Tilt/Recline Systems for Storm Series Bases

Size: px

Start display at page:

Download "Tilt/Recline Systems for Storm Series Bases"

Miranda Jenkins
6 years ago
Views:

Invacare Formula CG Tilt/Recline Systems for Storm Series Bases Price List and Order Form Effective July 1, 2008 For ease of ordering, contact Customer Service Toll Free at: 800-333-6900 Fax:

1 Invacare Formula CG Tilt/Recline Systems for Storm Series Bases Price List and Order Form Effective July 1, 2008 For ease of ordering, contact Customer Service Toll Free at: Fax: To order Literature: Company Name Account # Phone P.O. # Date Ship to Name & Address Special Note HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail. NOTE: Existing base information (serial #) will need to be supplied to Customer Service to ensure correct configuration. CHAIR TYPE SEAT SELECTION 9 3GSEAT-CG Seat for Formula CG System CTS Contoura Seating BPO Back Posts Only Round Canes Only...No Charge 11,12 BASE CURV Curved...No Charge 111 CNB Conventional Back...Standard OMCU Omit Contoura Seat Cushion...Less USER WEIGHT LIMITS (EXISTING BASE) U300 User Weight <300 lbs...no Charge 2 PUSH HANDLES U400 User Weight <400 lbs...no Charge 3 PCNB Push Handles for Conventional...No Charge 13 FRAME TYPE (EXISTING BASE) SEAT WIDTH RANGE SFS Short Base...No Charge 4 LFS Long Base...No Charge 1216W 12" to 16" Seat Width Range (Adjustable)...No Charge W 16" to 20" Seat Width Range (Adjustable)...No Charge 2024W 20" to 24" Seat Width Range (Adjustable)...No Charge SEAT POWERED SEATING SYSTEM ADJUSTABLE SEAT WIDTH SETTING CGTK Tilt Only to existing ADJASBA Seat... 5, ,6 W " Wide (not available w/ Contoura)...No Charge CGTRK Tilt/Recline to existing ADJASBA Seat... 10, ,6,7 W13 CGR2TK Recline to Existing CG Tilt... 6, , " Wide (not available w/ Contoura)...No Charge W14 14" Wide (not available w/ Contoura)...No Charge 155 CNVACT Conventional Act. Single Power...No Charge CNVACTS Conventional Act. Multiple Power...No Charge W15 15" Wide (not available w/contoura)...no Charge SMTACT Smart Act. Single Power... $ W16 16" Wide...No Charge SMTACTS Smart Act. Multiple Power... $ W17 17" Wide (not available w/ Contoura)...No Charge W18 18" Wide...No Charge W19 19" Wide (not available w/ Contoura)...No Charge W20 20" Wide...No Charge W21 21" Wide (not available w/ Contoura)...No Charge LOW 17.75" Seat to Floor Height...No Charge W22 22" Wide...No Charge MED 18.75" Seat to Floor Height...No Charge TALL 19.75" Seat to Floor Height...No Charge W23 23" Wide (not available w/ Contoura)...No Charge 16 W24 24" Wide...No Charge 16 ACTUATORS 8 SEAT TO FLOOR 9 All Recline to Tilt Systems must choose new seat selection due to round canes 1 Formula CB retrofit kit only available with MK6i electronics. on Tilt. 10 Selected seat depth on Contoura assumes 1" of back cushion compression. For 2 With 300 lb. weight capacity, maximum range of tilt is 55 degrees. example: When choosing an 18" depth the measurement from the front of the 3 With 400 lb. weight capacity, maximum range of tilt is 45 degrees. back cushion to the front of the seat pan equals 17". The Contoura back cushion is 2" thick includes leatherette seat cushion. 4 Not Available with seat depths 19" 22". Must pick long base Controller Required. Available on Tilt System Only Systems available for chairs manufactured after BPO includes Push Handles. 13 Push handles add an additional 3.5 to back cane height. 7 Tilt/Recline or Recline to Tilt NOT available on Torque SE When selecting actuators, the serial number must be supplied to Customer Seat widths and Seat Depths are only available with Back Post Service to ensure correct configuration. If original seating system has Only or Conventional Seating. For users under 150 lbs. These sizes are not conventional actuators it CANNOT be upgraded to Smart Actuators. available with Contoura seating. 15 Smart Actuators allow for the client to achieve a pre-set tilt, recline and Existing 12" to 15" Wide Tilt cannot be upgraded to add Recline. 16 power leg extension. Available only with 400 lb. package. For the most current pricing information go to page 1

