醫(yī)療器械創(chuàng)新網(wǎng)
2021年中關(guān)村論壇國際技術(shù)交易大會(huì)“全球產(chǎn)業(yè)創(chuàng)新領(lǐng)先技術(shù)百強(qiáng)榜單”評選活動(dòng)為中關(guān)村論壇品牌活動(dòng)之一，以促進(jìn)技術(shù)交易合作為目標(biāo)，在中關(guān)村科技園區(qū)管理委員會(huì)的指導(dǎo)下組織舉辦，面向全球征集遴選并最終發(fā)布全球前100強(qiáng)產(chǎn)業(yè)創(chuàng)新領(lǐng)先技術(shù)榜單，經(jīng)100位中外專家評審團(tuán)三輪評選，最終形成100項(xiàng)最具價(jià)值、最具創(chuàng)新影響力的產(chǎn)業(yè)創(chuàng)新領(lǐng)先技術(shù)，于2021年中關(guān)村論壇國際技術(shù)交易大會(huì)期間重磅發(fā)布，并將作為重點(diǎn)合作項(xiàng)目獲得各種推薦機(jī)會(huì)。
主辦單位：國際技術(shù)轉(zhuǎn)移協(xié)作網(wǎng)絡(luò)（ITTN）
協(xié)辦單位：醫(yī)療器械創(chuàng)新網(wǎng)網(wǎng)
? ? ? ? ? ? ? ?醫(yī)療器械產(chǎn)業(yè)技術(shù)創(chuàng)新戰(zhàn)略聯(lián)盟
? 中國醫(yī)療器械行業(yè)協(xié)會(huì)醫(yī)療器械創(chuàng)新網(wǎng)專業(yè)委員會(huì)
報(bào)名對象：參加2019-2021年度中國醫(yī)療器械創(chuàng)新網(wǎng)創(chuàng)業(yè)大賽的獲獎(jiǎng)項(xiàng)目
報(bào)名截止時(shí)間：2021年7月31日
報(bào)名方式：下載填寫報(bào)名表報(bào)名（限額30個(gè)項(xiàng)目）
申請資料發(fā)送郵箱：storyw@163.com
報(bào)名咨詢：王臨13701192397 ?微信同手機(jī)號(hào)
2021中關(guān)村論壇—技術(shù)交易發(fā)布大會(huì)“產(chǎn)業(yè)創(chuàng)新領(lǐng)先技術(shù)百強(qiáng)榜單”
2021 International Technology Trade Fair and Release on ZGC Forum
“100 Best Industrial Innovations for International Technology Transfer”
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作為項(xiàng)目方向組委會(huì)做出承諾和申明如下：
一、參與承諾
本人代表所發(fā)布技術(shù)項(xiàng)目，自愿參加2021中關(guān)村論壇技術(shù)交易大會(huì)產(chǎn)業(yè)創(chuàng)新領(lǐng)先技術(shù)百強(qiáng)項(xiàng)目榜單評選活動(dòng)（以下簡稱“活動(dòng)”），并向活動(dòng)組委會(huì)作如下承諾：
（一）承諾人提供的所有資料（包括并不限于所在單位和團(tuán)隊(duì)成員信息、項(xiàng)目文件、路演信息等）所含內(nèi)容均真實(shí)、有效、準(zhǔn)確、完整，所提交的書面材料、副本材料或口頭證言，有關(guān)材料上的簽字或印章均是真實(shí)的，有關(guān)副本材料、掃描件均與正本材料一致。
（二）承諾人提交的資料任何部分均不侵犯任何第三方的知識(shí)產(chǎn)權(quán)或?qū)Ｓ袡?quán)利，不含任何誹謗或非法材料，不存在任何知識(shí)產(chǎn)權(quán)權(quán)利糾紛。
（三）自將項(xiàng)目資料提交至活動(dòng)組委會(huì)之日起，即許可活動(dòng)組委會(huì)可以將其資料在非商業(yè)用途下通過各種方式向社會(huì)展現(xiàn)。
二、免責(zé)聲明
承諾人知悉報(bào)名提交的資料應(yīng)不存在任何知識(shí)產(chǎn)權(quán)權(quán)利糾紛，如在活動(dòng)期間或活動(dòng)之后所產(chǎn)生的任何知識(shí)產(chǎn)權(quán)權(quán)利糾紛均由承諾人自行承擔(dān)，與組委會(huì)無關(guān)。
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As a project/technology, we obey the commitment and disclaimer to the Organizing Committee as follows:
1. Commitments
On behalf of the technology released by me, I voluntarily participate in the 2021 International Technology Trade Fair and Release on ZGC Forum “100 Best Industrial Innovations for International Technology Transfer”. (hereinafter referred to as the "Fair") and made the following commitments to the Organizing Committee：
1.1 All information provided by the declarant (including but not limited to information of the company/institution, team members, technology, presentation, etc.) is true, valid, accurate and complete. The written materials, copies or oral testimony submitted, and the signature or seal on the relevant materials are true. The relevant copies and scanned copies are consistent with the original materials.
