Circulating tumour cells (CTCs) in cancer patient’s blood serve as accurate biomarkers and liquid biopsy approach. CTCs have been very much acknowledged in the scientific and clinical community, especially as robust independent prognostic factors of progression free and overall survival in patients. At SIMFO GmbH, proprietary maintrac-CTC assays have been developed as innovative technology to detect CTCs very early, even in primary cancer patients, and with high sensitivity compared to other diagnostic tools. Thus CTCs are used as sensitive markers to initiate treatments adequately to patient’s progression of disease and to replace ineffective treatments. After cancer remission, CTC counts are used for long-term monitoring to identify potential relapse for immediate treatment. Until today maintrac CTC-assays has achieved clinical proof in more than 650 patients analysed in 13 clinical trials. Our overall objective of the SME innovation project is to achieve series-production readiness of a fully automated CTC-analyser maintrac-AUTO and to launch the system commercially.