Client Information Phone Number
Product Overview Product concept or idea * Briefly explain the purpose and functionality of the device. Include product name, if applicable. What is the intended medical application or use case (E.g., diagnostic, therapeutic, monitoring, surgical tools)?
Similar devices List any similar devices currently on the market.
Intellectual Property * Is there any Intellectual Property/Patent information available? If so, please include IP/Patent references.
Regulatory and Compliance Existing communication with any regulatory bodies Is there any existing communication with any regulatory bodies? If the product has been classified by any regulatory body, please provide the classification or relevant details.
Target Audience and Use Environment Who will use the product? E.g., physicians, surgeons, patients.
Where will the product primarily be used? E.g., hospitals, clinics, home environments.
Technical Requirements Specific features or functionalities What specific features or functionalities must the product have?(List any must-haves, such as wireless connectivity, specific materials, size constraints, etc.)
Specific manufacturing processes or materials Please describe any specific manufacturing processes or materials required (E.g., 3D printing, molding, welding, sterilization, novel/proprietary materials, etc.).
Technical challenges or concerns Are there any anticipated technical challenges or concerns? Highlight potential hurdles that need to be addressed.
Budget and Timeline Budget Range Select <$100k $100-500k $500k-$1M $1-2M $2-3M $3M+
Critical Deadlines Are there any critical deadlines or time-sensitive factors (E.g., upcoming regulatory changes, related product launches, investor dependencies, etc.)?
Additional Information Is there anything else we should know about your project?
