1
234567

Exos FORM II 626

Product Description

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

Untitled-1

 

Common Indications 8 9 10 11 12
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

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

13

 

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

DOCUMENTS

3622 – Exos Form II Brochure_r11-for digital_1
4129 -Exos Form II_Indications Poster updates_r7_1
4160 – Exos form II – 626-627 Documentation Worksheet_r6[1]_0
4186 – Exos Form II_Application Instructions_626 and 627 Patient_r4_0
4187 – Exos Form II_Application Poster_626 and 627 Clinician_r7_0
Exos-Form-II-Family-Product-Brochure-BSTM_0

ORDER NOW

Reviews

There are no reviews yet.

Be the first to review “Exos FORM II 626”

Your email address will not be published. Required fields are marked *