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SBOM Formats Compared: What FDA, MFDS, and EU MDR Actually Want

7 min read

Software Bill of Materials (SBOM) requirements differ between FDA, MFDS, and EU MDR. Here's a side-by-side comparison and recommendations for multi-jurisdiction submissions.

Stephen JeongFounder, Leanabl Inc.
SBOM Formats Compared: What FDA, MFDS, and EU MDR Actually Want

What Is SBOM and Why It Matters

SBOM allows manufacturers and regulators to:

  • Identify vulnerable components when CVEs are published
  • Track software supply chain dependencies
  • Plan vulnerability response and patching
  • Demonstrate post-market vigilance for software

Three Major SBOM Formats

CycloneDX (OWASP)

  • Originated: 2017 by OWASP Foundation
  • Current version: 1.5 (2023)
  • Format: JSON, XML, Protobuf
  • Strengths: Strong vulnerability integration (VEX support), wide tooling ecosystem
  • Adoption: Highest among software security tools

SPDX (Linux Foundation)

  • Originated: 2010 by Linux Foundation
  • Current version: 2.3 (2022)
  • Format: JSON, XML, RDF, YAML, Tag-Value
  • Strengths: ISO/IEC 5962 international standard, strong license tracking
  • Adoption: Common in open source compliance

SWID Tags (ISO/IEC 19770-2)

  • Originated: 2009 by NIST/ISO
  • Current version: ISO/IEC 19770-2:2015
  • Format: XML
  • Strengths: Designed for software identification
  • Adoption: Less common in medical devices

Regulatory Requirements Comparison

FDA (Final Guidance 2023)

Required: SBOM at premarket submission for cyber devices.

Format: Manufacturer choice; NTIA Minimum Elements must be included.

Required elements:

  • Author name
  • Timestamp
  • Component name
  • Component version
  • Component supplier
  • Component hash (when available)
  • Component relationships

Format preferences:

  • CycloneDX or SPDX commonly used
  • Vendor-proprietary formats acceptable if NTIA elements present

Update requirements: SBOM update with significant software changes.

MFDS (Notice 2026-12, Effective July 2026)

Required: SBOM mandatory for Class II+ connected, firmware, or SaMD devices.

Format: SPDX 2.3 or CycloneDX 1.5 (specific versions required).

Required elements (beyond NTIA minimums):

  • CVE references at time of submission for all components
  • Update mechanism for each component
  • Korean-language summary of critical components

Update requirements: SBOM update with each change notification.

EU MDR (MDCG 2019-16, MDCG 2024-X update pending)

Required: SBOM recommended but not strictly mandated in MDR text.

Format: Flexible; CycloneDX, SPDX, or vendor-specific.

Required elements: Less prescriptive than FDA/MFDS, but expected to support post-market vigilance.

Update requirements: Aligned with PMS plan.

Side-by-Side Format Comparison

Aspect CycloneDX 1.5 SPDX 2.3 SWID Tags
FDA accepted Yes Yes Yes (with NTIA elements)
MFDS accepted Yes Yes No (post-2026)
EU MDR accepted Yes Yes Yes
Vulnerability tracking (VEX) Native Add-on (VEX-SPDX) Limited
License tracking Good Strongest Limited
Cryptographic hash Native Native Native
Update tracking Good Good Native (designed for this)
Tooling ecosystem Largest Large Smaller
ISO/IEC standardization No Yes (5962) Yes (19770-2)

For manufacturers submitting to FDA + MFDS + EU MDR:

Strategy 1: CycloneDX Primary, SPDX Backup

  • Generate CycloneDX 1.5 as primary SBOM
  • Auto-convert to SPDX 2.3 when SPDX explicitly requested
  • VEX (Vulnerability Exploitability eXchange) in CycloneDX for vulnerability disclosure
  • Korean summary document for MFDS

Advantages: Single source of truth, strong tooling, vulnerability tracking integrated.

