Quickie QM-7 Series Non-Powered Seating (K0848 / K0850 / K0868) EIPW11, February 2018

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1 Quickie QM7 Series NonPowered Seating (K0848 / K0850 / K0868) EIPW11, February 2018 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 NonPowered Seating QUICKIE QM710 BC (Group 3 K0848/K0011) Quickie QM710 BC w/ ASAP II Seat $6, PC67 K0848 / K0011 Base Package $6, QUICKIE QM715 HD BC (Group 3 K0850/K0011) Quickie QM715 HD BC w/ ASAP II Seat $8, PC79 K0850 / K0011 Base Package $8, QUICKIE QM720 BD (Group 4 K0868/K0014) Quickie QM720 BD w/ ASAP II Seat $8, PC81 K0868 / K0014 Base Package $8, BC Seating Specifications HCPC Code K0848 / K0850 / K0868 Typical Chair Weight W/battery 350lbs W/O Battery 260lbs Transit ISO occupied approved, NA with QM715 HD Seat Type ASAP II Seat size range Width 12"24" Depth 12"22" STFH range ASAP II 16.3" 21" Power Seat Elevator Power 9" Seat elevator, NA with QM715 HD Actuators Required by Power Seating Function 12" Seat Elevate: 1 actuator Power Leg Function (Centermount or Swing away): 2 actuators Combination : Lift and Power Elevating Legrest. (Centermount or Swing away): 3 actuators 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 / 400LB 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, 6 upgrade prints. Drive Motors 4pole 6 mph, Optional 5mph and 8mph Ground Clearance 4" Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 1

2 2. BASE CHAIR OPTIONS Speed Package (4pole) 172PF85 172PF91 172PF90 QM710 Standard 6 mph motor package QM710 5 mph High Torque motor package QM710 8 mph Community motor package $ $1, Drive Wheel 172DW59 14" Cast Wheel Solid Dual Density Inserts Black Knobby Tires and Black Caster Std 172PF84 QM715 HD Standard 5 mph motor package 172PF89 QM720 Standard 8 mph motor package Transit Option Suretrac Drive Tracking 172MI01 Suretrac Module and Motor Encoders $1, TO25 4Point Transit Tiedown Package Meets ISO7176 for Occupant Use (NA with QM715 HD) $ Shroud Color 172EZ04 Silver 172WL42 Wheel locks $ EZ17 Pink Camo $ HT44 Position "0" 172EZ18 Grunge Skulls $ HT49 +.5" STFH 172EZ01 172EZ02 172EZ03 Candy Blue 172EZ05 172EZ08 172EZ09 172EZ10 172EZ11 172EZ12 172EZ13 172EZ15 172EZ06 172EZ07 172EZ14 172EZ16 User weight 172WG06 172WG13 172WG14 172WG03 172WG15 172WG16 Candy Apple Red High Gloss Black Copper Green Apple Yellow Pearl Pink Candy Purple Matte Black Midnight Blue Pearl White Digital Camo. Woodland Camo. Carbon Fiber Print American Flag. Less than 150lbs lb lb lb Transit Package NA lb lb $ $ $ $ TO40 Wheel locks Ventilator Options 172VT4 PreSet Seat Frame Angle (STFH increases 1" per increment change) 172FA10 172FA3 172FA4 172HT46 E HT47 172LI Seat Height (Use STFH Matrix below) 172HT45 LED Light Package Omit Transit Tiedown Fixed Vent Tray (Pulmonetic LTV Models) 6 (Measured in the front) Obtain Quote to verify est. STFH +1" STFH +3" STFH Not available with Tilt or Lift Requires Group 34 Batteries LED Light Package: Includes headlights, tail lights, turn indicators and flashers. $ $1, " STFH NC STFH Matrix Seating Type and Power Option Combinations 0 SeattoFloor Height BC ASAP II No power seating.* BC ASAP II 9" Lift only. 17 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". +.5" " 18 +2" +3" BATTERIES and CHARGERS Batteries 172AG21 E2361 GP22 Flat Top Batteries Pair w/strap $ Battery Charger 172BJ19 172BJ29 8A Dual Mode (Compact) CTE 10A Dual Mode Power First Upgrade $ 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. $ GP34 Brightway AGM Flat Top Batts (Pair) 172AG23 E2359 $ w/straps, Required for lower STFH. Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 2

