IAP/Artes 20 - Amazon Project Dr Nicola Jordan Systems Development www.rdtltd.com iap.esa.int/amazon
Contents What is the Tempus system Background to the Amazon Project Amazon ARTES 20 Project Application case study
Tempus IC TM Designed under a previous ESA project: Designed to be a niche telemedicine product but with the flexibility to extend it into wider applications Already commercially successful in commercial/civil aviation and luxury maritime But designed for relatively niche telemedicine-led applications Wide range of parameters and communications Small, light, robust, portable More flexible platform USB!!
What is Tempus Technology? Tempus utilizes space assets for the transmission of key medical data from the aircraft/remote locations to the ground: Transmits a full range of vital signs Allows multiplexed two way voice communication Enables transmission of real-time moving video
ESA Involvement in Tempus IC TM Helped fund and develop Tempus IC 2006-2008 Both RDT and ESA are pleased with the system s commercial success RDT applied to ARTES 20 open call ESA s presence enables projects for SME s like RDT to gain faster traction with larger corporations ESA act as a force to drive user involvement at all stages
The Amazon ARTES 20 Project Amazon concept: Provide a system which provides dual-use capability For users who need a basic monitor 90% of the time And cannot justify an extra (and expensive) separate product for occasional telemedicine applications Such as International SOS, military, civilian ambulance etc. Extend commercial usability through satcoms and GPS Produce a new system the Tempus Pro
Current Medical Monitoring Vital Signs Monitors Relatively commoditised in form and function Designed primarily for hospital use Limited data connectivity
Current Telemedicine Telemedicine Systems Designed for niche applications No significant commercial usage in wider pre-hospital care applications (civilian and military)
Introducing Tempus Pro 1) Market leading fully featured small lightweight monitor Robust, sand proof and water resistant to IP 66 2) Collect and share important data including TCCC Flexible platform, communicates with other devices, shares data real time and post event, 3) Sophisticated telemedicine ReachBak TM capabilities Real time medical data and waveforms, video, voice and TCCC card 4) Add additional clinical capabilities Modular design enabling addition of functions such as Video Laryngoscopy and ultrasound that can be delivered utilizing the battery and display already being carried 5) Ability to integrate with other products & software Designed to integrate with emerging technologies such as wearable devices for multipatient capability & can run other applications such as emerging decision support algorithms
Introducing Tempus Pro Five Capability Sets 1) Market leading fully featured small lightweight monitor Robust, sand proof and water resistant to IP66 2) Collect and share important data including military and civilian trauma data Flexible platform, communicates with other devices, shares data real time and post event, 3) Sophisticated telemedicine ReachBak TM capabilities Real time medical data and waveforms, video, voice and trauma data 4) Add additional clinical capabilities Modular design enabling addition of functions such as video laryngoscopy and ultrasound that can be delivered utilizing the battery and display already being carried 5) Ability to integrate with other products & software Designed to integrate with emerging technologies such as wearable devices for multipatient capability & can run other applications such as emerging decision support algorithms
Tempus IC Professional TM - Medical Parameters Blood Pressure Pulse Oximetry Temperature Capnometry 5 Lead EKG monitoring 12 lead EKG recording Invasive Blood Pressure Video Laryngoscope Ultrasound for Fast Exam In Development
Upgradable Modularity - Ultrasound Ultrasound for FAST exam currently under development Small compact Tempus powered ultrasound probe Gives completely new capability from same battery and display you are already carrying Structured process to remind user of the elements of the exam Automatic creation of a FAST exam report for record of care and ReachBak
pgradable Modularity Video Laryngoscope Integration with video laryngoscope under development View vitals including capnography whilst getting video images from laryngoscope Gives completely new capability from same battery and display you are already carrying Is particularly useful with difficult intubations especially in transport
Tempus IC Professional TM Communications Wireless Wired Serial Modem Ethernet USB
Tempus Pro TM Amazon ARTES 20 Project Two organisations working within the project consortium Aims to bring some of the advanced medical data technologies out of the hospital and into the prehospital care environment To be used by existing service providers in civilian and military applications
Tempus IC Professional TM Amazon ARTES Project - International SOS Experience and Expertise Over 22 years experience Over 10,000 employees worldwide Medical, security, aviation, and technical specialists: 33% are medical professionals, Multi-lingual staff, over 90 languages and dialects are spoken Experts in each center manage and audit a global network of medical correspondents and hospitals
Tempus IC Professional TM Amazon ARTES Project - International SOS Worldwide Reach International SOS has: 63 Offices, 26 Alarm Centers, 27 International Clinics and over 400 remote medical facilities across 5 continents. Map not to scale
Tempus IC Professional TM Application case study ISOS - Algeria A= Clinic = Sites
Current Situation Mobile from the Remote Site No satcoms used VSAT Satcoms Basic e.g. Iridium Remote Sites Intl. SOS Alarm Centre Electronic Patient Record Intl. SOS Clinic Traditional monitor Traditional monitor Too large and heavy to carry Too complex for some users No telemedicine or ease of use capability
Proposed Service Architecture Summary Space Assets GPS Satellites Data, video, GPS position GNOC - London Broadband e.g. Thuraya IP Voice Mobile from the Remote Site Tempus IC Professional 10% monitor / 90% telemedicine Updated RC Features VSAT Satcoms Broadband e.g. Thuraya IP Intl. SOS Alarm Centre Intl. SOS Clinic Tempus IC Professional 90% monitor / 10% telemedicine Remote Sites Tempus IC Professional 10% monitor / 90% telemedicine
Trials and Timeline Project started in November 2009 Closure is expected in Q3-Q4 2012 Three trials 1 short (1 week) in the EU e.g. Paris, October 2010 2 long (6 weeks) in Nigeria and Algeria, July 2012 Alarm centre to be located in Paris with London perhaps being used also Trials will demonstrate full system functionality and test the key elements of the business case As lead user Intl. SOS will lead the gathering of user requirements, field trials and contribute to the validation of the service concept / architecture
Outcomes Outcomes are being assessed using a tool being developed (separately) by ESA (ASSIST project) The output of the project will be a marketed end-product Commercial benefits essentially are being able to get more from the same investment in resource RDT expect: Positive engagement and feedback from users Commercial traction in various remote markets (oil, gas, mineral extraction, bulk crude shipping etc.) Significant commercial traction in the military markets
Summary The Amazon ARTES 20 project is building on the technical and commercial success of a previous ESA funded project The system will be unique in focussing on pre-hospital care and remote applications It will provide a wide number of entirely new features and benefits all of which are entirely user driven We expect the end product to be a commercial success in a number of markets and have already made significant development in Military markets
Contact Dr Nicola Jordan njordan@rdtltd.com Chris Hannan channan@rdtltd.com Arnaud Runge - Arnaud.Runge@esa.int +44 (0)1256 362400 www.rdtltd.com