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“The Future of Telemedicine: An Astronaut’s Perspective. ” Bernard Harris, Jr., MD, MBA, FACP President and CEO, Vesalius Ventures and Founder, The Harris Foundation

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Page 1: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

“The Future of Telemedicine:

An Astronaut’s Perspective. ”

Bernard Harris, Jr., MD, MBA, FACP President and CEO, Vesalius Ventures and Founder, The Harris Foundation

Page 2: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Perspective

National Aeronautics and Space Administration

Venture Capital

Future Investments

Page 3: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Agenda:Agenda:

The Dream of Space Flight

Technology Innovations in of Medicine & Surgery

Preparing for the future

Page 4: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Apollo Program

Page 5: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Reality of Science in Fiction

Jules VerneH.G. Wells

Isaac Asimov

Gene Roddenbury

Page 6: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Early Space Program

50 Years

U.S. Space Flight

40 Years since the Lunar Landing

84 Days on Skylab

Page 7: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Space Program

Page 8: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Mission

Page 9: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Launching into Space

Page 10: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Mach 25

Page 11: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Point of No Return

Page 12: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

On-orbit

Page 13: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Earth is NOT flat!

Page 14: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Crew

Page 15: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Crew

Page 16: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Microgravity Examination

Page 17: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Laboratory Tests

Page 18: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Diagnostics

Page 19: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Neuro-muscular Testing

Page 20: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Microgravity Physical Examination

Page 21: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Patient Transport

Page 22: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Surgery in Space?

Page 23: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research
Page 24: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

2003 The Right Track for Vision Correction Johnson Space Center

2003 Lending a Helping Hand Johnson Space Center

2003 Express Testing Makes for More Effective Vet Visit NASA Headquarters

2002 Speaking Volumes About 3-D Stennis Space Center

2002 Mirrors Steer NASA in the Right Direction Jet Propulsion Laboratory

2000 Robotic Surgery Jet Propulsion Laboratory

1998 Medical Practice Makes Perfect Johnson Space Center

1997 Super-Compact Laser Goddard Space Flight Center

1997 Spherical Camera Langley Research Center

1995 Imaging System Ames Research Center

1994 A Third Arm for the Surgeon Jet Propulsion Laboratory

1992 A Tool for Medical Research Jet Propulsion Laboratory

1991 Skin Damage Assessment by Ultrasonic Waves Langley Research Center

1990 Advanced Pacemaker N/A

1990 Laser Angioplasty Jet Propulsion Laboratory

1988 Temperature Pill Goddard Space Flight Center

1988 Balance System Ames Research Center

1987 Mussel Glue N/A

1984 New Help for the Handicapped N/A

1983 Portable X-Ray Device Goddard Space Flight Center

1983 Medical Gas Analyzer N/A

1981 Cordless Instruments N/A

1981 Space Derived Health Aids (Cardiac Pacemaker) Goddard Space Flight Center

1980 Programmable Pacemaker N/A

1980 Space Technology for Palate Surgery Langley Research Center

1978 Eye Surgery Light Lewis Research Center

1977 Help for Disabled Children N/A

1977 New Diagnostic Aids (Space Stat 20) N/A

1977 Cataract Surgery Tool Lewis Research Center

NASA Spinoff Database

Page 25: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Automated Endoscopic System for

Optimal Positioning, or AESOP

Page 26: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

“Accelerating the Future of Medicine”

Founded in June 2002, Vesalius Ventures has become

the premier venture capital firm for the evolution in

healthcare technologies.

Vesalius Ventures has added significant value to

Venture and Corporate Partners (Shareholders), Clients

and more than 700 Entrepreneurs.

Confidential

Page 27: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

“Partners and Clients”

Confidential

Vesalius Ventures direct involvement with venture capital and industry leaders has enabled the firm to

create proprietary and unique deal flow...

