R82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features:
|
|
|
- Laurence Summers
- 5 years ago
- Views:
Transcription
1 Account #: Purchase Order No.: Date: Contact: R82 Wombat Living CAD Retail Price List/ Order Form Mark For: Bill To: Address: City/State/Zip: Phone: Ship To: Address: City/State/Zip: Phone: Wombat Living Standard Features: Tilt-in-Space Adjustable Seat Depth Height and Angle Adjustable Foot Support Back Recline and Prone Angle Adjustable Back Height Without Cushions CAD Price Wombat Living, size 1 $3,897 1 Wombat Living, size 2 $3,897 2 Wombat Living, size 3 $3, X X X X - Frame Color: White $0 1 Frame Color: Anthracite Grey $0 2 4" Front/Rear Wheels $0 2 4" Front/Rear Wheels w/ Central Brake (Upcharge) $293 3 w/gas Spring: Height Pedal on Frame, Tilt Lever Under Seat $0 1 w/gas Spring: Height Pedal on Frame, Tilt Lever on Push Brace (Upcharge) $330 2 w/power Actuator: Power Height Setting, Tilt Lever Under Seat (Upcharge) $1,771 5 w/power Actuator: Power Height Setting, Tilt Lever on Push Brace (Upcharge) $1,771 6 n Important! Not recommended for users with a lot of involuntary movements Page 1 of 5
2 Back Cushion Options (A) (B) Back Rest Cushion, Standard w/ Cover (A) 1 $ XX Back Rest Cushion, Standard w/ Cover (A) 2 $ XX Back Rest Cushion, Standard w/ Cover (A) 3 $ XX Back Rest Cushion, Contoured, w/ Cover, Grey (B) 1 $ Back Rest Cushion, Contoured, w/ Cover, Grey (B) 2 $ Back Rest Cushion, Contoured, w/ Cover, Grey (B) 3 $ (C) (D) Lumbar Foam Wedge (C) 1 $ Lumbar Foam Wedge (C) 2 $ Lumbar Foam Wedge (C) 3 $ Lower Back Extension, Black (D) 3 $ Seat Cushion Options (A) (B) Contoured Seat Cushion w/ Cover, Grey (A) 1 $ Contoured Seat Cushion w/ Cover, Grey (A) 2 $ Contoured Seat Cushion w/ Cover, Grey (A) 3 $ Contoured Seat Cushion w/ Incontinence Cover, Grey (B 1 $ Contoured Seat Cushion w/ Incontinence Cover, Grey (B 2 $ Contoured Seat Cushion w/ Incontinence Cover, Grey (B 3 $ Pelvic Positioning (A) (B) Hip Support, Set (A) 1 $ Covers for Hip Supports (Required) 1 $ Hip Support, Set (A) 2, 3 $ Covers for Hip Supports (Required) 2, 3 $ Plate for Narrow Seat Width for Hip Supports 1 $ SM (C) (D) Y-Hip Strap, Upholstered, 1" End Girth (C) 1 $ Y-Hip Strap, Upholstered, 1" End Girth (C) 2 $ Y-Hip Strap, Upholstered, 1" End Girth (C) 3 $ Y-Hip Strap, Upholstered, 1.6" End Girth (C) 3 $ Protective Cushion for Swing-Away Side Supports One Size $ (E) Pelvis Support without Sides (D) 1, 2 $ Pelvis Support without Sides (D) 3 $ Pelvis Support with Sides (E) 1 $ Pelvis Support with Sides (E) 2 $ Pelvis Support with Sides (E) 3 $ Foot & Leg Positioning (A) (B) Pommel (A) 1 $ Pommel (A) 2 $ Pommel (A) 3 $ Pommel (A) 4 $ Knee Abduction Pommel (B) One Size $ Padding for Knee Abduction Pommel (C) One Size $ (C) Swing-Away Knee Supports 1, 2 $ Swing-Away Knee Supports 3 $ Page 2 of 5
3 Trunk Positioning (A) (B) Fixed Side Supports w/ Covers (A) 1, 2 $ Swing-Away Bracket, 7½" Angle, RH, Ea. (2¼" x 4¾") (B One Size $ R Swing-Away Bracket, 7½" Angle, LH, Ea. (2¼" x 4¾") (B One Size $ L Swing-Away Bracket, 7½" Angle, RH, Ea. (2¼" x 5") (B) One Size $ R Swing-Away Bracket, 7½" Angle, LH, Ea. (2¼" x 5") (B) One Size $ L (C) (D) Bar, Straight (4.73") (Required w/ (G)) (C) One Size $ Bar, Straight, Stainless (4.74") (Required w/ (G)) One Size $ Bar, Offset, 1" (4.73") (Required w/ (G)) (D) One Size $ Bar, Offset, 1¾" (4.73") (Required w/ (G)) (E) One Size $ Bar, Offset, 2½" (4.73") (Required w/ (G)) (F) One Size $ (E) (F) Curved Cushion, Black, Ea. (3½" x 7½") (G) One Size $ Curved Cushion, Black, Ea. (2½" x 6.7") (G) One Size $ Curved Cushion, Black, Ea. (2½" x 6") (G) One Size $ Standard Cushion, Black, Ea. (6.1" x 4.7") (G) One Size $ Standard Cushion, Black, Ea. (3.9" x 3.9") (G) One Size $ (G) Standard Cushion, Black, Ea. (2.2" x 4½") (G) One Size $ Neoprene Vest (W: 7" X D: 5.5" X H: 