Cognitive Testing Equipment


Current methods for detecting cognitive decline are dated and ineffective, and the need for new proactive screening solutions to detect early signs of cognitive decline cannot be understated.

Backed by 15 years of research, an early-stage neurotechnology startup had developed a first-of-its-kind computerized cognitive assessment platform to address these challenges.

The Company’s initial aesthetically pleasing prototype design was not conducive to large-scale production manufacturing. Additionally, forecasting for the new product was proving to be a challenge.

With little manufacturing experience, the startup needed to find a contract manufacturing partner with engineering and product development experience who was capable of developing a cost-effective production solution.


After learning about PEKO through our relationship with an entrepreneur incubator, the Startup partnered with us to refine and build their new neurotechnology. Brought in during the early prototype phase, PEKO was challenged to balance cost and function with a visually appealing product.

PEKO’s mechanical and manufacturing engineers took a design-for-manufacturability approach and were able to make various recommendations for cost-effective and scalable design solutions. PEKO’s extensive experience with medical equipment manufacturing allowed for a functional yet cost-effective design solution that satisfied all the Customer’s requirements for their revolutionary cognitive testing equipment.

Once their design was ready, it was easy to transition into production. PEKO designed the unit to allow for further production optimization as volumes increase to expected levels. This permitted PEKO to accommodate production peaks while remaining flexible through time periods of reduced production demand.


The electromechanical medical equipment was a great fit for PEKO’s 50 years of engineering and manufacturing experience.

Through close collaboration with the Customer, PEKO was able to design and manufacture a cost-effective cognitive assessment platform without having to compromise the “look and feel” of the original prototype design. These units meet all functional, aesthetic, and regulatory (FDA) requirements and their deployment has revolutionized the cognitive testing landscape.

The Customer is able to sell this cost-effective unit while utilizing alternative production methods to meet the initial lower volume demand. PEKO invested in additional capital as sales and production increased to expected levels so that the Customer could continue to ramp up production without large amounts of capital investment.

PEKO’s versatile capabilities allowed the startup this flexibility, to make the most effective business decision, while simultaneously laying the foundation for future production.

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Cognitive Testing Equipment

Executive Summary

Industry: Medical, Healthcare
Company Type: Startup
Location: New York


  • 2-3 Month Development
  • 1 Month Prototype Builds
  • 1 Month Production Builds

Capabilities Utiilized

  • Mechanical Engineering
  • Manufacturing Engineering
  • Design for Manufacturability (DFM)
  • Production Planning & Manufacturing
  • Assembly & Final Integration
  • Quality Management System
  • Codes & Regulatory (21 CFR, ISO 13485)
  • Procurement & Supply Chain
  • Packaging & Logistics


  • Cost-effective, aesthetically pleasing, and scalable production-ready design
  • Production process accommodates peaks and valleys in demand
  • 2nd generation design and prototypes

View Case Study (PDF)