EMS as a Pre-Fitting Protocol for Better Prosthetic Results

EMS as a Pre-Fitting Protocol for Better Prosthetic Results

Getting a prosthetic is not just about wearing a new device. It is about teaching the body and the brain to work together in a new way. For many people, the period before fitting is often filled with waiting, healing, and uncertainty. Yet, this waiting time can also be used wisely—to prepare the body for the prosthetic that will soon become part of daily life.

Electronic Muscle Stimulation, or EMS, is one of the most powerful tools in this preparation. By gently activating the muscles, improving blood flow, and strengthening signals, EMS ensures the body is ready when the prosthetic is finally fitted. Instead of struggling with weak or stiff muscles, the user begins with a strong foundation.

This article explores how EMS can be used as a pre-fitting protocol, why it matters so much, and how both patients and clinics can apply it for better outcomes. The goal is simple: to make prosthetic fitting smoother, faster, and more rewarding for everyone involved.

Why Pre-Fitting Preparation Matters

The Challenge of Waiting

After an amputation, there is usually a period of waiting before a prosthetic can be fitted. The limb needs time to heal, and the prosthetic must be designed or adjusted. For many people, this waiting period feels passive. They may feel like nothing is happening until the prosthetic arrives.

But this waiting period can be transformed into something powerful. With the right preparation, it becomes an active stage of recovery where the body and mind get ready for the prosthetic.

Risks of Not Preparing

When the body stays inactive for too long, muscles start to weaken. This is called muscle atrophy. Weak muscles send weaker signals, which can make it harder for a prosthetic to respond. The longer the muscles are left unused, the harder it is to rebuild their strength.

For prosthetic users, this means the early days with the device can feel frustrating. The prosthetic may not respond smoothly, and progress can feel slow. Without preparation, the journey becomes harder than it needs to be.

How EMS Fits In

EMS provides a way to prepare the body even before the prosthetic is fitted. By delivering gentle electrical impulses to the muscles, EMS keeps them active. These contractions are like small workouts, which help maintain strength, flexibility, and circulation.

This preparation makes the transition into prosthetic use smoother. Instead of starting from a weak foundation, the user is already strong, making it easier to adapt to the device.

understanding EMS in Simple Terms

How EMS Works

EMS stands for Electronic Muscle Stimulation. It uses small electrical pulses to make muscles contract. These contractions are similar to the ones your brain creates when you move normally. The difference is that EMS can make the muscles work even if you are not moving them yourself.

For someone preparing for a prosthetic, EMS acts like a trainer. It reminds the muscles of their job, keeps them strong, and prepares them to send signals when the prosthetic is ready.

Why EMS is Effective

The human body responds to use. Muscles that are used regularly stay strong. Muscles that are not used become weaker. EMS prevents this decline by ensuring that muscles are never truly inactive.

By keeping the muscles alive and engaged, EMS also keeps the brain-muscle connection strong. This connection is vital because prosthetics rely on signals from these muscles to function.

The Special Advantage for Prosthetics

Unlike other types of therapy, EMS is especially helpful for people preparing for prosthetics. It targets the exact muscles that will later control the device. This means the training is not general—it is directly relevant to the prosthetic the person will use.

The result is better control, smoother movements, and less frustration when the prosthetic is fitted.

The Role of EMS in Pre-Fitting Protocols

Preparing the Residual Limb

The residual limb is the part of the body that will connect with the prosthetic. For the prosthetic to fit well, this limb must stay healthy. Muscle loss or stiffness in this area can cause problems with socket fit and comfort.

EMS helps by keeping the muscles toned and maintaining good blood flow. This reduces swelling, keeps the limb in better shape, and supports a more stable socket fit when the prosthetic is finally used.

Strengthening for Signal Clarity

Most modern prosthetics, like myoelectric hands, work by picking up muscle signals. If the muscles are too weak, the signals may be unclear or too faint. EMS strengthens these muscles so that they send clearer signals.

This makes the prosthetic more responsive. Instead of struggling to move the device, the user feels more in control from the very beginning.

