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, 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 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" 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 F Page 1

2 2. BASE CHAIR OPTIONS Speed Package (4pole 300lb) Drive Wheel 172PF85 QM710 Standard 6 mph motor package 172PF91 QM710 5 mph High Torque motor package $ DW59 172PF90 QM710 8 mph Community motor package $1, PF84 QM715 HD Standard 5 mph motor package 172PF89 QM720 Standard 8 mph motor package 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 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 172EZ04 172EZ05 172EZ08 172EZ09 172EZ10 172EZ11 172EZ13 172EZ15 172EZ06 172EZ07 172EZ14 172EZ16 172EZ17 172EZ18 172WG14 Candy Apple Red High Gloss Black Green Apple Pearl Pink Candy Blue Silver Copper Yellow Candy Purple Midnight Blue Pearl White Digital Camo. Carbon Fiber Print American Flag. Pink Camo lb $ WG lb 172HT47 +3" STFH 172WG lb Transit Package NA Seating Type and Power Option Combinations SC Power Recline and 9" Lift Seat 16.2 Woodland Camo. $ $ $ Grunge Skulls $ SC Power Recline only MPC Power Recline and Tilt. $ MPC Power Recline with Tilt & 12" Lift combo STFH Matrix Transit Option 172WN01 172TO40 WC19 Transit Lap Belt 172WN02 Wheel locks Ventilator Options 172VT4 E1029 Fixed Vent Tray (Pulmonetic LTV Models) 172FA10 0 Seat Height (Use STFH Matrix below) 172HT46 LED Light Package 172LI04 (Measured in the front) Obtain Quote to verify est. STFH LED Light Package: Includes headlights, tail lights, turn indicators and flashers. +1" 16** Point Transit Tiedown Package Meets WC19 for Occupant Use Omit Transit Tiedown +2" STFH +2" +3" $ WC19 Transit Lap Belt $ PreSet Seat Frame Angle (STFH increases 1" per increment change) SeattoFloor Height at 0 tilt 0 +.5" 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, NC Batteries 172AG21 172AG04 E2361 E2363 GP22 Flat Top Batteries Pair w/strap $ GP24 MK Gel Flat Top Batts Pair w/strap Recommended for Max Daily Range 3. BATTERIES and CHARGERS $ Battery Charger 172BJ19 8A Dual Mode (Compact) CTE 172BJ29 10A Dual Mode Power First Upgrade $ 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. $ 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 F Page 2

3 Drive Control Options Expandable Controllers 172ER06 RNet Expandable Drive Control (120A) 172EX05 E2377 Expandable 120A Controller Rnet 172EX06 E2313 Harness for 120A Expandable Controller 4. ELECTRONICS $980.0 $ $ 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 172J70 172J J95 172JM10 172JM15 172JM14 Mount (Location) 172HM2 172JH1 E2323 Ball Handle $ JH6 Attendant Control E2323 Foam Ball Handle $ SW38 Switchit Mini 4 button on DB9 connector $ Attendant Mounting location 172DN1 172DN2 Handle (Optional) 172JH4 E2323 THandle Retractable mount w/45º stops Height Adjustable. Mounting location: Right Back Cane Mounting Location: Left Back Cane E2323 Goalpost $80.00 Attendant Control for Rnet 172HM1 Right Side Mount Omit JS. For use with OMNI Mount(Fixed, SwingAway, Retractable, Midline) 172JM11 172JH2 1720A04 Left Side Mount E2331 Std LED for Rnet Controls CJSM2: Advanced: 3.5" Color Display, Paddle Switches, Programmable Shortcut Keys, ICONs, Stereo Jack, IR and dual (IOS/Android) Bluetooth control Fixed Mount Swing Away Mount Mid Line Mount $ $80.00 $1, ON7 172ON8 172ON9 OMNI Mount 172DS04 172DS03 172SW36 172EM01 E2351 Rnet Output Module (ECM) $1, Rnet Electronic Programmer $ Rnet Bluetooth for Apple Devices $ Swing Away Right Side OMNI Mount Switch inputs for s or OMNI 172SW22 Stereo to 2 Mono Splitter 172SW1 172SW4 172SW24 172SW21 Rnet Bluetooth Mousemover for Windows / Android (If used with must be mounted opposite side) Swing Away Left Side OMNI Mount Drive or Mode / Profile Control $65.00 Buddy Button Switch $80.00 Micro Light Switch $80.00 Egg SwitchBlack Dual toggle switch and bracket $ $ SW35 Switchit Mini 1 button on Mono plug $ Switchit Mini 2 button on 2 Mono plugs $ SW37 Switchit Mini 2 button on 1 Stereo plug $ Switch Mount Bracket Single Switch Mount Bracket $ PR5 Rnet PC Programmer with Dongle $ 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 F 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 