Quickie QM-7 Series Power Recline Seating

Transcription

1 Quickie QM7 Series Power Recline Seating (Tilt/Recline K0861, K0862, K0844) (Recline Only K0856, K0858, K0877) EIPW11, January 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 Power Recline Seating (Select One) Tilt AND Recline QUICKIE QM710 MPC (Group 3 K0861/K0011) Quickie QM710 MPC Tilt and Recline $6, Recline ONLY QUICKIE QM710 SC (Group 3 K0856/K0011) Quickie QM710 SC for ASAP II Recline ONLY $6, PC69 K0861 / K0011 Base Package $6, PC68 K0856 / K0011 Base Package $6, QUICKIE QM715 HD MPC (Group 3 K0862/K0011) Quickie QM715 HD MPC Tilt and Recline $8, QUICKIE QM715 HD SC (Group 3 K0858/K0011) Quickie QM715 HD SC for ASAP II Recline ONLY $7, PC104 K0862 / K0011 Base Package $8, PC80 K0858 / K0011 Base Package $7, QUICKIE QM720 MPD (Group 4 K0884/K0014) Quickie QM720 MPD Tilt and Recline $8, QUICKIE QM720 SD (Group 4 K0877/K0014) Quickie QM720 SD for ASAP II Recline ONLY $8, PC87 K0884 / K0014 Base Package $8, PC86 K0877 / K0014 Base Package $8, HCPC Code Typical Chair Weight Transit Seat Type K0861 / K0862 / K0884 / K0856 / K0868 / K0877 WC19 occupied approved W/O Battery 3.7 Power Recline. NA with QM715 Seat size range Width 14"22" STFH range MPC 16" 19.3" Power Seating MPC Seating Specifications W/battery 375lbs Depth 16"22" 285lbs 50º CG tilt and Power recline w/ power sheer reduction / 12" Seat elevator Actuators Required by Power Seating Function Power Recline with Power Sheer Reduction: Combination : Recline, Tilt: Combination : Recline, Seat elevate: Combination : Recline, Power Legrests: Combination : Recline, Tilt, Power Legrests: Combination : Recline, Seat elevate, Power Legrests: Combination : Recline, Tilt, Power Legrests, Seat elevate: 2 actuators 3 actuators 3 actuators 4 actuators 5 actuators 5 actuators 6 actuators QM710 MPC Shown w/ optional Seat Elevator QUICKIE QM7 Base Specifications Drive Wheel Position Midwheel Drive Drive Wheels 14" Drive Wheels w/ flat free insert (Black or Grey) User weight Cap 300 lb 350lbs Tires/Casters 6" Front / 6" rear (Black or Grey) Base size Width 25" Length 36" Turn Radius 20" Charger 8A Dual Mode Charger (Compact) CTE Drive Control RNet PM120 (NonExpandable and Expandable) Battery Size Group 24 / Group 34. Driving Range Up to 13.5 miles Shroud Colors 12 standard colors, 4 upgrade prints. Drive Motors 4pole 6 mph, Optional 5mph and 8mph Ground Clearance 4" ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 1

2 Speed Package (4pole 300lb) 172PF85 QM710 Standard 6 mph motor package 172PF91 QM710 5 mph High Torque motor package 172PF90 QM710 8 mph Community motor package $1, PF84 QM715 HD Standard 5 mph motor package 172PF89 QM720 Standard 8 mph motor package 2. BASE CHAIR OPTIONS Drive Wheel $ DW59 14" Cast Wheel Solid Dual Density Inserts Black Knobby Tires and Black Caster Std Suretrac Drive Tracking 172MI01 Suretrac Module and Motor Encoders $1, Shroud Color 172EZ04 Silver 172TO40 Omit Transit Tiedown NC 172EZ12 Matte Black 172WL42 Wheel locks $ User weight 172HT44 Position "0" 172WG06 Less than 150lbs 172HT49 +.5" STFH Requires Group 34 Batteries 172WG lb 172HT45 +1" STFH 172EZ01 172EZ02 172EZ03 172EZ05 172EZ08 172EZ09 172EZ10 172EZ11 172EZ13 172EZ15 172EZ06 172EZ07 172EZ14 172EZ16 172EZ17 172EZ18 172WG14 Candy Apple Red High Gloss Black Candy Blue Green Apple