Frame. Pos Item number Description Comment
|
|
- Madison Chambers
- 6 years ago
- Views:
Transcription
1 Titel - 1 -
2 Titel - 2 -
3 Table of Content Zippie Voyage... 4 Basic Equipment... 4 Frame... 4 Slide-N-Lock Interface... 5 Transit Kit... 6 Canopy... 7 Seat, Back... 8 Seat Base... 8 Seatback Seat Cushion Back Cushion Footrest Footrest Footrest Accessories Positioning, Belts Laterals and Head Support Medial Abductors Hip Supports Seat Insert Pull Bar Pelvic Positioning Harness Support Accessories Upper Extremity Support Tray Vent and Batterie Tray, central mounted Vertical Mount Vent Tray Front Mount Utility Platform O2 Holder IV Pole Assembly O2 Holder and IV Assembly Rain Cape Miscellaneous
4 Frame Frame 1,2,4,5, Voyage base with slide-n-lock Base support strap stroller Cloth underseat basket stroller Front castor stroller 1 side Rear wheel left stroller Rear wheel right stroller cpl. with frame, mount, strap and wheels - 4 -
5 Slide-N-Lock Interface Slide-N-Lock Interface Slide-n-lock receiver assembly 1-4,9, Slide-n-lock mount fasteners Tilt lever assm Voyage base Slide-n-lock tilt base assembly 9, Slide-n-lock base fasteners 4 each Mech. lock assembly voyage - 5 -
6 Transit Kit Transit Kit Comfort seat transit fasteners Comfort seat transit kit cpl. transit kit Transit tether strap - 6 -
7 Canopy Canopy Pos Item number Description Canopy assembly crossover grey Canopy assembly crossover beige Canopy assembly crossover blue Canopy assembly crossover red Top back mount with canopy mount - 7 -
8 Seat Base Seat Base Comfort seat base assembly Comfort seat top rear assembly Comfort seat top front assembly Top-buttom fastener kit 1 side Footrest center mount assembly Tilt pin replacement inch insert plug.065 ribs Set of Seat rail with mount 15, Seat rail mount fasteners Bracket mount RH Bracket mount LH 10, Bracket mount fasteners - 8 -
9 Seat Base /4 inch Insert plug ribbed Set of 4-9 -
10 Seatback Seatback Comfort seat back assembly Top back mount with canopy mount Recline cable assembly Back bracket assembly 1 side Back fastener kit Comfort seat upper back assembly Comfort seat lower back assembly Back adjust knob set Cable route clip kit 3 P-clips, 3 screws
11 Seat Cushion Seat Cushion Pos Item number Description Cover seat comfort grey Cover seat comfort beige Cover seat comfort blue Cover seat comfort red Comfort seat inner seat Comfort seat inner calf Comfort seat pad grey Comfort seat pad beige Comfort seat pad blue Comfort seat pad red
12 Back Cushion Back Cushion Pos Item number Description Cover back comfort grey Cover back comfort beige Cover back comfort blue Cover back comfort red Comfort inner outer Comfort inner head Comfort inner back Comfort back grey Comfort back beige Comfort back blue Comfort back red
13 Footrest Footrest Comfort footrest assembly cpl. assembly Footplate assembly comfort Upper leg assembly comfort 5,6,9-14, Footrest fasteners comfort 1 side
14 Footrest Accessories Footrest Accessories 1, Shoe holder hardware kit Set of 4 3A Shoe holder strap kit 10 inch Set of 4 3B Shoe holder strap kit 13 inch Set of 4 1-3A,4A Shoe holder assembly 6 inch Pair 1-3B,4B Shoe holder assembly 8 inch Pair 5A Shoe holder strap kit 16 inch Set of 4 5B Shoe holder strap kit 18 inch Set of
15 Laterals and Head Support Laterals and Head Support Lat large cover grey Lat large cover beige Lat lage cover blue Lat large cover red Lat small cover grey Lat small cover beige Lat small cover blue Lat small cover red
16 Laterals and Head Support Lat large foam with Velcro Lat small foam with Velcro Lat large base assembly Lat small base assembly Lat mounting fasteners Lat large assembly grey Lat large assembly beige Lat large assembly blue Lat large assembly red Lat small assembly grey Lat small assembly beige Lat small assembly blue Lat small assembly red cpl. assembly, one side cpl. assembly, one side cpl. assembly, one side cpl. assembly, one side cpl. assembly, one side cpl. assembly, one side cpl. assembly, one side cpl. assembly, one side
17 Medial Abductors Medial Abductors Pos Item number Description 1A Cover medial tall 1B Cover medial 2A Pad medial support tall 2B Pad medial tight support Button Head Cap Screw, M6X1X10, full, PL 1A,2A, Medial support tall assembly
