Nova IVF Fertility
Nova IVF Fertility
• Benefits to Nova IVI Fertility
– Lab set up & Upgradation
– Training, monitoring & Review of Embryologists & Consultants
– Technology Transfer : Embryo grading system, Cryotop Vitrification, SIVIS & Reflection
– Quality control initiatives
– Quality Management
– Troubleshooting
Expertise
• Consultants – 2 in every centre.
• Embryologist – In-house, at least 2 in every centre
• Andrologist – in every centre to handle male infertility
• Counsellors – Financial and physcological counsellor in every centre
• 2 embryologist from IVI, Spain - provides leadership to the clinical embryology teams & responsible for developing , monitoring & adherence to clinical protocols, training & evaluation of embryologists
• NIF provides opportunities to pursue academic interests like authoring papers & conduct research. Till now we have published 20+ original articles, 21 paper presentations & have written 10 articles for different textbooks
The Lab
• Separate Andrology & Embryology Lab
• Andrology lab:
– Equipped with Laminar Air flow, incubator & centrifuge machine
– Strict semen analysis parameters – Pre-was & post wash analysis done
– One sample is processed & analysed at one time, avoids mixing
– Printed reports are given
• Embryology Lab:
– Located towards end of the center
– Standard & strict SOPs
– Class 10,000 modular laboratory
Advanced Technology
• Laboratories conform to European standards for equipment, operating protocols and clean room standard
• High value infrastructure
– Full proof air handling unit
– 3 types of incubators – Heracell, Benchtop & Time lapse incubator
– High precision microscope
– Separate refrigerators for media storage
– Separate laminar air flows for media preparation & gamete screening
– Separate freezing and biopsy room
– Use of toxic free consumables,
– Separate cryocans for patients with infectious diseases
– Use of international quality media and consumables
• Droplet culture method for embryo growth
• Unique embryo grading system for NIF
• Surplus embryos: Frozen at blastocyst stage
Advanced Technology
• Expertise to perform :
– MACS
– DFI
– Laser assisted hatching –
– eSET
– Blastocyst culture
– Advanced genetic services:
– Cryotop vitrification : Use of Kitazato kit- the best and most expensive in the world
• Stringent quality assurance and quality control
– Standard & strict SOPs
– Regular audits of doctors, embryologists and laboratory by IVI Spain
– Maintaining laboratory environment and monitoring on day to day basis
– Periodic validation of procedures/ equipment
– Annual Lab stop
IT Infrastructure
• Use of UBQ Medics & SIVIS for clinical application
• Medics: supports front end functions, billing etc
• SIVIS: proprietary software developed by IVI.
• Stores patients information in the form of EMR from 1st OPD to ET and clinical pregnancy, if any.
• The information is stored real-time.
• This helps us in
– Evidence based practice since we have data of all the cases treated at NIF
– Helps us in performing retrospective studies
• Reflections software: Special software developed for embryologists for daily monitoring , which is monitored by IVI
Ethical Practices
Ethical By Choice Not By Chance!
• Clinical:
– Need based treatment plan for every patient
– Optimal stimulation protocols
– Informed consent at every stage
– Self- cycles: self embryo transferred, No mixing of gametes
– OHSS Free clinics
– Double witnessing to rule out errors during transfer
– Max 2 embryo transferred per cycle
– Surplus embryos – grown till blastocyst stage & then stored – can be used for the same patient/can be used for research/can be thrown
• Commercial:
– Standard cost for every patient
– One price for all
Donation Program at NIF
• Use of gametes/ embryos intended for donation program
• OD cycles –
– Extensive Screening for donors
– Dedicated donor
– No Sharing gametes of existing couples for donation
• ED Cycles –
– Extensive Screening for donors
– No Sharing of leftover embryos of existing couples for donation
Transparency in Treatment
• Real time data capturing and monitoring by SIVIS
•