Neonatal Mouse Anaesthetisation Mould Request Form

Researchers from Dr Ingo Greger’s laboratory at the MRC Laboratory of Molecular Biology have designed a 3D-printable gas flow apparatus for anaesthetic delivery to neonatal mice (Ho et al., 2020). The STL file for production of this apparatus is freely available for academic use following execution of an appropriate Material Transfer Agreement (MTA). Academic researchers may use this form to request a draft MTA be sent to your nominated Technology Transfer Officer for their approval.

Enquires by commercial / for-profit organisations should be forwarded to LifeArc at

About the recipient:

Legal Name of Recipient Institution

Legal Address of Recipient Institution

Recipient scientist name

Recipient scientist’s email

PI of Recipient Scientist

About the materials:

What is your intended use of the material? Please provide a brief description of proposed experiments.

Will the above use of the material involve collaboration with any commercial companies?

Yes

Will the above use seek to modify the material in any way? If so, please provide details.

Yes

If ‘Yes’ to above please provide details

Name of Technology Transfer Officer

Technology Transfer Office Email

By submitting this form, you acknowledge that you have discussed this transfer of material with your PI who has given their approval.

We will only use your personal data for the purpose for which you have provided it. It will be held by us for as long as is reasonably necessary with access by authorised individuals only. We will only share your personal data with a third party in order to facilitate your request. Please see our UKRI Privacy Policy for full details.

I have read and understood this statement

Yes

We aim to respond to your request within 3 working days.