3 4. ELECTRONICS Drive Control Options NonExpandable Controllers 172J ER05 RNet NonExpandable Drive Control (120A) 172ER06 RNet Expandable Drive Control (120A) 172EX05 172EX06 Rnet 172J70 172J95 E2377 E2313 Expandable Controllers Expandable 120A Controller Rnet Harness for 120A Expandable Controller Std LED for Rnet Controls CJSM1: Standard: w/stereo Jacks & Color Display Omit JS. For use with OMNI $980.0 $ ON7 E2351 Rnet Output Module (ECM) $ Rnet OMNI and Output Options 172ON6 172ON8 172ON9 OMNI Mount 172DS04 (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.) Rnet Bluetooth Mousemover for Windows / Android (If used with must be mounted opposite side) Rnet Bluetooth for Apple Devices Swing Away Left Side OMNI Mount $1, $1, $ $ DS03 Swing Away Right Side OMNI Mount Mount (Fixed, Swing Away, Retractable, Mid) 172JM10 172JM11 Fixed Mount Swing Away Mount 172JM15 Retractable mount w/45º stops $ JM14 Mid Line Mount Mount (Location) Height Adjustable. 172HM1 Right Side Mount 172HM2 Left Side Mount Handle (Optional) 172JH1 E2323 Ball Handle 172JH2 E2323 Foam Ball Handle 172JH4 E2323 THandle 172JH6 E2323 Goalpost Attendant Control 1720A04 E2331 Attendant Control for Rnet $1, Switch inputs for s or OMNI Drive or Mode / Profile Control 172SW22 Stereo to 2 Mono Splitter $ SW1 Buddy Button Switch 172SW4 Micro Light Switch 172SW24 Egg SwitchBlack 172SW21 Dual toggle switch and bracket 172SW35 Switchit Mini 1 button on Mono plug 172SW36 Switchit Mini 2 button on 2 Mono plugs 172SW37 Switchit Mini 2 button on 1 Stereo plug 172SW38 Switchit Mini 4 button on DB9 connector $ $ $ $ $ $ Switch Mount Bracket 172EM01 Single Switch Mount Bracket $ Rnet Electronic Programmer 172PR5 Rnet PC Programmer with Dongle $ Attendant Mounting location 172DN1 172DN2 Mounting location: Right Back Cane Mounting Location: Left Back Cane Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I 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 172ID70 172ID72 E2328 Switchit Dual Pro Head Control w/facial pad 172IJ11 Switchit Dual Pro Proportional Head Control with Spot Pads and Gooseneck Mounted Proximity Switch Pkg 172ID70 172IJ11 E2328 E2328 Switchit Dual Pro Head Control w/facial pad SA Boom Mount with Egg Switch Control 172IM07 S/A Mount off backrest $ Switchit Dual Pro Proportional Head Control with Spot Pads Package E2328 Switchit Dual Pro Head Control w/spot pads Switchit Dual Pro Head Control w/spot pads SA Gooseneck Mount with Proximity Switch Control $5, SA Boom Mount with Egg Switch Control Switchit Dual Pro Proportional Head Control with Facial Pads and Gooseneck Mounted Proximity Switch Pkg SA Gooseneck Mount with Proximity Switch Control $5, $5, $5, $5, $5, $5, Switchit VersaGuide Compact Proportional Switchit VersaGuide Chin Control Compact and Proximity Flex Switches Package 172IM08 172IM07 172IM08 172IM05 Dual Flex Proximity Switches (requires no force) SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex switches Package Std 6" Switchit VersaGuide Compact Proportional Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) SwitchIt VersaGuide Bib Chin Control Compact with Proximity Flex Switches Package Large 8" $2, $ S/A Mount off backrest $ Bib mount Small $2, $ $2, Hand Control Proportional Packages Switchit VersaGuide Compact Midline with Gatlin Package 172IJ07 Switchit VersaGuide Compact Midline and prox flex switches with Gatlin Package 172IM08 172IJ08 Mushroom ASL Compact ASL Micro Mini w Hand Pad (ASL136) Midline with Gatlin Package 172ID68 ASL Mushroom (ALS135) Midline with Gatlin Package 172ID61 Switchit VersaGuide Compact Proportional S/A Gatlin Mount Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) S/A SpaceDisc mount S/A Gatlin Mount Micro Mini S/A Gatlin Mount $1, $2, $ Switchit MicroPilot with $3, Space Disc Package 172IJ07 172ID62 Switchit MicroGuide with SpaceDisc Package 172ID63 172IJ08 172ID60 172IJ07 S/A Gatlin Mount ASL Compact w Integrated buttons (ASL134) Midline with Gatlin Package 172IJ07 172IJ07 S/A Gatlin Mount MicroPilot Proportional S/A SpaceDisc mount MicroGuide Proportional ASL Proportional Micro Extremity (ASL130) Midline with Gatlin Package $3, $3, ID59 Micro Extremity $3, IJ07 S/A Gatlin Mount $2, $2, $1, $1, $3, IM08 172IM06 172IM05 172ID62 172IM05 172ID62 172IM06 172ID59 172IM07 Bib mount Large SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Large 8" 172IM06 MicroGuide Proportional Switchit VersaGuide Compact Proportional Dual Flex Proximity Switches (requires no force) SwitchIt VersaGuide Bib Chin Control Compact with Egg Switch Package Std 6" 172IM06 Switchit VersaGuide Compact Proportional Bib mount Small Switchit VersaGuide Compact Proportional SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Std 6" MicroPilot Proportional MicroPilot Proportional Bib mount Large SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Std 6" 172ID63 172IM05 172ID63 Bib mount Small Bib mount Large Micro Extremity $ $2, $2, Bib mount Large SwitchIt MicroPilot Bib Chin Control with Egg Switch Package Large 8" SwitchIt MicroGuide Bib Chin Control with Egg Switch Package Large 8" Bib mount Small ASL Proportional Micro Extremity Chin / Lip with Egg Switch Control Package $3, $3, $3, $3, MicroGuide Proportional S/A Mount off backrest Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 4 $3, $3, $256.00

5 3 Switch Proximity Head Arrays Choose headrest mount below ASL Proximity Head Array Package (Adult) 172II02 172IJ09 ASL Proximity Head Array Package (Ped) 172II03 172IJ09 SwitchIt Head Array Package 3 Switch Curved (Long) 172II13 172IJ09 SwitchIt Head Array Package 3 switch curved (Stubby) 172II14 172II04 E2330 Quickie Sip n' Puff System ASL Proximity Head Array (Adult) SA Boom Mount with Egg Switch Control $4, AdjustaAPlush Headrest Pad Narrow AdjustaAPlush Headrest Pad Standard $2, IB06 Egg SwitchBlack $ ID34 E2325 Sip N' Puff Kit $1, IB07 Switchit Mini 1 button on Mono plug $ IH1 E2326 Sip n' Puff Tubing and SA Hardware $ IJ10 5. Specialty Driver Control Options (cont.) 5b. Switch Control Requires Headrest and/or Headrest Mount $4, E2330 ASL Proximity Head Array (Ped) $4, E2330 E2330 $4, $4, Switchit Proximity Head Array Long $4, SA Boom Mount with Egg Switch Control Switchit Proximity Head Array Stubby $4, Switch Proximity Head Array (No Egg Switch Needed) Choose "Headrest Mount for Special Controls" E2330 SA Boom Mount with Egg Switch Control Sip N Puff Package Choose headrest and HR mount below $4, IJ09 SA Boom Mount with Egg Switch Control SwitchIt Head Array 5 switch flat $4, Headrest Mount for Specialty Controls 172MH23 172HE79 Whitmyer Linx Headrest Mount, Quick Release Whitmyer Headrest Pad for Specialty controls 172HE80 172HE81 172HE90 172HE91 E0955 Plush Pad 8" for Specialty controls E0955 Plush Pad 10" for Specialty controls E0955 E0955 E0955 Plush Pad 14" for Specialty controls Extra Swing Away Head Boom Egg Switch and Mount 172IJ05 172IJ06 Single Switches 172IB02 172IB05 Extra #1 Extra #2 Buddy Button Switch Micro Light Switch $ Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 5

