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.
Dialed In. Precision Fit.
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
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- Features & Benefits
- Part Numbers
- Education
- Related Products
- Documents
| Common Indications |  |
 |
 |
 |
 |
|---|---|---|---|---|---|
| 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 |
Exos FORM II 626-627 - Modification Video
Exos FORM II 626-627 - Patient Training Video
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.
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
To Loosen:
- Lift BOA® dial. (Figure 1)
- Pull Tab. (Figure 2)
To Close and Tighten:
- Push BOA® dial down. (Figure 3)
- Turn BOA® dial clockwise. (Figure 3)
- Boa® Knob must be in the down locked position when wearing brace.(Figure 3)
Push In to Engage
Turn to Tighten
Pull up for Quick Release
