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" ... In the coming decade, if we apply a 15% prevalence of infertility, 675 of these women could need IVF. Assuming a generous 50% success rate per IVF cycle in the coming decade, these women could account for 1350 cycles. Each cycle will produce between three and six different types of tissue that may need storage for the later use (eggs, embryos, semen, trophoblast, testicular biopsy, ovarian biopsy), meaning that the 1350 cycles could produce an aggregate 8,100 samples, all labeled Jessica Smith or Jennifer Smith. Depending on the penmanship of the labeler, it may be difficult to tell one person’s specimens from another’s. More alarming: each of these 8,100 samples generates straws for eggs (assume 12 per egg freezing cycle), one or more sperm vials when sperm is frozen, straws for embryos (assume 4-6 per cycle), and one vial per embryo when biopsied for PGT. Each of these is a potential labeling error, as are the multiple dish and other vessel-labeling steps. In sum, the 675 Jessica and Jennifer Smiths could represent tens to hundreds of thousands of separate instances where a specimen could be mislabeled or transferred to another patient. ... "