Remove Debris Mission, From Concept to Orbit

The RemoveDebris mission will be the first European Active Debris Removal (ADR) missions to give an in orbit demonstration of the viability of a series of cost effective technologies that can be used to observe, capture and destroy space debris. RemoveDebris is a low cost mission performing key active debris removal (ADR) technology demonstrations including the use of a net, a harpoon, vision-based navigation (VBN) and a dragsail in a realistic space operational environment. For the purposes of the mission two CubeSats will be ejected and used as targets for experiments instead of real space debris, which is an important step towards a fully operational ADR mission. The craft has launched to the ISS on the 2nd of April 2018, on board a Dragon capsule (SpaceX CRS-14 ISS re-supply mission). From here the satellite is to be deployed via the NanoRacks Kaber system into an orbit of around 400 km. Aglietti 2 32nd Annual AIAA/USU Conference on Small Satellites This paper examines the design of the mission from initial concepts through to manufacture, AIT, testing and up to launch, and apart from a general consideration of the mission, will focus on the elements of design & testing that differ from a conventional mission

BHPR research: qualitative1. Complex reasoning determines patients' perception of outcome following foot surgery in rheumatoid arhtritis

Background: Foot surgery is common in patients with RA but research into surgical outcomes is limited and conceptually flawed as current outcome measures lack face validity: to date no one has asked patients what is important to them. This study aimed to determine which factors are important to patients when evaluating the success of foot surgery in RA Methods: Semi structured interviews of RA patients who had undergone foot surgery were conducted and transcribed verbatim. Thematic analysis of interviews was conducted to explore issues that were important to patients. Results: 11 RA patients (9 ♂, mean age 59, dis dur = 22yrs, mean of 3 yrs post op) with mixed experiences of foot surgery were interviewed. Patients interpreted outcome in respect to a multitude of factors, frequently positive change in one aspect contrasted with negative opinions about another. Overall, four major themes emerged. Function: Functional ability & participation in valued activities were very important to patients. Walking ability was a key concern but patients interpreted levels of activity in light of other aspects of their disease, reflecting on change in functional ability more than overall level. Positive feelings of improved mobility were often moderated by negative self perception ("I mean, I still walk like a waddling duck”). Appearance: Appearance was important to almost all patients but perhaps the most complex theme of all. Physical appearance, foot shape, and footwear were closely interlinked, yet patients saw these as distinct separate concepts. Patients need to legitimize these feelings was clear and they frequently entered into a defensive repertoire ("it's not cosmetic surgery; it's something that's more important than that, you know?”). Clinician opinion: Surgeons' post operative evaluation of the procedure was very influential. The impact of this appraisal continued to affect patients' lasting impression irrespective of how the outcome compared to their initial goals ("when he'd done it ... he said that hasn't worked as good as he'd wanted to ... but the pain has gone”). Pain: Whilst pain was important to almost all patients, it appeared to be less important than the other themes. Pain was predominately raised when it influenced other themes, such as function; many still felt the need to legitimize their foot pain in order for health professionals to take it seriously ("in the end I went to my GP because it had happened a few times and I went to an orthopaedic surgeon who was quite dismissive of it, it was like what are you complaining about”). Conclusions: Patients interpret the outcome of foot surgery using a multitude of interrelated factors, particularly functional ability, appearance and surgeons' appraisal of the procedure. While pain was often noted, this appeared less important than other factors in the overall outcome of the surgery. Future research into foot surgery should incorporate the complexity of how patients determine their outcome Disclosure statement: All authors have declared no conflicts of interes

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

RemoveDebris Preliminary Mission Results

International audienceThe EC FP7 RemoveDebris mission aims to be one of the world’s first Active Debris Removal (ADR) missions to demonstrate key technologies in-orbit in a cost effective ambitious manner, including: net capture, harpoon capture, vision-based navigation, dragsail de-orbitation. RemoveDebris is a low-cost mission funded jointly by the European Commission (EU) and 10 partners: the University of Surrey (UK), Airbus (France, Germany, UK); Ariane Group (France); Surrey Satellite Technology Ltd, (UK); Innovative Solutions In Space (Netherlands); CSEM (Switzerland); Inria (France); Stellenbosch University (South Africa). The mission will utilise two CubeSats as artificial debris targets to demonstrate the technologies. In early 2018, the main 100-kg satellite was launched to the International Space Station (ISS) and deployed via the NanoRacks Kaber system into an orbit of around 400 km. The mission comes to an end in early 2019 with all space entities having been de-orbited.This paper reports on the LEOP and commissioning phase of the mission in preparation for experimental tests due to begin end of 2018

Remove Debris Mission, From Concept to Orbit

International audienceThe RemoveDebris mission will be the first European Active Debris Removal (ADR) missions to give an in orbit demonstration of the viability of a series of cost effective technologies that can be used to observe, capture and destroy space debris. RemoveDebris is a low cost mission performing key active debris removal (ADR) technology demonstrations including the use of a net, a harpoon, vision-based navigation (VBN) and a dragsail in a realistic space operational environment. For the purposes of the mission two CubeSats will be ejected and used as targets for experiments instead of real space debris, which is an important step towards a fully operational ADR mission

Survey Paper RemoveDEBRIS: An in-orbit demonstration of technologies for the removal of space debris

International audienc