Terms and Conditions

Effective date: 5 October 2026 · Version 1.0

1. Who the Developer is and what these Terms cover

1.1. The administrator and developer of Neurosurgery Plus (the "App") is Fabio Zeoli, Via Margherita 13, Sant'Angelo a Cupolo, Benevento 82010, Italy, email neurosurgeryplusadmin@gmail.com ("the Developer").

1.2. These Terms and Conditions (the "Terms") form a legal agreement between you and the Developer for the use of the App, including all its content, scores, papers, events, notifications, updates and any in-app purchases (together, the "Services").

1.3. The Educational and Medical Disclaimer (the "Disclaimer") and the Privacy Policy are part of these Terms. Please read them.

1.4. By downloading, installing or using the App you accept these Terms. If you do not accept them, do not use the App and uninstall it.

2. Who may use the App

2.1. You may use the App only if you are at least 18 years old and you are a healthcare professional or a student in a healthcare field, or you use it for genuine educational purposes in those fields.

2.2. You are responsible for making sure that your use of the App complies with the laws, professional rules and institutional policies that apply to you.

3. Educational purpose: the most important term

3.1. THE APP IS AN EDUCATIONAL TOOL ONLY. Its only intended purpose is to help users study, teach and revise neurosurgical knowledge, discover literature and find educational events.

3.2. THE APP IS NOT A MEDICAL DEVICE and has not been certified, approved, cleared or clinically validated by any authority in any country.

3.3. YOU MUST NOT USE THE APP, or any result, score, percentage, classification or other output of the App:

(a) to diagnose, monitor, predict, prognosticate, prevent or treat any condition in a real person;

(b) as the basis, or a basis, for any clinical decision, including decisions on surgery, admission, discharge, imaging, referral, medication or dosing;

(c) as a substitute for your own clinical judgement, supervision, local protocols or official guidelines;

(d) in any clinical, hospital, emergency or operating-room workflow, or by integrating it into clinical records or other clinical software;

(e) to give advice to patients or the public.

3.4. You accept that any use contrary to Section 3.3 is entirely at your own risk and responsibility.

4. Licence to use the App

4.1. Subject to these Terms, the Developer gives you a personal, limited, non-exclusive, non-transferable, non-sublicensable and revocable licence to install and use the App on devices you own or control, for your own educational and non-commercial purposes.

4.2. The App is licensed, not sold. All rights not expressly granted to you are reserved.

5. What you must not do

You must not, and must not help anyone else to:

(a) copy, reproduce, translate, modify, distribute, sell, rent or publish the App or its content, except for short personal study notes;

(b) reverse engineer, decompile or disassemble the App, except where the law expressly allows it;

(c) extract, scrape, harvest or download content in bulk, or build a database, product or service from it;

(d) use the App or its content to train, test or improve any artificial intelligence or machine-learning system;

(e) remove or change any copyright, trademark, reference or other notice;

(f) use the App unlawfully, to harm anyone, or in a way that damages, overloads or interferes with the App or its sources;

(g) present the App, or any of its output, as medical advice or as a certified clinical tool.

6. Intellectual property

6.1. The App, its software, design, layout, texts, selection and arrangement of content, and the name and logo "Neurosurgery Plus" belong to the Developer or to its licensors and are protected by intellectual property laws.

6.2. Third-party content. Scales, scores and classifications are the work of their original authors and are cited with their references. Article titles, abstracts and metadata belong to their authors and publishers and are obtained from third-party databases. Names of societies, journals, events and products belong to their owners and are used only to identify them. No ownership of third-party content is claimed.

6.3. Copyright complaints. If you believe that content in the App infringes your rights, write to neurosurgeryplusadmin@gmail.com with: your contact details; a description of the work and of the content you consider infringing, with enough detail to find it; a statement that you believe in good faith that the use is not authorised; and a statement that the information is accurate and that you are the rights holder or are authorised to act for them. The Developer will review the request and, where appropriate, remove or change the content.

7. Free App and in-app purchases

7.1. The App can be downloaded free of charge. Some optional features or content may be offered as in-app purchases (for example a one-time "Pro" unlock or a subscription). The price, including applicable taxes, and what you get are shown before you buy.

7.2. Payments are processed by Apple (App Store) or Google (Google Play) under their own terms. The Developer does not receive or store your payment details. Refunds, billing and subscription cancellation are managed through the store you bought from, according to its rules and applicable law.

7.3. Right of withdrawal (EU and UK consumers). Paid digital content and features are made available immediately after purchase. Where the law requires it, you will be asked to give your express consent to immediate supply and to acknowledge that you therefore lose your 14-day right of withdrawal. Where these conditions are not met, your right of withdrawal remains.

7.4. Purchased features may be improved, changed or replaced over time, without materially reducing what you paid for. If a paid feature is withdrawn, any remedies you have under applicable consumer law are not affected.

