
When French Paralympian Kevin Piette carried the Olympic torch at the 2024 Games, the world witnessed something extraordinary. Piette, who lost the use of his legs at age 11, was walking—something medical professionals once told him would never happen again. The technology that made this moment possible? A wearable exoskeleton.
For thousands of people with spinal cord injuries, strokes, and neurological conditions, exoskeletons represent far more than assistive devices. They’re life-changing machines that restore the ability to stand, walk, and reclaim independence. But here’s what you need to know: not all exoskeletons are created equal, and understanding the difference could save you from making a costly mistake.
The Truth About Exoskeletons: Two Completely Different Technologies
The exoskeleton market divides into two distinct categories that serve fundamentally different purposes. Confusing them is like comparing a wheelchair to a bicycle—both have wheels, but they solve completely different problems.
Medical-Grade Exoskeletons are FDA-cleared devices designed for people with severe neurological deficits. These machines completely substitute lost lower-limb function, enabling paralyzed individuals to stand and walk. They’re heavy (26-84 pounds), powerful, and require clinical supervision.
Consumer-Grade Exoskeletons are utility devices for people who can already walk. These lightweight systems (4-5 pounds) augment existing mobility, helping hikers carry heavy loads or reducing fatigue during extended activities.
If you’re searching for a device to help someone walk who currently can’t, you need a medical-grade exoskeleton. If you want to boost endurance during outdoor activities, consumer-grade fits your needs.
Medical-Grade Exoskeletons: When You Need True Restoration
Top FDA-Cleared Devices That Actually Work
The FDA has approved 11 lower-limb medical exoskeletons for walking assistance and rehabilitation as of early 2025. Here are the leading systems:
ReWalk Personal 7.0 (Lifeward)

- Best for: Spinal cord injury (T4-L5, C7-T3)
- Key feature: Only personal exoskeleton cleared for stairs and curbs
- Battery life: Up to 8 hours (longest available)
- Walking speed: 0.26 m/s average
- Cost: Medicare reimbursement rate set at $94,617
- Requirement: Forearm crutches for balance
The ReWalk leads the market with the longest battery life and unique stair-climbing capability. Users control movement through subtle center-of-gravity shifts—leaning forward initiates steps, creating a functional natural gait pattern.
Indego (Ekso Bionics)
- Best for: SCI, stroke, personal home use
- Key feature: Modular quick-connect design + integrated FES
- Battery life: 4 hours
- Walking speed: 0.37 m/s average (fastest among medical exoskeletons)
- Unique advantage: Only portable exoskeleton you can put on/take off independently
The Indego incorporates Functional Electrical Stimulation (FES), which sends small electrical pulses to paralyzed muscles. This technology helps users with partial muscle control utilize their own muscles while walking, while totally paralyzed users still benefit from improved circulation and bone density.
EksoNR (Ekso Bionics)
- Best for: Clinical rehabilitation, stroke recovery
- Key feature: Variable Assist technology
- Battery life: 4 hours
- Walking speed: 0.19-0.55 m/s
- Setting: Clinical/rehab only (not approved for home use)
The EksoNR’s Variable Assist dynamically adjusts robotic assistance based on your residual muscle control. As you get stronger during rehabilitation, the device provides less support, encouraging your muscles to do more work.
ReStore Exo-Suit (Lifeward)

ReStore Exo-Suit [click to view…]
- Best for: Post-stroke hemiparesis (one-sided weakness)
- Key feature: Soft robotics design
- Weight: Significantly lighter than rigid exoskeletons
- Function: Assists ankle plantarflexion and dorsiflexion
Unlike rigid exoskeletons, the ReStore uses textile-based soft robotics to provide coordinated ankle support during walking. It’s the only therapeutic device that assists both push-off and ground-clearance phases of gait.
ExoAtlet II (ExoAtlet Asia)
- Best for: Home and clinical use for SCI
- Key feature: Integrated Active Electrical Stimulation
- Certification: FDA and CE Mark approved
- Training time: One day of initial training
This newer system combines active FES with robotic assistance to maximize rehabilitation efficiency through functional stimulation during gait training.