4") (H) 1 $ Neoprene Vest (W:6.5" X D: 9" X H: 6.75") (H) 2 $ Neoprene Vest (W: 11.5" X D: 7.75" X H: 7") (H) 3 $ Cross Vest (W: 4.5" X D:.5" X H: 11") (I) 0 $ (H) (I) Cross Vest (W: 5" X D:.5" X H: 12") (I) 1 $ Cross Vest (W: 5.2" X D:.5" X H: 12.75") (I) 2 $ Cross Vest (W: 6.25" X D: 4.75" X H: 15.25") (I) 3 $ Cross Vest (W: 7.5" X D: 6.75" X H: 18.25") (I) 4 $ Vest (W: 1.25" X D: 2.5" X H: 5.5") (J) 0 $ Vest (W: 1.5" X D: 2.5" X H: 5.75") (J) ¾" $ (J) (K) Vest (W: 2.25" X D: 2.5" X H: 7") (J) 1 $ Vest (W: 2.5" X D: 3.5" X H: 9.25") (J) 2 $ Vest (W: 2.75" X D: 4.75" X H: 11") (J) 3 $ Vest (W: 2.75" X D: 6.75" X H: 13.75") (J) 4 $ Sternum Belt (W: 9.25" X D: 6.75" X H: 2.75") (K) 0 $ Sternum Belt (W: 14" X D: 2.25" X H: 2.25") (K) 1 $ (L) Sternum Belt (W: 18" X D: 2.25" X H: 2.5") (K) 2 $ Chest Belt, Upholstered (11.25" x 7.5" x ") (L) 1 $ Chest Belt, Upholstered (14"x 10.25" x ") (L) 2 $ Chest Belt, Upholstered (16.25" x 12.5" x ") (L) 3 $ Chest Belt, Upholstered (20.25" x 16" x ") (L) 4 $ Snap-Lock for Swing-Away Side Supports One Size $ Head Support (A) (B) Anatomic Head Support No. 7 (9.8" x 3.9") (A) One Size $ Head Support No. 7 Cover (Required) One Size $ Anatomic Head Support No. 8 (6.3" x 3½") (B) One Size $ Head Support No. 8 Cover (Required) One Size $ Anatomic Head Support (C) Small $ Anatomic Head Support Cover (Required) (C) Small $ (C) (D) Anatomic Head Support (C) Medium $ Anatomic Head Support Cover (Required) (C) Medium $ Anatomic Head Support (C) Large $ Anatomic Head Support Cover (Required) (C) Large $ Adj. Head Support, Non-Dynamic, Large Laterals (D) One Size $ (E) (F) Adj. Head Support, Non-Dynamic, Four Laterals (D) One Size $ Adj. Head Support, Non-Dynamic, Two Laterals (D) One Size $ Adj. Head Support, Dynamic, Large Laterals (E) One Size $ Adj. Head Support, Dynamic, Four Laterals (E) One Size $ Adj. Head Support, Dynamic, Two Laterals (E) One Size $ Turtle Bar System (5.1") (F) Short $ Page 3 of 5
4 Frame Options (A) (B) Armrest, Set (A) 1, 2 $ Armrest, Set (A) 3 $ Armrest, Extra Long Bar, Set (B) 1, 2 $ Armrest, Extra Long Bar, Set (B) 3 $ (C) (D) Push Brace, Seat Mounted (C) 1, 2 $ Push Brace, Seat Mounted (C) 3 $ Angle Adjustable Push Brace (D) 3 $ Helper's Handle's, Fold Down, Set (E) One Size $ (E) Helper's Handle's, Fixed, Set (E) One Size $ Accessories (A) (B) Tray (A) 1, 2 $ Tray (A) 3 $ Tray Plast, Grey (17.3" x 13.4") (B) 1, 2 $ Anti-Tip Device (C) One Size $ (C) For shipping rates, please call E Independence Blvd, Matthews, NC Fax: Prices in USD & is subject to change without notice Effective: 1/15/2018 Rev 5 Page 4 of 5
5 Configuration Wombat Head Support Side Support Armrest Hip Support Pommel Vests and Belts Tray Helper's Handle A (Back Height) B (Arm Height) C (Lower Leg Length) D (Seat Depth) E (Chest Width) F (Seat Width) G (Height-Seat to Top of Head) H (Shoulder Width) Age Weight Measurements Size 1 Size 2 Size 3 Inches Inches Inches Effective Seat Width (A) 11¾" 14½" 16½" Seat Width Between Hip Supports 4¼ - 11¾" 6¾ - 14½" 8½ - 16½" Seat Width, Pelvis Support w/sides 6¾ - 9½" 9-11¾" 11½ - 14¼" Width, Pelvis Support without Sides 9½" 9½" 11½ Effective Seat Depth (B) 7-12¼" 9¾ - 15" 12½ - 19¾" Backrest Height (C) 11-13½" 12¼ - 15" 15¼ - 19¾" Backrest Height (C) (High Back) 14¼ - 17" 15½ - 18" 18-22¾" Lower Leg Length (D) 6-10" 6-13¾" 6-17¼" Seat Height Above Floor, 4" Castors 15¼ - 26¾" 15¼ - 26¾" 16½ - 27½" Back Width, Flat Cushion (F) 9¾" 11¾" 13¾" Back Width, Contoured Cushion, Between Side Supports (F) 6¾" 9" 10½" Armrest Height Above Seat Cushion 2¼ - 6¾" 2¼ - 6¾" 2¼ - 6¾" Backrest Angle (a1) 90 to to to 133 Seat Plane Angle (a2) -15 to to to 22 Angle, Foot Support Bar (a3) -30 to to to 30 Overall Frame Width (G) 21½" 21½" 24" Overall Frame Length (H) 23½" 23½" 28¼" Max. User Weight/Load 99 lbs. 99 lbs. 154 lbs. Weight 34 lbs. 34 lbs. 48½" lbs. Page 5 of 5
