Quickie Pulse 6 Group 3

Transcription

1 Quickie Pulse 6 Grup 3 (, K0849, K0856) EIPW22, February 13, 2012 Accunt: Date: PO#: Buyer: Marked Fr: Ship T: Name: Address: City,State,Zip: Phne: The HCPCS CODES prvided are based n cde verificatin thrugh PDAC r ur interpretatin f the cde definitins. The use f HCPCS CODES des nt ensure cverage r payment. Fr cverage infrmatin, verify with the apprpriate payer's cverage plicy. a Optin # HCPCS Definitin Price a Optin # HCPCS Definitin Price 1. QUICKIE Pulse 6 GROUP 3 CATEGORY (Select One) QUICKIE Pulse 6 BC (Grup 3 /) Quickie Pulse 6 BC w/asapii Seat (Fig 1.1) 195PC74 QUICKIE Pulse 6 SC (Grup 3 K0856/) Quickie Pulse 6 SC fr SPOT Tilt (Fig 1.4) 195PC76 VR2 90A Drive Cntrl (nnexpand) K lb 6 mph 4ple Mtr Package $6, VR2 90A Drive Cntrl (nnexpand) 300 lb 6 mph 4ple Mtr Package ASAP II Seat Frame ASAP II Seat Frame 13" Drive Wheels (flat free insert ) 13" Drive Wheels (flat free insert ) 8A Dual Mde Charger (Cmpact) CTE 8A Dual Mde Charger (Cmpact) CTE Pulse 6 BC BASE ONLY Fr use with Aftermarket Seat frame. Pulse 6 SC BASE ONLY Fr use with Aftermarket Seat frame. 195NB83 195EQ08 Pulse 6 BC SEAT ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are nt required. 195EQ10 Pulse 6 SC SEAT ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are nt required. 195EQ11 Pulse 6 BC SEAT ONLY w/ elec. Fr use t add/replace seating when additinal electrnics are required. 195EQ13 Pulse 6 SC SEAT ONLY w/ elec. Fr use t add/replace seating when additinal electrnics are required. QUICKIE Pulse 6 BC (Grup 3 /) Quickie Pulse 6 BC w/capt Back/Sld Seat Pan (Fig 1.2) 195PC77 195NB85 K0856 Quickie Pulse 6 CC w/capt Seat and Cushin (Fig 1.3) 195PC75 VR2 90A Drive Cntrl (nnexpand) K lb 6 mph 4ple Mtr Package 195NB86 195EQ14 195EQ15 Flip Back ht adj remvable armrest BC VR2 90A Drive Cntrl (nnexpand) Captains Seat Back and Cushin. 195EG24 13" Drive Wheels (flat free insert ) 8A Dual Mde Charger (Cmpact) CTE 8A Dual Mde Charger (Cmpact) CTE Fig 1.1 Pulse 6 BC 195NB84 K EQ09 195EQ12 Fig 1.2 Pulse 6 BC Capt Back and Slid Seat Pan Flip Back ht adj remvable armrest CC 13" Drive Wheels (flat free insert ) Pulse 6 BC BASE ONLY Fr use with Aftermarket Capt Seat Back and slid Seat pan. Pulse 6 BC SEAT ONLY w/ elect. Fr use t add/replace Capt Seat Back and Slid Seat Pan when additinal electrnics are nt required. Pulse 6 BC SEAT ONLY w elect. Fr use t add/replace Capt Seat Back and Slid Seat Pan when additinal electrnics are required. $5, lb 6 mph 4ple Mtr Package Captains Seat Back and Slid Seat Pan. 195EG25 $6, QUICKIE Pulse 6 CC (Grup 3 K0849/) $5, Pulse 6 CC BASE ONLY Fr use with Aftermarket Capt Seat Back and Cushin. Pulse 6 CC SEAT ONLY w/ elect. Fr use t add/replace Capt seat Back and Cushin when additinal electrnics are nt required. Pulse 6 CC SEAT ONLY w/ elec. Fr use t add/replace Capt seat Back and Cushin when additinal electrnics are required. Fig 1.3 Pulse 6 CC Fig 1.4 Pulse 6 SC ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 1

