EXOS® FORM™ II 621

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Product Code : rx-1362
Model No : EXOS® FORM™ II 621
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EXOS® FORM™ II 621

The Exos FORMâ„¢ II 621 provides superior stabilization of the sacroiliac (SI) joint through direct compression. Silicone grip strips prevent the brace from migrating.


PDAC Assigned Code:

L0621 - Bracing & Supports

L0621 - Recovery Sciences

EXOS FORM II 621

PART NODESCRIPTIONWAIST CIRCUMFERENCEHEIGHT RECOMMENDEDSIZE
300621-40 (Bracing and Supports)EXOS FORM II 62128 - 50 in (71 - 127 cm)≤ 69 in (≤ 175 cm)S/M
300621-60 (Bracing and Supports)EXOS FORM II 62151 - 61 in (130 - 155cm)≥ 69 in (≥ 175 cm)L/XL
305621-40 (Recovery Sciences)EXOS FORM II 62128 - 50 in (71 - 127 cm)≤ 69 in (≤ 175 cm)S/M
305621-60 (Recovery Sciences)EXOS FORM II 62151 - 61 in (130 - 155cm)≥ 69 in (≥ 175 cm)L/XL

EXOS FORM II 621 ACCESSORIES

PART NODESCRIPTIONSIZE
900-JITT (Bracing and Supports)SI BELT PAD SETUNIVERSAL
905-JITT (Recovery Sciences)SI BELT PAD SETUNIVERSAL

ComfortCOREâ„¢ Foam

Conforms to the unique contours of a patient’s body, adjusts to individual movements.

Diamond2 Gridâ„¢

Adjustable Belt Wings

Modifiable belt accommodates varying patient body structures for optimal fit.

Semi-Universal Sizing

For accurate patient sizing.