Invacare ProSpin X4 Ultralightweight Active Performance Folder

Transcription

1 Invacare ProSpin X4 Ultralightweight Active Performance Folder Price List and Order Form Effective January 15, 2008 Revised December 1, 2009 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. FRAME TYPE FRAME SELECTION PROX4S X4 Folding Frame w/sw Front End (K0005)2, PROX4F70 70 Degree Fixed Front Frame... 2, PROX4F80 80 Degree Fixed Front Frame... 2, FRAME WIDTH W14 14'' Wide...No Charge 2 W15 15'' Wide...No Charge W16 16'' Wide...No Charge W17 17'' Wide...No Charge W18 18'' Wide...No Charge W19 19'' Wide...No Charge W20 20'' Wide (E2201) W22 22'' Wide (E2201) Width & Depth Matrix Depth 14'' 15'' 16'' 17'' 18'' 19'' 20'' 21'' 22'' Width 14'' X X X X X S S 15'' X X X X X S S 16'' X X X X X S S 17'' X X X X X S S 18'' X X X X X* X* X* S S 19'' S S X X X* X* X* S S 20'' S S X X X* X* X* * * 22'' S S S S S S * X Sizes Available S-Sizes available through Specials * Sizes Available with HD SEAT DEPTH D14 14'' Seat Depth...No Charge D15 15'' Seat Depth...No Charge D16 16'' Seat Depth...No Charge D17 17'' Seat Depth...No Charge D18 18'' Seat Depth...No Charge D19 19'' Seat Depth...No Charge D20 20'' Seat Depth (E2203) D21 21'' Seat Depth (E2203) D22 22'' Seat Depth (E2204) HEAVY DUTY OPTION 4 HD Heavy Duty Option (K0108) FRONT SEAT-TO-FLOOR FSTF155 Front STF Height 15.5'' (K0056) FSTF16 Front STF Height 16'' (K0056) FSTF165 Front STF Height '' (K0056) FSTF17 Front STF Height 17''...No Charge FSTF175 Front STF Height ''...No Charge FSTF18 Front STF Height 18''...No Charge FSTF185 Front STF Height ''...No Charge FSTF19 Front STF Height 19''...No Charge FSTF195 Front STF Height ''...No Charge FSTF20 Front STF Height 20''...No Charge FSTF205 Front STF Height ''...No Charge FSTF21 Front STF Height 21''...No Charge FSTF215 Front STF Height 21.5'' (K0056) Not available with HD - Heavy Duty, TRRO or TRBKTS. 2 Not available with HD Heavy Duty Option. 3 Must order HD Heavy Duty Option. 4 Only available on model PROX4S and not available with TRRO or TRBKTS. Fork BRG1 (Short) BRG2 (Long) SOFR (Suspension) Front Seat-To-Floor Heights Spacer CASTER AT900 3'' None '' 2'' None 1'' 2'' None 1'' 4SPLT 4ALUM2 4'' SOFT AT901 5ALUM2 5'' 21.0 AT902 6ALUM2 6'' '' NA NA NA NA For the most current pricing information go to page 1

2 SUSPENSION SELECTIONS TRANSPORT TIE DOWN TRRO Transport Ready Option TRBKTS Wheelchair Transport Brackets FRONT SUSPENSION SOFR Frog Legs Front Suspension Forks (E1015) FRONT SUSPENSION SETTING 2 SET160 SET300 Soft Setting (Max. User Weight 160 lbs.).no Charge Firm Setting (Max. User Weight 0 lbs.). Standard * TRANSPORT TIE-DOWN TRRO includes four factory-installed transport brackets and a wheelchair anchored pelvic belt. TRRO has been crash-tested in accordance with ANSI/RESNA WC Vol 1.Section 19 Front Impact Test requirements for Wheelchairs with a 168 lb. crash dummy, which corresponds to a person with a weight of 114 lbs. to 209 lbs. TRBKTS includes four factory-installed wheelchair transport brackets. TRBKTS has not been crash-tested in accordance with WC19. Use