Pearl Pink Yellow Candy Purple Midnight Blue Pearl White Digital Camo. Carbon Fiber Print Copper American Flag. Pink Camo lb 172WG lb 172HT47 +3" STFH 172WG lb Transit Package NA Seating Type and Power Option Combinations SC Power Recline only STFH Matrix Transit Option 16** SC Power Recline and 9" Lift Seat MPC Power Recline and Tilt. Woodland Camo. Grunge Skulls MPC Power Recline with Tilt & 12" Lift combo 172WN01 WC19 Transit Lap Belt Ventilator Options 172FA10 0 Seat Height (Use STFH Matrix below) 172HT46 LED Light Package 172LI04 4Point Transit Tiedown Package Meets WC19 for Occupant Use 172WN02 WC19 Transit Lap Belt $ Wheel locks 172VT4 E1029 Fixed Vent Tray (Pulmonetic LTV Models) PreSet Seat Frame Angle (STFH increases 1" per increment change) (Measured in the front) Obtain Quote to verify est. STFH LED Light Package: Includes headlights, tail lights, turn indicators and flashers. +1" " STFH SeattoFloor Height at 0 tilt 0 +.5" +2" +3" STFH measured with batteries but no user. Actual STFH may vary by.5" *Adding seat angle will increase STFH by 1" for each incremental change. **Ultra low STFH may cause ground clearance of Power Centermount to drop below 2" $ $ $1, BATTERIES and CHARGERS Batteries Battery Charger 172BJ19 8A Dual Mode (Compact) CTE 172AG21 E2361 GP22 Flat Top Batteries Pair w/strap $ AG04 E2363 GP24 MK Gel Flat Top Batts Pair w/strap Recommended for Max Daily Range $ AG22 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. $ ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 2

3 Drive Control Options Expandable Controllers 172ER06 RNet Expandable Drive Control (120A) $ EX05 172EX06 E2377 E2313 Expandable 120A Controller Rnet Harness for 120A Expandable Controller 4. ELECTRONICS $ $ Rnet OMNI and Output Options 172ON6 (For expandable controls, choose all that apply) Rnet OMNI Input Control Module and display with built in Infrared and armrest mount. Choose mount below. (required for Specialty Input Devices.) $1, Rnet 172J J70 172J J88 172J JM10 172JM15 172JH2 CJSM2: Advanced: 3.5" Color Display, Paddle Switches, Programmable Shortcut Keys, ICONs, Stereo Jack, IR and dual (IOS/Android) Bluetooth control $1, Fixed Mount 172DS03 Swing Away Right Side OMNI Mount 172HM1 Right Side Mount 172HM2 Left Side Mount Handle (Optional) 172JH1 E2323 Ball Handle $80.00 E2323 Foam Ball Handle $ SW35 Switchit Mini 1 button on Mono plug $ JH4 E2323 THandle 172JH6 Attendant Control 1720A04 Attendant Mounting location 172DN1 Retractable mount w/45º stops $ JM14 Mid Line Mount $ Mount (Location) E2331 Std LED for Rnet Controls w/stereo Jacks & Color Display W/Toggle, Spd Pot, Stereo Jack & Color Display Advanced: 3.5" Color Display, Paddle Switches, Shortcut Keys and Stereo Jack. Height Adjustable. Mounting location: Right Back Cane $80.00 E2323 Goalpost $80.00 Attendant Control for Rnet $1, DN2 Mounting Location: Left Back Cane $ $ J95 Omit JS. For use with OMNI Mount(Fixed, SwingAway, Retractable, Midline) 172JM11 Swing Away Mount $ ON7 172SW6 172SW1 172SW2 172SW38 E2351 Rnet Output Module (ECM) $1, Rnet Bluetooth Mousemover for Windows / 172ON8 $ Android 172ON9 OMNI Mount Switch inputs for s or OMNI 172SW22 Stereo to 2 Mono Splitter 172SW9 172SW4 Micro Light Switch $ SW24 172SW21 Dual toggle switch and bracket $ SW37 Switchit Mini 2 button on 1 Stereo plug $ Switch Mount Bracket Switchit Mini 4 button on DB9 connector $ EM01 Single Switch Mount Bracket $ Rnet Electronic Programmer Rnet Bluetooth for Apple Devices $ (If used with must be mounted opposite side) 172DS04 Swing Away Left Side OMNI Mount $ Drive or Mode / Profile Control Ribbon Switch $ Buddy Button Switch $80.00 Disc Switch Wobble Switch 172PR5 Rnet PC Programmer with Dongle $ $65.00 $ Egg SwitchBlack $ SW36 Switchit Mini 2 button on 2 Mono plugs $ $ ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 3

