ALL ABOUT ALPEG
Highly Trained, Highly Effective
Welcome to Alpeg, the premier distributor of SpineGuard products in the Balkans. SpineGuard is an innovative company based in France, deploying its proprietary radiation-free real time sensing technology DSG® (Dynamic Surgical Guidance) to secure and streamline the placement of implants in the skeleton.
For more imfomation about Spineguard you can visit: https://www.spineguard.com/
Alpeg holds the second ranking for Pediguard sales in Europe, and we are proud to be the third-ranked distributor worldwide.
We are here to provide you with the best support, train your representatives and doctors. With years of experience and a deep understanding SpineGuards products, our team possesses extensive knowledge about the product and its applications.
Our vision extends beyond market dominance, as we embrace SpineGuard's visionary approach to surgical innovation.

THE DSG TECHNOLOGY
The DSG Technology is based on the principle that the electrical conductivity of tissue varies by the type of tissue.
Electrical conductivity is the property of a material to conduct an electrical current:
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Cortical bone has low conductivity
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Cancellous bone has medium conductivity
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Periosteum and blood have high conductivity




THE PEDIGUARD
Is a smart drilling single use probe for the preparation of the pilot hole.
The DSG technology is at the tip of each PediGuard.
PediGuard® probes have assisted spine surgeons in accurately placing about 500,000 pedicle screws worldwide.
CLINICAL DATA
ACCURACY:
Continuous monitoring of electrical conductivity of the tissue at the tip of the PediGuard device allows for pedicle preparation with a high degree of accuracy:
97% screw placement accuracy
98% breach detection
100% pedicle breach anticipation
92.5% Complex deformity, accuracy upper thoracic
3-times fewer pedicle perforations than
with free-hand technique
REAL TIME
The bipolar sensor measures real-time changes in electrical conductivity of the tissue five times a second.
RADIATION SAFETY & SURGICAL EFFICIENCY
73% reduction of X-Ray times in MIS
30% reduction of X-Ray shots in open
15% surgical time savings during screw placement
SURGICAL EDUCATION
58% breach rate reduction among residents
HOW DOES THE PEDIDUARD PROBE WORK?
The PediGuard is a smart drilling single use probe for the preparation of the pilot hole. The DSG technology is at the tip of each PediGuard.

SURGICAL TECHNIQUE
ACTIVATE
DRILL & LISTEN
Activate the Pediguard probe by pulling out the paper tab one top of the plastic handle.
Advance the PediGuard probe into the pedicle along the target trajectory for screw placement and pay close attention to the audio feedback provided.



INTERPRET & REDIRECT
A change in pitch and cadence of the audio feedback indicates a change in the tissue around the tip of the PediGuard probe.

DETERMINE SCREW LENGHLENGTH
Using the graduated markings on the PediGuard probe note the depth to which the probe has been inserted into the pedicle and the vertebral body.


CURVED
PEDIGUARD
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Curved tip
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2 different diameters: Ø3.6 mm and Ø4.0 mm
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Ease penetration through the pedicle and removal thanks to the tapered tip
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Ease redirection during pedicle drilling: as surgeons become comfortable with the direction of the curve, they can be aware of the location of a possible breach, and hence allow proper redirection
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Mainly used in thoracic and lumbar, especially for deformity


CANNULATED PEDIGUARD
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2 types of tips (bevel and trocar)
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Needle available in 2 sizes (120mm and 160mm) - the longest PediGuard instrument / shaft
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Progressive diameter og the needle to ease the insertion and the removal
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Graduated shaft to control the progression into the bone
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Designed primarily for helping surgeons reduce radiation exposure during minimally-invasive procedures
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Can also be used to access and drill narrow and small pedicles
THREADED
PEDIGUARD
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Threaded tip
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Design available in three diameters (Ø 4.0mm, Ø4.5mm and Ø 5.5mm)
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Stiff drilling instrument that may be used to streamline surgical steps while maintaining the accuracy for pedicle preparation for screw placement
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Potential reduction of the use of intraoperative imaging in standard and MIS procedures
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FDA cleared for vertebral body drilling via anterior approach

DSG CONNECT

The DSG Connect App provides to surgeons a visualization of the audio feedback from the DSG technology during pedicle drillings with additional features.
It allows surgeons to:
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Visualize on a graph in real time the audio feedback emitted by the DSG Connect devices to ease the signal interpretation
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Use the App in “Simple Mode” with core functions such as a visual feedback, visual indicators and screenshots
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Use the App in “Advanced Mode” for data recording purposes with extra features such as spine level selection, recording, labels, post op data review
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Record, extract and analyze digital data.


Ready to embark on a transformative journey with SpineGuard?
Unlock the extraordinary possibilities that redefine spine surgery. Contact Alpeg today to explore our comprehensive range of SpineGuard's products, request a personalized demonstration, or discuss tailored solutions for your surgical needs. Together, we will redefine the boundaries of excellence in spine surgery.
Location: Tvardishki prohod 23, Sofia Bulgaria