U'S' ARMY MEDICAL RESEARCH

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U.S. ARMY MEDICAL RESEARCH MATERIEL COMMAND
MG 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
Innovation Funding) Broad Agency Announcement
Mechanism for submission of CSI and unsolicited
research proposals url http//www.usamraa.army.mi
l/pages/Baa_Paa/baalist.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 Innovation Funding
TATRC Innovation 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 06 appropriated funds must be awarded prior to
  Oct 07proposal needs to be submitted by June 07
  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 Lines Focus Areas
Bio-Surveillance Dr. Montgomery
IM/IT/ Informatics LTC Pak
Mobile Computing Technology Mr. Morris
Ocular Health Mr. Bob Read
Military Amputee Research Program Mr. Turner
Medical Modeling Simulation Mr. Magee
Advanced Surgical Technology / ORF Dr. Moses
Surgical Robotics Telesurgery Dr. Moses
Therapeutic Clinical Technologies Dr. Saiki
Cellular Molecular Biology Dr. Curley
Robotics Artificial Intelligence Dr. Gilbert
Advanced Imaging Dr. Mogel
Medical Skills Proficiency ADL Dr. Pugh
Chronic Disease Management COL Poropatich
Nano-Medicine Biomaterials Dr. Grundfest
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TATRC Product Line Portfolios
IM/IT / Informatics LTC Hon Pak
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Advanced Information Technology Group

• IM/IT Portfolio Management
• Transitioning IM/IT Technologies to Enterprise
  (MHS)
• Research Development Program Office
• Common Development Environment
• OASIS

• Research Development Program Office, JMISO
• Improving functionalities of EHR (AHLTA)
• Clinical Data Repository/ Data Mining
• Common Development Environment
• Distributed Development for EHR

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Advanced Information Technology Group

• Operational Assessment System Integration Site
• Deployable Operational IM/IT Testing Platform
• Evaluate Technology for Deployed Medical Assets
• Understand the technologys impact on workflow

WarFighter (PIC)
Enroute Care
XML FILE HL7 3.0
XML File HL7 3.0
XML File HL7 3.0
Envisioned
SMTP
CLINICAL DATA REPOSITORY (CDR)
MEDIA
Theatre Hospital or Resuscitative surgery
MEDIA
Battalion Aid Station
Garrison Hospital
SYNC
TMIP CHCSII-T
TMIP CHCSII-T
Envisioned
Web Portal Sync
BMIST-J (PDA)
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TATRC Product Line Portfolios
Bio-Surveillance Dr. Kevin Montgomery (As
Presented by Mr. Kyle 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 (Situational Awareness Research
  Technology Implementation Group - SARTIG).
• 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 Computing Technology Mr. Tommy Morris
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Mobile Computing Mission
Creating innovative solutions
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Triple-helix PartnershipsInvolving innovative
enterprises

• Create innovative environments
• Create disruptive technologies
• Accelerate technology advancements
• Promote technology transfer and
  commercialization
• Provide value to society

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Technology Insertion Process
National Defense Objectives
Mission Requirements
Fielded Systems
Acquisition Objectives
Product Insertion
B
C
DoD Acquisition Process
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BMIST-JBattlefield Medical Information System
Tactical
Joint Force Health Surveillance
Top Ten Armys Greatest Invention
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BMIST-J Force Protection Modules
Integrated Health Surveillance System for
Casualty Prevention

• Preventive Medicine
• Veterinary Services
• Blood Management
• Environmental Laboratory
• Combat Operational Stress Control
• Preventive Dentistry
• Nutrition Care
• Chaplaincy

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Session Summary

• Mobile computing solutions can be scalable across
  the enterprise
• These development tools empower us to create
  relevant technologies
• These initiatives allow us to make a difference