Reducing Stiffness and Discomfort

Another challenge in the pre-fitting stage is stiffness. When muscles and joints are not moved enough, they become tight and uncomfortable. EMS reduces this stiffness by creating repeated contractions, which improve circulation and flexibility.

This makes the residual limb more comfortable and better prepared for prosthetic use.

Step-by-Step EMS Strategies Before Fitting

Starting Small and Simple

The first step in using EMS is to keep sessions short and gentle. Even 10 minutes of stimulation can make a difference. The aim is not to build heavy strength at once but to slowly wake up the muscles and remind them of their role.

Over time, the duration and intensity can be increased. This gradual approach ensures safety and comfort, making it easier for users to stay consistent without feeling overwhelmed.

Pairing EMS with Active Practice

EMS works best when combined with voluntary effort. For example, while EMS stimulates the forearm, the user can try to imagine opening or closing the hand. This strengthens the brain’s link to the muscle.

This pairing makes the training more meaningful. Instead of muscles working passively, the user learns how to control and refine the signals they will later use with their prosthetic.

Making EMS Part of Daily Routine

EMS can easily be integrated into daily life. Sessions can be done while sitting, reading, or even watching television. This convenience removes barriers that often prevent people from sticking with traditional exercise routines.

By making EMS part of daily habits, users keep their preparation consistent. Consistency is the most important factor in achieving strong results once the prosthetic is fitted.

Clinical Applications of EMS Before Prosthetic Fitting

A Therapist’s Role in Guiding EMS

For the best results, EMS should be guided by a trained therapist at least in the early stages. Therapists help identify which muscles need stimulation and how to adjust the device for each user. Their expertise ensures that EMS sessions are safe, effective, and focused on the right goals.

For patients, this guidance builds confidence. They know they are not experimenting alone but following a structured plan designed for success.

Designing Pre-Fitting Programs

Clinics can create structured EMS programs for patients waiting for prosthetic fittings. These programs may include sessions focused on strengthening the residual limb, improving endurance, or reducing stiffness.

By offering pre-fitting programs, clinics give patients something proactive to do while they wait. This keeps motivation high and reduces the feeling of helplessness that often comes during the waiting stage.

Extending EMS into Home Use

Once patients are comfortable with EMS under supervision, they can continue at home with portable devices. Clinics can provide guidance on safe use, session length, and progress tracking.

This continuity between clinic and home ensures that training does not stop after appointments. Patients feel empowered to take charge of their recovery, and clinics stay connected through regular check-ins.

Building Confidence Through EMS

Proof That Progress is Possible

One of the hardest parts of waiting for a prosthetic is the fear that progress has stalled. EMS changes this. Each visible muscle contraction is proof that the body is still capable of responding. This reassurance motivates patients to keep going.

For many, this visible feedback becomes a turning point. It replaces doubt with belief, which is critical for long-term rehabilitation success.

Reducing Anxiety About Prosthetic Use

Many patients worry that they will not be able to control their prosthetic once it arrives. EMS reduces this anxiety by preparing the muscles in advance. When patients see that their signals are becoming stronger and clearer, they gain confidence that the prosthetic will respond.

By the time fitting happens, they feel more ready, less fearful, and more excited to begin using their device.

Building Emotional Readiness

Rehabilitation is not just about physical training. It is also about emotional strength. EMS helps patients feel that they are actively shaping their future, not simply waiting for it.

This sense of control reduces frustration and builds emotional readiness for prosthetic use. Patients approach fitting with optimism instead of hesitation, which often leads to better overall results.

Long-Term Benefits of EMS as a Pre-Fitting Protocol

Sustaining Muscle Health Over Time

Even after a prosthetic is fitted, muscles can weaken if they are not used regularly. EMS helps sustain muscle health by keeping them active before and after the prosthetic journey begins. This continuity prevents sudden drops in strength and ensures smoother adaptation once the prosthetic becomes part of daily life.

For patients, this means less fatigue, better socket comfort, and greater control of their prosthetic. For clinics, it translates into better patient outcomes and higher satisfaction rates.

Protecting Socket Fit and Comfort

One of the most common challenges for prosthetic users is socket comfort. When muscles shrink, the residual limb changes shape, often requiring adjustments. EMS helps maintain muscle tone and bulk, keeping the limb stable and supporting a more consistent fit.

