醫(yī)療器械創(chuàng)新網
2021年中關村論壇國際技術交易大會“全球產業(yè)創(chuàng)新領先技術百強榜單”評選活動為中關村論壇品牌活動之一，以促進技術交易合作為目標，在中關村科技園區(qū)管理委員會的指導下組織舉辦，面向全球征集遴選并最終發(fā)布全球前100強產業(yè)創(chuàng)新領先技術榜單，經100位中外專家評審團三輪評選，最終形成100項最具價值、最具創(chuàng)新影響力的產業(yè)創(chuàng)新領先技術，于2021年中關村論壇國際技術交易大會期間重磅發(fā)布，并將作為重點合作項目獲得各種推薦機會。
主辦單位：國際技術轉移協(xié)作網絡（ITTN）
協(xié)辦單位：醫(yī)療器械創(chuàng)新網網
? ? ? ? ? ? ? ?醫(yī)療器械產業(yè)技術創(chuàng)新戰(zhàn)略聯(lián)盟
? 中國醫(yī)療器械行業(yè)協(xié)會醫(yī)療器械創(chuàng)新網專業(yè)委員會
報名對象：參加2019-2021年度中國醫(yī)療器械創(chuàng)新網創(chuàng)業(yè)大賽的獲獎項目
報名截止時間：2021年7月31日
報名方式：下載填寫報名表報名（限額30個項目）
申請資料發(fā)送郵箱：storyw@163.com
報名咨詢：王臨13701192397 ?微信同手機號
2021中關村論壇—技術交易發(fā)布大會“產業(yè)創(chuàng)新領先技術百強榜單”
2021 International Technology Trade Fair and Release on ZGC Forum
“100 Best Industrial Innovations for International Technology Transfer”
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作為項目方向組委會做出承諾和申明如下：
一、參與承諾
本人代表所發(fā)布技術項目，自愿參加2021中關村論壇技術交易大會產業(yè)創(chuàng)新領先技術百強項目榜單評選活動（以下簡稱“活動”），并向活動組委會作如下承諾：
（一）承諾人提供的所有資料（包括并不限于所在單位和團隊成員信息、項目文件、路演信息等）所含內容均真實、有效、準確、完整，所提交的書面材料、副本材料或口頭證言，有關材料上的簽字或印章均是真實的，有關副本材料、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產權或專有權利，不含任何誹謗或非法材料，不存在任何知識產權權利糾紛。
（三）自將項目資料提交至活動組委會之日起，即許可活動組委會可以將其資料在非商業(yè)用途下通過各種方式向社會展現(xiàn)。
二、免責聲明
承諾人知悉報名提交的資料應不存在任何知識產權權利糾紛，如在活動期間或活動之后所產生的任何知識產權權利糾紛均由承諾人自行承擔，與組委會無關。
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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.
技術供給項目申請表
Technology Collection?Form
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注：紅星標注的內容為必填項 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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*所屬機構/公司 Company/ Institution |
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*職位 Position |
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*所屬公司/機構介紹 Company/Institution Introduction |
包括機構名稱、成立時間、團隊人數(shù)、注冊資本、所在地及機構簡介（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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所屬公司網址 Website |
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技術信息Technology Information |
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*技術名稱 Technology Name |
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*所屬國別 Country |
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* 技術領域 Technology Field |
□新一代信息技術 ??????????????????????????????□智能制造 New Generation of ICT ????????????????????????????Intelligent?Manufacturing? ?????????????????????? □生物技術與創(chuàng)新藥 ????????????????????????????□高端醫(yī)療器械 Biotechnology & Innovative Medicine ????????????????High-end Medical Device □環(huán)保與可持續(xù)發(fā)展 ????????????????????????????□新能源 Environmental Protection & Sustainable Development ??New Energy ???????????????????? □新材料 ??????????????????????????????????????□現(xiàn)代農業(yè) New Materials ??????????????????????????????????Modern Agriculture □智慧交通 ????????????????????????????????????□高端裝備 Smart Transportation ?????????????????????????????High-end Equipment ? 細分領域（自行填寫）Fields Segmentation?(fill in by yourself)???????????????? |
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* 技術基本介紹 Description Of Technology ? |
簡要介紹技術項目整體情況，含技術研發(fā)背景，應用細分領域，技術形態(tài)、醫(yī)療器械創(chuàng)新網，解決什么問題，技術亮點優(yōu)勢、發(fā)展階段等；另外，如技術項目曾獲得獎項、團隊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）技術創(chuàng)新性Technological Innovation （該項在專家評審中約占50%分值Accounts for about 50% of the score in the expert's evaluation） |