E2328 Switchit Dual Pro Head Control w/facial pad $5, Switchit VersaGuide Compact Proportional 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, SA Boom Mount with Egg Switch Control Switchit VersaGuide Chin Control Compact and Proximity Flex Switches Package SA Boom Mount with egg switch Switchit VersaGuide Compact Proportional $2, Switchit Dual Pro Proportional Head Control with Facial Pads and Gooseneck Mounted Proximity Switch Pkg $5, IM08 Dual Flex Proximity Switches (requires no force) $ ID72 172IJ11 Switchit Dual Pro Head Control w/facial pad Switchit Dual Pro Proportional Head Control with Spot Pads and Gooseneck Mounted Proximity Switch Pkg 172ID70 E2328 E2328 SA Gooseneck Mount with Proximity Switch Control $5, $ $5, Switchit Dual Pro Head Control w/spot pads $5, IM07 SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex switches Package Std 6" 172IM08 172IM05 S/A Mount off backrest Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) Bib mount Small $ $2, $ IJ11 SA Gooseneck Mount with Proximity Switch Control $ SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex Switches Package Large 8" $2, Hand Control Proportional Packages Switchit VersaGuide Compact Midline with Gatlin Package 172IJ07 172IM08 172IJ07 Switchit MicroPilot with Space Disc Package 172ID62 172ID63 E2312 ASL Compact $1, IJ07 S/A Gatlin Mount ASL Micro Mini w Hand Pad (ASL136) Midline with Gatlin Package 172ID68 $3, IM06 SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Std 6" 172IM05 E2312 Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) Bib mount Large SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Large 8" $ $2, $2, $3, E2312 MicroPilot Proportional $2, ASL Compact w Integrated buttons (ASL134) Midline 172IM05 Bib mount Small $1, with Gatlin Package SA Boom Mount with egg switch 172ID61 $3, IJ08 S/A SpaceDisc mount Switchit MicroGuide with SpaceDisc Package 172IJ08 172IJ07 S/A Gatlin Mount E2312 S/A Gatlin Mount Dual Flex Proximity Switches (requires no force) ASL Proportional Micro Extremity (ASL130) Midline with Gatlin Package $2, E2312 MicroPilot Proportional $2, E2312 S/A Gatlin Mount $3, MicroGuide Proportional $2, S/A SpaceDisc mount $3, ID59 E2312 Micro Extremity $3, ASL Mushroom (ALS135) Midline with Gatlin Package 172ID60 E2312 Mushroom Switchit VersaGuide Compact Proportional Switchit VersaGuide Compact Midline and prox flex switches with Gatlin Package $2, IJ07 S/A Gatlin Mount Micro Mini $1, Switchit VersaGuide Compact Proportional $ $2, $2, IJ07 S/A Gatlin Mount 172IM08 172IM05 SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Std 6" 172ID62 172IM06 E2312 Switchit VersaGuide Compact Proportional SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Std 6" 172ID63 172ID63 172IM06 Bib mount Large MicroGuide Proportional S/A Mount off backrest SA Boom Mount with egg switch SA Boom Mount with egg switch $3, E2312 MicroGuide Proportional $2, Bib mount Small SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Large 8" 172IM06 172ID62 172ID59 172IM07 E2312 Switchit VersaGuide Compact Proportional MicroPilot Proportional Bib mount Large SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Large 8" Bib mount Large $2, Bib mount Small SA Boom Mount with egg switch SA Boom Mount with egg switch SA Boom Mount with egg switch ASL Proportional Micro Extremity Chin / Lip with Egg Switch Control Package Micro Extremity 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 F Page 4 $3, $2, $3, $3, $3, $256.00

5 ASL Proximity Head Array Package (Adult) 172IJ09 ASL Proximity Head Array Package (Ped) 172II03 172IJ09 SwitchIt Head Array Package 3 Switch Curved (Long) 172IJ09 SwitchIt Head Array Package 3 switch curved (Stubby) 172II14 172IJ09 172II04 E2330 Quickie Sip n' Puff System ASL Proximity Head Array (Adult) ASL Proximity Head Array (Ped) Sip N Puff Package Choose headrest and HR mount below $4, SA Boom Mount with Egg Switch Control SA Boom Mount with Egg Switch Control 5. Specialty Driver Control Options (cont.) 5b. Switch Control Requires Headrest and/or Headrest Mount 3 Switch Proximity Head Arrays Choose headrest mount below Headrest Mount for Specialty Controls 172II02 E2330 E2330 SA Boom Mount with Egg