these transport brackets only to secure an unoccupied wheelchair during transport. As of this date, the Department of Transportation has not approved any tie-down systems for transportation of a user while in a wheelchair, in a moving vehicle of any type. It is Invacare s position that users of wheelchairs should be transferred into appropriate seating in vehicles for transportation and use be made of the restraints made available by the auto industry. Invacare cannot and does not recommend any wheelchair transportation systems. * Transport Tie-Down option is not retrofittable to existing models and is not field serviceable. ARM SELECTIONS ARM TYPE (PAIR) AT99 Swingaway Padded Arms...No Charge 5 CAD Conventional Adj Hgt Desk Arms (E0973) CAF Conventional Adj Hgt Full Arms (E0973) TAD T-Arms, Adj. Height Desk Length (E0973) TAF T-Arms, Adj. Height Full Length (E0973) LESSARMS Less Arms...No Charge T-ARM HEIGHT L6-10 H8-14 Low Range 6'' 10'' (T-Arm Height)...No Charge High Range 8'' 14'' (T-Arm Height)...No Charge AT99 Arm Heights 8''-10'' CAD 10''-14'' CAF 10''-14'' TAD Low Range 6''-10'' Range adjusts in 1/2'' increments TAF High Range 8''-14'' All measurements from top of seat rail to top of armrest. On AT99 add 1'' for upholstered armpads. BACK TYPE BACK SELECTIONS BACK1014 Adj. Back w/o Push Handles (10'' -14'')... No Charge BACK1216 Adj. Back w/o Push Handles (12'' -16'')...No Charge BACK1418 Adj. Back w/o Push Handles (14'' -18'')...No Charge BACK1620 Adj. Back w/o Push Handles (16'' -20'')...No Charge PH1216 Adj. Back w/ Push Handles (12'' -16'') PH1620 Adj. Back w/ Push Handles (16'' -20'') A1418 Adj. Back 10 Bend w/push Handles (14''-18'')30.00 A1620 Adj. Back 10 Bend w/push Handles (16''-20'') AAB1216 Adj. Angle Back w/push Handles (12'' -16'') AAB1720 Adj. Angle Back w/push Handles (17'' -20'') BACK HEIGHT ABH10 ABH11 ABH12 ABH13 ABH14 ABH15 ABH16 ABH17 ABH18 ABH19 ABH20 BACK UPHOLSTERY TYPE 10'' High... No Charge 11'' High... No Charge 12'' High... No Charge 13'' High... No Charge 14'' High... No Charge 15'' High... No Charge 16'' High... No Charge 17'' High... No Charge 18'' High... No Charge 19'' High... No Charge 20'' High... No Charge SLIPBACK Slip on Back Upholstery... No Charge ADJTENS Adjustable Tension Back Upholstery L8601 Omit Back Upholstery... Less CASTER SELECTIONS CASTER OPTIONS (PAIR) AT900 3'' Roller Casters ALUM2 4'' Alum Soft Roll Casters SPLT 4'' Comp Urethane Light Up Casters... No Charge 2 AT901 5'' Composite Urethane Casters... No Charge 2 5SOFT 5'' Semi Pneumatic Casters ALUM2 5'' Aluminum Soft Roll Casters AT902 6'' Comp Urethane 3 Spoke Casters... No Charge 2 6ALUM2 6'' Aluminum Soft Roll Casters Not available with Heavy Duty Option or Angle Adjustable Backs (AAB1216 & AAB1720) or TRRO/TRBKTS 6 CAD and CAF flip back and are removable. 7 Rigid sideguards included with the T-Arms. Bolt-on attachment. 8 Not available with TRRO. For the most current pricing information go to page 2