With fewer adjustments needed, patients experience less discomfort and are more likely to wear their prosthetic for longer periods. This strengthens their independence and improves their quality of life.

Building Endurance for Daily Activities

Prosthetic use requires endurance, not just strength. Many users report that fatigue sets in quickly during daily tasks like holding, gripping, or typing. By simulating repetitive contractions, EMS trains the muscles for endurance.

This endurance ensures patients can use their prosthetics for longer hours, making them more functional and practical in everyday life. Instead of being worn only for short periods, prosthetics become an all-day tool.

Business Strategies for Clinics and Centers

Positioning EMS as an Essential Step

Clinics that integrate EMS into their standard pre-fitting protocols stand out from those that only focus on fittings. By positioning EMS as a necessary step before prosthetic use, clinics set themselves apart as leaders in advanced care.

This distinction builds trust with patients and families. It communicates that the clinic cares not only about fitting the prosthetic but also about long-term success and comfort.

Creating Tailored EMS Programs

Different patients have different needs. Some may need help with grip strength, others with endurance, and some with reducing stiffness. Clinics can design specialized EMS programs for each group.

These tailored programs show patients that care is personalized. They also create opportunities for clinics to offer multiple packages, increasing patient engagement and revenue streams.

Offering EMS as a Pre-Fitting Package

One actionable business step is to create pre-fitting EMS packages. Instead of letting patients wait passively, clinics can guide them through structured EMS training until their prosthetic is ready.

This approach helps patients feel that they are making progress, and it builds loyalty to the clinic. When patients see results before even receiving their prosthetic, they are more likely to stay with the same provider for long-term care.

Extending Care into Homes

Not every patient can visit the clinic often. By providing portable EMS devices and simple at-home training plans, clinics extend their care beyond appointments. This also creates an opportunity for long-term relationships through rentals, sales, or follow-up subscriptions.

This strategy not only improves patient outcomes but also creates recurring revenue, making EMS a sustainable part of business growth.

Positioning EMS as a Standard Part of Prosthetic Care

Moving from Optional to Essential

Many rehabilitation tools are seen as optional add-ons. To maximize the impact of EMS, clinics and prosthetic centers should reframe it as essential. Patients should understand that EMS is not an extra—it is part of the foundation for successful prosthetic use.

This shift in perception changes how patients approach rehabilitation. Instead of questioning whether EMS is necessary, they see it as an integral step on their journey.

Using Results to Build Reputation

EMS delivers visible, measurable results. Clinics can track muscle strength, endurance, and signal clarity over time. Sharing these results with patients builds confidence, while showcasing them in case studies strengthens the clinic’s reputation.

By highlighting success stories, clinics not only inspire patients but also attract new ones who want the same outcomes.

Driving Innovation in Care

Healthcare is becoming more competitive, and innovation sets clinics apart. By embracing EMS as a pre-fitting protocol, clinics show they are forward-thinking and dedicated to improving rehabilitation outcomes.

This positions them as leaders in the field and opens doors to partnerships, collaborations, and recognition within the healthcare community.

Business Opportunities with EMS in Pre-Fitting Protocols

Shifting the Narrative from Passive to Active Care

Most patients and even many providers see the time before prosthetic fitting as a waiting period. Clinics that change this narrative immediately stand out. By framing EMS as an active preparation step, businesses can position themselves as forward-thinking and patient-centered.

Instead of telling patients to “wait until the prosthetic is ready,” clinics can say, “Let’s start preparing your body right now so you’ll adapt faster.” This proactive approach builds trust and creates a sense of momentum for patients who may otherwise feel stuck.

Developing Value-Added Care Packages

A powerful strategy for clinics is to build tiered care packages that integrate EMS into the rehabilitation journey. For example:

  • A pre-fitting starter package could include guided EMS sessions to strengthen residual limb muscles before prosthetic fitting.
  • A comprehensive package might combine EMS, physical therapy, and signal training tailored for myoelectric prosthetics.
  • A long-term package could extend EMS into home use, with regular clinic check-ins to track progress.

