Quickie QM-7 Series SEDEO Ergo

Transcription

1 Quickie QM7 Series SEDEO Ergo (K0861, K0862, K0844, K0011, K0014) EIPW11, October 2017 Account: Date: PO#: Buyer: Marked For: Ship To: Name: Address: City,State,Zip: Phone: The HCPCS CODES provided are based on code verification through PDAC or our interpretation of the code definitions. The use of HCPCS CODES does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy. Option # HCPCS Definition Price Option # HCPCS Definition Price 1. QUICKIE QM7 Series MultiPower Seating (Select One) QUICKIE QM710 MPC for SEDEO Ergo (Group 3 K0861/K0011) Quickie QM710 MPC Tilt/Recline For SEDEO Ergo 172PC114 K0861 / K0011 Base Package: Includes SEDEO Ergo seating, LED lights and indicators, $7, $7, QUICKIE QM715 HD MPC for SEDEO Ergo (Group 3 K0862/K0011) Quickie QM715 HD MPC Tilt/Recline For SEDEO Ergo $8, PC115 K0862 / K0011 Base Package: Includes SEDEO Ergo seating, LED lights and indicators for user weight lbs, $8, QUICKIE QM720 MPD for SEDEO Ergo (Group 4 K0884/K0014) Quickie QM720 MPD Tilt/Recline $8, PC116 K0884 / K0014 Base Package: Includes SEDEO Ergo seating, LED lights and indicators, 8mph Max speed. $8, HCPC Code Typical Chair Weight Transit Seat Type K0861 / K0862 / K0884 W/battery ISO Transit SEDEO Ergo Seat size range Width 16"22" STFH range MPC 16.4" 19.4" Power Seating MPC Seating Specifications 410Lbs W/O Battery Depth 17"22" 330lbs 50º CG tilt and Power recline w/ 7" Mechanical sheer reduction / 12" Seat elevator 1.1 QM710 MPC QUICKIE QM7 Series Base Specifications Drive Wheel Position Midwheel Drive Drive Wheels 14" Drive Wheels w/ flat free insert (Black ) User weight Cap lb Tires/Casters 6" Front / 6" rear (Black ) Base size Width 25" Length 36" Turn Radius 20" Charger 10A Dual Mode Charger (Compact) Power First Drive Control RNet PM120 (Expandable) Battery Size Group 24 / Group 34. Driving Range Up to 13.5 miles Color Accents Matte Black with 6 color accents Drive Motors 4pole 6 mph, Optional 5mph and 8mph Ground Clearance 4" Lights and Indicators Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 1

2 2. BASE CHAIR OPTIONS Speed Package (4pole 300lb) 172PF85 QM710 Standard 6 mph motor package 172PF91 QM710 5 mph High Torque motor pkg $ PF90 QM710 8 mph Community motor package $1, PF84 QM715 HD Standard 5 mph motor pkg 172PF89 QM720 Standard 8 mph motor package 172WL42 Wheel locks Transit Option 172TO25 ISO Transit Package (NA with QM715) 172TO40 Omit Transit Wheel locks $ NC $ Suretrac Drive Tracking 172MI01 Suretrac Module and Motor Encoders $1, Ventilator Option 172VT10 E1029 Fixed Vent Tray (Pulmonetic LTV Models) $ Color Accents 172EZ19 172EZ20 172EZ21 172EZ22 172EZ23 172EZ24 User weight Matte Black Shroud w/ White Accents Matte Black Shroud w/ Apple Green Acc Matte Black Shroud w/ Blue Accents Matte Black Shroud w/ Black Accents Matte Black Shroud w/ Orange Accents Matte Black Shroud w/ Red Accents 172WG06 Less than 150lbs 172HT44 Position "0" 172WG lb 172HT49 +.5" STFH 172WG lb 172HT45 +1" STFH 172WG lb NA with 16" Seat depth and seat 172HT46 +2" STFH 172WG lb elevator 172HT47 +3" STFH O2 Bottle Option 172A702 E2208 PreSet Seat Frame Angle 172FA10 O2 Bottle mount to backrest D and Estyle 0 Seat Height (Use STFH Matrix below) (Measured in the front) Obtain Quote to verify est. STFH Requires Group 34 Batteries $ Drive Wheel 172DW59 14" Cast Wheel Solid Dual Density Inserts Black Knobby Tires and Black Caster LED lights 172LI06 172LI02 Include LED lights