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639 LSO Ultra

SKU SUP3114BLK

HCPCS Code L0639, L0651

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Product Description

The Coretech 639 LSO Ultra is a lumbar-sacral orthosis designed to provide rigid support, targeted compression, and trunk stabilization for patients requiring advanced lumbar support. Its elongated rigid back panel, removable lateral panels, and removable moldable anterior splint work together to support the lumbar-sacral region, while the independent pulley system allows compression to be adjusted throughout wear without removing the brace.

Built with Coretech’s ultra-light belt material, the brace combines a low-profile construction with a wide adjustable fit range. A two-piece belt accommodates sizes Small through 2XL, while the included left and right extenders expand the fit through 4XL, covering waist sizes from 25" to 68". The back and anterior panels can also be molded by a qualified fitter to support a more individualized clinical fit.


Special Features

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Independent Compression Pulley System

Integrated pulley system with rubber pull tabs allows easy, on-the-go compression adjustments without removing the brace for consistent trunk stabilization.

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Moldable Anterior & Posterior Support

Removable anterior splint and padded back panel can be heat-molded by fitters to deliver personalized, rigid lumbar-sacral support.

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Universal Sizing Range

Two-piece belt adjusts from Small to 2XL, while included extenders expand fit up to 4XL (25"–68" waist) to reduce inventory needs.

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Customizable Modular Configuration

Removable side panels allow support levels to adapt as patient recovery progresses, featuring lightweight materials and hand straps for easy handling.


Specifications

  • What’s Included:
    • 1pc 639 LSO Ultra with pulley system and back panel assembly.
    • 1pc Anterior panel.
    • 2pc Removable side panels.
    • 2pc Sizing extenders — left and right.
  • Color: Black & Gray.
  • Key Features: 
    • Belt Construction: Two-piece adjustable design.
    • Compression Adjustment: Independent pulley system.
    • Pull Tabs: 2 rubber hook-and-loop pull tabs.
    • Adjustment Aids: Thumb and hand straps.
    • Anterior Panel: Removable and moldable.
    • Back Panel: Padded and heat moldable.
    • Lateral Panels: 2 removable padded side panels.
  • Dimensions:
    • Back Splint: 14.65" overall height; additional measured dimensions of 9.4", 9.1", and 10.4" across designated panel points.
    • Anterior Splint: 8.5" x 9.5"–13" (W x H).
    • Side Panels: 14.8" x 5.2" (W x H).
    • Extenders: 10.6" x 5.9" (W x H).
  • Weight: 2.8 lbs with extenders.
  • Materials: 70% Polyester, 20% Nylon, 10% Plastic.
  • Latex-free.


Sizes

  • One size. Adjustable from S to 4XL (Waist Range: 25"–68").

     Size Waist Size
    S 25" — 32"
    M 32" — 38"
    L 38" — 44"
    XL 44" — 50"
    2XL 50" — 56"
    3XL 56" — 62"
    4XL 62" — 68"

FAQ

HCPCS Codes L0639 - L0651: Details and Uses

L0639:

Lumbar-Sacral Orthosis, Sagittal-Coronal Control, Rigid Shell(S)/Panel(S), Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Anterior Extends From Symphysis Pubis To Xyphoid, Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs, Overall Strength Is Provided By Overlapping Rigid Material And Stabilizing Closures, Includes Straps, Closures, May Include Soft Interface, Pendulous Abdomen Design, Prefabricated Item That Has Been Trimmed, Bent, Molded, Assembled, Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise.

L0651:

Lumbar-Sacral Orthosis, Sagittal-Coronal Control, Rigid Shell(S)/Panel(S), Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Anterior Extends From Symphysis Pubis To Xyphoid, Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs, Overall Strength Is Provided By Overlapping Rigid Material And Stabilizing Closures, Includes Straps, Closures, May Include Soft Interface, Pendulous Abdomen Design, Prefabricated, Off-The-Shelf.

How can I Get the 639 LSO Ultra?

The 639 LSO Ultra is available to licensed medical professionals through the Vive Health Business Portal.

How do I Clean the 639 LSO Ultra?

  1. Remove the straps before cleaning.
  2. Spot clean with a damp cloth.
  3. Air dry only.
  4. Do not machine wash or dry.
  5. Store in a clean, dry place away from direct sunlight.

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