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Startup medical companies face a myriad of challenges getting their company up and running. This is often complicated with the daunting task of setting up multiple functions, including engineering and manufacturing. Established companies also face hurdles when trying to bring multiple new products to market. A lack of resources can stretch even the most experienced companies to the limit. This presentation discusses these challenges, and offers suggestions on how to find and select a partner to guide companies through the process of finding a qualified design and manufacturing partner.