Record number:
983
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
Several reports of wrong settings after repair or maintenance through the years in different Tes
Alerting signals, symptoms, evidence of occurrence:
After repair of cryopreservation device embryos were cryopreserved with the wrong program (test run). 19 embryos of 4 couples lost
Demonstration of imputability or root cause:
After repair the test run was the top program. Normally the cryopresevation run was on top. Human error.
References:
Suggest references:
AAA