Success st ories w it h t he Esco M iri

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1 Issue 6 Volume Success st ories w it h t he Esco M iri Smart IVF Daya Medika, Indonesia, currently has 2 Miri Benchtop Multi-room Incubator. The first unit was installed in September 2014 while the second unit was installed in October on the same year. Again, Miri has proven its worth with the first baby boy born on 13th of July while the second and third (Twin) born on 15th of July of this year. One of our missions is to help in fulfilling every couple?s dream of having a baby of their own. Hence, it is our pride and joy to know that we have been an instrument in achieving the dream of the parents of these cuties. Esco Medical products are now being used by leading IVF Clinics and are recommended by top embryologists in the world. Smart IVF Daya Medika 1st Miri Baby born on July 13, Success st ories w it h t he Esco M iri A not e f rom Prof. Hakan of Anat olia IVF and Women?s Healt h Cent er 3 Esco M edical held it s annual t echnical t raining in Singapore 4 A new level of Qualit y Cont rol in IVF 5 Esco on t he move Smart IVF Daya Medika Twins (2nd and 3rd babies) born on July 15,

2 A not e f rom Prof. Hakan of Anat olia IVF and Women?s Healt h Cent er "Being a clinician, what I believe is that 80% of success or failure of an IVF treatment cycles is from the lab! Optimum in-vitro culture condition is indispensable to achieve highest live birth rates in an IVF Lab. We recently purchased 2 Miri Benchtop Multi-room Incubators and we are very happy using them. Having monitored the cleavage and blastulation rates of the 6 lids, they appear to be consistent. We also recently commenced to offer liberal PGS (trophoectoderm biopsy) for advanced maternal age cases and very happy with the first results; in this context provision of good in vitro culture conditions with these incubators have greatly contributed. The last point is that MedikalTim, the Turkish distributor, has designed a cheap but very useful stand with a drawer system to put 3 Miri incubators on top of each other to save from the space; very good job!" Professor Hakan Yaral?, MD Anatolia IVF and Women?s Health Center Ankara, Turkey Thank you Professor Hakan for appreciating our Team?s effort in providing excellent product and service to you and your team. We look forward to more successful births in your care. Anatolia IVF and Women's Health Center Source: Satisfied user of Miri Multi-room Incubator at Anatolia IVF and Women's Health Center Clinic Esco M edical held it s annual t echnical t raining in Singapore As part of our commitment in providing quality products and services, Esco has successfully conducted an annual Advanced Technical Training in our headquarters in Singapore. Once again we would like to thank all distributors across Asia and staff who have made this event possible. Hand in hand, we aim to provide only the best in embryo incubation. Participants during the training 2

3 A new level of Qualit y Cont rol in IVF IVF is becoming more popular worldwide, thus the necessity for advanced and reliable equipment is essentially increasing. Embryologists need to take more control and monitor their procedures, from the collection of gametes to embryo implantation, for a higher pregnancy success rate. To address these recent needs, Esco invests substantial amount of time and effort in Research and Development, and came up with new IVF tools. Semi Closed Environment (IVF/ ICSI) Maximum performance and Quality Control of your procedures Semi Closed Environment (SCE) takes the controlled environment from your incubators to previous procedures in the laboratory workflow. We believe that maximum control of the environment throughout the entire ART procedure is beneficial and will lead to better outcome. With the SCE product line, you can now perform microscopy and ICSI with a stable, controlled and monitored CO2 and temperature, inside the working area. SCE ICSI (Semi Closed Environment? Int ra-cyt oplasmic Sperm Inject ion) - Digital inverted microscope (Zeiss objectives). 4x, 20x and 40x. Manual motorized focus/zoom. SCE IVF (Semi Closed Environment? In-vit ro Fert ilizat ion) - Digital inverted microscope (Zeiss objective). 4x. Manual motorized focus/zoom. Key benefits of both systems: Semi Closed Environment (IVF / ICSI) - 3 incubator compartments with access from the front (inside the working area) and from the back (outside the working area). - Pre-installed stereo microscope or micromanipulator (based on your requirements). - Heated zones on the work area. - CO2 controlled environment separately monitored in the working area and the 3 incubator compartments. - VOC filtering of the air in the incubators and the large working area. - Data logger software with full insight of temperature and gas conditions. M iri GA M ini Gas Validat ion Unit Miri GA Mini is a handheld device intended to do spot measurements of CO2 and O2. The Miri GA Mini can connect to any brand of incubator and is a perfect accessory for spot monitoring on Miri TL Time lapse and Miri Multi-room Incubators. Key Features: - Fast spot measurement of gas concentrations. - Gas suction rate is gentle and adjustable from 0-8L/h. - For one incubator/chamber at the time. MIri GA Mini Gas Validation Unit 3

