Exos FORM™ 631200631-60 Exos FORM™ 631, L/XL

200631-40 Exos FORM™ 631, S/M

PDAC Assigned Code L0631

Exos FORM™ 637200637-60 Exos FORM™ 637, L/XL

200637-40 Exos FORM™ 637, S/M

PDAC Assigned Code L0637

LSO | LUMBOSACRAL ORTHOSES | PRODUCT INFORMATION

Exos FORM™ 631 | 637Spine Bracing System

Recommended PDAC Code L4002

Accessories

800-631-60 T9 Posterior Panel, L/XL

800-631-40 T9 Posterior Panel, S/M

800-637-60 Lateral Extensions, L/XL

800-637-40 Lateral Extensions, S/M

800-AP-60 Anterior Panel, L/XL

800-AP-40 Anterior Panel, S/M

800-1-WINGS-60 Wing Set, L/XL

800-1-WINGS-40 Wing Set, S/M

800-1-BWING-60 Bridge Wing, L/XL

800-1-BWING-40 Bridge Wing, S/M

©2013 DJO, LLC 00-1190 Rev A

LSO | LUMBOSACRAL ORTHOSES | PRODUCT INFORMATION

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