Table 2. Veeck and Zaninovic Classification System
Blastocyst ≥50% cavity/Cavitated morula <50% cavity
Classification Description
Degree of expansion and hatching status
1 Early blastocyst; the blastocoel filling more than half the volume of the conceptus, but no expansion in overall size as compared to earlier stages
2 Blastocyst; the blastocoel filling more than half of the volume of the conceptus; with slight expansion in overall size and notable thinning of the zona pellucida.
3 Full blastocyst; a blastocoel of more than 50% of the conceptus volume and overall size fully enlarged with a very thin zona pellucida
4 Hatching blastocyst; non-preimplantation genetic diagnosis. The trophectoderm has started to herniate through the zona
5 Fully hatched blastocyst; non-preimplantation genetic diagnosis. Free blastocyst fully removed from zona pellucida
6 Hatching or hatched blastocyst; preimplantation genetic diagnosis
Inner cell mass (ICM)
A Tightly packed, compacted cells
B Larger, loose cells
C No ICM distinguishable
D Cells if ICM appear degenerative
Trophectoderm (TE)
A Many healthy cells forming a cohesive epithelium
B Few, but healthy large cells
C Poor, very large, or unevenly distributed cells, may appear as few cells squeezed to the side
D Cells of the trophectoderm appear degenerative
(Veeck & Zaninovic, 2003).