3 HARDWARE ANODIZING PACKAGE 9 BLKANO SVRANO Bold Black Anodized Accent Pkg...No Charge Classic Silver Anodized Pkg... Standard FORK TYPE (NON-SUSPENSION) (PAIR) BRG1 BRG2 FORK SPACER Fork ( 3-Hole Short Fork)...No Charge Fork ( 3-Hole Long Fork)...No Charge SPCR0 No Fork Spacer...No Charge SPCR1 1'' Fork Spacer...No Charge SPCR2 2'' Fork Spacer...No Charge 10 REAR WHEEL SELECTIONS 11 *Spinergy Spoke color (If color is not chosen, spokes will be black) SPCY Yellow SPCBK Black SPCBW - White SPCR -- Red SPCBL Blue TIRE OPTIONS (PAIR) PNEU Pneumatic Tires PNEUFF Flat free Inserts (K0064) URETH Urethane (treaded) Tires... No Charge PRIMO Primo Tires PRIMOTRD Primo 559 Treaded Pneumatic KIKB KIK Black Tires CRF123 Schwalbe 1 in Blk Flat Resistant Non Marking Tire SEAT-TO-FLOOR HEIGHT Rear Seat-To-Floor Ranges REAR WHEEL High Performance Wheel/Tire AVAILABLE Combinations 13.5''-18'' 14.5''-19'' 15.5''-20'' 16''-'' 20COM, 20SP 22COM, 22SP 24COM7, 24SP, 24HSP, 24SPIN SPIN, 559TS, 26SP, 26HPS, 26SPIN Wheel Size (inches) Spinergy LX & SPOX SUN FUSION 24 PRIMO, CRF123 PRIMO, PRIMOTRD, CRF123 PNEU, PRIMO, KIKB, CRF123 PRIMO, PRIMOTRD, CRF123, KIKB 26 PRIMO, CRF123 PNEU, PRIMO, CRF123 WHEEL OPTIONS (PAIR) 12 20COM 20'' Composite Wheels...No Charge 13 22COM 22'' Composite Wheels...No Charge 13 24COM7 24'' Composite-7 Spoke Wheels...No Charge 14 20SP 20'' Spoke Wheels...No Charge 2,15 22SP 22'' Spoke Wheels...No Charge 2,15 24SP 24'' Spoke Wheels...No Charge 2,16 26SP 26'' Spoke Wheels ,17 559TS 559 Turbo Spoke ,18 24HPS 24'' High Performance Spoke Wheels ,16 26HPS 26'' High Performance Spoke Wheels ,17 FN " Sun Fusion 16 Spoke Wheel ,19 FN16 " Sun Fusion 16 Spoke Wheel ,20 FN " Sun Fusion 16 Spoke Wheel ,17 SPLX24 24" Spinergy LX Spoke Wheels ,22 SPLX " Spinergy LX Spoke Wheels ,21 SPIN24 24'' Spinergy Spoke Wheels ,22 SPIN '' Spinergy Spoke Wheels ,21 SPIN26 26'' Spinergy Spoke Wheels ,22 L8701 Omit Rear Wheels... Less Forks, spacers, caster housing and axle plate are included in the hardware anodizing package. Not available with PROX4F70 or PROX4F80 10 Not available with SOFR. 11 Rear Seat-To-Floor is factory set at 1'' 1.5'' lower than Front Seat-To-Floor. 12 Spoke wheels come standard with dome, quick-release button axle. 13 Available with: PNEU, PNEUFF or URETH tires. 14 Available with: PNEU, PNEUFF, URETH or KIKB tires. 15 Available with: PNEU or PNEUFF tires. 16 Not Available with: URETH or PRIMOTRD tires. 17 Available with: PNEU, PRIMO or CFR123 tires. 18 Available with: PRIMO or PRIMOTRD tires. 19 Available with: PNEU, PRIMO, KIKB or CRF Available with: PRIMO, PRIMOTRD, KIKB or CRF Available with: PRIMO, PRIMOTRD or CRF123 tires. 22 Available with: PRIMO or CRF123 tires. HANDRIM OPTIONS (PAIR) ALUMPC Aluminum Anodized Handrim... No Charge TIPC Titanium Handrims A1512 Black Plastic Coated Handrims (K0059) NFSDLT Natural-Fit LT Handrims Standard Grip NFSPLT NFITSD NFITSP Natural-Fit LT Handrims Super Grip Natural-Fit Handrims Standard Grip Natural-Fit Handrims Super Grip L8702 Omit Handrims... Less MOUNTING HANDRIMS (SPOKE WHEELS ONLY) IN OUT AXLES (PAIR) A1577 A1573 PAXLE CAMBER ANGLE C00 C03 C06 Mount Inside Handrim... No Charge Mount Outside Handrim... No Charge Quick Release Axles w/dome... No Charge Quad Release Axles Permanent Axles... No Charge 0 Camber... No Charge 3 Camber... No Charge 6 Camber... No Charge FRAME FINISH SELECTIONS CONTEMPORARY COLORS 24P 71P 60P 115P 105P Wet Black...No Charge Silver Vein...No Charge Silver Metallic...No Charge Black Prism...No Charge Midnight Blue...No Charge 23 The Schwalbe tire is a black high-pressure pneumatic tire that is nonmarking and includes a Smart Guard puncture resistant layer. 