6 172ST56 Quickie A.S.A.P II (Adjustable Seating and Positioning) Choose Seat Frame Size Platform. 6. SEAT TYPE ASAP II Frame size (each frame is width and depth adjustable within given range. ) 172FU17 Adjustable 12x12 to 16X19 ( A ) 172FU18 Adjustable 16x12 to 20x20 ( B ) 172FU19 Adjustable 18x16 to 22x22 ( C ) 7. SEAT SIZE Seat Size Matrix. Seat type is chosen in section 5. A = ASAP II Seat Frame (Adjustable from 12x12 to 16X19) B = ASAP II Seat Frame (Adjustable from 16X12 to 20X20) C = ASAP II Seat Frame (Adjustable from 18X16 to 22X22) Seat Depth ASAP II Seat Width 12" 13" 14" 15" 16" 17" 18" 19" 20" 22" 12" A A A A A,B B B B B 13" A A A A A,B B B B B 14" A A A A A,B B B B B 15" A A A A A,B B B B B 16" A A A A A,B B B,C B,C B,C C 17" A A A A A,B B B,C B,C B,C C 18" A A A A A,B B B,C B,C B,C C 19" A A A A A,B B B,C B,C B,C C 20" B B B,C B,C B,C C 21" C C C C 22" C C C C Seat Width Seat Depth 172R21 12" Seat width () 172RF20 12" 172R22 13" Seat width () 172RF21 13" 172R23 14" Seat width () 172RF22 14" 172R24 15" Seat width () 172RF23 15" 172R5 16" Seat width () 172RF5 16" 172R6 17" Seat width () 172RF6 17" 172R7 18" Seat width () 172RF7 18" 172R8 19" Seat width () 172RF8 19" 172R9 20" Seat width () 172RF24 20" 172R25 22" Seat width () 172RF26 21" 172RF25 22" 24" Seat Width () () () () () () () () () () () 172VU16 E " Seat width (fixed width, depth is adjustable 16" to 22" deep) N/A with Power or manual recline back or sling back upholstery. $ SEAT CUSHIONS JAY Cushion Bundling 172JC14 Jay Cushion On Chair Order Choose Cushion in section 17c NC Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 6

7 9. POWERED SEATING Powered Seat Elevator (AKA: Power Lift) 172PA26 E2300 9" Power Seat Elevate (NA with QM715 HD)(1 Actuator) $2, Power Seating Control (For use with power seating actuators. Switch activation is standalone and does not require expandable or thrudrive electronics. 172EO19 172EO20 Powered Seating Switch Control Method 172EO10 172EO11 172EO21 172EO12 Single Actuator Switch Control (Lift) Switch Control 1 actuator with Dual Toggle Switch Control 1 actuator with Buddy Button Switch Control 1 actuator with Switchit Mini 1 button Thru Drive 1 Actuator (For operating Lift thru 172EO28 E2310 $1, ) Includes Ctrl+5 172EO29 Switch Control 1 actuator with "Assignable Button" feature allows for customization of joystick buttons and/or Ctrl+5 Switchit Mini 2 button Switches allowing access to various wheelchair and seating functions. When enabled, chair will be preprogrammed with seating functions assigned to buttons on the joystick. 