QUICKIE S646 SE BD/SD/MPD No Power, Single Power & Multi Power Seating Option AADL - W579

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QUICKIE S646 SE BD/SD/MPD No Power, Single Power & Multi Power Seating Option AADL W579 EIS62, October 2018 Account: Date: PO#: Buyer: Marked For: Ship To: Name: Address: City,Province,Postal Code:

00 105PC94 Quickie S646 SE BD Base only $9,064.00 Power Seating System Type Quickie S646 SE SD Power See electronic section for control options 105PC91 Quickie S646 SE SD $9,064.

1 QUICKIE S646 SE BD/SD/MPD No Power, Single Power & Multi Power Seating Option AADL W579 EIS62, October 2018 Account: Date: PO#: Buyer: Marked For: Ship To: Name: Address: City,Province,Postal Code: Phone: 1. QUICKIE S646 SE BD/SD/MPD POWER CHAIR Quickie S646 SE BD Power Transit 105PC90 Quickie S646 SE BD $9, TO25 4 Point Transit Package $ PC94 Quickie S646 SE BD Base only $9, Power Seating System Type Quickie S646 SE SD Power See electronic section for control options 105PC91 Quickie S646 SE SD $9, LB1 0 to 250 lbs 105PC95 Quickie S646 SE SD Base only $9, LB5 251 to 300 lbs Quickie S646 SE MPD Power Suspension 105PC92 Quickie S646 SE MPD $9, SV01 Up to 175 lb Weight Capacity 105PC96 Quickie S646 SE MPD Base only $9, SV02 105SV to 250 lb Weight Capacity 251 to 300 lb Weight Capacity Performance Package 105PF mph / 300 LB Capacity LED Light Package (Requires Rnet) 105LI04 LED Light Package (NA w/recline or Base only) 2. POWERED SEATING Power Seating System Options 105PT1 Power CG Tilt PT3 Power Recline System / Pwr Shear $7, PT4 50 Tilt Recline w/pwr Shear Reduction (MPD Only) $12, MPC base can be ordered with any of the above power seating options at initial issue. Expandable controls are required with all MPC Bases 105EO1 Powered Seat Option Electronics Standard Toggle Switch Activation (select switch on Section 10) 105TN1 Toggle Mount Right 105TN2 Toggle Mount Left $6, Powered Seating Thrudrive Control Method. "Assignable Button" feature listed below (available on Rnet Systems) allows for direct "shortcut" access to various seating functions via joystick buttons. Functions accessed by depressing the button for more than 1 second. By selecting the thrudrive w/assignable button the chair will be preprogrammed with seating functions assigned to buttons on the joystick. Assignments can be changed via PC Dongle. 105EO15 105EO13 ThruDrive 1 Actuator options. Thru Drive 1 Actuator w/out assignable buttons. For use with VR2 or Rnet (For operating Tilt thru Joystick.) Thru Drive 1 Actuator with assignable buttons. (For operating Tilt thru Joystick and/or buttons on the remote. Requires Rnet.) ThruDrive 2+ Actuator options. 105EO16 105EO14 Thru Drive 2+ Actuators w/out assignable buttons (For operating Tilt, Recline or Power Legs thru Joystick requires expandable Rnet) Thru Drive 2+ Actuators with assignable buttons. (For operating Tilt, Recline or Power Legs thru Joystick and/or buttons on the remote. Requires expandable Rnet) ORDER INFORMATION: Customer Service: Fax: Page 1

2 2. FRAME COLOR OPTIONS Standard Colors 105C103 Rootbeer 105C140 Aztec Gold 105C114 Sparkle Silver 105C2 Black (Not avail as base w/zebra) 105C145 Sunrise Orange 105C141 Black Cherry 105C113 Titanium Color Paint 105C10 Black Opal 105C8 Yellow 105C38 Blue Opal Standard Matte Colors 105C36 Candy Blue 105C14 Candy Purple 105C35 Candy Red 105C142 Electric Blue 105C143 Evergreen 105C126 Glow 3. SEATING 105C105 Matte Black 105C151 Matte Black Cherry 105C152 Matte Purple 105C C149 Matte Electric Blue Matte Evergreen Custom Colors 105C144 Green Apple 105C43 Mossy Oak Camouflage $ C147 Hot Sparkle Pink 105C148 Mauve Pink 105C42 Stars and Stripes $ C108 Zebra (Choose base color above: White Std, n/a black) $ W5 105W6 105W7 105W8 105W9 105W10 105W11 105W13 105W14 105SD7 105SD8 105SD9 105SD12 14" 24" Wide base (273/4") Included. 14" 15" 105SD10 17" 105SD11 105SD13 15" 16" 18" 19" 20" 22" Wide base (273/4") Included. 18" 19" 20" Seat Width Seat Depth 105HT12 105HT14 105HT17 105FA3 Seat Rail Type Straight Seat Frame (not avail. With power ALR/ELR) Flared Seat Frame (Add 1" ea.side) 19" (Not available with power seating options. 20" (Add.5" for Power CG Tilt or Tilt and Recline.) 21" (Not available with power seating options. 105SD14 21" 105FA SD33 22" Not avail. w/ 18" seat height. 17" 16" 105FT50 105FT47 105HT10 105FA4 Seat Height 18" (Add.5" for Power CG Tilt or Tilt and Recline.) Seat Frame Angle 3 6 Not avail. w/ 18" seat height. ORDER INFORMATION: Customer Service: Fax: Page 2

