Incorrect cryopreservation run of ovarian tissue for maternity preservation

Record number: 
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
Similar cases reported for cryopreservation of embryos
Alerting signals, symptoms, evidence of occurrence: 
During cryopreservation the freezer takes the wrong run for ovarium tissue. Technical failure.
Demonstration of imputability or root cause: 
Autologous ovarian tissue for maternity preservation. Next day patient will start with chemotherapy.
Suggest references: 
TRIP annual report 2012 Biovigilance