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®

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.

DIAL IN TO FAST, EFFORTLESS, PRECISION FIT.

BOA Fit System

The BOA® Fit System is a dial-based performance fit system that is engineered with high quality, durable materials that enable a microadjustable connection that’s built to perform. Each unique configuration is engineered for power without compromising precision in order to deliver a seamless connection between equipment and body.

PDAC Assigned Code:

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

  • Overview
  • Videos
  • Features & Benefits
  • Specifications
  • Education
  • Related Products
  • Documents
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          
4857599167001

Exos FORM II 626-627 - Modification Video

4857599168001

Exos FORM II 626-627 - Patient Training Video

4857599166001

Exos FORM II 626-627 - Clinician In-service Video

  • ComfortCORE™ Foam

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

  • BOA® Fit System

    The micro-adjustable BOA® Fit System allows for a fast, effortless, precision fit through a customizable and seamless level of support.
  • 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.

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 (EXTENSION BELT; ~9.5" or 24.13 cm)  S/M
900-1-BWING-60 (Bracing and Supports) BRIDGE WING (EXTENSION BELT; ~9.5" or 24.13 cm)  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 (EXTENSION BELT; ~9.5" or 24.13 cm)  S/M
905-1-BWING-60 (Recovery Sciences) BRIDGE WING (EXTENSION BELT; ~9.5" or 24.13 cm)  L/XL
905-1-INSERT-40 (Recovery Sciences) LORDOTIC INSERTS S/M
905-1-INSERT-60 (Recovery Sciences) LORDOTIC INSERTS L/XL

 

Operating the BOA® Fit System

To Loosen:

  • Lift BOA® dial. (Figure 1)
  • Pull Tab. (Figure 2)

To Close and Tighten:

  • Push BOA® dial down. (Figure 3)
  • Turn BOA® dial clockwise. (Figure 3)
  • Boa® Knob must be in the down locked position when wearing brace.(Figure 3)

Push In to Engage

Turn to Tighten

Pull up for Quick Release

ccpa-message

This site collects information about you. To learn more about what we collect and how we use that information, see our Privacy Policy. If you do not wish DJO, LLC to share your information with our partners, please make adjustments in our Privacy Policy section.