2 2. BASE CHAIR OPTIONS Shrud Clr 195EZ01 195EZ02 195EZ03 User weight Candy Apple Red 195WG lb 195FA WG lb 195FA3 3 with +3" r +4" STFH r lift 195WG lb 195FA4 6 with +3" r +4" STFH r Lift/Tilt High Glss Black Candy Blue Drive wheel/tire package 195DW53 Black/Chrme Wheel, Knbby Tire. Std 195DW42 195WG06 < 150lb. Black slid Wheel, grve tire. $20.00 Transit Optin 195TO40 195TO25 195WN01 Omit Transit WC19 Transit Lap Belt 195WN02 WC19 Transit Lap Belt PreSet Seat Frame Angle ISO Transit Package ( N/A with Vent r Capt seat) WC19 Transit Package (Capt Seat nly, rder belt separately belw. $ $ Ventilatr Optins 195VT4 Nt available w/ Transit, Pwer Legs r Capt seat. E1029 Fixed Vent Tray (Pulmnetic LTV Mdels) $ Seat Height (Measured in the frnt) Obtain Qute t verify est. STFH 195HT44 195HT45 195HT46 Lwest STFH +1" Seat t Flr Height +2" Seat t Flr Height 195HT47 +3" STFH with Capt Seat 195HT48 +4" STFH with Capt Seat Seating Type and Pwer Optin Cmbinatins ASAP II N pwer seating. ASAP II Lift nly. ASAP II with Tilt Captain Seat with Lift. (Frm Pan) STFH Matrix Lw 16" SeattFlr Height at 0 tilt +1" +2" +3" 17" 18" 20" +4" 20" 18.2" 19.2" 20.2" 21.2" 22.2" 17" 18" 19" Captain Seat (Frm Pan) 16.25" 17.25" " " 21" Adding seat angle will increase STFH by 1" fr each incremental change. 3. BATTERIES and CHARGERS Batteries 195AG01 195AG05 E NF Gel Flat Tp (Pair) w/straps $ Omit batteries (Includes harness) Battery Charger 195BJ19 8A Dual Mde Charger (Cmpact) CTE 195BJ3$40.00 Om ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 2

3 Quickie Sip n' Puff System 195ID34 195II01 195IH1 ASL Head Array Package (Adult) 195II02 ASL Head Array Package (Ped) Jystick Munt (Fixed r Swing Away) SwitchIt Head Array Package (Adult) Drive Cntrl Optins 195ER01 Nnexpandable cntrller and jystick RNet Expandable Drive Cntrl Upgrade (90A) $ EX01 E2377 Expandable Cntrller Rnet $ EX02 E2313 Harnessing fr Expandable Cntrller Rnet Jystick (fr expandable electrnics) 4. ELECTRONICS $ J70 Std LED Jystick fr Expandable Ctrls 195J93 195J88 Jystick w/stere Jacks and Mnchrme Display Jystick W/Tggle, Spd Pt, Stere Jacks & Clr Display $ J95 Omit JS fr use with OMNI 195JM10 Fixed Munt 195JM11 Swing Away Munt $ Jystick Munt (Lcatin) Captain Seat Nt Height Adjustable, ASAP II = Height Adjustable. 195HM1 Right Side Munt 195HM2 Left Side Munt Jystick Handle (Optinal) 195JH1 E2323 Ball Handle $ JH2 E2323 Fam Ball Handle $ JH4 E2323 Rnet OMNI and Output Optins THandle $ JH6 E2323 Galpst $75.00 (Fr expandable cntrls, chse all that apply) Rnet OMNI Input Cntrl Mdule and 195ON1 display with built in Infrared and armrest munt. Chse munt belw. (required fr $ Specialty Input Devices.) 195ON2 E2351 Rnet Output Mdule (ECM) $ ON3 Rnet Bluetth Musemver $ Specialty Driver Cntrl Optins Requires expandable cntrls and OMNI. All packages must be added t the specialty cntrl nchair package. Nt available with Uphlstered backs r the Captains seat. 195II03 195II04 SwitchIt Head Array Package (Pediatric) 195II05 195ID36 195II01 195ID37 195IJ03 Quickie Prprtinal Chin Cntrl Package 195ID45 195IJ03 $2, E2325 Sip N' Puff Kit $1, E0955 Headrest Headrest Remvable Munt E2326 Sip n' Puff Tubing and Hardware $ E2330 ASL Prximity Head Array (Adult) $3, Headrest Remvable Munt E2330 ASL Prximity Head Array (Ped) $3, Headrest Remvable Munt E2330 Switchit Prximity Head Array $3, Headrest Remvable Munt E2330 Switchit Prximity Head Array $3, Headrest Remvable Munt ASL Prprtinal Micr