4 5. Specialty Driver Control Options Requires expandable Rnet controls and OMNI unless otherwise noted. Not available with Upholstered backs. 5a. Proportional Control Packages Head Control Proportional Packages Chin Control Proportional Packages Switchit Dual Pro Proportional Head Control with Whitmyer and Facial Pads (Adult) $5, Switchit VersaGuide Chin Control Compact and Egg Switch Package $2, ID72 E2328 Switchit Dual Pro Head Control w/facial pad (Adult) $5, Switchit VersaGuide Compact Proportional 172IJ09 SA Boom Mount with Egg Switch Control 172IM07 S/A Mount off backrest $ Switchit Dual Pro Proportional Head Control with Spot Pads Package 172ID70 E2328 Switchit Dual Pro Head Control w/spot pads $5, $5, IJ09 SA Boom Mount with Egg Switch Control 172IJ04 Switchit VersaGuide Chin Control Compact and Proximity Flex Switches Package SA Boom Mount with egg switch Switchit VersaGuide Compact Proportional $2, Hand Control Proportional Packages 172IM08 Dual Flex Proximity Switches (requires no force) $ Switchit VersaGuide Compact Midline with Gatlin Package Switchit VersaGuide Compact Proportional $1, IJ07 S/A Gatlin Mount $ IM07 SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex switches Package Std 6" S/A Mount off backrest Switchit VersaGuide Compact Proportional $ $2, Switchit VersaGuide Compact Midline and prox flex switches with Gatlin Package $2, IM08 Dual Flex Proximity Switches (requires no force) $ IM08 Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) $ IJ07 S/A Gatlin Mount $ IM05 SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex Switches Package Large 8" Bib mount Small Switchit VersaGuide Compact Proportional $ $2, Switchit MicroPilot with Space Disc Package $3, IM08 Dual Flex Proximity Switches (requires no force) $ ID62 MicroPilot Proportional $2, IM06 Bib mount Large $ IJ08 S/A SpaceDisc mount $ Switchit MicroGuide with SpaceDisc Package 172ID63 $3, MicroGuide Proportional $2, SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Std 6" Switchit VersaGuide Compact Proportional $2, IJ08 S/A SpaceDisc mount $ IM05 Bib mount Small $ ASL Proportional Micro Extremity (ASL130) Midline with Gatlin Package 172ID59 $3, Micro Extremity $3, IJ04 SA Boom Mount with egg switch SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Large 8" $2, IJ07 S/A Gatlin Mount ASL Mushroom (ALS135) Midline with Gatlin Package $ $2, IM06 Switchit VersaGuide Compact Proportional Bib mount Large $ ID60 Mushroom $2, IJ04 SA Boom Mount with egg switch 172IJ07 S/A Gatlin Mount $ ASL Compact w Integrated buttons (ASL134) Midline with Gatlin Package $1, SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Std 6" 172ID62 MicroPilot Proportional $3, $2, ID61 ASL Compact $1, IM05 Bib mount Small $ IJ07 S/A Gatlin Mount $ IJ04 SA Boom Mount with egg switch ASL Micro Mini w Hand Pad (ASL136) Midline with