AEROMEDICAL UPDATE. Commercial (Civilian) HEMS Equipment for use as a Modular System for Aeromedical Missions

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1 AEROMEDICAL UPDATE Commercial (Civilian) HEMS Equipment for use as a Modular System for Aeromedical Missions

2 Disclosure Information 84th Annual AsMA Scientific Meeting Jerry Reid, SkyTexus International I have the no financial relationships to disclose I will not discuss off-label use and/or investigational use in my presentation

3 Disclaimer Any views, facts, or opinion that may be expressed represent those of the presenter and not necessarily that of the United States Government.

4 Current HH-60 MEDEVAC Configuration Overview

5 HH-60L/M Multi-Mission Medical Interior Army Surgeon General 1992 Top Priority Modernize MEDEVAC 2 Minutes between configurations No removal of equipment No special tools

6 HH-60L/HH-60M MedEvac Black Hawk Customer: United States Army/National Guard Prime: Sikorsky Aircraft Production: > 100 units through 2012

7 HH-60A/L/M MultiMission Helicopter

8 Personnel Transport

9 Cargo Transport

10 Litter Lift System

11 Typical HH-60 MedEvac Mission

12 . 12

13 UH-60A/L MEDEVAC Mission Support System (MMSS). 13

14 S-70A FIREHAWK with AMPD Multi-Mission Interior 14

15 Civilian HEMS AeroMed Product Overview. 15

16 Options COTS Commercial Available Already FAA (flight) certified Commercial Products Palletized Modular Quick disconnects Other Connection / Configuration options

17 Typical HEMS Cabin

18 APLS Articulating Patient Loading System 360º Rotation ±15º Tilt

19 AMPD 2001 Litter Forward Litter Latch Mechanism Aft Litter Latch Mechanism Not shown: To assist with loading, there will be a pallet of lightweight material that will support the center of the litter between the Forward and Aft Litter Latch Mechanisms.

20 Product Lines Patient Loading

21 Product Lines Cabinets & Ceiling / Wall Closeouts

22 Product Lines Custom Ceilings / Radio Racks

23 Product Lines Medical Monitor Mounts

24 Dual Patient PLS

25 Storage/LOX Cabinet

26 Special Mission Equipment

27 Oxygen Sources & Distributions Systems Electrical & Lighting control

28 Medical Equipment Racks

29 Medical Equipment Racks

30 Equipment Mounts

31 In Conclusion There are currently commercially Qualified and Viable Aeromedical equipment options that can used to update current military aeromedical capability requirements gaps, both for Helicopter and Fixed-Wing AeroMed. These Options offer a low risk / cost effective proven approach and solution.

32 Back up slides

33 Why LOX?? Duration stores large quantities in a very small space (860:1 liquid oxygen to its gas state) Safety Low-pressure systems (100 psi) Weight Weighs less than comparable steel gas cylinders. Size Compresses to ~ 1/3 of the size of gaseous oxygen Reliability No moving parts Fill-time fill time advantage of 10 times that of highpressure gaseous systems! Less Manpower Required No more periodic testing like high pressure cylinders

34 Properties of Liquid Oxygen Liquid Oxygen is a pale blue water-like fluid Liquid Oxygen boils at 183 centigrade (-297 F) Liquid Oxygen weighs pounds per gal Liquid Oxygen weighs pounds per liter Liquid Oxygen will expand 860 times its volume when converted to gas Liquid Oxygen is 1.14 times heavier than water LOX Products Liquid Oxygen at -297 F (-183 C) Gaseous Oxygen at 70 F (21 C) BMOS 2 liters 1720 liters BMOS-FS 20 liters 17,200 liters OGL 40 liters 34,400 liters General Conversion 1 liter 860 liters

35 NPTLOX Next-Generation Portable Therapeutic Liquid Oxygen System Features: Next-Generation Portable Therapeutic Liquid Oxygen System (NPTLOX) Part No: 50C Size: 18 W X 22 D X 32 H Weight: 100 lbs empty/148 lbs full Designed for U.S. Air Force Medical Unit 20 liquid liter (17,200 gaseous liter) Oxygen Storage System Two person portable Max flow rate of PSI Six oxygen outlet ports Standard fill connection IAW MIL-PRF (CRU-50/A) Accessory kit with medical grade hosing, flow control valves, adapter fittings and humidifier bottles included Designed for strength in harsh conditions This system requires only two (2) 9-volt batteries for LOX quantity/battery indicator. Easy integration with current military medical equipment including ventilators and anesthesia machines Tie-down provision for all military transport, cargo and medical aircraft Fully qualified to MIL-STD- 810F requirements The information contained herein is considered proprietary to Essex Cryogenics of Missouri, Inc. Any reproduction or dissemination to any party of the information contained herein without the written consent of Essex Cryogenics of Missouri, Inc. is strictly prohibited.

36 Oxygen Generator/Liquefier (OGL) Designed for U.S. Air Force Special Forces Unit (Para rescue) Generates 1 liquid liter (860 gaseous liters) of Oxygen per Hour Onboard Storage Capacity - 40 liquid liters (34,400 gaseous liters) User-friendly to allow for easier operator interface plug in, turn on and forget 8-foot transfer hose connects to IAW MIL-PRF-25961(CRU50/A) fill connectors Designed for use in harsh conditions Zero liquid loss system while connected to power 830 lbs. Full Designed for fork lift or pallet transport. Also mounted on retractable caster wheels for man portability Runs on standard 240V - 60Hz Single Phase Power Tie-down provision for all military transport, cargo and medical aircraft Can fill BMOS, BMOS Filling Station, PTLOX, NPTLOX and 7Liter

37 Backpack Medical Oxygen System (BMOS) Gaseous oxygen delivered at.5 to 15 LPM. 2 liquid liters (LOX) = 1720 liters (gaseous) Weighs just under 19 lbs. when full Fast fill port IAW MIL-PRF (CRU-50/A) One 50 psi DISS 1240 auxiliary port to power a ventilator Capable of being worn by parachutists, soldiers on the ground, or dropped in tandem with a paratrooper Capable of being secured on military cargo aircraft and all terrain vehicles Requires no external power just 6 AA batteries required for indicator and fan Successfully ballistic tested with no fire or explosion Dimensions (inches) Size Weight (full) Operating Pressure Total Gaseous Volume (L) Flow Rate 17.5L x 7.5W x 6.5H 2L 19 lbs. 65 PSIG Up to to 15 L/min

38 BMOS Advantages Capacity 1,720 gaseous liters, stored as 2 liters liquid oxygen System operates all the way to empty Low pressure system 65 psi Size & Weight 19 lbs when full (without optional ballistic enclosure) About 25% of the space needed for equal capacity of high pressure gaseous oxygen Maintenance No need for hydrostatic testing Does not require a cylinder post-valve Does not require a separate regulator and flow control valve 1720 Liters 13.5 lbs. Empty 65 psi 1660 Liters 40 lbs. Empty 2015 psi

39 Filling BMOS OGL 2 BMOS Filling Stations Up to 16 BMOS

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