Conventional angiosuite innovation often is considered expensive and inaccessible to much of the world. Technologies that work in the United States, for instance, frequently cannot be implemented in most other countries outside of North American or Europe. Similar, interventional radiology is felt to be inaccessible to many around the world. Tanzania represents a country of ~57 million people with no interventional radiologist. The first training program in interventional radiology (IR) in Tanzania is underway, with a three year curriculum to create a self-sustaining initiative and the first of its kind. Different from a medical mission, IR interventions are expected to continue in Tanzania after IR complete the experience. Identifying clinical needs for innovation in this community would create sustainable technologies that could impact patients all over the world. Initial examples of such technology include tablet-based portable ultrasound and communication tools partnered with robotics to foster international clinical collaboration and consultation.