Gatlin Package $3, SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Large 8" $3, ID68 Micro Mini $2, ID62 MicroPilot Proportional $2, IJ07 S/A Gatlin Mount $ IM06 Bib mount Large $ IJ04 SA Boom Mount with egg switch SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Std 6" $3, ID63 MicroGuide Proportional $2, IM05 Bib mount Small $ IJ04 SA Boom Mount with egg switch SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Large 8" $3, ID63 MicroGuide Proportional $2, IM06 Bib mount Large $ IJ04 SA Boom Mount with egg switch ASL Proportional Micro Extremity Chin / Lip with Egg Switch Control Package $3, ID59 Micro Extremity $3, IM07 S/A Mount off backrest $ IJ04 SA Boom Mount with egg switch ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 4

5 ASL Proximity Head Array Package (Adult) ASL Proximity Head Array Package (Ped) SwitchIt Head Array Package 3 Switch Curved (Long) SwitchIt Head Array Package 3 switch curved (Stubby) 5 Switch Proximity Head Array (No Egg Switch Needed) Choose "Headrest Mount for Special Controls" 172II04 172IJ09 172II13 172II14 Multiple Switches. 172IJ09 172II03 172IJ09 172IJ09 172SW32 172SW33 172SW23 E2330 ASL Proximity Head Array (Adult) ASL Proximity Head Array (Ped) Switchit Proximity Head Array Long Switchit 4 Naked proximity switches on DB9 connector. (requires OMNI) 4way toggle switch button DB9 Connector. Includes bracket $4, SA Boom Mount with Egg Switch Control SA Boom Mount with Egg Switch Control Switchit 3 Naked proximity switches on DB9 connector. (requires OMNI) Switchit 5 Naked proximity switches on DB9 connector. (requires OMNI) Quickie Sip n' Puff System $4, MH13 Cobra Mount & Bracket for Specialty Controls $3, ASL (502) 5Switch adaptor box on DB9 172SW34 connector. (for use with 5 mono switches, not $3, included) 5. Specialty Driver Control Options (cont.) 5b. Switch Control Requires Headrest and/or Headrest Mount 3 Switch Proximity Head Arrays Choose headrest mount below Sip N Puff Package Choose headrest and HR mount below 172II02 172SW31 E2330 E2330 E2330 E2330 SA Boom Mount with Egg Switch Control SA Boom Mount with Egg Switch Control Switchit Proximity Head Array Stubby SwitchIt Head Array 5 switch flat $4, ID34 $4, $4, $4, $4, $4, $4, $2, $3, $ IH1 172IJ10 172HE79 172IB04 172IB05 172IB06 172IB07 E0955 Plush Pad 10" for Specialty controls Plush Pad 14" for Specialty controls Extra Swing Away Head Boom Egg Switch and Mount Sip n' Puff Tubing and SA Hardware Headrest Mount for Specialty Controls 172MH12 172MH14 E IJ06 E1029 Extra SA Boom Mount with egg switch #2 172IB02 E2325 E2326 Headrest Pad for Specialty controls 172HE80 172HE81 172IJ05 Single Switches 172IB01 172IB03 E0955 Sip N' Puff Kit SA Boom Mount with egg switch Axys Mount & Bracket for Specialty Controls Linx Mount & Bracket for Specialty Controls Plush Pad 8" for Specialty controls Ribbon Switch Buddy Button Switch Disc Switch Wobble Switch Micro Light Switch Egg SwitchBlack Switchit Mini 1 button on Mono plug $2, $1, $ $ Extra SA Boom Mount with egg switch #1 $ $80.00 $ $80.00 $ $ ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 5

