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Telemedicine for Remote Operations in Distant Areas T4MOD ARTES 20 – Integrated Applications Promotion (IAP) ARTES Applications Workshop 18-19 April 2013 – Ver.1.2 OFA Dr. Stefan Göbbels M.Sc (D MoD) Dr. rer. medic. Dipl.-Ing. Thomas Weber (DLR) et al.

Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

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Page 1: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

Telemedicine for Remote Operations in Distant Areas T4MOD

ARTES 20 – Integrated Applications Promotion (IAP)

ARTES Applications Workshop 18-19 April 2013 – Ver.1.2

OFA Dr. Stefan Göbbels M.Sc (D MoD) Dr. rer. medic. Dipl.-Ing. Thomas Weber (DLR)

et al.

Page 2: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD

2

Content - Demands and requirements

- Reality

- Project description and status

Page 3: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD – Demands and Requirements

Field hospital Mazar-e Sharif

Three surgeons of three nations

Page 4: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD - Reality

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One of the typical weapons

Page 5: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD - Reality

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The injury/trauma

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T4MOD - Reality

6

After the Débridement

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T4MOD - Reality

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First step of the therapy/rehabilitation

Page 8: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD – Objective and Requiremenst

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Project objective Development of a common Telemedicine solution for dual use, based on the technologies derived from ESA Human Space Flights

Main functional/user requirements

• Fully independent IP-broadband based satellite network

• Sharing of resources among the MoDs to interconnect the hospitals

• User friendly application to coordinate the access to resources (specialists, bandwidth, facilities)

• Include new generation applications for videocomm, medical imaging and patient information systems

• Privacy protection, data safety/security and Quality of Service features

• Ability to be interconnected with pre-existing Telemedicine national systems

Page 9: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD – Participants

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Project participants

T4MOD coordinated and run by ESA • Involved are the Health Departments of four European MoDs, namely

Germany, France, Italy and Spain

• Supervised by an Advisory Committee, involved are the Space Agencies DLR, CNES, CDTI and ASI

• Realised in partnership with a European industrial team.

Page 10: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD – Industrial Team

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Prime, Project Coordinator

Satellite Network IP Security and Accel.

Videocom App Medical Imaging App

Evaluation and Dual Use

SW solution

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T4MOD - Participants and the agreements

MoDs

T4MOD Advisory Committee

(ESA + Space Institutes/ Agencies + MoDs)

Industrial Segments

(Ground, Service, Applications, ..)

T4MOD ARTES 20 Demo Project (ESA Contract with TPZ)

Memorandum of Intents

Terms of References

of the AC

ESA

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Page 12: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD – General Work Flow

Preparatory Phase

T4MOD Baseline

ESA Committees

Approval

Industrial Proposal

T4MOD ARTES 20

Project

Prel

imin

ary

Inpu

ts

MoD User Requirements

ESA Contract

URDs

National Space Agencies

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Space Agencies MoDs Industry

Page 13: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

T4MOD Satellite System and Locations

Telemedicine Net IMoD

Telemedicine Net FMoD Telemedicine Net DMoDTelemedicine Net EMoD

Telemedicine Net T4MOD

MazarHerat DjiboutiBegin Madrid

Rome

UlmKoblenz

Telemedicine Net IMoD

Telemedicine Net FMoD Telemedicine Net DMoDTelemedicine Net EMoD

Telemedicine Net T4MOD

MazarHerat DjiboutiBegin Madrid

Rome

UlmKoblenz

T4MOD is a satellite based overlay IP network with very wide geographical coverage that is interconnected to the existing Telemedicine solutions

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T4MOD – History and Key milestones

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• 2007 MoDs of France, Germany and Italy present to ESA DG the wish to develop October a joint satellite based Telemedicine project. The three Space Agencies (CNES, DLR and ASI) and ESA decides to start the activity in the IAP (Integrated Applications Promotion) Programme Preparation.

---- >T4MOD was born

• 2007 MoD of Spain decides to join T4MOD

December

• 2008 Internal activities dedicated to analysis of user scenarios, architecture trade offs, demo sessions using different technologies, study of Quality of Experience aspects for medical videocomm are carried out by ESA in cooperation with the four MoDs.

• 2009 The projects becomes an industrial activity hosted in the ARTES 20 (IAP) January Programme of ESA, which will be co-funded by industry. April The joint Memorandum of Intents on T4MOD among ESA and the MoDs is signed.

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T4MOD – History and Key milestones

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• 2009 An industrial team composed of Telespazio (I), with NDSatCom (D), GMV (E), April Dialcom (E), DLR Space Medicine Institute (D), OneAccess (F) as subs and Covalia (F) as sponsoring partner is set up September The project is presented to the board of ESA (JCB) and approved. ESA funds are about 2M EUR (50% of project cost)

• 2010 Consortium agreement and preparation of industrial proposal

• 2011 February The industrial proposal is presented to ESA November After a series of negotiation steps, the project is Kicked Off • 2012 May Baseline Design Review is concluced October Critical Design Review is concluded • 2013 Verification and begin of the 12 months pilot activities June

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T4MOD – Key Elements of the System

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Field Hospitals

Central Hospitals

Page 17: Telemedicine for Remote Operations in Distant Areas T4MOD ARTES AppsWks… · Telemedicine for Remote Operations in Distant Areas . T4MOD . ARTES 20 – Integrated Applications Promotion

Support from and Benefits for the MoDs

Support from the MoDs? • The allocation of manpower resources to the project, able to take/relay strategic

decisions and provide technical/operational expertise

• The participation to the T4MOD advisory committee to review the key project documentation.

• The support to deploy, install and use the system during the pilot stage Benefits for the MoDs? • Demonstration of a pre-operational solution to solve current issues • Opportunity to run pre-operational Telemedicine services during the pilot stage at no

cost

• Gain of expertise likely to be useful for MoDs’ current and future initiatives, also via specific supporting activities initiated by ESA (e.g. ASSIST, QoE projects)

• Develop network with colleagues from other MoDs

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Questions & Answers

Thanks for your attention!

http://iap.esa.int/projects/health/t4mod