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Survey: 2014 IVF Laboratory census
Background
FertAid has used the 2013 census as the blueprint for this survey but in response to feedback and curiosity expanded some sections. For instance the type of media has been included but only for established products. FertAid acknowledges this is general in nature and not reflective of any product and subject to potential browser bias. Several quality questions have been added plus some on workload and issues. Happy to receive comments and criticism over content. Make the 2015 census better.
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Survey has been filtered by All replies from all countries
The Question was:Type of Incubator - Total yes replies= 47
1. The Option: Are the majority of embryos cultured in benchtop incubators e.g. COOK MINC? [Results: Yes= 16 No: 31 Total= 47] ANALYSIS
2. The Option: Are the majority of embryos cultured in Standard CO2 incubators e.g. Forma? [Results: Yes= 23 No: 24 Total= 47] ANALYSIS
3. The Option: Are the majority of embryos cultured in an alternative incubator (please describe in Comments below) [Results: Yes= 8 No: 39 Total= 47] ANALYSIS
The Question was:Gas Mixture - Total yes replies= 53
4. The Option: Do you use low oxygen e.g. 5%O2 special gas mixtures in your embryo culture system? [Results: Yes= 34 No: 19 Total= 53] ANALYSIS
5. The Option: Do you use 5-6% CO2 in air (atmosphere O2) gas mixture in your embryo culture system? [Results: Yes= 15 No: 38 Total= 53] ANALYSIS
6. The Option: Any other variation in oxygen concentration (describe below) [Results: Yes= 3 No: 50 Total= 53] ANALYSIS
7. The Option: Do You Use a mixture of either Low Oxygen E.G. 5%O2 Special Gas Mixtures or 5%CO2 in air [20% O2] In Your Embryo Culture System? {added after 49 repl [Results: Yes= 1 No: 52 Total= 53] ANALYSIS
The Question was:Sequential Media - Total yes replies= 43
8. The Option: Do you primarily use Sequential media for embryo culture? [Results: Yes= 27 No: 16 Total= 43] ANALYSIS
9. The Option: Do you use Non-sequential embryo culture media (eg Life Global) for embryo culture? [Results: Yes= 16 No: 27 Total= 43] ANALYSIS
10. The Option: Do you use common tissue culture media (Hams F10) as your primary culture medium? [Results: Yes= 0 No: 43 Total= 43] ANALYSIS
The Question was:Media Source - Total yes replies= 44
11. The Option: I do not wish to reply to this question. [Results: Yes= 0 No: 44 Total= 44] ANALYSIS
12. The Option: Sage media [Results: Yes= 8 No: 36 Total= 44] ANALYSIS
13. The Option: Vitrolife [Results: Yes= 9 No: 35 Total= 44] ANALYSIS
14. The Option: Origio [Results: Yes= 3 No: 41 Total= 44] ANALYSIS
15. The Option: Medicult [Results: Yes= 0 No: 44 Total= 44] ANALYSIS
16. The Option: Cook Media [Results: Yes= 5 No: 39 Total= 44] ANALYSIS
17. The Option: Irvine [Results: Yes= 3 No: 41 Total= 44] ANALYSIS
18. The Option: LifeGlobal [Results: Yes= 14 No: 30 Total= 44] ANALYSIS
19. The Option: Any other culture media (Describe in comments). [Results: Yes= 2 No: 42 Total= 44] ANALYSIS
The Question was:Media QC - Total yes replies= 44
20. The Option: Do you use the culture media as delivered without further testing? [Results: Yes= 23 No: 21 Total= 44] ANALYSIS
21. The Option: Do you perform any testing of culture media after delivery and before use? [explain in comments] [Results: Yes= 21 No: 23 Total= 44] ANALYSIS
The Question was:Media Tracability - Total yes replies= 44
22. The Option: Our clinic logs media Lot numbers to each treatment cycle [Results: Yes= 37 No: 7 Total= 44] ANALYSIS
23. The Option: Our clinic logs when media was used but not against each treatment cycle [Results: Yes= 5 No: 39 Total= 44] ANALYSIS
24. The Option: Our clinic logs when each batch of culture was received but not when used. [Results: Yes= 1 No: 43 Total= 44] ANALYSIS
25. The Option: Our clinic does NOT log media Lot numbers. [Results: Yes= 1 No: 43 Total= 44] ANALYSIS