6 6. SEAT TYPE 172ST57 Power Recline Recline Seat Frame size 172FU26 Power Recline Seat Frame ( G ) 14x16 to 22x20 (Not width Adjustable) 172FU27 Power Recline Seat Frame ( H ) 18x18 to 22"x22" (Not width Adjustable) 7. SEAT SIZE Seat Size Matrix. Seat type is chosen in section 5. Recline Seat Width 14" 16" 18" 20" 22" 16" G G G G G G/H = Recline Seat (Width not adjustable) 17" G G G G G Note: Power Recline Seat Depth measured from solid surface of back to front of seat pan. Please accommodate for backrest cushion thickness. Seat Depth (Adjustable) 18" G G G,H G,H G,H 19" G G G,H G,H G,H 20" G G G,H G,H G,H 21" H H H 22" H H H Seat Width Seat Depth 172R23 14" Seat width () 172RF5 16" 172R5 16" Seat width () 172RF6 17" 172R7 18" Seat width () 172RF7 18" 172R9 20" Seat width () 172RF8 19" 172R25 22" Seat width () 172RF24 20" 172RF26 21" 172RF25 22" () () () () () () () JAY Cushion Bundling 8. SEAT CUSHIONS 172JC14 Jay Cushion On Chair Order Choose Cushion in section 17c. NC 9. POWERED SEATING Power Seating Options 172PA24 E1005 Recline Only w/power Shear Reduction (2 actuators) $5, PA25 E1008 Tilt and Recline w/power Shear Reduction (3 actuators) $10, PA16 E1005 QM715 HD Recline Only w/power Shear Reduction Only (350lbs weight limit) (2 actuators) $7, PA17 E1008 QM715 HD Tilt and Recline w/power Shear Reduction (350 weight limit) (3 actuators) $12, Powered Seat Elevator (AKA: Power Lift) 172PA26 E2300 9" Power Seat Elevate for use without tilt (NA with QM715 HD) $2, PA27 E " Power Seat Elevate for use with tilt (Must be ordered with SPOT tilt, NA with QM715 HD) $2, Power Seating Control Powered Seating Thrudrive Control Method. Ctrl+5 Switchbox Options 172EO29 E2311 ThruDrive 2+ Actuator Thru Drive 2+ Actuators: (For operating Tilt, recline, lift, power legs) Includes Ctrl+5 $3, Ctrl+5 allows direct control to 5 power seating functions (10 total switches). Switches can also be used with assignable buttons for greater flexibility. Box includes 3Amp USB port for charging portable devices 172QG01 Ctrl+5 Switchbox mounted behind joystick Powered Seating Thrudrive Control Options Assignable Buttons "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. 172QG02 172QG03 172QG04 172QG05 Ctrl+5 Switch Type 172EY03 Ctrl+5 Switchbox mounted opposite joystick Ctrl+5 Switchbox mounted on back cane Ctrl+5 Switchbox mounted on seat rail Omit Ctrl+5 Push buttons 172PM01 Enable Assignable buttons 172EY04 Toggle switches $ $ ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 6

7 11. BACKREST AND BACK OPTIONS for 3.7 POWER RECLINE Backrest Frame Type 172B42 22" QK QK2 default QK3 172B44 24" 172BT89 Back Type (Solid Recline) 172BU83 Jay 3 Contour. 172JP01 172JP03 E JP04 172JP05 E2613 E2614 E2620 Power Recline (Power Recline Seat only) Power Recline Backrest Preset Home Angle 172JB03 172BU84 172JP02 172JP06 E2620 E2620 Standard Curve back with 1.5" Foam cushion. (Reduces Seat Depth) Jay J3 for Power Recline w/1.5" Foam Choose type below. (Reduces Seat Depth) J3 PA Back (2.2" of Contour Depth) Available 14"20" Wide (J3PAUTZYYXX) J3 PA Back (2.2" of Contour Depth) Available 22" Wide (J3PAUTZ22FX) J3 PL Back (3.0" of Contour Depth) Available 14"20" Wide (J3PLUTZYYXX) J3 PDL Back (6.0" of Contour Depth) Available 14"20" Wide (J3PDLUTZYYXX) J3 PDC Back (6.0" of Contour Depth) Available 14"20" Wide (J3PDCUTZYYXX) J3 PD Back (6.0" of Contour Depth) Available 14"20" Wide (J3PDUTZYYXX) Back Height Required for Standard Curved Recline Backs and Jay 3 recline backs. 