IHE International, Inc. Letter of Assurance for Necessary Patent Claims

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The IHE International Patent Disclosure Policy is defined in the IHE Principles of Governance, Appendix A, section A.3. Under the procedure for implementing this policy, patent holders having potential Necessary Patent Claims are requested to complete letters of assurance describing such claims and the Submitter's licensing position with respect to them. IHE member organizations wishing to disclose potential Necessary Patent Claims are request to have the individual within the organization having authority for intellectual property rights management complete, sign and submit this Letter of Assurance

The assurance is irrevocable once submitted and accepted and shall apply, at a minimum, from the date of the Technical Document's approval to the date of the Technical Document's withdrawal. For your reference, the complete IHE International patent disclosure policy, including definition of terms, can be found in the IHE Principles of Governance (http://www.ihe.net/Governance/), Appendix A, Section A.3.

Note: Nothing in this Letter of Assurance shall be interpreted as giving rise to a duty on the part of the Submitter to conduct a search of its patent portfolio. IHE International takes no position with respect to the validity or necessity of Patent Claims or the reasonableness of rates, terms, and conditions, if any, provided in connection with submission of a Letter of Assurance or in any license agreements offered by the Submitter.

Please address to the IHE International Board Secretary (secretary@ihe.net) any questions about submission of letters of assurance.

A. Submitter

Note: IHE International does not endorse the content, or confirm the accuracy or consistency, of any contact information or web site provided below.

Organization *

(legal name)

Contact Name *

(for the purpose of licensing information)

Title *

Department

Address *

City *

State/Province *

Country *

Telelphone *

Email *

URL

B. Submitter’s Position Regarding Licensing of Necessary Patent Claims

The Submitter hereby declares the following (Check box 1 or box 2 below):

Patent Declaration *

1. The Submitter may own, control, or have the ability to license Patent Claims that might be or become Necessary Patent Claims with respect to the IHE Technical Document identified above.

2. The Submitter is not aware of any Patent Claims that the Submitter may own, control, or have the ability to license that might be or become Necessary Patent Claims.

Licensing Position

If item 1 above is selected, with respect to such Necessary Patent Claims:

a. The Submitter will grant a license, which may include a reasonable royalty, to an unrestricted number of applicants, subject to a condition of reciprocity, on a worldwide basis with reasonable terms and conditions that are demonstrably free of unfair discrimination.

b. The Submitter will grant a license without compensation to an unrestricted number of applicants, subject to a condition of reciprocity, on a worldwide basis with reasonable terms and conditions that are demonstrably free of unfair discrimination.

Clear selection

C. Scope of Asserted Necessary Claim(s)

The scope of this Letter of Assurance is limited to the following IHE Technical Document (i.e., IHE Technical Framework(s) and supplements):

IHE Domain(s) *

Anatomic Pathology

Cardiology

Dental

Endoscopy

Eye Care

IT Infrastructure

Laboratory

Patient Care Coordination

Patient Care Device

Pharmacy

Quality, Research and Public Health

Radiation Oncology

Radiology

Required

Document Title(s) *

Affected Profiles and Actors

D. Scope of Assurance

Note: The Submitter must complete this section if item 1 in part B above is selected.

Scope of Assurance

1. When this item is selected, this Letter of Assurance is a Blanket Letter of Assurance. As such, all Necessary Patent Claims that the Submitter may, currently or in the future, have the ability to license shall be available under the terms as indicated above in part B; however, a Blanket Assurance shall not supercede any pre-existing or simultaneously submitted specific Letter of Assurance identifying potential Necessary Patent Claims.

2. When this item is selected, this Letter of Assurance applies only to the following Patent Claims that the Submitter believes might be or become Necessary Patent Claims.

Clear selection

Patent/Application/Docket Number:

Description/Title (optional):

Claim (optional):

Patent/Application/Docket Number:

Description/Title (optional):

Claim (optional):

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Integrating the Healthcare Enterprise.