Exos FORM II 626
![Exos FORM II 626 - Model 3/4](https://enovis.widen.net/content/27c5637f-2af7-472f-b02b-b14ccc35be6a/web/FORM-II-627-model-05.jpg?w=720&itok=rmNa7dp_)
![Exos FORM II 626 - Model - Front](https://enovis.widen.net/content/51ae6cae-8f85-4cc5-ba3b-07d1481c19ce/web/FORM-II-626-model-01.jpg?w=720&itok=CwjvrWrw)
![Exos FORM II 626 - 3/4](https://enovis.widen.net/content/159b861d-7f36-41b1-8dfc-657a2efcde4c/web/FORM-II-626-3_4.jpg?w=720&itok=1blRskMY)
![Exos FORM II 626 - Lacing](https://enovis.widen.net/content/68ccd9bb-ff75-43a4-bdf7-303d7d951c32/web/FORM-II-lacing-01_0.jpg?w=720&itok=q7acEiJm)
![Exos FORM II 626 - Diamond - Close](https://enovis.widen.net/content/8dad81b0-7008-492e-b6eb-105d7d7c997a/web/FORM-II-626-diamond.jpg?w=720&itok=TBhNP3n0)
![Exos FORM II 627 - Comfort Core](https://enovis.widen.net/content/f5094e39-d002-49d2-9ca5-efc8df199308/web/FORM-II-626-panel.jpg?w=720&itok=v4x94Sex)
![Exos FORM II 626 - Lordotic Inserts - Close](https://enovis.widen.net/content/786a1074-bacc-481f-b39a-0357cc89d947/web/FORM-II-626-lordotic.jpg?w=720&itok=irLueLsf)
![Exos FORM II 637 - Panel](https://enovis.widen.net/content/939ccfaa-9c1f-4375-ad06-2b71028a1822/web/FORM-II-627-vstx.jpg?w=720&itok=NuHNtmOH)
![Exos FORM II 626 - Model 3/4](https://enovis.widen.net/content/27c5637f-2af7-472f-b02b-b14ccc35be6a/png/FORM-II-627-model-05.jpg?w=80&itok=BvPqcr27)
![Exos FORM II 626 - Model - Front](https://enovis.widen.net/content/51ae6cae-8f85-4cc5-ba3b-07d1481c19ce/png/FORM-II-626-model-01.jpg?w=80&itok=Z5PUusKR)
![Exos FORM II 626 - 3/4](https://enovis.widen.net/content/159b861d-7f36-41b1-8dfc-657a2efcde4c/png/FORM-II-626-3_4.jpg?w=80&itok=qSrNmlTr)
![Exos FORM II 626 - Lacing](https://enovis.widen.net/content/68ccd9bb-ff75-43a4-bdf7-303d7d951c32/png/FORM-II-lacing-01_0.jpg?w=80&itok=8xyImXpS)
![Exos FORM II 626 - Diamond - Close](https://enovis.widen.net/content/8dad81b0-7008-492e-b6eb-105d7d7c997a/png/FORM-II-626-diamond.jpg?w=80&itok=fkqLGmrX)
![Exos FORM II 627 - Comfort Core](https://enovis.widen.net/content/f5094e39-d002-49d2-9ca5-efc8df199308/png/FORM-II-626-panel.jpg?w=80&itok=AJfYOJBw)
![Exos FORM II 626 - Lordotic Inserts - Close](https://enovis.widen.net/content/786a1074-bacc-481f-b39a-0357cc89d947/png/FORM-II-626-lordotic.jpg?w=80&itok=U99CXd0i)
![Exos FORM II 637 - Panel](https://enovis.widen.net/content/939ccfaa-9c1f-4375-ad06-2b71028a1822/png/FORM-II-627-vstx.jpg?w=80&itok=460zsrOT)
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.
Dialed In. Precision Fit.
![BOA Fit System](/sites/default/files/images/logos/BOA_logo_product_white_stroke.png?v=02)
The BOA® Fit System is a dial-based performance fit system that is engineered with high quality, durable materials that enable a microadjustable connection that’s built to perform. Each unique configuration is engineered for power without compromising precision in order to deliver a seamless connection between equipment and body.
PDAC Assigned Code:
L0641 (OTS) / L0626 (CST) - Bracing & Supports
L0641 (OTS) / L0626 (CST) - Recovery Sciences
- Overview
- Videos
- Features & Benefits
- Part Numbers
- Education
- Related Products
- Documents
![](/sites/default/files/images/charts/spine-chart-l5.gif)
Common Indications | ![]() |
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---|---|---|---|---|---|
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 | • | • | • | • | |
Post-Operative Fusion | • | • | |||
Spinal Stenosis | • | • | |||
Stable / Non-Displaced Fractures | • | • | |||
Compression Fractures | |||||
Scoliosis |
![](/sites/default/files/styles/homepage_video_thumbnail/public/video-thumbs/Exos%20FORM%20II%20626-627%20-%20Modification%20Video.jpg?itok=gcDTHNl2)
Exos FORM II 626-627 - Modification Video
![](/sites/default/files/styles/homepage_video_thumbnail/public/video-thumbs/Exos%20FORM%20II%20626-627%20-%20Patient%20Training%20Video.jpg?itok=YnjDS7rP)
Exos FORM II 626-627 - Patient Training Video
![](/sites/default/files/styles/homepage_video_thumbnail/public/video-thumbs/Exos%20FORM%20II%20626-627%20-%20Clinician%20In-service%20Video.jpg?itok=jZ17YbJq)
Exos FORM II 626-627 - Clinician In-service Video
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ComfortCORE™ Foam
Conforms to the unique contours of a patient’s body, adjusts to individual movements.
