1278, 1279 - Tri-Panel Knee Immobilizer


Features & Benefits

 Model Name Characteristics HCPCS Code
1278 Tri-Panel Knee
Immobilizer (Foam)
1279 Tri-Panel Knee
  • Universal dexterity for optimized inventory
  • Tri-Panel suits a wide range of anatomies
  • Adjustable, removable stays
  • Easy Application and Direct Stick Cold Therapy ready
  • Hypoallergenic material and soft edges for user comfort

          Note: Foam model is not cold therapy ready

          US and Foreign Patents Pending

    Sizing Chart


    Product Information

    Ezy Wrap designed the Tri-Panel Knee Immobilizer to be the best in class knee orthosis. Our Tri-Panel Knee Immobilizer is adjustable and suitable for a wide range of anatomies with moldable removable stays allow for tailored care. All while being easy to apply and comfortable to wear directly off-the-shelf.

    Our knee immobilizer is First ICE® Cold Therapy ready with patented Direct Stick™ Packs as an optional accessory. Our patented Cold Therapy provides up to 4 hours of continuous cold to help patients mitigate pain and recover quicker.

    Click here to view product literature pdf.


    Step-by-step guide on how to apply the product, included with purchase. 

    Click here to view product instructions pdf.

    PDAC Approval

    These product(s) listed are approved by PDAC and listed under the corresponding Healthcare Common Procedure Coding System (HCPCS) code(s) for the application and billing to Medicare. 

    Click here to view the 1278 PDAC approval letter pdf.

    Click here to view the 1279 PDAC approval letter pdf.