2 ADJUSTABLE SEAT DEPTH RANGE TILT/RECLINE & RECLINE TO TILT ADJUSTABLE ARM TYPE (EACH) CURVED ABS/CONVENTIONAL RA19FR Full Length Adj Height Arm Right...No Charge 1218D 12" to 18" Deep (Adjustable)...No Charge RA29FR Desk Length Adj Height Arms Right...No Charge 1619D 16" to 19" Deep (Adjustable)...No Charge RA19FL Full Length Adj Height Arm Left...No Charge 2022D 20" to 22" Deep (Adjustable)...No Charge RA29FL Desk Length Adj Height Arms Left...No Charge CONTOURA 1619D 1922D SEAT DEPTH SETTING 16" to 19" Deep (Adjustable)...No Charge 19" to 22" Deep (Adjustable)...No Charge SEAT POSITIONING STRAPS 1311BK Airline Buckle Seat Pos. Strap Push Button Style Seat Pos. Strap... Standard CHEST POSITIONING STRAPS D12 12" Seat Depth...No Charge BK Airline Buckle Chest Pos. Strap (E0960) D13 13" Seat Depth...No Charge Push Button Style Chest Pos. Strap (E D14 14" Seat Depth...No Charge BK Hook & Loop Chest Pos. Strap (E D15 15" Seat Depth...No Charge D16 16" Seat Depth...No Charge POSITIONING OPTIONS D17 D18 D19 D20 D21 D22 17" Seat Depth...No Charge 18" Seat Depth...No Charge 19" Seat Depth...No Charge 20" Seat Depth...No Charge 21" Seat Depth...No Charge 22" Seat Depth...No Charge HEADREST TYPE (OPTIONAL) TAR Curved Headrest (E0955) TAR27700HW Removable & Adj Hardware (E1028) TAR Two-Step Headrest (E0955) TAR12800HW Removable & Adj Hardware (E1028) T Large Headrest (E0955) SEAT TILT 17 TAR22400HW Removable & Adj Hardware (E1028) SA 5SA 0 (Tilt Range 0-55 )... Standard 5 (Tilt Range 5-60 )...No Charge T Small Headrest (E0955) TAR22600HW Removable & Adj Hardware (E1028) BACK HEIGHT STEALTH HEADRESTS CURVED ABS OR CONVENTIONAL BACK CP175 14" Multi Axis Headrest (E0955) TSBH16 Back Height 16"...No Charge CP175HW Removable & Adj Hardware (E1028) TSBH17 Back Height 17"...No Charge CP275 10" Multi Axis Headrest (E0955) TSBH18 Back Height 18"...No Charge CP275HW Removable & Adj Hardware (E1028) TSBH19 Back Height 19"...No Charge CP180 14" TWB Headrest (E0955) TSBH20 Back Height 20"...No Charge CP180HW Removable & Adj Hardware (E1028) TSBH21 Back Height 21"...No Charge CP280 10" TWB Headrest (E0955) TSBH22 Back Height 22"...No Charge CP280HW Removable & Adj Hardware (E1028) TSBH23 Back Height 23"...No Charge TSBH24 Back Height 24"...No Charge OTTO BOCK ARM PADS (PAIR) TSBH25 Back Height 25"...No Charge OB20400 One Piece Channel Armpads (E2209) TSBH26 Back Height 26"...No Charge OB20500 Lg Forearm Pads CONTOURA OB20600 Med Forearm Pads TSBH25 TSBH295 Back Type Back Height 25"...No Charge Back Height 29.5"...No Charge OB20700 Small Forearm Pads OTTO BOCK HAND PADS (PAIR) Back Height Chart OB23000 Lg Flat Hand Pads Back Height CTS Contoura 25" & 29" BPO Back Posts Only 20" 24" CURV Curved 16" 24" Conventional Back 16" 20" on seat widths of 12" 16" 20" 26" on seat widths of 16" 24" Note: Back Heights 21" 26" not available with seat widths 12" 15" TILT ONLY ADJUSTABLE ARM TYPE (PAIR) 19F Full Length Adj Height Arms...No Charge 29F Desk Length Adj Height Arms...No Charge MIXED ADJUSTABLE ARM TYPE (EACH) 19FR Full Length Adj Height Arm Right...No Charge 29FR Desk Length Adj Height Arms Right...No Charge 19FL Full Length Adj Height Arm Left...No Charge 29FL Desk Length Adj Height Arms Left...No Charge OB23300 Med Flat Hand Pads Indicates static tilt of seat. Impacts seat-to-floor height, every 5 raises the seatto-floor height. For the most current pricing information go to page 2

