Skip to main content
Log in

Development of a security system for assisted reproductive technology (ART)

  • Technological Innovations
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

In the field of assisted reproductive technology (ART), medical accidents can result in serious legal and social consequences. This study was conducted to develop a security system (called IVF-guardian; IG) that could prevent mismatching or mix-ups in ART.

Materials and methods

A software program was developed in collaboration with outside computer programmers. A quick response (QR) code was used to identify the patients, gametes and embryos in a format that was printed on a label. There was a possibility that embryo development could be affected by volatile organic components (VOC) in the printing material and adhesive material in the label paper. Further, LED light was used as the light source to recognize the QR code. Using mouse embryos, the effects of the label paper and LED light were examined. The stability of IG was assessed when applied in clinical practice after developing the system. A total of 104 cycles formed the study group, and 82 cycles (from patients who did not want to use IG because of safety concerns and lack of confidence in the security system) to which IG was not applied comprised the control group.

Results

Many of the label paper samples were toxic to mouse embryo development. We selected a particular label paper (P touch label) that did not affect mouse embryo development. The LED lights were non-toxic to the development of the mouse embryos under any experimental conditions. There were no differences in the clinical pregnancy rates between the IG-applied group and the control group (40/104 = 38.5 % and 30/82 = 36.6 %, respectively).

Conclusions

The application of IG in clinical practice did not affect human embryo development or clinical outcomes. The use of IG reduces the misspelling of patient names. Using IG, there was a disadvantage in that each treatment step became more complicated, but the medical staff improved and became sufficiently confident in ART to offset this disadvantage. Patients who received treatment using the IG system also went through a somewhat tedious process, but there were no complaints. These patients gained further confidence in the practitioners over the course of treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Mortimer D, Mortimer ST. Quality and Risk Management in the IVF Laboratory. Cambridge, UK: Cambridge University Press; 2005.

    Google Scholar 

  2. Bender L. ‘To err is human’. ART mix-ups: A labor-based, relational proposal. J Gender Race & Justice. 2006;9:1–90.

    Google Scholar 

  3. Liebler R. Are you my parent? Are you my child? The role of genetics and race in defining relationships after reproductive technological mistakes. Depaul J Health Care Law. 2002;5:15–56.

    PubMed  Google Scholar 

  4. Spriggs M. IVF mixup: white couple have black babies. J Med Ethics. 2003;29:65. doi:10.1136/jme.29.2.65.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Adams S, Carthey J. IVF Witnessing and Electronic Systems—final report 2006. 2010.

    Google Scholar 

  6. Magli MC, Van den Abbeel E, Lundin K, Royere D, Van der Elst J, Gianaroli L. Committee of the Special Interest Group on Embryology. Revised guidelines for good practice in IVF laboratories. Hum Reprod. 2008;23:1253–62.

    Article  PubMed  Google Scholar 

  7. Nyboe Andersen A, Goossens V, Bhattacharya S, Ferraretti AP, Kupka MS, de Mouzon J, et al. European IVF-Monitoring (EIM) Consortium, For the European Society of Human Reproduction and Embryology (ESHRE). Assisted reproductive technology and intrauterine inseminations in Europe. 2005: results generated from European registers by ESHRE: ESHRE. The European IVF Monitoring Programme (EIM), for the European Society of Human Reproduction and Embryology (ESHRE). Hum Reprod. 2009;24:1267–87.

    Article  CAS  PubMed  Google Scholar 

  8. Brison DR, Hooper M, Critchlow JD, Hubter HR, Arnesen R, Lloyd A, et al. Reducing risk in the IVF laboratory: implementation of a double witnessing system. Clinical Risk. 2004;10:176–80. doi:10.1258/1356262041591131.

    Article  Google Scholar 

  9. Perrin RA, Simpson N. RFID and bar codes–critical importance in enhancing safe patient care. J Healthc Inf Manag. 2004;18:33–9.

    PubMed  Google Scholar 

  10. Feeley J. Image-based ID boosts read rates; solution to difficult, dirty barcode read application replaced over-matched laser scanner, improves plant efficiency. Control design for machine builders. 2013. http://www.controldesign.com/articles/2013/feeley-image-based-id-boosts-read-rates/?show=all. Accessed 09 jul 2013.

