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.
Videos
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) |
Categories
Related Products
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- Venum Hybrid X LSO
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- Active P-TLSO
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- BACK BRACE II - TLSO
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- Evergreen™ 621 SI Belt
- Sacro Stabilizer
- SI-100
Medicare Patients
Contact us with any questions about bracing or eligibility. We’ll make it easy for you. We'll even handle the paperwork should you qualify.
Non-Medicare Patients
We are in-network with over 150 insurance plans, workers’ compensation, and no-fault insurance companies.
Providers
Send us a referral and we will make sure your patient receives the right brace – fast. Our staff of professionals are on-hand and ready to serve.