Switch Control SA Boom Mount with Egg Switch Control 172II13 E2330 Switchit Proximity Head Array Long Switchit Proximity Head Array Stubby SwitchIt Head Array 5 switch flat $4, $4, $4, $4, $4, ID34 E2325 Sip N' Puff Kit $1, IH1 E IJ10 SA Boom Mount with egg switch $4, $4, Switch Proximity Head Array (No Egg Switch Needed) Choose "Headrest Mount for Special Controls" E2326 $4, Sip n' Puff Tubing and SA Hardware $ $2, IB06 172MH23 172HE79 172HE81 172HE90 172IJ05 172IJ06 E0955 E0955 Single Switches 172IB02 172IB05 172IB07 E0955 Whitmyer Linx Headrest Mount, Quick Release Whitmyer Headrest Pad for Specialty controls 172HE91 Plush Pad 8" for Specialty controls AdjustaAPlush Headrest Pad Narrow AdjustaAPlush Headrest Pad Standard Extra SA Boom Mount with egg switch #1 Extra SA Boom Mount with egg switch #2 Buddy Button Switch $80.00 Egg SwitchBlack $ Switchit Mini 1 button on Mono plug $ HE80 E0955 Plush Pad 10" for Specialty controls E0955 Plush Pad 14" for Specialty controls Extra Swing Away Head Boom Egg Switch and Mount Micro Light Switch $80.00 $ 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 F 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 172PA24 172PA25 172PA16 172PA17 Power Seating Options E1005 Recline Only w/power Shear Reduction (2 actuators) $5, E1008 Tilt and Recline w/power Shear Reduction (3 actuators) $10, E1005 QM715 HD Recline Only w/power Shear Reduction Only (350lbs weight limit) (2 actuators) $7, E1008 QM715 HD Tilt and Recline w/power Shear Reduction (350 weight limit) (3 actuators) $12, PA26 172PA27 Powered Seat Elevator (AKA: Power Lift) E2300 9" Power Seat Elevate for use without tilt (NA with QM715 HD) $2, 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. ThruDrive 2+ Actuator 172EO29 E2311 Thru Drive 2+ Actuators: (For operating Tilt, recline, lift, power legs) Includes Ctrl+5 Powered Seating Thrudrive Control Options Assignable Buttons $3, "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 172QG04 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 for greater flexibility. Box includes 3Amp USB port for charging portable devices 172QG01 172QG03 172QG05 Ctrl+5 Switch Type Ctrl+5 Switchbox mounted behind joystick 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 $ EY03 $ 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 F Page 6

7 Backrest Frame Type 172B42 22" QK QK2 default QK3 172B44 24" 172BT89 Back Type (Solid Recline) 172BU84 Jay 3 Contour. 11. BACKREST AND BACK OPTIONS for 3.7 POWER RECLINE Power Recline (Power Recline Seat only) Power Recline Backrest Preset Home Angle 172BU83 172B140 26" 172B141 27" 172B142 28" Push Handle Options $ BP57 J3 PA Back (2.2" of Contour Depth) 172JP01 E2613 $ JR06 Available 14"20" Wide (J3PAUTZYYXX) 172JP03 E JB03 172JP02 172JP04 172JP05 E2614 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 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) 172JP06 E2620 $ JR05 Available 14"20" Wide (J3PDUTZYYXX) $ $ Back Height Required for Standard Curved Recline Backs and Jay 3 recline backs. (Limited combinations of widths) Measured from pan to top of solid back. 172BP55 172BP56 11a. JAY 3 BACK for 3.7 POWER RECLINE OPTIONS $ JR04 Height Adjustable Push Handles. w/2 utility hooks Jay 3 Back Height. Backs are height adjustable 172JR01 172JR02 172JR03 Fixed "Cane" Handles. Omit push handles 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 Jay 3 Width 172JS01 SPINEALIGN MINI FIT KIT 2 $ JQ01 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 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 F Page 7

8 LATERAL THORACIC SUPPORT (Swing Away) LAT 4X4 S/A MOUNTS W/ 1" OFFSET PR 172ZV14 172ZS07 172ZV15 LATERAL 4X5 W/ 1" OFFSET PAIR $ KB7 172ZV16 LATERAL 4X6 W/ 1" OFFSET PAIR $ XX06 172ZV17 172ZV18 172ZS07 172ZV19 172ZR03 E0960 LATERAL SWING AWAY MOUNT PAIR LAT 4X5 S/A MOUNTS W/ 1" OFFSET PR 172ZS07 172ZS07 LATERAL 4X4 W/ 1" OFFSET PAIR LAT 4X6 S/A MOUNTS W/ 1" OFFSET PR 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 Available on all Solid Backs. 