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U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND Telemedicine & Advanced Technology Research Center (TATRC) TATRC Overview: Research Shaped to Meet Military Needs C i P l A ii M P bl Sli UNCLASSIFIED June 2011 Connecting People, Activist Management, Problem Solving Slide 1

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Page 1: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND

Telemedicine & Advanced Technology Research Center

(TATRC)

TATRC Overview:Research Shaped to Meet

Military Needs

C i P l A i i M P bl S l i

UNCLASSIFIED June 2011

Connecting People, Activist Management, Problem Solving

Slide 1

Page 2: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Report Documentation Page Form ApprovedOMB No. 0704-0188

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering andmaintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, ArlingtonVA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if itdoes not display a currently valid OMB control number.

1. REPORT DATE JUN 2011 2. REPORT TYPE

3. DATES COVERED 00-00-2011 to 00-00-2011

4. TITLE AND SUBTITLE TATRC Overview: Research Shaped to Meet Military Needs

5a. CONTRACT NUMBER

5b. GRANT NUMBER

5c. PROGRAM ELEMENT NUMBER

6. AUTHOR(S) 5d. PROJECT NUMBER

5e. TASK NUMBER

5f. WORK UNIT NUMBER

7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Army Medical Research and Materiel Command ,Telemedicine &Advanced Technology Research Center (TATRC),Bldg. 1054 PatchelStreet,Fort Detrick,MD,21702

8. PERFORMING ORGANIZATIONREPORT NUMBER

9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S)

11. SPONSOR/MONITOR’S REPORT NUMBER(S)

12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited

13. SUPPLEMENTARY NOTES

14. ABSTRACT

15. SUBJECT TERMS

16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT Same as

Report (SAR)

18. NUMBEROF PAGES

15

19a. NAME OFRESPONSIBLE PERSON

a. REPORT unclassified

b. ABSTRACT unclassified

c. THIS PAGE unclassified

Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18

Page 3: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Fulfilling the Vision Thru R&D

MissionExplore science and engineering technologies ahead of programmed research leveraging other programs toresearch, leveraging other programs to maximize benefits to military medicine

VisionBe the DoD model of government enablement of technology transfer to usetechnology transfer to use

UNCLASSIFIED June 2011Slide 2

Page 4: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

TATRC Purpose and Mission

TATRC is an organization within the headquarters of the US Army Medical Research and Materiel Command with threeArmy Medical Research and Materiel Command with three key functions:

– Bring together engineering and physical and life sciences (“convergence”) to solve problems in military medicine

– Medical science and technology scouts for the DoD– Medical research innovation in the DoD with transition to

programs of record

Time Horizon: DARPA TATRC Program of Record

Years to Mature: 20 5 now

Warfighter Impact:

UNCLASSIFIED June 2011

Warfighter Impact:

Slide 3

Page 5: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Convergence Science

• Convergence is the ongoing merger of life, physical and engineering sciences, involving a new integrated approach for

hi i dachieving advances• Examples are bioinformatics, synthetic biology, tissue engineering,

biomaterials, computational , pbiology (“nano-bio-info” convergence)

• Convergence is a blueprint for• Convergence is a blueprint for innovation necessary for accessible, personalized, affordable healthcare

• Convergence is embedded in the DoD through TATRC andthe DoD through TATRC and its external partners (e.g., CIMIT)

UNCLASSIFIED June 2011Slide 4

Page 6: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

TATRC Organizational Chart

TATRC Director

Deputy Director

Operational Telemedicine

Executive Officer

Chief Scientist

LaboratoryComponents

Research Review

Research Operations

IT Operations

ResourceManagement

Health Information Technology

BHSAIMedical

Modeling & Simulation

JPC ProgramExecution

National ProgramsLogistics

Security, Plans, Training,

Travel

Innovative and ConvergenceScience

UNCLASSIFIED June 2011Slide 5

Page 7: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Fulfilling the Vision Thru R&D

• Robotic rescue & evacuation• Shelf stable diagnostics & vaccines

• Cell phone-based systems• Remote biomonitoring MEDICINE IN AUSTERE • Blood products & blood safety

