New Product Idea Submission

As part of our commitment to Never Stop Getting Better, DJO Incorporated is devoted to continuously developing new products that improve the quality of life for their users. As part of this continuous improvement culture, DJO Incorporated welcomes your product ideas. The New Product Questionnaire below has been designed as a means for DJO Incorporated to initially evaluate new product ideas. The information you provide will guide our New Products Committee in making a decision on whether or not to proceed to the next phase of the submission process: signing a Confidential Disclosure Agreement. Please complete the questionnaire as completely as possible. However, please do not disclose any confidential information. DJO Incorporated cannot give legal advice. If you have any questions on how you should answer these questions, please contact your patent lawyer or an attorney.

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Date *
First name *
Last name *
Organization *
Address *
City *
State *
Zip *
Phone *
Email *
Occupation *
Age *
PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE WITHOUT DISCLOSING ANY CONFIDENTIAL INFORMATION ON THIS QUESTIONNAIRE
What part of the body is the product designed for? *
Describe the product's general use *
What makes your product better or different from what is currently available? *
Why did you choose to submit your idea to DJO Incorporated? *
What is the product's target market? *
Who will use your product? *
What price range do you expect the product to sell for? *
What products and which companies represent competitive alternatives? *
What stages of development have been completed?
Idea Only
Clinical Trials
Drawings
Patent Applied for
Prototype
Patented
Tested
Other *
Patent Number *
Is this idea your sole property? *	Yes No Not relevant
Additional comments
Note: DJO Incorporated cannot give legal advice. If you have any questions on how you should answer these questions, please contact your patent lawyer or an attorney. For additional drawings or images, please download this form, fill it out and fax all materials to + 44 1 483 459 470. Make sure to include any additional drawings or images.