Transportion device with follicle fluid too hot

Record number: 
987
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
Never reported before
Alerting signals, symptoms, evidence of occurrence: 
By arrival at laboratory the temperature of transport device with follicle fluid was 42 °C. All (2) oocytes lost. Total loss of this cycle
Demonstration of imputability or root cause: 
Hot pack placed in the transport device by non experienced staff member
Suggest references: 
AAA