Exos FORM II 626

Exos FORM II 626 - Model 3/4
Exos FORM II 626 - Model - Front
Exos FORM II 626 - 3/4
Exos FORM II 626 - Lacing
Exos FORM II 626 - Diamond - Close
Exos FORM II 626 - Panel - Close
Exos FORM II 626 - Lordotic Inserts - Close
Exos FORM II 626 - Model 3/4
Exos FORM II 626 - Model - Front
Exos FORM II 626 - 3/4
Exos FORM II 626 - Lacing
Exos FORM II 626 - Diamond - Close
Exos FORM II 626 - Panel - Close
Exos FORM II 626 - Lordotic Inserts - Close
Exos FORM II 626

The Exos FORM™ II 626 provides relief from mild lower back pain. The Exos FORM™ II 626 provides superior sagittal control and support from L-1 to L-5.

PDAC Assigned Code:

L0641 (OTS) / L0626 (CST) - Bracing & Supports
L0641 (OTS) / L0626 (CST) - Recovery Sciences

Common Indications
Sacroiliac Pain        
Acute and Chronic Lower Back Pain  
Lower Back Sprains / Strains  
Lumbar Disc Displacement  
Osteoporosis  
Disc Herniation and Degeneration  
Post-Operative Laminectomy  
Post-Operative Disectomy  
Spondylolisthesis  
Post-Operative Fusion    
Spinal Stenosis      
Stable / Non-Displaced Fractures      
Compression Fractures          
Scoliosis          

Videos

Exos FORM II 626-627 - Modification Video
Exos FORM II 626-627 - Patient Training Video
Exos Form II - Reshaping Form, Fit and Function

Features & Benefits

  • ComfortCORE™ Foam

    Conforms to the unique contours of a patient’s body, adjusts instantly to individual movements and delivering improved patient comfort.
  • Diamond2 Grid™

    Uniquely designed construct, delivers patients’ a more durable, longer-wearing brace.
  • Boa® Technology

    Independent superior and inferior compression delivered through an innovative closure system.
  • Adjustable Belt Wings

    Modifiable belt accommodates varying patient body structures for optimal fit.
  • Modular Design

    Step-up / Step-down design allows for single brace use through rehabilitation and recovery.
  • Semi-Universal Sizing

    Removable circumference tape allows for accurate patient sizing.

Specifications


EXOS FORM II 626

PART NO DESCRIPTION WAIST CIRCUMFERENCE HEIGHT (RECOMMENDED) SIZE
300626-40 (Bracing and Supports) EXOS FORM II 626 28 - 50 in (71 - 127 cm) ≤ 69 in (≤ 175 cm) S/M
300626-60 (Bracing and Supports) EXOS FORM II 626 51 - 61 in (130 - 155cm) ≥ 69 in (≥ 175 cm) L/XL
305626-40 (Recovery Sciences) EXOS FORM II 626 28 - 50 in (71 - 127 cm) ≤ 69 in (≤ 175 cm) S/M
305626-60 (Recovery Sciences) EXOS FORM II 626 51 - 61 in (130 - 155cm) ≥ 69 in (≥ 175 cm) L/XL

EXOS FORM II 626 ACCESSORIES

PART NO DESCRIPTION SIZE
900-1-WINGS-40 (Bracing and Supports) BELT WING SET S/M
900-1-WINGS-60 (Bracing and Supports) BELT WING SET L/XL
900-1-BWING-40 (Bracing and Supports) BRIDGE WING S/M
900-1-BWING-60 (Bracing and Supports) BRIDGE WING L/XL
900-1-INSERT-40 (Bracing and Supports) LORDOTIC INSERTS S/M
900-1-INSERT-60 (Bracing and Supports) LORDOTIC INSERTS L/XL
905-1-WINGS-40 (Recovery Sciences) BELT WING SET S/M
905-1-WINGS-60 (Recovery Sciences) BELT WING SET L/XL
905-1-BWING-40 (Recovery Sciences) BRIDGE WING S/M
905-1-BWING-60 (Recovery Sciences) BRIDGE WING L/XL
905-1-INSERT-40 (Recovery Sciences) LORDOTIC INSERTS S/M
905-1-INSERT-60 (Recovery Sciences) LORDOTIC INSERTS L/XL

Education

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Documents