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1.* 請描述該技術具備哪些技術創(chuàng)新性和先進性（考核該技術先進性和創(chuàng)新性，主要描述該技術在國內外市場類似產品或者技術對比分析、包含但不限于可公開披露的技術參數(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.* 項目所屬階段 Stage of Development □ 技術發(fā)現(xiàn) Technology discovery ?????????????????????????????? □ 論證/驗證 Demonstration/Validation □ 示范模型/專利形成 Pilot/Preclinical Stage □ 醫(yī)療器械創(chuàng)新網研發(fā)/工程（批量）樣品/中試Product Service R&D/Engineering (Batch) Samples/Pilot testing □ 商品化/產業(yè)化階段Commercialization/Industrialization ? 請描述該技術目前發(fā)展水平（主要用于評價該技術成熟度與產業(yè)化水平，主要描述該技術目前所屬階段，包括技術水平、工藝流程、配套資源、技術生命周期等產業(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.請說明該技術優(yōu)勢的可持續(xù)性和不可替代性（主要考核該技術的潛在風險，包括技術可實現(xiàn)風險、技術可靠性風險、 知識產權侵權風險、應用推廣可行性風險、市場競爭風險、政策風險、團隊風險等） 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）技術商業(yè)價值 Technology Business Value （該項在專家評審中約占40%分值 Accounts for about 40% of the score in the expert's evaluation） |
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1.*知識產權情況（主要用于評價該項目是否具有可轉化的核心知識產權作為標的） 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 ??????□集成電路設計IC Design ??????????□專有技術 Technology Know-How ? □商標 Trademark ??□計算機軟件 Computer Software ???□工業(yè)品外觀設計 Industrial Design □版權 Copyright ??□生產醫(yī)療器械創(chuàng)新網 Manufacturing Process Technology ?□其它Others______________ ? *成果權屬Ownership of IP □獨占?Exclusive ??□共有Joint（共有權人Co-owner_______ ） ?□其他Others _________ *知識產權數(shù)量Number of IP ______________ 知識產權描述Description of IP： ? ? |
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2.*請描述該技術潛在應用場景及目標客戶（主要用于評價該技術是否有明確的目標客戶、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.*目標產品及描述 Target Product and Description *產品形態(tài)Product pattern： □最終消費產品Final consumer products ????????????□工業(yè)產品Industrial Products □工業(yè)中間產品Industrial intermediate products ??????□技術服務Technical Services 其他 Others__________________ ? 產品描述（技術是否形成產品，以及產品的設計性和創(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? □提供技術服務Providing technical services ?????? □提供技術咨詢Provide technical consultancy services? □技術聯(lián)合研發(fā) Joint R&D ???????????????? □技術秘密轉讓Transfer of technical secrets □專利權轉讓Transfer of patent right □專利申請權轉讓Assignment of patent application □專利權（專利申請技術）實施許可Patent (patent application technology) enforcement license □合作生產Joint Production □工程承包Project contracting □設備引進Introduction of Equipment? □公共工程特許權（BOT）Build-operate-transfer? □特許經營Franchising □補償貿易Compensation trade □專家服務Expert service □股權投資合作Equity investment cooperation □成立獨資或合資公司Establishment of Sole Proprietorship or Joint Venture □創(chuàng)新技術產品市場開拓Market development of innovation technology products □合同研發(fā)外包R&D?outsourcing?contract □創(chuàng)新技術供應鏈合作Innovation technology supply chain cooperation □其他Others___________ ? 請詳細闡述理想的合作方式（包括理想的合作機構<合作機構屬性、所屬領域、行業(yè)地位等>，合作業(yè)務，合作目標等）
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構Will to set up a company or branch in China □ 是 Yes ??□ 否 No |
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6.?目前該技術融資情況及融資需求（用于評價該技術目前市場價值） Current investment and financing needs (for evaluating the current market value of the technology) |
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團隊核心專家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)領域 Professional Field |
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*個人簡介：包括團隊職能、工作經歷和業(yè)績、行業(yè)技術地位（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/技術或機構宣傳視頻/路演ppt，請一并發(fā)送至storyw@163.com；
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