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Back Products / EXOS® FORM™ II 621

EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
EXOS® FORM™ II 621
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)