7.5. You can restore purchases on a new device using the store's restore function, with the same store account.

7.6. Educational purpose still applies. Paying for a feature does not change Section 3: paid features are educational too.

8. Sponsorship and advertising

8.1. The App may contain advertising and sponsored content, including paid promotion of events, courses, organisations or other content ("Sponsored Content"). Sponsored Content is clearly labelled as "Sponsored" or "Advertisement".

8.2. Organisations that wish to sponsor content do so under a separate written agreement with the Developer. The Developer may accept or refuse any sponsorship or advertisement at its discretion, for example if it is misleading, unlawful or inconsistent with the educational purpose of the App.

8.3. Sponsors and advertisers are solely responsible for their content, claims, products, services and events. The Developer does not endorse them and is not a party to any transaction between you and them.

8.4. Sponsorship and advertising do not influence the content of the Scores section or the way papers are selected or ranked.

8.5. Sponsored notifications. Notifications about sponsored events, partner announcements and offers are sent only if you have turned on the "Sponsored events and offers" option in Settings. You can turn it off at any time.

8.6. Partner offers and discount codes. The App may in the future show offers from partners (for example a discount code for a course or a simulation product). Each offer is provided by the partner under the partner's own terms, which apply to any purchase you make from them. The Developer does not sell those products or services, does not guarantee the offer, its availability or the partner's performance, and is not a party to any transaction between you and the partner. The Developer does not share your personal data with partners.

9. Third-party content, links and services

9.1. The App shows content from, and links to, third-party sources and services (for example literature databases, event organisers' websites, the notification service, the service that hosts the events list, your device's calendar, and the app stores). The Developer does not control them and is not responsible for their content, accuracy, availability, privacy practices or terms.

9.2. When you follow a link or use a third-party service, its own terms and privacy policy apply. You must comply with any third-party terms that apply to your use of the App (for example your mobile carrier's or app store's terms).

10. Feedback and submissions

10.1. You can send the Developer feedback, error reports and suggestions (for example events to add) by email ("Submissions").

10.2. Do not send any information that identifies a patient, or any other confidential or sensitive personal data.

10.3. You confirm that you have the right to send your Submissions, and you grant the Developer a free, worldwide, perpetual and irrevocable licence to use them to operate and improve the App, without any obligation to you. The Developer is not obliged to use or reply to any Submission.

11. Availability, updates, notifications and your data

11.1. The Developer may update, change, suspend or discontinue the App or any part of it at any time, for example to fix errors, update content or comply with the law. The Developer does not guarantee that the App will always be available, uninterrupted or compatible with your device.

11.2. Bookmarks, preferences and other information are stored locally on your device. They may be lost if you delete the App, change device or if an error occurs. The Developer is not responsible for such loss.

11.3. Online content. Some content, such as the list of events and the papers, is downloaded from the internet. If your device is offline or a service is unavailable, the App may show an older copy or no content.

11.4. Notifications. Notifications are optional and off until you turn them on. They are sent for information only, may be delayed, incomplete or not delivered, and must never be relied on for anything urgent or clinical. You can turn them on or off, and choose which types you receive, at any time in Settings or in your phone's settings. How notification data is handled is explained in the Privacy Policy.

12. Disclaimer of warranties

12.1. TO THE FULLEST EXTENT PERMITTED BY LAW, THE APP AND ALL SERVICES ARE PROVIDED "AS IS" AND "AS AVAILABLE", WITH ALL FAULTS AND WITHOUT WARRANTIES OF ANY KIND, express, implied or statutory, including any warranty of accuracy, completeness, timeliness, reliability, merchantability, fitness for a particular purpose, non-infringement, or that the App will be error-free, secure, free of viruses or uninterrupted, or that errors will be corrected.

12.2. Without limiting Section 12.1, the Developer does not warrant that any score, result, percentage, classification, article, tag, event or other content is correct, complete, up to date or applicable to any patient or situation.

12.3. If you are a consumer, you may have statutory rights (for example legal guarantees of conformity for digital content you have paid for) that cannot be excluded. Nothing in these Terms affects those rights.

13. Limitation of liability

13.1. TO THE FULLEST EXTENT PERMITTED BY LAW, THE DEVELOPER SHALL NOT BE LIABLE for any direct, indirect, incidental, special, consequential, exemplary or punitive damages, or for any loss of profits, revenue, data, goodwill or opportunity, or for any personal injury or death, or any professional, disciplinary or legal consequence, arising from or connected with:

(a) the use of, or inability to use, the App or the Services;

(b) any error, omission, inaccuracy, bug, delay or out-of-date information in the App, including in any score, result, paper, tag or event;

(c) any decision taken, or not taken, about any patient or person, by you or anyone else, in reliance on the App;

(d) any third-party content, link, service, event, sponsor or advertiser;

(e) any loss of data stored on your device.