The Question was:Culture Vessels - Total yes replies= 44
26. The Option: We primarily culture in Culture dishes (Petri or similar) [Results: Yes= 24 No: 20 Total= 44] ANALYSIS
27. The Option: We primarily culture in specialised embryo dishes (GPS, Corral, WOW, etc: describe in comments) [Results: Yes= 9 No: 35 Total= 44] ANALYSIS
28. The Option: We primarily culture in NUNC dishes [Results: Yes= 11 No: 33 Total= 44] ANALYSIS
29. The Option: We primarily culture in tubes or other vessel (describe in comments). [Results: Yes= 0 No: 44 Total= 44] ANALYSIS
The Question was:Venting plasticware - Total yes replies= 46
30. The Option: All embryo cultureware is washed prior to use [Results: Yes= 2 No: 44 Total= 46] ANALYSIS
31. The Option: All embryo cultureware is vented in air(presumably filtered) prior to use for a defined time period. [Results: Yes= 19 No: 27 Total= 46] ANALYSIS
32. The Option: All embryo cultureware is used shortly after opening each packet and labelling the vessel. (not venting or washing) [Results: Yes= 25 No: 21 Total= 46] ANALYSIS
The Question was:Air Purifiers - Total yes replies= 43
33. The Option: VOC in our laboratory air flow is filtered by an in-line system. [Results: Yes= 23 No: 20 Total= 43] ANALYSIS
34. The Option: VOC in our laboratory air flow is filtered by a stand alone system (eg CODA, Zander). [Results: Yes= 16 No: 27 Total= 43] ANALYSIS
35. The Option: VOC in our laboratory air flow is not filtered by any system. [Results: Yes= 4 No: 39 Total= 43] ANALYSIS
The Question was:Incubator Air Filter - Total yes replies= 43
36. The Option: The gas lines to our incubators have an in-line VOC filter [Results: Yes= 34 No: 9 Total= 43] ANALYSIS
37. The Option: The gas lines to our incubators do not have an in-line VOC filter but have an internal VOC filter [Results: Yes= 3 No: 40 Total= 43] ANALYSIS
38. The Option: Neither the incubator gas lines or the incubators themselves have a VOC filter [Results: Yes= 6 No: 37 Total= 43] ANALYSIS
The Question was:Embryo Culture Numbers - Total yes replies= 43
39. The Option: All our embryos are cultured separately and can be independently traced from ICSI or day 1 [Results: Yes= 18 No: 25 Total= 43] ANALYSIS
40. The Option: All our embryos are cultured separately but cannot be independently traced from ICSI or day 1 [Results: Yes= 1 No: 42 Total= 43] ANALYSIS
41. The Option: All our embryos are not cultured separately but in groups (describe in comments) [Results: Yes= 24 No: 19 Total= 43] ANALYSIS
The Question was:Principle day of transfer. - Total yes replies= 43
42. The Option: Do the majority of women<35 years of age have a transfer on day 2? [Results: Yes= 3 No: 40 Total= 43] ANALYSIS
43. The Option: Do the majority of women<35 years of age have a transfer on day 3? [Results: Yes= 9 No: 34 Total= 43] ANALYSIS
44. The Option: Do the majority of women<35 years of age have a transfer on day 4? [Results: Yes= 0 No: 43 Total= 43] ANALYSIS
45. The Option: Do the majority of women<35 years of age have a transfer on day 5? [Results: Yes= 31 No: 12 Total= 43] ANALYSIS
The Question was:Number of embryos Transferred - Total yes replies= 43
46. The Option: Do the majority of women<35 years of age have one embryo transferred [Results: Yes= 21 No: 22 Total= 43] ANALYSIS
47. The Option: Do the majority of women<35 years of age have two embryos transferred? [Results: Yes= 22 No: 21 Total= 43] ANALYSIS
48. The Option: Do the majority of women<35 years of age have more than two embryos transferred [Results: Yes= 0 No: 43 Total= 43] ANALYSIS
The Question was:Principle day of Cryopreservation - Total yes replies= 41
49. The Option: Do the majority of women<35 years of age have a embryos frozen on day 2? [Results: Yes= 2 No: 39 Total= 41] ANALYSIS
50. The Option: Do the majority of women<35 years of age have a embryos frozen on day 3? [Results: Yes= 6 No: 35 Total= 41] ANALYSIS
