Professional Documents
Culture Documents
Nathan Fisher, MS
Project Manager/Robotics SME (CTR)
US Army Medical Research and Materiel Command (USAMRMC)
Telemedicine & Advance Technology Center (TATRC)
22 April 2016
Disclaimer
2
TATRC Parent Organizations
USAMEDCOM & USAMRMC
MEDCOM
HR CoE
5 RMCs USAMRMC PHC
5 RMCs (AMEDDC&S
5 RMCs
5 RMCs
Health Readiness
Platforms
(MEDCEN)
TATRC
MEDCOM – US Army Medical Command
MEDCEN – Medical Centers now called Health Readiness Platforms
AMEDDC&S – Army Medical Department Center and School
HR CoE -Health Readiness Center of Excellence
USAMRMC – US Army Medical Research and Materiel Command
PHC – Public Health Center
TATRC – Telemedicine & Advanced Technology Research Center
UNCLASSIFIED 3
US Army Medical Research & Materiel Command (USAMRMC)
Telemedicine & Advanced Technologies Research Center (TATRC )
COL Daniel R. Kral, Director
Mission: Exploit technical innovations for the benefit of military medicine by developing,
demonstrating and integrating across a variety of technology portfolios including
teleHealth, medical simulation and training, health IT, medical intelligent systems &
robotics, command and control, computational biology, and mobile solutions. Sponsor
bottom-up innovation through limited technology demonstrations focused on readiness,
access to care, and healthcare delivery.
4
UNCLASSIFIED
Planned Use of UMS in 2025B
• "Over the next 25 years, the Army aviation force mix shifts from being almost
entirely manned to consisting of mostly unmanned and [Optionally-Piloted
Vehicles].“ U.S. Army Roadmap for UAS 2010-2035
• “Unmanned systems will be critical to U.S. operations in all domains across a
range of conflicts, both because of the capability and performance advantages and
because of their ability to take greater risk than manned systems.”
DoD Unmanned Systems Integrated Roadmap FY2013-2038
• Unmanned Systems technology will continue to improve.
• Technological innovations rapidly evolving, to include data-intensive, multi-
sensor, and multi-mission capabilities.
• More autonomous/task level control
• More multipurpose
• More interoperable
• Less reliance on GPS
• Less reliance on persistent comms
UNCLASSIFIED 5
Definitions
En Route Care: The care required to maintain the phased treatment initiated prior to
evacuation and the sustainment of the patient’s medical condition during evacuation.
UNCLASSIFIED 6
Roles of Care
UNCLASSIFIED 7
Constraints on Medical Resources – Dense
Urban Environments
Limited freedom of movement for conventional vehicle platforms (both air and ground)
to provide medical resupply and casualty evacuation
• Gridlocked transportation networks
• Predictable movement patterns (IED threats)
• 3-Dimensional threats (air, land, and subterranean)
From 2001 to 2011, nine out of ten Warfighters who died from injuries sustained in
combat did so before arriving at a medical care facility. Of these, almost 25 percent died
from injuries deemed potentially survivable (Eastridge, Mabry, Seguin et al., 2012).
UNCLASSIFIED 9
UMS for Future Medical Missions
UNCLASSIFIED 10
UAS Size Categories
UNCLASSIFIED 11
The Case for UMS CASEVAC
UNCLASSIFIED 12
Multi-Purpose UMS
Need to develop
secondary CASEVAC
capability for suitable
future UMS platforms
[iRobot]
[Lockheed Martin SMSS]
UNCLASSIFIED 13
The Case for UMS CASEVAC
UNCLASSIFIED 14
Challenges for Medical UMS
Lack of VTOL UAS assets in the near/mid-term in Tactical/Persistent size classes for
agile/last-mile medical resupply.
• Larger VTOL UAS will likely be Optionally-Piloted Aircraft (OPA) in the
near/mid term
Trust
• Medical logistics prior to use as casualty transport
• Trust established for UMS troop transport in general
• Specific guidelines for UMS CASEVAC in terms of environmental exposure
(shock/vibe, temperature, noise, pressure)
16
SOURCE: NATO STO Technical Report TR-HFM-184, December 2012
UNCLASSIFIED
Future UMS Enroute Care Scenarios
UNCLASSIFIED 18
Enabling Technologies: Autonomy
[http://www.quanergy.com]
UNCLASSIFIED 19
Enabling Technologies: Teaming
Cross Platform
(UMS-UMS, Human-UMS)
Cross Domain
(Air, Ground, Maritime)
Cross Service
(Army, Navy, Air Force)
Requires Joint
Interoperability
Strategy
Human - Human
Human - UMS
UMS - UMS
UNCLASSIFIED 21
UxS Control Segment (UCS) Architecture
https://www.ucsarchitecture.org/ 22
UNCLASSIFIED
On-going Research and Development
UNCLASSIFIED 23
On-going Research and Development
Technical Approach:
Android EUD compatible application for controlling
Vertical Takeoff and Landing Aircraft, along with software
for medical record exchange based on eTCCC card.
UNCLASSIFIED 24
On-going Research and Development
• Considerations unique to UMS in regard to medical applications need to be better understood in order
to inform doctrine development and the combat casualty care research and development community
• Inform trade-off decisions regarding the use of manned versus UMS for medical resupply and
patient transport in future OE
• Increase exposure to Warfighters of emerging UMS technology (use feedback to inform development)
• Integration of Patient Monitoring and emerging En Route Care capabilities with UMS C2
infrastructure
• Telemedicine interoperability standard based on UAS Control Segment (UCS) framework
• Utilization of emerging dexterous robotic manipulation technology for casualty extraction and en
route care applications (i.e. medical imaging, monitoring, limited intervention)
26
UNCLASSIFIED
Questions / Discussion
www.tatrc.org
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