23 Actuator Switch Control Assignments can be changed via PC Dongle. (Lift/Legs, Lift/Tilt or Legs only) 172PM01 Enable Assignable buttons Switch Control 23 actuator with Dual Toggle Switch Control 23 actuator with 4way toggle $ $ Powered Seating Thrudrive Control Method. ThruDrive 1 Actuator E2311 ThruDrive 2+ Actuator Thru Drive 2+ Actuators: (For operating lift, power legs) Includes Ctrl+5 Powered Seating Thrudrive Control Options Assignable Buttons 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 $3, EO23 Switch Control 23 actuator with Switchit Mini 2 button $ Switch Control 23 actuator with 172EO22 $ Switchit Mini 4 button 172QG01 Ctrl+5 Switchbox mounted behind joystick 172QG02 Ctrl+5 Switchbox mounted opposite joystick 172QG03 Ctrl+5 Switchbox mounted on back cane 172QG05 Omit Ctrl+5 $ Switch Mount Ctrl+5 Switch Type (for use with switch control powered seating) 172EY03 Push buttons 172EY01 Switch Mount Right 172EY04 Toggle switches 172EY02 Switch Mount Left $ BACKREST AND BACK OPTIONS for ASAP II 172OD9 Folding Backrest $ Cane Angle 172BP40 Backrest Frame Type 172BT8 172BT98 172MN01 172MN02 Angle Adjustable Backrest Options 172OD8 Angle Adjustable (ASAP II Seat only) Manual Recline 40 (ASAP II Seat only) not width adjustable Manual Recline Adjustment Method Option 172BP41 Towel Bar Depth 172QT03 172QT04 Back Cane E1225 Tool Back Cane Height 23". Knob (NA with Cantilever or dual post arms.) (NA with Manual recline) NonFolding Backrest Straight Back Post 8 o Bend Back Post (Avail. only w/ Upholstery or J3 Back) Shallow (NA with Upholstery backs.) Deep (Extends 4" from back canes for deep backs) (Upholstery Height Measured pan to top of upholstery.) 172BU1 172BU76 Jay 3 Option (select Omit above) 172JB08 172B132 14" 172B36 16" Low (15.5") 172B1 Med (17.5")172B5 Tall (19.5") 172B9 172B38 18" $ $ Back Type (Upholstery or Solid) Tension adj Upholstery Ballistic Nylon. (with 172BU70 E2611 1" width adjustment.) (Not avail with tilt or $ recline) Tension adj Upholstery 3DX Vented. 172BU71 E2611 (with 1" width adjustment) (Not avail with tilt or recline) 172BU77 172BU78 172BU14 E2613 E B40 20" 172B42 22" 172B44 24" 172B140 26" Upholstery (Not avail with tilt or recline) S.P.O.T. Curved Jay SPO Posterior Positioning (ASAP II only) ART SPO Custom Back (ASAP II only) See appendix 1 Omit Back. Jay J3 On Chair Order Choose back, headrest, laterals in section 17a,b,c Back Height Required for SPOT Curved, SPO Backs. (Limited combinations of widths) Measured from pan to top of solid back. Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 7 See Pg. 8 $ NC

8 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 Std LATERAL THORACIC SUPPORT (Swing Away) LAT 4X4 S/A MOUNTS W/ 1" OFFSET PR 172ZV14 172ZV15 LAT 4X6 S/A MOUNTS W/ 1" OFFSET PR 172ZV16 LAT 6X4 S/A MOUNTS W/ 1" OFFSET PR 172ZV17 CHEST STRAP LATERAL SWING AWAY MOUNT PAIR LAT 6X5 S/A MOUNTS W/ 1" OFFSET PR 172ZV18 LAT 6X6 S/A MOUNTS W/ 1" OFFSET PR 172ZR03 LATERAL SWING AWAY MOUNT PAIR E0960 LATERAL 4X4 W/ 1" OFFSET PAIR LAT 4X5 S/A MOUNTS W/ 1" OFFSET PR 172ZV19 Available on all Solid Backs. LATERAL SWING AWAY MOUNT PAIR LATERAL 4X5 W/ 1" OFFSET PAIR LATERAL SWING AWAY MOUNT PAIR LATERAL 4X6 W/ 1" OFFSET PAIR LATERAL SWING AWAY MOUNT PAIR LATERAL 6X4 W/ 1" OFFSET PAIR LATERAL 6X5 W/ 1" OFFSET PAIR LATERAL 6X6 W/ 1" OFFSET PAIR LATERAL SWING AWAY MOUNT PAIR Padded Chest Strap 13. POSTURAL SUPPORTS 172KB5 172XX06 172XX05 Available only with Fixed and Power Center Mount Legrests. Knee Adductor Supports LEFT (choose Pad and Arm) Knee Adductor Supports RIGHT (choose Pad and Arm) 172KB8 172XX07 Long Thigh Support w/removable Mount SPOT Long Thigh Support Left 172TX1 172TX2 14. ARMREST AND ARMPAD OPTIONS Swing Away Knee Adductor Supports Not available with Dual Post Arm Rests or 2point