Page 27 - International Space Station Benefits for Humanity, 3rd edition.
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lifesaving advancements in global knowledge about   a 68% reduction in vertebral fractures, a 40% reduction
               these devastating storms. If successful, TWAI will be   in hip fractures, a 20% reduction in nonvertebral
               another company (such as Planet) that benefitted from   fractures, and a significant increase in bone density
               the ISS by demonstrating its technology and validating   at all sites measured. In 2017, Prolia was reported
               its business model.                             as the market leader in bone-health treatment with
               In the area of Earth observation, an additional benefit   more than 850,000 active patients, representing a
               of note in using the ISS to gather atmospheric and   20% market share. Revenues exceeded $1.6 billion
               other Earth observation data—both with programmed   in 2016 and $1.9 billion in 2017—an increase of
               instruments and crew-operated hardware such as   about 20%.
               cameras—is the inclusion of the human element to   With revenues approaching $2 billion for a single
               the decision-making process. Space station crews   successful drug treatment product, the potential
               can observe and collect camera images of events as   benefits of using the microgravity environment
               they unfold, while also providing key inputs to ground   aboard the space station justify the increased
               controllers for the scheduled programmed observations   costs of conducting PCG investigations in space.
               conducted by the automated sensing instruments.
               This flexibility is an advantage over robotic spacecraft
               such as traditional weather satellites, especially in the   Robotic Surgery
               face of unexpected natural events such as volcanic   Launched in 1981 as the product of an international
               eruptions and earthquakes.                      agreement between the Canadian National Research
                                                               Council and NASA, the space shuttle’s Canadarm
                                                               (Shuttle Remote Manipulator System) provided an
               Protein Crystal Growth
                                                               adept, robotic manipulation system for maneuvering
               As discussed in the previous section, the majority of the   payloads, satellites and astronauts during space
               economic benefits to be derived from PCG research are   shuttle missions. Later, the exceptional performance
               still prospective in nature. However, one example from   capabilities of Canadarm and Canadarm2 (the space
               the earliest days of space station assembly illustrates   station’s robotic arm) were instrumental in the assembly
               why pharmaceutical companies are so interested in   of the ISS. Today, Canadarm2, Dextre (Special Purpose
               conducting PCG experiments in microgravity.     Dexterous Manipulator) and the Mobile Base, which is
               Beginning in 2001, Amgen utilized the microgravity   a moveable work platform and storage facility, comprise
               environment during several space shuttle missions   the Mobile Servicing System of the ISS, and play a
               to the ISS to test three drugs. This research, along   critical role in ensuring the safety of the space station
               with further work on the ground, led Amgen to pursue   and its crew. As indicated in the Canadian Space
               clinical trials that resulted in the U.S. Food and Drug   Agency (CSA) partner perspective below, the
               Administration (FDA) 2010 approval of the company’s   technological foundations of Canadarm and its
               osteoporosis drug, Denosumab (brand name Prolia).    successors have fortified Canada as a technology
               In Phase 3 trials, patients receiving Prolia showed    leader in the development of precision advanced
                                                               robotic systems. In addition, they have enabled the
                                                               adaptation of innovations in space robotics to provide
                                                               technologies for control and situational awareness
                With revenues approaching                      in surgical robotics.
                $2 billion for a single successful             In 2002, Dr. Garnette Sutherland and his team at the
                                                               University of Calgary began working with engineers at
                drug treatment product, the                    MacDonald, Dettwiler and Associates (MDA), a Maxar

                potential benefits of using the                Technologies company, to solve challenges involved
                                                               in linking high-resolution imaging with robotics to
                microgravity environment aboard                manipulate interventional devices in the operating
                the space station justify the                  room. In 2006, a patent was granted for neuroArm.
                                                               The neuroArm allowed surgeons to conduct robotic
                increased costs of conducting                  surgery while using an MRI. Intraoperative MRI helps
                PCG investigations in space.                   surgeons distinguish the otherwise imperceptible
                                                               edges of tumors, and facilitates the safe removal
                                                               of all malignant tissue.





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