U'S' ARMY MEDICAL RESEARCH

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U.S. ARMY MEDICAL RESEARCH MATERIEL COMMAND
BG(P) Eric B. Schoomaker, Commanding
Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology
MEDICAL MATERIEL DEVELOPER Protect the Warrior
Sustain the Force!
Deputy for Advanced Technologies Colonel (Dr)
Jeffrey Roller, MC, USAF Director, Telemedicine
Advanced Technology Research Center (TATRC) Mr.
John Winston Director, Business
Development/Program Manager AAMTI IPA, Henry M.
Jackson Foundation
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Telemedicine and Advanced
Medical Technology Program
Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology

• Mission
• Apply physiological and medical
  knowledge, advanced diagnostics, simulations,
  and effector systems integrated with information
  and telecommunications for the purposes of
  enhancing operational and medical
  decision-making, improving medical training, and
  delivering medical treatment across all
  barriers.
• The program scope is to identify,
  explore, and demonstrate key technologies and
  biomedical principles required to overcome
  technology barriers that are both medically and
  militarily unique.

Department of Defense, Joint Warfighting Science
and Technology Plan, Chapter IX, Joint Readiness
and Logistics, 1999
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Telemedicine and Advanced Technology
500 Funded Projects
ARFORGEN Impact Areas
Joint Medical Readiness
Battlespace Medical Awareness
Effective Employment of Medical Forces
Available Soldier Enhancement Trauma Care,
Medical Care
Ready Prevention, Monitoring, Measurement,
Readiness
Reset/Train Accession, Wellness, Training,
Analysis
Wireless Medical Systems Teleconsultation
Systems Global Grid Telemed System Predictive
Diagnostics 3D Medical Image Analysis Minimally
Invasive Therapies Image Guided
Therapies Robotics - Biomaterials
Physiological Sensors Microelectromechanical
Systems Digital Image Acquisition Devices Medical
Data Processing Medical Image Data
Displays Medical Situational Analysis
Computer Aided Instruction 3D Surgical
Simulations Joint Medical Simulations Force
Feedback - Virtual Reality Health Care Complex
Modeling Computerized Patient Records Medical
Data Mining Intelligent Decision Systems1
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology

• Funding Opportunities

R E S E A R C H A N D D E V E L O P M E N T
Congressional Special Interest-CSI
(Congressionally Directed and Funded
Research) Unsolicited Proposals (TATRC
Discretionary Funding) Broad Agency
Announcement Mechanism for submission of CSI
and unsolicited research proposals
url http//www.usamraa.army.mil/pages/Baa_Paa/baa
list.cfm SBIR and STTR Programs for small
businesses and academic institutions
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology

• Funding Opportunities R E S E A R C H A N D D
  E V E L O P M E N T

Congressional Special Interest
The USAMRMC has been entrusted by Congress to
manage special programs. The funds for the
Congressional Special Interest Medical Programs
(CSI) are not in the President's Budget they are
added to the DoD Budget by Congress. Generally
Addresses Issues of National Importance Funds
Range of Projects from Basic Research to
Technology Insertion Funding Generally or gt
1M for periods of Two Years Funding Must be
Approved through Appropriation Process Very
Difficult to Acquire CSI Funding
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology

• Funding Opportunities R E S E A R C H A N D D
  E V E L O P M E N T

TATRC Discretionary Funding
TATRC management funds are used to augment,
support or otherwise improve existing research
portfolios by funding gap or related
projects. Addresses Issues of Relevance to
TATRCs Mission and Portfolio Funds Range of
Projects from Basic Research to Technology
Insertion Funding Generally or gt 200,000 for
periods of One Year Funding Must be Approved
through TATRC Proposal Review Board 8-10
Funding Rate
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology

