Exos FORM II 621

Exos FORM II 621 - Model - Back
Exos FORM II 621 - 3/4
Exos FORM II 621 - Model - Front
Exos FORM II 621 - Lacing
Exos FORM II 621 - Model - Back
Exos FORM II 621 - 3/4
Exos FORM II 621 - Model - Front
Exos FORM II 621 - Lacing

Exos®

Exos® FORM™ II 621

The Exos FORM™ II 621 provides superior stabilization of the sacroiliac (SI) joint through direct compression. Silicone grip strips prevent the brace from migrating.

PDAC Assigned Code:

L0621 - Bracing & Supports
L0621 - Recovery Sciences

  • Videos
  • Features & Benefits
  • Specifications
  • Related Products
  • Documents
4857057068001

Exos FORM II 621 - Brace Modification

4857057069001

Exos FORM II 621 - Clinician In-service Video

4857057070001

Exos FORM II 621 - Patient Training Video

  • ComfortCORE™ Foam

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

  • Adjustable Belt Wings

    Modifiable belt accommodates varying patient body structures for optimal fit.
  • Semi-Universal Sizing

    For accurate patient sizing.

EXOS FORM II 621

PART NO DESCRIPTION WAIST CIRCUMFERENCE HEIGHT RECOMMENDED SIZE
300621-40 (Bracing and Supports) EXOS FORM II 621 28 - 50 in (71 - 127 cm) ≤ 69 in (≤ 175 cm) S/M
300621-60 (Bracing and Supports) EXOS FORM II 621 51 - 61 in (130 - 155cm) ≥ 69 in (≥ 175 cm) L/XL
305621-40 (Recovery Sciences) EXOS FORM II 621 28 - 50 in (71 - 127 cm) ≤ 69 in (≤ 175 cm) S/M
305621-60 (Recovery Sciences) EXOS FORM II 621 51 - 61 in (130 - 155cm) ≥ 69 in (≥ 175 cm) L/XL

EXOS FORM II 621 ACCESSORIES

PART NO DESCRIPTION SIZE
900-JITT (Bracing and Supports) SI BELT PAD SET UNIVERSAL
905-JITT (Recovery Sciences) SI BELT PAD SET UNIVERSAL

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