INVACARE MATRX SEATING SERIES US PRICE LIST EFFECTIVE MAY 2013 REV Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover

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1 Matrx Vi Cushion Matrx Vi Cushions include inner & outer covers. Additional Extra covers are also available. Weight Capacity up to 300 lbs. Fits Wheelchair Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS code E2607 MA1415 Vi C ",14" 15",16" $425 MA1417 Vi C ",14" 17",18" $425 MA1616 Vi C ",16" 16",17" $425 MA1618 Vi C ",16" 18",19" $425 MA1620 Vi C ",16" 20",21" $425 MA1816 Vi C ",18" 16",17" $425 MA1818 Vi C ",18" 18",19" $425 MA1820 Vi C ",18" 20",21" $425 MA2016 Vi C ",20" 16",17" $425 MA2018 Vi C ",20" 18",19" $425 MA2020 Vi C ",20" 20",21" $425 HCPCS code E2608 MA2218 Vi C ",22" 18",19" $475 $110 MA2220 Vi C ",22" 20",21" $475 $110 Matrx Vi Heavy Duty Cushion* Matrx Vi Cushions include inner & outer covers. Additional Extra covers are also available. Weight Capacity up to 600 lbs. Specify Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS code E2608 MAWWDD Vi CWWDD See chart See chart $625 $150 * You must specify the width and depth that you require for these cushions. These cushions will take an additional week. additional 1 week lead time 1/22

2 Kidabra cushions include inner & outer covers. Additional Extra covers are also available. Weight Capacity up to 150 lbs Fits Wheelchair Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS code E2607 Kidabra Cushion KA1212 Vi KC ",12" 12",13" $425 $95 KA1214 Vi KC ",12" 14",15" $425 $95 KA1412 Vi KC ",14" 12",13" $425 $95 KA1414 Vi KC ",14" 14",15" $425 $95 *** Please see page 3 for Matrx Base Option Modifications Add modification upcharge to price of Matrx Cushion. (No return on custom/modified orders) Modification POK Pelvic Obliquity Kit Accommodates 1/2" and 1" obliquities $50 SDR1 Seat Depth Reduction* Cushion Depth Less 1" SDR2 Seat Depth Reduction* Cushion Depth Less 2" SDR3 Seat Depth Reduction* Cushion Depth Less 3" SDR4 Seat Depth Reduction* Cushion Depth Less 4" SWR1 Seat Width Reduction* Cushion Width Less 1" SWR2 Seat Width Reduction* Cushion Width Less 2" SWR3 Seat Width Reduction* Cushion Width Less 3" SWR4 Seat Width Reduction* Cushion Width Less 4" LLDR1 Leg Length Discrepancy* Cushion Depth User's Right Less 1" LLDR2 LLDL1 Leg Length Discrepancy* Leg Length Discrepancy* Cushion Depth User's Right Less 2" Cushion Depth User's Left Less 1" LLDL2 Leg Length Discrepancy* Cushion Depth User's Left Less 2" ECM Extra Outer Cover Modification* Accommodates LLD/SDR/SWR $50 MAC Miscellaneous Modification Special Request requires approval CIC Extra Inner Cover Available for Matrx Cushions and Bases NSF Non Standard Fabric Selection** Optional Kidabra or Black Fabric N/C OCU MA Onyx Cover Upgrade** Available for Matrx Cushions FSU MA Fusion Fabric Upgrade** Available for Matrx Cushions DAR F Dartex Fabric side up** Available for Matrx Cushions/Bases $50 DAR S Dartex Smooth side up** Available for Matrx Cushions/Bases $50 *Available on Matrx Vi/Kidabra cushions only not bases **You may select fabric of seating products at time of ordering adds additional 1 week lead time. 2/22

3 Matrx PS Cushion Matrx PS Cushions include inner and reversible outer covers. Additional outer covers are also available. Weight Capacity up to 300 lbs. Fits Wheelchair Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS code E2605 PS1010 PSC1010 9",10" 10",11" $345 $85 PS1012 PSC1012 9",10" 12",13" $345 $85 PS1014 PSC1014 9",10" 14",15" $345 $85 PS1212 PSC ",12" 12",13" $345 $85 PS1214 PSC ",12" 14",15" $345 $85 PS1216 PSC ",12" 16",17" $345 $85 PS1412 PSC ",14" 12",13" $345 $85 PS1414 PSC ",14" 14",15" $345 $85 PS1416 PSC ",14" 16",17" $345 $85 PS1616 PSC ",16" 16",17" $345 $85 PS1618 PSC ",16" 18",19" $345 $85 PS1620 PSC ",16" 20",21" $345 $85 PS1816 PSC ",18" 16",17" $345 $85 PS1818 PSC ",18" 18",19" $345 $85 PS1820 PSC ",18" 20",21" $345 $85 PS2016 PSC ",20" 16",17" $345 $85 PS2018 PSC ",20" 18",19" $345 $85 PS2020 PSC ",20" 20",21" $345 $85 Matrx PS Heavy Duty Cushion* Bariatric Builder Sizes. Weight capacity 600 lbs *Bariatric PS Dartex Covers are NOT reversible. Please specify smooth or fabric side out at time of order. Specify Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS code E2606 PSWWDD PSCWWDD See chart See chart $695 $125 * You must specify the width and depth that you require for these cushions. These cushions will take an additional week. 3/22

