Application for the Medical Device Design for Space and Extreme Environments

WRITTEN PROPOSAL:
While faculty can suggest ideas to student teams, the proposal should be student driven. Proposals will be evaluated by the designated approver designated by the sponsoring department and/or the College of Engineering before adoption.

First name of primary applicant *

Last name of primary applicant *

Email address of primary applicant *

Please provide the names of students who are on the team, please include their majors and student IDs. *

For example: Julia Smith, Mechanical Engineering, 00057981

Name of faculty advisor(s). *

In addition to the faculty advisor in your major, you should also include someone from a support group such as the Dept of Biomedical Engineering, Mechanical Engineering-Aerospace, NASA Kentucky, the College of Medicine, College of Dentistry, College of Design, College of Pharmacy, and industry or government agencies, etc.

Describe one or more unmet needs that the new or modified medical device will address. *

Please keep the description under 250 words.

Describe the “user” of the device and if the user may be different from the beneficiary of the device performance (medic astronaut and injured astronaut for example.) *

Please keep the description under 250 words.

Describe the medical indication for use and/or intended use, including any accidental injury that may be anticipated (crushing injury from rock fall, for example.). *

Please keep the description under 250 words.

Describe the environment of use and how this environment contributes to the unmet need for the new or modified medical device need. *

For example, if this is a medical device for space, is this for low earth orbit, an extended space flight out of earth orbit, etc and why does this environment affect the use of the device (low gravity, for example?) If this is a medical device for an extreme environment, such as a mine or underwater habitat, what aspects of the environment may affect the medical device performance (lack of power supply, for example?). Please keep the description under 250 words.

Assuming the use of the device even in the extreme environment must be approved prior to use, how would the device be classified by the US Food and Drug Administration? (e.g. class I, class II, class III and why) *

Budget *

We anticipate that budgets will range between $1000 - $2000 although other amounts will be considered. Please list specifics on how the funds will be spent.

When will the project begin? *

Month and year

When will the project be completed? *

Month and year

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