and indicators Omit LED lights and indicators UltraLow STFH Seat Frame "A" (Upcharge see Section 6) Reduces STFH by 1" from standard. Raises recline pivot point by 2" Armrest and backrest also raised 2" Seating Type and Power Option Combinations MPC Power Recline and Tilt. MPC Power Recline with Tilt and 12" Lift combo STFH Matrix 0 +.5" 16.4" SeattoFloor Height at 0 tilt 16.5" 16.9" +1" +2" 17" 18" MPC Power Recline and HD Tilt. 16.8" 17.3" 18.3" 19.3" 17.4" 18.4" +3" 19" 19.4" Standard STFH Seat Frame "B" Seat pan is in line with recline pivot for standard STFH Batteries 172AG04 E2363 GP24 MK Gel Flat Top Batts Pair w/strap Recommended for Max Daily Range MPC Power Recline and Tilt. *17.5" MPC Power Recline and HD Tilt. MPC Power Recline with Tilt and 12" Lift combo 3. BATTERIES and CHARGERS Battery Charger 17.4" 17.9" 18" *17.8" 18.3" 18.4" 19.4" * Seat Depth Limited to 19" with the STFH configuration STFH measured with batteries but no user. Actual STFH may vary by.5" $ BJ28 10A Dual Mode (Compact) Power First 19" 19.3" 172AG22 E2363 GP24 Brightway AGM Flat Top Batteries Pair w/strap. $ AG11 E2359 GP34 MK Gel Flat Top Batteries (Pair) w/straps, Required for lower STFH. $ AG23 E2359 GP34 Brightway AGM Flat Top Batts (Pair) w/straps, Required for lower STFH. $ Color Accents Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 2

3 4. ELECTRONICS Expandable Controllers 172ER08 RNet Expandable Drive Control (120A) $1,235.0 Rnet OMNI and Output Options (For expandable controls, choose all that apply) 172OG01 Include Memory Seating 172OG02 Omit Memory Seating 172EX08 172EX07 E2313 Harness for 120A Expandable Controller $ Rnet 172J114 Mount (Fixed, Retractable, Mid) 172JM17 172JM14 Memory Seating CJSM2: Advanced: 3.5" Color Display, Paddle Switches, Programmable Shortcut Keys, ICONs, Stereo Jack, IR and dual (IOS/Android) Bluetooth control Mount (Location) Height Adjustable. $ "Memory Seating" feature allows for 6 custom seating positions that are accessed either thru the joystick, Ctrl+5, Shortcut keys or programmable jacks on OMNI and joystick. When enabled, chair will be preprogrammed with: Seated, Supine, Pressure Relief, Feet Above Heart Transfer and CME. Settings are dealer settable using mono switch (not included). 172J95 Omit JS. For use with OMNI 172JM16 172HM1 172HM2 172JH4 172JH6 Fixed Mount for Ergo E2323 Retractable mount for Ergo Mid Line Mount Right Side Mount Left Side Mount Handle (Optional) 172JH1 172JH2 E2377 E2323 E2323 E2323 Foam Ball Handle THandle Electronic Programmers Expandable 120A Controller Rnet Includes Memory Seating Positions Ball Handle Goalpost 172PR5 Rnet PC Programmer with Dongle $ $ $ ON6 172ON7 172SW24 E ON8 Attendant Control Rnet OMNI Input Control Module and display with built in Infrared and armrest mount. Choose mount below. (required for Specialty Input Devices.) Rnet Output Module (ECM) 172ON9 Rnet Bluetooth for Apple Devices 1720A04 Attendant Control for Rnet Attendant Mounting location 172DN1 Mounting location: Right Back Cane 172DN2 OMNI Mount Mounting Location: Left Back Cane (If used with must be mounted opposite side) $1, Dual toggle switch and bracket $ Single Switch Mount Bracket $ $1, DS04 Swing Away Left Side OMNI Mount $ DS03 172SW22 Stereo to 2 Mono Splitter 172SW4 $1, Switch inputs for s or OMNI Switches can be used with "Assignable Button" feature to control Power, Horn, Mode, Speeds, Profile, Seating, IR, Bluetooth, Lighting, Output Module, Memory Settings and