4 Modifications INVACARE MATRX SEATING SERIES Add modification upcharge to price of Matrx PS Cushion. (No return on custom/modified orders) Modification POK Pelvic Obliquity Kit with Cushion Accommodates 1/2" and 1" Modification (Specify user's right or obliquities SDR1 Seat Depth Reduction* Cushion Depth Less 1" SDR2 Seat Depth Reduction* Cushion Depth Less 2" SDR3 Seat Depth Reduction* Cushion Depth Less 3" SDR4 Seat Depth Reduction* Cushion Depth Less 4" SWR1 Seat Width Reduction* Cushion Width Less 1" SWR2 Seat Width Reduction* Cushion Width Less 2" SWR3 Seat Width Reduction* Cushion Width Less 3" SWR4 Seat Width Reduction* Cushion Width Less 4" LLDR1 Leg Length Discrepancy* Cushion Depth User's Right Less 1" LLDR2 Leg Length Discrepancy* Cushion Depth User's Right Less 2" LLDL1 Leg Length Discrepancy* Cushion Depth User's Left Less 1" LLDL2 Leg Length Discrepancy* Cushion Depth User's Left Less 2" ECM Extra Outer Cover Modification* Accommodates LLD/SDR/SWR $50 MAC Miscellaneous Modification Special Request requires approval CIC Extra Inner Cover Available for Matrx PS Cushions. *You may select fabric of seating products at time of ordering adds additional 1 week lead time. Cushion cover will no be reversible and you must specify smooth or fabric side out Matrx V Cushion Rigidizer Lightweight, moulded solid seat insert, recommended for use with cushions being used on sling seat upholstery. Fits Cushion Rigidizer Width Depth HCPCS code E0992 CR14S 12" 14" 12" 17" CR16S 15",16" 15",16" CR16M 15",16" 17",18" CR16L 15",16" 19",20" CR18S 17",18" 15",16" CR18M 17",18" 17",18" CR18L 17",18" 19",20" CR20S 19",20" 15",16" CR20M 19",20" 17",18" CR20L 19",20" 19",20" CR22M 21",22" 17",18" $95 CR22L 21",22" 19",20" $95 4/22

5 Matrx Vi Base* *Must be ordered with corresponding Matrx Vi Cushion Model Only. Bases are not available separately. Matrx Vi Bases include a plywood drop base and mounting hardware. Please specify drop hook size 7/8" or 1" diameter, 1" or 2" drop. Weight Capacity up to 250lbs Fits Wheelchair Base Extra Outer Cover Width Depth Base Extra Outer Cover HCPCS code E2231 MB1415 Vi BC " 15",16" $200 $90 MB1417 Vi BC " 17",18" $200 $90 MB1516 Vi BC " 16",17" $200 $90 MB1518 Vi BC " 18",19" $200 $90 MB1616 Vi BC " 16",17" $200 $90 MB1618 Vi BC " 18",19" $200 $90 MB1716 Vi BC " 16",17" $200 $90 MB1718 Vi BC " 18",19" $200 $90 MB1816 Vi BC " 16",17" $200 $90 MB1818 Vi BC " 18",19" $200 $90 MB1916 Vi BC " 16",17" $200 $90 MB1918 Vi BC " 18",19" $200 $90 MB2016 Vi BC " 16",17" $200 $90 MB2018 Vi BC " 18",19" $200 $90 Kidabra Base* Kidabra Bases include a plywood drop base and mounting hardware. *Must be ordered with corresponding Kidabra Cushion Model Only. Bases are not available separately Please specify drop hook size 7/8" or 1" diameter, 1" or 2" drop. Weight Capacity up to 150lbs Fits Wheelchair Base Extra Outer Cover Width Depth Base Extra Outer Cover HCPCS code E2231 KB1212 Vi KBC " 12",13" $200 $90 KB1214 Vi KBC " 14",15" $200 $90 KB1312 Vi KBC " 12",13" $200 $90 KB1314 Vi KBC " 14",15" $200 $90 KB1412 Vi KBC " 12",13" $200 $90 KB1414 Vi KBC " 14",15" $200 $90 Please select Drop Hooks Diameter 7/8" 1" Front Drop Hook Flush (0") 1" 2" Rear Drop Hook Flush (0") 1" 2" For extra drop hooks please see hardware page. 5/22

6 Matrx PB Posture Back INVACARE MATRX SEATING SERIES Back includes outer cover and hardware to fit 3/4", 7/8" or 1" diameter back canes. Backs are complete with reinforcement plate for head support Contour depth is 5". Weight Capacity up to 300 lbs Back Extra Outer Cover Width Height Back Extra Outer Cover HCPCS code E2615 Fits Wheelchair MPB1412 PBC " 15" 12" $625 MPB1416 PBC " 15" 16" $625 MPB1612 PBC " 17" 12" $625 MPB1616 PBC " 17" 16" $625 MPB1620 PBC " 17" 20" $625 MPB1712 PBC " 18" 12" $625 MPB1716 PBC " 18" 16" $625 MPB1720 PBC " 18" 20" $625 MPB1812 PBC " 19" 12" $625 MPB1816 PBC " 19" 16" $625 MPB1820 PBC " 19" 20" $625 MPB2012 PBC " 21" 12" $625 MPB2016 PBC " 21" 16" $625 MPB2020 PBC " 21" 20" $625 Matrx PB Heavy Duty Posture Back Back includes outer cover and hardware to fit 3/4", 7/8" or 1" diameter back canes and is drilled for head support attachment. Contour depth 5". Weight Capacity 500 lbs. Back Extra Outer Cover Width Height Back Extra Outer Cover HCPCS code E2615 HDB2016 HDC ",21" 16" $835 HDB2020 HDC ",21" 20" $835 HCPCS code E2616 HDB2216 HDC ",23" 16" $835 HDB2220 HDC ",23" 20" $835 HDB2416 HDC ",25" 16" $835 HDB2420 HDC ",25" 20" $835 HCPCS code E2616 Fits Wheelchair Extra Wide Heavy Duty Posture Back for seat widths up to 30" wide* HDBww16 HDCww16 up to 30" 16" add $600 add HDBww20 HDCww20 up to 30" 20" add $600 add * These are custom sizes that may require longer lead times and are not returnable. 6/22

