The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

c5msjsDd8deMEiikDiNWzRmZU4XbbBzc6xnG7pfFdFPGFCqP67vvyVyn

Indiana CTSI Commercialization PDT Intake Form

The Indiana CTSI Commercialization Project Development Teams (Commercialization PDTs) are designed to provide early guidance to academic and clinical investigators interested in advancing their discoveries to the market. The program is open to investigators from Indiana University (IU), Purdue University, or the University of Notre Dame; and includes a pool of advisors across these universities and industry around the state to provide investigators with a wide range of expertise and perspectives.

Please provide the information requested in the survey below. Your responses will be used to identify primary contacts and first steps for your project. However, you should not disclose any potentially confidential details related to your invention this time.

If you have questions you may contact:

Drug and Biologic projects: Padma Portonovo (pportono@iupui.edu)
Medical Technology and Device projects: Kara Garcia (karagarc@iu.edu)

Please see the schematic below depicting the Commercialization PDT process. Completion of the current survey corresponds to Step 1. Request Help with Innovation.

Please provide a short, non-confidential description (title) for your project.

* must provide value

In general terms, what is your Product?

* must provide value

Drug / Biologic

Device / Medical Technology

Other

reset

Please explain.

What is your current stage of innovation?

Idea Generation (the process of creating, developing, and communicating abstract, concrete, or visual ideas)

Concept (risks and feasibility, evaluate an idea and measure its potential benefits and problems)

Development (testing an idea with a prototype or pilot test)

reset

In just a few sentences, please describe the unmet clinical need.

* must provide value

Expand

Please select your primary Indiana CTSI affiliation.

* must provide value

Indiana University

Purdue University

University of Notre Dame

None of these

reset

Please explain.

Advice and support may be limited for investigators outside IU, Purdue, and Notre Dame.

* must provide value

Expand

Have you disclosed your Product to your patent office?
IU (Innovation Commercialization Office),
Notre Dame (IDEA Center),
Purdue (Office of Technology Commercialization)

* must provide value

Yes

reset

Do we have permission to reach out to the patent office about your Product?

Yes

reset

Please provide the email contact of your Tech Commercialization Manager.

Briefly describe the type of support you are seeking.

(eg., help getting started, pilot funds, etc.)

Expand

Has the development of your Product been funded by any grant mechanisms?

* must provide value

Yes

reset

If yes, please list the funds received so far and describe the relevant phase of product development.

Expand

Email Address:

* must provide value

Last Name

* must provide value

Middle Name

First Name

* must provide value

How did you hear about the Commercialization Project Development Team (formerly Think Tank) Program?

* must provide value

University Commercialization Office

Colleague

Indiana CTSI Newsletter

Other

Please describe

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.