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Exploration Medical Capability - Advancing Medical System Design and Risk-Informed Decision Making for Deep Space Exploration

BACKGROUND: Within NASA’s Human Research Program, the Exploration Medical Capability (ExMC) Element has three primary focus areas: clinical and scientific research, systems engineering and trade space analysis, and technology development and demonstrations. These focus areas feed into the overarching goal of enabling progressively Earth-Independent Medical Operations (EIMO), a new paradigm that will be necessary for future Artemis and Mars medical and vehicle systems. This EIMO end state aligns with NASA’s Moon to Mars Objectives, which clearly outline the need for NASA deep space exploration missions to reduce their reliance upon Earth and become increasingly autonomous, in preparation for the first human Mars mission. OVERVIEW: To advance exploration medical systems and ultimately, integrated crew health and performance systems, ExMC’s portfolio includes: funding ground development & testing of novel medical capabilities; creation of new approaches for the development of medical protocols and procedures; deployment of innovative technologies into analog environments; technology demonstrations in spaceflight; and eventual transition to operations of new capabilities for deep space exploration missions. The portfolio also includes: pharmaceutical research targeting stability, pharmacokinetics, and pharmacodynamics; integrated data architectures and clinical decision support tools; and systems engineering and trade space analysis tools to assist NASA in the development of future medical system models as well as the medical system requirements that can serve as a foundation for deep space exploration missions. All of these investments are done in a collaborative and coordinated fashion with other NASA stakeholders, such as the Environmental Control and Life Support Systems – Crew Health and Performance System Capability Leadership Team and the Health and Medical Technical Authority. DISCUSSION: In this presentation, ExMC will provide an overview of our work from across our portfolio, all of which will inform future EIMO efforts at NASA. ExMC’s research and development investments are targeted to reduce the human system risks associated with deep space exploration to the Moon and Mars.

Kris Lehnhardt↗
NASA NTRS1998

Human Exploration of Mars: The Reference Mission of the NASA Mars Exploration Study Team

The Reference Mission was developed over a period of several years and was published in NASA Special Publication 6107 in July 1997. The purpose of the Reference Mission was to provide a workable model for the human exploration of Mars, which is described in enough detail that alternative strategies and implementations can be compared and evaluated. NASA is continuing to develop the Reference Mission and expects to update this report in the near future. It was the purpose of the Reference Mission to develop scenarios based on the needs of scientists and explorers who want to conduct research on Mars; however, more work on the surface-mission aspects of the Reference Mission is required and is getting under way. Some aspects of the Reference Mission that are important for the consideration of the surface mission definition include: (1) a split mission strategy, which arrives at the surface two years before the arrival of the first crew; (2) three missions to the outpost site over a 6-year period; (3) a plant capable of producing rocket propellant for lifting off Mars and caches of water, O, and inert gases for the life-support system; (4) a hybrid physico-chemical/bioregenerative life-support system, which emphasizes the bioregenerative system more in later parts of the scenario; (5) a nuclear reactor power supply, which provides enough power for all operations, including the operation of a bioregenerative life-support system as well as the propellant and consumable plant; (6) capability for at least two people to be outside the habitat each day of the surface stay; (7) telerobotic and human-operated transportation vehicles, including a pressurized rover capable of supporting trips of several days' duration from the habitat; (7) crew stay times of 500 days on the surface, with six-person crews; and (8) multiple functional redundancies to reduce risks to the crews on the surface. New concepts are being sought that would reduce the overall cost for this exploration program and reducing the risks that are indigenous to Mars exploration. Among those areas being explored are alternative space propulsion approaches, solar vs. nuclear power, and reductions in the size of crews.