18 Medial Abductors Pos Item number Description 1B,2B, Medial support assembly
19 Hip Supports Hip Supports Pos Item number Description Cover lat hip RH grey Cover lat hip LH grey Cover lat hip RH beige Cover lat hip LH beige Cover lat hip RH blue Cover lat hip LH blue Cover lat hip RH red Cover lat hip LH red Hip foam with Velcro RH Hip foam with Velcro LH Assembly lat hip RH grey Assembly lat hip LH grey
20 Hip Supports Pos Item number Description Assembly lat hip RH beige Assembly lat hip LH beige Assembly lat hip RH blue Assembly lat hip LH blue Assembly lat hip RH red Assembly lat hip LH red Hip bracket plate assembly RH Hip bracket plate assembly LH 5, Hip support fasteners
21 Seat Insert Seat Insert Cover infant seat insert grey Cover only Cover infant seat insert beige Cover only Cover infant seat insert blue Cover only Cover infant seat insert red Cover only Infant seat insert grey Infant seat insert beige Infant seat insert blue Infant seat insert red cpl. replacment insert cpl. replacment insert cpl. replacment insert cpl. replacment insert
22 Pull Bar Pull Bar Pos Item number Description Pull bar assembly
23 Pelvic Positioning Pelvic Positioning 1 APB3716 V Contour PRB, 1" SR, SM 1 APB3627 V Contour PPB, 1.5" SR, med 2 APB5110 APB, 1" PB, single, non-padded 2 APB7210 APB, 1.5" PB, single, non-padded 3 APB5115 APB, 1" PB, single, 4.5" pad 3 APB5116 APB, 1" PB, single, 5.5" pad 3 APB7212 APB, 1.5" PB, single, SM pads Pelvic positioning fasteners set of
24 Harness Support Harness Support Moderate Adjust Stretch IE CAM ATS8807C Moderate Adjust Stretch XS CAM ATS8800C Moderate Adjust Stretch SM CAM ATS8801C Moderate Center open EI CAM ATS9407C Moderate Center open XS CAM ATS9400C Moderate Center open SM CAM ATS9401C Moderate PD Classic/EI CAM ATS8107C Moderate PD Classic/EI CAM ATS8100C Moderate PD Classic/EI CAM ATS8101C Moderate Struct CLS PD-XS CAM ATS8300C Moderate Struct CLS PD-SM CAM ATS8301C
25 Upper Extremity Support Tray Upper Extremity Support Tray 10, Tray mount assembly 1-7,10,11 1-7,10, Tray assembly clear comfort seat 6 inch Tray assembly grey comfort seat 6 inch For Comfort Seating-6 inch cutout For Comfort Seating-6 inch cutout
26 Vent and Batterie Tray, central mounted Vent and Batterie Tray, central mounted Strap assembly kit 1 side Vent or battery tray assembly with hardware 1,6,8, Vent or battery tray with bars 2-7, Vent or battery tray attach hardware
27 Vertical Mount Vent Tray Vertical Mount Vent Tray 1A, Vertical vent mount LTV 1B, Vertical vent mount trilogy Vent holder strap Strap assembly kit 1 side
28 Front Mount Utility Platform Front Mount Utility Platform 1, Platform tray with screws 1,3, Tray support with screws Pair Thumb screws Pair Strap assembly kit 1 side Front mount platform assembly cpl
29 O2 Holder O2 Holder Pos Item number Description Tube plug - 7/8inch round O2 tank holder ring set Mach screw 1/4-20 x 1-1/4 SBHCS ANS O2 holder assembly stroller Accessory clamp 7, O2 holder lower bracket
30 IV Pole Assembly IV Pole Assembly Pos Item number Description S Knob black X 1/ IV pole lock collar IV hook IV hook lock collar IV hook adjustment collar Set screw 8-32 x 3/16 ANS IV pole IV pole base with lock collar 1, IV pole assembly without base 1, IV hook with adjustment collar Accessory clamp stroller IV pole with base assembly cpl
31 O2 Holder and IV Assembly O2 Holder and IV Assembly Pos Item number Description S Knob black X 1/ IV pole lock collar O2 tank holder ring set O2 (frame) tube IV pole - TC IV hook IV hook lock collar O2/IV assembly cpl O2 holder lower bracket Accessory clamp 1, IV pole assembly without base 1, IV hook with adjustment collar
32 O2 Holder and IV Assembly Pos Item number Description O2 holder assembly with IV pole collar
33 Rain Cape Rain Cape Pos Item number Description Rain Cape XP grey
34 Miscellaneous Miscellaneous Utility hook Cup holder 3, Glider board strap guides Strap assembly kit 1 side
R82 Stingray - E1233
Account #: Purchase Order No.: Contact: R82 Stingray - E1233 USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US
More informationR82 Stingray. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: City/State/Zip: Effective: 2/01/ Rev 7.