Extremity Jystick Chin / Lip Cntrl Package $4, E2312 Mini Jystick $4, E0955 Headrest ASL Prprtinal Micr Extremity Jystick Midline Package E2312 Headrest Remvable Munt Mini jystick $4, ASL Prprtnal S/A Jystick Munt ASL Prprtnal S/A Jystick Munt $4, $4, E2312 Prprtinal Jystick $4, OMNI Munt (If used with Jystick must be munted ppsite side) 195DS03 Swing Away Left Side OMNI Munt $ DS04 Swing Away Right Side OMNI Munt $ SW6 Ribbn Switch $ SW1 Buddy Buttn Switch $75.00 Micr Light Switch $ SW24 Egg SwitchBlack $ DN2 Munting Lcatin: Left Back Cane Switch inputs fr Jysticks r OMNI 195SW22 Switch Munt Bracket 195EM01 Drive r Mde / Prfile Cntrl Stere t 2 Mn Splitter $ SW2 Disc Switch $ SW9 Wbble Switch $ SW4 195SW21 Dual tggle switch nly 195SW19 Penta Switch with DB9 Cnnectr 195SW20 195SW23 CA5 5 Switch Adapter w/ DB9 Cnnectr $ way tggle switch w/5th buttn DB9 Cnnectr. (must have OMNI) Single Switch Munt Bracket 195EM02 Dual tggle switch munt bracket 195EM03 4way tggle switch munt bracket. Attendant Cntrl ( with Capt Seat) 1950A01 E2331 Attendant Cntrl fr VR2 $ A02 E2331 Attendant Cntrl fr Rnet $ Attendant Munting lcatin 195DN1 Munting lcatin: Right Back Cane Electrnic Prgrammers 195PR2 VR2 Hand Held Prgrammer (HHP) $ PR5 Rnet PC Prgrammer with Dngle $ PR6 DTT VR2 and Rnet cables included. $1, ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 3

4 5. SEAT TYPE 195ST56 ASAP II Frame size Quickie A.S.A.P II (Adjustable Seating and Psitining) Chse Seat Frame Size Platfrm. (each frame is width and depth adjustable within given range. ) OR 195ST58 Captain Seat w/semirecline Back Standard with integrated seat pan, (K0849 cushin available in sectin 7.) Chse / width in sectin 6. ( D,E,F ) 195FU17 Adjustable 12x12 t 16X19 ( A ) 195FU18 Adjustable 16x12 t 20x20 ( B ) 195FU19 Adjustable 18x16 t 22x22 ( C ) 6. SEAT SIZE Seat Size Matrix. Seat type is chsen in sectin 5. A = ASAP II Seat Frame Adjustable frm 12x12 t 16X19 D = Captain Seat, Adjustable 16x15 t 16x18. B = ASAP II Seat Frame Adjustable frm 16X12 t 20X20 E = Captain Seat, Adjustable 18x16 t 18x20. C = ASAP II Seat Frame Adjustable frm 18X16 t 22X22 F = Captain Seat, Adjustable 20x18 t 20x22 Seat Depth ASAPII Seat Width Capt Seat Width 12" 13" 14" 15" 16" 17" 18" 19" 20" 22" 16" 18" 20" 12" A A A A A,B B B B B 13" A A A A A,B B B B B 14" A A A A A,B B B B B 15" A A A A A,B B B B B 15" D 16" A A A A A,B B B,C B,C B,C C 16" D E 17" A A A A A,B B B,C B,C B,C C 17" D E 18" A A A A A,B B B,C B,C B,C C 18" D E F 19" A A A A A,B B B,C B,C B,C C 19" E F 20" B B B,C B,C B,C C 20" E F 21" C C C C 21" F 22" C C C C 22" F Seat Depth Seat Width Seat Depth 195R21 12" 195RF20 12" 195R22 13" Seat width 195RF21 13" 195R23 14" Seat width 195RF22 14" 195R24 15" Seat width 195RF23 15" 195R5 16" Seat width 195RF5 16" 195R6 17" Seat width 195RF6 17" 195R7 18" Seat width 195RF7 18" 195R8 19" Seat width 195RF8 19" 195R9 20" Seat width 195RF24 20" 195R25 22" Seat width 195RF25 21" 195RF26 22" Seat width 7. SEAT CUSHIONS 195CU34 Capt seat Cushin. (Avail n CC nly) 195CU1 2" Cushin. $95.00 JAY Cushins (Optinal) T rder any JAY cushins nchair, please see the JAY price list. Cushin name r part number must be filled ut w/ desired width & depth JAY Bundled Cushin 195JC20 Cushin Name r Part # Price List Width: Depth: ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 4

