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The geko™ Electro-Stimulation Device for Venous Thromboembolism Prophylaxis: A NICE Medical Technology Guidance

Author

Listed:
  • Jennifer Summers
  • James Clinch
  • Muralikrishnan Radhakrishnan
  • Andy Healy
  • Viktoria McMillan
  • Elizabeth Morris
  • Tiago Rua
  • Mercy Ofuya
  • Yanzhong Wang
  • Paul Dimmock
  • Cornelius Lewis
  • Janet Peacock
  • Stephen Keevil

Abstract

The geko™ device is a single-use, battery-powered, neuromuscular electrostimulation device that aims to reduce the risk of venous thromboembolism (VTE). The National Institute for Health and Care Excellence (NICE) selected the geko™ device for evaluation, and invited the manufacturer, Firstkind Ltd, to submit clinical and economic evidence. King’s Technology Evaluation Centre, an External Assessment Centre (EAC) commissioned by the NICE, independently assessed the evidence submitted. The sponsor submitted evidence related to the geko™ device and, in addition, included studies of other related devices as further clinical evidence to support a link between increased blood flow and VTE prophylaxis. The EAC assessed this evidence, conducted its own systematic review and concluded that there is currently limited direct evidence that geko™ prevents VTE. The sponsor’s cost model is based on the assumption that patients with an underlying VTE risk and subsequently treated with geko™ will experience a reduction in their baseline risk. The EAC assessed this cost model but questioned the validity of some model assumptions. Using the EACs revised cost model, the cost savings for geko™ prophylaxis against a ‘no prophylaxis’ strategy were estimated as £197 per patient. Following a second public consultation, taking into account a change in the original draft recommendations, the NICE medical technologies guidance MTG19 was issued in June 2014. This recommended the adoption of the geko™ for use in people with a high risk of VTE and when other mechanical/pharmacological methods of prophylaxis are impractical or contraindicated in selected patients within the National Health Service in England. Copyright The Author(s) 2015

Suggested Citation

  • Jennifer Summers & James Clinch & Muralikrishnan Radhakrishnan & Andy Healy & Viktoria McMillan & Elizabeth Morris & Tiago Rua & Mercy Ofuya & Yanzhong Wang & Paul Dimmock & Cornelius Lewis & Janet Pe, 2015. "The geko™ Electro-Stimulation Device for Venous Thromboembolism Prophylaxis: A NICE Medical Technology Guidance," Applied Health Economics and Health Policy, Springer, vol. 13(2), pages 135-147, April.
    • Handle: RePEc:spr:aphecp:v:13:y:2015:i:2:p:135-147
    DOI: 10.1007/s40258-014-0139-0
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    References listed on IDEAS

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    1. Iain Willits & Kim Keltie & Joyce Craig & Andrew Sims, 2014. "WatchBP Home A for Opportunistically Detecting Atrial Fibrillation During Diagnosis and Monitoring of Hypertension: A NICE Medical Technology Guidance," Applied Health Economics and Health Policy, Springer, vol. 12(3), pages 255-265, June.
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