By creating these packages, businesses turn EMS into a value-added service. This not only improves patient results but also provides additional revenue streams without requiring major infrastructure changes.

Leveraging Data to Demonstrate Outcomes

One of the biggest advantages of EMS is that it produces visible, measurable results. Clinics can track muscle strength, endurance, and signal clarity over time. These metrics can then be used in multiple ways:

  • To reassure patients and families that progress is real.
  • To share anonymized data in marketing campaigns, showcasing measurable improvements.
  • To present to insurance providers or funding agencies as evidence of program effectiveness.

By positioning EMS as a measurable, results-driven service, clinics strengthen their credibility and attract more referrals.

Extending Care Beyond the Clinic Walls

Not every patient has the ability to attend frequent in-clinic sessions. By offering portable EMS devices for home use, clinics can extend their influence far beyond the clinic setting. This creates opportunities for:

  • Device rentals or sales, giving patients affordable access to home care.
  • Subscription-based models, where patients receive ongoing guidance and adjustments.
  • Virtual monitoring, where clinics track usage and progress remotely.

This hybrid model of clinic and home care not only improves patient outcomes but also generates recurring income for the business.

Building Partnerships for Greater Impact

EMS also opens the door for strategic partnerships. Clinics can collaborate with prosthetic manufacturers, rehabilitation centers, and even insurance providers to offer integrated pre-fitting care pathways.

Imagine a patient who is prescribed a Grippy Hand and is automatically enrolled in a structured EMS program before fitting. This seamless approach reassures patients that every step of their journey has been planned and supported. For businesses, these partnerships increase visibility, enhance reputation, and create a steady referral pipeline.

Marketing EMS as a Differentiator

In a competitive healthcare environment, differentiation is critical. Many prosthetic providers only focus on fitting and post-fitting care. By highlighting EMS as part of their standard protocol, clinics can market themselves as innovators.

Practical marketing tactics include:

  • Sharing patient success stories that highlight faster adaptation thanks to EMS.
  • Hosting workshops or webinars to educate families and patients on the value of pre-fitting preparation.
  • Using social media to explain EMS in simple, relatable terms that connect emotionally with potential patients.

By consistently telling this story, businesses establish themselves as thought leaders in advanced prosthetic care.

Training Teams for Excellence

For EMS programs to succeed, clinics need staff who are confident in applying and explaining the therapy. Investing in staff training ensures that therapists can tailor EMS for each patient, monitor results effectively, and answer questions with clarity.

Well-trained staff do more than deliver therapy—they also inspire trust. When patients see that the team understands the latest methods, they feel reassured that they are in good hands. This translates into stronger relationships, better word-of-mouth, and higher retention rates.

Creating an Ecosystem of Care

The real strength of EMS is in how it integrates into the broader care journey. Businesses can create ecosystems where patients move seamlessly from surgery to EMS preparation, to prosthetic fitting, to long-term follow-up.

In this ecosystem, EMS is not a side activity but a central element that connects every stage of recovery. For patients, this creates a clear roadmap and reduces uncertainty. For clinics, it creates multiple touchpoints for care delivery and revenue generation.

Future-Proofing the Business

Healthcare is moving toward personalized, technology-driven solutions. By embracing EMS now, clinics future-proof themselves against rising patient expectations. As research grows and devices become more advanced, patients will increasingly demand therapies that prepare them for better outcomes.

Businesses that adopt EMS early will already have the systems, training, and success stories in place to lead the market. Late adopters will be forced to play catch-up in a space where patient expectations are already shifting.

EMS as the Missing Link in Pre-Fitting Care

Turning Waiting into Progress

The period before prosthetic fitting

The period before prosthetic fitting is often overlooked, but it can make or break the success of rehabilitation. Without preparation, patients start with weak muscles, unclear signals, and higher chances of frustration. With EMS, this waiting period transforms into an active stage of progress.

Instead of sitting idle, patients use EMS to strengthen their bodies and prepare their minds. By the time the prosthetic arrives, they are ready—not just physically but also emotionally—to begin their journey.

