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Digital RESI Three Day Conference Innovation Challenge Applica�on Deadline: Wednesday, May 6th, 2020 digital RESI june 8 - 10, 2020 Three day conference resiconference.com Connecting Products, Services & Capital LIFE SCIENCE NATION Life Science Nation invites the top-tier early-stage companies in therapeutics, medical devices, diagnostics, and digital health from around the globe to apply for Digital RESI Three Conference on June 8th - 10th, 2020. There is no fee to apply. Please fill out this form as completely as possible. Please note that a commercial stage company (except digital health) would not be a fit for this Challenge. The online application enables you to submit additional, non-confidential materials such as your pitch deck and executive summary, but will not support file sizes larger than 5 MB. In that case, please submit these materials to [email protected] for the team to review along with your Innovation Challenge application. Each Innovation Challenge Finalist will have a dedicated page, where you can view their poster, video, and other supplementary materials. All attendees are encouraged to vote for the most innovative company (max 5 votes). The Top 3 winners will be announced after the conference on the RESI Conference website and LSN Newsletter on Thursday, June 11th. Please note: 1) If your company placed in the Top 3 in an Innovation Challenge since RESI Philadelphia on June 2019, or were a finalist at Digital RESI Europe 2020, you do not qualify to participate in the Innovation Challenge at this time. 2) If you are selected as a finalist, and you have not yet registered for RESI at the time of selection, you MUST register by Friday, May 22nd, to claim your spot in the RESI Innovation Challenge. If you do not register by this date, the spot will be offered to the next highest scoring company.

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Page 1: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

Digital RESI Three Day ConferenceInnovation ChallengeApplica�on Deadline: Wednesday, May 6th, 2020

digital RESI june 8 - 10, 2020Three day conference resiconference.com

Connecting Products, Services & Capital

LIFE SCIENCENATION

Life Science Nation invites the top-tier early-stage companies in therapeutics, medical devices, diagnostics, and digital health from around the globe to apply for Digital RESI Three Conference on June 8th - 10th, 2020.

There is no fee to apply. Please fill out this form as completely as possible. Please note that a commercial stage company (except digital health) would not be a fit for this Challenge.

The online application enables you to submit additional, non-confidential materials such as your pitch deck and executive summary, but will not support file sizes larger than 5 MB. In that case, please submit these materials to [email protected] for the team to review along with your Innovation Challenge application.

Each Innovation Challenge Finalist will have a dedicated page, where you can view their poster, video, and other supplementary materials. All attendees are encouraged to vote for the most innovative company (max 5 votes).

The Top 3 winners will be announced after the conference on the RESI Conference website and LSN Newsletter on Thursday, June 11th.

Please note:

1) If your company placed in the Top 3 in an Innovation Challenge since RESI Philadelphia on June 2019, or were a finalist at Digital RESI Europe 2020, you do not qualify to participate in the Innovation Challenge at this time.

2) If you are selected as a finalist, and you have not yet registered for RESI at the time of selection, you MUST register by Friday, May 22nd, to claim your spot in the RESI Innovation Challenge. If you do not register by this date, the spot will be offered to the next highest scoring company.

Page 2: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

I. Company Information

*Your Name:

*Your Email:

*Company Name:

*Job Title:

*Address:

Address2:

*City:

*State/Province:

*Zip/Other Postal Code:

*Country:

*Phone:

*Website:

*Industry:

*Please Choose your Company Type

If you are a Therapeutics company, please fill out form II-A

If you are a Medical Devices company, please fill out form II-B

If you are a Diagnostics company, please fill out form II-C

If you are a Digital Health company, please fill out form II-D

1

*Is your company an SBIR/STTR grant recipient? If yes, which institute?

*Are you a tech hub member? If yes, which tech hub?

Page 3: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

II-A. Therapeutics-Specific Survey Questions

Your Company/Technology Description - elevator pitch (80-120 words)

The description here will be used for our RESI program guide and other marketing material if you are selected as one of the finalists.

*Drug/technology type (Select all that apply)

☐ Small Molecule☐ Protein/Peptide Biologic☐ Cell-based Therapy☐ Ab☐ Nucleic Acid (e.g. RNA)☐ Gene Therapy Approach☐ Ab-Drug Conjugate☐ Therapeutic Vaccine☐ Drug Delivery☐ Technology Platform☐ Regenerative Medicine

*Program Stage (Select One)

Discovery (candidate seeking)

Preclinical Development (Pre-IND Studies)

Phase 1

Phase 2

Phase 3

On the Market

2

Page 4: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

*Technical Validation achieved to date (Select all that apply)

3

☐ Target Engagement Demonstrated☐ Preclinical Development (pre-IND studies)☐ In Vivo (animal) Activity☐ Acceptable Safety/Tox Profile☐ IND Enabling Safety/Tox☐ Phase 1 Safety Demonstrated☐ Phase 2 Proof of Concept Achieved

*Regulatory pathway (Select one)

Standard FDA Approval Process

Generic Drug Approval

Drug for Rare/Orphan Disease

Fast Track Approval Possible/Granted

Priority Review Voucher Possible

Page 5: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

II-B. Medtech Devices-Specific Survey Questions

Your Company/Technology Description - elevator pitch (80-120 words)

Subsector (Select all that apply)

☐ Implantable Devices☐ Patient Monitoring Device☐ Imaging Hardware, Tracers, etc☐ Delivery Devices☐ Biomaterials, Coatings☐ Single Use Devices (disposable)☐ Reusable Instrumentation☐ Infection Control☐ In Vitro Diagnostics☐ Companion Diagnostics (theranostics)☐ Patient Aids☐Wound Care☐ Portable Device

*Regulatory pathway (Select one)

4

510k Pathway Exempt

510k Required

Premarket Approval Application (PMA) will be required

Humanitarian Device Exemption Process (rare diseases)

The description here will be used for our RESI program guide and other marketing material if you are selected as one of the finalists.