1.2 No part of the information submitted by the declarant violates the intellectual property or proprietary rights of any third party, does not contain any defamatory or illegal material, and there is no dispute over any intellectual property rights.
1.3 From the date of submission of the technology materials to the Organizing Committee, the Committee is permitted to demonstrate the materials in public in different ways with non-commercial use.
2. Disclaimer
The declarant is aware that the information submitted for application should be free from any intellectual property rights disputes, and that any intellectual property rights disputes arising during or after the event will be the sole responsibility of the declarant instead of the Organizing Committee.
技術(shù)供給項(xiàng)目申請表
Technology Collection?Form
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注：紅星標(biāo)注的內(nèi)容為必填項(xiàng) The contents with red star is mandatory fields
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基本信息Basic Information |
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*聯(lián)系人 ??Contact |
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*郵箱E-mail |
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*電話 Mobile No. |
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*所屬機(jī)構(gòu)/公司 Company/ Institution |
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*職位 Position |
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*所屬公司/機(jī)構(gòu)介紹 Company/Institution Introduction |
包括機(jī)構(gòu)名稱、成立時(shí)間、團(tuán)隊(duì)人數(shù)、注冊資本、所在地及機(jī)構(gòu)簡介（300字左右）。 Including the name, founded time, number of team, registered capital, location and a brief description of the institution（about 300 words） |
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所屬公司網(wǎng)址 Website |
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技術(shù)信息Technology Information |
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*技術(shù)名稱 Technology Name |
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*所屬國別 Country |
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* 技術(shù)領(lǐng)域 Technology Field |
□新一代信息技術(shù) ??????????????????????????????□智能制造 New Generation of ICT ????????????????????????????Intelligent?Manufacturing? ?????????????????????? □生物技術(shù)與創(chuàng)新藥 ????????????????????????????□高端醫(yī)療器械 Biotechnology & Innovative Medicine ????????????????High-end Medical Device □環(huán)保與醫(yī)療器械創(chuàng)新網(wǎng) ????????????????????????????□新能源 Environmental Protection & Sustainable Development ??New Energy ???????????????????? □新材料 ??????????????????????????????????????□現(xiàn)代農(nóng)業(yè) New Materials ??????????????????????????????????Modern Agriculture □智慧交通 ????????????????????????????????????□高端裝備 Smart Transportation ?????????????????????????????High-end Equipment ? 細(xì)分領(lǐng)域（自行填寫）Fields Segmentation?(fill in by yourself)???????????????? |
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* 技術(shù)基本介紹 Description Of Technology ? |
簡要介紹技術(shù)項(xiàng)目整體情況，含技術(shù)研發(fā)背景，應(yīng)用細(xì)分領(lǐng)域，技術(shù)形態(tài)、醫(yī)療器械創(chuàng)新網(wǎng)，解決什么問題，技術(shù)亮點(diǎn)優(yōu)勢、發(fā)展階段等；另外，如技術(shù)項(xiàng)目曾獲得獎(jiǎng)項(xiàng)、團(tuán)隊(duì)核心人物具有影響力可加分（500字左右，如有圖片更佳） Briefly introduce the general situation of the technology or project, including the background of technology R&D, application segments, technology forms, application fields, what problems to solve, the advantages of technology, stages of development, etc.; In addition, it can score extra points if it has won awards, the core member of the team has influence?(about 500 words, it would be better if there are pictures) ? ? |
