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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

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)
Manual
Djo exos form ii instructions 626_627
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Our Team of Professionals Fit & Train NY State Patients

Our team of certified orthotic fitters and chiropractors will go to your patients home for one-on-one fitting and training. We offer this service for all the products we dispense in NY State.

Our goal is to ensure your patient understands how to safely use the medical equipment they were prescribed. This means any time your patient needs more information or a refresher, a team member will be there to help.

Do you need fast, reliable delivery of DME products for your patients?

Elite Medical Supply is located just outside of Buffalo, NY and has proudly served NY State since 1998.

Our team supports chiropractors, private practice physicians, orthopedic surgeons, orthotists, pain management groups, and many other types of healthcare practitioners with high-quality DME products.

All of the staff is extremely helpful. Quality of product and business practices make it easy to do business with them.

Robert Dudzik

Great products for helping injured spinal patients through rehabilitation with chiropractic care. Highly recommended.

Office Caprow

Elite Medical Supply helped me with my knee brace that could not be located anywhere else near by. Kind people and very helpful.

Crystal Herberger

The quality of the braces have been excellent. They are a great asset in helping my patients obtain equipment to improve their health and speed up their recoveries.

Thomas Taylor

I have been working the Elite Medical for over 5 years. I have to say that of all the DME providers I have worked with in the past Elite by far is the best in this business.

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