51. The Option: Do the majority of women<35 years of age have a embryos frozen on day 4? [Results: Yes= 1 No: 40 Total= 41] ANALYSIS
52. The Option: Do the majority of women<35 years of age have a embryos frozen on day 5? [Results: Yes= 30 No: 11 Total= 41] ANALYSIS
53. The Option: Do the majority of women<35 years of age have a embryos frozen on day 6? [Results: Yes= 2 No: 39 Total= 41] ANALYSIS
The Question was:Principle type of Cryopreservation - Total yes replies= 43
54. The Option: Do the majority of women<35 years of age have embryos cryopreserved by vitrification? [Results: Yes= 37 No: 6 Total= 43] ANALYSIS
55. The Option: Do the majority of women<35 years of age have embryos cryopreserved by slow freezing? [Results: Yes= 6 No: 37 Total= 43] ANALYSIS
The Question was:Principle type of Fertilisation: IVF or ICSI? - Total yes replies= 40
56. The Option: Do the majority of women<35 years of age have IVF insemination? [Results: Yes= 13 No: 27 Total= 40] ANALYSIS
57. The Option: Do the majority of women <35 years of age have ICSI insemination? [Results: Yes= 21 No: 19 Total= 40] ANALYSIS
58. The Option: Does your clinic use ICSI insemination for ALL cases? [Results: Yes= 6 No: 34 Total= 40] ANALYSIS
The Question was:Principle type of Fertilisation: Age>35 - Total yes replies= 40
59. The Option: Do the majority of women>35 years of age have IVF insemination? [Results: Yes= 9 No: 31 Total= 40] ANALYSIS
60. The Option: Do the majority of women>35 years of age have ICSI insemination? [Results: Yes= 26 No: 14 Total= 40] ANALYSIS
61. The Option: Do all women>35 years of age have ICSI insemination? [Results: Yes= 5 No: 35 Total= 40] ANALYSIS
The Question was:Special techniques-Sperm Selection for ICSI - Total yes replies= 41
62. The Option: Our clinic has performed enhanced sperm selection prior to ICSI eg MSOME,PICSI,HOST etc in the last 12 months. [Results: Yes= 13 No: 28 Total= 41] ANALYSIS
63. The Option: Our clinic has NOT performed enhanced sperm selection prior to ICSI eg MSOME,PICSI,HOST etc in the last 12 months. [Results: Yes= 28 No: 13 Total= 41] ANALYSIS
The Question was:Special Techniques-Continuous Embryo Monitoring? - Total yes replies= 42
64. The Option: We are using or trailing continuous embryo examination eg EmbryoScope? [Results: Yes= 8 No: 34 Total= 42] ANALYSIS
65. The Option: We are NOT using or trailing continuous embryo examination eg EmbryoScope? [Results: Yes= 34 No: 8 Total= 42] ANALYSIS
The Question was:Special Techniques-Assisted Hatching? - Total yes replies= 43
66. The Option: Our clinic has performed assisted hatching in the last 12 months? [Results: Yes= 32 No: 11 Total= 43] ANALYSIS
67. The Option: Our clinic has NOT performed assisted hatching in the last 12 months? [Results: Yes= 11 No: 32 Total= 43] ANALYSIS
The Question was:Special Techniques-Embryo Glue - Total yes replies= 43
68. The Option: We do offer enhanced embryo transfer solutions e.g. embryo glue or other (in-house?)? [Results: Yes= 17 No: 26 Total= 43] ANALYSIS
69. The Option: We do NOT offer enhanced embryo transfer solutions e.g. embryo glue or other (in-house?)? [Results: Yes= 26 No: 17 Total= 43] ANALYSIS
The Question was:Special Techniques-Embryo Biopsy? - Total yes replies= 43
70. The Option: Our clinic performs the majority of embryo biopsy (for blastomere analysis) on day 3? [Results: Yes= 14 No: 29 Total= 43] ANALYSIS
71. The Option: Our clinic performs the majority of embryo biopsy (for blastomere analysis) on day 5? [Results: Yes= 15 No: 28 Total= 43] ANALYSIS
72. The Option: Our clinic does not offer embryo biopsy (for blastomere analysis). [Results: Yes= 14 No: 29 Total= 43] ANALYSIS
The Question was:Special Techniques- Polar Body Biopsy - Total yes replies= 42
73. The Option: Our clinic has performed Polar Body Biopsy in the last 12 months. [Results: Yes= 0 No: 42 Total= 42] ANALYSIS
