Life sciences, Medtech and Healthtech - Innovation Surgeries, Leicestershire

Life sciences, Medtech and Healthtech - Innovation Surgeries

Application Form
Applicant Name

First NameLast Name
Institution/Company Name (if applicable)
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
If you have registered your business with Companies House, please provide full details:
If you have not yet registered your business with Companies House, please continue to next page.
Companies House Number
Registered Company Address

Street Address

Street Address Line 2

CityCounty

Post Code

Do you plan to register a business or create a spin-out anytime soon?*

Yes, please provide address below of where you are looking to register the businessI do not yet have a planned address for the business
Planned address

Street Address

Street Address Line 2

CityCounty

Post Code
Project title*

0/50
Disease/Healthcare area (e.g. Diabetes)*

0/50
Purpose of innovation (e.g. remote monitoring of blood glucose)*

0/200
Technology Readiness Level (TRL) - self assessed*

TRL 1: Basic principles observed and reportedTRL 2: Technology concept and/or application formulatedTRL 3: Analytical and experimental critical function and/or characteristic proof-of-conceptTRL 4: Technology basic validation in a laboratory environmentTRL 5: Technology basic validation in a relevant environmentTRL 6: Technology model or prototype demonstration in a relevant environmentTRL 7: Technology prototype demonstration in an operational environmentTRL 8: Actual Technology completed and qualified through test and demonstrationTRL 9: Actual Technology qualified through successful mission operations
Brief description of innovation (please do NOT include any proprietary information)*

0/200
Projected impact of innovation (max 4 bullet points)*
What advice do you require*

General next stepsScientificClinicalTechnicalFundingRegulatoryIPCommercialisationManufacturingClinical AdoptionMarket AccessOther
If other, please specify

0/25
Please note individuals/companies can only attend one innovation clinic session throughout the series.

This programme is funded through the University of Leicester’s MRC Impact Accelerator Account.
Should be Empty:

Life sciences, Medtech and Healthtech - Innovation Surgeries

If you have registered your business with Companies House, please provide full details: