Type of InquiryRequired
Select OneInquiry regarding medical device development (ideas, seeds, products, commercialization, etc.)Other inquiries, opinions, or requests
Company Name (Group, Organization)
Department (Role)
Full NameRequired
EmailRequired
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Phone Number (Mobile or Home)
Target Disease
※Enter the name of the disease(s) that will benefit from the proposed medical device. ※If no target disease, leave blank.
Current Method of Treatment
※Enter the current method of treatment for the target disease (device, procedure, etc.)
Proposed Method of Treatment
※Enter your proposed method of treatment, and the advantages over the current method of treatment.
Development Status
※Enter your proposed method of treatment, and the advantages over the current method of treatment. Select OneIdea onlyIn developmentDevelopment completeOn the marketOther
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