What These Devices Actually Do (Beyond Walking)

Medical exoskeletons deliver clinical benefits that extend far beyond mobility:
- Manage chronic pain through regular upright positioning
- Reduce spasticity (muscle tightness) by promoting natural movement patterns
- Maintain bone density to prevent osteoporosis
- Improve bowel and bladder function through vertical weight distribution
- Enhance circulation to reduce pressure sores and swelling
- Support mental health by restoring independence and social interaction
- Maintain proper posture preventing secondary complications
These health benefits explain why insurance companies now cover these devices—they prevent costly secondary complications associated with paralysis.
Performance Reality: What to Expect
Let’s be honest about what these devices can and can’t do.
Walking Speeds Clinical trials show realistic expectations. After extensive training, users typically achieve:
- Indoor/outdoor average: 0.26-0.37 m/s
- For context: This is slower than required for safe community ambulation
- Fast enough for: Household mobility, short-distance tasks, therapeutic benefits
These speeds might seem slow, but they’re monumental for people who were previously wheelchair-bound. The goal isn’t matching natural walking speed—it’s restoring verticality and the massive health benefits that come with standing and moving.
Battery Life Constraints
- ReWalk: 8 hours maximum
- Indego/EksoNR: 4 hours
- Reality: Not designed for all-day, continuous use
- Best practice: Keep charged backup batteries ready
Patient Eligibility Requirements
Not everyone qualifies for medical exoskeletons. Strict criteria include:
Neurological Requirements:
- Spinal cord injury levels: T4-L5, C7-T3
- Sufficient arm strength: At least 4/5 in both arms for crutches/walker
- Some systems require residual hip/knee strength
Physical Limitations:
- Height: 1.50m – 1.90m (4’11” – 6’3″)
- Weight: Maximum 100kg (220 lbs)
- No contractures greater than 10 degrees in hip/knee
- No total hip replacements (typically)
Training Requirements
Using these sophisticated machines requires significant clinical investment:
- Initial training: 2 therapists required for most systems
- Training period: Weeks to months
- Ongoing support: Regular clinical follow-ups
- User cannot put device on/off without help (except Indego)
Why Medical Exoskeletons Aren’t on Amazon
Here’s the critical point many people miss: You cannot buy medical-grade exoskeletons through Amazon or any general retail platform.
The Acquisition Process:
- Physician prescription required
- Clinical evaluation and fitting
- Distribution through specialized Complex Rehabilitation Technology (CRT) providers
- Insurance authorization process
- Customized fitting and training
- Ongoing clinical support
For example, Ekso Bionics partners exclusively with National Seating & Mobility (NSM) to distribute the Indego Personal exoskeleton in the U.S. This ensures mandatory fitting, training, and warranty protocols are met.
Cost and Insurance Reality:
- List prices: $77,000-$125,000+ for new devices
- Medicare reimbursement: CMS approved coverage as of January 1, 2024
- Typical coverage: 80% of approved amount
- Private insurance: Usually follows Medicare lead
Warning About Secondary Markets
Used medical exoskeletons occasionally appear on eBay or similar platforms at drastically reduced prices ($7,500 vs. $77,000). These listings are extremely risky:
- Often listed “For parts or not working”
- No manufacturer warranty or support
- No clinical fitting or training
- Potentially dangerous without proper customization
- Cannot deliver intended medical benefits
Attempting to acquire a complex medical robot without manufacturer support, clinical oversight, or warranty is profoundly unsafe and contradicts regulatory safety mandates.
Consumer-Grade Exoskeletons: Actually Available on Amazon
If you can walk independently and want to enhance endurance, reduce fatigue, or offset heavy loads, consumer-grade exoskeletons are genuinely available through retail channels.
Hypershell X Series: The Amazon-Available Option
Hypershell X Pro AI-Powered Wearable Exoskeleton [click to view…]
The Hypershell X Series represents the legitimate consumer exoskeleton market—devices you can actually purchase on Amazon USA right now.

