Whole Lab Integration
Every process in every part of the lab is automatically detected, logged and protected.
Before installation, together we create a plan that outlines your exact requirements including the mapping out of locations for readers and server connections.
We can fit embryology heated plates into all workstations from major suppliers; flush fitted integration is possible with K-Systems and ORIGIO cabinets.
Work areas can be connected through Wi-Fi or LAN cables to a central server which means everything works together and data updates in real time.
Our software works with leading patient management databases.
We also work closely with clinics and their database administrators on an individual basis to ensure smooth integration with RI Witness.
“The integration of RI Witness into our daily routine was fast and simple and allowed for an improvement in system usage after a short period of time”
Dr Roberts Maggiulli, Biologist Laboratory Coordinator, Clinica Genera, Italy
Staff and Patients’ Considerations
Assessing how the implementation of an Electronic Witnessing System might affect your patients and embryologists is very important. Evidence shows they feel the benefits of using the system in a short space of time.
How might my patients feel about the use of an electronic witnessing system?
One study found that patients and embryology teams felt reassured when using RI Witness, and that it could be used as a trusted strategy to decrease patient stress concerning mismatches; 97.1% of patients confirmed they were more reassured if an Electronic Witnessing System was used in their clinic8.
Key Staff Concerns
Will the installation of an Electronic Witnessing System be disruptive?
The installation of RI Witness and the staff training required takes less than a week to complete, under normal circumstances. A testing and validation phase of one month follows, after installation. A study conducted in an Italian clinic found system users were 96% satisfied with its performance immediately after validation3.
Bespoke Protocol Management
As part of the installations, a bespoke flow chart (Witness Point Diagram) is created with the assistance of a CooperSurgical installation specialist.
It is designed by you and works in line with your existing Standard Operating Procedures (SOPs). Each critical step carried out by every operator, wherever they are in the laboratory, is logged in a manner compatible with your working practices.
The Witness Point Diagram is then tested step by step.
The easy-to-use software interface allow you to amend the diagram as your SOPs and needs evolve.
You are in control, so there are no delays such as waiting for outside assistance.
Use RI Witness to its full potential*
On top of the security advantages with RI Witness, the bespoke infrastructure can also be used to improve other aspects of your laboratory’s daily work load.
*Some of these features require additional purchases
Workflow Management Tool
You can look at the activity being done in the lab, how long it takes, where it takes place and who performed it. This information may indicate that staff training is needed, that there are bottle necks in the process or that equipment requires upgrading or replacing. All of this data allows you to make informed decisions about laboratory work improvements.
Procedure data can be explored in detail or summarized into pie or bar charts.
Patient samples can be tracked as they enter and leave cryo storage.
The RI Witness RFID system converts data to cryo-suitable barcode identification labels. Durable, laboratory-proven Brady labels are used to identify the vials or vitrification straws.
On thawing/warming, the barcode information is linked automatically with the embryo thaw dish.
Paperless Data Capture
You can enter data directly into patient records using small touch screen displays or a keyboard and mouse interface installed at your work areas.
By inputting directly, transcription errors are minimized and multiple data handling is avoided.
Data can be accessed and analyzed immediately.
Daily Overview Board
Using a Cycles Overview Display you can view active cycles in the lab. or each cycle the last procedure and current status for the day is shown, for example, in progress, finished or not started.
This information is displayed on a big screen fixed to the lab wall and can be accessed from any networked PC.
The entire team gains an overview of the lab’s daily activities and how the day’s work is progressing.
You can record which products are used for each cycle type.
Records can be sorted and filtered in various ways to cross-reference patient cycles and material batches.
It allows you to keep a full record of consumables used in the laboratory, which is often a requirement of regulatory authorities.
Capture images and videos from every microscope in the laboratory, at any stage of the patient cycle. Information and images for each patient’s cycle can be saved in the patient’s file and accessed immediately from any networked PC.
Patient Display Screen
Show the patient their embryo pre-transfer while checking it against their patient ID card in the transfer room. This enables the patient to be directly involved.
The Order Codes for RI Witness™ will depend on your particular configuration.