The Armys Top Ten Greatest Invention 2003
Finalist U.S. Medicine Frank Brown Berry Prize
2005 Promising Practices Award
The Armys Top Ten Greatest Invention 2004
Nominated Wired RAVE Award
2006 Agency Award Fro Innovation
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For More Information
http//www.tatrc.org
TATRC
http//www.microsoft.com/resources/casestudies/Cas
eStudy.asp?CaseStudyID14900
Microsoft Case Study
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. Troy Turner
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U.S. Army Medical Research Materiel Command
Telemedicine and Advanced Technology Research
Center
Troy A. Turner, MBA, IPA - Jim Olson, IPA -
Sylvain Cardin, Ph.D., IPA
TATRC Orthotics and Prosthetics Research
Historical Slides Courtesy of Robert Gailey, Ph.D.
Military Amputee Patient Care Program Vision
Statement Through the collaboration of a
multi-disciplinary team, we will provide
world-renowned amputee care, assisting patients
as they return to the highest functional levels
of physical, psychological and emotional wellness.
Military Amputee Research Program Vision
Statement To develop and conduct innovative
research that supports the highest quality of
medical , surgical, and rehabilitative care of
individuals with limb loss.
Troy A. Turner, MBA, IPA, [phone],
turner_at_tatrc.org - Jim Olson, IPA, (301)
619-4047, olson_at_tatrc.org - Sylvain Cardin,
Ph.D., IPA, [phone], cardin_at_tatrc.org
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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.

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TATRC Product Line Portfolios
Ocular Health Mr. Bob Read
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Ocular Health
The Schepens Eye Research Institute Limiting
the extent of injury and repairing the retina
Optical devices and electronic displays a
tissue-compatible corneal bandage and treatments
to prevent corneal inflammation Wills Eye
Hospital Diabetes and Glaucoma Screening
identification of pre-existing ophthalmologic
diseases facial trauma board and
telecommunication CME programs. Foundation
Fighting Blindness (New Congressional) National
Eye Evaluation and Research Network and
Infrastructure Supprt for Clinical Trials of
Orphan Retinal Degenerative Diseases Mass Eye and
Ear Infirmary (New Congressional) Retinal
Implants for the Restoration of Sight Web Enabled
Refractive Surgery Information System Intuitive
graphical User Interface (GUI) 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.
Advanced Briefing for Industry

• July 31, 2006

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Ocular Health
Future Direction Trauma and Eye
Protection Retinal Preservation and
Repair Corneal Disease Visual Processing Low
Vision and Blindness Rehabilitation Investment
Areas Blindness and Vision Impairment Cortical
Stimulation Keratoconus (Number one waiver
request) Augmented Vision Teleconsultation and
Assessment
Advanced Briefing for Industry

• July 31, 2006

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TATRC Product Line Portfolios
Medical Modeling Simulation Mr. Harvey Magee
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Medical Modeling Simulation (MMS) 4 Research
Categories
PC-based Interactive Multimedia
Digitally Enhanced Mannequins
Virtual Workbenches
Total Immersion Virtual Reality
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Multiple Needs, Multiple Technologies 4
Categories of MMS
Harvey Magee, Portfolio Manager Medical Modeling
Simulation 301-619-4002 magee_at_tatrc.org Amy
Nyswaner, Project Officer Surgical
Simulation 301-619-1102 nyswaner_at_tatrc.org
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TATRC Product Line Portfolios
Advanced Surgical Technology Operating Room of
the Future Dr. Gerry Moses
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Advances in Surgical Technology
Robotic Laser Tissue Welding
Penelope
CIMIT ORF
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Collaborative Robotic Surgery
Play CollaborativeRobotic Surgery Video
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TATRC Product Line Portfolios
Surgical Robotics Telesurgery Dr. Gerry Moses
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The Era of Telesurgery is Here
Project Lindbergh Worlds First Telesurgery
Live Telesurgery
Telementoring
NEEMO 9
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Implementation Plan for Military Relevance of a
Portable Telesurgery System

• Design the System
• Small, portable, untethered, sturdy, accurate,
  connected
• Upgrade of System for Animal Human Trials
• Clinical oversight guides the trials
• Field demonstration

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TATRC Product Line Portfolios
Cellular Molecular Biology Dr. Kenneth
Curley (Presented by Dr. Eva Lai)
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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
Therapeutic Advanced Clinical Technologies Dr.
Stanley Saiki
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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
(Presented by Mr. Bob Read)
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Chronic Disease Management