7 Matrx PB Deep Posture Back Back includes outer cover and hardware to fit 3/4", 7/8" or 1" diameter back canes and is drilled for head support attachment. Backs are complete with reinforcement plate for head suport. Contour depth 7" Weight capacity is 300 lbs. Fits Wheelchair Back Extra Outer Cover Width Height Back Extra Outer Cover HCPCS code E2615 PBD1412 DMC " 15" 12" $645 $110 PBD1416 DMC " 15" 16" $645 $110 PBD1612 DMC " 17" 12" $645 $110 PBD1616 DMC " 17" 16" $645 $110 PBD1620 DMC " 17" 20" $645 $110 PBD1712 DMC " 18" 12" $645 $110 PBD1716 DMC " 18" 16" $645 $110 PBD1720 DMC " 18" 20" $645 $110 PBD1812 DMC " 19" 12" $645 $110 PBD1816 DMC " 19" 16" $645 $110 PBD1820 DMC " 19" 20" $645 $110 PBD2012 DMC " 21" 12" $645 $110 PBD2016 DMC " 21" 16" $645 $110 PBD2020 DMC " 21" 20" $645 $110 Matrx PB Deep HD Posture Back Back includes outer cover and hardware to fit 3/4", 7/8" or 1" diameter back canes and is drilled for head support attachment. Contour depth 7" Weight Capacity up to 500 lbs Fits Wheelchair Back Extra Outer Cover Width Height Back Extra Outer Cover HCPCS code E2615 DHD2016 DDC ",21" 16" $935 $110 DHD2020 DDC ",21" 20" $935 $110 HCPCS code E2616 DHD2216 DDC ",23" 16" $935 $110 DHD2220 DDC ",23" 20" $935 $110 DHD2416 DDC ",25" 16" $935 $110 DHD2420 DDC ",25" 20" $935 $110 Extra Wide Heavy Duty Deep Posture Back for seat widths up to 30" wide* HCPCS code E2616 DHDww16 DDCww16 up to 30" 16" add $600 add DHDww20 DDCww20 up to 30" 20" add $600 add * These are custom sizes that may require longer lead times and are not returnable. 7/22

8 PB Back Accessories Accessory MAC Miscellaneous Modification Special Request requires approval PBVF Posture Back or Elite Back Foam Modification ViscoFoam option FIP Foam in Place Kit for Matrx Posture Back Chemical kit for custom foam mold $200 PBSC Posture Back Stretch Cover Upgrade** For use with Foam in place kits on Matrx PB Backs $50 HDU Heavy Duty Hardware Upgrade Replaces standard mounting hardware on Posture or Elite Backs $125 SMHU Split Mounting Hardware Upgrade* Replaces standard mounting hardware on Posture or Elite Backs N/C PBMH QU Posture Back Mounting Hardware Upgrade (per Replaces standard mounting hardware pair) Posture Back or Elite Back when using 1 1/8" N/C PBMH L FSSHU FSSH FTU Large Posture Back Mounting Hardware Upgrade (per pair) Fixed Space Saver Hardware Upgrade Fixed Space Saver Hardware Upgrade for Formula Tilt back canes. Replaces standard mounting hardware Posture Back or Elite Back when using 1 1/4" back canes. Replaces standard mounting hardware on Posture or Elite Backs*** Replaces standard mounting hardware on Posture or Elite Backs*** FSSH FTRU Fixed Space Saver Hardware Upgrade for Replaces standard mounting hardware on Formula Tilt/Recline Posture or Elite Backs*** N/C ERMHU Extended Range Mounting Hardware Upgrade Allows back to be positioned 2" further forward or behind back canes $50 PBCR Posture Back Cane Replacement (per pair) 1" diameter back cane replacement kit $115 ESRMH ESR Mounting Hardware Allows PB Back to be mounted to Motion Concepts TRx Powered Seating with ESR $260 Allows Heavy Duty PB Back to be mounted to ESRMH HD HD ESR Mounting Hardware Motion Concepts TRx Powered Seating with ih $260 ESR Allows Matrx Elite back or Posture Back to be EMP Extended Mounting Pins installed on wheelchairs that are 2" wider than the back model width.^ CHIPB Chest Harness Interface Kit for PB Back Chest Harness is not included mounting kit only $45 PFLAP XS Privacy Flap for Matrx Backs Fits Matrx backs 12 14" wide (Flap size 10" x 16") PFLAP S Privacy Flap for Matrx Backs Fits Matrx backs 15 16" wide (Flap size 13" x 16") PFLAP M Privacy Flap for Matrx Backs Fits Matrx backs 17 18" wide (Flap size 15" x 16") PFLAP L Privacy Flap for Matrx Backs Fits Matrx backs 19 20" wide (Flap size 17" x 16") PFLAP XL Privacy Flap for Matrx Backs Fits Matrx backs 21 22" wide (Flap size 19" x 16") PFLAP XXL Privacy Flap for Matrx Backs Fits Matrx backs 23 24" wide (Flap size 21" x 16") *Split Hardware available on standard sizes up to 20" wide and maximum 300 lbs capacity ** Applies at time of ordering PB back or extra cover *** Use this option when mounting back to Forumula Wheelchairs ^Only for use on backs up to 20" wide with 300 lbs weight capacity N/C N/C N/C 8/22

