510(k) Report

510(k) · Cleared

Recalled · 2011

Forsure One Step Fecal Occult Blood (Fob) Screen Card Test

K063693510(k) TraditionalCleared May 11, 2007149-day reviewClass II21 CFR 864.6550Recalls 4

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

New Bay Bioresearch Co., Ltd. · KHE Reagent, Occult Blood

Cleared on May 11, 2007 as substantially equivalent to K041202 (W.H.P.M., Inc., 2004) after a 149-day review. Its family tree reaches back 1 generation to 2004. It has been recalled 4 times.

Decided
May 11, 2007
Review
149 days
Class
Class II
Product code
KHE
Recalls
4
Predicates
1

Its longest line of descent runs back 1 generation to K041202 (2004). No later device cites it as a predicate yet.

K041202 · Hemosure One-Step Fecal Occult Blood Test · W.H.P.M., Inc. · 2004 · recalled20002002200420062008
  1. Root · 1 generation backK041202 Hemosure One-Step Fecal Occult Blood TestW.H.P.M., Inc. · 2004 · Recalled
  2. This deviceK063693 Forsure One Step Fecal Occult Blood (Fob) Screen Card TestNew Bay Bioresearch Co., Ltd. · 2007
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K041202Hemosure One-Step Fecal Occult Blood TestW.H.P.M., Inc.20041
0 (this device)K063693Forsure One Step Fecal Occult Blood (Fob) Screen Card TestNew Bay Bioresearch Co., Ltd.2007—
FIG. 1 — Lineage of K063693, 2004–2007Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in KHE? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K041202Hemosure One-Step Fecal Occult Blood Test
Summary page 2
…e Devices: Forsure One Step Fecal Occult Blood (FOB) Screen Card Test is substantially equivalent to WHPM Hemosure One Step Fecal Occult Blood (FOB) Test cleared by FDA (K041202) for its stated intended use. Device Description: Forsure One Step Fecal Occult Blood (FOB) Screen Card Test is a qualitative, s…
W.H.P.M., Inc.20041

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 21, 2011Not classifiedZ-2110-2011OtherPotential for false negatives test results and negative/faint positive controls
Mar 21, 2011Not classifiedZ-2108-2011OtherPotential for false negatives test results and negative/faint positive controls
Mar 21, 2011Not classifiedZ-2111-2011OtherPotential for false negatives test results and negative/faint positive controls
Mar 21, 2011Not classifiedZ-2109-2011OtherPotential for false negatives test results and negative/faint positive controls

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has a recall.

How does its category compare?

All KHE devices

KHE Reagent, Occult Blood: FDA decisions, review times, recalls and adverse event reports over 20 years. 2007, this device’s year, is highlighted.

FDA decisions per year · KHE

1in 2018

2007: 32008: 32010: 22011: 22012: 22015: 12017: 42018: 1
2007high 4 (2017) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KHE

126in 2017

2007: 104 days median2008: 93 days median2017: 126 days median
2007high 126 (2017) · low 93 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KHE

2in 2025

2008: 12011: 62013: 22018: 12020: 12025: 2
2007high 6 (2011) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KHE

3in 2025

2007: 32008: 52009: 52010: 42011: 42012: 32013: 162014: 62015: 102016: 32017: 12018: 12019: 12020: 12021: 22023: 12024: 22025: 3
2007high 16 (2013) · low 0 (2022)2025

MAUDE reports naming product code KHE, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007310403
200839315
20090—05
20102—04
20112—64
20122—03
20130—216
20140—06
20151—010
20160—03
2017412601
20181—11
20190—01
20200—11
20210—02
20220—00
20230—01
20240—02
20250—23
20260—0—

What is it indicated for?

Forsure One Step Fecal Occult Blood (FOB) Screen Card Test is a rapid,

immunochromatographic assay for the qualitative detection of intact hHb (human hemoglobin)

in fecal specimens. It is a convenient and hygienic method for detecting human fecal occult

blood, which may be indicative of gastrointestinal disease associated with bleeding such as

colorectal carcinoma, Crohn's disease, ulcerative colitis, and colon polyps in humans.

Forsure One Step Fecal Occult Blood (FOB) Screen Card Test is an immunological test for both

professional and over the counter use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K063693: Forsure One Step Fecal Occult Blood (Fob) Screen Card Test.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K063693

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026