Page 6: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

II-C. Medtech Diagnostics-Specific Survey Questions

Your Company/Technology Description - elevator pitch (80-120 words)

Subsector (Select all that apply)

☐ Implantable Devices☐ Patient Monitoring Device☐ Imaging Hardware, Tracers, etc☐ Delivery Devices☐ Biomaterials, Coatings☐ Single Use Devices (disposable)☐ Reusable Instrumentation☐ Infection Control☐ In Vitro Diagnostics☐ Companion Diagnostics (theranostics)☐ Patient Aids☐Wound Care☐ Portable Device

*Regulatory pathway (Select one)

5

510k Pathway Exempt

510k Required

Premarket Approval Application (PMA) will be required

Humanitarian Device Exemption Process (rare diseases)

The description here will be used for our RESI program guide and other marketing material if you are selected as one of the finalists.

Page 7: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

II-D. Healthcare IT/Digital Health -Specific Survey Questions

Your Company/Technology Description - elevator pitch (80-120 words)

*Digital health subsector (select all that apply)

Consumer Health Self-Management

Wearables and Biosensing

Care Coordination

Electronic Health (EHR) and Medical (EMR) Records

Telemedicine and Virtual Care

Payer Administration

Analytics and Big Data (Including Pt Records)

Population Health

Non-Regulated Consumer Health Product

Other

6

*Regulatory pathway (Select one)

510k Pathway Exempt

510k Required

Premarket Approval Application (PMA) will be required

Humanitarian Device Exemption Process (rare diseases)

The description here will be used for our RESI program guide and other marketing material if you are selected as one of the finalists.

Page 8: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

III. General Questions for All Industry Sectors

*Technology Overview: Briefly describe the technology you are developing. Be sure to describe its ultimate utility andbe sure to highlight any new science that enables its development. If Digital Health is your focus, please describe thegap/unmet stakeholder need that will be addressed by your product and how it will be accomplished. (500 wordsmax)

* Technical Validation Achieved to Date: Biotech / Medtech: Describe any data confirming that your technologyachieves its intended purpose. (e.g., performance in animal models, device/test performance, platform technologyvalidation, clinical proof-of-concept, etc.) Digital Health: Describe the progress you have achieved to date in gainingmarket traction with your product. (500 words max)

7

Page 9: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

*Please provide a list of your competitors. How is your technology differentiated from each competitor?

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*What is the estimated cost to achieve commercialization? Please provide estimated costs to reach each milestone.

Page 10: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

*Achieving Market Entry: Briefly describe how your therapeutic, device, technology or digital health product willdistinguish itself from current and anticipated competitors in your market segment. How novel is your technology?What, if any, new stakeholder groups are you targeting? (500 words)

*What is the expected market size upon approval? Please provide both monetary value and disease prevalence. (500words)

9

Page 11: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

*Alliances & Collaborations: Biotech / Medtech: Highlight any strategic alliances you have established that will enabledevelopment, validation, regulatory approval, production or marketing of your technology. Digital Health: Highlightany manufacturing partners engaged, any flagship customer(s) obtained or distribution agreements you have enteredinto. (500 words)

*Please list any valued 3rd party relationships (CRO, Vendors, Distribution Partners, etc.), or n/a if not applicable. Arethese relationships regional or global players? (500 words)

*IP status (Select One)

Patent disclosures at university

Patent applications filed

Key patent(s) issued

Broad IP position established

10

Page 12: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

*CEO profile (Select One)

Technical Expert Founder/Academic Entrepreneur

Management Experience Leading Multiple Companies

Successfully Obtained Non-dilutive Funding

Successfully Obtained Investment Capital

Serial Entrepreneur with Significant Business Experience

11

*Management team in place (Select all that apply)

☐ CEO☐ CSO/CTO☐ CFO☐ Business Development support☐ SAB Established☐ Experienced external advisors

*Please list Management Team (Title + Relevant Experience)

*Please list Advisory Board (Title + Relevant Experience)

Page 13: Products, Services & Capital Digital RESI Three Day ... · 6/8/2010  · Digital RESI Three Day Conference Innovation Challenge Applica on Deadline: Wednesday, May 6th, 2020 digital

www.resiconference.com [email protected] 617-600-0668

Actively looking for investment capital

Not at Present Time

Will be Raising Funds Within 6 Months

Will be Raising Funds Within 1 Year

12

*If actively fundraising, what stage of financing are you raising? (Select One)

None/ Not Applicable

Angel

Seed

Series A

Series B or Later

What amount (in millions $USD) are you hoping to raise?

*Are you currently fundraising? (Select One)

*Company financing to date (Select all that apply)

☐ SBIR/STTR☐ Founder Funded☐ Angel☐ Seed☐ Series A☐ Series B☐ Series C or later

*Capital raised to date (in millions $USD)Please include non-dilutive funding that the company itself received (SBIR/STTR) but do NOTinclude academic/university research grants that were used for technology development

Thank you for applying to the Innovation Challenge.

If you have any questions, please contact [email protected] Please send additional materials such as your pitch deck and executive summary to

[email protected] for us to review along with your application to the Innovation Challenge.