4 16 Technol ogy Cult ure and Fert ilizat ion Dishes Working procedures are to be as smooth as possible with the new culture dishes from Esco. We have targeted optimal work routines and smooth procedures in the lab. With the 4 different types of dishes, we are able to support and make various procedures and demands easier. All dishes are Gamma-sterilized and Oxygen plasma-treated for high wet-ability (hydroscopic). Cult urecoin f or M iri TL - Holds up to 14 embryos with individual numbered wells (1-14). - For single and separated culture where each embryo are cultured in its own environment. - Ergonomic design for easy handling and location of embryos. - Separate well for ph measurements. - Packed in 1 dish pouches and delivered in boxes of 25 pcs. CultureCoin for Miri TL Communal Reservoir CultureCoin for Miri TL Communal Reservoir Cult urecoin f or M iri TL - Well of the well position for each embryo but culture medium and oil overlay is shared for all positions. - Same ergonomic advantages as the regular CultureCoin, so embryo placement and location are very easy and allow the pipette to be held in a comfortable angle. - Holds up to 14 embryos. The wells are numbered (1-14). - Same footprint as the regular CultureCoin, so the user can choose which type to use in the Miri TL. - Packed in 1 dish pouches and delivered in boxes of 25 pcs. Fert ilizat ion and cult uring dish f or st andard procedures - 8 separate wells (separation on both medium and oil layer). - Each well holds a maximum of 0.6 ml. Medium volumes can be adjusted by the user. Microdroplet culture and larger volume culture possible. - Well slopes down towards the center of the dishmaking oocyte or embryo; placement predictable and easy to locate. - Central work area saves time when moving the dish during microscopy. - Ergonomic pipette access angle. - Flat bottom for good thermal contact. - Lid is smaller than the dish (fits inside outer rim).makes handling safe. - Good gas exchange inside the dish due to sufficient opening between lid and dish. - Each well is clearly numbered (1-8). - Packed in 5 dish pouch. Fertilization and Culturing Dish 4

5 ICSI Dish ICSI Dish - The dish has 8 separate positions for oocytes. - Oocytes from one patient is loaded into these before the ICSI start. - The wells are individually numbered. - One oocyte is then moved to the working area. - A sperm cell is loaded from the sperm area and injected into the oocyte. - Then, the oocyte is moved to the other side to the culturing wells. That side also has 8 wells. These wells are for the finished cells. - A row of 8 washing wells are located in between. - Packed in 1 dish pouches and delivered in boxes of 25 pcs. - The Esco ICSI dish features working areas. - One for the injection of the oocyte. - One for holding sperm. Esco on t he move Esco is committed in delivering innovative tools to uphold its promise of meeting every customer's needs and even exceeding their expectations by continuous research and development. Esco wants to ensure that every need is met and each laboratory all over the world would benefit from the safe and reliable features that our products offer. Hence, we actively participated in various conferences and trade shows to bring you solutions. ESHRE ESHRE 2015 was a very special experience for For Esco Medical. We are grateful to the existing users, our loyal customers, who helped by bringing their colleagues over to see our Miri TL Time Lapse and Miri Multi-room Embryo Incubators. We have received overwhelming positive response especially on the image quality and automatic cleavage detection software of Miri TL. We are grateful also for giving us great inputs on our new products, the Semi Closed Enviroment (SCE) for IVF and ICSI. We will surely incorporate those in the final units. On behalf of the entire Esco Medical Team, we hope that you enjoyed the Congress as much as we had. We wish that our products have given new hopes and we promise to continuously deliver top-of-the-line products that address IVF concerns, and in turn help increase pregnancy success rates. Esco meeting with customers at ESHRE 2015 Esco booth with visitors at ESHRE

6 IVF Expert s On July 24-26, IVF Experts Meeting, the most prestigious annual conference on Assisted Reproduction in Vietnam, was held solemnly at the Imperial Hotel, Vung Tau City. Having the same mission and as a support to the conference?s goals, Esco Vietnam presented the experts with the Miri Benchtop Multi-room Incubator and Miri TL Time Lapse Embryo Incubator. Miri TL attracted and received overwhelming compliments from IVF specialists because of its excellent design, and advanced incubation and time lapse technology. As the conference ended, everybody went home with a new hope, and will work with inspiration and a new perspective in their profession. Esco will always be here to support and look for answers that will uphold our common goals of giving hopes to those people who wants to have little ones. Esco Vietnam Team at Esco stand during IVF Experts 2015 Conference during IVF Experts Learn t he lat est f rom Esco, meet us at f ollow ing event s ASRM American Societ y f or Reproduct ive M edicine Annual M eet ing October 17-21, 2015 Baltimore Convention Center Baltimore, Maryland, USA The 4t h World Congress of Int ernat ional Societ y of Fert ilit y Preservat ion November 13-15, 2015 Pullman Shanghai South Shanghai, China M EFS M iddle East Fert ilit y Societ y Annual M eet ing November 5-7, 2015 Maritim Jolie Ville International Congress Center Sharm El Sheikh, South Sinai, Egypt JSFI The 33rd Annual M eet ing of Japan Societ y of Fert ilizat ion and Implant at ion November 21-23, 2015 Pacifico Yokohama Yokohama, Japan The 17t h Chongqing ART Conf erence November 12-14, 2015 Chongqing Shenji Sofitel Hotel Chongqing, China DVR Dachverband Reprodukt ionsbiologie und -medizin e.v. Kongress December 3-5, 2015 Congress Center Hamburg Hamburg, Germany Esco New s is the online publication of Esco Micro for its customers, partners, suppliers and friends. Published by Esco M icro Pt e. Lt d. 21 Changi South Street 1 Singapore Phone: Fax: mail@escoglobal.com Website: Edit or/ Writ er/ Layout Art ist Ma. Christia Lagamson-Rivera christia.l@escoglobal.com