R82 Stingray CAD Retail Price List/ Order Form Account #: Purchase Order No.: Date: Contact: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration
More informationConvaid Trekker 2 - HCPCS E1234 Retail Price List / Order Form
Account #: Contact: Retail Price List / Order Form Purchase Order #: Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email: Ship To: Address: City/State/Zip: Phone: TR14 Base Accepts TR12 & TR14
More informationConvaid Trekker 2 - HCPCS E1234 Canadian Retail Price List / Order Form
Account #: Contact: Canadian Retail Price List / Order Form Purchase Order #: Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email: Ship To: Address: City/State/Zip: Phone: TR14 Base Accepts
More informationMygo Seat Spare Parts Catalogue
Mygo Seat Spare Parts Catalogue Contents 03-04 Mygo Seat Complete 05 Backrest Assembly 06 LH Footrest Assembly 07 RH Footrest Assembly 08 Size 1 Abduction Assembly 09-10 Size 2 Abduction Assembly 11 Seatbase
More informationPhone: Nov-17
By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List in USD Phone: 800-327-0681 Nov-17 Fax: 260-665-3047 Email: iim@mobility-usa.com Quote: P.O. www.mobility-usa.com Bill To
More informationKID-KART TLC... 3 BASE... 3 BASE - Discontinued... 3 SILVER BASE... 4 CASTER FORK ASSEMBLIES... 5 WHEEL LOCKS... 6 ANTI-TIPS... 7 REAR WHEELS...
KID KART TLC PAGE 1 KID-KART TLC... 3 BASE... 3 BASE - Discontinued... 3 SILVER BASE... 4 CASTER FORK ASSEMBLIES... 5 WHEEL LOCKS... 6 ANTI-TIPS... 7 REAR WHEELS... 8 STROLLER HANDLE... 9 KID KART PNEUMATIC
More informationx:panda, size 1, med. back X c x:panda, size 1, med. seat 7¼" X c
Account No. Drop Ship: Date: Name P.O. Number: Address Buyer: City Marked For: State Zip E Mail: Tel. Fax Features included in standard price: Height, Depth & Angle Adjustable Back Angle Adjustable Adduction
More informationPhone: Jan 17. Fax: usa.com Quote: P.O. usa.com Bill To
By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List Phone: 800 327 0681 Jan 17 Fax: 260 665 3047 Email: iim@mobility usa.com Quote: P.O. www.mobility usa.com Bill To Dealer:
More informationSHIPPING INFORMATION Provider Acct #: Address: ST: ZIP:
May 2014 Kids FAST Order Form Maximum Weight Capacity 80 lbs. 12"Wx14.5"Dx19.5"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING
More informationSHIPPING INFORMATION Provider Acct #:
May 2014 Kids ROCK TM Size 2 Order Form Maximum Weight Capacity 115 lbs. 14"Wx16"Dx22"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING
More informationMASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan.
MASS Script Form Australian Order Form Effective 05/07/2014 Company: Account Number: Date: Quote PO Number: RTS: Marked For: Ship To: Address: City: State: Zip: Phone: Email/Fax: Catalyst 5Vx K0005 Charge
More informationMASS Script Form. Frame. Backrest. Seat Depth
MASS Script Form Company: Account Number: Date: Quote PO Number: RTS: Marked For: Australian Order Order Effective 01/10/2014 Ship To: Address: City: State: Zip: Phone: Email/Fax: Rogue XP K0005, E1235
More informationFrame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Phone 0800 5 Fax 0800 5 365 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Focus CR $ 36kg weight capacity. Tilt range: -5º anterior to 50º posterior. Effective /0/0 Ship To: Address:
More informationPaediatric seating for the Bingo OT. Designed and manufactured by
Designed and manufactured by Paediatric seating for the Bingo OT A breakthrough in rehabilitative stroller seating Introducing the latest innovation from the designers of the revolutionary SPEX seating
More informationR82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.:
Account #: Purchase Order No.: Contact: R82 x:panda USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration
More information2016 EZ RIDER UPRIGHT PRODUCT PPT
2016 EZ RIDER UPRIGHT PRODUCT PPT By Nancy Guzman 310.618.0111, Ext. 143 nancyg@convaid.com Product Overview EZ RIDER 10 Fixed Tilt Customizable Multiple Upholstery Styles & Colors 5 years of Growth Capabilities
More informationZIPPIE SALSA R2 - CHASSIS
Title - 1 - Table Of Contents ZIPPIE SALSA R2 / ZIPPIE SALSA M2... 4 FRAME AND BATTERY BOX... 4 ZIPPIE SALSA R2 - CHASSIS... 4 ZIPPIE SALSA M2 - CHASSIS... 5 ZIPPIE SALSA R2 - SEAT HEIGHT EXTENSION KIT...
More informationR82 Kudu - E1233. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features:
Account #: Purchase Order No.: Contact: R82 Kudu - E1233 CAD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard
More informationSHIPPING INFORMATION Provider Acct #:
May 2014 Kid's ROCK TM Size 3 Order Form Maximum Weight Capacity 215 lbs. 17Wx20Dx26H Seating Capacity Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING
More informationQUICKIE TANGO... 5 BASE FRAME... 5 BATTERY BOX... 5 COVERS... 6 MAIN FRAME... 7 MOTOR MOUNT & ANTI TIP... 8 SUSPENSION... 9 MOTOR...