9 Genera Back New and Improved 2 Point Mounting hardware. Fits 3/4", 7/8" and 1" diameter back canes. Weight capacity up to 250 lbs. Fits Wheelchair Back Extra Outer Cover Width Height Back Extra Outer Cover HCPCS E2611 GB1616 GBC $395 $95 GB1620 GBC $395 $95 GB1816 GBC $395 $95 GB1820 GBC $395 $95 GB2016 GBC $395 $95 GB2020 GBC $395 $95 9/22

10 Matrx Elite Back Back includes foam and cover and hardware to fit 3/4, 7/8" or 1" diameter back canes. Backs are drilled for headrest attachment (exceptions are 15" 20" wide x 10"/12" high). Contour Depth 3", Weight Capacity up to 300 lbs. Fits Wheelchair Back Extra Outer Cover* Width Height Back Extra Outer HCPCS code E2620 Cover* PBE1210 PBEC " 13" 10" $625 $135 PBE1212 PBEC " 13" 12" $625 $135 PBE1214 PBEC " 13" 14" $625 $135 PBE1216 PBEC " 13" 16" $625 $135 PBE1218 PBEC " 13" 18" $625 $135 PBE1310 PBEC " 14" 10" $625 $135 PBE1312 PBEC " 14" 12" $625 $135 PBE1314 PBEC " 14" 14" $625 $135 PBE1316 PBEC " 14" 16" $625 $135 PBE1318 PBEC " 14" 18" $625 $135 PBE1410 PBEC " 15" 10" $625 $135 PBE1412 PBEC " 15" 12" $625 $135 PBE1414 PBEC " 15" 14" $625 $135 PBE1416 PBEC " 15" 16" $625 $135 PBE1418 PBEC " 15" 18" $625 $135 PBE1420 PBEC " 15" 20" $625 $135 PBE1510 PBEC " 16" 10" $625 $135 PBE1512 PBEC " 16" 12" $625 $135 PBE1514 PBEC " 16" 14" $625 $135 PBE1516 PBEC " 16" 16" $625 $135 PBE1518 PBEC " 16" 18" $625 $135 PBE1520 PBEC " 16" 20" $625 $135 PBE1610 PBEC " 17" 10" $625 $135 PBE1612 PBEC " 17" 12" $625 $135 PBE1614 PBEC " 17" 14" $625 $135 PBE1616 PBEC " 17" 16" $625 $135 PBE1618 PBEC " 17" 18" $625 $135 PBE1620~ PBEC " 17" 20" $625 $135 PBE1710 PBEC " 18" 10" $625 $135 PBE1712 PBEC " 18" 18" 12" $625 $135 PBE1714 PBEC " 18" 14" $625 $135 PBE1716 PBEC " 18" 16" $625 $135 PBE1718 PBEC " 18" 18" $625 $135 PBE1720~ PBEC " 18" 20" $625 $135 PBE1810 PBEC " 19" 10" $625 $135 PBE1812 PBEC " 19" 12" $625 $135 PBE1814 PBEC " 19" 14" $625 $135 PBE1816 PBEC " 19" 16" $625 $135 PBE1818 PBEC " 19" 18" $625 $135 PBE1820~ PBEC " 19" 20" $625 $135 PBE1910 PBEC " 20" 10" $625 $135 PBE1912 PBEC " 20" 12" $625 $135 PBE1916 PBEC " 20" 16" $625 $135 PBE1918 PBEC " 20" 18" $625 $135 PBE1920~ PBEC " 20" 20" $625 $135 PBE2010 PBEC " 21" 10" $625 $135 PBE2012 PBEC " 21" 12" $625 $135 PBE2016 PBEC " 21" 16" $625 $135 PBE2018 PBEC " 21" 18" $625 $135 PBE2020~ PBEC " 21" 20" $625 $135 ~ Optional "Full Back" non scapular cut out *includes foam See next page for lateral options on the Elite Back 10/22

11 Matrx Elite Heavy Duty Back Back includes foam and cover and hardware to fit 3/4, 7/8" or 1" diameter back canes. Backs are drilled for headrest attachment. Contour Depth 3", Weight Capacity up to 500 lbs. Fits Wheelchair Back Extra Outer Cover* Width Height Back Extra Outer HCPCS code E2615 * PBE2116 HD PBEC " 22" 16" $795 $135 PBE2120 HD PBEC " 22" 20" $795 $135 HCPCS code E2616 PBE2216 HD PBEC " 23" 16" $795 $135 PBE2220 HD PBEC " 23" 20" $795 $135 PBE2316 HD PBEC " 24" 16" $795 $135 PBE2320 HD PBEC " 24" 20" $795 $135 PBE2416 HD PBEC " 25" 16" $795 $135 PBE2420 HD PBEC " 25" 20" $795 $135 HCPCS code E2616 Extra Wide Heavy Duty Elite Back for seat widths up to 30" wide* PBEww16 HD PBECww16 up to 30" 16" add $600 add PBEww20 HD PBECww20 up to 30" 20" add $600 add Matrx Elite Tilt / Recline Back Back includes Supersoft foam and cover and hardware to fit 3/4, 7/8" or 1" diamet back canes. Backs are drilled for headrest attachment. Contour Depth 3", Weight Capacity up to 300 lbs. No scapular cutout. Suggested for tilt/recline applications. Fits Wheelchair Back Extra Outer Cover* Width Height Back Extra Outer HCPCS code E2620 * PBE1520 TR PBEC " 16" 20" $650 $135 PBE1620 TR PBEC " 17" 20" $650 $135 PBE1720 TR PBEC " 18" 20" $650 $135 PBE1820 TR PBEC " 19" 20" $650 $135 PBE1920 TR PBEC " 20" 20" $650 $135 PBE2020 TR PBEC " 21" 20" $650 $135 11/22