Pressure Relief Reminder Mute. 172SW1 172SW21 172SW36 Switch Mount Bracket $65.00 Buddy Button Switch Micro Light Switch Egg SwitchBlack Switchit Mini 2 button on 2 Mono plugs $ SW37 Switchit Mini 2 button on 1 Stereo plug $ EM01 E2331 Rnet Bluetooth Mousemover for Windows / Android Swing Away Right Side OMNI Mount $ $ $ SW35 Switchit Mini 1 button on Mono plug $ SW38 Switchit Mini 4 button on DB9 connector $ $ Default Memory Positions M1: Seated M2: Supine M3: Pressure Relief M4: Feet above Heart M5: Transfer M6: CME Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 3

4 Head Control Proportional Packages Switchit Dual Pro Proportional Head Control with Whitmyer and Facial Pads (Adult) 5. Specialty Driver Control Options Requires expandable Rnet controls and OMNI unless otherwise noted. 5a. Proportional Control Packages Chin Control Proportional Packages $5, Switchit VersaGuide Chin Control Compact and Egg Switch Package $2, ID72 Switchit VersaGuide Compact Midline and prox flex switches with Gatlin Package 172IM08 172IJ08 172IJ07 ASL Mushroom (ALS135) Midline with Gatlin Package 172ID60 E2312 Mushroom ASL Micro Mini w Hand Pad (ASL136) Midline with Gatlin Package 172IJ07 Switchit Dual Pro Proportional Head Control with Spot Pads Package Switchit MicroPilot with Space Disc Package 172ID62 E2312 MicroPilot Proportional $2, Switchit MicroGuide with SpaceDisc Package E2312 Micro Mini $2, Switchit VersaGuide Compact Proportional Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) 172ID63 E2312 MicroGuide Proportional ASL Proportional Micro Extremity (ASL130) Midline with Gatlin Package 172ID59 E2312 Micro Extremity S/A Gatlin Mount $ ID70 E2328 Switchit Dual Pro Head Control w/spot pads $5, SA Boom Mount with Egg Switch Control $ ID72 E2328 Switchit Dual Pro Head Control w/facial pad Switchit Dual Pro Proportional Head Control with Spot Pads and Gooseneck Mounted Proximity Switch Pkg Hand Control Proportional Packages 172ID68 SA Boom Mount with Egg Switch Control Switchit Dual Pro Proportional Head Control with Facial Pads and Gooseneck Mounted Proximity Switch Pkg 172IJ11 172ID70 172IJ11 172IJ07 172IJ07 $2, $3, S/A SpaceDisc mount $ $5, $5, E2328 Switchit Dual Pro Head Control w/facial pad $5, E2328 E2312 S/A SpaceDisc mount ASL Compact $5, $5, $1, S/A Gatlin Mount $ $ IJ07 S/A Gatlin Mount $ ASL Compact w Integrated buttons (ASL134) Midline with Gatlin Package 172ID61 SA Gooseneck Mount with Proximity Switch Control Switchit Dual Pro Head Control w/spot pads SA Gooseneck Mount with Proximity Switch Control Switchit VersaGuide Compact Midline with Gatlin Package 172IJ08 172IJ07 S/A Gatlin Mount $5, $3, $2, $ SwitchIt MicroPilot Bib Chin Control with Egg Switch $3, $3, Package Large 8" $3, $ $2, $2, $ $1, $1, S/A Gatlin Mount $ $3, S/A Gatlin Mount $ IM07 172ID62 E2312 MicroPilot Proportional $2, IM06 Bib mount Large $ E2312 Switchit VersaGuide Compact Proportional Bib mount Small SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Large 8" Switchit VersaGuide Compact Proportional SA Boom Mount with egg switch $ SA Boom Mount with egg switch Micro Extremity $ SA Boom Mount with egg switch $ Bib mount Large SA Boom Mount with egg switch $2, SA Boom Mount with egg switch $ ID62 E2312 MicroPilot Proportional 172IM05 S/A Mount off backrest $ SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex switches Package Std 6" 172IM08 172IM05 Switchit VersaGuide Compact Proportional SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Std 