Connolly, John↗
NASA NTRS2007

Scientific Exploration of Near-Earth Objects via the Crew Exploration Vehicle

The concept of a crewed mission to a Near-Earth Object (NEO) has been analyzed in depth in 1989 as part of the Space Exploration Initiative. Since that time two other studies have investigated the possibility of sending similar missions to NEOs. A more recent study has been sponsored by the Advanced Programs Office within NASA's Constellation Program. This study team has representatives from across NASA and is currently examining the feasibility of sending a Crew Exploration Vehicle (CEV) to a near-Earth object (NEO). The ideal mission profile would involve a crew of 2 or 3 astronauts on a 90 to 120 day flight, which would include a 7 to 14 day stay for proximity operations at the target NEO. One of the significant advantages of this type of mission is that it strengthens and validates the foundational infrastructure for the Vision for Space Exploration (VSE) and Exploration Systems Architecture Study (ESAS) in the run up to the lunar sorties at the end of the next decade (approx.2020). Sending a human expedition to a NEO, within the context of the VSE and ESAS, demonstrates the broad utility of the Constellation Program s Orion (CEV) crew capsule and Ares (CLV) launch systems. This mission would be the first human expedition to an interplanetary body outside of the cislunar system. Also, it will help NASA regain crucial operational experience conducting human exploration missions outside of low Earth orbit, which humanity has not attempted in nearly 40 years.

Abell, Paul A.↗
NASA NTRS2012

Antarctic Exploration Parallels for Future Human Planetary Exploration: Science Operations Lessons Learned, Planning, and Equipment Capabilities for Long Range, Long Duration Traverses

The purpose for this workshop can be summed up by the question: Are there relevant analogs to planetary (meaning the Moon and Mars) to be found in polar exploration on Earth? The answer in my opinion is yes or else there would be no reason for this workshop. However, I think some background information would be useful to provide a context for my opinion on this matter. As all of you are probably aware, NASA has been set on a path that, in its current form, will eventually lead to putting human crews on the surface of the Moon and Mars for extended (months to years) in duration. For the past 50 V 60 years, starting not long after the end of World War II, exploration of the Antarctic has accumulated a significant body of experience that is highly analogous to our anticipated activities on the Moon and Mars. This relevant experience base includes: h Long duration (1 year and 2 year) continuous deployments by single crews, h Established a substantial outpost with a single deployment event to support these crews, h Carried out long distance (100 to 1000 kilometer) traverses, with and without intermediate support h Equipment and processes evolved based on lessons learned h International cooperative missions This is not a new or original thought; many people within NASA, including the most recent two NASA Administrators, have commented on the recognizable parallels between exploration in the Antarctic and on the Moon or Mars. But given that level of recognition, relatively little has been done, that I am aware of, to encourage these two exploration communities to collaborate in a significant way. [Slide 4] I will return to NASA s plans and the parallels with Antarctic traverses in a moment, but I want to spend a moment to explain the objective of this workshop and the anticipated products. We have two full days set aside for this workshop. This first day will be taken up with a series of presentations prepared by individuals with experience that extends back as far as the late 1940s and includes contemporary experience. The people presenting bring a variety of points of view, including not only U.S. but international, although most, if not all, have collaborated on international teams. The second day will consist of a series of small focused group interactions centered on those elements likely to be needed for traverse missions, such as mobility, habitation, and extravehicular activity (EVA, aka space suits). Our invited participants will be talking with people that specialize in these elements so that we can foster more direct interaction and exchange of experiences between these two exploration communities. After the workshop we will be preparing a report documenting these presentations and the essence of the focused interactions.

Hoffman, Stephen J.↗
NASA NTRS2016

NASA's Solar System Exploration Research Virtual Institute: Merging Science and Exploration

NASA's Solar System Exploration Research Virtual Institute (SSERVI) represents a close collaboration between science, technology and exploration, and was created to enable a deeper understanding of the Moon and other airless bodies. SSERVI is supported jointly by NASA's Science Mission Directorate and Human Exploration and Operations Mission Directorate. The institute currently focuses on the scientific aspects of exploration as they pertain to the Moon, Near Earth Asteroids (NEAs) and the moons of Mars, but the institute goals may expand, depending on NASA's needs, in the future. The 9 initial teams, selected in late 2013 and funded from 2014-2019, have expertise across the broad spectrum of lunar, NEA, and Martian moon sciences. Their research includes various aspects of the surface, interior, exosphere, near-space environments, and dynamics of these bodies. NASA anticipates a small number of additional teams to be selected within the next two years, with a Cooperative Agreement Notice (CAN) likely to be released in 2016. Calls for proposals are issued every 2-3 years to allow overlap between generations of institute teams, but the intent for each team is to provide a stable base of funding for a five year period. SSERVI's mission includes acting as a bridge between several groups, joining together researchers from: 1) scientific and exploration communities, 2) multiple disciplines across a wide range of planetary sciences, and 3) domestic and international communities and partnerships. The SSERVI central office is located at NASA Ames Research Center in Mountain View, CA. The administrative staff at the central office forms the organizational hub for the domestic and international teams and enables the virtual collaborative environment. Interactions with geographically dispersed teams across the U.S., and global partners, occur easily and frequently in a collaborative virtual environment. This poster will provide an overview of the 9 current US teams and international partners, as well as information about outreach efforts and future opportunities to participate in SSERVI.