Making the Transition Smoother

When patients use EMS as part of pre-fitting care, the transition into prosthetic use is noticeably smoother. Muscles are already conditioned, signals are stronger, and socket fit is more comfortable. This reduces the steep learning curve that often discourages new users.

The smoother the start, the greater the chances of long-term success. Patients feel confident, clinics see better outcomes, and families witness faster independence.

Creating Lifelong Benefits

EMS does not stop being useful once the prosthetic is fitted. The same stimulation that prepares the muscles also keeps them healthy in the long run. By continuing EMS even after fitting, patients protect socket comfort, prevent muscle loss, and sustain endurance.

This means prosthetic use remains consistent and effective over the years. Patients are not just adapting once—they are continuously supported in their journey.

Conclusion: A New Standard for Better Prosthetic Results

Prosthetic success is not built in a single day. It is shaped by preparation, care, and the right tools along the way. EMS as a pre-fitting protocol gives patients a head start by strengthening muscles, keeping signals clear, and maintaining comfort before the prosthetic even arrives.

For patients, this means less fear, more confidence, and faster progress. For clinics, it means better results, stronger relationships, and a reputation for innovation. For families, it means hope and reassurance that their loved ones are being set up for long-term success.

At Robobionics, we believe that every person deserves not just access to advanced prosthetics like Grippy™, but also the preparation that makes those prosthetics work at their best. EMS is more than therapy—it is the bridge that turns waiting into progress and potential into independence.

If you or your clinic is ready to explore how EMS can transform the pre-fitting stage, we invite you to connect with us.

Book a free demo here:
https://www.robobionics.in/bookdemo

The journey to better prosthetic results starts long before the fitting. With EMS, that journey begins with strength, confidence, and hope.

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REFUNDS AND CANCELLATIONS

Last updated: November 10, 2022

Thank you for shopping at Robo Bionics.

If, for any reason, You are not completely satisfied with a purchase We invite You to review our policy on refunds and returns.

The following terms are applicable for any products that You purchased with Us.

Interpretation And Definitions

Interpretation

The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural.

Definitions

For the purposes of this Return and Refund Policy:

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You are entitled to cancel Your Service Bookings within 7 days without giving any reason for doing so, before completion of Delivery.

The deadline for cancelling a Service Booking is 7 days from the date on which You received the Confirmation of Service.

In order to exercise Your right of cancellation, You must inform Us of your decision by means of a clear statement. You can inform us of your decision by:

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We will reimburse You no later than 7 days from the day on which We receive your request for cancellation, if above criteria is met. We will use the same means of payment as You used for the Service Booking, and You will not incur any fees for such reimbursement.

Please note in case you miss a Service Booking or Re-schedule the same we shall only entertain the request once.

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In order for the Goods to be eligible for a return, please make sure that:

  • The Goods were purchased in the last 14 days
  • The Goods are in the original packaging

The following Goods cannot be returned:

  • The supply of Goods made to Your specifications or clearly personalized.
  • The supply of Goods which according to their nature are not suitable to be returned, deteriorate rapidly or where the date of expiry is over.
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We reserve the right to refuse returns of any merchandise that does not meet the above return conditions in our sole discretion.

Only regular priced Goods may be refunded by 50%. Unfortunately, Goods on sale cannot be refunded. This exclusion may not apply to You if it is not permitted by applicable law.

Returning Goods

You are responsible for the cost and risk of returning the Goods to Us. You should send the Goods at the following:

  • the Prosthetic Limb Fitting Centre that they purchased the product from
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We cannot be held responsible for Goods damaged or lost in return shipment. Therefore, We recommend an insured and trackable courier service. We are unable to issue a refund without actual receipt of the Goods or proof of received return delivery.

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TERMS & CONDITIONS

Last Updated on: 1st Jan 2021

These Terms and Conditions (“Terms”) govern Your access to and use of the website, platforms, applications, products and services (ively, the “Services”) offered by Robo Bionics® (a registered trademark of Bionic Hope Private Limited, also used as a trade name), a company incorporated under the Companies Act, 2013, having its Corporate office at Pearl Heaven Bungalow, 1st Floor, Manickpur, Kumbharwada, Vasai Road (West), Palghar – 401202, Maharashtra, India (“Company”, “We”, “Us” or “Our”). By accessing or using the Services, You (each a “User”) agree to be bound by these Terms and all applicable laws and regulations. If You do not agree with any part of these Terms, You must immediately discontinue use of the Services.