3 Back Type 105BU27 Parapak Upholstery (select back height) 105BU26 Jay Solid Backrest (select back height) 105BU14 Omit Jay Solid Backrest (This option should be selected only when using a Jay 3 or other aftermarket backrests in combination with tilt seating.) BACKS 105B88 105B95 15" 16" 17" 18" 105B97 19" 20" Back Height (Not avail. on Pwr Recline or Tilt & Recline) 21"29" Only available on Reclining and Tilt and Recline Systems.When selecting 21"29 with the Smart Seat only there will be a 7" gap btwn the seat pan & the bottom of the backrest pad when the shear adj. is fully extended. This provides room for the shear compensation to operate. Jay 3 Option 105B99 21" 22" 105JB01 Jay J3 (select OMIT Backrest above) See J3 OF 105B100 23" 24" 105B112 25" 26" 105B B114 27" 28" 29" 105PN1 105PN2 Seat Type Seat Pan Aluminum Omit Seat Pan (not avail. w/recline Seat) Power Recline Back Preset Home Angle QK QK QK3 5. SEAT CUSHIONS Standard Cushion 105CU1 2" Cushion. $ JAY Cushions (Optional) To order any JAY cushions onchair, please see the JAY price list. Cushion name or part number must be filled out w/ desired width & depth JAY Bundled Cushion 105JC20 Cushion Name or Part # Width: Depth: List 6. ARMRESTS Armrest Mounting for K0868 BD Model Armrest for Power Recline Seating. 105AA25 Dual Post Short Flip Back (Fits seat sizes 1416" Deap) 105AA60 Reclining Height Adjustable Std Height (9" 12") 105AA30 Dual Post Long Flip Back (Fits seat sizes 1622" Deap) 105AA61 Reclining Height Adjustable Tall Height (11" 14") 105AA36 Dual Post Short Flip Back Height Adj. (Fits seat sizes 1416" Deep) $ Standard Reclining Armpad 105AA40 Dual Post Long Flip Back Height Adj. (Fits seat sizes 1622" Deep) $ Left Arm Pad () 105AE05 Reclining Arm Pad (16") Right Armpad () 105AB05 105AA8 Single Post Height Adjustable $ Otto Bock Reclining Armpad (Power Recline Seat only) Armrest Mounting for K0877 SD Model Left Arm Pad ($130.00) Right Armpad ($130.00) 105AA148 Dual Post Short Flip Back Height Adj. (Fits seat sizes 1416" Deep) 105AE06 105AE07 MD Forearm Pads (11.5") LG Forearm Pads (14") 105AB06 105AB07 105AA149 Dual Post Long Flip Back Height Adj. (Fits seat sizes 1622" Deep) Otto Bock Hand Pad Options 105AA8 Single Post Height Adjustable $ Left Hand Pad ($65.00) Right Hand Pad ($65.00) 105OL01 MD Flat Hand Pads (41/2" x 7") 105OR01 BD/SD Armpad Options 105OL02 LG Flat Hand Pads (51/2" x 9") 105OR02 Left Arm Pad () Right Armpad () 105AE01 Desk Length Waterfall (10") 105AB01 105AE02 Full Length Waterfall (14") 105AB02 105AE03 Desk Length Standard (10") 105AB03 105AE04 Full Length Standard (14") 105AB04 105AA14 Omit Armrests ORDER INFORMATION: Customer Service: Fax: Page 3