5 195PJ2 195EO11 E1002 Quickie SPOT 50 CG Tilt $4, Pwered Seat Elevatr 9" Travel ( with Tilt) 195PA8 E2300 Pwer Seat Elevate (adds 3" t STFH) $2, Pwer Seating Optins (SC Mdels) Pwered Seating Cntrl Methd (Fr use with pwer seating actuatrs. Switch activatin is standalne and des nt require expandable r thrudrive electrnics. 195EO10 Switch Cntrl 1 actuatr w/dual tggle and munt. (Fr perating Tilt r Lift) Switch Cntrl 1 actuatr w/buddy buttn & munt.(fr perating Tilt r Lift) 8. POWERED SEATING Nt available with Captain Seat Pwered Seating Cntrl Methd Cnt. 195EO12 195EO13 195EO14 Switch Munt E2310 E EY01 Switch Munt Right 195EY02 Switch Munt Left Switch Cntrl 2 3 Actuatr w/ 4way Tggle Switch & Munt. (Capable f perating cmb f Tilt/Legs, Lift/Legs r legs nly) Thru Drive 1 Actuatr (Fr perating Tilt r Lift thru Jystick.) Thru Drive 2+ Actuatrs (2+ actuatrs per Input Device requires expandable Rnet) (fr use with switch cntrl pwered seating) $1, $2, Angle Adjustable Tl 195MN02 Knb ( with dual pst arms.) 195OD8 NnFlding Backrest 195BP40 Backrest Frame Type 195BT8 195BT98 Manual Recline Adjustment Methd Optin 195MN01 Angle Adjustable Backrest Optins 195OD9 Cane Angle 195BP41 Cane Adjustable height 195B1 195B5 Fixed Med (17.5") 195B9 195B243 E1225 Manual Recline 40 (nt width adjust.) Back Height 23". Fits all seat types. ( with Manual recline) Flding Backrest Straight Back Pst 8 Bend Back Pst (Avail. nly w/ Uph r J3 Back) with Manual recline (Uphlstery Height Measured pan t tp f uphlstery.) Fixed Lw (15.5") 195B40 Fixed Tall (19.5") Adjustable Lw 14" 18" 195B244 Adjustable High 20" 26" 9. BACKREST AND BACK OPTIONS FOR ASAP II SEAT Nt available with Captain Seat Back Type (Uphstery r Slid) $ $ BU1 195BU70 195BU71 195BU76 195BU77 195BU78 195BU14 Jay 3 Optin 195JB01 Jay J3 (select OMIT abve) Back Height Required fr SPOT Curved and SPO Backs. (Limited cmbinatins f widths) Measured frm pan t tp f slid back. 195B B36 E2617 Omit Uphlstery 14" 16" 195B38 18" 20" 195B42 22" 195B44 195B140 Uphlstery (Nt avail with tilt r Adj cane) E2611 E2611 E2613 xxx Tensin adj Uphlstery Ballistic Nyln. w/1" width adjustment. ( with tilt) Tensin adj Uphlstery 3DX Vented. w/1" width adjustment. ( with tilt) S.P.O.T. Curved Jay SPO Psterir ART SPO Custm Back See appendix 1 24" 26" $ $ $ See Pg 8 $15.00 See J3 OF Twel Bar Depth 195QT03 195QT04 Shallw ( with Uphlstery backs.) Deep (Ext. 4" frm back canes fr deep backs) 10. HEADREST OPTIONS FOR ASAP II SEAT Available with nchair slid backs. Headrests fr Jay 3 backs need t be rdered n Jay 3 Order frm. Whitmyer Linx Headrest Small $ Whitmyer Linx Headrest Large 195HE65 E0955 Plush Head Supprt Pad 8" 195HE66 E0955 Plush Head Supprt Pad 10" 195MH1 N Tl / Quick Rem. Headrest Munt 195MH1 N Tl / Quick Rem. Headrest Munt $ ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 5

