Gaps and priorities in innovation for children's surgery

Area of Science:

• Global Health
• Pediatric Surgery
• Medical Technology Innovation

Background:

• Significant disparities exist in pediatric surgical care globally, largely due to restricted access to essential medical devices and innovative technologies in low- and middle-income countries (LMICs).
• Existing technologies developed for high-income countries (HICs) often present challenges in LMICs regarding resource compatibility, cost, supply chain logistics, and long-term maintenance.
• Institutional barriers in both HICs and LMICs impede the development of medical devices specifically designed for the unique needs and resource constraints of LMICs.

Purpose of the Study:

• To highlight the barriers preventing access to pediatric medical devices and innovative technology in LMICs.
• To emphasize the need for context-specific innovation and sustainable solutions for pediatric surgical technology in resource-limited settings.
• To identify key areas for technological advancement, such as simulation-based training and minimally invasive techniques, to improve global pediatric surgical outcomes.

Main Methods:

• The study reviews existing literature and expert knowledge on the challenges and opportunities in pediatric medical device access and innovation for LMICs.
• Analysis of barriers includes supply chain, cost, maintenance, and institutional factors impacting technology adoption.
• Identification of promising innovations like simulation training and advanced imaging for pediatric surgery.

Main Results:

• Lack of access to pediatric medical devices and technology is a major contributor to global inequities in children's surgical care.
• Barriers to access include high costs, inadequate infrastructure, and the unsuitability of HIC-designed technologies for LMIC settings.
• Simulation-based training and innovations like pediatric laparoscopy and imaging show potential to significantly improve surgical skills and access.

Conclusions:

• Addressing the disparities in pediatric surgical care requires tailored technological innovation and improved access to medical devices in LMICs.
• Developing context-appropriate, sustainable, and affordable pediatric medical technologies is essential.
• Investing in simulation-based training and advanced surgical techniques can enhance the capacity for pediatric surgery globally, ultimately benefiting more children.