3 LATERALS (PAIR) DRIVER CONTROLS 22 CONVENTIONAL BACK (TILT ONLY) TCSLM Clamp-On Swingaway Laterals Med (E0956) TCSLMHW Removable & Adj Hardware (E1028) TCSLL Clamp-On Swingaway Laterals Lg (E0956) TCSLLHW Removable & Adj Hardware (E1028) CSLL Swingaway Contoura Laterals Lg (E0956) CSLLHW Removable & Adj Hardware (E1028) SPJAP SPJ+ with Power Seating Switch...No Charge 23 SPJAPM SPJ+ with Joystick ACtuator Control (E2310). 1, EXPANDABLE CONTROLLER SYSTEMS 25 MPJM6 MPJ+ for Multiple Drive Joystick (E2377) PSFM6 Personal Joystick, Inductive on Front (E2399)... 1, PSRM6 Personal Joystick, Inductive on Rear (E2399)... 1, CONVENTIONAL BACK (TILT/RECLINE AND RECLINE TO TILT PBOD Push Button On/Off w/pb Drive Select...No Charge 27 TMSLM Swingaway Laterals Med (E0956) PBSS Push Button On/Off w/speed Select...No Charge TMSLMHWRemovable and Adj Hardware (E1028) OR On/Off Mounted Right...No Charge 27 TMSLL Swingaway Laterals Large (E0956) OL On/Off Mounted Left...No Charge 27 TMJLLHWRemovable and Adj Hardware (E1028) ASLRDYM6 MK6 Display Only STEALTH LATERALS FOR CONVENTIONAL BACK 18 (No Driver Control) (E2377) TWB-RPR Adj. Swing Channel Laterals Med (E0956) RPRHW Removable & Adj hardware (E1028) TWB-RPRL Adj. Swing Channel Laterals Lg (E1028) RPRLHW Removable & Adj Hardware (E1028) FOR YOUR ASL DRIVE SYSTEM NEEDS PLEASE REFER TO THE FOLLOWING: ASL SINGLE INVOICE PRICE LIST FORM # CONTOURA SEATING M6 Prop RIM Head Control w/display (E2327)... 2, CSLM Swingaway Contoura Laterals Med (E0956) SMHD Small Headrest...No Charge CSLMHW Removable & Adj Hardware (E1028) LGHD Large Headrest...No Charge CSLL Swingaway Contoura Laterals Lg (E0956) MM6 Compact Joystick w/display (E2373)... 1, CSLLHW Removable & Adj Hardware (E1028) STEALTH LATERALS FOR CONTOURA 19 TWB-CPR Adj. Swing Contoura Laterals Med (E0956) CPRHW Removable & Adj hardware (E1028) TWB-CPRL Adj. Swing Contoura Laterals Lg (E1028) CPRLHW Removable & Adj Hardware (E1028) MK6i CONTROLLER 20,21 MK6i ELECTRONICS Controller w/actuator Control... No Change MK6TT True Track Controller... No Change ECON Exclude Controller... Less Controller Matrix Existing Controller New Controller MKIVA MKIVA with True Track MK6TT (True Track) MK690 No Pick Required (ECON) MK6TT No Pick Required (ECON) Joystick Matrix Existing System New Joystick Joystick Type MKIVA All MK6i Upgrade Required MK6i SPJ+ Tilt Only SPJAP and SPJAPM available or upgrade to Expandable Controller Systems SPJAP or SPJAPM Tilt Only No pick necessary unless upgrade to Expandable Controller Systems Tilt/Recline MK6i upgrade required. Choose picks MK6i Expandable Controller System Adding Recline to Tilt All from Expandable Controller Systems. MK6i upgrade required. Choose picks from Expandable Controller Systems. No pick necessary. ALTERNATIVE DIGITAL CONTROL SYSTEMS SNPM6 Sip-N-Puff Digital Interface Box (E2325)... 1, M6 Wafer Board & Digital Interface Box (E , M6 Mini Tash Joystick & Digital Interface Box (E2321).. 1, SIP N PUFF KIT PKG32666 Therafin Sip-N-Puff Breath Tube Kit (E2326) Review Joystick matrix to determine if new joystick/driver control is required. 23 If ordering Tilt/Recline Kit or Recline to Tilt Kit and existing chair has an SPJ+, SPJAP or SPJAPM, upgrade to Expandable Controller system is necessary. 24 Allows Actuator Operation through the driver control. Includes port for Attendant Switch. 25 Includes mono port Y cable to provide additional switch input port. Does not 18 apply to SPJAPM. 26 TOD-SS: Toggle On/Off Drive Select, Speed, Speed Potentiometer standard. For use with channel canes only. 19 For use with Contoura seating only. 27 PSRM6 Only. 20 Review Controller Matrix to determine if new controller is required. 28 Drive Select through mode switch, or mode switch and Joystick Commands. 21 Recline to tilt: Existing tilt system includes controller or MK6TT. 29 Display Only, No Driver control. Allows choice from order form. No new controller necessary. Select (ECON) exclude controller. 30 Must also use either a Multiple Drive Joystick or MK6 Display. For the most current pricing information go to page 3