R82 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
R82 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
R82 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
R82 Caribou - E0641. Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Caribou Standard Features:
Account #: Purchase Order No.: Date: Contact: R82 Caribou - E0641 Retail Price List/ Order Form Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Caribou
R82 Caribou - E0641. USD Retail Price List/ Order Form. Account #: Purchase Order No.:
Account #: Purchase Order No.: Contact: R82 Caribou - E0641 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
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
R82 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
R82 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
R82 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
x: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
Canadian 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
R82 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:
R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form
R82 Rabbit Up - E0638 / E0642 USD 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:
Convaid 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
Convaid 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
Page 1/133. Price and ordering list. Mustang B (Shoulder height)
Page 1/133 Valid from: #REF! Configuration A (Total height) Mustang B (Shoulder height) Accessories: C (Chest height) Chest support, adjustable D (Buttock height) Head support E (Chest width) Back support
PRESCRIPTION FORM. Delivery address. Purchase order. Shipment date Delivery Date. Type
PRESCRIPTION FORM Distributor Branch Client Phone Delivery address (Use 'Shift'+'Enter' for new line) Salesperson E-mail Purchase order Type Date Shipment date Delivery Date Important Demo Request Order
Mygo 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
Invacare 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:
Phone: 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
Basic 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
Accessories 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
Invacare 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:
SHIPPING 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:
Orderform UK / IR Valid from Version 2.1. Alex QLASS. Date:
Alex QLASS 1 / 8 0,8 Dealer: Date: Reference No.: Quantity: Delivery address: 6.948 5.559 Basic configuration Excluding VAT - 4mph/6 km/h RWD - Battery charger 8A -24 V - Armrests standard removable -
FUSION 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:
Orderform UK / IR Valid from Version 2.1 LUCA QLASS. Date:
LUCA QLASS 1 / 8 0,8 Dealer: Date: Reference No.: Quantity: Delivery address: 4.650 3.720 Basic configuration Excluding VAT - 4mph/6 km/h RWD - Fixed joystick bracket, right hand - PU side cushions - Drive
Standard 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
SHIPPING 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
Customer code C- Invoice address. Max. 90 kg See page 5 Side upholstery (reduces SW with 2 x 2 cm) = Standard equipment
Date Customer code C- Invoice address Contact person Reference Other delivery address Quote Invoice address = delivery address Basic price: 3.495,- excl. VAT Seat width D2025 D2030 D2035 25 cm 30 cm 35
Invacare Action 3 Junior Basic RETAIL Max User Weight 80Kg (12.5 stone)
Manual Wheelchair Retail Prescription Form ACTION3JUNIORBASIC05122018 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer
Jupiter. Uncompromised comfort and postural support in keeping with a contemporary home setting
Jupiter Uncompromised comfort and postural support in keeping with a contemporary home setting Jupiter Jupiter is the ideal home use chair for children through to adults, that combines comfort with superior
