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Dear entrepreneur,
Please complete the following form wherever available information exists.
Project title
Contact person
Name
Tel. No.
Email
Team
Inventor
Physician
Other
Choose your category
Category name
Diagnostics
Medical Devices
Biopharma
Technology
The unmet need: clinical, procedure cost saving / product cost saving; quality of life, etc.
Your solution
Revolution or evolution?
Scientific basis for the technology
Existing solutions
Your advantage/ uniqueness
Project status
Development stage (concept, detailed design, prototype)
In vivo / in vitro proof of concept What model/s were used?
Safety data
Human data
The Market (if data available)
Clinical indication
Market size
Competitors
IP
Patent source. Academic institution?
Patent Status
Application data and number
IP holders
Anticipated challenges
Proof of concept, technology, engineering, pre-clinical, appropriate models, regulatory, etc.
Funding
Funding to date. Previous Chief scientist funding?
Previous Chief scientist funding?
Incubation objectives
Please fill
Notes
Free field