Invention Disclosure - University Hospitals Ventures

First Name*

Last Name*

Email*

This field is hidden when viewing the form

Disclosure Date

Invention Title*

Inventors*

Full Name	Department/Institute	Email	Phone	% Contribution to Content

Invention Domain*

Medical Device
Therapeutic
Diagnostic
Health Information Technology

Strategic Theme*

Business Service & Infrastructure
Clinical Tools
Consumer-Centric Healthcare
Population Health

Type of impact and value-add:*

Describe the unmet need. Include any relevant examples of the current state and the associated challenges.*

Provide a description of the invention. Include the invention's advantage over the current state and over any other competitors in the field.*

Attach any relevant images or documents

Drop files here or

Max. file size: 8 MB.

Provide a list of the required features of this invention.*

Describe the current stage of development*

Describe the problem that the invention addresses, and why this invention better addresses the problems than any competitors in the field.*

11. Have you published or presented this idea and/or disclosed your idea to any third parties?*

Yes
No

If Yes, please explain

List any industry contacts that could be pursued for development and/or licensing/purchasing*

List any known publications or relevant IP*

Have you received any grant funding that is associated with this invention?*

Yes
No

If Yes, provide the following:

Grant Number(s)	Amount(s) Awarded	Funding Source(s)

UH supports research and the development of Intellectual Property1 (IP) and Confidential Information2 as part of its scientific and charitable mission. This policy provides procedures to protect Intellectual Property and Confidential Information to promote appropriate commercial development when supported in any way by UH Entities and to comply with the terms of applicable laws, regulations, grants, and contracts with governmental entities and private sponsors when supported by external funding. 1.1. This policy applies to all Intellectual Property and Confidential Information conceived, created, obtained, used or reduced to practice, in whole or in part, by, at, or with any support of any UH entity. The University Hospitals Intellectual Property in it's entirety is located on the UH Digital Workplace. To view the policy, copy and paste the following link into your browser: https://uhcommunity.uhhospitals.org/SystemPolicies/GeneralManagement/GM-21.pdf#search=intellectual%20property.

I certify that I have read and understand policy GM-21 related to Intellectual Property and acknowledge that the ideas submitted through this website may be subject to the policy.

Phone

This field is for validation purposes and should be left unchanged.

Explore our Innovation Pathways

University Hospitals Ventures