• Natural orifice transluminal endoscopic surgery

• Global Biosurveillance

• Health information portalunified EHR

e-HEALTH

MEDICINE IN AUSTEREENVIRONMENTS

surgery• Advanced medical

imaging• Distance medical

training & simulation

unified EHR• Research data cube/

medical outcomes• Pharmacovigilance

HOSPITAL• Operating room of the

future• Prosthetics and human

performance

• Virtual environments• Computational models

& tools• Human/soldier phenome• Performance & injury

DIGITALWARRIOR

HOSPITALOF THEFUTURE

• Regenerative medicine & biomaterials

Performance & injuryprediction models

• Optimal healing environmentsINTEGRATIVE

MEDICINE

Optimal healing environments• Advanced pain management• Complementary and alternative

medicine• Neuroplasticity/resilience

G i / li d di i

KEY TATRCINITIATIVES

UNCLASSIFIED June 2011

• Genomics/personalized medicine

Slide 6

Page 8: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Models of Research Innovation Technology Development & Transition Models

Representative Centers and Consortium Programs• CIMIT - Center for Integration of Medicine & Innovative Technology, Boston, MA

Technology Development & Transition Models

g gy, ,• NCIRE – The Veterans Health Research Institute, San Francisco VAMC, CA• Ernest Gallo Clinic & Research Center – Emeryville, CA• Samueli Institute – Alexandria VASamueli Institute – Alexandria, VA• NETPR - Neurotoxin Exposure Treatment Parkinson’s Research• VRP - Vision Research Program• HFHCN H ii F d l H lth C N t k H l l HI• HFHCN - Hawaii Federal Health Care Network, Honolulu, HI• NFGC - National Functional Genomics Center, Moffitt Cancer Center, FL• CASIT - Center for Advanced Surgical and Interventional Technology, UCLA, CA• CeMBR - Center for Military Biomaterials Research, Rutgers, NJ• DREAMS - Disaster Relief and Emergency Medical Services, UT-Houston, TX

• AAMTI - AMEDD Advanced Medicine Technology Initiative• SBIR / STTR - Small Business Innovation Research / Small Business Technology

Transfer

UNCLASSIFIED June 2011Slide 7

Page 9: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Recent Program Accomplishments

Next Generation Medical Training Manikin

NHIN,TATRC

Cone Breast CT Imaging - Koning Corp, NY

Active Thermal Resuscitation

REQUIREMENTSmCare - Mobile Phone Messaging

Active Thermal Resuscitation U of Texas Houston

REQUIREMENTS PULL ! Powered Leg Prosthesis

Dr. Hugh Herr, MIT

Application for the Case Management of Wounded Warriors, TATRC-South

Composite Tissue AllotransplantationJewish Hospital Foundation, KY

UNCLASSIFIED June 2011Slide 8

Page 10: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

TATRC Funding History

Support to Research

500Millions Support to Research

SBIR

CSI

400

450SBIR

Demonstrations & Field T-Med (P8)

JPC-1

Other JPC Execution 5 6 & 8

300

350

Demonstrations

Other JPC Execution, 5, 6, & 8

200

250Demonstrations

& Field T-Med (P8) Other JPCExecution

100

150 Congressional Special Appropriations – RDT&E

0

50 SBIR JPC1

UNCLASSIFIED June 2011

Key Sources: CSI, AAMTI(P8), SBIR/STTR, Reimb./OPM'98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12

Slide 9

Page 11: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

TATRC Convergence & Subject Matter Expertise

Th N Ali t ith th N Fi l R lit

Resilience & Advanced

The New Alignment with the New Fiscal Reality

Human Performance Optimization

Integrative Health

& Personalized

Medicine

Behavioral Health Pain

ManagementProsthetics &

Neural Engineering

Neurological Medical

Simulations & Health

Information Computational

Biology Functional

Restoration & E h tProtection

TechnologiesTraining

ResearchTechnologies

Research

gy&

Biomonitoring Research

Enhancement of Sensory Systems

Blood Products, Diagnostic

& Surgical

Medical Imaging

TechnologiesTelemedicine

& Mobile Health

Medical Robotics

& Surgical

Technologies

gMobile Health

ResearchCasualty

Evacuation

UNCLASSIFIED June 2011Slide 10

Page 12: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

TATRC Product Lines & Core Competencies

Medical Robotics Health InformationTechnologies

Medical ImagingTechnologies

Human Performance Technologies / Prosthetics

ESPE

TEN

CI

Computational BiologyTissue Engineering, Biomaterials, and

Nanomedicine

Simulation andTraining Technology

OR

E C

OM

Neurosciences

Nanomedicine

TATR

C C

OTA

UNCLASSIFIED June 2011Slide 11

Page 13: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Joint Technical Coordination Group 1 (JTCG1) Program