technology↗
NASA NTRS2023

Exploring the Complexities of Drug Formulation Selection, Storage, and Shelf-Life for Exploration Spaceflight

Medications have been a part of space travel dating back as far as the Apollo missions. Currently, medical kits aboard the ISS contain medications and supplies to help crew members cope with a variety of possible medical events. NASA reported that 1,867 medical events occurred from 1981 to 1998 on space shuttle flights, STS-1 to STS-89; 498 out of the 508 crewmembers on those flights reported experiencing a medical event other than space motion sickness. In 2000, the Institute of Medicine (IOM) convened a committee of experts, Committee on Creating a Vision for Space Medicine during Travel beyond Earth Orbit, to examine the issues surrounding astronaut health and safety for long duration space missions. The primary theme of the committee’s final report is that there is not enough known about the risks to human health during long-duration missions beyond Earth’s orbit and ways to effectively mitigate those risks in an environment of deep space. In 2014, the IOM convened the Committee on Ethics Principles and Guidelines for Health Standards for Long Duration and Exploration Spaceflights and released a report emphasizing the importance of prevention, mitigation, and treatment of major risks to human health during exploration spaceflight. NASA’s Human Research Program has organized five distinct categories of spaceflight hazards summarized by the acronym “RIDGE” (Space Radiation, Isolation and Confinement, Distance from Earth, Gravity fields, and Hostile/Closed Environments) that astronauts may encounter during exploration spaceflight. From those hazards, NASA further derived 30 of the most critical human health and performance risks, including limits to medical care resulting from pharmaceutical degradation. As we prepare for more distant exploration missions to Mars and beyond, risk management planning for astronaut healthcare should include the assembly of a medication formulary that is comprehensive enough to prevent or treat anticipated medical events, remains safe and chemically stable, and retains sufficient potency to last for the duration of the mission. The present editorial will summarize the current state of knowledge regarding innovative formulary optimization strategies, pharmaceutical stability assessment techniques, and storage and packaging solutions that could enhance drug safety and efficacy for future exploration spaceflight missions.

drug degradation risk assessment↗
NASA NTRS2015

The ISECG* Global Exploration Roadmap as Context for Robotic and Human Exploration Operations

The International Space Exploration Coordination Group (ISECG) Global Exploration Roadmap (GER) provides a broad international context for understanding how robotic missions and robotic assets can enable future human exploration of multiple destinations. This presentation will provide a brief high-level review of the GER with a focus on key robotic missions and robotic assets that can provide enabling technology advancements and that also raise interesting operational challenges in both the near-term and long-term. The GER presently features a variety of robotic missions and robotic assets that can provide important technology advancements as well as operational challenges and improvements, in areas ranging from: (a) leveraging the International Space Station, (b) planetary science robotic missions to potential human destinations, (c) micro-g body proximity operations (e.g. asteroids), (d) autonomous operations, (e) high and low-latency telerobotics, (f) human assisted sample return, and (g) contamination control. This presentation will highlight operational and technology challenges in these areas that have feed forward implications for human exploration.

telerobotics↗
NASA NTRS2005

Titan Explorer: The Next Step in the Exploration of a Mysterious World

The Titan Explorer Mission outlined in this report is a proposed next step in the exploration of Titan, following the highly successful Huygens Titan probe of 2005. The proposed Titan Explorer Mission consists of an Orbiter and an Airship that traverses the atmosphere of Titan and can land on its surface. The Titan Explorer Mission is science driven and addresses some of the fundamental questions about the atmosphere, surface and evolution of Titan, which will add to our understanding of the origin and evolution of life on Earth and assess the likelihood of life elsewhere in the Solar System.

