Spine Bracing SystemEXOS FORM™ II 627

Exos Form II Spine Bracing System

Exos Form II is designed with patented thermoformable VST-X™ material for true customization,

ComfortCORE™ Foam that contours to the patient’s body, Diamond2 Grid™ construct for a more durable

and longer-wearing brace and Boa® Technology’s advanced closure system. The end result is a spine brace

that delivers superior decompression and support, a quick and easily customizable fit, and provides patient

comfort and satisfaction by reshaping form, fit and function.

Exos Form II 627

The Exos Form II 627 (with anterior panel) provides relief from a wide range of indications from mild to acute

lower back pain, as well as post-operative support. The Exos Form II 627 provides superior sagittal control

and support from L-1 to L-5.

For more information includingapplication videos, please visit DJOGlobal.com/products/exos/exos-form-ii-back-brace

or call 888.405.3251

Spine Bracing SystemEXOS FORM™ II 627

U.S.A. and International Patents Pending00-4275 Rev A

DJO, LLC I A DJO Global CompanyT 800.336.6569 D 760.727.1280 F 800.936.6569

1430 Decision Street I Vista, CA 92081-8553 I U.S.A.DJOglobal.com/exos©2016 DJO, LLC

Exos Form II 627

Reshaping Form, Fit and Function

30”(76 cm

)

33”(84 cm

)

36”(91 cm

)

39”(99 cm

)

42”(107 cm

)

45”(114 cm

)

48”(122 cm

)33”

(84

cm)

36”

(91

cm)

39”

(99

cm)

42”

(107

cm

)

45”

(114

cm

)

48”

(122

cm

)

30”

(76

cm)

MEASURING TAPE MEASURING TAPE

BELT WING BELT WING

BOA CLOSURE BOA CLOSURE DONNING MITT

LORDOTIC INSERTS

FRONT PANEL

INDICATIONS

Sacr

um

L1 -

L5

L1 -

L5

T9 -

S1

T9 -

S1

Exos

FO

RM

™ II

621

Exos

FO

RM

™ II

626

Exos

FO

RM

™ II

627

Exos

FO

RM

™ II

631

Exos

FO

RM

™ II

637

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 ● ●

RANGE OF SPINAL SUPPORT

COMMON INDICATIONS

C1 (Atlas)

L5

Sacrum (S1-S5)

Coccyx (Tailbone)

L1

T12

T1

C2 (Axis)

C7

T9

T9-

S1

L1 -

L5

Sacr

um

LSO

LO

SIO

637 LSO (w/ Chairback)

631 LSO (w/ Back Panel)

627 LO (w/ Anterior Panel)

626 LO (w/o Anterior Panel)

621 SI Belt

ANTERIOR LATERAL

EXOS FORM™ II 627

PART NO. DESCRIPTION SIZE

300627-40 EXOS FORM II 627 S/M

300627-60 EXOS FORM II 627 L/XL

EXOS FORM™ II 627 ACCESSORIES

PART NO. DESCRIPTION SIZE

900-AP-40 ANTERIOR PANEL S/M

900-AP-60 ANTERIOR PANEL L/XL

900-1-WINGS-40 BELT WING SET S/M

900-1-WINGS-60 BELT WING SET L/XL

900-1-BWING-40 BRIDGE WING S/M

900-1-BWING-60 BRIDGE WING L/XL

900-1-INSERT-40 LORDOTIC INSERTS S/M

900-1-INSERT-60 LORDOTIC INSERTS L/XL

900-ANTPAD-40 ANTERIOR PANEL PADDING S/M

900-ANTPAD-60 ANTERIOR PANEL PADDING L/XL