Everything you need to know about CyberSecurity for Medical Devices

Summarizing the Dynamic Application Security Testing (DAST)

🚀 What is DAST?

Dynamic Application Security Testing (DAST) is a black-box testing approach used to analyze web applications for security vulnerabilities while they are running.
▶ Unlike Static Application Security Testing (SAST), which examines source code, DAST simulates real-world attacks by scanning applications in runtime to identify security flaws.
▶ DAST tools interact with an application through HTTP requests, analyzing responses to uncover injection flaws, misconfigurations, and authentication weaknesses.

⚠ Key Features & Benefits of DAST

No Access to Source Code: DAST tests applications externally like a real-world attacker, making it useful for closed-source applications or third-party software.
Identifies Runtime Vulnerabilities: Since it analyzes live environments, DAST detects real-time security issues such as misconfigured servers, broken authentication, and weak session management.
Automated and Continuous Testing: Most modern DAST tools integrate with CI/CD pipelines, allowing continuous scanning in DevSecOps workflows.
Wide Attack Surface Coverage: Can test web applications, APIs, and cloud-based services for vulnerabilities without requiring direct code access.
Language & Framework Agnostic: Unlike SAST, which requires understanding of the programming language, DAST works independently of the tech stack.

🔥 Common Vulnerabilities Detected by DAST

SQL Injection – Attempts to exploit database queries through malicious input manipulation.
Cross-Site Scripting (XSS) – Identifies unescaped user input that can be used to execute malicious scripts.
Broken Authentication – Tests for weak session management, brute-force vulnerabilities, and cookie misconfigurations.
Security Misconfigurations – Detects exposed admin panels, default credentials, and unsecured API endpoints.
Insecure Direct Object References (IDOR) – Identifies unauthorized access to restricted resources by manipulating request parameters.

🔑 Challenges & Limitations of DAST

Limited Code Insight: Since DAST does not analyze source code, it might miss logical vulnerabilities or business logic flaws.
High False Positives & False Negatives: Some automated scans may misidentify issues or fail to detect sophisticated vulnerabilities.
Longer Test Times: Scans can take hours to days, especially for large-scale applications with complex functionalities.
Authentication Challenges: May struggle to bypass login mechanisms without manual configuration or test credentials.
Limited Coverage: Cannot detect hardcoded secrets, vulnerabilities in hidden pages, or code-specific flaws.

🏥 What This Means for MedTech & Healthcare Cybersecurity

Critical for Medical Web Apps & Patient Portals: DAST is essential for testing hospital portals, telemedicine apps, and cloud-based EHR/EMR systems.
Regulatory Compliance: Many healthcare security regulations (HIPAA, GDPR, FDA Cybersecurity Guidance) require web application security testing.
Testing Connected Medical Devices: Can be used to evaluate exposed interfaces, cloud APIs, and patient monitoring dashboards for runtime threats.
Complementary to SAST & Manual Testing: Should be combined with SAST, IAST, and penetration testing for a full security assessment.
Securing APIs in Medical IoT: Many DAST tools now support API security testing, which is crucial for protecting medical IoT devices and FHIR-based healthcare data exchanges.

✅ Best Practices for Implementing DAST in MedTech

Integrate DAST into CI/CD – Run scans early and often to detect vulnerabilities before deployment.
Use a Combination of Security Testing – Pair DAST with SAST, SCA (Software Composition Analysis), and manual pentesting.
Set Up Authentication Properly – Ensure DAST tools can navigate login mechanisms for deeper scans.
Prioritize High-Risk Findings – Focus on vulnerabilities that could compromise PHI, patient safety, and regulatory compliance.
Validate with Manual Testing – Human testers can confirm findings and eliminate false positives.
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