24 Not available with: 20COM, 22COM, 24COM7, 20SP, 22SP, 559TS. Not available with: 20COM, 22COM, 20SP, 22SP, 559TS For the most current pricing information go to page 3

4 TOO HOT COLOR 30P 61P 119P 120P WAY COOL COLOR 62P 121P 122P 1P 127P 104P Invacare ProSPIN X4 Ultralightweight Active Performance Folder Sunny Yellow...No Charge Electric Red...No Charge Bubblegum Pink...No Charge Grape Madness...No Charge Electric Blue...No Charge Lolly Pop Blue...No Charge Cosmic Blue...No Charge Emerald Green...No Charge Grasshopper Green...No Charge Electric Teal...No Charge POSITIONING STRAPS/ACCESSORIES POSITIONING STRAPS (EACH) A1515 Push Button Buckle Seat Pos. Strap (E0978) A1321BK Hook & Loop Seat Pos. Strap (E0978) BACK ACCESSORIES BP02 Back Pack SEAT ACCESSORIES SP01 Seat Pouch ARM ACCESSORIES (PAIR) 26 A1571 Fabric Clothing Protector SM Rigid Side Guard, Small LG Rigid Side Guard, Large SMH Quad Rigid Side Guard, Small LGH Quad Rigid Side Guard, Large PERFORMANCE DETAIL PACKAGES SPORT ProSpin Sport Performance Detail Package MISCELLANEOUS ACCESSORIES A1307 Spoke Protector (For 20'', 22'', 24'', 26'')(pr) Tire Pump A1580 Rear Anti-Tippers (pair) A1541 Caster Swivel Locks EXTPT Extended Amputee Axle Plate (E0959) ,28 6WLEXT 6'' Wheel Lock Extensions WHEEL LOCKS WHEEL LOCK SELECTIONS A1598 Hill Holder Clamp-On Wheel Locks(E0974) WLPULL Pull To Lock Clamp-On Wheel Locks...No Charge WLPUSH Push To Lock Wheel Locks...No Charge HUMV Hideway Undermount Wheel Locks L8704 Omit Wheel Locks... Less FRONT RIGGING SELECTIONS FRONT RIGGING (PAIR) 60SSNTAPER 60 Swing In/Swing Out Footrests...No Charge 70SSNTAPER 70 Non-Tapered Swing In/Out Ftrsts...No Charge 70SSTAPER 70 Tapered Swing In/Swing Out Ftrsts...No Charge ELRSS Elevating Legrests Knee-To-Heel Range (PROX4S) Front Rigging Type Min. Max. ELRSS Tapered Measurements taken from top of seat rail to back of footrests. Knee-To-Heel Range (PROX4F70 & PROX4F80) Front Rigging Type Min. Max. Adjustable Angle Flip Up 1 Pc. Tubular Flip Up Range adjusts in 1/4'' increments Measurements taken from top of seat rail to back of footrests. FOOTPLATE TYPE (PROX4S) (PAIR) 1651 Flip-Up Composite Footplates... No Charge AT5543 Adjustable Angle Flip-Up Footplates (K0040) TUBULAR Individual Tubular Footplates FOOTPLATE TYPE (PROX4F70 & PROX4F80) AT5545 One Pc. Adjustable Angle Flip Up Footplates FOOTRST/LEGREST ACCESSORIES A1337 Calf Strap (each) (K0038) FRMPRBK ChairArmor Black Neoprene Frame Protectors FRMPRR ChairArmor Red Neoprene Frame Protectors FRMPRB ChairArmor Blue Neoprene Frame Protectors FRMPRS ChairArmor Silver Neoprene Frame Protectors ALPT Longer Pivot and Slide Tube (pair) A9342 H Strap (each) (K0039) HLOOP Heel Loops w/o Ankle Straps (pair) (E0951) SEATING SEATING CUSHION SELECTION 32 EC Absolute Cushion (E2601) SD Single Density Cushion (E2601/E2602) ITSG InTouch Stabilite Gentle Contour Cushion(E2607) ITSM InTouch Stabilite Max Contour Cushion (E2605) ITFG InTouch Flovair Gentle Contour Cushion (E2607) ITFM InTouch Flovair Max Contour Cushion (E2607) SEATING BACK SELECTION 32 PBR Personal Back 10 Reg. Height (E2615) PBT Personal Back 10 Tall Height (E2615) PPR Personal Back 10 Plus Reg. Height (E2615) PPT Personal Back 10 Plus Tall Height E2615) ITPR InTouch Propel Back (E2611) Available with AT99 arms only. 27 Sport Package includes impact guards, rear frame protectors and clear coat back cane brackets. 28 Only available with 0 degree of camber. Not available with HUMV, cannot mount the wheel lock far enough back to engage wheels. Not available with A Not available with URETH or KIKB tires. 30 Doris/Plantar angle adjustable. 31 Not available with Elevating legrests 32 For additional information (size availability, additional seating options and pricing) see form # Rehab Seating and Positioning Products price list. 33 Available in even sizes only. See form for additional information. For the most current pricing information go to page 4

5 PROSPIN X4 WEIGHT CHARTS FRAME WEIGHT SWING-AWAY W 14"W 15" 16" 17" 18" 19" 20" HD D 14" 7. lb s 7.56-s 7.62-s 15" s 7.62-s 7.68-s 16" s 7.68-s 7.74-s 17" s 7.74-s 7.80-s 18" " 7.55-s 7.63-s " 7.61-s 7.69-s HD S = Sizes available through Specials Dept lb FRAME WEIGHT FIXED FRONT W 14"W 15" 16" 17" 18" 19" 20" D 14" 6. lb s 6.56-s 6.62-s 15" s 6.62-s 6.68-s 16" s 6.68-s 6.74-s 17" s 6.74-s 6.80-s 18" " 8.55-s 6.63-s " 5.61-s 6.69-s S = Sizes available through Specials Dept. COMPONENT WEIGHTS Arm Type (pair) AT99 Swing away padded tubular Back Type (pair) Adjustable height back w/o push handles (10-14) Adjustable height back w/o push handles (16-20) Adjustable height back with push handles (12-14) Adjustable height back with push handles (16-20) Adjustable height 10º Bend back with push handles (14-18) Adjustable height 10º Bend back with push handles (16-20) Adjustable angle back with push handles (12-16) Adjustable angle back with push handles (17-20) Back Upholstery Slip Back upholstery +.78 Adjustable tension back upholstery +.97 Front Casters (pair) 3 Roller Blade Casters Semi pneumatic Frog Legs Aluminum Soft Roll Casters Composite Urethane Light Up Casters Semi Pneumatic Casters Frog Legs Aluminum Soft Roll Casters Composite Urethane 3-Spoke Casters Frog Legs Aluminum Soft Roll Casters Fork Type (pair) 3-Hole Short Fork Hole Short Fork w/ 1 Spacer Hole Short Fork w/ 2 Spacer Hole Long Fork Spacer Hole Long Fork w/ 1 Spacer Hole Long Fork w/ 2 Spacer Frog Legs Front Suspension Forks Frog Legs Front Suspension Forks w/ 1 Spacer Rear Wheel Selections (pair) 20 Composite Wheels Composite Wheels Composite 7 Spoke Wheels High performance spoke High performance spoke High performance spoke Spinergy Spinergy Spinergy Tire Options (pair) Pneumatic Tires Flat Free Inserts Urethane (treaded) Tires Primo Tires Primo 559 Treaded Pneumatic Tires KIK Black Tires Handrims (pair) Aluminum Titanium Plastic Coated Natural Fit Standard Grip Natural Fit Super Grip Wheel Locks (pair) Pull-to-Lock Push-to-Lock Sideguards (pair) Rigid-small Rigid-Large Rigid Quad-small Rigid Quad-large Accessories Frame protectors +.10 Calf strap +.10 Seat pouch +.35 Spoke guards Anti-tip bars Footrest (Swing-away w/composite footplates-pair) 60º Swing-In Swing-Out Footrest (pair) º Swing-In Swing-Out Footrests (pair) Elevating Legrest (pair) Footrest (Fixed Front version) Tubular Adjustable Angle One Piece Footplate (width 14-15) Adjustable Angle One Piece Footplate (width 16-17) Adjustable Angle One Piece Footplate (width 18-20) Weights are approximate -/+.50 lb For the most current pricing information go to page 5

6 Basic Chair Includes Folding Curved Frame w/swingaway Front Seat Width (W14'' - W19'') Seat Depth (D14'' - D19'') Swingaway Padded Arms Front Seat To Floor Height Selection (17'' - 21'') Adjustable Height Back Selection w/o Push Handles Slip On Back Upholstery Powder Coated Frame Finish Caster Selection (SPLT4, AT902, AT901) Fork Type (BRG1 or BRG2) Fork Spacer Type (SPCR0, SPCR1, SPCR2) Wheel Options (20SP, 22SP, 24SP, 20COM, 22COM, 24COM7) Urethane (treaded) Tire (URETH) Aluminum Anodized Handrims (ALUMPC) Axle Type (PAXLE or A1577) Wheel Lock Selections (Push or Pull to Lock) Camber Angle Selection Handrim Options (AHDRM or CHDRM) Swingaway Front Rigging Flip Up Composite Footplates Specifications Frame Style Folding w/swingaway Front End Seat Widths 14'' - 20'' and 22'' Seat Depths 14'' - 22'' Back Heights 10'' up to 20'' Adjustable Angle Back 0, 5, 10, 15 Camber Angles 0, 3, 6 Tubing O.D Weight of Chair 15 lbs.*/30 lbs** Weight Limit 0 lbs. Heavy Duty 350 lbs. Warranty Lifetime on frames and crossbraces *16''x16'', BACK1216, SLIPBACK, 4ALUM2, BRG1, SPCR1, no rear wheels, no footrests, no anti-tippers, no wheel locks, no arms **16''x18'', AT99, BACK1216, SLIPBACK, 4ALUM2, BRG1, SPCR1, SPIN24, PRIMO, ALUMPC, A1577, 70SSNTAPER, 1651, HLOOP, IMPACTG, 1671LG, WLPULL. Available through Specials Department All Specials are subject to final approval. Some special quotes are not compatible for all frame configurations. For your customization requests, please contact Customer Service for details and prices. 1. Oxygen Holder SM Swingaway Front Riggings SM Attendant Operated Wheel Locks SM One Arm Drive SM Weight Limitation 0 Pounds Invacare recommends all wheelchairs be fitted to the consumer under the guidance of a healthcare professional, knowledgeable of the particular limitations of the product. Invacare Corporation USA One Invacare Way Elyria, OH USA All rights reserved. Trademarks are identified by the symbols and. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted.kik is a registered trademark of KIK Technology, Inc. Spinergy is a registered trademark of Spinergy, Inc. Frog Legs is registered trademark of Frog Legs, Inc. Specifications and prices are subject to change without notification Invacare Corporation Form No Rev 1209 page 6