• Joslin Diabetes Center (Type 2 Diabetes)
• Joslin Vision Network Teleretinal imaging
• Comprehensive Diabetes Management Program Web
  based diabetes portal
• Childrens Hospital of Pittsburgh (Type 1
  Diabetes)
• Genetics Evaluation of inheritance patterns of
  specific loci and assessing the risk of
  developing diabetes or diabetic-complications.
• Biomarkers Identification of molecular
  biomarkers in the proteome and transcriptome
  associated with islet function and microvascular
  disease.
• Marshall Island Diabetes Wellness and Reversal
  Program (Type 2 Diabetes)
• Lifestyle change reflected in a more healthy diet
  and increased physical activity in the hopes of
  decreasing the incidence of type 2 diabetes.
• Success of the intervention based on achieving
  clinically (and statistically) significant
  improvement in diabetes self-management,
  evidence by reduction in fasting glucose and
  HA1C levels.
• Medical Vanguard (Type 2 Diabetes)
• MyCareTeam Interactive web site for diabetes
  management
• Bethesda Naval Medical Center and 8 Indian Health
  Service Communities

Advanced Briefing for Industry 31 July 2006
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Chronic Disease Management

• Future Direction
• Endocrine Pancreatic Regeneration
• Non-Invasive Glucometer
• Integrate CDMP into AHLTA (DOD HIS)
• Investment Areas
• Home Tele-Health Care with Compelling Outcomes
  and Evaluation Data
• Embedding Clinical Practice Guidelines (CPG) into
  the Electronic Health Record (EHR)

Advanced Briefing for Industry 31 July 2006
61
TATRC Product Line Portfolios
Nano-Medicine Biomaterials Dr. Warren
Grundfest (As Presented by Dr. Gary Gilbert)
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TATRC Product Line Portfolios
Robotics Artificial Intelligence Dr. Gary
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 autonomous 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

68
TATRC Product Line Portfolios
Medical Skills Proficiency ADL Dr. Carla Pugh
69
Advanced Distributed Learning

• Provide access to the highest quality education
  and training, tailored to individual needs,
  delivered cost effectively, anywhere, anytime.
• ADL CoLab - www.adlnet.org

• Intelligent tutoring systems
• Gaming
• Simulation
• Performance Support
• SCORM
• Repositories

70
Future Directions
USER STUDIES
Interactive Web-based Knowledge Assessments
Advanced Distributed Learning
Medical Skills Proficiency
Better Balance Between Technical Cognitive
Components
More Flexible Content Presentation Organization
Cognitive Task Analysis
71
TATRC Product Line Portfolios
Advanced Imaging Dr. Greg Mogel (As Presented by
Mr. Ronald Marchessault)
72
Current RD PrototypeDevelopment including

• Optical Imaging
• Development of Ultra High Speed Optical Coherence
  Tomography, CIMIT CSI
• Optically Controlled Neural Prosthesis, CIMIT
• Imaging Device Development
• High Resolution VCT, MUSC and GE GRD
• Wireless Short Range Commo Portable X-Ray, GE
  GRD
• High Resolution Mobile Gamma Camera and Positron
  Imaging Devices, Univ. of Florida
• Spectral Flourescence Imager for Rapid Pathogen
  Screening, Science Eng. Assoc.
• Molecular Imaging
• Molecular Imaging of Prostate Cancer with High
  Resolution MRI, Univ. of Penn.
• Functional Neuroimaging
• Brain, Biology Machine Initiative, Univ. of
  Oregon
• New Diagnostic Methods
• Relation of Skeletal Triglycerides and Glycogen
  to Insulin Resistance (using 7T MRI), UT
  Southwestern
• Teleradiology
• Battlefield Ultrasonic Guidance in Dx and
  Emergency Therapies, Cleveland Clinic
• Radiology Decision Support
• Computer-Aided (CAD) Cancer Management, MUSC and
  GE GRD

73
Future RD Investment Potential

• Molecular Imaging (i.e. molecular medicine)
• Cancer detection and treatment (e.g. MRI,
  PET/CT anatomy and physiology)
• High volume cancer screening
• Arteriosclerotic vascular disease
• Image-guide Surgery
• CT, MR guided surgery
• Minimally invasive micro-surgery (lt2mm)
• Image-guided Therapy
• Laser, cryotherapy, and optical therapy
• Transcutaneous HIFU (Dx/Therapeutic US)
• Ultrasound-mediated drug delivery
• Delivery systems
• Direct digital portable x-ray
• Portable CT and MR (mass, cube, and weight)
• PACS

74
Mr. John Winston301-619-7674winston_at_tatrc.org