74. The Option: Our clinic has NOT performed Polar Body Biopsy in the last 12 months. [Results: Yes= 42 No: 0 Total= 42] ANALYSIS
The Question was:Special Techniques-In Vitro Oocyte Maturation - Total yes replies= 40
75. The Option: Our clinic has performed in vitro maturation in the last 12 months. [Results: Yes= 7 No: 33 Total= 40] ANALYSIS
76. The Option: Our clinic has NOT performed in vitro maturation in the last 12 months. [Results: Yes= 33 No: 7 Total= 40] ANALYSIS
The Question was:Special Techniques-Oocyte Activation? - Total yes replies= 41
77. The Option: Your clinic has performed Oocyte Activation in the last 12 months [Results: Yes= 4 No: 37 Total= 41] ANALYSIS
78. The Option: Your clinic has NOT performed Oocyte Activation in the last 12 months [Results: Yes= 37 No: 4 Total= 41] ANALYSIS
The Question was:Special techniques-Oocyte Cryopreservation? - Total yes replies= 42
79. The Option: Our clinic has performed Oocyte Cryopreservation in the last 12 months. [Results: Yes= 29 No: 13 Total= 42] ANALYSIS
80. The Option: Our clinic has NOT performed Oocyte Cryopreservation in the last 12 months. [Results: Yes= 13 No: 29 Total= 42] ANALYSIS
The Question was:Clinic Profile - Activity - Total yes replies= 39
81. The Option: Our clinic performed less than 100 egg collections last year. [Results: Yes= 4 No: 35 Total= 39] ANALYSIS
82. The Option: Our clinic performed between 101 and 200 egg collections last year. [Results: Yes= 9 No: 30 Total= 39] ANALYSIS
83. The Option: Our clinic performed between 201 and 400 egg collections last year. [Results: Yes= 8 No: 31 Total= 39] ANALYSIS
84. The Option: Our clinic performed between 401 and 800 egg collections last year. [Results: Yes= 10 No: 29 Total= 39] ANALYSIS
85. The Option: Our clinic performed between 801 and 1600 egg collections last year. [Results: Yes= 6 No: 33 Total= 39] ANALYSIS
86. The Option: Our clinic performed more than 1600 collections last year. [Results: Yes= 2 No: 37 Total= 39] ANALYSIS
The Question was:Activity per Full Time Equivalent [Collections/FTE]. - Total yes replies= 38
87. The Option: Our activity was <100 collections/FTE [Results: Yes= 7 No: 31 Total= 38] ANALYSIS
88. The Option: Our activity was between 100 and 125 collections/FTE [Results: Yes= 8 No: 30 Total= 38] ANALYSIS
89. The Option: Our activity was between 126 and 150 collections/FTE [Results: Yes= 12 No: 26 Total= 38] ANALYSIS
90. The Option: Our activity was between 151 and 175 collections/FTE [Results: Yes= 3 No: 35 Total= 38] ANALYSIS
91. The Option: Our activity was between 176 and 200 collections/FTE [Results: Yes= 5 No: 33 Total= 38] ANALYSIS
92. The Option: Our activity was more than 200 collections/FTE [Results: Yes= 3 No: 35 Total= 38] ANALYSIS
The Question was:Principle Stimulation Regimen - Total yes replies= 37
93. The Option: Is the stimulation regimen for the majority of women<35 years by Long down protocol? [Results: Yes= 9 No: 28 Total= 37] ANALYSIS
94. The Option: Is the stimulation regimen for the majority of women<35 years by Agonist protocol? [Results: Yes= 8 No: 29 Total= 37] ANALYSIS
95. The Option: Is the stimulation regimen for the majority of women<35 years by Antagonist protocol? [Results: Yes= 19 No: 18 Total= 37] ANALYSIS
96. The Option: The stimulation regimen for the majority of women<35 years is different to the above! [Results: Yes= 1 No: 36 Total= 37] ANALYSIS
The Question was:Special management-Individual Stimulation. - Total yes replies= 40
97. The Option: Is your clinic using (or attempting) to use individual stimulation regimens e.g. using AHM, AFC etc [Results: Yes= 38 No: 2 Total= 40] ANALYSIS
98. The Option: Our clinic does not attempt to individualise Treatment to patients. [Results: Yes= 2 No: 38 Total= 40] ANALYSIS
The Question was:Special Management-Minimal Stimulation - Total yes replies= 38
99. The Option: Our clinic has used Minimal/Mild Stimulation in the past 12 months? [Results: Yes= 17 No: 21 Total= 38] ANALYSIS