  11. Bates DW, Cohen M, Leape LL, Overhage JM, Shabot MM, Sheridan T. Reducing the frequency of errors in medicine using information technology. J Am Med Inform Assoc. 2001;8:299–308.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. The Bar Code Book – Palmer R. C. 5th ed. Helmers Publishing; 2007.

  13. Glew AM, Hoha K, Graves J, Lawrence H, Read S, Ah-Moye M. Radio frequency identity tags ‘RFID’ for electronic witnessing of IVF laboratory procedures. Fertil Steril. 2006;86 Suppl 1:S170.

    Article  Google Scholar 

  14. Gye MC, Park CJ. Effect of electromagnetic field exposure on the reproductive system. Cli Exp Reprod Med. 2012;39:1–9.

    Article  Google Scholar 

  15. Aitken RJ, Bennetts LE, Sawyer D, Wiklendt AM, King BV. Impact of radio frequency electromagnetic radiation on DNA integrity in the male germline. Int J Androl. 2005;28:171–9. doi:10.1111/j.1365-2605.2005.00531.x.

    Article  CAS  PubMed  Google Scholar 

  16. Lai H, Singh NP. Acute exposure to a 60Hz magnetic field increases DNA strand breaks in rat brain. Bioelectromagnetics. 1998;18:156–65.

    Article  Google Scholar 

  17. Meltz ML. Radiofrequency exposure and mammalian cell toxicity, genotoxicity, and transformation. Bioelectromagnetics. 2003;24:S196–213. doi:10.1002/bem.10176.

    Article  Google Scholar 

  18. Tice RR, Hook GG, Donner M, McRee DI, Guy AW. Genotoxicity of radiofrequency signals I Investigation of DNA damage and micronuclei induction in cultured human blood cells. Bioelectromagnetics. 2002;23:113–26. doi:10.1002/bem.104.

    Article  CAS  PubMed  Google Scholar 

  19. Vijaylaxmi N, Mohan N, Meltz ML, Wittler MA. Proliferation and cytogenetic studies in human blood lymphocytes exposed in vitro to 2450 MHz radiofrequency radiation. Int J Radiat Biol. 1997;72:751–7.

    Article  Google Scholar 

  20. Novo S, Barrios L, Santaló J, Gómez-Martínez R, Duch M, Esteve J, et al. Anovel embryo identification system by direct tagging of mouse embryos using silicon-based bar codes. Hum Reprod. 2011;26:96–105. doi:10.1093/humrep/deq309.

    Article  PubMed  Google Scholar 

  21. Novo S, Penon O, Barrios L, Nogués C, Santaló J, Durán S, et al. Direct embryo tagging and identification system by attachment of biofunctionalized polysilicon barcodes to the zona pellucida of mouse embryos. Hum Reprod. 2013;28:1519–27.

    Article  PubMed  Google Scholar 

  22. Novo S, Morató R, Penon O, Duran S, Barrios L, Nogués C, et al. Identification of bovine embryos cultured in group by attachment of bar codes to the zona pellucida. Reprod Fertil Dev. 2013. doi:10.1071/rd13066.

    Google Scholar 

  23. Novo S, Ibáñez E, Barrios L, Castell O, Nogués C. Biomolecule screening for efficient attachment of biofunctionalized microparticles to the zona pellucida of mammalian oocytes and embryos. Biomed Microdevices. 2013;15:801–9. doi:10.1007/s10544-013-9766-8.

    Article  CAS  PubMed  Google Scholar 

  24. Novo S, Nogués C, Penon O, Barrios L, Santaló J, Gómez-Martínez R, et al. Barcode tagging of human oocytes and embryos to prevent mix-ups in assisted reproduction technologies. Hum Reprod. 2014;29:18–28. doi:10.1093/humrep/det409.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yong Soo Hur.

Additional information

Capsule We have developed a security system called IVF-Guardian (IG) that uses QR (quick response) codes for ART (assisted reproductive technology) treatment. IG helped the medical staff gain the confidence and trust of their patients.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hur, Y.S., Ryu, E.K., Park, S.J. et al. Development of a security system for assisted reproductive technology (ART). J Assist Reprod Genet 32, 155–168 (2015). https://doi.org/10.1007/s10815-014-0367-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-014-0367-0

Keywords

Navigation