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 LATERAL SWING AWAY MOUNT PAIR LATERAL SWING AWAY MOUNT PAIR LAT 6X6 S/A MOUNTS W/ 1" OFFSET PR 13. POSTURAL SUPPORTS $ $ $ $ Swing Away Knee Adductor Supports 172KB5 172XX04 $ Pad Size $ $ Knee Adductor Supports LEFT (choose Pad and Arm) 172KB8 172XX05 172XX07 Swing Away Short Right Available with Cantilever Arms, NA with Manual Recline Back, Dual Post, Single Post or Cantilever w/ 2 pt Locking arms. SPOT Long Thigh Support Left 172TV2 172TX1 Removable Mount Left SPOT Long Thigh Support Right $ TV1 172TX2 Available only with Fixed and Power Center Mount Legrests. Not available with Dual Post Arm Rests or 2point Locking Cantilever Arms Pad Size Knee Adductor Pad SM Left Knee Adductor Pad LG Left S/A Arm Size Swing Away Short Left Swing Away Long Left Knee Adductor Supports RIGHT (choose Pad and Arm) Knee Adductor Pad LG Right S/A Arm Size Swing Away Long Right Long Thigh Support w/removable Mount Long Thigh Support Left Long Thigh Support Right $ $ $ $ $ $ $ $ $ Removable Mount Right 14. ARMREST AND ARMPAD OPTIONS 172EG26 172EG27 Armrest for Power Recline Seating. (Armrest width can be adjusted 2" narrower than seat) 172EG28 STD Cantilever/Reclining Arm 1014" Height Range Cantilever/Reclining Arm w/ 2 Point Locking Post. (10"12" Ht Range.) Cantilever/Reclining Arm w/ 2 Point Locking Post. (11"13" Ht Range.) $ $ Left Armpad () 172AE05 Reclining Armpad Options (Armpad can be angled inward 15 degrees) Standard Reclining Armpad St Reclining Arm Pad (16") Comfort Reclining Armpad (Foam) Right Armpad () Left Armpad ($75.00) Right Armpad (75.00) 172AB05 172AE22 Comfort 2" wide Reclining Arm Pad 172AB22 172AE23 Comfort 4" wide Reclining Arm Pad 172AB23 Comfort Reclining Armpad (Gel) Left Gel Armpad ($150.00) Right Gel Armpad (150.00) 172AE25 Comfort 2" wide Reclining Arm Pad 172AB25 172AE26 Comfort 4" wide Reclining Arm Pad 172AB26 AES Trough/Elbow Block Reclining Armpads (Gel) Left Gel Armpad ($250.00) Right Gel Armpad ($250.00) 172AE27 172AE28 Trough / Elbow Block Medium (Gel) (3.5" x 13") Reclining Arm Pad Trough / Elbow Block Large (Gel) (4" x 14.5") 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 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 F Page 8

9 15. HANGERS AND FOOTRESTS Swingaway Hangers NonPowered Swing Away Legrests Sold as Pairs 172H2 70 Swing Away (B) 172H138 E0990 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) 172H127 E1012 Power Centermount ELR w/7.5" Power Articulation (F) Centermount footplates plus Custom Options Below Power Centermount Footplate Extension Option (For ThruDrive Operation) $2, Footplates For Swing Away Hangers 172F HL10 172F HL10 172F F LS13 B Adult Angle Adjust w/heel Loop for use with 70 hanger and ELR (Pair) K0040 E0951 K0040 E0951 K0040 K0040 K0038 Adult Angle Adjustable Footplate Heel Loop B Adult Angle Adjust w/heel Loop for use with 90 hanger (Pair) Adult Angle Adjustable Footplate $ Heel Loop C Kids Angle Adjust w/leg Strap for use with 70 hanger (Pair) $50.00 Kids Angle Adjustable Footplate $ C Kids Angle Adjust w/leg Strap for use with 80 and 90 hanger(pair) Kids Angle Adjustable Footplate Leg Strap 172F279 Omit Footplate and extension tube $ $ $50.00 $ $ LS13 K0038 Leg Strap $35.00 Omit Hangers. 172H144 Omit Hangers $ $ $ IE01 172IE02 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 Pair Curved Calf Pads for Center Mount Legrests. Fully adjustable $1, HL14 E0951 Padded and Adjustable Heel Block I Angle adj Centermount Footplate pair $ F125 K0040 Angle Adjustable Footplates $ Custom Centermount Options 172DI26 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 $ DI27 K0040 Extra Large Single Footplate for Centermount Footrest. Size 16"W x 14"D Gell Foot Pads for XL Single Centermount Footplate. $ $ $ 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 172E1 K0037 High Mount Hanger $55.00 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 Fixed Cntrmnt Recline Power Cntrmnt Lower Leg Length Matrix (measured seat pan to the top of the footplate surface) Standard 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" 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 F 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 172EJ02 E EJ03 E0978 Auto Style Buckle Belt 2" Aircraft Buckle 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) 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 F Page 10