Combat Casualty Training Consortium

Medical Practice Initiative

Patient Focused Initiative

Developer Tools for Medical Education

MED

SIM

OVA

TIO

N

IT E A

ND

INN

O

Mobile Health Medical Device Interoperability Open EHR Way Ahead

HEA

LTH

I

CE

SCIE

NC

E

Vital Signs Entry

Virtual Prototyping Tools Sensor Data Fusion Research Modeling and Tools

G NVE

RG

ENC

MO

DEL

ING

CO

N

UNCLASSIFIED June 2011Slide 12

Page 14: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

TATRC Program Sustainment

Key Funding Streams – Congressional Special Interest programs

Small Business Innovative Research (SBIR)– Small Business Innovative Research (SBIR)– AMEDD Advances in Medical Technology Initiative (P8) – Operational Telemedicine (P8)

f– Execution of eDHP Medical Research Program – Reimburseables (DARPA, OASD(HA), OTSG, JPC1, ONR)

FY11 Congressional Special Interest Programs– Neurotoxin Exposure Treatment (Parkinson’s) Research– Peer Reviewed Alzheimer’s Research Programg– Peer Reviewed Vision Research Program – Substance and Alcohol Abuse Research– Pain Management Program– Pain Management Program

Other Funding M di l R h I ti /C P

UNCLASSIFIED June 2011

– Medical Research Innovation/Convergence Program

Slide 13

Page 15: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Ongoing Experiments in Product Transition

• FirstLink (PIN) – Ongoing Market Overview Analysis (MOA): 15 completed

• CAP-Larta Institute (Industry Sr. Exec. Membership) – 25 initial assessments > invited 10 companies to participate in commercialization assistance programinvited 10 companies to participate in commercialization assistance program

• JHU Carey Business School (CBS) – Discovery to market – selected 7 TATRC partners as pilot for the CBS curriculum for commercialization consulting services

• StarTech Foundation, San Antonio – PIA to review DoD venture programs and recommend a model/prototype program to accelerate commercialization

• Waiver for Foreign Manufacture for licensed CIMIT/DoD product: COMETSWaiver for Foreign Manufacture for licensed CIMIT/DoD product: COMETS

• Proof of Concept Institute (PCI), Von Liebig Center nonprofit spin-off, San Diego (Funded PIA) – develop internet web-based content for TATRC commercialization training guidecommercialization training guide

• National Association of Seed and Venture Funds (NASVF) (Funded PIA) –commercializing technologies from a federal lab (TATRC)

• University of Nebraska Technology Transfer (UNeMED) (PIA) – 8-10 May Midwest Medical Technology Transfer Symposium in Omaha, NE

• Hawaii Fed Healthcare commercialization assistance team visits – planned for

UNCLASSIFIED June 2011

Hawaii Fed Healthcare commercialization assistance team visits planned for later in 2011

Slide 14

Page 16: Telemedicine & Advanced Technology Research Center (TATRC) … · 2011-11-10 · Advanced Technology Research Center (TATRC),Bldg. 1054 Patchel Street,Fort Detrick,MD,21702 8

Why TATRC is Successful

• Agility that comes from not being constrained by the RDT&E programming and planning cycleprogramming and planning cycle

• We don’t jump off our best horses in the middle of the race (i.e., not just a grants program distributing funding, we want to cross the finish line to solve relevant military medical problems)problems)

• Known entity for revolutionary investigators to seek support y y g ppfor unconventional ideas and to connect to each other

• “Deputy for Advanced Medical Technology” reports directly to CG, USAMRMC, without bureaucratic layers

UNCLASSIFIED June 2011Slide 15