Title - 1 - Title - 2 - Table Of Contents QUICKIE TANGO... 5 BASE FRAME... 5 BATTERY BOX... 5 COVERS... 6 MAIN FRAME... 7 MOTOR MOUNT & ANTI TIP... 8 SUSPENSION... 9 MOTORS... 10 MOTOR... 10 SEAT/BACK...
More informationSHIPPING INFORMATION. Order
Size 3 Order Form MASS 2014 Maximum Weight Capacity 215 lbs. 17Wx20Dx26H Seating Capacity Pride Mobility Products Aust Pty Ltd 20-24 Apollo Drive Hallam VIC 3803 Ph: 03 8770 9600 Fax: 03 9703 2960 Date:
More informationR82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4
Account #: Purchase Order No.: Contact: R82 Kudu - E1233 Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard
More informationR82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4
Account #: Purchase Order No.: Contact: R82 Kudu - E1233 Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard
More informationTechnical Manual. Swifty - The rehabilitation buggy. Model. Positioning supports & harnesses. Safety & protection
Technical Manual - The rehabilitation buggy Model Positioning supports & harnesses Safety & protection INDEX SWIFTY,... is an innovative, high-quality special needs stroller - with good looks. Developed
More informationMASS Script Form. Frame. Backrest. Seat Depth. Tsunami ALX K0005 Charge. Sling Position. Seat Width / Seat Depth. Seat Width.
MASS Script Form Company: Account Number: Date: Quote PO Number: RTS: Marked For: Australian Order Form Effective 05/07/2014 Ship To: Address: City: State: Zip: Phone: Email/Fax: Tsunami ALX K0005 Charge
More informationIndex. By Chair Model. Accessory Cushions & Parts. Seat & Back Pads. Positioning Belts. Trays. Footrests. Cylinders & Cables. Stabilizers/Anti-Tippers
Parts & Accessories Index By Chair Model Accessory Cushions & Parts Seat & Back Pads Positioning Belts Trays Footrests Cylinders & Cables Stabilizers/Anti-Tippers Page Elite 2 MIDLINE 3 30VT 4 Pedal Chair
More informationR82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.:
Account #: Purchase Order No.: Contact: R82 x:panda USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration
More informationSynthesis Tilt Recliner Model: V4
PO: Date: Customer #: Customer Name: Address: Phone: Contact: Email: Ship To Name: Address: Phone: Contact: Tag: Standard Features Comfort Tension Seating 350lb Weight Capacity Up to 40 Infinitely Adjustable
More informationTechnical Manual. Swifty The rehabilitation buggy. Models Accessories
Technical Manual Swifty The rehabilitation buggy Models Accessories Index SWIFTY,... is an innovative, high-quality special needs stroller - with good looks. Developed from parents recommendations, Swifty
More informationInvacare Action 3 NG Transit Retail Max User Weight 125Kg (19.7 stone)
Manual Wheelchair Retail Prescription Form ACTION3NGTRANSIT10112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.co.uk Online Spares available at www.invacare.co.uk Customer Ref:
More informationEASyS seating system - Ergonomic Adjustment and Safety System
EASyS Technical Manual EASyS seating system - Ergonomic Adjustment and Safety System Models Positioning supports & harnesses Safety & protection Accessory for J chassis INDEX EASyS,... the ergonomic adjustment
More informationR82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features:
Account #: Purchase Order No.: Date: Contact: R82 Wombat Living CAD Retail Price List/ Order Form Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Wombat
More informationAccessories brochure
Accessories brochure NEW The Invacare Rea Passive range, with its tilt and recline chairs is compatible with a wide variety of accessories, giving users the opportunity to achieve an optimal fit, and greater
More informationWalkmühlenstraße 1 D Bremervörde Germany Phone: +49 (0) / or -66 Fax: +49 (0) /
Member of the International Support Association for the Rehabilitation of Children and Youths e.v. Walkmühlenstraße 1 D - 27432 Bremervörde Germany Phone: +49 (0) 47 61 / 8 86-63 or -66 Fax: +49 (0) 47
More informationTilt in space up to 60 degrees Comfort seating Max. user weight: 113kg. Height adjustable folding back Heavy Duty version 158kg
QUICKIE IRIS Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: E-Mail: E-Mail: Tel: Fax: Tel: Order date: Marked for: Purchase order: Number required: Sunrise order no: Base
More informationJIVE F/R: 5,650 9,193 JIVE M: 5,895 9,591
Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: Country: Country: Tel: Fax: Tel: Fax: Order date: Marked for: Purchase order: Standard Features Angle adj. footplate
More informationAccount Number: Provider Name: Contact Name: Phone #: Fax #: Address: Taken By: Client Height: Client Weight:
Quantum Q6400Z Series Group 4 Order Form 300 lbs. weight capacity Quantum Rehab A Division of Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA 18643 Phone: (866)800-2002 Fax: (866)
More informationStandard Base Price: 618
Manual Wheelchair Retail Prescription Form ACTION4NGHD11112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref: Contact
More informationVelocity Order Form. Dealer Information Dealer Name ATP Account Number Phone Fax Date PO# Ship to Address City State Zip
1-800-963-7487 Fax: 239-772-3252 Velocity Order Form Dealer Information Dealer Name ATP Account Number Phone Fax E-Mail Date PO# Ship to Address City State Zip Client Information Weight Height Seat-to-Floor
More informationComplement your Zippie with the JAY Zip Cushion and Back designed just for kids! Pediatric Wheelchair Portfolio
4 Complement your Zippie with the JAY Zip Cushion and Back designed just for kids! Pediatric Wheelchair Portfolio JAY Zip Back Versatile One Step Release Hardware Easy one step release Fits on wide range
More informationNote Section. Set-to-Spec. This section must be filled out, otherwise the selection will default to the mid-range measurements.
