Healthcare Cybersecurity
S

Sternum

Sternum sells embedded security that device manufacturers build into their own products, medical devices among them. Its core technology, EIV embedded integrity verification, is patented binary instrumentation: it profiles a device's firmware, including third party libraries, and places checks on execution flow and memory so that an attempt to divert the code is blocked on the device itself, whether or not the device is connected, with overhead the company puts at 1 to 3 percent. It supports FreeRTOS, Zephyr, QNX, Micrium, Mbed OS, Azure ThreadX and embedded Linux, including legacy devices. A second layer is a cloud observability and threat detection platform fed by an SDK on the device, with logs, remote debugging, forensics and an AI anomaly engine that trains itself on each device's routines; data can be forwarded to the customer's SIEM or SOC.

NXP, Telit and a former Medtronic product security director are quoted on the site, and the Linux Foundation describes Sternum as a Zephyr partner. A free evaluation kit with a development board and trial accounts is offered; prices are not published.

The site says EIV prevents all code and memory manipulation attempts while reporting 96.5 percent prevention in an unnamed benchmark. No security attestation, subprocessor list, hosting location, business associate position or AI evaluation is published. Ask for the benchmark behind the figure and for how the product behaves when it blocks legitimate activity on a clinical device.

AI Health Index verifiedSeptember 30, 2026
Compare Sternum with other vendors
Founded
2018
Headquarters
Tel Aviv, Israel
Website
sternumiot.com
Categories
healthcare-cybersecurity
Indexed Products
EIV embedded integrity verification (runtime protection), Real-time monitoring and alerting (observability platform), AI-powered threat and anomaly detection, Free evaluation kit
Buyer Segments
Medical device manufacturers, Industrial, critical infrastructure and consumer IoT device makers, Embedded engineering and product security teams
Assessment

Capability Axes

An AI Health Index grade measures what a buyer can verify from public sources on the date shown. It is not a rating of how good the product is. A vendor can build an excellent system and grade low on an axis because it publishes nothing an outsider can check. How grades read

AI Capability
CC on AI CentralityArtificial intelligence is a feature layer on a product whose value stands without it. A learned component is a model whose parameters are estimated from data: machine learning, or a statistical model fitted to population data, including one then updated on the patient measurements. A fixed formula, a rule set, or a feedback controller that adjusts a dosing factor from the patient own readings is not one, however patient specific its output and whatever the vendor calls the adjustment.
Vendor Published

Artificial intelligence is a monitoring layer beside a protection technology that uses none. Sternum's core product, EIV embedded integrity verification, instruments a device's compiled firmware with checks on execution flow and memory, which the company calls a "deterministic security model": it blocks or it does not, with no learned model involved.

The learned component sits in the observability platform: "When your device is connected, the AI will auto-train itself to learn its routines and use the information to alert of anomalous activities", described as multivariate analysis for IoT threats and an "extra pair of eyes" for operators. Runtime protection, forensics, remote debugging and log management stand without the AI.

DD on Autonomy and Oversight ModelNo oversight structure is published. An absolute claim that the system does not err grades here too, because a buyer who believes it will not build the review step that would catch a failure.
Vendor Published

The company claims its protection never fails, and its own figure says otherwise. The runtime protection page says EIV "categorically prevents all code and memory manipulation attempts and assures system integrity at all times" and "deploys verification checks across all exploitation paths to deterministically prevent all code and memory manipulation attempts"; the home page says it will "deterministically prevent all exploit attempts".

The same runtime protection page reports "96.5% Prevention in industry benchmark tests for memory vulnerabilities", without naming the benchmark. The protection acts on its own on the device, blocking what it judges a manipulation without a person in the loop, and every blocked attempt is logged with forensics. A manufacturer told that all exploits are prevented, and that patching can fall by up to 60 percent, has reason to slow the patching that would catch what EIV misses. Nothing published says what happens to device function when EIV blocks something legitimate, or which attack classes fall outside it.

BB on Model and Technology TransparencyThe approach or the suppliers are named without the version and update discipline behind them. Naming a supplier is the entry to this band both here and on Model Supply Chain Disclosure, which ask different questions of the same disclosure: who receives the data, and what produces the output.
Vendor Published

The protection method is named and its cost stated; the anomaly model is not identified. EIV is described as binary instrumentation that auto-profiles firmware, including third party components, and places verification checks on execution flow and memory, integrated into the build, test and deployment process, with overhead given as 1 to 3 percent. Supported environments are named, including FreeRTOS, Zephyr, QNX, Micrium, Mbed OS, Azure ThreadX and embedded Linux.

The AI anomaly engine is described only as multivariate analysis that trains itself on each device's routines after a short period. No model, training data, version or change record is published for either layer.

BB on Model Supply Chain DisclosureSubstantial partial disclosure, or a chain that is structurally short: an in house build, a cleared model that cannot be quietly swapped, or a deployment where the transfer does not occur at all. Naming the model provider exits the band below into this one; the axis rises from here on the completeness of the party list and on the terms that govern data once it arrives.
Vendor Published

Short at the model layer, open everywhere else. The anomaly engine is Sternum's own and trains itself on each device's data, so no outside model provider is described. The data does leave the device: the continuous monitoring product is a "Cloud platform" that uses a proprietary observability SDK to collect device-level data and fleet trends, which customers can also forward to their own SIEM or SOC through a REST API.