6 11. POSTURAL SUPPORTS FOR ASAP II SEAT ALL Pstural Supprts are Sld as EACH; Must select bth left and right fr a pair. Swing Away Lateral Thracic Supprt Left Swing Away Knee Adductr Supprts Swing Away Lateral Thracic Supprt 4x5" Left 195ZV09 195ZS06 Swing Away Munt Swing Away Lateral Thracic Supprt 4x6" Left 195ZV11 E0956 Lateral Pad Curved 4"x6" 195ZS06 Swing Away Munt Swing Away Lateral Thracic Supprt Right Swing Away Lateral Thracic Supprt 4x5" Right 195ZV10 E0956 Lateral Pad Curved 4"x5" 195ZS05 Swing Away Munt Swing Away Lateral Thracic Supprt 4x6" Right 195ZV12 195ZS05 195TX1 SPOT Lng Thigh Supprt Right 195TV1 E0956 E0956 Lateral Pad Curved 4"x5" Lateral Pad Curved 4"x6" Lng Thigh Supprt w/remvable Munt Available with Cantilever Arms, with Manual Recline Back, Dual Pst, Single Pst r Cantilever w/ 2 pt Lcking arms. SPOT Lng Thigh Supprt Left Remvable Munt Left Swing Away Munt 195TV2 E0956 Lng Thigh Supprt Left 195TX2 E0956 Remvable Munt Right Lng Thigh Supprt Right 195KB5 195KB7 195XX04 195XX05 Pad Size Knee Adductr Pad SM Left Knee Adductr Pad LG Left Swing Away Shrt Left Knee Adductr Supprts RIGHT (chse Pad & Arm) Pad Size 195KB6 E0957 Knee Adductr Pad SM Right 195KB8 Available nly with Fixed and Pwer Center Munt Legrests. Knee Adductr Supprts LEFT (chse Pad & Arm) E0957 E XX06 Swing Away Lng Left E0957 Knee Adductr Pad LG Right S/A Arm Size Swing Away Shrt Right 195XX07 Swing Away Lng Right CHEST STRAP 195ZR03 S/A Arm Size $ $ E0960 Padded Chest Strap 12. ARMREST AND ARMPAD OPTIONS Armrest Munting fr Mdels with ASAP II Dual Pst Armrests Shrt Dual Pst Flip Back 10" Height. Lng Dual Pst Flip Back 10" Height. 195EG22 Lng Dual Pst Flip Back HT Adj 10"15" Cantilever Armrests 195EG01 195EG21 195EG02 195EG04 195EG05 195EG07 Shrt Dual Pst Flip Back HT Adj 10"15" Standard Cantilever Arm w/ 2 Pint Lcking Pst. (11"12" Ht Range.) w/ seat depths belw 16" STD Cantilever Arm 9"12" Ht Range Single Pst Height Adjustable Std. Single Pst Height Adjustable Lw (Adjustable length arm pad included (chse Pad setting belw, except fr Lw Arm Optin) with Manual Recline Back 195EG03 195EG06 Single Pst Armrests 195EG08 Standard Cantilever Arm w/ 2 Pint Lcking Pst. (9"10" Ht Range.) w/ seat depths belw 16" Lw Cantilever Arm 7"10" Ht Range (Chse ASAPII pad type and size belw) Armrest Munting fr K0856 SC Mdels with Tilt. Dual Pst Armrests 195EG23 Lng Dual Pst Flip Back HT Adj 10"15" Cantilever Armrests 195EG09 195EG10 195EG11 195EG12 195EG14 Shrt Dual Pst Flip Back HT Adj 10"15" (Adjustable length arm pad included (chse Pad setting belw, except fr Lw Arm Optin) with Manual Recline Back Standard Cantilever Arm w/ 2 Pint Lcking Pst. (9"10" Ht Range.) w/ seat depths belw 16" Standard Cantilever Arm w/ 2 Pint Lcking Pst. (11"12" Ht Range.) w/ seat depths belw 16" STD Cantilever Arm 9"12" Ht Range Lw Cantilever Arm 7"10" Ht Range (Chse ASAPII pad type and size belw) Single Pst Armrests Single Pst Height Adjustable Std. 195EG13 195EG15 Single Pst Height Adjustable Lw Omit Armrest 195EG20 Omit Armrest and Munts Arm Pad Optins fr ASAPII Pad Type / Size Optins fr Dual Pst / Single Pst / Lw Cantilever Left Arm Pad () Right Arm Pad () 195AE01 Desk Length Waterfall (10") 195AE02 Full Waterfall (14") w/lw Cant 195AE03 Desk Length Standard (10") 195AE04 Full Standard (14") w/lw Cant 195AB01 195AB02 195AB03 195AB04 Left Arm Pad () Pad Setting Optins fr Standard Cantilever Arm 195AE11 Full Length Cantilever (14") 195AE10 Desk Length Cantilever (10") Right Arm Pad () 195AB11 195AB10 ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 6