12 Matrx Elite Deep Back Back includes foam and cover and hardware to fit 3/4, 7/8" or 1" diameter back canes. 16", 18" and 20" back heights are pre drilled for headrest attachment. Contour Depth 6", Weight Capacity up to 300 lbs. Fits Wheelchair Back Extra Outer Cover* Width Height Back Extra Outer HCPCS code E2620 EDB1412 EDBC " 15" 12" $760 $135 EDB1416 EDBC " 15" 16" $760 $135 EDB1418 EDBC " 15" 18" $760 $135 EDB1420 EDBC " 15" 20" $760 $135 EDB1512 EDBC " 16" 12" $760 $135 EDB1516 EDBC " 16" 16" $760 $135 EDB1518 EDBC " 16" 18" $760 $135 EDB1520 EDBC " 16" 20" $760 $135 EDB1612 EDBC " 17" 12" $760 $135 EDB1616 EDBC " 17" 16" $760 $135 EDB1618 EDBC " 17" 18" $760 $135 EDB1620 EDBC " 17" 20" $760 $135 EDB1712 EDBC " 18" 12" $760 $135 EDB1716 EDBC " 18" 16" $760 $135 EDB1718 EDBC " 18" 18" $760 $135 EDB1720 EDBC " 18" 20" $760 $135 EDB1812 EDBC " 19" 12" $760 $135 EDB1816 EDBC " 19" 16" $760 $135 EDB1818 EDBC " 19" 18" $760 $135 EDB1820 EDBC " 19" 20" $760 $135 EDB1912 EDBC " 20" 12" $760 $135 EDB1916 EDBC " 20" 16" $760 $135 EDB1918 EDBC " 20" 18" $760 $135 EDB1920 EDBC " 20" 20" $760 $135 EDB2012 EDBC " 21" 12" $760 $135 EDB2016 EDBC " 21" 16" $760 $135 EDB2018 EDBC " 21" 18" $760 $135 EDB2020 EDBC " 21" 20" $760 $135 * These are custom sizes that may require longer lead times and are not returnable 12/22

13 Accessory EBSS Elite Back SuperSoft Foam SuperSoft Foam 1" soft over 1" firm HR Modification foam with Meshtex cover PBVF Elite Back Foam Modification ViscoFoam option HDU Heavy Duty Hardware Upgrade Replace standard mounting hardware on $125 SMHU Split Mounting Hardware Upgrade Elite Backs N/C PBCR Posture Back Cane Replacement (per pair) 1" diameter back cane replacement kit $115 PBMH QU Posture Back Mounting Hardware Replaces Standard mounting hardware on Upgrade (per pair) Elite Backs when using 1 1/8" back canes. N/C FSSHU FSSH FTU FSSH FTRU Fixed Space Saver Hardware Upgrade Fixed Space Saver Hardware for Formula Tilt Upgrade Fixed Space Saver Hardware for Formula Tilt/Recline Upgrade Replace standard mounting hardware on Elite Backs*** use this option when mounting back to Formula Systems Extended Range Mounting Hardware Allows back to be positioned 2" further ERMHU $60 Upgrade forward or behind back canes Allows PB Back to be mounted to Motion ESRMH ESR Mounting Hardware $260 Concepts TRx Powered Seating with ESR Additional Accessories N/C N/C N/C Accessory CHIEB Chest Harness Interface Kit for Elite Back Chest Harness is not included mounting kit only $95 PFLAP XS Privacy Flap for Matrx Backs Fits Matrx backs 12 14" wide (Flap size 10" x 16") PFLAP S Privacy Flap for Matrx Backs Fits Matrx backs 15 16" wide (Flap size 13" x 16") PFLAP M Privacy Flap for Matrx Backs Fits Matrx backs 17 18" wide (Flap size 15" x 16") PFLAP L Privacy Flap for Matrx Backs Fits Matrx backs 19 20" wide (Flap size 17" x 16") PFLAP XL Privacy Flap for Matrx Backs Fits Matrx backs 21 22" wide (Flap size 19" x 16") PFLAP XXL Privacy Flap for Matrx Backs Fits Matrx backs 23 24" wide (Flap size 21" x 16") FXMT Fixed Mount Clamp Fixed, non removable, angle adjustable mounting clamp. $120 SHIM 1/4" Shim Plate Insert for headrest mounting. $8 EHRA S For attachment of headrests to Elite Backs Elite Headrest Adapter Small 12" wide $35 EHRA M Elite Headrest Adapter Medium For attachment of headrests to Elite Backs 13" 17" wide $35 For attachment of headrests to Elite Backs EHRA L Elite Headrest Adapter Large 18" 20" wide and all Elite Heavy Duty back $35 models Elite Laterals FIXED Available only on Matrx PB Elite Backs. 13/22

14 INVACARE MATRX SEATING SERIES PBLS L Std Left Lateral Fixed Hdwr (each) Pad 7.5" long x 5" high PBLS R Std Right Lateral Fixed Hdwr (each) Pad 7.5" long x 5" high PBSS L Small Left Lateral Fixed Hdwr (each) Pad 5.5" long x 3" high PBSS R Small Right Lateral Fixed Hdwr (each) Pad 5.5" long x 3" high Offset Lateral Pad with Fixed PBOL L OR PBOL R Hardware(each) for user's left when Allows 3" higher or lower pad mounted up or the user's right when position relative to attachment slot $110 mounted down Swing Away Elite Laterals Available only on Matrx PB Elite Backs Accessory Pad options EPAD XS HCPCS code E0956 Lateral for Elite Back Extra Small Measured (height x length) Lateral Pad 3.25" x 4.25"(each) $150 EPAD S Lateral for Elite Back Small Lateral Pad 3.5" x 5.25"(each) $150 EPAD M Lateral for Elite Back Medium Lateral Pad 3.75" x 5.75"(each) $150 EPAD L Lateral for Elite Back Large Lateral Pad 4.25" x 6.5"(each) $150 Select Swing Away Hardware (must specify pad from above) Accessory HCPCS code E0956 Accessory Swing away hardware option for Matrx PB Elite Backs Hardware Option HCPCS code E1028 SAHEB Swing Away Hardware for Left or Right Swings completely l bhidb behind back. Side (each) Does not interfere with flip back $160 Offset Swing Away Hardware Left or Allows 3" higher or lower pad OSAH L OR OSAH R Right Side (each) Offset Lateral Pad $160 position relative to attachment slot with Fixed Hardware(each) for user's 14/22