4 7. FOOTRESTS Hanger (Pair) Foot Plate (Pair) 105H2 70 Swing Away Hanger Adult Angle Adjust. w/ heel loop $ H37 90 Swing Away (Only available with kids angle adjustable footplates) 105F HL10 Adult Angle Adjustable Footplate Heel Loop $ Kids Angle Adj. w/ Leg Strap (Only available with 90 hangers) $ H14 Manual Elevating Hanger (Req. aluminum footplate or angle adj. and Med. Extension Tubes) $ F LS13 105F113 Kids Angle Adjustable Footplate Leg Strap Aluminum (Only avail. w/manual ELR) $ $ H38 105H39 Power Elevating (Pair) Order with Power ELR/ALR extension tubes. Maximum rider weight limit 250 lbs. Only available with seat widths 16" and greater. Power Articulating (Pair) Order with Power ELR/ALR extension tubes. Maximum rider weight limit 250 lbs. Only available with seat widths 16" and greater. $1, $2, Twopiece Locking w/heel Loop (Only avail. w/ 70 SA Hangers) 105F61 105HL10 105F47 105F6 Twopiece Locking Footplate MultiPositional w/heel Loop Not avail. w/med. Ext. tubes. Avail. for use only on the 70 swingaway hanger and the Power ALR and ELR. 105HL10 Heel Loop MultiPositional Footplate Heel Loop Omit Foot Plate w/heel Loop 105H32 Omit Hangers $15.00 Footrest Accessories 105LS3 Extra Leg Strap, Black $55.00 Extension Tube Not available with 90 hangers. 105A110 Toe Loop (Only available with angle adjustable footplates) $ E1 Short (13" 15") 105E2 Medium (15" 18") Not available with multiposition footplate. 105E5 Long (18" 20") 105E33 Power ELR/ALR Med (15.5" to 18") Use Multipositional Footplates for shorter leg lengths (13" 151/2"). 105E34 Power ELR/ALR Long (17.5" to 20") ORDER INFORMATION: Customer Service: Fax: Page 4

5 8. ELECTRONICS Drive Control Rnet OMNI and Output Options 105ER04 RNet NonExpandable Drive Control (120A) 105J91 Omni* Only $2, J89 Compact Joystick with Omni* $1, Drive Controller Upgrade Options 105J90 Output Module w/ Omni* $3, RNet Expandable Drive Control Upgrade (120A) 105A401 Output Module w/o Omni* (ECM) 105EX03 Expandable 120AController Rnet 105A602 Rnet Bluetooth Mousemover 105EX04 Harnessing for 120A Expandable Controller * Omni is always mounted on the opposite side of the joystick Rnet Joystick and Expandable Options Addition of Second Joystick to Specialty Input 105J70 Std LED Joystick for Expandable Ctrls 105J88 Joystick w/toggle/speed Pot /Color Disp. $ J108 Joystick w/stereo Jacks & Color Display $ A404 2nd Output module for additional ports $1, J88 Joystick W/Toggle, Spd Pot & Color Disp. $ OMNI Mount (If used with Joystick must be mounted opposite side) Joystick Mount (Fixed or Swing Away) 105DK2 Left Side Mount 105JM1 Fixed Mount 105DK1 Right Side Mount 105JM2 Swing Away Mount $ Battery Charger Joystick Mount (Location) 105BJ19 8 A Battery Charger CTE Height Adjustable. 105BJ3 Omit Charger $ HM1 Right Side Mount 105HM2 Left Side Mount Batteries Joystick Handle 105AG21 GP22 Flat Top Batteries Pair w/strap $ JH1 105JH2 Ball Handle Foam Ball Handle 105A48 GP24 MK Gel Flat Top Batteries Pair w/strap $ JH4 105JH6 THandle Goalpost 105AG22 GP24 Brightway AGM Flat Top Batteries Pair w/strap $ SPECIALTY INPUT INDIVIDUAL COMPONENTS Specialty Input Device Requires USCM Specialty Input Device Single Switch (cont) 105ID9 Mini Proportional Joystick 105SW4 Micro Light Switch $ SW6 Ribbon Switch $65.00 Specialty Input Device Single Switch 105SW9 Wobble Switch $ SW1 105SW2 Buddy Button Switch Disc Switch $75.00 $ SW11 Switch Mount Bracket (Not available with wobble switch) $ SW10 Egg SwitchBlack $ ORDER INFORMATION: Customer Service: Fax: Page 5

