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Intended use: the reveal ast system is an in-vitro diagnostic (ivd) automated system for antimicrobial susceptibility testing of organisms direct from positive blood culture.The reveal ast assays are indicated for susceptibility testing of specific pathogenic bacteria commonly associated with or causing bacteremia as well as bacterial isolates from other specimen types.Results are intended to be used in conjunction with gram stain, organism identification and other clinical laboratory findings.Issue description: a customer in spain notified biomérieux of discordant results for antibiotics : amoxicillin -clavulanic acid , ceftazidime and ceftolozaze- tazobactam in association with vitek® reveal¿ sensor panel (20 tests) (ref.900-00002, lot.101224gwa).Customer reported that when comparing the results obtained with vitek reveal and microdilution , results are discordant.Results are summarized below: (b)(4).Lot numbers are 101224gwa for the sensor and (b)(6) 2025 for the panel amoxicillin -clavulanic acid reported r in reveal and s with microdilution ceftazidime reported i in reveal and s with microdilution ceftolozaze- tazobactam reported r in reveal and s with microdilution.Under the suspicion that the vitek reveal results were not correct, they were not reported and therefore did not have any effect on the treatment of the patient.Biomérieux local customer service indicated that after taking a look to the troubleshooting files, some leak graphs seem to look abnormal, which could indicate leakage between wells.This has been communicated to the customer.Biomérieux global customer service reviewed the data provided and the mic calls made by the reveal are consistent with the growth curves.At the time of the global assessment, there is no indication or report from the customer that this event led to any adverse event related to any patient's state of health.
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The customer complaint associated with this mdr was initially documented against the vitek® reveal¿ sensor panel (20 tests) (ref.(b)(4)).This product is registered with fda under 510(k) k230675.During investigation of the reported event, it was subsequently determined the complaint was in fact related to vitek® reveal¿ gn01-ast (20 tests) - 900-00008.This product is an export-only product that is not registered with fda, and is not distributed in the united states.Therefore the event is not reportable to fda.This supplement report serves to close this record.
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