• Funding Opportunities R E S E A R C H A N D D
  E V E L O P M E N T

Broad Agency Announcement
Mechanism for Submission of CSI and Unsolicited
Proposals Pre-Proposals Submitted On-Line
Followed by a Full Proposal (if Requested)
url http//www.usamraa.army.mil/pages/baa_paa/ba
aproposal.htm
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Triple Helix RD Strategies
High Risk, High Payoff
New Ideas, Knowledge
Link to the Warfighter
DARPA
Stryker Brigade Deployed Forces
Academia
Academia Government Industry (Maximum Bang
for Buck)
Innovation, Transition
Expanded Resource Base
Service Labs
Industry
International Coalitions
Interagency Partners
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Core Business Process I C M E O
Advanced Technology Watch
Mechanisms
Execution
Outputs
Inputs
Controls
Project Management Regulatory Compliance Technol
ogy Review
Functional Scientific Review Prioritization
Prototypes Patents Royalties Articles Products Dem
os
RDTE, Congressional Defense Health DUST -
SBIR STTR- ACT II CEP - ACTD WRAP -
AWE Interagency Partnerships
Proposals (BAA RFPs) Taskers
TATRC
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PROPOSAL PROTOCOL PROCESSES
Contracting Forwards to Review Org
TATRC Assigns Reviewer
Reviewer Presents To PRB
Panel Recommends Rqst Full
Pre-proposal Submitted
30 DAYS
Full Proposal Requested
Full Proposal Submitted
AIBS Review
Director Approves
Resolution of AIBS Issues
45 DAYS
ACQUISITION SENSITIVE PERIOD
Panel Recommends Funding
Proposal Presented to PRB
Contracting Makes Award
Contracting Review Negotiations
Director Approves
30 DAYS
Protocols Submitted Local IRB
Protocols Submitted Army ORP
OPR Reviews
ORP Raises I Issues/ Questions
Local IRB Approval
Issues Resolved
Protocols Approved
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Research Award Overview

• TWO INDEPENDENT PROCESSES
• PROPOSAL REVIEW APPROVAL PROCESS
• PROTOCOL REVIEW APPROVAL PROCESS

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PROPOSAL PREPARATION

• Pre-Proposal submitted on-line. Contact us (phone
  or e-mail) when submitted, to insure proper
  routing for review.
• Full proposal Downloadable forms on web site in
  .pdf or .doc format.

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Proposal Preparation

• Broad initial scope to accommodate future
  modifications.
• RDTE must be awarded within 2 fiscal years. i.e.
  FY 05 appropriated funds must be awarded prior to
  Oct 06proposal needs to be submitted by June 06
  to make this deadline.

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PROPOSAL PREPARATION

• Research Hypothesis, Study or Test Evaluation
• Must include
• Metrics
• Timeline/Milestones
• Deliverables
• Period of Performance Set by research
  plan/budget outlined in proposal

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PROPOSAL PREPARATION

• ALLOWABLE COSTS. Must be required to execute
  research or study.
• Salaries (Actual. No cap)
• Equipment
• Indirects
• Subcontracts
• Supplies
• Modification to facility to accommodate equipment
  required
• Travel
• Conferences/Seminars

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PROPOSAL PREPARATION

• UNALLOWABLE COSTS
• CONSTRUCTION
• PURCHASE OF LAND
• EQUIPMENT/SALARIES NOT RELATED TO PURSUIT OF
  HYPOTHESIS OR STUDY

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TATRC MANAGEMENT

• Personnel
• Contract Officers Representative, Project
  Officer
• Tools
• Integrated Research Team
• Integrated Product Team
• Product Line Reviews

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Post-Award

• Oversight personnel Contract Officers
  Representative, Project Officer
• Cost, schedule, performance
• Periodic on-site meetings and reviews
• Product line review at/near TATRC q12-18 mos
• Notification of presentations publications
  w/attribution to MRMC for funding
• Reports usually annually and at completion of
  project
• Invention Disclosures

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TATRC Supporting Business Processes

• Integrated Product Team (IPT)
• Project level
• More frequent, scheduled
• Project-specific guidance
• Product Line Review (PLR)
• Assessments of research by outside experts
• One research category per month annual cycle

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TATRC Supporting Business Processes

• Integrated Research Team (IRT)
• Program level
• Periodic, as required
• Broad strategic planning and oversight

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Real Medical Technology For The Real World
BMIS-T
Chest Tube Simulator
Digital X-ray
Dreams Digital Ambulance
Smallpox Inoculation
Medical Robotics
Training Unit
BRSS Retinal Imaging
STAT-Care
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TATRC Product Line Portfolios
Bio-Surveillance Mr. MARTIN
IM/IT/ Informatics LTC PAK
Mobile Medical Technology Mr. MORRIS
Ocular Health Mr. Read
Military Amputee Research Program Mr. TURNER
Medical Modeling Simulation Mr. MAGEE
Surgical Robotics Dr. CURLEY
Advanced Surgical Technology / ORF Mr.
MARCHESSAULT
Advanced Clinical Technologies Dr. CURLEY
Cellular Molecular Biology Dr. CURLEY
Robotics Artificial Intelligence Dr. GILBERT
Chronic Disease Management COL POROPATICH
Nano-Medicine Biomaterials Dr. GILBERT
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TATRC Product Line Portfolios
IM/IT / Informatics LTC PAK
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Advanced Information Technology Today