AADL W659/W991 Quantum Q6 Edge Z with TB3 Power Positioning FOR AADL USE ONLY Pride Mobility Products Co. 5096 South Service Rd, Beamsville, ON, L0R 1B3 Phone: 888-570-1113 Fax: 866-514-1303 Discount:
More informationPositioning Components Order Form - ODJFS Only
Quantum Rehab 401 York Ave., Duryea, PA 18642 Phone: 866-800-2002 Fax: 866-707-3422 Email: quantumorders@pridemobility.com Positioning Components Order Form - ODJFS Only Account Number: Date: Provider
More informationBasic price 2.250,- Excl. VAT
Date Invoice address Invoice address = delivery address Customer code C- Contact person Reference Other delivery address Quote Seat width D64035 35 cm D64040 40 cm D64045 45 cm D64050 50 cm = Standard
More informationREMOVAL IR 11. Slide the inner rear view mirror.
11 Slide REMOVAL CAUTION: Some of these service operations affect the SRS airbag system. Read the precautionary notices concerning the SRS airbag system before servicing (See page RS-1). 1. DISCONNECT
More informationBariatric Folding Wheelchair - Minimaxx & Disc
2 2 Bariatric Equipment Folding Wheelchair Portering Chair Mobile Commode Shower Chairs Shower Chair & Commode Pa ent & High Back Chair Four Leg & Can lever Chair Rollator Walker & Training Suit 4 6 7
More informationBATTERY BOX BATTERY BOX. Pos Item number Description CommentDescription BATTERY COVER QTY
Title - 1 - Title - 2 - Table Of Contents QUICKIE HULA... 5 BASE FRAME... 5 BATTERY BOX... 5 MAIN SHROUD... 6 FRONT SHROUD... 7 FRONT FRAME... 8 REAR FRAME... 9 BEARING SET... 10 FRONT FORK ASSY... 11
More informationStandard Base Price : 2,950. Standard Features
Power Wheelchair Retail Prescription Form PRONTOM41PP010716 Tel: 01656 776222 Fax: 01656 776220 JULY 2016 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref : Account
More informationEASyS Modular. Technical Manual. EASyS Modular Rehab stroller. Models. Accessories for EASyS Modular seat unit. Accessories for A and Q chassis
EASyS Modular Technical Manual EASyS Modular Rehab stroller Models Accessories for EASyS Modular seat unit Accessories for A and Q chassis INDEX EASyS Modular,... is a rehab stroller with more head support,
More informationKimba. T h e K i m b a F a m i l y o f P e d i a t r i c M o b i l i t y P r o d u c t s
Kimba T h e K i m b a F a m i l y o f P e d i a t r i c M o b i l i t y P r o d u c t s Great for Kids Easy for Moms, Dads and Caregivers! Finally, a tilt-in-space mobility system that brings it all together.
More informationParts Catalog Issued: May 12, Seating and Positioning
Parts Catalog Issued: May 1, 015 Seating and Positioning Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for.
