510(k) Report

510(k) · Cleared

Cleared

Xpert® Xpress CoV-2 plus (XPRS-COV2-10)

K242109510(k) Dual TrackCleared Jan 15, 2025180-day reviewClass II21 CFR 866.3981

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

Cepheid® · QQX Respiratory Specimen Nucleic Acid Sars-Cov-2 Test

Cleared on Jan 15, 2025 as substantially equivalent to K230440 (Cepheid®, 2023) after a 180-day review. Its family tree reaches back 3 generations to 2021.

Decided
Jan 15, 2025
Review
180 days
Class
Class II
Product code
QQX
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to DEN200031 (2021). No later device cites it as a predicate yet.

  1. Root · 3 generations backDEN200031 BioFire Respiratory Panel 2.1 (RP2.1)Biofire Diagnostics, LLC · 2021
  2. 2 generations backK211079 BioFire COVID-19 Test 2Biofire Defense, LLC · 2021
  3. 1 generation backK230440 Xpert® Xpress CoV-2 plusCepheid® · 2023
  4. This deviceK242109 Xpert® Xpress CoV-2 plus (XPRS-COV2-10)Cepheid® · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3DEN200031BioFire Respiratory Panel 2.1 (RP2.1)Biofire Diagnostics, LLC2021—
−2K211079BioFire COVID-19 Test 2Biofire Defense, LLC2021—
−1K230440Xpert® Xpress CoV-2 plusCepheid®2023—
0 (this device)K242109Xpert® Xpress CoV-2 plus (XPRS-COV2-10)Cepheid®2025—
FIG. 1 — Lineage of K242109, 2021–2025Source: 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 QQX? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QQX device

  1. #1 K211079 BioFire COVID-19 Test 2score 23.3 · 1 generation · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin 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
*K230440Xpert® Xpress CoV-2 plus
Summary page 7
…t OOI code Classification Microbiology (83) Advisory Panel Prescription Use Yes Predicate Device Xpert Xpress CoV-2 plus (K230440) Assay: 510(k) Summary Page 3 of 28 Xpert® Xpress CoV-2 plus…
Cepheid®2023—

What descends from it?

No later submission names this one as a predicate yet.

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 4 years and passes through 3 companies; a new generation was cleared every 1.3 years on median.
  • None of the 3 ancestors has a recall.

How does its category compare?

All QQX devices

QQX Respiratory Specimen Nucleic Acid Sars-Cov-2 Test: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · QQX

3in 2025

2021: 12022: 32023: 22024: 22025: 3
2007high 3 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QQX

180in 2025

2022: 320 days median2025: 180 days median
2007high 320 (2022) · low 180 (2025)2026

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

Recalls per year · QQX

No recall names QQX since 2007.

Adverse event reports per year · QQX

1in 2022

2022: 1
2007high 1 (2022) · low 0 (2007)2025

MAUDE reports naming product code QQX, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20211—00
2022332001
20232—00
20242—00
2025318000
20260—0—

What is it indicated for?

The Xpert Xpress CoV-2 plus test, performed on the GeneXpert Xpress System, is a rapid real-time RT-PCR test intended for the qualitative detection of SARS-CoV-2 RNA in nasopharyngeal and anterior nasal swab specimens collected from individuals with signs and symptoms of respiratory tract infection. The Xpert Xpress CoV-2 plus test is intended for use as an aid in the diagnosis of COVID-19 if used in conjunction with other clinical, epidemiologic, and…

Read the full statement (122 words)

The Xpert Xpress CoV-2 plus test, performed on the GeneXpert Xpress System, is a rapid real-time RT-PCR test intended for the qualitative detection of SARS-CoV-2 RNA in nasopharyngeal and anterior nasal swab specimens collected from individuals with signs and symptoms of respiratory tract infection.

The Xpert Xpress CoV-2 plus test is intended for use as an aid in the diagnosis of COVID-19 if used in conjunction with other clinical, epidemiologic, and laboratory findings. Positive results are indicative of the presence of SARS-CoV-2 RNA. Positive results do not rule out bacterial infection or co-infection with other pathogens.

Negative results do not preclude SARS-CoV-2 infection. The results of this test should not be used as the sole basis for diagnosis and patient management decisions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K242109: Xpert® Xpress CoV-2 plus (XPRS-COV2-10).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K242109

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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