The rapid growth of the elderly population with a higher incidence of osteoporosis makes orthopedic spine surgery more challenging. Current bone density scans are scheduled preoperatively, plus the information is not specific enough to predict risk of hardware failure. Our team has been developing a device that provides surgeons with bone quality information in order to make the best surgical procedure decisions. Patients will receive better outcomes hospitals will offer better surgeries, payers will experience cost-savings, and medical device companies will incorporate screw augmentation products.  Our probe measures properties of bone in real-time, including stiffness and compressive strength, during standard surgical procedures. This presentation will discuss how this device was developed, from its concept to the current prototype.