NASA Technical Reports Server (NTRS) 20170000775: Exploration Medical Capability Element Overview

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by  NASA Technical Reports Server (NTRS)

National Aeronautics and Space Administration
Exploration Medical Capability
Element Overview
IWS 2017
January 2017
Outline
• ExMC Mission and Goals
• Applied Research Program Operational Target
• Element Conceptual Drivers
• ExMC Risk ownership and POCs
• Current and Future Gaps
• Element Progress in 2016
2
Our Mission
To minimize mission medical risk through medical system
design and integration into the overall mission and
vehicle design.
3
Organizational Environment
Funds(cid:9)and
HEOMD OCHMO(cid:9)HMTA
provides(cid:9)Program(cid:9)
requirements
Funds Owns Owns Owns
Mission(cid:9)concepts(cid:9) Technology(cid:9) Research(cid:9) 3001(cid:9)
HSRB(cid:9)Risks
&(cid:9)feasibility roadmaps products Standards
Developed(cid:9)by Managed(cid:9)by Managed(cid:9)by Managed(cid:9)by Updates(cid:9)
facilitated(cid:9)(cid:9)by
HSRB
Study(cid:9)Team(s)(cid:9) Determines(cid:9)Risk(cid:9)
(proxies(cid:9)for(cid:9) CH&P(cid:9)SMT research(cid:9)is(cid:9)required Medical(cid:9)Risk(cid:9)+
Explora on(cid:9)Program)
Medical(cid:9)IPT(cid:9)+ Risk(cid:9)Custodian
IPT(cid:9)Lead
Coordinate(cid:9)design(cid:9)
HRP
info(cid:9)and(cid:9)requests
ExMC(cid:9)Element
Funds,(cid:9)provides(cid:9)Element(cid:9) (2)(cid:9)Provides(cid:9)risk(cid:9)
requirements,(cid:9)shares(cid:9) (1)(cid:9)Provides(cid:9) es mates,(cid:9)med(cid:9)
other(cid:9)Element(cid:9)plans(cid:9) research(cid:9)plans,(cid:9) system(cid:9)capabili es,(cid:9)
(3)(cid:9)Provides(cid:9)med(cid:9)system(cid:9)design(cid:9) progress Risk(cid:9)mi ga on(cid:9)
and(cid:9)dev(cid:9)info(cid:9)to(cid:9)inform(cid:9)tech(cid:9) progress,(cid:9)integra on(cid:9)
roadmaps(cid:9)and(cid:9)study(cid:9)teams approach(cid:9)to(cid:9)Risk*
Provides(cid:9)coordinated(cid:9)study(cid:9) ExMC Shares(cid:9)other(cid:9)Risk(cid:9)
team(cid:9)requests;(cid:9)Shares(cid:9)other(cid:9)IPT,(cid:9) mi ga on(cid:9)informa on
SMT(cid:9)and(cid:9)other(cid:9)system(cid:9)devinfo
(4)(cid:9)Provides(cid:9)updated(cid:9)
standard(cid:9)content
Provides(cid:9)
med(cid:9)system(cid:9)
Provides(cid:9)clinical(cid:9)and(cid:9) technical(cid:9) Provides(cid:9)flight(cid:9)
opera onal(cid:9)inputs context opera onal(cid:9)inputs
Medical(cid:9)
Astronaut
Opera ons(cid:9) *(cid:9)Risk(cid:9)Custodian(cid:9)uses(cid:9)more(cid:9)than(cid:9)only(cid:9)
Office
Group ExMC(cid:9)inputs(cid:9)to(cid:9)inform(cid:9)HSRB(cid:9)status
4
ExMC Management Information Flow
Management Activity
 Content Reporting/
Implementation
EP&C  Resource
Element Management
 Administer Schedule Element Scientist Exploration Clinical  Schedule
 Performance
 SharePoint  Technical Content Working Group (ECWG)
 Integration Technical Content
 CCB  Integration
 Resource  Requirements
 Interface with PSMO
Interpretations
 Research Plan
Systems Engineering
 Interfaces
Systems Engineering  Requirements Allocation
 Requirements
 System Definition
 System Modeling UnAssigned Gaps
 Interface Management  Med03: Personalized Medicine
 Med 01 (ConOps)  Med04: Rehab
 Med08: Risk  Med06 Ethics
 IMM (GRC)  Med09 Inflight Risk
 MONSTR (JSC)  Med10: Decision Support
 Med11: Resource Utilization
JSC Lead ARC Lead GRC Lead LaRC Lead
JSC Projects GRC Projects  Gap 14: Med Hab
 SE&I Support ARC Projects  Gap12: Condition Mitigation
 Unmapped Risk Support  Gap07 Information Processing:  Gap 13: Medical Resources
(Bone, Dust)  MDA  FUS
 Med02 (Pharm)  X-Ray
 Research pathway  ELA
 Dose Tracker  Suction
 Med05 (Crew Training)  Oxygen
 MCT
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Mars Design Context
• Current architectures for exploration call for
long duration missions of 1-3 years
• Mars will not have a capability for medical
evacuation.
• Mars missions cannot expect resupply
although some prepositioning of resources
may be available.
• There will be periods of limited
communications and extended transit times.
 Comm rates: kilobits per second, like dial-up internet.
 The one-way flight time for radio signals can be more than 20
minutes.
 Comm will not be continuous.
• Mars Mission will require multiple launches
 Launch one or more durable unpiloted ships with non-
perishable supplies and equipment to Mars 78 or 52 or 26
months before the crew departs.
 Construct the crew transit ship in high Earth or Moon orbit
with several SLS payloads launched
 Crew launch.
With low margins available on these missions,
we can expect increasing scrutiny and
competition for resources across mission
systems.
Element Closure?
• The goal of the element is to supply sufficient
information and validation of a vehicle medical
capability that the future program of record will be able
to build and integrate the medical system with minimal
design issues confident in the risk reduction to the
crew
7
Timeline and Target – Why now?
• Must have a target to design towards
• Must have a way to make hard decisions
• This is not “sometime” in the distant future
Today
8 years
2025 2030s
2017
End of ISS
8
ExMC Risk Ownership
• Medical Risk – Erik Antonsen
• Pharmaceutical Stability Risk – Vernie Daniels
• Renal Stone Risk – Bob Pietrzyk
• Acute Bone Fracture Risk – Jean Sibonga
• Celestial Dust Exposure Risk – Torin McCoy
Medical Care Capabilities
• Medical care includes:
Prevention/Screening

Diagnostic capability

How are these implemented in
Treatment capability
 a mission we’ve never done
before?
Rehabilitation capability

Prognosis