1. DEFINITIONS

1.1 “Individual Consumer” means a natural person aged eighteen (18) years or above who registers to use Our products or Services following evaluation and prescription by a Rehabilitation Council of India (“RCI”)–registered Prosthetist.

1.2 “Entity Consumer” means a corporate organisation, nonprofit entity, CSR sponsor or other registered organisation that sponsors one or more Individual Consumers to use Our products or Services.

1.3 “Clinic” means an RCI-registered Prosthetics and Orthotics centre or Prosthetist that purchases products and Services from Us for fitment to Individual Consumers.

1.4 “Platform” means RehabConnect, Our online marketplace by which Individual or Entity Consumers connect with Clinics in their chosen locations.

1.5 “Products” means Grippy® Bionic Hand, Grippy® Mech, BrawnBand, WeightBand, consumables, accessories and related hardware.

1.6 “Apps” means Our clinician-facing and end-user software applications supporting Product use and data collection.

1.7 “Impact Dashboard™” means the analytics interface provided to CSR, NGO, corporate and hospital sponsors.

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2.1 Individual Consumers must be at least eighteen (18) years old and undergo evaluation and prescription by an RCI-registered Prosthetist prior to purchase or use of any Products or Services.

2.2 Entity Consumers must be duly registered under the laws of India and may sponsor one or more Individual Consumers.

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3.1 Robo Bionics acts solely as an intermediary connecting Users with Clinics via the Platform. We do not endorse or guarantee the quality, legality or outcomes of services rendered by any Clinic. Each Clinic is solely responsible for its professional services and compliance with applicable laws and regulations.

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 (d) Consumables (e.g., gloves, carry bags): no warranty.

5.2 Custom Sockets. Sockets fabricated by Clinics are covered only by the Clinic’s optional warranty and subject to physiological changes (e.g., stump volume, muscle sensitivity).

5.3 Exclusions. Warranty does not apply to damage caused by misuse, user negligence, unauthorised repairs, Acts of God, or failure to follow the Instruction Manual.

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9.2 Users and Entity Consumers shall indemnify and hold Us harmless from all liabilities, claims, damages and expenses arising from misuse of the Products, failure to follow professional guidance, or violation of these Terms.

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10.2 We shall not be liable for any indirect, incidental, consequential or punitive damages, including loss of profit, data or goodwill.

11. MEDICAL DEVICE COMPLIANCE

11.1 Our Products are classified as “Rehabilitation Aids,” not medical devices for diagnostic purposes.

11.2 Manufactured under ISO 13485:2016 quality management and tested for electrical safety under IEC 60601-1 and IEC 60601-1-2.

11.3 Products shall only be used under prescription and supervision of RCI-registered Prosthetists, Physiotherapists or Occupational Therapists.

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We do not host third-party content or hardware. Any third-party services integrated with Our Apps are subject to their own terms and privacy policies.

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14. MODIFICATIONS TO TERMS

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14.2 Continued use of the Services after the effective date constitutes acceptance of the revised Terms.

15. FORCE MAJEURE

Neither party shall be liable for delay or failure to perform any obligation under these Terms due to causes beyond its reasonable control, including Acts of God, pandemics, strikes, war, terrorism or government regulations.

16. DISPUTE RESOLUTION AND GOVERNING LAW

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16.2 A sole arbitrator shall be appointed by Bionic Hope Private Limited or, failing agreement within thirty (30) days, by the Mumbai Centre for International Arbitration.

16.3 Seat of arbitration: Mumbai, India.

16.4 Governing law: Laws of India.

16.5 Courts at Mumbai have exclusive jurisdiction over any proceedings to enforce an arbitral award.

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17.2 Waiver. No waiver of any breach shall constitute a waiver of any subsequent breach of the same or any other provision.

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By accessing or using the Products and/or Services of Bionic Hope Private Limited, You acknowledge that You have read, understood and agree to be bound by these Terms and Conditions.