13.2. Where liability cannot be excluded but can be limited, the Developer's total liability to you for all claims shall not exceed the greater of (i) the amount you paid for in-app purchases in the 12 months before the claim and (ii) EUR 50.

13.3. What is not excluded. Nothing in these Terms excludes or limits liability that cannot be excluded or limited under applicable law, including, where the law so provides, liability for death or personal injury caused by negligence, for fraud, for wilful misconduct or gross negligence (for example under Article 1229 of the Italian Civil Code), or your mandatory rights as a consumer in your country of residence (for example under the Italian Consumer Code, the UK Consumer Rights Act 2015 or similar laws). In those cases the exclusions and limits apply only to the extent the law allows.

14. Indemnity

To the extent permitted by law, you agree to indemnify and hold harmless the Developer against claims, losses, damages and reasonable costs (including legal fees) brought by third parties that arise from your breach of these Terms, in particular from using the App contrary to Section 3. This Section does not apply to the extent that the law of your country does not allow it.

15. Suspension and termination

15.1. You may stop using the App at any time by uninstalling it.

15.2. The Developer may suspend or end your licence if you seriously breach these Terms. In that case you must stop using the App. Sections 3, 6, 10.3 and 12 to 21 continue to apply after termination.

16. Additional terms for Apple devices

If you downloaded the App from the Apple App Store:

(a) these Terms are between you and the Developer only, not Apple, and the Developer, not Apple, is solely responsible for the App and its content;

(b) your licence is limited to use on Apple-branded products that you own or control, as allowed by the Usage Rules in the Apple Media Services Terms and Conditions;

(c) Apple has no obligation to provide any maintenance or support for the App;

(d) if the App fails to conform to any applicable warranty, you may notify Apple and Apple will refund the purchase price (if any); to the maximum extent permitted by law, Apple has no other warranty obligation with respect to the App;

(e) the Developer, not Apple, is responsible for addressing any claims relating to the App or your use of it, including product liability claims, claims that the App fails to conform to any legal or regulatory requirement, and claims under consumer protection, privacy or similar laws;

(f) the Developer, not Apple, is responsible for the investigation, defence, settlement and discharge of any claim that the App infringes a third party's intellectual property rights;

(g) you represent that you are not located in a country subject to a US Government embargo or designated as a "terrorist supporting" country, and that you are not listed on any US Government list of prohibited or restricted parties;

(h) questions, complaints or claims about the App should be sent to the Developer at the address in Section 1.1;

(i) you must comply with applicable third-party terms when using the App;

(j) Apple and its subsidiaries are third-party beneficiaries of these Terms and, once you accept them, Apple may enforce them against you.

17. Additional terms for Android devices

If you downloaded the App from Google Play, these Terms are between you and the Developer only, not Google. Your use of Google Play, and any purchase made through it, is also subject to Google's own terms.

18. Export controls and sanctions

You must comply with all export control and sanctions laws that apply to your use of the App. You may not use the App if doing so would breach those laws.

19. Governing law and disputes

19.1. These Terms are governed by Italian law.

19.2. If you are a consumer, this choice of law does not deprive you of the protection of the mandatory rules of the country where you usually live, and you may bring a claim in the courts of your place of residence where the law gives you that right.

19.3. If you are not a consumer (for example if you use the App in the course of your profession), the courts of Benevento, Italy have exclusive jurisdiction, to the extent permitted by law.

19.4. Before starting any formal claim, please contact the Developer at neurosurgeryplusadmin@gmail.com so that the Developer can try to solve the problem informally.

20. Changes to these Terms

20.1. The Developer may change these Terms, for example when new features are added (such as in-app purchases, sponsorship or partner offers), or to reflect legal changes. The effective date at the top shows the latest version.

20.2. For important changes, the Developer will inform you in the App before they take effect, where reasonably possible. If you continue to use the App after the changes take effect, you accept the new Terms. If you do not accept them, you must stop using the App.

21. General

21.1. Entire agreement. These Terms, the Disclaimer and the Privacy Policy are the whole agreement between you and the Developer about the App.

21.2. Severability. If any part of these Terms is found invalid or unenforceable, the rest remains in force, and the invalid part is applied to the maximum extent allowed.

21.3. No waiver. If the Developer does not enforce a right immediately, the Developer does not give it up.

21.4. Transfer. You may not transfer your rights under these Terms. The Developer may transfer the App and these Terms to another person or company (for example a company created to run the App), provided your rights are not reduced.

21.5. Language. These Terms are written in English. If they are translated, the English version prevails to the extent permitted by law.

22. Contact

Fabio Zeoli – Neurosurgery Plus
Via Margherita 13, Sant'Angelo a Cupolo, Benevento 82010, Italy
neurosurgeryplusadmin@gmail.com