Levine, Joel S.↗
NASA NTRS2007

Why We Explore: The Value of Space Exploration for Future Generations

The National Aeronautics and Space Administration (NASA) and its industry partners are making measurable progress toward delivering new human space transportation capabilities to serve as the catalyst for a new era of discovery, as directed by the U.S. Vision for Space Exploration. In the interest of ensuring prolonged support, the Agency encourages space advocates of all stripes to accurately portray both the tangible and intangible benefits of space exploration, especially its value for future generations. This may be done not only by emphasizing the nation's return on its aerospace investment, but also by highlighting enabling security features and by promoting the scientific and technological benefits that accrue from the human exploration of space. As America embarks on a new era of leadership and international partnership on the next frontier, we are poised to master space by living off-planet on the Moon to prepare astronauts for longer journeys to Mars. These and other relevant facts should be clearly in the view of influential decision-makers and the American taxpayers, and we must increasingly involve those on whom the long-term sustainability of space exploration ultimately depends: America's youth. This paper will examine three areas of concrete benefits for future generations: fundamental security, economic enterprise, and high-technology advancements spurred by the innovation that scientific discovery demands.

Cook, Stephen A.↗
NASA NTRS2012

Collaborative Business Models for Exploration: - The Expansion of Public-Private Partnerships to Enable Exploration and Improve the Quality of Life on Earth

In May of 2007, The Space Life Sciences Strategy was published, launching a series of efforts aimed at driving human health and performance innovations that both meet space flight needs and benefit life on Earth. These efforts, led by the Space Life Science Directorate (SLSD) at the NASA Johnson Space Center, led to the development and implementation of the NASA Human Health and Performance Center (NHHPC) in October 2010. The NHHPC now has over 100 members including seven NASA centers; other federal agencies; some of the International Space Station partners; industry; academia and non-profits. The NHHPC seeks to share best practices, develop collaborative projects and experiment with open collaboration techniques such as crowdsourcing. Using this approach, the NHHPC collaborative projects are anticipated to be at the earliest possible stage of development utilizing the many possible public-private partnerships in this center. Two workshops have been successfully conducted in 2011 (January and October) with a third workshop planned for the spring of 2012. The challenges of space flight are similar in many respects to providing health care and environmental monitoring in challenging settings on the earth. These challenges to technology development include the need for low power consumption, low weight, in-situ analysis, operator independence (i.e., minimal training), robustness, and limited resupply or maintenance. When similar technology challenges are identified (such as the need to provide and monitor a safe water supply or develop a portable medical diagnostic device for remote use), opportunities arise for public-private partnerships to engage in co-creation of novel approaches for space exploration and health and environmental applications on earth. This approach can enable the use of shared resources to reduce costs, engage other organizations and the public in participatory exploration (solving real-world problems), and provide technologies with multiple uses for space exploration and life on earth. Several examples will be provided that demonstrate the application of a technology to solve a space exploration need and to provide a positive impact to the quality of life on earth.

Davis, Jeffrey R.↗
NASA NTRS2013

SIM_EXPLORE: Software for Directed Exploration of Complex Systems

Physics-based numerical simulation codes are widely used in science and engineering to model complex systems that would be infeasible to study otherwise. While such codes may provide the highest- fidelity representation of system behavior, they are often so slow to run that insight into the system is limited. Trying to understand the effects of inputs on outputs by conducting an exhaustive grid-based sweep over the input parameter space is simply too time-consuming. An alternative approach called "directed exploration" has been developed to harvest information from numerical simulators more efficiently. The basic idea is to employ active learning and supervised machine learning to choose cleverly at each step which simulation trials to run next based on the results of previous trials. SIM_EXPLORE is a new computer program that uses directed exploration to explore efficiently complex systems represented by numerical simulations. The software sequentially identifies and runs simulation trials that it believes will be most informative given the results of previous trials. The results of new trials are incorporated into the software's model of the system behavior. The updated model is then used to pick the next round of new trials. This process, implemented as a closed-loop system wrapped around existing simulation code, provides a means to improve the speed and efficiency with which a set of simulations can yield scientifically useful results. The software focuses on the case in which the feedback from the simulation trials is binary-valued, i.e., the learner is only informed of the success or failure of the simulation trial to produce a desired output. The software offers a number of choices for the supervised learning algorithm (the method used to model the system behavior given the results so far) and a number of choices for the active learning strategy (the method used to choose which new simulation trials to run given the current behavior model). The software also makes use of the LEGION distributed computing framework to leverage the power of a set of compute nodes. The approach has been demonstrated on a planetary science application in which numerical simulations are used to study the formation of asteroid families.

