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SUPPORTING THE FUTURE FORCE


with multiple companies and government laboratories, in addi- tion to several acquisition programs.”


“It is critical for us to maintain solid industry partners,” said Dawn Rosarius, USAMRDC’s principal assistant for acquisition. “Our labs and academic partners conduct the early research of candi- date technologies to reduce risk. With less risk, our PMs can then gain commercial industry partners to not only develop the capability we need for the warfighter, but also fund some of the development, sponsor FDA [U.S. Food and Drug Administra- tion] approval, and ensure a commercial market to lower our costs once FDA-approved.”


Within USAMRDC, other-transaction efforts focused specifically on prototypes are currently awarded through the aforementioned Medical Technology Enterprise Consortium (MTEC) program, which is a 501(c)(3) nonprofit corporation consisting of industry and academic organizations committed to developing medical tools that better manage, treat and rehabilitate those suffering from traumatic injuries on the battlefield. MTEC is organized and operated through Advanced Technology International via an award obtained through competitive solicitation in 2015. Since MTEC became fully operational in January 2016, USAMRDC has awarded 42 different prototyping projects through the consor- tium with $131 million in government funding, with private cost-sharing efforts kicking in an additional $24 million as of August 2019.


DEVELOPING NOVEL SOLUTIONS Leigh Anne Alexander can testify to the behind-the-scenes impact of other-transaction agreements. As deputy project manager for the USAMRDC’s Warfighter Expeditionary Medicine and Treat- ment Project Management Office, she has used the mechanism to try to help fill a high-priority capability gap via the continued


development of the Fast Onset Abdominal Management (FOAM) hemorrhage control device.


“We are trying to develop solutions that are not commercially available and very novel—solutions that industry wouldn’t other- wise invest in on their own,” said Alexander. “And so the ability to preconfigure the contracting agreement with options benefit- ing both sides was key.”


On the battlefield, certain types of injuries (and the eventual application of care to those areas) are naturally more complicated than others. While traumatic injuries to an arm or leg can be diagnosed relatively quickly and the resulting bleeding stanched with a tourniquet, traumatic injuries to the abdominal region— incidents of what is called noncompressible hemorrhage—require far more intricate care. As such, the FOAM device is designed to control severe intra-abdominal bleeding by delivering, into a Soldier’s abdominal cavity, a foaming agent that eventually expands and exerts pressure on internal organs and tissue, thereby stopping internal bleeding until the Soldier can be transported to a higher level of care. At that point, the injected compound can simply be washed away by the attending surgeon.


Te company behind the FOAM tool, Critical Innovations LLC was able to begin work on prototype delivery in just three to four months, using $600,000 in base other-transaction funding through the consortium. Further, the FDA granted the prod- uct its highly sought “breakthrough device” designation in an announcement in June. Alexander said the company is a full year ahead of schedule in terms of product development.


“Te approach that Critical Innovations took was fantastic because they were working with the end user in mind,” she said. “In the combat environment, you’ve got to think about the 18-year-old


A NEED FOR SPEED


Humacyte Inc., which developed the human acellular vessel, was able to accelerate the product by using other-transaction agreements issued through MTEC rather than going through a traditional Federal Acquisition Regulation-based contract. (Photo courtesy of Humacyte Inc.)


https://asc.ar my.mil


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