More informationSECOND ROW SEAT BELT SECOND ROW SEAT BELT. Second Row Seat Belt SB-13 EXPLODED VIEW SEAT BELT RETRACTOR < REMOVAL AND INSTALLATION >
SECOND ROW SEAT BELT Second Row Seat Belt EXPLODED VIEW SECOND ROW SEAT BELT INFOID:0000000012551454 A B C D E F G SB I J K L M N O AWHIA0861ZZ P 1. Seat belt height adjuster (LH/RH) 2. Seat belt retractor
More informationq Little Wave Flip XP - Rigid Base KF-XPRIGID $
Phone 0800 5 222 Fax 0800 275 65 Effective /06/207 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Little Wave Flip XP - Rigid Base KF-XPRIGID $ 9.8kg weight capacity. One time free
More informationInvacare EXPRESS Manual Wheelchair Order Form Suggested Canadian Price List Effective October 30th, 2018
TRACER EX2 FOLDING WHEELCHAIRS Invacare EXPRESS Manual Wheelchair Order Form Suggested Canadian Price List Effective October 30th, 2018 PROVIDER NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS Invacare Canada
More informationChair Back Solid. Chair Back. Chair Back. Chair Back
Seats and Backs Seats and Backs Solid Up to 14 x 14... 0625 Up to 18 x 18... 062501 Up to 22 x 22... 062502 I-Modification Up to 14 x 14... 06258 Up to 18 x 18... 062510 Up to 22 x 22... 062511 T-Modification
More informationBariatric Folding Wheelchair - Minimaxx & Disc
4 Bariatric Equipment Folding Wheelchair Portering Chair Mobile Commode Shower Chairs Shower / Commode Chair Patient & High Back Chair Four Leg Chairs Rollator Walker & Training Suit 6 8 9 10 12 13 14
More informationUSA Parts List FUZE T50
USA Parts List FUZE T50 Effective January 1, 2018. Prices in U.S. Dollars. Prices and descriptions contained in this manual are subject to change without prior notice. Fuze T50 Frame-Seat Pan Cross Bar
More informationAdjustable Height Raised Toilet Seat Model 101 RTS Pricelist/Order Form December 2014
Adjustable Height Raised Toilet Seat Model 101 RTS Date: Name: P.O.#: Address: Name: City/State/Zip: Mark For: Phone: Account #: Fax: This Activeaid raised toilet seat is unique in its design to accommodate
More informationR82 Flamingo Flamingo High-Low
Account #: Purchase Order No.: Contact: R82 Flamingo Flamingo High-Low Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone:
More informationq q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.
Funder: Order Number: Date: q Quote q PO Number: Therapist: Marked For: Catalyst 5 K5-CAT5-ALI 136kg weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth
More informationBINGO Evolution rehab pushchair
BINGO Evolution rehab pushchair Size 2 for children at the age of approx. 4-10 years Crash tested according to ISO 7176-19 and ANSI/RESNA WC/Vol.1. - Section 19 Order form incl. Exportprices ( ) valid
More informationManufacturer: Model: Seat width: cm Seat depth: cm
Thompson House Unit 10, Styles Close, Sittingbourne, Kent ME10 3BF Tel: 01795 477280 Fax: 01795 229692 Email: sales@rms-kent.co.uk web: www.ineedawheelchair.co.uk Caddy modular seating system order form
More informationFUZE T50. Order Form USA. Please send your completed order form by to or by fax to
Page 1 of 5 Purchase Order Tag Dealer/Organization Name Purchaser Name and Contact Information Mailing Address Shipping Address Please send your completed order form by email to info@pdgmobility.com or
More informationBEARINGS BEARINGS
TIRES PNEUMATIC.... 1-4 SNAP ON.....4 PRIMO HIGH PERFORMANCE......5-6 SCHWALBE HIGH PERFORMANCE.....5-6 KENDA HIGH PERFORMANCE... 7 MAINTENANCE FREE TIRES SHOX URETHANE TIRES..... 8 URETHANE TIRES....
More informationSpare parts Adventure A10
Adventure A10 Status: 01.01.2007 5.6.1 Drive wheel 1456306 Rear wheel tyre 1456307 Rear wheel inner tube 1456975 Electric motor for driving wheel 6 km/h / 3.7 mph 1456974 Rear wheel cap 1456973 Rear wheel
More informationInvacare REA Azalea Transit RETAIL Max User Weight 135Kg (21 stone)
Manual Wheelchair Retail Prescription Form ReaAzaleaTransit281117 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com January 2018 Online spares available at: www.invacare.co.uk Customer Ref:
More informationKimba Neo. Paediatric postural positioning system. Base price Outdoor mobility base: EUR x,xxx. Base price Seating unit: EUR x,xxx
Base price Outdoor mobility base: EUR x,xxx Base price Seating unit: EUR x,xxx valid from 1/1/2016 to 31/12/2016 Provide estimate only Order Order no.: Kimba Neo Paediatric postural positioning system
More informationJAY Fit. Backrest and Seat Assembly. July 2017
JAY Fit Backrest and Seat Assembly July 2017 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention:
More informationREMOVAL AND INSTALLATION
501-10-1 Seating 501-10-1 REMOVAL AND INSTALLATION Seat Exploded View, Front Front Seat Backrest NOTE: LH shown, RH similar. 1 64417 Backrest trim cover 2 14D696 Heated seat element (if equipped) 3 64810
More informationFUSION Seating Prescription Form Custom Built Seating System
GENERAL INFORMATION Clinician: Email: Date: Service: Delivery Address: Client Name/Ref: Address/School: Current Equipment: Issues with Current Equipment: Observations, deformity: Hips/Pelvis: Spine/Trunk:
More information7. Side Airbag Module
AIRBAG SYSTEM Side Airbag Module 7. Side Airbag Module A: REMOVAL Refer to CAUTION of General Description before handling the airbag module. NOTE: Remove
More informationFor information on the Kid Kart Xpress, TLC, and Mighty Lite, please consult the Kid Kart Family Brochure.