Strategy 2: SPDX Primary, CycloneDX Backup

  • Generate SPDX 2.3 as primary
  • Auto-convert to CycloneDX when needed
  • License compliance metadata strong
  • Korean summary document for MFDS

Advantages: ISO standard, license tracking, common in open source projects.

Strategy 3: Dual-Format Generation

  • Generate both CycloneDX and SPDX in pipeline
  • Submit appropriate format per jurisdiction
  • Most flexible, slightly higher generation cost

Recommended for: Manufacturers with multiple products and varying jurisdiction requirements.

SBOM Generation Tools

Tool Format Strengths
Anchore Syft CycloneDX, SPDX Comprehensive component discovery
CycloneDX Maven/npm plugins CycloneDX Native build integration
SPDX SBOM Generator (Microsoft) SPDX Microsoft ecosystem integration
Tern SPDX, CycloneDX Container scanning
OWASP Dependency-Track CycloneDX Continuous monitoring + VEX

Selection depends on tech stack (Java, Node.js, Python, container-based, etc.).

Common SBOM Mistakes

Mistake 1: SBOM Generated Once, Never Updated

SBOMs go stale within weeks. Components update; new CVEs emerge.

Fix: Generate SBOM in CI/CD pipeline; update SBOM at every release.

Mistake 2: Missing Transitive Dependencies

Direct dependencies captured; transitive (dependency-of-dependency) missed.

Fix: Use tools that resolve dependency tree (e.g., npm ls --all, mvn dependency:tree).

Mistake 3: Vulnerable Components Not Flagged

SBOM lists components without CVE cross-reference. Regulators want vulnerability visibility.

Fix: Integrate with vulnerability database (NVD, OSV.dev) and include CVE annotations.

Mistake 4: Korean Submission Without Localization

MFDS expects Korean summary; SBOM file alone insufficient.

Fix: Korean executive summary of critical components and key vulnerabilities.

Mistake 5: SBOM Doesn't Match Shipped Product

SBOM generated from development environment differs from production build.

Fix: Generate SBOM from final production build artifacts.

SBOM Lifecycle Best Practices

Development Phase

  • Generate SBOM at each build (CI/CD integration)
  • Validate completeness against expected components
  • Flag vulnerable components before merge

Submission Phase

  • Generate final SBOM from production build
  • Cross-reference against NVD for current vulnerabilities
  • Add jurisdiction-specific supplementary documentation

Post-Market Phase

  • Monitor SBOM components for new vulnerabilities (daily monitoring recommended)
  • Assess vulnerability impact (VEX statements for not-affected components)
  • Update SBOM with each release
  • Notify regulators of critical vulnerability discoveries per timeline

Frequently Asked Questions

Q: If we use proprietary or commercial software in our device, must we include their components in SBOM?

A: Yes, all components must be listed. For commercial software, list the product name and version; you don't need to disclose the proprietary internals beyond the supplier's published information.

Q: How do we handle open source license obligations in SBOM?

A: SPDX format has the strongest license tracking. Include license identifiers (SPDX License List) for each component. CycloneDX also supports licenses but with less standardization.

Q: Do we need to disclose all CVEs, or just unpatched ones?

A: Best practice: list all known CVEs with status (mitigated, patched, accepted risk). VEX (Vulnerability Exploitability eXchange) format in CycloneDX is designed for this.

Q: How does Leanabl help with SBOM?

A: Leanabl's Medical Device Cybersecurity service includes SBOM generation strategy, format selection, jurisdiction-specific documentation, and post-market monitoring plan.

Q: Will EU MDR make SBOM mandatory soon?

A: MDCG 2024 update under discussion is expected to strengthen SBOM expectations. Implementation timeline uncertain but recommend treating as required for new submissions.

How Leanabl Helps

Contact Leanabl for SBOM strategy.


Last updated: 2026-05-15.

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