NICE has developed a medtech innovation briefing (MIB) on the PediGuard for placing pedicle screws in spinal surgery.

The PediGuard is a battery powered, single-use tool for drilling pilot holes in spinal pedicles into which pedicle screws can be inserted during spinal surgery. The PediGuard would be used in place of a standard pedicle awl in secondary and tertiary care during spinal surgery in which pedicle screws are placed. This would include spinal decompression or correction surgery where fusion and instrumentation are required.

Medtech innovation briefings provide a description of the medical technology, including its likely place in therapy, the costs of using the technology and a critical review of the strengths and weaknesses of the relevant published evidence.

Their purpose is to provide objective information on device and diagnostic technologies to aid local decision-making by clinicians, managers and procurement professionals. By making this information available, NICE helps to avoid the need for NHS organisations to produce similar information for local use.

Medtech innovation briefings are not NICE guidance. They differ in format, contain no judgement on the value of the technology and do not constitute a guidance recommendation.

MIBs are commissioned by NHS England and produced in support of the NHS 5 Year Forward View, specifically as one of a number of steps which will accelerate innovation in new treatments and diagnostics.