ZIPPIE FAMILY When you think of Zippie, imagine all the activities children can enjoy. Each Zippie product is designed to be a simple-to-use and reliable support for the lifestyles of children. Zippie
More informationJIVE M2 SEDEO ERGO... 5 SHROUDS... 5 CHASSIS... 5 COLOURED SHROUD ELEMENTS... 6 BACK... 37
Title - 1 - Title - 2 - Table Of Contents JIVE M2 SEDEO ERGO... 5 SHROUDS... 5 CHASSIS... 5 COLOURED SHROUD ELEMENTS... 6 BACK... 7 JAY 3 BACK... 9 SEAT... 10 DRIVE WHEEL / CASTOR WHEEL... 11 14 INCH DRIVE
More informationNote Section. Set-to-Spec. This section must be filled out, otherwise the selection will default to the mid-range measurements.
AADL W592/W991 Quantum Q6 Edge 2.0 with TB3 Power Positioning FOR AADL USE ONLY Pride Mobility Products Co. 5096 South Service Rd, Beamsville, ON, L0R 1B3 Phone: 888-570-1113 Fax: 866-514-1303 Discount:
More informationCOMPONENTS Toyota RAV ACCESSORIES & EQUIPMENT Front Seat - RAV4
2005 ACCESSORIES & EQUIPMENT Front Seat - RAV4 COMPONENTS Fig. 1: Identifying Front Seat Components & Torque Specifications FRONT SEAT ASSEMBLY REMOVAL CAUTION: Wear safety gloves, because the cutting
More informationTechnical Manual. Thevo The perception seat for dynamic seating. Models. Accessories ThevoTwist. Accessories A chassis
ThevoTwist Technical Manual Thevo The perception seat for dynamic seating Models Accessories ThevoTwist Accessories A chassis INDEX ThevoTwist - The mobility seat Many children who depend on a seating
More informationQuickie IRIS January 2014
Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: ST: ZIP: Address: Dealer Phone: ( ) Fax: ( )
More informationAn innovative child safety seat designed for children with special health needs. Listening to therapists working with families
An innovative child safety seat designed for children with special health needs Listening to therapists working with families Features EZ-Up Cap Three sizes available EZ-Up Head Rest Cover Incontinent
More informationZIPPIE FAMILY. all the activities children can enjoy. Each Zippie product is designed to be a simple-to-use and reliable support
ZIPPIE FAMILY When you think of Zippie, imagine all the activities children can enjoy. Each Zippie product is designed to be a simple-to-use and reliable support for the lifestyles of children. Zippie
More informationQUICKIE PRELUDE PAGE 1
QUICKIE PRELUDE PAGE 1 PAGE 2 QUICKIE PRELUDE QUICKIE PRELUDE... 4 FRAME... 4 PRELUDE FRAME... 4 PRELUDE BATTERY BOXES... 5 PRELUDE FOOTPLATE... 6 PRELUDE MOTOR ASSEMBLY... 7 PRELUDE FRONT ANTI-TIP...
More informationJAY AES - PACKAGE ORDER FORM November 2012
LOGO JAY AES - PACKAGE ORDER FORM November 2012 Account: QTY Option # QTY Option # SEATING SYSTEMS PACKAGES SEATING SYSTEMS PACKAGES PKG10XX Universal/E-Z Mount Seating Package $1,053.75 MOD1180 1 Stimulite
More informationInvacare Kite (Modulite Flex3 Seating System) Dealer Max User Weight 160Kg (25 stone)
Invacare Ltd Power Prescription Form Pencoed Technology Park Dealer Prescription Form Pencoed CF35 5AQ LPF1U2KITEFLEX011015Dealer Tel: +44 (0) 1656 776222 Fax: +44 (0) 1656 776220 July 2015 email: ordersuk@invacare.com
More informationPhoto: Virginie Beauchamp
Product Catalogue 1 2 Photo: Virginie Beauchamp BACKREST (ONE PIECE) Description: Single-piece backrest for upper-body positioning Sturdy aluminium back plate High quality cushion cover 4 mounting points
More information[ ] Quote [ ] Order. Junior US Retail Price List. Account Information. Ship To Information. Standard Features.