Burl, Michael↗
NASA NTRS2006

Venus Exploration opportunities within NASA's Solar System Exploration roadmap

Science goals to understand the origin, history and environment of Venus have been driving international space exploration missions for over 40 years. Past missions include the Magellan and Pioneer-Venus missions by the US; the Venera program by the USSR; and the Vega missions through international cooperation. Furthermore, the US National Research Council (NRC), in the 2003 Solar System Exploration (SSE) Decadal Survey, identified Venus as a high priority target, thus demonstrating a continuing interest in Earth's sister planet. In response to the NRC recommendation, the 2005 NASA SSE Roadmap included a number of potential Venus missions arching through all mission classes from small Discovery, to medium New Frontiers and to large Flagship class missions. While missions in all of these classes could be designed as orbiters with remote sensing capabilities, the desire for scientific advancements beyond our current knowledge - including what we expect to learn from the ongoing ESA Venus Express mission - point to in-situ exploration of Venus.

Venus↗
NASA NTRS1991

Asteroid exploration and utilization: The Hawking explorer

The Earth is nearing depletion of its natural resources at a time when human beings are rapidly expanding the frontiers of space. The resources which may exist on asteroids could have enormous potential for aiding and enhancing human space exploration as well as life on Earth. With the possibly limitless opportunities that exist, it is clear that asteroids are the next step for human existence in space. This report comprises the efforts of NEW WORLDS, Inc. to develop a comprehensive design for an asteroid exploration/sample return mission. This mission is a precursor to proof-of-concept missions that will investigate the validity of mining and materials processing on an asteroid. Project STONER (Systematic Transfer of Near Earth Resources) is based on two utilization scenarios: (1) moving an asteroid to an advantageous location for use by Earth; and (2) mining an asteroids and transporting raw materials back to Earth. The asteroid explorer/sample return mission is designed in the context of both scenarios and is the first phase of a long range plane for humans to utilize asteroid resources. The report concentrates specifically on the selection of the most promising asteroids for exploration and the development of an exploration scenario. Future utilization as well as subsystem requirements of an asteroid sample return probe are also addressed.

Carlson, Alan↗
NASA NTRS2000

A Subsurface Explorer for Deep Underground Exploration on Mars

A subsurface explorer (SSX) is being developed at the Jet Propulsion Laboratory which is suitable for exploration of the deep underground environments on Mars. The device is a self-contained piledriver which uses a novel 'spinning hammer' technology to convert a small continuous power feed from the surface over a two-wire tether into a large rotational energy of a spinning mass. The rotational energy is converted to translational energy by a novel mechanism described here. The hammer blows propagate as shock waves through a nosepiece, pulverizing the medium ahead of the SSX. A small portion of the pulverized medium is returned to the surface through a hole liner extending behind the SSX. This tube is 'cast in place' from two chemical feedstocks which come down from the surface through passages in the hole liner and which are reacted together to produce new material with which to produce the hole liner. The lined hole does not need to be the full diameter of the SSX: approximately 100 kilograms of liner material can create a tunnel liner with a three millimeter inside diameter and a six millimeter outside diameter with at total length of four kilometers. Thus it is expected that core samples representing an overlapping set of three-millimeter diameter cores extending the entire length of the SSX traverse could be returned to the surface. A pneumatic prototype has been built which penetrated easily to the bottom of an eight meter vertical test facility. An electric prototype is now under construction. It is expected that the SSX will be able to penetrate through sand or mixed regolith, ice, permafrost, or solid rock, such as basalt. For pure or nearly pure ice applications, the device may be augmented with hot water jets to melt the ice and stir any sediment which may build up ahead of the vehicle. It is expected that an SSX approximately one meter long, three to four centimeters in diameter, and with a power budget of approximately 200 Watts will be able to explore up to approximately five kilometers deep at the rate of about ten meters per day.