How Hypershell Works:
- AI MotionEngine: Recognizes 10 different motion types (walking, running, uphill, downhill)
- Sensor array: Over 12 sensors including IMUs, gyroscopes, barometers
- Response time: 2ms ultra-fast adaptive assistance
- Multiple modes: Eco, Hyper, Transparent, Fitness (customizable via app)
- Speed assistance: Up to 20 km/h (12.4 mph)
- Load offset: Reduces perceived weight by up to 30kg (66 lbs)
Real-World Performance:
Hypershell X Carbon AI-Powered [click to view…]
Users report the Hypershell makes hiking feel like you have “an extra energy tank.” The device provides:
- Reduced knee and joint strain
- Extended hiking range
- Faster recovery times
- Ability to tackle steeper inclines
Critical Distinction:
Hypershell explicitly states: “Not a medical device. Designed for outdoor enthusiasts who can walk independently. Safe use requires the ability to lift your legs and maintain balance without assistance.”
This is pure augmentation, not restoration. You must be able to walk on your own.
Amazon Availability:
Yes, all Hypershell X models are available for purchase on Amazon USA with Prime shipping:
- Direct manufacturer storefront
- Customer reviews and ratings
- 30-day return policy
- No prescription required
Other Consumer Options
Ekso EVO (Upper-Body)
- Function: Passive upper-body support for industrial work
- Price: $1,495
- Purpose: Overhead work, neck/shoulder/back relief
- Availability: Direct from manufacturer (not Amazon)
While not for walking, the Ekso EVO confirms that non-medical utility exoskeletons successfully operate through direct retail channels.
How to Choose the Right Exoskeleton
Answer these questions honestly:
1. Can you walk independently right now?
- No → You need a medical-grade exoskeleton
- Yes → Consumer-grade may meet your needs
2. What’s your primary goal?
- Restore lost walking ability → Medical-grade (FDA-cleared)
- Reduce fatigue during hiking → Consumer-grade (Hypershell)
- Support heavy load carrying → Consumer-grade (Hypershell)
- Clinical rehabilitation → Medical-grade (EksoNR, ReWalk)
3. What’s your budget and acquisition timeline?
- Working with insurance/Medicare → Medical-grade (6-12 months process)
- Ready to purchase directly → Consumer-grade (ships immediately)
- Under $2,000 budget → Consumer-grade only option
4. Do you have access to clinical support?
- Yes, working with rehab team → Medical-grade appropriate
- No clinical team → Consumer-grade only safe option
Next Steps Based on Your Needs
For Medical-Grade Exoskeletons:
- Schedule consultation with a physical medicine and rehabilitation physician
- Get evaluated for neurological level and physical measurements
- Contact CRT provider like National Seating & Mobility
- Work with insurance to secure reimbursement authorization
- Plan for training commitment (weeks to months)
Resources:
- ReWalk/Lifeward: GoLifeward.com
- Ekso Bionics: EksoBionics.com
- Medicare coverage: CMS.gov
For Consumer-Grade Exoskeletons:
- Verify physical requirements (ability to walk independently)
- Choose appropriate model based on use case and budget
- Order directly through Amazon or manufacturer
- Review user manual and safety guidelines
- Start with lower assistance levels and gradually increase
Available on Amazon USA:
- Search “Hypershell X” for current models
- Check for Prime shipping eligibility
- Read verified customer reviews
- Compare specifications between Go/Pro/Carbon models
The Bottom Line
Wearable exoskeletons genuinely change lives, but the right device depends entirely on your specific situation.
If you need to walk again after paralysis or stroke: Medical-grade exoskeletons like ReWalk Personal 7.0, Indego, or EksoNR offer legitimate restoration. These devices won’t appear on Amazon because they require clinical prescription, specialized fitting, insurance authorization, and ongoing professional support. The acquisition process takes months, but Medicare and private insurance now provide coverage for qualifying patients.
If you’re looking to enhance existing mobility: Consumer-grade devices like the Hypershell X Series are available on Amazon USA right now. These lightweight systems reduce fatigue, offset heavy loads, and extend your range during outdoor activities. They’re legitimate products with real performance benefits—just don’t expect them to restore paralyzed function.
The technology that helped Kevin Piette carry the Olympic torch and thousands of others reclaim their independence is real. Just make sure you’re pursuing the right category of device through the appropriate acquisition channels.
Thousands have walked again who never thought they could. With proper guidance, realistic expectations, and the right device, you could be next.