15 Matrx Mx1 Back Carbon fiber back includes foam and cover and choice of adjustable hardware RM Mono mount, CF Dual mount, CR Quick release Dual mount. Weight Capacity up to 250 lbs Back Extra Outer Cover* Width Height Back Extra Outer Cover* Mono Mount Includes adjustable non removable, rigidizer mount hardware for 3/4" cane diameter. HCPCS code E2615 IMX11409 RM MX1C " 09" $775 $170 IMX11412 RM MX1C " 12" $805 $170 IMX11416 RM MX1C " 16" $835 $170 IMX11509 RM MX1C " 09" $775 $170 IMX11512 RM MX1C " 12" $805 $170 IMX11516 RM MX1C " 16" $835 $170 IMX11609 RM MX1C " 09" $775 $170 IMX11612 RM MX1C " 12" $805 $170 IMX11616 RM MX1C " 16" $835 $170 IMX11709 RM MX1C " 09" $775 $170 IMX11712 RM MX1C " 12" $805 $170 IMX11716 RM MX1C " 16" $835 $170 IMX11809 RM MX1C " 09" $775 $170 IMX11812 RM MX1C " 12" $805 $170 IMX11816 RM MX1C " 16" $835 $170 Dual Mount Includes adjustable non removable, back cane mount hardware for 1" cane diameter. HCPCS code E2615 IMX11409 CF MX1C " 09" $825 $170 IMX11412 CF MX1C " 12" $855 $170 IMX11416 CF MX1C " 16" $885 $170 IMX11509 CF MX1C " 09" $825 $170 IMX11512 CF MX1C " 12" $855 $170 IMX11516 CF MX1C " 16" $885 $170 IMX11609 CF MX1C " 09" $825 $170 IMX11612 CF MX1C " 12" $855 $170 IMX11616 CF MX1C " 16" $885 $170 IMX11709 CF MX1C " 09" $825 $170 IMX11712 CF MX1C " 12" $855 $170 IMX11716 CF MX1C " 16" $885 $170 IMX11809 CF MX1C " 09" $825 $170 IMX11812 CF MX1C " 12" $855 $170 IMX11816 CF MX1C " 16" $885 $170 *includes foam 15/22

16 Matrx Mx1 Back Carbon fiber back includes foam and cover and choice of adjustable hardware RM Mono mount, CF Dual mount, CR Quick release Dual mount. Weight Capacity up to 250 lbs Back Extra Outer Cover* Width Height Back Extra Outer Cover* Quick Release Dual Mount HCPCS code E2615 IMX11409 CR MX1C " 09" $850 $170 IMX11412 CR MX1C " 12" $880 $170 IMX11416 CR MX1C " 16" $910 $170 IMX11509 CR MX1C " 09" $850 $170 IMX11512 CR MX1C " 12" $880 $170 IMX11516 CR MX1C " 16" $910 $170 IMX11609 CR MX1C " 09" $850 $170 IMX11612 CR MX1C " 12" $880 $170 IMX11616 CR MX1C " 16" $910 $170 IMX11709 CR MX1C " 09" $850 $170 IMX11712 CR MX1C " 12" $880 $170 IMX11716 CR MX1C " 16" $910 $170 IMX11809 CR MX1C " 09" $850 $170 IMX11812 CR MX1C " 12" $880 $170 IMX11816 CR MX1C " 16" $910 $170 SuperLite HCPCS code E2615 Includes adjustable quick release back cane mount hardware for 3/4, 7/8 or 1" cane diameter. Includes non adjustable, non removable hardware for 1" diameter back canes IMX11409 SL MX1C " 09" 0 $170 IMX11412 SL MX1C " 12" $780 $170 IMX11416 SL MX1C " 16" $810 $170 IMX11509 SL MX1C " 09" 0 $170 IMX11512 SL MX1C " 12" $780 $170 IMX11516 SL MX1C " 16" $810 $170 IMX11609 SL MX1C " 09" 0 $170 IMX11612 SL MX1C " 12" $780 $170 IMX11616 SL MX1C " 16" $810 $170 IMX11709 SL MX1C " 09" 0 $170 IMX11712 SL MX1C " 12" $780 $170 IMX11716 SL MX1C " 16" $810 $170 IMX11809 SL MX1C " 09" 0 $170 IMX11812 SL MX1C " 12" $780 $170 IMX11816 SL MX1C " 16" $810 $170 *includes foam 16/22

17 Optional Hardware RGDMT 9 Mono Mount for 9" high back Includes hardware for 3/4" cane diameter $195 RGDMT 12 Mono Mount for 12" high back Includes hardware for 3/4" cane diameter $195 RGDMT 16 Mono Mount for 16" high back Includes hardware for 3/4" cane diameter $195 FBCMT RBCMT Dual Mount (pair) Quick Release Dual Mount (pair) Includes hardware for 1" cane diameter Includes hardware for 7/8 ", 3/4" and 1" cane diameter $245 $270 BCO 78 Band Clamp Only (each) Clamp for 7/8" cane diameter $8 BCO 34 Band Clamp Only (each) Clamp for 3/4" cane diameter $8 BCO 1 Band Clamp Only (each) Clamp for 1" cane diameter $8 SLMT 01 Mx1 SuperLite non adjustable, nonremovable hardware only Includes hardware for 1" cane diameter $150 17/22

