Praxis Spinal Cord Injury (SCI) Incubate Program

Fill in your information below to start the application for the Praxis SCI Incubate Program. Applications are due on Oct 1st, 2020 by midnight Pacific Standard Time (PST).

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* 1. Primary Applicant Details

First Name

Last Name

Email address

Phone Number

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* 2. Team/Company name/Project Name

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* 3. Are you eligible for our SCI Incubate Program? For reference to Technology Readiness Levels, check the link here: https://www.ic.gc.ca/eic/site/101.nsf/eng/00031.html

You are developing a technology in the TRL 2-4 range (check link in question for definition)

Your solution has an application for individuals with Spinal Cord Injury including secondary complications (e.g. spasticity, independence, mobility, bladder and bowel function, sexual function, pressure injuries, neuroparalysis, neuropathic pain)

Your team is available to participate (virtually) from November 2020 - March 2021 at around 5 hours/week

You work with certified providers and contractors where relevant

Please describe any variations from the eligibility criteria as required.

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* 4. What's your Technology Readiness Level (TRL)? Please note that the SCI Incubate program is eligible for TRL 2-4.

Level 1: Basic principles of concept are observed and reported

Level 2: Technology concept and/or application formulated

Level 3: Analytical and experimental critical function and/or proof of concept

Level 4: Component and/or validation in a laboratory environment

Level 5: Component and/or validation in a simulated environment

Level 6: System/subsystem model or prototype demonstration in a simulated environment

Level 7: Prototype ready for demonstration in an appropriate operational environment

Level 8: Actual technology completed and qualified through tests and demonstrations

Level 9: Actual technology proven through successful deployment in an operational setting

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* 5. Company Address / Location:

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

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* 6. Team/Company website/URL (if applicable)

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* 7. Are you legally incorporated?

Yes, in Canada

Yes, outside Canada

No, affiliated to a University or other research centre

If incorporated in a country outside Canada, list country in which your company is incorporated. If not incorporated but affiliated to university or research centre, please list university.

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* 8. Attach your pitch deck (File size limit is 16MB). Your slides may be between 5 - 10 slides describing your product. Visuals welcome.

Please no links to Dropbox or Google Docs/Slides.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. Provide a link to your 3-5 minute product video - a brief video that explains your product and its uses ( Vimeo (e.g. streamed videos) highly preferred as downloadable video files are often not compatible with our systems):

Include link to video here:

and password as applicable:

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* 10. Confirm your Business Plan includes the following sections by marking all the check boxes:

Size of overall market, target market share and types of market.

Intended impact of your product on SCI patients (# patients served, type of impact, significance of impact)

Description of the solution (succinct/brief description preferred, visuals welcomed)

Brief description of clinical validation/research completed to date (including 3rd party, accredited research findings where relevant)

Competitor analysis (what is unique about your solution and who are your 3-5 key competitors internationally)

Funding to date, funding required and plans to raise funding

Company team (including board of advisors if applicable and bios of core team members)

Next Steps for project, project timeline and roadmap of key activities to be undertaken

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* 11. Attach your Business Plan (File size limit is 16MB):

Your business plan should be between 5-10 pages and should detail the criteria outlined in previous question. If you have issues with submitting the file, contact Praxis team but please no links to Dropbox or Google Docs.

PDF, DOC, DOCX file types only.

Choose File

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* 12. Number of people working on project

1 - 4 Team Members

5 - 9 Team Members

10 - 19 Team Members

20 - 49 Team Members

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* 13. Recommendations: List 1 to 3 mentors, sponsors of colleagues we can contact (Name, email, phone number)

Reference 1: Name

Reference 1: Email

Reference 1: Phone Number

Reference 2: Name

Reference 2: Email

Reference 2: Phone Number

Reference 3: Name

Reference 3: Email

Reference 3: Phone Number

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* 14. This program requires engagement from the lead of the project. Is the project lead available to dedicate their availability to this program? Around 5 hours per week, November 1 - March 31, 2020

Yes

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* 15. Describe your product in one sentence (Elevator Pitch):

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* 16. Explain what makes your product unique in the market in one sentence:

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* 17. What is your planned product price at scale? (Canadian Dollars)

CAD$0 to CAD$99

CAD$100 to CAD$249

CAD$250 to CAD$499

CAD$500 to CAD$999

CAD$1,000 to CAD$5,000

CAD$5,000 to CAD$10,000

More than CAD$10,000

If membership, what's the yearly rate?

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* 18. For the most part, what care setting will your product be used in?

At home

In Hospital

In a long-term care facility

In a rehabilitation centre/clinic

Other (please specify)

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* 19. What specific primary or secondary health or functional challenge will your solution address for people with SCI?

Neuropathic Pain

Neuro-restoration / paralysis

Bladder and Bowel Related Complications

Sexual Function

Pressure Injuries

Mobility

Spasticity

Functional independence/activities of daily living

Other (please specify)

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* 20. What markets in addition to SCI (e.g. diagnoses, conditions) will your product benefit?

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* 21. How many people with SCI do you plan to reach with your product in 5 years (high level estimate only)

10+

100+

1,000+

10,000+

100,000+

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* 22. Please describe in detail the level of development of your project/ company

CONSUMER INSIGHTS: How many consumers of your product have you talked to?

IP: Patents filed/filing? Please detail

REGULATION: Do you know your Health Canada and FDA classification? Please detail.

RESEARCH/CLINICAL TRIALS: What level of research have you completed? What were the size and endpoints of your study?

FUNDING: What funding have you raised for your project to date? Please detail sources.

PROTOTYPES: Have you developed a prototype? How many months/years till you develop a prototype for use by patients in the clinical setting?

EXPERIENCE: Have any of your founders led startups before? Please detail

MARKET ANALYSIS: Have you conducted a market analysis to determine the need for your product and size of your market? Please detail results and methodology used.

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* 23. Do you have any current sales? What's your annual revenue YTD? (Canadian Dollars)

Pre-Revenue

CAD$1,000 to CAD$9,999

CAD$10,000 to CAD$49,999

CAD$50,000 to 249,999

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* 24. What are the 3 key objectives of your team in the winter of 2020 and spring 2021 (e.g. what product development, research, regulatory objectives do you wish to achieve by March 2021?)

Objective 1

Objective 2

Objective 3

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* 25. What are the key needs that the SCI Incubate Program can help you address? Put your answers in order of importance from 1 to 7, where 1 is MOST important and 7 is LEAST important.

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* 26. How do you think the Praxis Program and team can help you achieve your specific objectives

SCI Consumer Team

SCI Research Team

SCI Commercialization Team