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There is a strong desire by surgeons and patients in low- and middle-income countries (LMICs) to access laparoscopic surgery. However, access is hindered by high installation costs, fragile equipment maintenance, lack of stable electricity, and limited consumable items such as medical-grade carbon dioxide. Using the human-centered design approach,1 our multidisciplinary team of surgeons, engineers, and global health researchers has developed a low-cost laparoscope (KeyScope) and lift retractor (KeyLoop), collectively referred to as KeySuite, designed for the challenges and needs of LMICs.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Siddhesh Zadey, BSMS, MScGH, Department of Surgery, Duke University School of Medicine, 2301 Erwin Rd, Durham, NC 27710 (email@example.com).
Published Online: July 20, 2022. doi:10.1001/jamasurg.2022.2675
Conflict of Interest Disclosures: Dr Mueller reported grants from the National Institutes of Health during the conduct of the study and personal fees from Calla Health Foundation outside the submitted work. Dr Fitzgerald reported grants from National Institutes of Health, Duke/Duke-NUS Pilot Project Grant, and Bass Connections at Duke University during the conduct of the study. Drs Fitzgerald and Mueller have PCT patent applications for the KeyScope and KeyLoop. No other disclosures were reported.
Funding/Support: This project has been funded by Bass Connections at Duke University, Duke/Duke-NUS Collaboration Pilot Project, and the National Institutes of Health (grant R21 CA249696-01A1).
Role of the Funder/Sponsor: The funders had no role in the preparation, review, or approval of the manuscript and decision to submit the manuscript for publication.
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