Sternum's privacy policy says personal data may be stored by Sternum, its affiliates and service providers in the United States, Israel, the European Union and other jurisdictions, and lists the service providers only by category (hosting, data analytics, development, support, security and others); none is named.

CC on Clinical and Operational EvidenceNamed customers, or vendor reported percentages with no method, denominator or reference standard. Scale of use is recorded here and is not treated as evidence of benefit.
Vendor Published

Named customers and partners, and figures without method. NXP Semiconductors' Marc Vauclair is quoted: "All attacks NXP crafted were blocked by Sternum with CPU overhead of less than 3%"; a former product security director at Medtronic, Telit's CISO, and Vibrant and HARDWARIO are quoted, and the Linux Foundation's Zephyr lead describes the partnership.

The site reports 96.5 percent prevention "in industry benchmark tests for memory vulnerabilities", patch management savings of 40 percent on the home page and up to 60 percent elsewhere, and more than 100 million events observed a day. The benchmark, NXP's test design and the savings baseline are not described, and no independent evaluation is published.

CC on AI Safety and PHI StewardshipGeneral assurances of privacy and security that do not answer the questions artificial intelligence raises: what is retained, what reaches a model, and what happens to it there.
Vendor Published

A privacy policy reaches the service, and it keeps room to reuse data. Sternum's privacy policy covers personal data of device end users that customers submit through the service, with Sternum acting as the customer's processor and keeping that data according to the customer's instructions; it says Sternum does not review submitted data and cannot classify it as personal or sensitive.

It also lets Sternum create aggregated, inferred non-personal or anonymized data "which we or our business partners may use to provide and improve our respective services", and transfer non-personal data at its discretion. The anomaly model trains on each device's own routines. No retention period, statement on training beyond the device, or de-identification method is published, and nothing covers how an AI alert that proves wrong is handled. On a medical device, telemetry could carry patient data, which the policy's no-review stance leaves to the manufacturer.

Regulatory and Compliance
CC on HIPAA and BAA PostureA status is stated but not supported: compliance is claimed, or business associate status stated, without the underlying document, including where the only privacy notice published covers the website rather than the service that handles patients. The mirror case grades here as well: a substantive privacy document that reaches the service, with no statement of business associate status anywhere and no scope position taken. One of the two elements the band above asks for is present, which is a grade below it and not a grade at the floor.
Vendor Published

A privacy document reaches the service; no business associate position is taken. Sternum's privacy policy covers end user personal data that customers' devices send through the service, names Sternum as processor for the customer, and says data is kept according to the customer's instructions. It says nothing about protected health information or business associate agreements, and states that Sternum does not review submitted data and cannot tell whether it is sensitive. For a medical device manufacturer whose device telemetry may carry patient data, whether Sternum will sign a business associate agreement is not answered on the site.

DD on Security Certifications and Trust CenterControls are asserted with nothing independent behind them, or nothing is published. Read the note before concluding anything: this is the grade most often corrected on a second pass, because assurance material frequently sits on a parent domain or inside an old announcement rather than on the product pages.
Vendor Published

Nothing independent is published about Sternum's own security. No SOC 2 report, ISO/IEC 27001 certificate, penetration test of the platform or trust center appears on the site; the privacy policy says only that industry-standard physical, procedural and electronic measures are used. NXP's test of EIV against crafted attacks concerns the product's protection, not how Sternum runs its own systems. The product sits inside the compiled code of the customer's device and its SDK sends device data to Sternum's cloud platform, so it becomes part of the device's software supply chain.

BB on FDA and Regulatory StatusThe pathway is stated and in progress, or a clearance is named without the vintage and scope a buyer needs to match it to the product on offer.
Vendor Published

No device claim; the company works device regulation for manufacturers without stating its own position. Sternum is security software that manufacturers embed in their products, with no FDA clearance and none claimed. The home page says EIV can "serve as IDS/IPS for Medical Devices", the compliance page cites "Deep IoMT Expertise" with medical device manufacturers and offers device data as regulatory evidence, and the site runs a regulation learning center.

Once embedded, EIV becomes part of the device's software, so its behavior falls under the manufacturer's own submission and change control, and no page states how Sternum supports that or what intended purpose it states for EIV itself.

DD on AI Governance and Bias DisclosureNothing published on how model behavior is governed or tested. Multilingual operation with no subgroup performance sits here when the vendor markets recognition quality as a strength, because a caller the system failed to understand leaves no complaint and no record.
Vendor Published

Nothing is published on how the anomaly model is governed or tested. The AI layer trains itself on each device's routines and then "can autonomously digest data at scale and instantly pinpoint critical insights and signs of abnormal behavior", but no evaluation, false alarm rate, framework or review process is described, and no result is given by device type, operating system or deployment environment, which is where a self-trained baseline is most likely to misread normal behavior. The deterministic EIV layer raises no model governance question of its own, and its benchmark figure is recorded under evidence.