Wilcox, B. H.↗
NASA NTRS2012

Antarctic Exploration Parallels for Future Human Planetary Exploration: The Role and Utility of Long Range, Long Duration Traverses

Topics covered include: Antarctic Exploration Parallels for Future Human Planetary Exploration: Science Operations Lessons Learned, Planning, and Equipment Capabilities for Long Range, Long Duration Traverses; Parallels Between Antarctic Travel in 1950 and Planetary Travel in 2050 (to Accompany Notes on "The Norwegian British-Swedish Antarctic Expedition 1949-52"); My IGY in Antarctica; Short Trips and a Traverse; Geologic Traverse Planning for Apollo Missions; Desert Research and Technology Studies (DRATS) Traverse Planning; Science Traverses in the Canadian High Arctic; NOR-USA Scientific Traverse of East Antarctica: Science and Logistics on a Three-Month Expedition Across Antarctica's Farthest Frontier; A Notional Example of Understanding Human Exploration Traverses on the Lunar Surface; and The Princess Elisabeth Station.

Hoffman, Stephen J.↗
NASA NTRS2016

International Space Exploration Coordination Group Assessment of Technology Gaps for LOx/Methane Propulsion Systems for the Global Exploration Roadmap

As part of the Global Exploration Roadmap (GER), the International Space Exploration Coordination Group (ISECG) formed two technology gap assessment teams to evaluate topic discipline areas that had not been worked at an international level to date. The participating agencies were ASI, CNES, DLR, ESA, JAXA, and NASA. Accordingly, the ISECG Technology Working Group (TWG) recommended two discipline areas based on Critical Technology Needs reflected within the GER Technology Development Map (GTDM): Dust Mitigation and LOX/Methane Propulsion. LOx/Methane propulsion systems are enabling for future human missions Mars by significantly reducing the landed mass of the Mars ascent stage through the use of in-situ propellant production, for improving common fluids for life support, power and propulion thus allowing for diverse redundancy, for eliminating the corrosive and toxic propellants thereby improving surface operations and resusabilty, and for inceasing the performance of propulsion systems. The goals and objectives of the international team are to determine the gaps in technology that must be closed for LOx/Methane to be used in human exploration missions in cis-lunar, lunar, and Mars mission applications. An emphasis is placed on near term lunar lander applications with extensibility to Mars. Each agency provided a status of the substantial amount of Lox/Methane propulsion system development to date and their inputs on the gaps in the technology that are remaining. The gaps, which are now opportunities for collaboration, are then discussed.

Hurlbert, Eric A.↗
NASA NTRS2016

International Space Exploration Coordination Group Assessment of Technology Gaps for Dust Mitigation for the Global Exploration Roadmap

The International Space Exploration Coordination Group (ISECG) formed two Gap Assessment teams to evaluate topic discipline areas that had not been worked at an international level to date. Accordingly, the ISECG Technology Working Group (TWG) recommended two discipline areas based on Global Exploration Roadmap (GER) Critical Technology Needs reflected within the GER Technology Development Map (GTDM): Dust Mitigation and LOX/Methane Propulsion, with this paper addressing the former. The ISECG approved the recommended Gap Assessment teams, and tasked the TWG to formulate the new teams with subject matter experts (SMEs) from the participating agencies. The participating agencies for the Dust Mitigation Gap Assessment Team were ASI, CSA, ESA, JAXA, and NASA. The team was asked to identify and make a presentation on technology gaps related to the GER2 mission scenario (including cislunar and lunar mission themes and long-lead items for human exploration of Mars) at the international level. In addition the team was tasked to produce a gap assessment in the form of a summary report and presentation identifying those GER Critical Technology Needs, including opportunities for international coordination and cooperation in closing the identified gaps. Dust is still a principal limiting factor in returning to the lunar surface for missions of any extended duration. However, viable technology solutions have been identified, but need maturation to be available to support both lunar and Mars missions.

dust↗