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EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626
EXOS® FORM™ II 626

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.

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HCPCS Code

L0626/L0641

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
  • 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
Manufacturer
DJO
Manuf. Part No.
  • 300626-40
    S/M
  • 300626-60
    L/XL
Size Chart
Size Measurement
S/M 28 - 50 in (71 - 127 cm)
L/XL 51 - 61 in (130 - 155cm)

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866-712-0881
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Pain in the elbow can be the result of an accident such as a fall or car crash, or an injury from playing sports, such as with tennis elbow. Diagnoses include fracture, dislocation, ligament injuries, ruptured tendons and cubital tunnel syndrome.

To promote healing of an elbow injury, the elbow must be immobilized at precisely the angle necessary as it relates to the injury and the patient’s individual anatomy. That’s why the elbow brace may at first look complicated, but once you have the correct angle set, all you need to do is put it on and take it off every day.

Wearing an elbow brace is much less trouble than a cast, and it works infinitely better than a compression sleeve.

To learn more about Elite Medical Supply’s elbow braces or if your Medicare plan will cover it, contact us today.

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