Embryology Software Built for
Complete Chain of Custody
Every oocyte, every fertilisation event, every blastocyst grade — tracked, signed, and audited from OPU to transfer or cryopreservation.
Built to keep embryologists at the microscope, not in spreadsheets.
Structured Grading Across All Three Systems
MedART supports Gardner blastocyst grading, Istanbul consensus for cleavage-stage, and Maribor classification — all via structured dropdowns, not free-text fields. Every embryo record is signed by the embryologist and timestamped at the point of entry.
- Gardner blastocyst: expansion score + ICM grade + TE grade
- Istanbul consensus grading for cleavage-stage embryos (Day 2/3)
- Maribor classification: EU / UM / FU categories
- Structured dropdowns only — no free text, no transcription errors
- Every grading event signed by embryologist with timestamp
Biopsy to Result — Fully Integrated
Biopsy documentation, lab referral, and result import are managed within MedART. When PGT results arrive, embryo status updates automatically and transfer priority is re-stratified — no manual cross-referencing between a lab report and the EMR.
- Biopsy documentation with lab reference number and biopsy day
- Result import from Igenomix, Reprogenetics, and CooperSurgical
- Euploid / aneuploid / mosaic status per embryo with confidence level
- Automatic re-stratification post-result for transfer priority ranking
- PGT-M pathology and mutation fields for monogenic disease cycles
Every Step Signed & Timestamped
MedART generates an immutable chain of custody log from oocyte retrieval to transfer or cryopreservation. Every action — fertilisation, grading, biopsy, warming — is signed and timestamped at the point of occurrence, creating an audit trail that captures Vienna 2017 consensus KPIs and satisfies ESHRE, SART, DHA, PSRM, and KARM requirements.
- Complete gamete-to-transfer log with personnel sign-offs
- Deviation alerts if any step in the chain is delayed or skipped
- ESHRE and SART structured data capture for annual reporting
- DHA Nabidh and KARM export formats built in
- Witness signing — two-person verification for critical steps
From OPU to FATE — Every Detail Captured
MedART captures the operational detail your QMS auditor and embryology director need: who did what, when, with which media, in which incubator chamber — and what eventually happened to every embryo created.
OPU & Insemination
- Retrieval rate, MII rate, and oocyte / OCC quality classification
- Fertilisation method (IVF / ICSI / IMSI), sperm preparation method, and embryologist sign-off
- Procedure start and end timestamps captured automatically
Culture & Transfer
- Culture media used, incubation conditions, incubator and chamber identifier, and culture duration
- Embryo glue and assisted hatching documented per transfer
- ET difficulty grade: visualisation of embryo release, blood / mucus on catheter, and reversal of embryos
FATE Tracking & KPIs
- FATE captured per embryo: Transferred / Cryopreserved / Discarded / Donated for research / Lost in culture
- Auto-generated FATE reports for QMS review and registry submission
- Vienna 2017 consensus KPIs computed from the structured data — no manual aggregation
- Cryo-renewal alerts and cryo-survival rate KPI rolled up across the cryobank
End-to-End Embryology Management
Fertilisation & Cleavage Records
Day-1 2PN confirmation, cleavage tracking on Day 2 and 3, and fragmentation scoring — all structured and timestamped.
Cryopreservation & Warming
Vitrification and warming protocols, straw labelling, tank and goblet assignment, cryo-renewal alerts, cryo-survival rate KPI, and a full cryo audit trail per embryo.
Embryo Selection & Transfer
Ranked selection view by grade and PGT status with one-click handoff to the clinical ET record.
WHO Registry Compliance
Gamete-to-transfer data captured in ESHRE / SART / DHA Nabidh / KARM structured formats — export-ready.
See the Embryology Module in Action
Walk through embryo grading, PGT-A workflow, and the chain of custody log in a personalised MedART demo.
Common Questions
What embryo grading systems does MedART support?
MedART Embryology supports Gardner grading (blastocyst expansion + ICM + TE), Istanbul Consensus (Day 3 cleavage-stage), and Maribor criteria for morphokinetics. Embryologists can record scores at each developmental stage, and the system auto-selects the highest-quality embryo for transfer based on configured grading rules.
How does MedART integrate with PGT-A genetic testing laboratories?
MedART integrates with genetic testing labs including Igenomix, Illumina, and CooperSurgical via HL7 messaging. Biopsy records, sample IDs, and shipment details are captured in the system, and PGT-A results (euploid, aneuploid, mosaic) are imported and linked to individual embryos in the gamete-to-transfer chain.
What is a gamete-to-transfer chain of custody in IVF?
A gamete-to-transfer chain of custody is a complete audit trail linking oocytes at retrieval → fertilisation records → embryo development milestones → biopsy (if PGT) → cryopreservation or transfer. MedART maintains this chain with witness verification at each step, preventing misidentification errors — a critical patient safety requirement in any accredited IVF lab.
Does MedART embryology module integrate with time-lapse incubators?
Yes. MedART integrates with time-lapse incubator systems including Vitrolife EmbryoScope, Genea GERI, and Esco Miri. Morphokinetic annotations (tPNf, t2, t4, t8, tM, tB) from time-lapse systems are imported and stored against each embryo, supporting AI-assisted selection and retrospective research.
What is the Vienna consensus for IVF KPIs and how does MedART support it?
The Vienna 2017 consensus is the international ESHRE/Alpha reference framework for IVF laboratory performance indicators — covering metrics such as fertilisation rate (per inseminated oocyte), cleavage rate, blastocyst development rate, vitrification survival rate, and biopsy success rate. MedART captures the structured data needed for each Vienna 2017 KPI at the point of entry, then aggregates indicators automatically per cycle, per embryologist, and per clinic — with no end-of-quarter manual rebuild required.
How Indira IVF tracks embryos across 175+ branches
Read the case study — gamete-to-transfer traceability, Gardner/Istanbul/Maribor grading, and witnessing logs on a single platform for Asia's largest network.