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（一）技術(shù)創(chuàng)新性Technological Innovation （該項(xiàng)在專家評審中約占50%分值A(chǔ)ccounts for about 50% of the score in the expert's evaluation） |
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1.* 請描述該技術(shù)具備哪些技術(shù)創(chuàng)新性和先進(jìn)性（考核該技術(shù)先進(jìn)性和創(chuàng)新性，主要描述該技術(shù)在國內(nèi)外市場類似產(chǎn)品或者技術(shù)對比分析、包含但不限于可公開披露的技術(shù)參數(shù)） Please describe the technological advancement and innovation (assess the technological advancement and innovation, mainly describe the comparison of similar products or technology in the domestic and international markets, including but not limited to the publicly disclosed technical parameters) ? ? |
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2.* 項(xiàng)目所屬階段 Stage of Development □ 技術(shù)發(fā)現(xiàn) Technology discovery ?????????????????????????????? □ 論證/驗(yàn)證 Demonstration/Validation □ 示范模型/專利形成 Pilot/Preclinical Stage □ 醫(yī)療器械創(chuàng)新網(wǎng)研發(fā)/工程（批量）樣品/中試Product Service R&D/Engineering (Batch) Samples/Pilot testing □ 商品化/產(chǎn)業(yè)化階段Commercialization/Industrialization ? 請描述該技術(shù)目前發(fā)展水平（主要用于評價(jià)該技術(shù)成熟度與產(chǎn)業(yè)化水平，主要描述該技術(shù)目前所屬階段，包括技術(shù)水平、工藝流程、配套資源、技術(shù)生命周期等產(chǎn)業(yè)化程度） Please describe the current development of the technology (mainly used to evaluate the maturity and industrialization level of the technology, mainly describing the current stage of the technology, including the level of technology, technological process, supporting resources, technology life cycle and others of industrialization) ? ? ? |
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3.請說明該技術(shù)優(yōu)勢的可持續(xù)性和不可替代性（主要考核該技術(shù)的潛在風(fēng)險(xiǎn)，包括技術(shù)可實(shí)現(xiàn)風(fēng)險(xiǎn)、技術(shù)可靠性風(fēng)險(xiǎn)、 知識(shí)產(chǎn)權(quán)侵權(quán)風(fēng)險(xiǎn)、應(yīng)用推廣可行性風(fēng)險(xiǎn)、市場競爭風(fēng)險(xiǎn)、政策風(fēng)險(xiǎn)、團(tuán)隊(duì)風(fēng)險(xiǎn)等） Please describe the sustainability and irreplaceability of the technology advantages (mainly assess the potential risks of the technology, including technology achievability risk, technology reliability risk, intellectual property infringement risk, application feasibility risk, market competition risk, policy risk, team risk, etc.) ? ? |
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（二）技術(shù)商業(yè)價(jià)值 Technology Business Value （該項(xiàng)在專家評審中約占40%分值 Accounts for about 40% of the score in the expert's evaluation） |
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1.*知識(shí)產(chǎn)權(quán)情況（主要用于評價(jià)該項(xiàng)目是否具有可轉(zhuǎn)化的核心知識(shí)產(chǎn)權(quán)作為標(biāo)的） Intellectual property rights (mainly used to evaluate whether the technology has the core IP rights that can be transformed as the subject) □專利Patent ??????□集成電路設(shè)計(jì)IC Design ??????????□專有技術(shù) Technology Know-How ? □商標(biāo) Trademark ??□計(jì)算機(jī)軟件 Computer Software ???□工業(yè)品外觀設(shè)計(jì) Industrial Design □版權(quán) Copyright ??□生產(chǎn)醫(yī)療器械創(chuàng)新網(wǎng) Manufacturing Process Technology ?□其它Others______________ ? *成果權(quán)屬Ownership of IP □獨(dú)占?Exclusive ??□共有Joint（共有權(quán)人Co-owner_______ ） ?□其他Others _________ *知識(shí)產(chǎn)權(quán)數(shù)量Number of IP ______________ 知識(shí)產(chǎn)權(quán)描述Description of IP： ? ? |
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2.*請描述該技術(shù)潛在應(yīng)用場景及目標(biāo)客戶（主要用于評價(jià)該技術(shù)是否有明確的目標(biāo)客戶、市場需求） Please describe the potential application scenarios and target customers of the technology (mainly used to evaluate whether the technology has a clear target customer, market demand) |