ALEX QLASS. Order form. T: +44 (0) F: +44 (0)
Order form ALEX QLASS T: +44 (0)8450 745 945 F: +44 (0)8450 745 946 mobilityorders@handicare.co.uk www.handicare.co.uk Valid from 1-4-2015 Version 1.0 Dealer Date Reference No. Delivery address Quantity
stingray The Stingray is a well thought out wheelchair with stylish colors and a futuristic design making it the obvious choice for any child
SEATING/STINGRAY PAGE 36 stingray TM The Stingray is a well thought out wheelchair with stylish colors and a futuristic design making it the obvious choice for any child The carbon frame with its trendsetting
SHIPPING 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
[ ] Quote [ ] Order. Junior US Retail Price List. Account Information. Ship To Information. Standard Features.
![[ ] Quote [ ] Order. Junior US Retail Price List. Account Information. Ship To Information. Standard Features.](/thumbs/88/114636031.jpg "[ ] 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
Phone: 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:
Please 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
SHIPPING 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
Invacare Action 3 Junior Large Retail Max User Weight 80Kg (12.5 stone) Standard Base Price: 539 * Configurations may vary to the image shown
Manual Wheelchair Retail Prescription Form ACTION3JUNIORLARGE15112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref:
Traxx 3 & Atigra 2 Script Form
Traxx 3 & Atigra 2 Script Form Client Information Address Therapist Information Organisation Email Phone Height Weight Funding Source Salesperson Information Company Traxx 3 Atigra 2 Standard Features
Photo: 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
Etac 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,
cp tech customised product technology Product Catalogue
cp tech customised product technology Product Catalogue CONTENTS 1. How to Measure a Postural Insert 2. Insert Components - Back and Base - Cushions - Lateral Supports - Head Supports - Pommels - Foot
Standard Base Price: 539
Manual Wheelchair Retail Prescription Form ACTION3JUNIORSMALL19102018 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer
Technical 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
Shower 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
Standard seat n Profiled filling n Tuber opening n Imitation leather upholstery. Memory foam seat n Profiled memory foam filling
Matrixx seat system Seats Backrests Very comfy! SEA T SYSTEM A wheelchair is more than an aid, it is an extension of the body. That is why Life & Mobility not only develops and manufactures optimum (re)usable
JIVE 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
CLASP Hub Product Catalog DRAFT. Wheelchairs for less-resourced settings
CLASP Hub Product Catalog DRAFT Wheelchairs for less-resourced settings The following is a catalog of wheelchairs and wheelchair accessories for use in less-resourced settings. The catalog contains pictures,
Adjustable 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
Chair 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
Convaid, the company that invented the adaptive assisted wheelchair, has helped special
2014 www.convaid.com Convaid, the company that invented the adaptive assisted wheelchair, has helped special needs children and their families live fuller, more productive lives since 1976. Convaid produces
QLASS OPTIONS SAMM / ALEX / LUCA
QLASS OPTIONS SAMM / ALEX / LUCA OPTIONS CONTROLS AND LIGHTING B000156 B000157 B000158 B000714 B000715 Dynamic Shark drive only - Lighting: no - Powered options: no Dynamic Shark lights - Powered options:
panda futura English manual G B rev. 001
panda futura TM English manual 2004 R82 /S. ll rights reserved. The R82 logo and the Panda Futura chairs are registered trademarks of R82 /S. 02.2008 rev. 001 ontents Safety... 4 uarantee... 4 Seats...