6 Headrest (Included on Specified Specialty Controls) Headrest 8" x 4.5" 105HE1 Curved Headrest 8" x 4.5" 105MH1 Removable Mount 10. POSITIONING OPTIONS Solid backrest must be selected Headrest (Included on Specified Specialty Controls) $ Headrest 9" x 4.5" $ $ HE2 Curved Headrest 9" x 4.5" $ MH1 Removable Mount 11. LATERAL THORACIC SUPPORT Requires Jay Solid Backrest Pad Style Lateral Pads Curved $ KD1 105KE1 Lateral Pad Curved Pair $ KD2 105LM1 Lateral Pads Straight Swing Away Mount Pair $ KD3 105KE2 Lateral Pad Straight Pair $ LM1 Swing Away Mount Pair Pad Size Lateral Support 3" x 6" (pr) Lateral Support 4" x 5" (pr) Lateral Support 4" x 6" (pr) 12. WHEELS Drive Wheel Wheel Lock 105DW14 14" Cast Wheel Pneumatic Tire 105WL8 Push to Lock $ DW15 14" Cast Wheel Pneumatic w/ins. $ WL12 Do Not Mount 105DW24 14" Chrome/Black Whl Pneumatic $ DW25 14" Chrome/Black Pneumatic w/ins. $ DT1 Drive Wheel Tire Knobby STD 13. CASTERS Rear Caster Wheel Caster Fork 105RK1 4" Soft Polyurethane Suspension Fork Options are only available with 8" casters. 105RK2 4" Micro Lighted $ CF31 Solid Caster Fork 105CF34 Suspension Fork Light 0150 lbs. $ Front Caster Wheel 105CF35 Suspension Fork Med lbs. $ CW20 8" Pneumatic w/ Insert 105CF43 Suspension Fork Heavy lbs. $ CW21 8" Pneumatic 105CW28 9" Pneumatic w/insert $ CW29 9" Pneumatic $ ORDER INFORMATION: Customer Service: Fax: Page 6

7 14. ACCESSORIES Wheelchair Tray Table (Size based on seat width chosen) Specialty Driver Control Options (requires expandable controls) Note: Available only with Std armpads 1420" All packages must be added to the specialty control onchair package. 105A31 Medium Tufftak (15"17") $ Not available with Upholstered backs 105A32 Large Tufftak (18"20") $ Quickie Sip n' Puff System 105ID26 Sip N' Puff Kit Backpack 105EA3 Headrest 105A1 Black Utility 105EA1 Headrest Removable Mount 105A2 Black/Charcoal Kids $ EA4 Sip n' Puff Tubing and Hardware $3, $3, A A12 105A13 105PR3 105PR4 105A DN1 105DN2 Positioning Belt Select for any style seat ASL Head Array Package (Adult) 1.5" Auto Style Buckle $ ID31 ASL Proximity Head Array (Adult) Belt 2" Aircraft Buckle $ EA1 Headrest Removable Mount Belt 2" Aircraft Buckle Padded $ ASL Head Array Package (Ped) Electronic Programmers 105ID30 ASL Proximity Head Array (Ped) Rnet PC Programmer with Dongle $ EA1 Headrest Removable Mount Rnet Hand Held (DTT) $1, SwitchIt Head Array Package (Adult) Attendant Control 105ID13 Switchit Proximity Head Array Attendant Control for Rnet 105EA1 Headrest Removable Mount MOUNTING LOCATION: Right Back Cane MOUNTING LOCATION: Left Back Cane SwitchIt Head Array Package (Pediatric) 105ID14 Switchit Proximity Head Array 105EA1 Headrest Removable Mount Single Switch (pick a switch to operate your tilt or recline with toggle 105SW6 Ribbon Switch $ SW1 Buddy Button Switch $ SW2 Disc Switch $ SW9 Wobble Switch $ SW4 Micro Light Switch $ SW10 Egg SwitchBlack $ Single Switch Mount Bracket 105SW11 Switch Mount Bracket $ Seat Pouch 105A8 Black/Charcoal $75.00 Miscellaneous 105A82 Caddy $81.00 Weight: Range: Proportional Chin Control Package 105ID12 Proportional Joystick 105EA1 Removable Mount 105VT2 Overall Width Overall Length: Top Speed: Vent Options Articulating Vent Tray $2, Additional Specifications 128 lbs (without batteries) 253/4" (Standard Width Base); 273/4" (Wide Base) (Measured at drive wheels) 291/2" (Without Footrests) As far as 16.2 miles (With Group 24 batteries depending on conditions and user environment) Up to 8.5 mph ORDER INFORMATION: Customer Service: Fax: Page 7

QUICKIE P222 SE BD/SD Solid Seat (No Power or Single Power Seating Options) EIPW2 - Effective January 2018

QUICKIE P222 SE BD/SD Solid Seat (No Power or Single Power Seating Options) EIPW2 - Effective January 2018 Account: Date: PO#: Buyer: Marked For: Ship To: Name: Address: City,State,Zip: Phone: The HCPCS