This review paper examines innovative approaches to maintaining and repairing biomedical devices in resource-limited settings, emphasizing the critical role these devices play in healthcare delivery. It addresses the challenges healthcare facilities face in these regions, such as the lack of spare parts, limited technical expertise, and harsh environmental conditions. The paper highlights several innovative strategies, including using locally sourced materials, developing low-cost, adaptable tools, remote support systems, and targeted training programs for local technicians. These approaches significantly improve device functionality, reduce downtime, and enhance the reliability and availability of essential medical equipment. By fostering collaboration between local technicians and external experts and building local capacity, these strategies contribute to better patient care and overall healthcare delivery. The paper also discusses prospects and recommendations for sustaining these innovations to strengthen healthcare systems in resource-constrained environments.