• Converge Telemedicine Health Information
  Technology
• Relationship with ATA and Industry
• Enabling telehealth in our HER
• EHR
• Development Platform allows us to efficiently
  test integration of new technologies in a
  controlled environment
• Service Oriented Architecture (Plug and Play)
• Global Imaging Data Repository for MHS
• Data mining capability (CDW, CD Mart) for
  research surveillance
• Wireless/Mobile Computing
• Electronic Information Carrier (Patient Centric
  Dog tag)
• Mobile Computing (BMIST)

Armys Best Invention 2004
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Advanced Information Technology GroupOur Future
GOAL Provide ACTIONABLE INFORMATION for the
right person at the right
time FOCUS Emerging Technologies/ Discipline -
Grid Technology - Genomics and its
application - Wireless communication
infrastructure and technology - Medical
Situational Awareness/ surveillance - Real-time
Data mining/modeling - Medical Informatics -
Service Oriented Architecture
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TATRC Product Line Portfolios
Bio-Surveillance Mr. Martin
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Biosurveillance

• The ability to simultaneously implement various
  detection methods in order to provide integrated
  identification, validation, and alerting of a
  potential biological event that may cause social
  changes and societal or force health threat as
  quickly and accurately as possible.
• Provide seed funding to investigate well defined
  new ideas in biosurveillance and provide support
  to the venues that continue to show the potential
  for continued success and implementation.

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Biosurveillance

• Anticipated plans and advances for the next year
• Explore the applicability of applying
  biosurveillance technology to Unmanned Aerial
  Vehicles (UAV).
• Look at combining detection methods that will
  work and support each other to reduce false
  positives.
• Focus on new ways to identify social disruption
  indicators.
• Focus on expanding water surveillance within
  CONUS and OCONUS

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TATRC Product Line Portfolios
Mobile Medical Technology MR. MORRIS
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Mobile Computing Group

• Identify/develop mobile computing solutions and
  effector systems integrated with existing
  wireless infrastructure
• Improve military health care via enhanced
  training and more effective decision making
• To maximize the amount of medical data available
  for health surveillance

The Armys Greatest Invention 2003
Nominated Wired RAVE Award
Finalist U.S. Medicine Frank Brown Berry Prize
2005 Promising Practices Award
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For More Information

• TATRC
• http//www.tatrc.org
• Microsoft Case Study
• http//www.microsoft.com/resources/casestudies/Cas
  eStudy.asp?CaseStudyID14900
• Microsoft Video Case Study
• http//www.microsoft.com/windowsmobile/_assets/vid
  eo/business/US_Army_BMIS_300K.wvx

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TATRC Product Line Portfolios
Military Amputee Research program Mr. Turner
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Military Amputee Research Program (MARP)U.S.
Army Medical Research Materiel Command /
Telemedicine Advanced Technology Research
CenterWalter Reed Army Medical Center / Armed
Forces Amputee Patient Care ProgramTo develop
and conduct innovative research that supports the
highest quality ofmedical, surgical and
rehabilitative care of individuals with limb
loss.

• TECHNICAL OBJECTIVES
• Advance prosthetics technology to provide greater
  quality of life through increased functionality
  and in active lifestyle activities including
  bicycling, rock climbing, skiing, and ice hockey.
• Address specific upper and lower limb issues
• A Socket that works and is comfortable.
• A Military Foot providing functionality for
  military and active lifestyle uses.
• A Dexterous Hand" allowing for multi-jointed,
  multi-finger tasks.
• Improve amputee patient Clinical Care, Treatment,
  and Rehabilitation.
• PROGRAMMATIC OBJECTIVES
• Establish and support five research portfolios
  along with staff and operations.
• Facilitate synergy between Extramural and
  Intramural efforts and investigators.
• Establish and operationally support a Program
  Management Model which allows for creativity,
  while satisfying regulatory requirements.

