
Asset Identification The monitor app, API, and ECG data.
Threat Scenario Information Disclosure: API lacks authentication → attacker gains access to other patients’ medical data.
Feasibility Rating High — no login, no alerts.
Damage Scenario Patient privacy breach, HIPAA violations.
Impact Rating Severe — medical data, regulatory fines.
Risk Calculation High Feasibility × High Impact = High Risk.
Risk Treatment
  • Enforce strong API authentication (e.g., OAuth2.0)
  • Apply rate limiting
  • Block excessive requests and alert on threshold violations
  • Encrypt data in transit using TLS 1.2+
  • Enable logging, auditing, and anomaly detection on API usage

So How Can We Help?

Whether you're in automotive or medical devices, structured cybersecurity risk assessment is key to building safer, more reliable systems.

At Block Harbor, we offer support tailored to your industry:

✅ We help you ask the right questions for your systems and risks

✅ We provide a TARA package that includes expert guidance and ready-to-use templates

✅ For medical devices, we align with HIPAA, FDA Premarket Cybersecurity Guidance, and IEC 62304

✅ We've already helped other industries adopt structured approaches—so you don’t have to start from scratch

Let’s build safer, more secure products—before something breaks.

Contact us to learn more.

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