We feel the Embryoscope, Time lapse still cannot be routinely used in the IVF Lab for improving results.

1. Dr. Kaberi Banerjee
• MBBS and MD in Obstetrics & Gynecology (AIIMS, New Delhi)
• MRCOG, London, UK
• Commonwealth Fellow in Reproductive Medicine, London UK.
• Medical Director- Advanced Fertility and Gynae Centre, New Delhi
• Awards:
• Bharat Jyoti Award in 2008 . Global Healthcare Excellence Award 2014
• India Today Excellence Award in Field of Medicine 2015
• BL Jhaveri National Award in Medicine 2015
• Pricewaterhouse Coopers Award for Leading IVF Centre SE Asia 2017
• Publications:
• 2006- Published in Fertil Steril – Meta-ananlysis of role of Aspirin in ART
• 2008- Presented in FIGO – Original work in Embryo Transfer Methods
• 2017- Oral Presentation in Aspire Kualalumpur on Acceptance of donor gametes in Indian couples
• 2017 – Oral Paper accepted in Embryology Conference, Chicago on Retrograde Ejaculation.
• 2017- Paper accepted in International Journal of HIV
• More than 20 articles published in National and International Journals of repute
• Invited Author in various Fertility Articles.
• Conferences
• Organizing Chairperson CUPART and Co Organizer Embryology Allied Chicago.

3. Embryoscope
Against The Motion
Dr Kaberi Banerjee
New Delhi

4. Embryoscope- Time Lapse Monitoring System
• a combination of camera + microscope + incubator + computer

5. Embryoscope- Time Lapse Monitoring System
• continuous monitoring of embryos without disturbing them in order to
choose the best embryo(s) for transfer

6. Failed IVF!

7. Solution for Failed Cycles
• A = x$
• B = y$
• C = z$
• D = d$
• Embryoscope = e$
• Pay $$$$ and get your Success in
IVF!!

8. Is it Really True??

9. + Even though the cost of IVF treatment in India is
significantly low, affordability is the major barrier
35
2.6
50
200
> Rs.1 MPA
> Rs.0.2-1.0 MPA
< Rs. 0.2 MPA
Household income
INRMillion P.A
No.of Households(Millions)
Householdswho can
afford IVF treatment
Only 21% of the total householdsin Indiacan afford treatment for infertility
Cost of Treatment (Rs)
150,000 –200,000
Source: Interviews

13. Study Drawbacks
• Retrospective
• Small numbers
• Age –confounding
• Different patient profiles
• Different culture conditions
• Outcome parameter –not Live Birth
• Already selecting good prognosis

17. Results in Poor Responders

18. Time Consumed By Embryologists
• Repeated adjustments of
focus
• Images not very clear
• Embryos tend to migrate
to edge
• Could not rotate embryos

19. Results in Good Responders
• Embryos have to move
380 times in 3 days
• Long wave light , low
intensity
• VOCs from lubricants
• Electromagnetic waves

20. Conclusion

21. Conclusion

22. Complicated Interpretations

24. Each Lab must have its own Standards

25. Embryoscope- Does it really improve Pregnancy
Rates ?
• Not in Poor Responders
• Not convincingly in Good Responders
• Blastocyst selection?

26. Embryoscope- Is it Economical?
•No

27. Embryoscope- Does it have long term safety
studies?
•No

28. Embryoscope- Does it reduce Embryologist
Time Consumption?
•No

29. Embryoscope- Does it have a simple
interpretation system?
•No

30. Embryoscope- Can every Lab have same
kinetic markers?
•No

31. So why Offer it to Our Patients?
• Are we not fooling them?
• Are we not fooling ourselves?

32. Embryoscope