John DePasquale, Alt. Project Officer Office
[phone], Cell [phone] Email
depasquale_at_tatrc.org
James Olson, COR Office [phone], Cell
[phone] Email olson_at_tatrc.org
Troy Turner, MBA, Project Officer Office (301)
619-7954, Cell [phone] Email
turner_at_tatrc.org
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• Amputee Research PM Model

Support Structure IT / LOG / Financial
/ Process Management

• Process
• Structure
• Proposals
• BAA
• SBIR / STTR
• Review
• Award
• Reports
• Annual
• TATRC Product
• Line Reviews
• In-Process
• Reviews
• Active partnering
• Close Out
• Publications

Research Areas
Data Mining
Amputation-Related Case Mgmt Studies
Epidemiological Studies
Prosthetic Technology Advancements
Rehab Studies
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TATRC Product Line Portfolios
Ocular Health Mr. Read
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Ocular Health
The Schepens Eye Research Institute 1) Novel
treatments to limit the extent of injury and
promote repair of retinas. 2) Optical devices and
electronic displays. 3) A tissue-compatible
corneal bandage. 4) Novel treatments to prevent
corneal inflammation Wills Eye Hospital 1)
Diabetes and Glaucoma Screening. 2) Identify
pre-existing ophthalmologic diseases. 3) Facial
Trauma Board. 4) Telecommunication CME
programs. Web Enabled Refractive Surgery
Information System (WebRSIS) 1) Intuitive
graphical User Interface (GUI). 2) Provides
Standard User Interface Control Data Accessible
to other WRESP centers as well as other regional
eye clinics a Central Data Repository and easy
viewing via the Web. 3) Streamlines Patient Care.
Advanced Briefing for Industry
December 5, 2005
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Ocular Health

• Future Direction
• Trauma, Infection and Inflammation
• Retinal and Corneal Dieseases
• Lens and Cataract
• Glaucoma and Optic Neuropathies
• Strabismus, Amblyopia and Visual Processing
• Low Vision and Blindness Rehabilitation
• Investment Areas
• Blindness and vision impairment.
• Refractive error
• 3) Age related eye diseases Macular
  degeneration, cataract, diabetic retinopathy
• and glaucoma.

Advanced Briefing for Industry
December 5, 2005
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TATRC Product Line Portfolios
Medical Modeling Simulation Mr. Magee
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Strategic Plan, Excellent Science, Best Business
Practices
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Multiple Needs, Multiple Technologies 4
Categories of MMS
Whats the Future?

• Continue Validation Studies
• Facilitate Open Standardstoward
  interoperability
• Advanced Initiatives in MedicalSimulation (AIMS)
  for momentum

• ID, facilitate likely convergences
• MMS Surgical Robotics
• Serious Side of Entertainment(Film, Games with
  Medicine)
• VR Behavioral Therapy

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TATRC Product Line Portfolios
Advanced Surgical Technology Operating Room of
the Future Mr. Marchessault
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The Operating Room of the Future
Timeline 2001 - Total Value 45M
Patient Safety
Advanced Devices
Medical Informatics

• Funding Sources
• TATRC Discretionary
• Congressional Special Interest
• Small Business Initiative Research

Tele-Surgery
Perioperative Systems Design
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Future RD Perspective

• Patient Safety in ORF (Perioperative System)
• Medical Informatics
• Reducing Medical Error
• Medical Device Plug-n-Play Standards
• Advanced Devices
• Image Guided (e.g. CT, MRI) Therapeutics
• HIFU, Lasers, Cryo
• Telesurgery (e.g. Telecollaboration,
  Telementoring, and etc.)
• Robotic Device
• Network (Hub/Spoke)
• Mass, cube and weight reduction
• Multi-functional capability (Modular in concept)
• Communication Tools
• Advance CODEC development
• Smart tools (Minimally Invasive Surgery)
• Ergonomically designed (Degree of movement
  component flexible, lighter, robot assist)
• Tactile Feedback

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TATRC Product Line Portfolios
Surgical Robotics Dr. Curley
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology
Surgical Robotics
Surgical robotics, specifically robotic surgical
assistants through which a surgeon performs an
operation, holds a great deal of promise for
patient safety in the form of improved outcomes
through the ability of the robot to eliminate
hand tremor and increase agility/decrease
fatigue decreasing the clinical workforce
required to perform surgery enabling world-class
surgery to be performed at a distance to the
benefit of geographically isolated and/or
underserved populations enabling world-class
lifesaving surgery to be performed upon our
servicemembers while still in a combat zone and
reducing time and cost of surgical procedures,
among other benefits.
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Advances in Surgical Robotics in the next year