172B140 26" 172B141 27" 172B142 28" Push Handle Options 172BP55 172BP56 $ BP57 11a. JAY 3 BACK for 3.7 POWER RECLINE OPTIONS $ $ $ $ $ $ (Limited combinations of widths) Measured from pan to top of solid back. 172JR04 Fixed "Cane" Handles. Height Adjustable Push Handles. w/2 utility hooks Omit push handles Jay 3 Back Height. Backs are height adjustable 172JR06 172JR01 172JR02 172JR03 172JR05 MT for 22" tall back. (Mid Thoracic Short 15" shell) UT for 24" tall back. (Upper Thoracic Short 16.5" shell) UT for 26" tall back. (Upper Thoracic Med 18" shell) UT for 27" tall back. (Upper Thoracic Tall 19.5" shell) SH for 28" tall back and widths 1420" (Shoulder Height 21" shell, ) SH for 2628" tall back and 22" wide seat (Shoulder Height 18" shell, ) $55.00 SPINEALIGN MINI FIT KIT 2 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 $ JQ01 Jay 3 Width Back can be ordered 2" narrower than seat pan. Armrest will be adjusted to back width ordered. Future growth can be accomplished by replacing back with wider versions and adjusting arms outward. 172JQ02 172JQ03 172JQ04 Back width 14" (Use w/ 1416" wide seat) Back width 16" (Use w/ 1618" wide seat) Back width 18" (Use w/ 1820" wide seat) Back width 20" (Use w/ 2022" wide seat 172JQ05 Back width 22" (Use with 22" wide seat) 12. HEADREST OPTIONS Choose One Each. Headrest Mount Headrest Pad 172MH10 Axys Mount & Bracket 172HE65 E0955 Plush Head Support Pad 8" 172MH11 Cobra Mount and Bracket $ HE66 E0955 Plush Head Support Pad 10" 172MH1 Linx Mount and Bracket 172HE78 E0955 Plush Head Support Pad 14" 172HE82 E0955 Adjusta Plush Head Support Pad Narrow 172HE83 E0955 Adjusta Plush Head Support Pad Standard ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 7

8 13. POSTURAL SUPPORTS LATERAL THORACIC SUPPORT (Swing Away) LATERAL 4X5 W/ 1" OFFSET PAIR $ KB7 172ZV16 LATERAL 4X6 W/ 1" OFFSET PAIR $ XX06 172ZV17 172ZV18 172ZS07 172ZV19 172ZR03 E0960 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 LATERAL SWING AWAY MOUNT PAIR LAT 4X6 S/A MOUNTS W/ 1" OFFSET PR 172ZS07 LATERAL SWING AWAY MOUNT PAIR LAT 6X4 S/A MOUNTS W/ 1" OFFSET PR 172ZS07 LATERAL 6X5 W/ 1" OFFSET PAIR Padded Chest Strap $ KB6 Knee Adductor Pad SM Right $ LATERAL 6X6 W/ 1" OFFSET PAIR $ ZS07 LATERAL SWING AWAY MOUNT PAIR CHEST STRAP $ LATERAL 4X4 W/ 1" OFFSET PAIR $ LATERAL SWING AWAY MOUNT PAIR LATERAL 6X4 W/ 1" OFFSET PAIR LATERAL SWING AWAY MOUNT PAIR LAT 6X5 S/A MOUNTS W/ 1" OFFSET PR LATERAL SWING AWAY MOUNT PAIR LAT 6X6 S/A MOUNTS W/ 1" OFFSET PR $ $ Swing Away Knee Adductor Supports Not available with Dual Post Arm Rests or 2point Locking Cantilever Arms Knee Adductor Supports LEFT (choose Pad and Arm) 172KB5 172XX04 172XX05 172XX07 Available with Cantilever Arms, NA with Manual Recline Back, Dual Post, Single Post or Cantilever w/ 2 pt Locking arms. 172TX1 SPOT Long Thigh Support Left 172TV2 Swing Away Short Left S/A Arm Size Swing Away Short Right Removable Mount Left $ SPOT Long Thigh Support Right $ TV1 172TX2 S/A Arm Size $ Pad Size $ $ KB8 Available only with Fixed and Power Center Mount Legrests. Pad Size Knee Adductor Pad SM Left Knee Adductor Supports RIGHT (choose Pad and Arm) Knee Adductor Pad LG Right Long Thigh Support w/removable Mount Knee Adductor Pad LG Left Swing Away Long Left Swing Away Long Right Long Thigh Support Left Long Thigh Support Right $ $ $ $ $ $ $ $ Removable Mount Right 172EG26 Armrest for Power Recline Seating. (Armrest width can be adjusted 2" narrower than seat) STD Cantilever/Reclining Arm 1014" Height Range Cantilever/Reclining Arm w/ 2 Point Locking 172EG27 $ Post. (10"12" Ht Range.) 