Page 28: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

A look into the future…

of Medicine & Surgery

Astronaut’s Perspective

Page 29: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Telemedicine Care Management Products

Honeywell

HomMed

Bosch

Healthcare

Intel Health

Guide

The Intel Health Guide is a

comprehensive, next-generation

remote health management (RHM)

solution that combines an in-home

patient device, the Intel Health

Guide PHS6000, with the Intel

Health Care Management Suite. A

online interface allows clinicians

to monitor patients and remotely

manage care.

The Health Buddy appliance -

awarded Best Product by

Business Week and Best Enabling

Tool by the Disease Management

Association of America - is a

personal, in-home communication

and telemedical device.

Fully customizable by provider

diagnosis, the Honeywell HomMed

LifeStream™ telehealth platform

provides web-enabled, on-demand

access to disease-specific

symptom management (DSSM).

Page 30: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Health/Medical Consulting

TelaDoc is the first and largest

provider of telehealth medical

consults in the United States,

serving over 1.6 million

members.

CloseByClinic is an

innovative delivery system

to help consumers get the

answers to non-urgent

health care questions.

NuPhysicia LLC is a privately held

medical services solutions provider

delivering advanced remote health

care — concepts first developed and

proven by the University of Texas

Medical Branch.

Page 31: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Mobile “Smart Phone” Applications

MD Coder ®

Charge Capture

The MD Coder® mobile charge capture system enables

physicians to accurately and efficiently capture charges at

the point of care, transferring their charge information

electronically to the billing office.

Health ManagementEosHealth works with insurance payers to

provide dynamic mobile health and wellness

management tools to corporations and their

employees.

Epocrates

Rx

Epocrates, Inc. develops clinical

information and decision support tools

for healthcare professionals (primarily

drug information).

Ringful Health

develops consumer

health care

applications for

leading smart

phones.

Page 32: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Telemedicine Health Monitoring Tools

Corventis AgaMatrix

Corventis products provide

continuous surveillance of

symptomatic and

asymptomatic cardiac

abnormalities to help

physicians diagnose and

treat cardiac arrhythmias.

The AgaMatrix WaveSense

Jazz meter is the first

medical device to connect

directly with the Apple iOS

platform.

AirStrip

AirStrip software delivers

vital patient waveform data

— including fetal heartbeat

and maternal contraction

patterns — real-time directly

from the hospital labor and

delivery unit to a doctor's

mobile wireless device.

Page 33: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Remote Presence

Page 34: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Da Vinci Surgical System

Astronaut’s Perspective

The da Vinci® S™ Surgical System

Page 35: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The View

Page 36: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The View

Page 37: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The View

Page 38: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The View

Page 39: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Present & Future

Page 40: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Moon

Page 41: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Challenge

Travel time=1 year

Surface Time = 30days-1 year

Page 42: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Life on Mars?

Gravity = 1/3 of the Earth’s

Atmosphere = <1% of the Earth’s

Freezing Temperatures

High Winds

Page 43: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

New Frontiers in

Innovation

Page 44: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Preparing for the Future

Where are the future scientists, engineers,

technologists and innovators going to come from?

Page 45: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Harris Foundation

The Facts

Page 46: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Programs

Page 47: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Enabling the Dream

Page 48: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Risky Business

Page 49: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Risk

Page 50: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research
Page 52: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The End

Page 53: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Ambulatory Cardiac Monitoring

Photo courtesy of

CardioBelt

Page 54: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

The Diabetes Wireless

Network

Nationwide

Wireless

Network

(Standard

Wireless

Service

Features)

Diabetes Wireless

Network Ops &

Admin Center

Health Services

Center

(Data delivery to

caregivers)

Physician Devices &

Service Plans

Healthcare

Consumer

Devices &

Service

Plan

Page 55: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Home Healthcare Network

Photo courtesy of

Page 56: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

HomeHealth Technology

Photo courtesy of March Networks

Page 57: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Virtual Healthcare Network

Photo courtesy of UTMB

Page 58: “The Future of Telemedicine: An Astronaut’s …az9194.vo.msecnd.net/pdfs/100903/1200.01.pdf1997 Super-Compact Laser Goddard Space Flight Center 1997 Spherical Camera Langley Research

Virtual Healthcare Network

Photo courtesy of UTMB