• Integrated, mobile, modular systems
• Developing collaboration between academia,
  industry to build next generation system
• TraumaPod (Dr. Gerry Moses, Dr. Richard Satava
  DARPA-Multiple industry, government and academic
  partners.)
• Telerobotic Surgery
• NEEMO series of telesurgery experiments (NASA and
  Drs. Tim Broderick, U. Cincy and Mehran Anvari,
  McGill U.)
• SBIR topic to develop refined CODECs for
  telerobotic surgical applications (Mr. Ron
  Marchessault, TATRC)
• Training Systems
• Development of a Portable Simulator for Training
  Robot Assisted Surgery (Dr. Jan Rotnes MD,PhD
  SimSurgery AS Oslo, Norway)

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TATRC Product Line Portfolios
Cellular Molecular Biology DR. CURLEY
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology
Cellular and Molecular Biology Kenneth C. Curley,
MD
Leveraging discoveries from cellular and
molecular biology to enhance warfighter health
and to provide optimal healthcare to the wounded
warfighter.
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Cellular and Molecular Biology Advances in the
Next Year

• Tissue Engineering/Regenerative Medicine
• Human Ear Project others (Dr. Joseph Vacanti,
  CIMIT)
• Trauma, Shock, Sepsis
• Angiogenesis Research to Improve Therapies for
  Vascular Leak Syndromes, Intra-abdominal
  Adhesions, and Arterial Injuries (Dr. Judah
  Folkman, Boston Childrens Hospital)
• Gene Therapy
• Development of Skeletal Targeting Vectors for
  Gene Therapy (Dr. Donna Strong, Loma Linda
  Veterans Association for Research and Education
  (LLVARE))
• Biodefense
• Anthrax Virulence Genes (Dr. Theresa Koehler,
  UTHSC at Houston)

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TATRC Product Line Portfolios
Advanced Clinical Technologies Dr. Curley
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Telemedicine Advanced Technology Research
Center Cutting Edge Medical Technology
Advanced Clinical Technologies Kenneth C. Curley,
MD Stan Saiki, MD
This area covers a broad range of technologies.
It includes clinical diagnostic and therapeutic
devices covering physical medicine,
rehabilitation, prosthetics, bioartificial
organs, trauma and resuscitation technologies,
physiologic monitoring, etc.
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Advanced Clinical Technologies-Advances in the
next year

• Physiologic monitoring
• Wound infection detection (Philometron, Inc.)
• Bioartificial Organs
• Nanofabricated Bioartificial Kidney (Dr. David
  Humes, Innovative Biotherapies/U. Mich)
• PT/Rehab and Prosthetics
• Military Amputee Research Program (LTC Paul
  Pasquina, Walter Reed Army Medical Center)
• Trauma and Resuscitation
• Novel Resuscitation from Lethal Hemorrhage -
  Suspended Animation (SA) for Delayed
  Resuscitation (Dr. Patrick M. Kochanek, Safar
  Center for Resuscitation Research, University of
  Pittsburgh)

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TATRC Product Line Portfolios
Chronic Disease Management COL Ron Poropatich
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Chronic Disease Management

• Joslin Diabetes Center
• Joslin Vision Network
• Comprehensive Diabetes Management Program
• Childrens Hospital of Pittsburgh
• 1) Genetics Evaluation of inheritance patterns
  of specific loci and risk of developing diabetes
  or diabetic-complications.
• 2) Biomarkers Identification of molecular
  biomarkers in the proteome and transcriptome
  associated with islet function and
  microvasculature disease.
• 3) Education Telemedicine based programs
  increasing patient and provider understanding of
  diabetes.
• Marshall Island Diabetes Wellness and Reversal
  Program
• 1) Lifestyle change reflected in a more healthy
  diet and increased physical activity in the hopes
  of decreasing the incidence of type 2 diabetes.
• 2) Success of the intervention will be based on
  achieving clinically (and statistically)
  significant improvement in diabetes
  self-management, evidence by reduction in fasting
  glucose and HA1C levels.