172EG28 Cantilever/Reclining Arm w/ 2 Point Locking Post. (11"13" Ht Range.) 14. ARMREST AND ARMPAD OPTIONS $ Left Armpad () 172AE05 172AE23 Reclining Armpad Options (Armpad can be angled inward 15 degrees) St Reclining Arm Pad (16") Comfort Reclining Armpad (Foam) Left Armpad ($75.00) Right Armpad (75.00) 172AE22 Standard Reclining Armpad Comfort 2" wide Reclining Arm Pad Comfort 4" wide Reclining Arm Pad Right Armpad () 172AB05 172AB22 172AB23 172AE25 Comfort Reclining Armpad (Gel) Left Gel Armpad ($150.00) Right Gel Armpad (150.00) 172AE26 172AE28 Comfort 2" wide Reclining Arm Pad Trough / Elbow Block Large (Gel) (4" x 14.5") Reclining Arm Pad 172AB25 172AB26 Left Gel Armpad ($250.00) Right Gel Armpad ($250.00) 172AE27 Comfort 4" wide Reclining Arm Pad AES Trough/Elbow Block Reclining Armpads (Gel) Trough / Elbow Block Medium (Gel) (3.5" x 13") Reclining Arm Pad 172AB27 172AB28 Otto Bock Reclining Armpad Left Armpad ($125.00) Right Armpad ($125.00) 172AE08 E2209 SM Forearm Pads (8") 172AB08 172AE06 E2209 MD Forearm Pads (11.5") 172AB06 172AE07 E2209 LG Forearm Pads (14") 172AB07 Otto Bock Hand Pad Options Left Hand Pad ($55.00) Right Hand Pad ($55.00) 172OL01 MD Flat Hand Pads (41/2" x 7") 172OR01 172OL02 LG Flat Hand Pads (51/2" x 9") 172OR02 ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 8

9 15. HANGERS AND FOOTRESTS Swingaway Hangers NonPowered Swing Away Legrests 172H2 172H138 E0990 Sold as Pairs 70 Swing Away (B) Manual ELR S/A (B) $ Power Elevating Legrests (2 Actuators) Swing Away Power ELR w/ Articulation Pair 172H126 E1010 (B footplates) $2, Centermount Footplates NonPowered Center Mount Legrests 172H128 Fixed Center Mount for Power Recline (F) Power Centermount (2 Actuators) Power Centermount ELR w/7.5" Power 172H127 E1012 Articulation (F) Centermount footplates plus Custom Options Below Power Centermount Footplate Extension Option (For ThruDrive Operation) $2, Footplates For Swing Away Hangers 172F HL10 172HL10 172F F LS13 172F279 B Adult Angle Adjust w/heel Loop for use with 70 hanger and ELR (Pair) E0951 Heel Loop $50.00 E0951 $50.00 K0040 Kids Angle Adjustable Footplate $ K0038 Heel Loop Kids Angle Adjustable Footplate $ $ Leg Strap $35.00 Omit Footplate and extension tube $ F285 K0040 Adult Angle Adjustable Footplate $ K0040 Adult Angle Adjustable Footplate B Adult Angle Adjust w/heel Loop for use with 90 hanger (Pair) C Kids Angle Adjust w/leg Strap for use with 70 hanger (Pair) $ $ LS13 K0038 Leg Strap $35.00 Omit Hangers. K0040 C Kids Angle Adjust w/leg Strap for use with 80 and 90 hanger(pair) $ H144 Omit Hangers 172IE01 172IE02 172DI26 K DI27 Centermount Footplates 172DI28 E0995 Disable Footplate extension for transfers. (Electronics programmed to ONLY extend footplates when legs are raised.) F Centermount Dual Footplate and Heel Block (Pair) (Individually Height (3"19") and Angle Adjustable) Extra Large Single Footplate for Centermount Footrest. Size 16"W x 14"D Gell Foot Pads for XL Single Centermount Footplate. Extra Large Pair Curved Calf Pads for Center Mount Legrests. Fully adjustable $1, HL14 E0951 Padded and Adjustable Heel Block $50.00 I Angle adj Centermount Footplate pair $ F125 K0040 Angle Adjustable Footplates $ Custom Centermount Options Enable 7.5" Powered footplate extension for transfer assist. (Electronics programmed to allow footplates to be extended with or without legrest being raised) $ F315 K0040 CMT Angle Adjustable Footplates $ $ $ $ Hanger Extensions. (See range listed in matrix below) NOTE: Not all extension tube will be available; depending on the seat height, some extension tube options may not offer enough ground clearance. 