510(k) Report

510(k) · Cleared

Cleared

Xpert C. Difficle/Epi Assay

K110203510(k) TraditionalCleared Apr 7, 201173-day reviewClass I21 CFR 866.2660

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

Cepheid · OMN C. Difficile Nucleic Acid Amplification Test Assay

Cleared on Apr 7, 2011 as substantially equivalent to K091109 (Cepheid, 2009) and 1 other predicate after a 73-day review. Its family tree reaches back 3 generations to 1993. 1 later device descends from it.

Decided
Apr 7, 2011
Review
73 days
Class
Class I
Product code
OMN
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K923463 (1993). 4 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1994: 1 other ancestor2012: 1 descendant clearedK923463 · Clostridium Difficile Toxin/Antitoxin Kit · Techlab, Inc. · 1993K081920 · BD Geneohm Cdiff Assay · Bd Diagnostics (Geneohm Sciences, Inc.) · 2008 · recalledK091109 · Xpert C. Difficile · Cepheid · 20091990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 1 descendant K091109 · Xpert C. Difficile · Cepheid · 2009K081920 · BD Geneohm Cdiff Assay · Bd Diagnostics (Geneohm Sciences, Inc.) · 2008 · recalledK923463 · Clostridium Difficile Toxin/Antitoxin Kit · Techlab, Inc. · 19930
  1. Root · 3 generations backK923463 Clostridium Difficile Toxin/Antitoxin KitTechlab, Inc. · 1993
  2. 2 generations backK081920 BD Geneohm Cdiff AssayBd Diagnostics (Geneohm Sciences, Inc.) · 2008 · Recalled
  3. 1 generation backK091109 Xpert C. DifficileCepheid · 2009
  4. This deviceK110203 Xpert C. Difficle/Epi AssayCepheid · 2011
  5. Descendant · cites it directly · 0 of its ownK123197 Verigene C. Difficile Nucleic Acid Test (CDF)Nanosphere, Inc. · 2012 · Recalled

Most influential descendants

Showing 1 of 1 · See all
  • K123197Verigene C. Difficile Nucleic Acid Test (CDF)Nanosphere, Inc. · 2012 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K923463Clostridium Difficile Toxin/Antitoxin KitTechlab, Inc.1993—
−2K081920BD Geneohm Cdiff AssayBd Diagnostics (Geneohm Sciences, Inc.)20084
−1K091109Xpert C. DifficileCepheid2009—
0 (this device)K110203Xpert C. Difficle/Epi AssayCepheid2011—
+1K123197Verigene C. Difficile Nucleic Acid Test (CDF)Nanosphere, Inc.20124

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
FIG. 1 — Lineage of K110203, 1993–2012Source: 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 OMN? 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? (2)

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
*K091109Xpert C. Difficile
Our reading of the summary gave K001109, which is not a number in FDA’s lists. Corrected to the number one digit away whose FDA name carries the summary’s words for the device, “Cepheid Xpert C. difficile Assay”.
Cepheid2009—
*K081920BD Geneohm Cdiff Assay
Summary page 4
…Assay (K(091109) (diff Assay - (K081920) Intended The Cepheid Xpert® C. The Cepheid Xpert C. The BD Gene~hmn Use difficile/Epi…
Bd Diagnostics (Geneohm Sciences, Inc.)20084

Also cleared against K091109: 1 other device →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K123197Verigene C. Difficile Nucleic Acid Test (CDF)Nanosphere, Inc.20120

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 18 years and passes through 3 companies; a new generation was cleared every 1.7 years on median.
  • 1 of the 4 ancestors has a recall of any class.
  • Of its descendants, K123197 (Nanosphere, Inc., 2012) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K091109.

How does its category compare?

All OMN devices

OMN C. Difficile Nucleic Acid Amplification Test Assay: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · OMN

1in 2012

2010: 12011: 22012: 1
2007high 2 (2011) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OMN

Too few OMN 510(k)s in any year since 2007 to give a median.

Recalls per year · OMN

1in 2025

2025: 1
2007high 1 (2025) · low 0 (2007)2026

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

Adverse event reports per year · OMN

No MAUDE report names OMN since 2007.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20101—00
20112—00
20121—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20220—00
20230—00
20240—00
20250—10
20260—0—

What is it indicated for?

The Cepheid Xpert® C. difficile/Epi Assay is a qualitative in vitro diagnostic test for rapid detection of toxin B gene sequences and for presumptive identification of 027/NAP 1/131 strains of toxigenic Clostridium dificile from unformed (liquid or soft) stool specimens collected from patients suspected of having C. cifficile infection (CDI). Presumptive identification of 027/NAPI/BI strains of C. difficile is by detection of binary toxin (CDT) gene…

Read the full statement (185 words)

The Cepheid Xpert® C. difficile/Epi Assay is a qualitative in vitro diagnostic test for

rapid detection of toxin B gene sequences and for presumptive identification of

027/NAP 1/131 strains of toxigenic Clostridium dificile from unformed (liquid or soft)

stool specimens collected from patients suspected of having C. cifficile infection (CDI).

Presumptive identification of 027/NAPI/BI strains of C. difficile is by detection of binary

toxin (CDT) gene sequences and the single base pair deletion at nucleotide 117 in the

tedC gene. The tcdC gene encodes for a negative regulator in C. difficile toxin

production. The test is performed on the Cepheid GeneXpertV Dx System and utilizes

automated real-time polymerase chain reaction (PCR) to detect toxin gene sequences

associated with toxin producing C. difficile. The Xpert C. difficile/Epi Assay is intended

as an aid in the diagnosis of CDI. Detection of 027/NAP]I fBl strains of C. difficile by the

Xpert C. dificile/Epi Assay is presumptive and is solely for epidemiological purposes

and is not intended to guide or monitor treatment for C. difficile infections. Concomitant

culture is necessary only if further typing or organism recovery is required.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K110203: Xpert C. Difficle/Epi Assay.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K110203

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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