/ EXOS® FORM™ II 621

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.

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HCPCS Code

L0621

Key Features

ComfortCORE™ Foam
Conforms to the unique contours of a patient’s body, adjusts instantly to individual movements.
Diamond2 Grid™
Uniquely designed construct, delivers patients’ a more durable, longer-wearing brace.
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.

Indications for Use

Sacroiliac pain
low back pain
low pack sprains/strains

Manufacturer

DJO

Manuf. Part No.

300621-40
S/M
300621-60
L/XL

Size Chart

Size	Measurement
S/M	28 - 50 in (71 - 127 cm)
L/XL	51 - 61 in (130 - 155cm)

Manual

Djo exos form ii instructions 621

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EXOS® FORM™ II 621

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