CC on AI Liability and RecourseMechanisms exist that let someone challenge an output, such as audit trails, source traceability or review before commit, with nothing standing behind the output and no route for the harmed party.
Vendor Published

Forensics let a manufacturer examine what the product did; nothing stands behind it. Every blocked attempt is reported with logs and attack path detail, and the observability platform adds remote debugging and root cause analysis, so a manufacturer can trace an EIV block or an AI alert. No terms, warranty, indemnity or remediation commitment are published, and the one efficacy figure, 96.5 percent prevention in an unnamed industry benchmark, comes without method or denominator.

Integration and Deployment
CC on EHR and Interoperability DepthIntegration is claimed through standards or a middleware layer with no system named and nothing to verify.
Vendor Published

It has no clinical record surface; its connections are to a manufacturer's device platforms and security tooling, and none of the latter is named. EIV integrates into the build, testing and deployment process and supports named embedded platforms (FreeRTOS, Zephyr, QNX, Micrium, Mbed OS, Azure ThreadX and embedded Linux), and the Linux Foundation describes Sternum as a Zephyr partner.

Monitoring data goes to Sternum's dashboards or "to your SOC, SIEM or SOAR" through a REST API, but no SIEM, SOAR, ticketing or build system is named and no production integration is shown. The operating systems are platforms the product runs on, not systems it exchanges data with.

CC on Deployment Model and Data ResidencyA single hosted option with location implied rather than committed.
Vendor Published

Protection runs on the device; the monitoring platform is a single cloud service with no committed location. EIV executes inside the device's firmware and keeps working when the device is offline, with 1 to 3 percent overhead. The observability and threat detection products run on Sternum's cloud platform, fed by an SDK on the device, and data can be forwarded to the customer's own security tools.

The privacy policy says data may be stored in the United States, Israel, the European Union and other jurisdictions, which describes possibilities rather than a committed region, and no on-premises platform, region choice or tenant separation is stated.

Commercial
CC on Commercial TransparencyNo price is published and the posture is discoverable: a buyer can establish how the product is sold and what drives the cost before contacting the vendor. Most of the index sits here.
Vendor Published

No price, and a free evaluation route. Sternum offers a free evaluation kit: an ARM-based development board, a trial of EIV runtime protection and a trial account on the threat detection and observability platform, requested by form; an OpenWrt evaluation is marked coming soon. No price, license unit or tier is published, and nothing says whether licensing runs per device shipped, per product line or per platform.

BB on Setting and Specialty CoverageCoverage is named with validation behind part of it.
Vendor Published

Coverage is named, with validation behind part of it. Sternum sells to manufacturers of connected devices across medical, industrial, critical infrastructure and consumer IoT, new and legacy, on RTOS and embedded Linux, and presents EIV as IDS/IPS for medical devices. Named validation comes mostly from outside healthcare (NXP, Telit, Vibrant, HARDWARIO, the Zephyr Project); on the medical side a former Medtronic product security director is quoted. Medical devices are one vertical among several.

Alternatives

Alternatives to Sternum

Vendors in the same categories as Sternum whose graded profiles look most alike, with a line on what each product does.

Similar is not the same, so check that each one does the job you need. No vendor pays for placement.

Forescout Medical Device Security is Forescout's product for hospitals, built on CyberMDX, which Forescout acquired in 2022, and now sold on the Forescout Vistaro platform.

Cynerio's medical device security is now sold as Axonius for Healthcare.

Haystack iS is iatricSystems' patient privacy monitoring software for hospitals and health systems, formerly Security Audit Manager.

SPHER monitors access to patient information in healthcare applications.

Armis sells Armis Centrix, a cyber exposure management platform covering IT, OT, IoT, medical devices, cloud and code.

Censinet sells Censinet RiskOps, a risk management platform built for hospitals and health systems.

Ordered by how closely the graded profiles match across the fifteen axes, inside the same categories. See how each axis is graded in the methodology.

Comparisons

Compared With

Each comparison carries a written verdict, the buyer conditions that favor each vendor, and a graded side by side. Pairs that cross a category boundary are grouped separately, and their verdicts state where the boundary sits rather than manufacturing a head to head.

Commercial

Pricing

Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.

Entry Price Pricing Basis BAA Tier Implementation Source
Not published; free evaluation kit
Not published. A free evaluation kit (development board, EIV trial, observability platform trial account) is offered by request; an OpenWrt evaluation is listed as coming soon. Not published. No business associate status or agreement is stated. Not published. Vendor Published

No price, tier or license unit is published. The site offers a free evaluation kit, requested by form: an ARM-based development board with accessories, a trial of EIV runtime protection and a trial account on the threat detection and observability platform. An OpenWrt evaluation is marked coming soon.

Two things to settle. Whether EIV is licensed per device shipped, per product line or per platform, since per-device pricing adds a unit cost to every device a manufacturer sells. And whether the observability and AI threat detection platform is priced separately from runtime protection.