6" Switchit VersaGuide Compact Proportional S/A Mount off backrest SA Boom Mount with egg switch Switchit VersaGuide Chin Control Compact and Proximity Flex Switches Package 172IM08 172IM07 172IM06 172IM05 172ID63 Switchit VersaGuide Compact Proportional Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) Dual Flex Proximity Switches (requires no force) $ $2, $2, $ Bib mount Small $ SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Std 6" $ $2, $ $2, Bib mount Small $ $ $3, SA Boom Mount with egg switch $ SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Large 8" $3, ID63 E2312 MicroGuide Proportional $2, IM06 Dual Flex Proximity Switches (requires no force) SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex Switches Package Large 8" 172IM08 172IM06 SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Std 6" 172ID59 172IM07 E2312 Bib mount Large Bib mount Large $ $ $2, $3, $2, IM05 Bib mount Small $ MicroGuide Proportional ASL Proportional Micro Extremity Chin / Lip with Egg Switch Control Package $ $ $ $3, $3, S/A Mount off backrest $ SA Boom Mount with egg switch $ Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 4

5 3 Switch Proximity Head Arrays Choose headrest mount below ASL Proximity Head Array Package (Adult) 172II02 172IJ09 SA Boom Mount with Egg Switch Control $ ASL Proximity Head Array Package (Ped) 172IJ09 SwitchIt Head Array Package 3 Switch Curved (Long) SwitchIt Head Array Package 3 switch curved (Stubby) 172II04 172II13 E2330 Switchit Proximity Head Array Long Quickie Sip n' Puff System 172ID34 172IJ10 E2325 Sip N' Puff Kit 172IH1 E2326 Sip n' Puff Tubing and SA Hardware $4, SA Boom Mount with Egg Switch Control $ IJ09 SA Boom Mount with Egg Switch Control $ SA Boom Mount with Egg Switch Control $4, HE90 $4, $ Switch Proximity Head Array (No Egg Switch Needed) Choose "Headrest Mount for Special Controls" E2330 SwitchIt Head Array 5 switch flat Sip N Puff Package Choose headrest and HR mount below $4, II14 E2330 Switchit Proximity Head Array Stubby $4, IJ09 E2330 ASL Proximity Head Array (Adult) $4, SA Boom Mount with egg switch $ Specialty Driver Control Options (cont.) 5b. Switch Control Requires Headrest and/or Headrest Mount $4, $4, II03 E2330 ASL Proximity Head Array (Ped) $4, $2, $1, $ Headrest Mount for Specialty Controls 172MH23 172HE79 172HE91 172IJ06 Single Switches Whitmyer Linx Headrest Mount, Quick Release AdjustaAPlush Headrest Pad Narrow AdjustaAPlush Headrest Pad Standard Extra Swing Away Head Boom Egg Switch and Mount 172IB05 172IB06 Egg SwitchBlack $ IB07 Whitmyer Headrest Pad for Specialty controls 172HE80 Extra SA Boom Mount with egg switch #2 $ Switchit Mini 1 button on Mono plug 172IJ05 Extra SA Boom Mount with egg switch #1 $ IB02 Micro Light Switch $ HE81 Plush Pad 14" for Specialty controls Plush Pad 8" for Specialty controls Plush Pad 10" for Specialty controls Buddy Button Switch $ Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 5