18 Matrx Flo Tech Cushion INVACARE MATRX SEATING SERIES Flo tech cushions include foam base, fluid sac, Platilon inner liner and outer cover. Additional Extra covers are also available. Weight capacity up to 300lbs Fits Wheelchair Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS E2622 FT1414 FTC $475 FT1416 FTC $475 FT1516 FTC $475 FT1517 FTC $475 FT1518 FTC $475 FT1519 FTC $475 FT1520 FTC $475 FT1521 FTC $475 FT1616 FTC $475 FT1617 FTC $475 FT1618 FTC $475 FT1619 FTC $475 FT1620 FTC $475 FT1621 FTC $475 FT1716 FTC $475 FT1717 FTC $475 FT1718 FTC $475 FT1719 FTC $475 FT1720 FTC $475 FT1721 FTC $475 FT1816 FTC $475 FT1817 FTC $475 FT1818 FTC $475 FT1819 FTC $475 FT1820 FTC $475 FT1821 FTC $475 FT1916 FTC $475 FT1917 FTC $475 FT1918 FTC $475 FT1919 FTC $475 FT1920 FTC $475 FT1921 FTC $475 FT2016 FTC $475 FT2017 FTC $475 FT2018 FTC $475 HCPCS E2622 Weight Capacity up to 500 lbs on below models FT2020 FT2022 FTC2020 FTC $545 $545 $125 $125 FT2118 FTC $545 $125 FT2120 FTC $545 $125 FT2122 FTC $545 $125 18/22

19 Matrx Flo Tech Cushion INVACARE MATRX SEATING SERIES Flo tech cushions include foam base, fluid sac, Platilon inner liner and outer cover. Additional Extra covers are also available. Weight capacity up to 500lbs Cushion Extra Outer Cover Width Depth Cushion Extra Outer Cover HCPCS E2623 Weight Capacity up to 500 lbs FT2218 FTC $595 $125 FT2220 FTC $595 $125 FT2222 FTC $595 $125 FT2320 FTC $595 $125 FT2322 FTC $595 $125 FT2420 FTC $595 $125 FT2422 FTC $595 $125 Matrx Flo Tech Fit Kit Components Fits Wheelchair Component 1" anterior wedge increases pre ischial FTSW Seat Wedge contour underside mounted $90 1" anterior thigh support underside FTHW Hemi Wedge mounted $50 3/4" tapered wedge for user's left front or FTTW LFRR Tapered Wedge LFRR right rear underside mounted $55 3/4" tapered wedge for user's right front or FTTW RFLR Tapered Wedge RFLR left rear underside mounted $55 FTAD F Adductor Front 1" anterior adductor support top mounted $55 FTAD R Adductor Rear 1" posterior adductor support top mounted $55 FTAB L Abductor Large (2") 2" abductor build up top mounted $60 FTAB S Abductor Small(3/4") 3/4" abductor build up top mounted $50 FTPO Pelvic Obliquity (1") 1" pelvic obliquity build up top mounted $60 May be used to accommodate mild pelvic FTFS Fluid Supplement obliquity/additional g pressure p reduction g g $50 FTLW Lateral Wedge 1" underside mounted. $65 Matrx Flo Tech Replacement Parts Component FTCFP Complete Fluid Pac Assembly Specify cushion size $315 FTPL WWDD Platilon Inner Liner Specify cushion size $35 ** You may select fabric of seating products at time of ordering adds additional 1 week lead time 19/22

20 Matrx Headrests Headrests come with standard fixed axis mounting hardware, knob style mounting plate and 1/4" shim. (Except Onyx includes fixed mount clamp) Accessory HCPCS code E0955 OPSH Onyx Pad Auto style headrest with Onyx leatherette cover, 8" x 8" x 4" $350 SPSH Standard Pad Self skinned polyurethane foam, 6.5" x 7" $295 STSH N Stealth Nino Pad 6" pad Soft, comfortable foam with removable cover 6" x 3" $350 STSH XS Stealth 8" Pad Soft, comfortable foam with removable cover 8" x 6" $350 Soft, comfortable foam with STSH S Stealth 10" Pad $350 removable cover 10" x 6" STSH L Stealth 14" Pad Soft, comfortable foam with removable cover 14" x 6" $350 OPSH S Ottobock Small Pad Anatomically shaped 7" x 5" $325 OPSH L Ottobock Large Pad Anatomically shaped 9" x 6" $325 Upgradeable Removable Hardware Select upgradeable hardware as a replacement to standard fixed headrest hardware. (Not available with the Onyx Headrest Pad) Accessory HCPCS code E E1028 Depth & Height Adjustable through MAHU Multi Axis Hardware horizontal slide bar. Dual pivot balls for $210 pad orientation Depth & Height Adjustable through dual WBHU Stealth World's Best Hardware link system. Dual pivot balls for pad $210 orientation. Additional Accessories Accessory FXMT Fixed Mount Clamp Fixed, non removable, angle adjustable mounting clamp. $120 SHIM 1/4" Shim Plate Insert for headrest mounting. $8 EHRA S Elite Headrest Adapter Small For attachment of headrests to Elite Backs 12" wide $35 EHRA M Elite Headrest Adapter Medium For attachment of headrests to Elite Backs 13" 17" wide $35 EHRA L Elite Headrest Adapter Large For attachment of headrests to Elite Backs 18" 20" wide and all Elite Heavy Duty back models $35 20/22