Locking Cantilever Arms 172KB7 172XX04 172KB6 172TV2 172TV1 Knee Adductor Pad SM Left Knee Adductor Pad LG Left S/A Arm Size Swing Away Short Left Swing Away Long Left Pad Size Knee Adductor Pad SM Right Knee Adductor Pad LG Right S/A Arm Size Swing Away Long Right $ $ $ $ $ $ Available with Cantilever Arms, NA with Manual Recline Back, Dual Post, Single Post or Cantilever w/ 2 pt Locking arms. Long Thigh Support Left SPOT Long Thigh Support Right Pad Size Swing Away Short Right $ Removable Mount Left Long Thigh Support Right $ $ $ Removable Mount Right Cantilever Armrest Mounting Cantilever Armrests (Adjustable length arm pad included (choose Pad setting below, except for Low Arm Option) NA with Manual Recline Back 172EG12 172EG13 172EG10 172EG11 STD Cantilever Arm 9"12" Ht Range Low Cantilever Arm 7"10" Ht Range (Choose ASAPII pad type and size below) Standard Cantilever Arm w/ 2 Point Locking Post. (9"10" Ht Range.) NA w/ seat depths below 16" Standard Cantilever Arm w/ 2 Point Locking Post. (11"12" Ht Range.) NA w/ seat depths below 16" Cantilever Arm pad Std NC $ $ Single Dual Post Armrest Mounting Single Post Armrests 172EG14 172EG15 172EG09 172EG23 172AE01 172AE02 Single Post Height Adjustable Std. Single Post Height Adjustable Low Dual Post Armrests (NA with Infinite Seat Depth) $ Lng Dual Post Flip Back HT Adj 10"15" $ Pad Type / Size Options for Dual Post / Single Post / Low Cantilever Left Arm Pad () 172AE03 172AE04 Shrt Dual Post Flip Back HT Adj 10"15" Desk Length Waterfall (10") Full Length Waterfall (14") NA w/low Cantilever arm Desk Length Standard (10") Full Length Standard (14") NA w/low Cantilever arm Right Arm Pad () $ $ AB01 172AB02 172AB03 172AB04 Pad Setting Options for Standard Cantilever Arm Left Arm Pad (Std) Right Arm Pad (Std) 172AE11 Full Length Cantilever (14") 172AB11 172AE10 Desk Length Cantilever (10") 172AB10 Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 8

9 15. HANGERS AND FOOTRESTS Swingaway Hangers NonPowered Swing Away Legrests 172H2 172H6 172H138 E0990 Sold as Pairs 70 Swing Away (B) 90 Swing Away (B) (5.59") Manual ELR S/A (B) (Avail. with Fixed Centermount, choose below) $ Centermount Legrests NonPowered Center Mount Legrests Fixed Center Mount Legrests (includes footplate) Plus options below 172H H135 Fixed Center ASAP II Mount Short Fixed Center ASAP II Mount Long Power Elevating Legrests (2 Actuators) 172H126 Footplates 195LS13 K0038 Leg Strap Swing Away Power ELR w/ Articulation Pair (B footplates) (N/A for 12" or 13" wide) 172HL10 E0951 Heel Loop $ F285 K0040 Adult Angle Adjustable Footplate 172HL10 E0951 Heel Loop $ F283 C Kids Angle Adjust w/leg Strap for use with 70 hanger (Pair) K LS13 K0038 Leg Strap C Kids Angle Adjust w/leg Strap for use with 80 and 90 hanger(pair) 195F286 K0040 Kids Angle Adjustable Footplate 195F279 Omit Footplate and extension tube Omit Hangers. E1010 B Adult Angle Adjust w/heel Loop for use with 90 hanger (Pair) $2, B Adult Angle Adjust w/heel Loop for use with 70 $ hanger and ELR (Pair) $ Angle Adjustable Center Mount Legrests for ASAP II 172H F282 K0040 Adult Angle Adjustable Footplate Power Centermount (2 Actuators) $ $ Kids Angle Adjustable Footplate $35.00 $ F HL14 F Centermount Dual Footplate and Heel Block (Pair) (Individually Height (3"19") and Angle Adjustable) 172H144 Omit Hangers I Angle adj Centermount Footplate pair Small 172IE02 172H H IE01 E1012 Centermount