Many of us don't even realize how much impact space medicine research has had on the development of cutting-edge medical technologies used on Earth. Telemedicine, robotics and miniaturization in particular have made great strides through innovations for space.
Prof. Dr. Claudia Stern heads the Institute of Clinical Aerospace Medicine (ILR) and the Department of Clinical Aerospace Medicine (LRM) at the German Aerospace Center in Cologne. As a flight physician and ophthalmologist, she examines the eye health of astronauts, among other things. We spoke to her about some of the medical devices that have been developed in recent decades for use on space missions - and how they came to be used here on Earth.
Example: The self-tonometer for glaucoma prevention
First in space ...
The ophthalmologist reports: “At the beginning of German space travel with the German missions, there was the idea that there might be increased pressure in the brain and in the eye. And that's why there was an experiment on the D2 mission in which the astronauts measured each other's intraocular pressure. Elevated intraocular pressure poses a risk of glaucoma with possible loss of vision.
But by the time the space travelers were able to unbuckle themselves in the space shuttle and collect the equipment, so much time had passed that it was assumed that the peak had already been passed.”
For this reason, a tonometer was developed with which the astronauts could measure their own intraocular pressure. The device was then used on the next German mission and on the German-Russian mission. “This allowed the astronauts to directly measure values with an increase of more than 114 percent,” recalls Prof. Dr. Stern.
... later on earth
The technology later found its way into everyday medicine. Prof. Dr. Stern sees the enormous added value that self-tonometers have for patients on earth: “Now those who used to only go to the ophthalmologist or clinic every three months to measure a value can measure their intraocular pressure themselves at home. They know the correct curves and know when the pressure rises. The individual therapy can be adjusted accordingly.”
of long-term mission space travelers show changes in their eyes
Eye examination for astronaut Matthias Maurer during the Cosmic Kiss mission (2021)
Prof. Dr. Stern on the structural requirements of a medical device that is to be used on a space station.
Example: Telemedical innovations from space travel for the clinic and at home
Due to the distance to Earth, direct medical care for cosmonauts is usually not possible. Telemedical technologies have made it possible to overcome this distance. The technologies and methods developed for remote medical monitoring and treatment in space are now used worldwide to care for sick people in remote or underserved areas.
Then and now: Telemedical advice on vital signs
1993
Prof. Dr. Stern remembers: “During the D2 mission, the astronauts' bodies were tested with various sensors that could be used to examine their vital parameters and discuss them via telemedicine. DLR then continued the project with the children's hospital in Cologne to monitor premature babies.”
1996
In DLR's telemedicine project with the Cologne-Porz Children's Hospital, infants were then monitored remotely with sensors on their onesies. The aim was that this could also be done from home by a doctor in a clinic.
2024
Same principle, higher technological level: the “Mona” system collects all digital vital data from patients in the intensive care unit at Düren Hospital and provides a tool for telemedical consultations - here, for example, with a doctor at Aachen University Hospital.
Space travelers often suffer from space sickness, especially in the first three days, with fatigue, nausea and vomiting. The aim was therefore to test how eye movements change in weightlessness. Space researchers developed the eye-tracking camera system for this purpose. “The technology was continuously improved and then brought to Earth. You can meanwhile find eye tracking everywhere,” summarizes Prof. Dr. Stern.
Eye tracking in space
During his six-month Astrolab mission to the International Space Station in 2006, astronaut Thomas Reiter wore the forerunner of today's eye-tracking systems in the form of a helmet.
... for laser eye therapy
Never miss a cut: Today, “eye-tracking systems” such as this one in the ATOS device help with laser eye surgery. It scans how the eye moves during the procedure 1050 times per second and compensates for the smallest movements.
... on the intensive care unit
Since 2022, patients at the BG University Hospital Bergmannsheil in Bochum have been able to express how they are feeling via tracking. A communication tool for better therapy.
There are many more earthly medical applications of space medicine
Robotics for surgery
The MIRO medical robot was developed at DLR
The principle of the gripper arms was initially developed for automated work on the space station. Today, the precisely controllable and tireless helpers have a permanent place in many surgical procedures.
Cardiovascular monitoring systems
Technologies for monitoring heart rate and blood pressure, which were originally developed for space travel, are also being used in patient monitoring on earth.
Osteoporosis treatment
Research on bone density in microgravity has led to improved treatment approaches for osteoporosis, including the development of drugs and therapies.
Imaging techniques
Advances in imaging, such as improving the image quality of MRI scans, stem in part from the need to closely monitor the health of space travelers.
Behavioral and psychological studies
Research into stress management and the mental health of space travelers has contributed to better approaches to psychological care and stress management on Earth.
Prof. Dr. Stern mentions the high proportion of medical devices that are first developed for space and then used on Earth. She explains why few people are aware of this added value of space research.
Weightlessness as an ideal place for medical research
Many of the medical challenges in space are reflected in the problems that also exist on Earth, be it with ageing populations, immunocompromised people or people suffering from isolation and stress. Cancer research in particular can be pursued in a completely different way here, as cells can be studied particularly well in zero gravity because they can grow in three dimensions without restriction.
From a structural and technological point of view, the medical devices developed for space automatically have great advantages: they are as small and light as possible, the design and material are extra stable, safe and therefore particularly durable.
With regard to approval on Earth, passing tests under the extreme conditions in space is also the best prerequisite for rapid implementation.
This is why research into human health in space is not only of crucial importance for future space missions, but also continues to provide important findings and technologies for medicine on Earth. Let's see how space research will inspire us in the future!
Interview and multimedia realization: Natascha Mörs