100. The Option: Our clinic has NOT used Minimal/Mild Stimulation in the past 12 months? [Results: Yes= 21 No: 17 Total= 38] ANALYSIS
The Question was:Special Management-Growth Hormone supplementation. - Total yes replies= 38
101. The Option: Our clinic has included Growth Hormone supplementation in the past 12 months. [Results: Yes= 12 No: 26 Total= 38] ANALYSIS
102. The Option: Our clinic has NOT included Growth Hormone supplementation in the past 12 months. [Results: Yes= 26 No: 12 Total= 38] ANALYSIS
The Question was:Special Management-DHEA supplementation. - Total yes replies= 38
103. The Option: Our clinic has included DHEA supplementation in the past 12 months. [Results: Yes= 17 No: 21 Total= 38] ANALYSIS
104. The Option: Our clinic has NOT included DHEA supplementation in the past 12 months. [Results: Yes= 21 No: 17 Total= 38] ANALYSIS
The Question was:Special management-Embryo Donation - Total yes replies= 39
105. The Option: Our clinic has performed Embryo Donation in the last 12 months. [Results: Yes= 22 No: 17 Total= 39] ANALYSIS
106. The Option: Our clinic has NOT performed Embryo Donation in the last 12 months. [Results: Yes= 13 No: 26 Total= 39] ANALYSIS
107. The Option: Embryo Donation is not permitted in our country. [Results: Yes= 4 No: 35 Total= 39] ANALYSIS
The Question was:Special Management- Surrogacy - Total yes replies= 41
108. The Option: Our clinic has performed Surrogacy Transfer in the last 12 months. [Results: Yes= 22 No: 19 Total= 41] ANALYSIS
109. The Option: Our clinic has NOT performed Surrogacy Transfer in the last 12 months. [Results: Yes= 13 No: 28 Total= 41] ANALYSIS
110. The Option: Surrogacy is not permitted in our country. [Results: Yes= 6 No: 35 Total= 41] ANALYSIS
The Question was:Special Management-Fertility Preservation - Total yes replies= 39
111. The Option: Our clinic has performed Fertility Preservation (oocyte banking) in the last 12 months. [Results: Yes= 26 No: 13 Total= 39] ANALYSIS
112. The Option: Our clinic has NOT performed Fertility Preservation (oocyte banking) in the last 12 months. [Results: Yes= 12 No: 27 Total= 39] ANALYSIS
113. The Option: Fertility Preservation (oocyte banking) is not permitted in our country. [Results: Yes= 1 No: 38 Total= 39] ANALYSIS
The Question was:Issues- What is the most pressing issue in your laboratory. - Total yes replies= 44
114. The Option: Workload [Results: Yes= 20 No: 24 Total= 44] ANALYSIS
115. The Option: Training [Results: Yes= 4 No: 40 Total= 44] ANALYSIS
116. The Option: Laboratory Space, design, equipment, etc [Results: Yes= 7 No: 37 Total= 44] ANALYSIS
117. The Option: Accreditation/quality issues [Results: Yes= 6 No: 38 Total= 44] ANALYSIS
118. The Option: Dealing with Medical staff. [Results: Yes= 3 No: 41 Total= 44] ANALYSIS
119. The Option: Other issues (including this survey!) (Describe in comments). [Results: Yes= 4 No: 40 Total= 44] ANALYSIS
Comments
#1123 writes: We culture the embryos in groups
#1124 writes: In women <35 we transfer avg = 1.85 embryos. We culture non PGD/PGS in groups based on D2 embryo development.
#1125 writes: Media type ... we use three commercial Cook, Vitrolife, Origio ... whole suite used per patient treatment cycle
#1126 writes: No issues in the laboratory!
#1129 writes: # 3 We are split evenly between Benchtop incubators and Low O2 big box incubators. # 25 GPS dish # 39 Group culture 3-4/drop
#1130 of USA writes: We do both group and single embryo culture, but no more than 4 per drop. We do more than 40% eSET in all age groups Mix sequential media brands We devide our pts between into multiple incubators depending on their D in the the lab and procedure type. I do not think many people are still doing D3 biopsy or ET.
#1137 writes: Majority of embryos are frozen on day 1 as 2PN.
#1141 writes: We perform closed group culture.
 
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