2 Townsend N, Ah-Moye M, Bunyan K, Engley S, Evans D, Glover L, McClure A, Ogutu D, Richardson L, (2016). Can electronic witnessing with RFID tags safeguard patients and mitigate risk in an IVF laboratory?
3 Sanges F, Maggiulli R, Albricci L, Romano S, Scarica C, Schimberni M, Giallonardo A, Vattraino G, Ubaldi F, Rienzi L, (2013). Implementing an electronic witnessing system into a busy IVF clinic- one clinic’s experience.
4 Patel B, Schnauffer K, Gregoire R, Kingsland C R, Troup S, (2011). An investigation into the efficiency of RFID electronic witnessing compared to manual witnessing.
5 Department of Health (2004). Independent review of the circumstances surrounding four adverse events that occurred in the Reproductive Medicine Units at The Leeds Teaching Hospitals NHS Trust. [online] London. Available at: http://www.who.int/patientsafety/information_centre/reports/Independent_review_Leeds.pdf [Accessed 12 May 2017].
6 Research Instruments Ltd. (2005). Test Report on Mouse testing of RFID Tagging System “IVF Witness”. Certificate of Analysis (Ectors, FJ, August 2005, GIGA Université de Liège,Belgium) Certificate of Calibration (Wragge-Morley, B. ETC, UK, May 2005) Certificate of Analysis (Pearce, J, May 2007, Embryotech, Wilmington USA)
7 Obradors, A. (2016). How can we mitigate the risk of error in the IVF Lab?
8 Forte, M., Faustini, F., Maggiulli, R., Scarica, C., Romano, S., Ottolini, C., Farcomeni, A., Palagiano, A., Capalbo, A., Ubaldi, F. and Rienzi, L. (2016). Electronic witness system in IVF – patients perspective. Journal of Assisted Reproduction and Genetics, 33(9), pp.1215-1222.
RI Witness™ Publications
2017 ESHRE presentation – An 8 year snapshot of insightful data using RI Witness: an absolute necessity for your IVF laboratory – Dr Stephen Troup Scientific Director, IVI UK
Q: What is RFID?
A. RFID (Radio Frequency Identification) is a generic term for technologies that use radio waves to automatically identify objects. Labels with tiny microchips embedded in them are attached to all plasticware such culture dishes, test tubes and patient identity cards before being assigned to a patient. These microchips are read by the RI Witness readers. There is no need to directly scan the labels, the whole process is automatic and many tags can be read simultaneously.
Q: How does the RFID label transmit the information?
A: RI Witness uses RFID tags and a reader. The reader sends out electromagnetic waves and the tag receives these waves. The RFID tag draws power from the field created by the reader and uses it to power the microchip’s circuits. The microchip then modulates the waves that the tag sends back to the reader and the reader converts the new waves into digital data.
Q: Are there any health risks associated with RFID and radio waves?
A: RI Witness uses a radio frequency similar to the signals received by your car radio. We have organised exhaustive independent Mouse Embryo Assay (MEA) studies to demonstrate that RI Witness RFID does not have any detrimental effect on the development of embryos. These tests used radio waves which are 700 times stronger than those used by the actual product.
Q: Why is RFID better than using barcodes?
A: The most significant difference is that barcodes use line-of-sight technology. That is, a scanner has to “see” the barcode to read it, which means it is necessary to orientate the barcode towards a scanner for it to be read. Barcode systems therefore rely on the user remembering to confirm patients’ sperm, oocytes and embryos match. This can be prone to human error, and if not done correctly, can give a false record.
RFID, by contrast, doesn’t require line-of-sight. Tags can be read as long as they are within range of a reader. In addition, multiple RFID tags can be read at the same time, meaning that several items can be identified together. RI Witness uses this ability to automatically check everything that is brought into the working area.
RFID technology provides a level of security that can eliminate human identification errors. It monitors everything in every work area, every second of every day. It also offers an extremely large number of unique identities (UID). This means that each sample container can has its own UID and that procedures can be tracked in detail. The system knows exactly what has happened to the samples and which containers were used. The communication between tag and reader is very secure.