bioMérieux has been granted FDA  510(k) de novo clearance for  VITEK MS, a clinical mass spectrometry MALDI-TOF-based system for rapid  identification of disease-causing bacteria and yeast. To gain FDA  clearance, bioMérieux submitted data from a multi-center study  consisting of 7,068 clinical isolates. VITEK MS accuracy was compared to  16S ribosomal RNA gene sequencing for the following categories of  microbial pathogens: anaerobic bacteria, Enterobacteriaceae, gram-positive aerobes, fastidious gram-negative bacteria, gram-negative non-Enterobacteriaceae, and yeast. The overall accuracy of VITEK MS compared to nucleic acid sequencing for these organisms was 93.6%.
The VITEK MS is a Matrix-Assisted Laser Desorption Ionization Time of  Flight mass spectrometer (MALDI-TOF-MS). The device analyzes material  from microbial cultures to provide organism identification. Samples are  submitted to multiple laser shots inside VITEK MS. The matrix absorbs  the laser light and vaporizes, along with the sample, in the process  gaining an electrical charge (ionization).
Electric fields then guide the ions into a vacuum tube which  separates them according to their weight, with the smaller molecules  rising up the column faster than the larger molecules. This “time of  flight” creates a series of peaks, which correspond with the different  molecules contained in the organism from the sample. All of these peaks  create spectra unique to that microorganism. The spectra are then  compared to a library owned by bioMérieux to identify the precise  microorganism. According to bioMerieux spokespersons, the VITEK MS  database represents the vast majority of bacterial and fungal infections  that afflict humans. Learn more about the VITEK MS microbial identification system.