6 6. SEAT TYPE 172ST63 SEDEO Ergo Recline 172FU30 UltraLow STFH Seat Frame "A" $ FU31 Standard Seat Frame "B" 7. SEAT SIZE Critical Measurements A: Seat Pan Width (Section 7): Measured on the seat pan from inside track rail to inside track rail, Infinite adjustable from 16"22" wide. B: Seat Cushion Width (Section 8): When ordered with ERGO thigh supports, the seat cushion will be 2" narrower than selected seat width as ERGO thigh supports consume 2" of effective seat width. JAY Bundled cushion will be shipped actual selected size so be sure to order appropriately if combined with ERGO thigh supports. C: ERGO Thigh Support (Bolster Section 9) Width: ERGO thigh supports measure 3.5" wide each, plus they sit on top of the outer track rails and consume 2" of effective seat width. ERGO thigh supports and track rail unlatch, swing away and lift off for lateral transfers. D: Seat Depth (Section 7): Measured from back shell surface to front of seat pan. Most backs cushions consume 1" of effective seat depth. Seat Pan has Infinite adjustable from 16"22" deep. Seat Width (Pan Width) Seat Depth (Section 7) 172R5 16" Seat width () 172RF6 17" Seat depth 172R6 17" Seat width () 172RF7 18" Seat depth 172R7 18" Seat width () 172RF8 19" Seat depth 172R8 19" Seat width () 172RF24 20" Seat depth 172R9 20" Seat width () 172RF26 21" Seat depth 172R52 21" Seat width () 172RF25 22" Seat depth 172R25 22" Seat width () Some Nogo's, see STFH Matrix () () () () () () 8. SEAT CUSHIONS JAY Ion Cushion for SEDEO ERGO 172CU45 E CU46 E CU47 E2607 JAY ION cushion with 3DX cover JAY ION cushion with 3DX and Black Stretch JAY ION cushion w/ Premium leatherette cover JAY Cushion Bundling JAY X2 Cushion 172JC14 JAY Cushion On Chair Order NC 172JU22 E2622 JX21616 Note: see measurement "B" and "C" above. When ordered with ERGO thigh guide, order bundled cushion 2" narrower than effective seat width. 172JU23 172JU24 172JU25 172JU26 172JU27 E2622 E2622 E2622 E2622 E2622 JX21618 JAY X2 16" x 18" JX21816 JX21818 JX21820 JX22020 JAY X2 16" x 16" JAY X2 18" x 16" JAY X2 18" x 18" JAY X2 20" x 20" JAY X2 18" x 20" JAY Fusion Cushion JAY Union Cushion 172JU01 E2622 JFUSION1616 JAY Fusion 16" x 16" $ JU15 E2607 JU1616 JAY UNION 16" x 16" 172JU02 E2622 JFUSION1618 JAY Fusion 16" x 18" $ JU16 E2607 JU1618 JAY UNION 16" x 18" 172JU03 E2622 JFUSION1816 JAY Fusion 18" x 16" $ JU17 E2607 JU1816 JAY UNION 18" x 16" 172JU04 E2622 JFUSION1818 JAY Fusion 18" x 18" $ JU18 E2607 JU1818 JAY UNION 18" x 18" 172JU05 E2622 JFUSION1820 JAY Fusion 18" x 20" $ JU19 E2607 JU1820 JAY UNION 18" x 20" 172JU06 E2622 JFUSION2018 JAY Fusion 20" x 18" $ JU20 E2607 JU2018 JAY UNION 20" x 18" 172JU07 E2622 JFUSION2020 JAY Fusion 20" x 20" $ JU21 E2607 JU2020 JAY UNION 20" x 20" JAY Custom Cushion To order any JAY cushions not listed above, please see the JAY price list. Cushion name or part number must be filled out w/ desired width and depth 172JC20 JAY Bundled Cushion Cushion Name or Part # Width: Depth: Price List Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 6

7 LATERAL THORACIC SUPPORT (Swing Away) Available on all Solid Backs. LAT 4X4 S/A MOUNTS W/ 1" OFFSET PR 172ZV14 172ZS07 LAT 4X5 S/A MOUNTS W/ 1" OFFSET PR 172ZV15 172ZS07 172ZS07 172ZS07 172ZR03 LATERAL SWING AWAY MOUNT PAIR $ LATERAL SWING AWAY MOUNT PAIR LAT 6X6 S/A MOUNTS W/ 1" OFFSET PR 172ZV19 Ergo Thigh Support Left (Seat Bolster) LATERAL 4X4 W/ 1" OFFSET PAIR $ TX3 LAT 4X6 S/A MOUNTS W/ 1" OFFSET PR 172ZV16 LATERAL 4X6 W/ 1" OFFSET PAIR LAT 6X4 S/A MOUNTS W/ 1" OFFSET PR 172ZV17 172ZS07 172ZV18 CHEST STRAP E0960 LATERAL SWING AWAY MOUNT PAIR $ LATERAL SWING AWAY MOUNT PAIR LATERAL 6X4 W/ 1" OFFSET PAIR LAT 6X5 S/A MOUNTS W/ 1" OFFSET PR LATERAL 4X5 W/ 1" OFFSET PAIR LATERAL 6X5 W/ 1" OFFSET PAIR LATERAL SWING AWAY MOUNT PAIR LATERAL 6X6 W/ 1" OFFSET PAIR Padded Chest Strap 9. POSTURAL SUPPORTS $ $ $ $ SPOT Long Thigh Support Right $ $ $ $ ZS07 LATERAL SWING AWAY MOUNT PAIR $ Ergo Thigh Supports (Upholstered in 3DX unless back is ordered in Leatherette). 