URMC / Biomedical Research Development Office / For Researchers & Inventors / Product Potential Questionnaire Product Potential Questionnaire If you have not disclosed or received a tech ID, please complete the questionnaire below and then file a disclosure with URVentures. Disclaimer: The words "inventor" and "invention" are not be construed in their legal sense, but as a convenience for filling out the questionnaire. "Inventor" Information Tech ID Number: First Name: Last Name: Department: Email: Biographical Sketch: Basic "Invention" Information Title of "Invention": "Invention" Disclosure Status: Disclosed to UR Ventures PreviouslySoon To Be Disclosed Through UR Ventures PortalNo Plans for Disclosure Through UR Ventures Portal Brief Description of "Invention": Need Addressed: Please provide a description of the need that would be addressed by the "invention". Competing Products Currently Available: Please list products that are already available that may compete with your "invention". Researchers With Relevant Research or Product Development: Please list other researchers you know that may be developing similar technology. "Invention" Details Advances Needed: Please describe any advances needed before the "invention" would be ready for product introduction. Anticipated Date for Commercial Product Introduction: Less Than One Year Less Than Three Years Less Than Five Years Five Years or More Estimated Funds Required to Develop "Invention": Most Likely Vehicle to Develop the Product: Inventor's On-Site Space New Company Spin-Out Joint Venture with Existing Company Licensing to Existing Company Current Resources for Product Development: None Existing Foundation Grants Existing Federal Grants Angel or Venture Capital Additional Sources of Funding Required: YesUncertainNo Sources Sought: Internal Development FundsSBIR/STTR GrantsR01/R21 Federal GrantsAngel CapitalVenture Capital Plan to Have a Role in the Commercial Enterprise: YesNo Role: EquityOfficerBoardUncertain Our Privacy Policy