21 Arm Accessories Accessory MPA D Multi Position Arm Pad (each) Desk Length $85 MPA F Multi Position Arm Pad (each) Full Length $85 GAP N Gel Arm Pad (each) 2" x 12" GAP W Gel Arm Pad (each) 3.5" x 12" GAP L Gel Arm Pad (each) 3.5" x 14" $90 EAH R Ergonomic Arm Trough/ Hand Pad kit* (each) HCPCS E2209 User's Right $210 EAH L Ergonomic Arm Trough/ Hand Pad kit* User's Left $210 EAT R Ergonomic Arm Trough** (each) HCPCS User's Right EAT L Ergonomic Arm Trough** (each) HCPCS User's Left EHP Ergonomic Hand Pad*** (each) User's Right / Left $85 EMH For Motion Concepts Hand Pad $38 EMO Arm Trough/Hand Pad Mounting Hardware For Otto Bock Hand Pads $38 MACES EA Multi Axis Armrest Mount (each)for use Allows infinite adjustment of angle and with EAH, EAT or MPA rotation of arm pad $225 MACES GA Multi Axis Armrest Mount (each) For use Allows infinite adjustment of angle and with GAP W and GAP L rotation of arm pad $225 JOY MACES EA Joystick mounting bar for Multi Axis Armrest Mount with EAH, EAT or MPA armpad $110 JOY MACES GA Joystick mounting bar for Multi Axis Armrest Mount with Gel armpad $110 * HCPCS K0106 for Ergonomic Arm Trough Only ** Does not include mounting hardware to connect to hand pad see EMH or see EAH L vs. EAH R. ** For arm trough connecting hardware please order EMH or see EAH L vs. EAH R for complete kit. Calf Straps and Lap Belts Accessory BP CS M Air mesh Calf Strap Medium 3.5" pad height, fits chairs 15" 18" HCPSC E0995 wide $95 BP CS L Air mesh Calf Strap Large 3.5" pad height, fits chairs 18" 22" HCPSC E0995 wide $95 BP CP MD Air mesh Calf Panel Medium 35.5"W x 9"H pad height, fits chairs HCPSC E " 18" wide $125 BP CP LG Air mesh Calf Panel Large 38.5"W x 9"H" pad height, fits HCPSC E0995 chairs 18" 22" wide $140 BP PLB2 Padded Lap Belt 2 point Center pull, push button, padded HCPSC E0978 lap belt fits hip width 13" 19" $135 BP PLB4 Padded Lap Belt 4 point Center pull, push button, padded HCPSC E0978 lap belt fits hip width 13" 19" $175 21/22

22 Hardware Hardware BDH0 Base Drop Hooks (per pair) Flushmount(0") drop for 7/8" or 1" diameter $27 BDH1 78 1" drop for 7/8" diameter $27 Base Drop Hooks (per pair) BDH2 78 2" drop for 7/8" diameter $27 BDH1 1 1" drop for 1" diameter $27 Base Drop Hooks (per pair) BDH2 1 2" drop for 1" diameter $27 Complete Mounting assembly for Posture PBMH* Posture Back Mounting Hardware (per pair) $225 Back or Elite Back PBMH Q* Posture Back Mounting Hardware (per pair) Complete Mounting assembly for Posture Back or Elite Back 1 1/8" back canes. $225 PBMH L* Replaces standard mounting hardware Large Posture Back Mounting Hardware (per Posture Back or Elite Back when using 1 1/4" pair) back canes. $225 SMH* Split Mounting Hardware (Per pair) Split Mounting hardware assembly for Posture Back or Elite Back. $250 HDMH* Heavy Duty PB Mounting Hardware(per pair) Mounting Hardware Assembly for Heavy $325 * If purchasing replacment hardware and only one side is required please indicate "L" or "R" and split retail price in half PBCR Posture Back Cane Replacement (per pair) 1" diameter back cane replacement kit $115 PBCI Posture Back Cane Clamp Insert (per pair) Insert for use with 3/4" Back Canes N/C*** FSSH Fixed Space Saver Hardware Fixed, non removable mounting of Elite back or Posture Back ** $200* FSSH FT Fixed Space Saver Hardware Formula Tilt Fixed, non removable mounting of Elite back or Posture Back ** $200* FSSH FTR Fixed Space Saver Hardware Formula Fixed, non removable mounting of Elite back Tilt/Recline or Posture Back ** $200* ERMH Add :Extended Range Mounting Hardware Allows back to be positioned 2" further to exisiting hardware forward or behind back canes $60 ESRMH ESR Mounting Hardware Allows PB Back to be mounted to Motion Concepts TRx Powered Seating with ESR $260 Allows Heavy Duty PB Back to be mounted to ESRMH HD ESR Mounting Hardware Motion Concepts TRx Powered Seating with $310 ESR BDC DuraClip (per pair) Top lock retractable hardware for use with drop hooks $60 BFC FixClip (per pair) Top lock hardware for use with drop hooks $25 EHRA S Elite Headrest Adapter Small For attachment of headrests to Elite Backs 12" wide $35 EHRA M Elite Headrest Adapter Medium For attachment of headrests to Elite Backs 13" 17" wide $35 For attachment of headrests to Elite Backs EHRA L Elite Headrest Adapter Large 18" 20" wide and all Elite Heavy Duty back $35 models Allows Matrx Elite back or Posture Back to be EMP* Extended Mounting Pins installed on wheelchairs that are 2" wider $60 than the back model width.^ *Not available on Heavy Duty Backs, weight capacity up to 300 lbs ** Use this hardware to mount PB and Elite backs to Formula Wheelchairs. ***A no charge item when ordering Matrx Posture Back ^Only for use on backs up to 20" wide with 300 lbs weight capacity 22/22