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Kruachottikul et al. (2024)

MediGate Framework

A MedTech product innovation development process, from university research to commercialization

MediGate divides development into six stages, from Stage 0 Innovation Ideation to Stage 5 Full Launch / Scale Up, with a gate between stages where the project is judged against set criteria before moving on.

Journey through MediGate

Stage 0

Innovation Ideation

Decide which academic MedTech research has the potential to be exploited.

Self-assessment

Which stage is your innovation in?

Self-assess against each gate's criteria and see what's missing before moving on.

Start the assessment

Discover → Develop → Validate → Navigate → Scale is the easy-to-follow support journey showing how CMICe helps at each point, while MediGate is a stage-gate framework for developing MedTech products, from the research of Kruachottikul et al. (2024). The two are divided differently and do not map one-to-one.

6stages (Stage 0–5)
5decision gates
10functional groups
MediGate Stages

Six stages, five gates

At each gate the project is judged against set criteria. The decision is one of four: approved, approved with conditions, on hold, or terminated.

  1. S0

    Stage 0

    Innovation Ideation

    Decide which academic MedTech research has the potential to be exploited.

  2. Gate 1 · Project Definition Acceptance
  3. S1

    Stage 1

    Build Business Case

    Build the business case from the core deep-tech research, customer needs and technical requirements.

  4. Gate 2 · Initial Design Acceptance
  5. S2

    Stage 2

    Design & Development / Early Validation

    Develop the product design, a workable prototype and the manufacturing process, with early verification and validation.

  6. Gate 3 · Final Design Acceptance
  7. S3

    Stage 3

    Test and Validation

    Final validation of the product and preparation for its introduction.

  8. Gate 4 · Early Product Launch Acceptance
  9. S4

    Stage 4

    Launch

    Early market introduction, improving both the business and the product from market feedback.

  10. Gate 5 · Product Launch Acceptance
  11. S5

    Stage 5

    Full Launch / Scale Up / Post-Launch Review

    Full market introduction, collecting and analyzing feedback from the market.

Build → Measure → Learnruns as a loop across Stages 2–4, and every stage can iterate (iterations & spirals).

Every stage sets out activities across several areas — see all 10 functional groups
  • Management
  • Business Development
  • Financial Management & Funding
  • Revenue Model & Reimbursement
  • Technology Development
  • Legal & Tech Transfer
  • Regulatory
  • Clinical
  • Manufacturing & Operations
  • Quality

Published research (open access)Kruachottikul et al. (2024). Journal of Innovation and Entrepreneurship, 13:71

Read the MediGate paper
Decision gates

Five gates along the way

Before moving from one stage to the next, a project passes a gate judged on criteria, deliverables and recommended readiness levels. The decision is approved, approved with conditions, on hold, or terminated.

  1. Gate 1

    Project Definition Acceptance

    Recommended readinessIRL ≥ 1 · TRL ≥ 3 · CRL ≥ 1

    S0 Innovation Ideation to S1 Build Business Case

  2. Gate 2

    Initial Design Acceptance

    Recommended readinessIRL ≥ 3 · TRL ≥ 3 · CRL ≥ 3

    S1 Build Business Case to S2 Design & Development / Early Validation

  3. Gate 3

    Final Design Acceptance

    Recommended readinessIRL ≥ 5 · TRL ≥ 5 · CRL ≥ 5

    S2 Design & Development / Early Validation to S3 Test and Validation

  4. Gate 4

    Early Product Launch Acceptance

    Recommended readinessIRL ≥ 7 · TRL ≥ 8 · CRL ≥ 8

    S3 Test and Validation to S4 Launch

  5. Gate 5

    Product Launch Acceptance

    Recommended readinessIRL ≥ 8 · TRL ≥ 8 · CRL ≥ 8

    S4 Launch to S5 Full Launch / Scale Up / Post-Launch Review

IRL = investment readiness level · TRL = technology readiness level · CRL = clinical readiness level (from Fig. 1 of the MediGate paper)

Want to move your innovation forward systematically?

Tell CMICe what you’re developing and where you are now, and the team will help plan the right next step.