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Diamond2 Grid™
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BOA® Fit System
The micro-adjustable BOA® Fit System allows for a fast, effortless, precision fit through a customizable and seamless level of support.
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Adjustable Belt Wings
Modifiable belt accommodates varying patient body structures for optimal fit.
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Modular Design
Step-up / Step-down design allows for single brace use through rehabilitation and recovery.
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Semi-Universal Sizing
Removable circumference tape allows for accurate patient sizing.
![](/sites/default/files/images/brand-landing/exos/line-art-626.gif)
EXOS FORM II 626
PART NO | DESCRIPTION | WAIST CIRCUMFERENCE | HEIGHT (RECOMMENDED) | SIZE |
---|---|---|---|---|
300626-40 (Bracing and Supports) | EXOS FORM II 626 | 28 - 50 in (71 - 127 cm) | ≤ 69 in (≤ 175 cm) | S/M |
300626-60 (Bracing and Supports) | EXOS FORM II 626 | 51 - 61 in (130 - 155cm) | ≥ 69 in (≥ 175 cm) | L/XL |
305626-40 (Recovery Sciences) | EXOS FORM II 626 | 28 - 50 in (71 - 127 cm) | ≤ 69 in (≤ 175 cm) | S/M |
305626-60 (Recovery Sciences) | EXOS FORM II 626 | 51 - 61 in (130 - 155cm) | ≥ 69 in (≥ 175 cm) | L/XL |
EXOS FORM II 626 ACCESSORIES
PART NO | DESCRIPTION | SIZE |
---|---|---|
900-1-WINGS-40 (Bracing and Supports) | BELT WING SET | S/M |
900-1-WINGS-60 (Bracing and Supports) | BELT WING SET | L/XL |
900-1-BWING-40 (Bracing and Supports) | BRIDGE WING (EXTENSION BELT; ~9.5" or 24.13 cm) | S/M |
900-1-BWING-60 (Bracing and Supports) | BRIDGE WING (EXTENSION BELT; ~9.5" or 24.13 cm) | L/XL |
900-1-INSERT-40 (Bracing and Supports) | LORDOTIC INSERTS | S/M |
900-1-INSERT-60 (Bracing and Supports) | LORDOTIC INSERTS | L/XL |
905-1-WINGS-40 (Recovery Sciences) | BELT WING SET | S/M |
905-1-WINGS-60 (Recovery Sciences) | BELT WING SET | L/XL |
905-1-BWING-40 (Recovery Sciences) | BRIDGE WING (EXTENSION BELT; ~9.5" or 24.13 cm) | S/M |
905-1-BWING-60 (Recovery Sciences) | BRIDGE WING (EXTENSION BELT; ~9.5" or 24.13 cm) | L/XL |
905-1-INSERT-40 (Recovery Sciences) | LORDOTIC INSERTS | S/M |
905-1-INSERT-60 (Recovery Sciences) | LORDOTIC INSERTS | L/XL |
Operating the BOA® Fit System
<h3>To Loosen:</h3>
<ul class="tight">
<li>Lift BOA® dial. (Figure 1)</li>
<li>Pull Tab. (Figure 2)</li>
</ul>
<h3>To Close and Tighten:</h3>
<ul class="tight">
<li>Push BOA® dial down. (Figure 3)</li>
<li>Turn BOA® dial clockwise. (Figure 3)</li>
<li>Boa® Knob must be in the down locked position when wearing brace.(Figure 3)</li>
</ul>
<!--<p><img src="/sites/default/files/file_attach/Exos_WB_BOAInstructions.jpg " alt="WB w/BOA Education Image" width="396" height="132" /></p>-->
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<section class="max-width-5 margin-y-1">
<div class="container">
<div class="row">
<div class="col-sm-4 text-center">
<img src="/sites/default/files/images/icons/BOA-icon-push.png?v=2">
<p>Push In to Engage</p>
</div>
<div class="col-sm-4 text-center">
<img src="/sites/default/files/images/icons/BOA-icon-turn.png?v=2">
<p>Turn to Tighten</p>
</div>
<div class="col-sm-4 text-center">
<img src="/sites/default/files/images/icons/BOA-icon-pull.png?v=2">
<p>Pull up for Quick Release</p>
</div>
</div>
</div>
</section>
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