172TV5 Long Thigh Support w/removable Mount 172TV2 172TV1 172KB5 172XX04 172XX06 172XX07 Ergo Long Thigh Support Right Long Thigh Support Left Long Thigh Support Right Knee Adductor Pad LG Left Swing Away Long Left Knee Adductor Supports RIGHT (choose Pad and Arm) 172KB8 Swingaway Mount Left Ergo Thigh Support Right (Seat Bolster) 172TV6 172TX4 172TX1 172TX2 Ergo Long Thigh Support Left Swingaway Mount Right Removable Mount Right Swing Away Knee Adductor Supports Knee Adductor Supports LEFT (choose Pad and Arm) 172KB7 172KB6 172XX05 SPOT Long Thigh Support Left Pad Size Swing Away Short Right Swing Away Long Right $ $ Knee Adductor Pad SM Left $ Removable Mount Left S/A Arm Size Swing Away Short Left Pad Size Knee Adductor Pad SM Right Knee Adductor Pad LG Right S/A Arm Size $ $ $ $ $ $ $ $ $ $ $ POWERED SEATING Power Seating Options 172PA28 E Degree Tilt and Ergo Recline w/shear Reduction and optional Biometric Repositioning (2 actuators) $11, PA29 E1007 QM715 HD 50 Degree Tilt and Ergo Recline w/shear Reduction and optional Biometric Repositioning (350 weight limit) (2 actuators) $12, Biometric Repositioning Recline 172OG03 Include Biometric Reposition recline. (Requires Memory positions.) 172OG04 Omit Biometric Reposition recline. Powered Seat Elevator (NA with QM715 HD) 172PA30 172OG05 172OG06 E " Power Seat Elevate (Optional CME) $3, CME (3mph drive speed with full elevate) Include CME with Seat elevator (NA with QM720 or QM715HD) Omit CME with Seat elevator Biometric Repositioning Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 7

8 Power Seating Control Powered Seating Thrudrive Control Method. ThruDrive 2+ Actuator 172EO31 E2311 Thru Drive 2+ Actuators: (For operating Tilt, recline, lift, power legs) Includes Ctrl+5 and optional PRAR Powered Seating Thrudrive Control Options Assignable Buttons $3, QG01 172QG03 Ctrl+5 Switchbox Options Ctrl+5 allows direct control to 5 power seating functions (10 total switches). Switches can also be used with assignable buttons and Memory seating for greater flexibility. Box includes 3Amp USB port for charging portable devices #1 Ctrl+5 Switch Location 172QG02 Ctrl+5 Switchbox mounted behind joystick Ctrl+5 Switchbox mounted opposite joystick Ctrl+5 Switchbox mounted on back cane "Assignable Button" feature allows for customization of joystick buttons and/or Ctrl+5 Switches allowing access to various wheelchair and seating functions. When enabled, chair will be preprogrammed with seating functions assigned to buttons on the joystick. Assignments can be changed via PC Dongle. 172PM01 Enable Assignable buttons 172PM02 Disable Assignable buttons PRAR Pressure Relief Alert and Recording PRAR Pressure Relief Alert and Record feature provides programmable alerts to be set into the Rnet electronics that will prompt the user when it is time to perform a pressure relief. The rnet system will record how often the pressure relief is completed or ignored. Requires Memory Seating function. #1 Ctrl+5 Switch Type 172EY03 172EY04 172QG07 172QG08 Push buttons Toggle switches $ A 2nd Ctrl+5 can be added to provide additional control for Memory seating or environmental controls. It can also be mounted as an attendant control all functions of #1 are available. #2 Ctrl+5 Switch Location 172QG06 Ctrl+5 Switchbox mounted behind joystick Ctrl+5 Switchbox mounted opposite joystick Ctrl+5 Switchbox mounted on back cane $1, $1, $1, OG07 Include PRAR #2 