Footplates K0040 E0951 Angle adjustable Center Mount Medium 3" 11.25" Choose Footplate (I or J) infinite and Independent leg length and angle adjustable Angle adjustable Center Mount Long 3" 13.25" Choose Footplate (I or J) infinite and Independent leg length and angle adjustable Power Centermount ELR w/7.5" Power Articulation (F) Centermount footplates plus Custom Options Below Power Centermount Footplate Extension Option (For ThruDrive Operation) Enable 7.5" Powered footplate extension for transfer assist. (Electronics programmed to allow footplates to be extended with or without legrest being raised) Disable Footplate extension for transfers. (Electronics programmed to ONLY extend footplates when legs are raised.) CMT Angle Adjustable Footplates Padded and Adjustable Heel Block $ $ $2, $1, 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 172E5 Footrest Accessories 1725A01 172LS14 E0952 K0038 Medium Long Toe Loop (Pair) Only avail on (opt B). Extra Leg Strap $50.00 $ F F126 K0040 J Angle adj Centermount Footplate pair Large K0040 Custom Centermount Options 172DI26 K DI27 Small Angle Adjustable Footplates 5.75" x 6" each Large Angle Adjustable Footplates 5.75" x 10" each Extra Large Single Footplate for Centermount Footrest. Size 16"W x 14"D Gel Foot Pads for XL Single Centermount Footplate. $ $ E0995 Extra Large Pair Curved Calf Pads for Center 172DI28 $ Mount Legrests. Fully adjustable Hanger Type 70 Swing Away 90 Swing Away Manual ELR S/A 12.5"17" Power ELR S/A 12"14" Fixed Cntrmnt ASAP Lower Leg Length Matrix (measured seat pan to the top of the footplate surface) Standard Power Cntrmnt 3"19" High Mount 7"14" Short Medium Long 13.5" 16" 16"18.5" 18"20.5" 5.59" Footplate mounts to front of hanger. 12.5"15.5" 14.5"19" Angle Adj Cntrmnt 3"13" 17"21" 14"17" 16.5"19" 14.5"19.5" 3"15" Footplate Matrix B F I J X X X X Single Footplate X X X Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I 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 Backpack 172A1 Black Utility $55.00 Positioning Belt Select for any style seat 172EJ01 Auto Style Buckle 172EJ02 E0978 Belt 2" Aircraft Buckle $ EJ03 E0978 Belt 2" Aircraft Buckle Padded $70.00 Accessories 1728A09 Ram Phone Mount on Round JS tube $ A10 Ram Tablet Mount on Round JS tube $ A11 Ram Cup holder $ A12 Switchit Remote Stop Switch $ JAY Signature Series Backrest and Accessories Note: Not all sizes and configurations shown below, for full offering visit 172JT01 172JT02 172JT03 172JT04 172JT05 172JT06 172JT07 172JT08 172JT09 172JT10 172JT11 172JT12 172JT13 17a. JAY BACKREST Seat width must can be equal to or 2" less than selection in section 7. JAY J3 Back PA (2.2" Contour Depth) UT Shells Heavy Duty TH 2 Point Hardware E2613 J3PAUTS16TH 16" Wide J3 Back w/ 16.5" Shell Height $ E2613 J3PAUTS18TH 18" Wide J3 Back w/ 16.5" Shell Height $ E2613 J3PAUTS20TH 20" Wide J3 Back w/ 16.5" Shell Height $ E2613 J3PAUTM16TH 16" Wide J3 Back w/ 18" Shell Height $ E2613 J3PAUTM18TH 18" Wide J3 Back w/ 18" Shell Height $ E2613 J3PAUTM20TH 20" Wide J3 Back w/ 18" Shell Height $ E2614 J3PAUTM22TH 22" Wide J3 Back w/ 18" Shell Height $ E2613 J3PAUTT16TH 16" Wide J3 Back w/ 19.5" Shell Height $ E2613 J3PAUTT18TH 18" Wide J3 Back w/ 19.5" Shell Height $ E2613 J3PAUTT20TH 20" Wide J3 Back w/ 19.5" Shell Height $ SH Shells 4 Point Standard Hardware E2613 J3PASHS18TH 18" Wide J3 Back w/ 21" Shell Height $ E2613 J3PASHS20TH 20" Wide