DonJoy Back Brace Brochure

ORDERING INFORMATION
ANATOMICAL
RANGE OF SPINAL SUPPORT
BACK BRACES
Model
DONJOY
BACK BRACE
PRODUCT LINE
T12
SI Belt
LO Lite
L1
LO Reg. & LO Low Pro.
LSO Premier Plus
Small
(x = 2)
Medium
(x = 3)
Large
(x = 4)
X-Large
(x = 5)
XX-Large
(x = 6)
XXX-Large
(x =7)
TLSO
11-1585-x
30-35” in
35-40”
40-45”
(76-89 cm) (89-102 cm) (102-114 cm)
45-50”
(114-127 cm)
50-55”
(127-140 cm)
N/A
LSO
W/CHAIRBACK (8”)
11-1562-x
25-30” in
(64-76 cm)
30-35”
(76-89 cm)
40-45”
(102-114 cm)
45-50”
(114-127 cm)
50-55”
(127-140 cm)
LSO
PREMIUM PLUS
11-1576-x
25-30” in
(64-76 cm)
30-35”
35-40”
40-45”
45-50”
(76-89 cm) (89-102 cm) (102-114 cm) (114-127 cm)
LO
REGULAR (10”)
11-1568-x
25-30” in
(64-76 cm)
30-35”
35-40”
40-45”
45-50”
50-55”
(76-89 cm) (89-102 cm) (102-114 cm) (114-127 cm) (127-140 cm)
LO
LOW PROFILE (8”)
11-1569-x
25-30” in
(64-76 cm)
30-35”
35-40”
40-45”
45-50”
50-55”
(76-89 cm) (89-102 cm) (102-114 cm) (114-127 cm) (127-140 cm)
LO
LITE (9”)
11-1570-x
25-30” in
(64-76 cm)
30-35”
35-40”
40-45”
45-50”
(76-89 cm) (89-102 cm) (102-114 cm) (114-127 cm)
T1
T9
LSO w/Chairback
Part #
Atlas (C1)
Axis (C2)
C7
TLSO
Waist Measurement Sizing
Sacrum (S1–S5)
SI BELT*
11-1571-x
N/A
35-40”
(89-102 cm)
S/M
L
25-35”
35-55”
(64-89 cm) (89-140 cm)
N/A
N/A
N/A
N/A
N/A
*The sizing for the SI Belt is measured off of the hip measurement 1” above the greater trochanter.
GENERAL INDICATIONS &
RANGE OF SPINAL SUPPORT
REPLACEMENT PARTS / ACCESSORIES
Part #
Small
(x = 2)
11-1563-x
25-30”/13.0”
(64-76/33 cm)
30-35”/14.0”
35-40”/14.5”
(76-89/36 cm) (89-102/37 cm)
40-55”/14.5”
(102-140/37 cm)
*The Short Chairback is designed for
shorter torsos, so the frame is 13” in
height for all sizes.
11-1564-x
N/A
30-35”/13.0”
35-40”/13.0”
(76-89/33 cm) (89-102/33 cm)
40-55”/13.0”
(102-140/33 cm)
7˚ LORDOTIC INSERT (pair)
11-1565
10˚ LORDOTIC INSERT (pair)
11-1566
Model
S1–S5
L1–L5
DONJOY
BACK BRACE
PRODUCT LINE
Disc Herniation & Degeneration
Post-Operative Laminectomy
Post-Operative Disectomy
IDET Procedure
Spondylolisthesis
Post-Operative Fusion
Spinal Stenosis
Compression Fractures
Kyphosis
Scoliosis
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SHORT CHAIRBACK*
TLSO
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LO LITE
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Medium
(x = 3)
Large
(x = 4)
X-Large
(x = 5)
T9–S1 T2/T3–S1
LSO
W/CHAIRBACK
Osteoporosis
T9–S1
LSO
PREMIUM PLUS
Lumbar Disc Displacement
LO
REGULAR
Low Back Sprains/Strains
LO
LOW PROFILE
Low Back Pain
L1–S1
STANDARD CHAIRBACK
SI BELT
INDICATIONS FOR USE
Sacroiliac Pain
L1–S1
Waist Measurement / Chairback Height
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12˚ LORDOTIC INSERT (pair)
TLSO STRAP KIT
©2015 DJO, LLC
11-1567
25-1585-x
Lordotic foam inserts fit easily into the posterior pockets of the DonJoy LSO Regular
and LSO Low Profile braces and are available in 7˚, 10˚ & 12˚ lordotic options.
Not for use with the DonJoy TLSO and DonJoy LSO Lite models.
2 = Small
DJO, LLC I A DJO Global Company
T 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
3 = Medium through XXLarge
00-3512 Rev A
BACK
BRACING
LSO PREMIUM PLUS
DONJOY BACK BRACES
The DonJoy back brace product line was
PDAC ASSIGNED CODES: L0631 (CST) / L0648 (OTS)
designed with function and patient comfort in
The DonJoy LSO Premium Plus provides rigid anterior and posterior
compression from T9 – S1. Similar to the DonJoy LSO with Chairback, but
without the lateral supports; the Premium Plus provides a high degree of
spinal support while maximizing patient comfort.
mind. The family of back braces provides
support for a broad range of spinal indications;
from acute low back pain relief to post-
DONJOY BACK BRACE II
TLSO
operative support/stabilization. Each of the
seven DonJoy back braces offer progressively
more support for the spine, yet all share
common design features:
The DonJoy Back Brace II TLSO supports the
thoracic and lumbar spine from T2 to the sacrum
with overlapping rigid panels and an adjustable
sternal pad.
FEATURES & BENEFITS
LO
REGULAR & LOW PROFILE
>>> Simple
hook-loop closure for ease of
application and removal
PDAC ASSIGNED CODES: L0627 (CST) / L0642 (OTS)
The DonJoy LO Regular and LO Low Profile braces provide rigid
anterior and posterior compression from L1 – S1. The 10” LO
Regular model is designed for patients with longer torsos. The 8”
LO Low Profile model will accommodate most patients.
>>> The
patented Mechanical Advantage Pulley
System provides a powerful, dynamic
approach to abdominal compression
>>> Easy-to-use
pull handle(s) enable the patient
to quickly adjust the brace to a desired level
of comfort
>>> Breathable
interior spacer fabric with outer
mesh allows heat to escape without
compromising brace performance
LO LITE
PDAC ASSIGNED CODES: L0626 (CST) / L0641 (OTS)
The DonJoy LO Lite is a lighter, more breathable version of the LO Low
Profile, without the rigid anterior panel. The LO Lite provides support
for mild lower back pain, from L1 – L5.
LSO WITH CHAIRBACK
PDAC ASSIGNED CODES: L0637 (CST) / L0650 (OTS)
The DonJoy LSO with Chairback combines the DonJoy LSO Low
Profile brace with a rigid chairback frame to provide extended spinal
support from T9 – S1 in a modular step-down design.
SI BELT
PDAC ASSIGNED CODE: L0621
The DonJoy SI Belt provides stabilization of the
sacroiliac (SI) joint through direct compression. The
silicone grip strips prevent the brace from migrating
and “lock” the hips.