7 13. HANGERS AND FOOTRESTS FOR ASAP II AND CAPTAIN SEAT Hanger and Extensin Tubes Optins (see ftplate cmpatibility in the brackets) NnPwered Swing Away Legrests Ftplate (Pair) 195H95 195H2 195H94 195H6 195H H H H135 Manual ELR S/A (A,B,C,D) (Avail. with Fixed Centermunt, chse belw) Centermunt Pwr ELR w/ Articulatin (F,H) S/A Pwer ELR w/ Articulatin (B) Pair (N/A fr 12" r 13" wide) (Avail. with Fixed Centermunt, chse belw) Medium Lng $2, $2, H144 Omit Hangers $20.00 Hanger Extensins. (See range listed in matrix belw) 195E16 195E1 195E2 195E5 195E21 E0990 K0108 E1010 Omit Hangers. 70 Swing Away (A,B,C) 90 Swing Away (B,C) (5.59") Fixed Center Munt Shrt Fixed Center Munt Lng High Munt Hanger Omit Extensin $ NOTE: Nt all extensin tube will be available; depending n the seat height, sme extensin tube ptins may nt ffer enugh grund clearance. K0037 Shrt Sld as Pairs 65 Swing Away (A,B,C) 75 Tapered Swing Away (E) Pwered Elevating Legrests ( Capt seat r lift) 195H125 Fixed Center Munt Legrests (includes ftplate) $ F1 195HL10 195F F284 A Cmpsite with Heel Lp (Pair) B Adult Angle Adjust w/heel Lp fr use with 65 and 70 hanger (Pair) K0038 C Kids Angle Adjust w/leg Strap fr use with 90 hanger(pair) K0038 Leg Strap 195F287 D Aluminum (Pair) E One Piece Angle Adjust Ftplate K0037 One piece Angle Adjustable Ftplate 195F F1 Cmpsite Ftplate 172HL1 E0951 Heel Lp 195F HL10 195F LS13 195F LS13 195LS13 195F290 E0951 E0951 Leg Strap K F279 Omit Ftplate and extensin tube Ftrest Accessries 1955A01 195LS14 Heel Lp B Adult Angle Adjust w/heel Lp fr use with 90 hanger (Pair) Adult Angle Adjustable Ftplate Heel Lp C Kids Angle Adjust w/leg Strap fr use with 65 and 70 hanger (Pair) Kids Angle Adjustable Ftplate Leg Strap F Centermunt single Ftplate K0038 Adult Angle Adjustable Ftplate Kids Angle Adjustable Ftplate H Centermunt High Mnt Ftplate One piece Angle Adjustable Ftplate Extra Leg Strap Only avail n (pt B). $ $45.00 $ $45.00 $55.00 $55.00 $45.00 E0952 T Hanger Type 65 Swing Away High Munt 70 Swing Away 714" 75 Tapered S/A 90 Swing Away Manual ELR S/A 714" Shrt " " " Medium " " 714" " " 5.59" Ftplate munts t frnt f hanger " Pwer ELR S/A 1214" 1417" Fixed Cntrmnt Pwer Cntrmnt Lwer Leg Length Matrix (measured seat pan t the tp f the ftplate surface) " 12.5"15.5" Lng " " 1518" 1721" " 14.5"19.5" " Hanger Type 65 Swing Away 70 Swing Away 75 Tapered S/A 90 Swing Away Manual ELR S/A Pwer ELR S/A Fixed Cntrmnt Pwer Cntrmnt Ftplate Matrix A B C D E F H X X X X X X X X X X X X X X X X X 14. ACCESSORIES Wheelchair Tray Table 1957A01 E0950 TRAY TABLE SM TUFFAK 12"14" PWR 1957A02 E0950 TRAY TABLE MED TUFFAK 15"17" PWR 1957A03 E0950 TRAY TABLE LRG TUFFAK 18"20" PWR Psitining Belt Select fr any style seat 195EJ01 195EJ02 E0978 Aut Style Buckle Belt 2" Aircraft Buckle $ EJ03 E0978 Belt 2" Aircraft Buckle Padded $65.00 Backpack 195A1$ A2 Black Utility E2208 Black/Charcal Kids $50.00 Munting Accessries (Available n all seats) Cane/Crutch Hlder O2 hlder 195A605 K0108 Walker hlder 195A603$ E A604$ $ Yes! Call Custmer BUILT 4 ME Service OPTIONS ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: Specificatins are subject t change withut ntice. Cpyright REV C Page 7