Oocyte Warming Record

    Recipient Information

    Donor id

    Recipient first name

    Recipient last name

    Recipient birth date [Date]


    Oocyte warming/fertilization stage

    Lot number(s)

    Number of eggs in lot(s)

    Was this a partial lot thaw?

    Number of thawed oocytes

    Date of thaw

    Technician performing thaw

    Number of oocytes surviving thaw

    Number of oocytes inseminated

    Sperm information

    Sperm type

    Sperm source

    Sperm status

    Special Technique Used

    Sperm sample pre-wash volume (mL)

    Sperm sample pre-wash concentration (mil./mL)

    Sperm sample pre-wash motility (%)

    Embryo development/culture stage

    # 2PN

    # 0PN

    # 1PN

    # ≥3PN


    Number embryos cleaved/developed

    Embryo transfer/cryo stage

    Number of embryos cryo-preserved

    Was PGT-A performed?

    # biopsied

    # euploid

    Did transfer occur