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3.*目標(biāo)產(chǎn)品及描述 Target Product and Description *產(chǎn)品形態(tài)Product pattern： □最終消費(fèi)產(chǎn)品Final consumer products ????????????□工業(yè)產(chǎn)品Industrial Products □工業(yè)中間產(chǎn)品Industrial intermediate products ??????□技術(shù)服務(wù)Technical Services 其他 Others__________________ ? 產(chǎn)品描述（技術(shù)是否形成產(chǎn)品，以及產(chǎn)品的設(shè)計(jì)性和創(chuàng)意性） Product description?(whether the technology has been a product, and the designability and creativity of the product) ? ? ? |
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4.*理想的合作方式Ideal Way of Cooperation? □提供技術(shù)服務(wù)Providing technical services ?????? □提供技術(shù)咨詢Provide technical consultancy services? □技術(shù)聯(lián)合研發(fā) Joint R&D ???????????????? □技術(shù)秘密轉(zhuǎn)讓Transfer of technical secrets □專利權(quán)轉(zhuǎn)讓Transfer of patent right □專利申請權(quán)轉(zhuǎn)讓Assignment of patent application □專利權(quán)（專利申請技術(shù)）實(shí)施許可Patent (patent application technology) enforcement license □合作生產(chǎn)Joint Production □工程承包Project contracting □設(shè)備引進(jìn)Introduction of Equipment? □公共工程特許權(quán)（BOT）Build-operate-transfer? □特許經(jīng)營Franchising □補(bǔ)償貿(mào)易Compensation trade □專家服務(wù)Expert service □股權(quán)投資合作Equity investment cooperation □成立獨(dú)資或合資公司Establishment of Sole Proprietorship or Joint Venture □創(chuàng)新技術(shù)產(chǎn)品市場開拓Market development of innovation technology products □合同研發(fā)外包R&D?outsourcing?contract □創(chuàng)新技術(shù)供應(yīng)鏈合作Innovation technology supply chain cooperation □其他Others___________ ? 請?jiān)敿?xì)闡述理想的合作方式（包括理想的合作機(jī)構(gòu)<合作機(jī)構(gòu)屬性、所屬領(lǐng)域、行業(yè)地位等>，合作業(yè)務(wù)，合作目標(biāo)等）
Please describe the ideal cooperation ways in details (including the ideal cooperation organization ? ? ? |
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5.* 是否考慮在中國成立公司或分支機(jī)構(gòu)Will to set up a company or branch in China □ 是 Yes ??□ 否 No |
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6.?目前該技術(shù)融資情況及融資需求（用于評價(jià)該技術(shù)目前市場價(jià)值） Current investment and financing needs (for evaluating the current market value of the technology) |
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團(tuán)隊(duì)核心專家Core Experts |
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*姓名Name |
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*職位 Position |
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PHOTO 200*200PX |
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*國籍 Nationality |
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*最高學(xué)位 Highest Degree |
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出生年月 Date of Birth |
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畢業(yè)院校及專業(yè) Graduate Institution & Major |
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聯(lián)系方式 Contact |
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*專業(yè)領(lǐng)域 Professional Field |
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*個(gè)人簡介：包括團(tuán)隊(duì)職能、工作經(jīng)歷和業(yè)績、行業(yè)技術(shù)地位（水平）等。 Profile: including roles of the team, work experiences and performance, technical status (level) in the industry, etc. |
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可添加補(bǔ)充其他成員介紹 Introduction of Other Members ? |
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*填寫完畢后，請將該文件與如有可對外公開的BP/技術(shù)或機(jī)構(gòu)宣傳視頻/路演ppt，請一并發(fā)送至storyw@163.com；
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