Advanced Briefing for Industry
December 5, 2005
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Chronic Disease Management
Future Direction Endocrine Pancreatic
Regeneration Non-Invasive Glucometer Investment
Areas Embedding Clinical Practice Guidelines
(CPG) into the Electronic Health Record
(EHR) Home Tele-Health Care with Compelling
Outcomes and Evaluation Data
Advanced Briefing for Industry
December 5, 2005
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TATRC Product Line Portfolios
Nano-Medicine Biomaterials Dr. GILBERT
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TATRC Product Line Portfolios
Robotics Artificial Intelligence Dr. GILBERT
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Medical Informatics, Robotics
Nanotechnology Warfighter Physiologic Status
Monitoring
Casualty Prevention Casualty Management
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US Navy FreeformMedical Deterrent
SystemMaritime Forces of 2030 (MF2030)

• MF2030 advanced battlefield transport will make
• use of unmanned autonmous Vehicles (UMAV)
• Advanced life support systems such as the Armys
  LSTAT will improve enroute care, while the
  wounded are transported to advanced care
  facilities for anabiosis and reconstitution.
• Telemedicine , including robotics-enhanced
  surgery, will serve as a force multiplier for
  injury assessment/consultation.
• Advanced technology will support 3-D holographic
  presentations of patients, including virtual
  imaging of internal injuries and structures
  through virtual computerized axial tomography,
• Diagnostic microdevices will be ingested or
  injected into the body, to inspect and report in
  vivo on the condition of the gastrointestinal
  tract and circulatory system.
• Injectable nanomachines will home precisely to
  internal sites of injury within the body, and
  effect micro-repairs at the cellular level.
• Captain James R. Campbell, MSC,
  USN, CNO Strategic Studies Group, Newport, RI
  Stephen Giebner, M.D., Naval Operational
• Medicine Institute,
  Pensacola, FL Captain Timothy Thompson, MSC,
  USN, Navy Warfare Development Command, Newport,
  RI
• and Eric Eisenstadt, PhD,
  Defense Advanced Research Projects Agency,
  Alexandria, VA.

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TATRC Nanoscience Portfolio

• Just in its infancy
• A few projects that leverage nanoscience as
  enabling technology

• Preceded by TATRC staff participation in
• MIT Institute for Soldier Nanotechnology
• NSF Keck Futures Initiative

• New Congressional Projects
• NWU Institute for Bio-Nanotechnology in Medicine
• Alliance for Nano-Health at Rice University,
  University of Texas Health Science Center at
  Houston, the University of Texas MD Anderson
  Cancer Center, University of Houston, Baylor
  College of Medicine

• Will fund Biomedical Nanoscience research based
  on roadmap produced in February 2005 Integrated
  Research Team meeting
• via BAA and SBIR/STTR programs.

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TATRC Feb 2005 Nanomedicine IRT Potential
Research Areas

• Solutions for Trauma and Rehabilitation
• Tissue Engineering and Regenerative Medicine
• Surgical Augmentation (Augmenting Surgery)
• Prosthetics rehabilitation technologies
• Physiologic Monitoring
• Diagnostic Tools
• Imaging
• Solutions for Infectious Diseases,
• Chemical/Biological Weapon Exposure Defense
• Sensors for Biological and Chemical Weapons
• Nanowire-based
• Molecular imprinting-based
• Drug delivery
• Drug encapsulation
• Immunoisolation capsules
• cages
• Drug carrying agents
• Dendrimers
• Smart drugs that act only when in proximity of
  target

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Robotic Research Strategy for FY06-07

• Robotic Surgery, Telemedicine, and Combat
  Casualty Care systems
• Robotic Integration of Surgical support systems
  such as High Intensity Focused Ultrasound (HIFU)
  with on board support systems such as Life
  Support for Trauma and Transport (LSTAT)
• Integration of robotic standoff chemical,
  biological, nuclear, and Improvised Explosive
  Device (IED) detection systems (STTR).
• Continued Collaboration with DARPA Trauma Pod
  program.
• Casualty Extraction and Evacuation
• Advanced modular patient bay version of robotic
  evacuation system
• Implementation of casualty evacuation and
  extraction systems on universal combat and combat
  support Unmanned Autonomous Vehicle (UAV)
  Platforms.
• Further development of dynamic balancing humanoid
  Battlefield Extraction-Assist Robot (BEAR)
  platform.
• Integration of seemless soldier robot control
  devices.
• Integration of Ultrawide Band Communications
  (UWB) and Joint Architecture for Unmanned Systems
  (JAUS) for command control, telemedicine, and
  geo-location monitoring.
• Future Combat Systems Simulation

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Mr John Winston301-619-7674winston_at_tatrc.org