4 ADDITIONAL CONTROL CHOICES 1558M6 Compact Joystick - Less std Mount FRONT RIGGING OPTIONS 5018 Wafer Board HANGER BRACKET TYPE 5020 Mini Tash Joystick ASB Center Pivot Style Bracket...No Charge PACM6 Prop. Attendant Control w/quick release mount PSB Pin Style Bracket...No Charge 1552M Dig Attendant Control FRONT RIGGING JOYSTICK MOUNTING HARDWARE CENTER PIVOT STYLE (PAIR) QLAM6 Quad Link Retract. Jstick Mnt MPJ+ (E1028) HD 60 Swingaway Footrest...No Charge QLA Quad Link Retract. Jstick Mnt SPJ+ (E1028) NHD 70 Swingaway Footrests 13.5"-17.5"...Standard ARM250 Stealth Height Adj Joystick Mount (E1028) STAPER 70 Tapered Footrests 13"-17"...No Charge 36 LEFT Left Handed Mounted Joystick...No Charge AT5544 Manual Elevating Legrests (E0990) RIMHW RIM Hardware For 1500 (E PKG32669 Complete Bib Assembly (Tash/1558) PIN STYLE- (PAIR) GATMPJM6 Gatlin Midline for MPJ (E PW93 Swingaway Footrests 13.5"- 19"...No Charge GAT1812 Gatlin Midline for 1812 (E1028) P904A Swingaway Elevating Legrests 16" " RCM Rear Cane Mount for Compact Joystick PAL4A Smartleg Art. Legrests 17.25"-21.5"(K0053) POWER ELEVATING LEGRESTS-ARTICULATING 37,38 ELECTRONIC ACCESSORIES ELRPW Power ELR w/articulation (E1010)... 1, M6 MK6i Programmer w/pro Memory Card SD Pro Memory Card (USB Ready) FOOTPLATE OPTIONS (PAIR) 1560 "T Handle Flexible Joystick Ext. (E2323) Composite Flip-Up Footplates...No Charge 1561 Straight Handle Flexible Joystick Ext. (E2323) Extra Large Aluminum Footplates...No Charge 1826 Chin Cup (E AT5543 Adj Angle Flip-Up Footplates A24VPS 24V MK6 Auxiliary Power Source AUX12M6 Auxiliary Module For 1 & FOOTREST/LEGREST ACCESSORIES AUX34M6 Auxiliary Module For 3 & Calf Strap (E0038) BK Heel Loops w/ankle Straps (E0951) POWER SEATING ACCESSORIES LPT2 Longer Pivot Slide Tube For SANODE One Act. Oper. through Driver Ctrl (E2310)... 1, IMPACTG Impact Guards SWB Four Way Switch Box...No Charge ALPT Longer Pivot And Slide Tube S4WSB Multiple Actuator Interface Box (E2311)... 2, ALPT4 Longer Pivot And Slide Tube 4" FWT 4 Way Toggle...No Charge QPB 4 Push Buttons...No Charge For all systems with two or more actuators you must choose 4WSB at No Charge or the S4WSB with an Up Charge. S4WSB Replaces the Four Way Switch Box and allows multiple actuator operation through the driver control. FWT or QPB is required when choosing the 4WSB or S4WSB. ASL OPTIONAL ACCESSORIES EGSBLK Egg Switch - Black ASL304 Light Wobble Switch w/611 Mount ASL202J Fiber Optic Switch ASL208J Adj Proximity Switch ASL504JM6 Remote Emergency Stop Switch MISCELLANEOUS EXISTING BATTERY TRAY TYPE (FOR SEAT) 24TRY-K 22TRY-K Group 24 Battery Boxes...No Charge 22NF Battery Boxes...No Charge 31 Requires SNPM6 Sip-N-Puff Interface Box. 32 QLA and QLAM6 include ARM250 standard. 36 Not available with 19 or 20 and 9 casters. Standard with impact guards on 33 Required for Tilt Operation through Driver Control Single Actuator Systems. the footrests. 37 Not available with SPJ+ joystick. The Egg Switch with the 611 Mount does not Not available with SPJ+ joystick. Must pick 4WSB or S4WSB to operate come standard when ordering a Sanode. power legs. 34 Replaces the Four Way Switch Box and allows multiple actuator operation 38 Independent powered elevating Legrests include elevating and articulating through the driver control. legrests with adjustable angle footplates. Extension range 13" 20". Sold as a 35 Not available with SPJ+ joystick. Must add MK6 Auxiliary Power Source. pair. For the most current pricing information go to page 4