Ctrl+5 Switch Type 172OG08 Omit PRAR 172EY05 Push buttons 172EY06 Toggle switches $ Icon on Ctrl+5 flashes Blue when it is time to do a pressure relief and / or emits an Alert Tune Ctrl+5 Push Button option Ctrl+5 Toggle Switch option 11. BACKREST AND BACK OPTIONS FOR ERGO RECLINE Backrest Frame Type 172BT89 Back Upholstery Type Power Recline (Power Recline Seat only) 172BP55 Fixed "Cane" Handles. NA with O2 holder 172BU47 Ergo Back Cushion: choose options below Push Handle Options 172BP56 172BP57 Height Adjustable Push Handles. w/2 utility hooks Omit push handles $ JB03 Jay J3 for Power Recline w/1.5" Foam Choose type below. Power Recline Backrest Preset Home Angle QK QK2 default QK3 172BU14 Omit Back. Includes bracket for aftermarket backs Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 8

9 11a. SEDEO ERGO BACK CUSHION AND OPTIONS SEDEO Ergo Back Type SEDEO Ergo Back coding: ( xx=height, YY=width, zz=upholstery) Back cushion reduces effective seat depth by 1" SEDEO Ergo Back Width (YY) Back can be ordered a different width than seat pan. Armrest will be adjusted to back width ordered. 172OD21 E2620 Ergo Back Cushion ERGOxxYYzz: For 16" to 20" seat width $ BN18 16" Back width 172BN19 18" Back width 172OD22 E2621 Ergo Back Cushion: ERGOxxYYzz For 22" seat width $ BN20 20" 172BN21 22" Back width Back width 172B152 22" NA with Ultra Low STFH Seat Frame 3DX spacer fabric and 172ZD77 xs 172B153 24" Lycra stretch outer layer (xs) 172B154 26" SEDEO Ergo Back Height (xx) (measured from seat pan to top of back shell) 172B158 28" NA with Standard Seat Frame SEDEO Ergo Back Upholstery options (zz) 172ZD76 172ZD78 sf pl 3DX spacer fabric (sf) Premium Leatherette with perforated inserts (pl) JAY J3 Back Contour. Back cushion reduces effective seat depth by 1" 172JP01 172JP02 E2613 E2614 3DX Option Premium Leatherette Option 11b. JAY J3 BACK for ERGO POWER RECLINE OPTIONS J3 PA Back (2.2" of Contour Depth) Available 16"20" Wide (J3PAUTZYYXX) J3 PA Back (2.2" of Contour Depth) Available 22" Wide (J3PAUTZ22FX) $ $ JAY J3 Back Shell Options and Height Ranges. Jay Shells are infinitely height adjustable Choose Frame Type in Section 6 172JR06 JAY J3 Shell Type Mid Thoracic Short 15" shell Frame A min max min max 21" 24" Frame B 19" 22" 172JP03 E2615 J3 PL Back (3.0" of Contour Depth) Available 16"20" Wide (J3PLUTZYYXX) $ JR01 Upper Thoracic Short 16.5" shell 22" 25" 21" 23" 172JP04 E2620 J3 PDL Back (6.0" of Contour Depth) Available 16"20" Wide (J3PDLUTZYYXX) $ JR02 Upper Thoracic Med 18" shell 23" 26" 22" 24" 172JP05 E2620 J3 PDC Back (6.0" of Contour Depth) Available 16"20" Wide (J3PDCUTZYYXX) $ JR03 Upper Thoracic Tall 19.5" shell 24" 27" 24" 25" 172JP06 E2620 J3 PD Back (6.0" of Contour Depth) Available 16"20" Wide (J3PDUTZYYXX) $ JR04 Shoulder Height 21" shell 25" 28" 25" 26" 172B42 22" 172B44 24" 172B140 26" 172B141 27" 172B142 28" 172JQ01 JAY J3 Back Height Setting. Backs are height adjustable SPINEALIGN MINI FIT KIT 2 Measured from pan to top of solid back. Includes: 5 wedges, 2 lat shims, 2 post/lat pelvic, 1 lg lumbar, 1 flat shim, and 1 curved 172JS01 SPINEALIGN MINI FIT KIT 2 $ JR05 JAY J3 Back Width 172JQ02 172JQ03 172JQ04 Shoulder Height 18" shell for 22" wide Back width 18" Back width 20" 23" 26" 22" 24" Back can be ordered a different width than seat pan. Armrest will be adjusted to back width ordered. Back width 14" Back width 16" 172JQ05 Back width 22" (Use with 22" wide seat) Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 9