J3 Back w/ 21" Shell Height $ E2614 J3PASHS22TH 22" Wide J3 Back w/ 21" Shell Height $ PA Back TH Hardware JAY J3 Back PD (6" Contour Depth) 172JT14 172JT15 172JT16 172JT17 172JT18 172JT19 UT Shells Heavy Duty TH 2 Point Hardware E2620 J3PDUTM16TH 16" Wide J3 Back w/ 18" Shell Height $ E2620 J3PDUTM18TH 18" Wide J3 Back w/ 18" Shell Height $ E2620 J3PDUTM20TH 20" Wide J3 Back w/ 18" Shell Height $ SH Shells Heavy Duty TH 2 Point Hardware E2620 J3PDSHS16TH 16" Wide J3 Back w/ 21" Shell Height $ E2620 J3PDSHS18TH 18" Wide J3 Back w/ 21" Shell Height $ E2620 J3PDSHS20TH 20" Wide J3 Back w/ 21" Shell Height $ PD Back 172JT20 172JT21 172JT22 172JT23 172JT24 172JT25 172JT26 172JT27 172JT28 172JT29 172JT30 JAY J3 Back PL (3" Contour Depth) UT Shells Heavy Duty TH 2 Point Hardware E2613 J3PLUTS16TH 16" Wide J3 Back w/ 16.5" Shell Height $ E2613 J3PLUTS18TH 18" Wide J3 Back w/ 16.5" Shell Height $ E2613 J3PLUTS20TH 20" Wide J3 Back w/ 16.5" Shell Height $ E2613 J3PLUTM16TH 16" Wide J3 Back w/ 18" Shell Height $ E2613 J3PLUTM18TH 18" Wide J3 Back w/ 18" Shell Height $ E2613 J3PLUTM20TH 20" Wide J3 Back w/ 18" Shell Height $ E2613 J3PLUTT16TH 16" Wide J3 Back w/ 19.5" Shell Height $ E2613 J3PLUTT18TH 18" Wide J3 Back w/ 19.5" Shell Height $ E2613 J3PLUTT20TH 20" Wide J3 Back w/ 19.5" Shell Height $ SH Shells 4 Point Standard Hardware E2613 J3PLSHS18TH 18" Wide J3 Back w/ 21" Shell Height $ E2613 J3PLSHS20TH 20" Wide J3 Back w/ 21" Shell Height $ PL Back JAY Custom Back To order any JAY Back not listed above, please see the JAY price list. Cushion name or part number must be filled out w/ desired width and depth 172JB01 JAY Bundled Back Back Name or Part # Width: Height: Price List Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 10

11 17b. JAY BACKREST ACCESSORIES 172HD01 172HD02 172HD05 172HD06 172HD03 172HD04 172HD07 172HD08 JAY J3 Back Headrest AXYS Mount and Pad (includes removable mount) E0955/ J3HEDX10 AXYS Headrest with 10" Plush Pad $ E0955/ J3HEDX14 AXYS Headrest with 14" Plush Pad $ E0955/ J3HEDXAAPS AXYS Headrest with Narrow AdjustaPlush $ E0955/ J3HEDXAAPN AXYS Headrest with Standard AdjustaPlush $ LINX Mount and Pad (includes removable mount) E0955/ J3HEDL10 LINX Headrest with 10" Plush Pad $ E0955/ J3HEDL14 LINX Headrest with 14" Plush Pad $ E0955/ J3HEDLAAPS LINX Headrest with Narrow AdjustaPlush $ E0955/ J3HEDLAAPN LINX Headrest with Standard AdjustaPlush $ JW02 172JW03 172JW04 JAY J3 Back Laterals Swing Away Laterals With Pad Pair / J3LAT4X4SA SwingAway Lat with 4"x4" Pad (PR) $ / J3LAT4X5SA SwingAway Lat with 4"x5" Pad (PR) $ / J3LAT4X6SA SwingAway Lat with 4"x6" Pad (PR) $ 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" 172JU02 E2622 JFUSION1618 JAY Fusion 16" x 18" $ JU23 E2622 JX21618 JAY X2 16" x 18" 172JU03 E2622 JFUSION1816 JAY Fusion 18" x 16" $ JU24 E2622 JX21816 JAY X2 18" x 16" 172JU04 E2622 JFUSION1818 JAY Fusion 18" x 18" $ JU25 E2622 JX21818 JAY X2 18" x 18" 172JU05 E2622 JFUSION1820 JAY Fusion 18" x 20" $ JU26 E2622 JX21820 JAY X2 18" x 20" 172JU06 E2622 JFUSION2018 JAY Fusion 20" x 18" $ JU27 E2622 JX22020 JAY X2 20" x 20" 172JU07 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. To Inquire about any unique customization for Quickie products, contact: Phone: (800) , Option #3 or Fax: (800) Sunrise Medical (US) LLC 2842 Business Park Ave. Fresno, CA USA Customer Service: Fax: orders@sunmed.com 2/2018 MK REV I Page 11