5 SEATING & POSITIONING FOR YOUR SEATING NEEDS PLEASE REFER TO THE FOLLOWING REHAB SEATING & POSITIONING PRODUCTS See Price List Form Contoura Seat Sizes D16 D17 D18 D19 D20 D21 D22 W16 X X X X X * * W18 X X X X X * * W20 X X X X X X X W22 * * X X X X X W24 * * X X X X X Available with OMCU Option only. Back Heights 25" or 29.5" Curved For Tilt Only Seat Widths 16"- 24" Seat Depths 16"- 22" After Market Backrests The following companies also have hardware to make their backrests work with our new canes: AEL planar seating system Freedom Designs - planar seating system Canyon planar seating system Conventional Seat Sizes Seat Widths 12" - 24" Seat Depths 12" - 22" Tech Tips Operating Powered Seating through the Driver s Control All chairs require adding or replacing one component to allow actuator operation through the driver control. SPJ+ with PSS: Replace joystick with SPJ+ with ACC (Actuator Control) -E2310 FormulaCG Tilt Only Features and Specifications Weight capacity of 300 lb. or 400 lb. (with heavy duty motors) Conventional or Contoura sytle seating Adjustable seat frame with Conventional style. Seat-to-Floor Height of at 0 tilt. Single Actuator Systems with MPJ+, PSR+, PSF+ MK6i Display: Add a Sanode (Single Actuator Node) to the system - E2310 Multiple Actuator Systems: Replace the standard 4 Way Switch box with a Multiple Actuator Interface Box - E2311 Invacare Corporation USA All rights reserved. Trademarks are identified by the symbols and. All One Invacare Way trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Elyria, OH USA Therafin is a registered trademark of W/R Medical Electronics Co Otto Bock is a trademark of Otto Bock Orthopaedische Industries GMBH & Co Products designated by ASL are Manufactured by Adaptive Switch Labs, Inc. Freedom Designs is a registered trademark of Freedom Designs, Inc. Specifications and prices are subject to change without notification Invacare Corporation Form No

Group 3 K0856 Basic Package

Group 3 K0856 Basic Package Base Price List and Order Form Effective July 1, 2008 Revised August 15,2008 For ease of ordering, contact Customer Service Toll Free at: 800-333-6900 Fax: 800-678-4682 To order Literature: 800-828-6282