10 Ergo Multiposition headrest mount, Quick 172MH18 release 172EG29 Headrest Mount 172MH22 Power Elevating Legrests 172H127 Armrest for Power Recline Seating. (Armrest width is adjustable from 16" to 22" E1012 Whimyer Linx Headrest Mount, Quick Release Cantilever / Reclining Arm Standard STFH 10"14" Arm Height Range Ultralow STFH 12"16" Arm Height Range 2Point Reclining Locking Arm Requires Ergo Bolsters to be Omitted, Side Rail will be "Fixed" instead of Swingaway. Call for Quote. Power Centermount ELR w/7.5" Power Articulation (F) Centermount footplates plus Custom Options Below Power Centermount Footplate Extension Option (For ThruDrive Operation) 12. HEADREST OPTIONS Whitmyer Headrest Pad $ HE66 172HE78 172HE82 Whitmyer AdjustaAPlush Pad Narrow 172HE83 Left Arm Pad () 172AE29 Right Arm pad () 172AE23 Comfort 4" wide Reclining Arm Pad 172AB23 172AE26 Comfort Reclining Arm pad (Gel) Comfort 4" wide Reclining Arm Pad AES Trough/Elbow Block Reclining Arm pads (Gel) Left Gel Arm pad ($250.00) Right Gel Arm pad ($250.00) 172AE27 Trough / Elbow Block Medium (Gel) (3.5" x 13") Reclining Arm Pad 172AB27 172AE28 Trough / Elbow Block Large (Gel) (4" x 14.5") Reclining Arm Pad 172AB28 172HL14 E0951 Padded and Adjustable Heel Block $ AB22 Left Gel Arm pad ($150.00) Right Gel Arm pad (150.00) 172AE ARMREST AND ARMPAD OPTIONS 172HE65 Reclining Arm pad Options (Arm pad can be angled inward 15 degrees) Comfort Reclining Arm pad (Foam) Left Arm pad ($75.00) Right Arm pad (75.00) 172AE Centermount Footrest options Footplates $2, Whitmyer Plush Pad 8" Whitmyer Plush Pad 10" Whitmyer Plush Pad 14" Whitmyer AdjustaAPlush Pad Standard Standard Waterfall Reclining Arm pad (Upholstered in 3DX unless back is ordered in Leatherette). St Reclining Arm Pad (16") Comfort 2" wide Reclining Arm Pad Comfort 2" wide Reclining Arm Pad F Centermount Dual Footplate and Heel Block (Pair) (Individually Height (3"19") and Angle Adjustable) 172AB29 172AB25 172AB26 $ F315 K0040 CMT Angle Adjustable Footplates $ IE01 Enable 7.5" Powered footplate extension for transfer assist. (Electronics programmed to allow footplates to be extended with or without legrest being raised) $1, Custom Centermount Options 172DI26 K0040 Extra Large Single Footplate for Centermount Footrest. Size 16"W x 14"D $ IE02 Disable Footplate extension for transfers. (Electronics programmed to ONLY extend footplates when legs are raised.) 172DI27 172DI28 E0995 Gel Foot Pads for XL Single Centermount Footplate. Extra Large Pair Curved Calf Pads for Center Mount Legrests. Fully adjustable $ $ Fixed Center Mount Legrests 172H128 Fixed Center Mount Power Recline (Choose individual angle adjustable footplates and custom options below) (F) Wheelchair Tray Table 1727A06 E0950 SwingAway Tray Backpack 172A1 Black Utility 15. ACCESSORIES Positioning Belt Select for any style seat $ EJ01 172EJ02 172EJ03 Accessories 1728A A10 E0978 Auto Style Buckle Ram Tablet Mount Switchit Remote Stop Switch $ A11 Ram Cup holder $ A12 Belt 2" Aircraft Buckle E0978 Belt 2" Aircraft Buckle Padded $70.00 Ram Phone Mount $50.00 $ $ CUSTOM OPTIONS Looking for more options? Contact our custom "built 4 me" department. To Inquire about any unique customization for Quickie products, contact: Phone: (800) , Option #3 or Fax: (800) Sunrise Medical 2842 Business Park Ave. Fresno, CA USA (800) Canada (800) FAX: (800) Specifications are subject to change without notice. Copyright 2017 MK REV G Page 10