172E16 K0037 High Mount Hanger $ E1 Short 172E2 Medium 172E5 Long Footrest Accessories 1725A01 172LS14 E0952 K0038 Toe Loop (Pair) Only avail on (opt B). Extra Leg Strap $50.00 $35.00 Hanger Type 70 Swing Away Manual ELR S/A Power ELR S/A Power Cntrmnt Lower Leg Length Matrix (measured seat pan to the top of the footplate surface) Standard Fixed Cntrmnt Recline 3"19" 3"19" Short Medium Long 13.5" 16" 16"18.5" 12.5"17" 14.5"19" 12"14" 14"17" 18"20.5" 17"21" 16.5"19" ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 9

10 16. ACCESSORIES Wheelchair Tray Table 1727A01 E0950 TRAY TABLE SM TUFFAK 12"14" PWR 1727A02 E0950 TRAY TABLE MED TUFFAK 15"17" PWR 1727A03 E0950 TRAY TABLE LRG TUFFAK 18"20" PWR Positioning Belt Select for any style seat 172EJ01 Auto Style Buckle 172EJ02 E0978 Belt 2" Aircraft Buckle 172EJ03 E0978 Belt 2" Aircraft Buckle Padded $40.00 $70.00 Backpack 172A1 Black Utility $55.00 Accessories 1728A A A11 Ram Phone Mount on Round JS tube $50.00 Ram Tablet Mount on Round JS tube $ Ram Cup holder $ A12 Switchit Remote Stop Switch $ c. JAY CUSHIONS Seat width must match selection in section 7. can be +/ 2" of selection in section 7 JAY Fusion Cushion JAY X2 Cushion 172JU01 E2622 JFUSION1616 JAY Fusion 16" x 16" $ JU22 E2622 JX21616 JAY X2 16" x 16" $ JU02 E2622 JFUSION1618 JAY Fusion 16" x 18" $ JU23 E2622 JX21618 JAY X2 16" x 18" $ JU03 E2622 JFUSION1816 JAY Fusion 18" x 16" $ JU24 E2622 JX21816 JAY X2 18" x 16" $ JU04 E2622 JFUSION1818 JAY Fusion 18" x 18" $ JU25 E2622 JX21818 JAY X2 18" x 18" $ JU05 E2622 JFUSION1820 JAY Fusion 18" x 20" $ JU26 E2622 JX21820 JAY X2 18" x 20" $ JU06 E2622 JFUSION2018 JAY Fusion 20" x 18" $ JU27 E2622 JX22020 JAY X2 20" x 20" $ JU07 E2622 JFUSION2020 JAY Fusion 20" x 20" $ JAY Union Cushion JAY Ion Cushion 172JU15 E2607 JU1616 JAY UNION 16" x 16" $ JU08 E2607 JION1616 JAY ION 16" x 16" 172JU16 E2607 JU1618 JAY UNION 16" x 18" $ JU09 E2607 JION1618 JAY ION 16" x 18" 172JU17 E2607 JU1816 JAY UNION 18" x 16" $ JU10 E2607 JION1816 JAY ION 18" x 16" 172JU18 E2607 JU1818 JAY UNION 18" x 18" $ JU11 E2607 JION1818 JAY ION 18" x 18" 172JU19 E2607 JU1820 JAY UNION 18" x 20" $ JU12 E2607 JION1820 JAY ION 18" x 20" 172JU20 E2607 JU2018 JAY UNION 20" x 18" $ JU13 E2607 JION2018 JAY ION 20" x 18" 172JU21 E2607 JU2020 JAY UNION 20" x 20" $ JU14 E2607 JION2020 JAY ION 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 18. CUSTOM OPTIONS Looking for more options? Contact our custom "built 4 me" department. Below are common upgrades that utilize Ready Made Quotes. These options can be quickly quoted to add a custom touch to your QM7 power chair. O2 Holder on Power Recline Some Restrictions Apply Call for quote To Inquire about any unique customization for Quickie products, contact: Phone: (800) , Option #3 or Fax: (800) ORDERING INFORMATION: PHONE: (800) FAX: (800) WEBSITE: MK REV B Page 10