Telemedicine and Advanced Technology Research Center TATRC Cutting Edge Medical Technology

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Advance Briefing for Industry Strategic Business
Opportunities for Telemedicine Operating Room of
the Future December 2-3, 2004 Arlington, VA

Dr. Gerald Moses, PhD Clinical Applications
Division, TATRC Fort Detrick, Maryland
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Operating Room of the Future (ORF)

• The Operating Room of the Future (ORF) programs
  early
• beginning started from a co-sponsored symposium
  held on
• November 2-9, 2002 between the Department of
  Surgery at the
• University of Maryland and the Telemedicine and
  Advanced
• Technology Research Center (TATRC).
• The purpose of which was to provide the
  Department of
• Defense (DoD) with knowledge to advance its
  surgical
• capabilities and services from the battlefield
  environment to
• definitive care.
• From this meeting five research areas were
  developed

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ORF Areas of Research
Five specific areas of surgical research
were agreed upon as being an integral part
of the Operating Room of the Future
Patient Safety
Advanced Devices
Medical Informatics
Tele-Surgery
Perioperative Systems Design
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ORF RD Portfolio ActivityAs of OCT04 Total
Funding is 38M

• Patient Safety
• 1.Patient Safety Proposal to
• Develop A Roadmap for Patient Safety in the
  Operating Room Environment Dr. Stephen C.
  Schimpff, MD
• 2. Human Factors in Robotic Surgery APTIMA

• Periop. System Design
• 1. SBIR Program Topic A03-170 "Patient Safety
  Perioperative Readiness Support System
• a) Phase II Awardee
• Live Data Inc., Cambridge, MA

• Telesurgery
• 1. NASAs Extreme Environment Mission Operations
  7 (NEEMO7) Center for Minimally Invasive
  Surgery, Hamilton, Canada
• 2. High Altitude Platforms Mobile Robotic
  Telesurgery (HAPsMRT) University of Cincinnati

• Medical Informatics
• 1. No funded research at this time.

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ORF RD Portfolio Activity Advance Devices
including

• 1. Spine Research Walter Reed Army Medical
  Center (WRAMC)
• 2. Periscopic Spine Surgery Georgetown
  University
• 3. Robotic Replacement of Surgical Scrub
  Technician Robotic Surgical Tech, Inc.
• 4. Audio Computer Mediated Comm. UMMS

• 8. Research Engine in Minimally Invasive Surgery
  U. of Kentucky
• 9. Integrating Tech for Patient Monitoring in
  Digital OR Virginia Commonwealth University
• 10. ORF Program CIMIT

• 11. Mentoring Using a Minimally Invasive Surgical
  Robotics System WRAMC/Intuitive Surgical, Inc.
• 12. Miniature In Vivo Robots for Tele-Surgery in
  Forward Environments University of Nebraska
• 13. SBIR Topic A04-197 Smart
  Devices/Instruments For a Sophisticated OR
  Environment

• 5. Harnessing Technology for Evidenced-Based
  Education Training in Minimally Invasive Surgery
  Emory University
• 6. Center for Advanced Surgical and
  Interventional Technology UCLA
• 7. Robotic Laser Tissue Welding - SRI
• International

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Hot Areas of Research
Telesurgery - Quality, accessible surgical care
Advanced MIS and emergent open surgery -
Extreme Environment NASA (MITAC - GEO TDRSS -
ISS) DoD (TATRC fiber backbone/HAPs -
Battlefield) - Broadband, low latency wireless
communication GEO - MEO - LEO
HAPs Surgical robotics - Modularity One
robot with many arms and effectors or many
robots? - Effector Structures (Function-Specialty
Requirements) Smart Intruments and semi-
or fully autonomous - Controller ergonomics and
haptics
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Contact Information
Dr. Gerald Moses email moses_at_tatrc.org
or, Mr. Ronald Marchessault, Jr.,
MBA, Project Manager email
marchessault_at_tatrc.org