Account Information Date Account Number Branch Dealer Contact Phone Fax Email Address PO Number Mark For Ship To Information [ ] Quote [ ] Order Shown with Optional Equipment Standard Features Name Address
More informationShower commode chairs
Ocean, Ocean XL, Ocean Vip, Ocean ual Vip, The Ocean series of shower commode chairs offers the right model for all demands. www.clarkehealthcare.com 888-347-4537 17 Ocean Stable, stainless steel frame
More informationSpare Parts Catalogue. Version: 2014/10/08b EN
Spare Parts Catalogue TABLE OF CONTENTS Chassis Sideframes... Crossbrace... 5 6 Seat Seat Upholstery... Solid Seat Inserts..... 7 8 Backrest Legrests Back Cane Assemblies... 9 Back Upholstery... 10 Push
More informationM1 - NPO. Dealer Information. Client Information. Client Measurements
Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * Province: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client is evaluated by a certified
More informationTitle - 1 -
Title - 1 - Title - 2 - Table Of Contents QUICKIE SALSA/SALSA M... 7 FRAME AND BATTERY BOX... 7 SALSA - CHASSIS... 7 SALSA M - CHASSIS... 8 SALSA M - CHASSIS, SLIDE BUSHING KIT... 9 SALSA M - CHASSIS,
More informationQuickie IRIS FSS Net Order Form/Price List (SIN F-1)
Mark For: Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: Dealer Phone: ( ) Fax: ( ) Confirmation Email: Confirm Via: ZIP: Quickie IRIS FSS Net Order Form/Price List (SIN
More informationEtac Prio. A comfort wheelchair with unique innovations.
Etac Prio A comfort wheelchair with unique innovations. Etac Prio dynamic comfort By changing seat and back angles and adjusting the elevating leg supports, you can vary body position and pressure points,
More informationVOLANT: FULL ARMREST ASSEMBLIES
Title - 1 - Title - 2 - Table Of Contents LOMAX VOLANT... 4 ARMRESTS... 4 VOLANT: FULL ARMREST ASSEMBLIES... 4 VOLANT: SIDE PANEL... 5 VOLANT: ARMPAD... 6 BACKRESTS... 8 VOLANT: NINIAN BACKREST UPHOLSTERY...
More informationPlease choose the seat width for accessories: 35 cm 40 cm 43 cm 45 cm 50 cm
Netti 4U comfort fully adjustable Date Invoice address Invoice address = delivery address Customer code C- Contact person Reference Other delivery address Offer Order Basic price: 2.750,- excl. VAT. Seat
More informationCanadian Suggested Retail Price List April 2015
Size 5 Canadian Suggested Retail Price List April 2015 Account No. Drop Ship: Date: Name P.O. Number: Address Buyer: City Marked For: State Zip E Mail: Tel. Fax A ( Back height) B (Arm height) C (Lower
More informationIR 13 INTERIOR ROOF HEADLINING REMOVAL
INTERIOR ROOF HEADLINING 13 REMOVAL 1. DISCONNECT CABLE FROM NEGATIVE BATTERY TERMINAL 2. REMOVE REAR SEATBACK BOARD CARPET ASSEMBLY RH (See page SE-43) 3. REMOVE REAR SEATBACK ASSEMBLY RH (See page SE-43)
More informationZIPPIE IRIS (Transit Included) EIZ5A
ZIPPIE IRIS (Transit Included) EIZ5A MASS QLD ORDER FORM SUMMARY PAGE Effective: January, 2014 ORDERING INFORMATION: (02) 9678 6600 Fax: (02) 9678 6655 Email:orders@sunrisemedical.com.au Date: Sales Rep:
More informationMiko. Wheelbases For Special Seating. Dimensions and Specifications. Buggy & R ough T errain
Wheelbases For Special Seating Dimensions and Specifications MOJO Miko Buggy & R ough T errain The complete range of wheelbases by SOS. Includes basic dimensions and specifications for all MoJo and Miko
More informationBariatric Equipment. Folding Wheelchair 08 Portering Chair. 10 Mobile Commode. 11 Shower Chairs. 12 Shower Chair & Commode
07 Folding Wheelchair 08 Portering Chair 10 Mobile Commode 11 Shower Chairs 12 Shower Chair & Commode 14 Patient & High Back Chair 15 Seating - Four Leg & Cantilever Chair 16 Rollator & Walker 17 Walking
More informationREASSEMBLY IR INSTALL ROOF WIRE (a) Apply new double-sided tape to the roof headlining along the markings of the roof headlining.
31 REASSEMBLY 1. INSTALL ROOF WE (a) Apply new double-sided tape to the roof headlining along the markings of the roof headlining. Double-sided Tape Marking B130653E01 (b) NOTICE: Apply the tape securely
More informationInvacare Series ContourU Model #'s CM01S, CM01B, CM02S, CM02B
Invacare Series ContourU Model #'s CM01S, CM01B, CM02S, CM02B For 3D Image Systems: E-mail Order Form and Digitized File to: ElyriaCustomSeating@invacare.com Company Name: Date: Account #: Contact Name:
More informationATP MOBILITY ASSESSMENT FORM
ATP MOBILITY ASSESSMENT FORM Name: Date: Address: City: State: Zip: DOB: Weight: Height: Gender: PLACE OF SERVICE: Assisted Living Home SNF : Physician: NPI: Address: City: State: Zip: Primary Insurance:
More information