Etac Cross 5 and Cross 5 XL
Etac Cross 5 and Cross 5 XL The new generation wheelchair with the optimum prerequisites for delivering comfort and excellent manoeuvrability. Etac Cross 5 when every little detail makes a big difference
Kimba Neo. Neo MPS- Seating Evolved
Kimba Neo Neo MPS- Seating Evolved Kimba has been a family and therapist favorite for over 15 years. Ottobock continues to innovate and re-imagine the Kimba to enhance the customer experience and patient
MEDIchair Northern BC nd Avenue Prince George, British Columbia V2L 3A6 Toll Free
MEDIchair Northern BC 849 2 nd Avenue Prince George, British Columbia V2L 3A6 Toll Free 1-800-330-2772 BC Ministry of Health A Cheat Sheet for Clinicians Included Features for a Basic Wheelchair, Basic
Standard 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
Adult Manual Wheelchairs. Etac Cross 5 Active. Creating stability for activity
Adult Manual Wheelchairs Etac Cross 5 Active Creating stability for activity Etac Cross 5 Active - Creating stability for activity Etac Cross 5 Active is the perfect choice for the active wheelchair user
NEMO VERTICAL Authorised client weight 100 kg + 10 kg additional load ISO-CRASH TESTED
NEMO VERTICAL 1.595 Authorised client weight 100 kg + 10 kg additional load ISO-CRASH TESTED Always finding the right position Standing function Lying function High seat width variance The new multifunctional
Accessories. Exploded views / Part lists
kudutm Accessories Exploded views / Part lists Rev. date (11.018) On the following pages you will find the parts used to assemble this product. Please note that some spare parts cannot be purchased individually
Please check the correct box according to the measured hip width in a sitting position: 35 cm 48 cm
EVO AE Order form Dealer 2017 EVO Dealer: Date: Dealer reference / Client name: Order number: Anglikerstrasse 20 CH-5610 Wohlen Phone: +41 56 618 44 11 Fax: +41 56 618 44 10 e-mail: office@levo.ch configuration
Manufacturer: 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
The Churchill. A belt positioning backless booster designed for children and adults lbs with special health care needs
The Churchill A belt positioning backless booster designed for children and adults 65-175 lbs with special health care needs The Churchill must be installed with LATCH (upper tether anchor and lower seat
Spare parts & accessories
Spare parts & accessories My-Netti.com 08-03 075/4 D Low weight WIdE assortment ENSURINg THE RIgHT SOLUTION FOR you Spare parts & accessories Frame...3 Head Support...4 Back Support...6 Seat and Back unit
Invacare 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
An 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
Dealer Please check the correct box according to the measured hip width in a sitting position: 35 cm 48 cm
EVO CEV Order form Dealer 2017 EVO Dealer: Date: Dealer reference / Client name: Order number: Anglikerstrasse 20 CH-5610 Wohlen Phone: +41 56 618 44 11 Fax: +41 56 618 44 10 e-mail: office@levo.ch configuration
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
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.
Vehicle Seating REHAB EQUIPMENT, TAILORED FOR YOUR LIFE.
Vehicle Seating REHAB EQUIPMENT, TAILORED FOR YOUR LIFE. Contents Vehicle Seating Carrot 3000 Carrot XL Timy Car Seat Houdini Harness page page page page 2-3 4-5 6-7 8-9 1 Carrot 3000 2 Designed, engineered
Aquatec Ocean Family. Ocean Family. Aquatec
The Ocean series of shower commode chairs offers a flexible, modular solution for a wide range of clients. The range consists of transit, self-propel, tilt in space as well as powered tilt and recline
Seating Product Brochure
Seating Product Brochure VIDA is all about creating the best customer care possible for our clients. It s about the best advice, the best support and the best products, all brought to your door. It s about
HEPRO WORK CHAIRS INDEX GENERAL INFORMATION MATERIALS AND COMPONENTS
HEPRO WORK CHAIRS HEPRO WORK CHAIRS INDEX Hepro G2 Aktiv and Hepro G1 Aktiv Page 3 Hepro G2 Tilto and Hepro E2 Tilto Page 4 Hepro G2 Coxit and Hepro E2 Coxit Page 5 Hepro E1 Standard and Hepro E2 Standard
Convaid, the company that invented the adaptive assisted wheelchair, has helped special
2014 www.convaid.com Convaid, the company that invented the adaptive assisted wheelchair, has helped special needs children and their families live fuller, more productive lives since 1976. Convaid produces
Aquatec. Ocean Family. Flexible, modular shower chair commode solutions
Aquatec Ocean Family Flexible, modular shower chair commode solutions A range of high quality, modular, stainless steel shower chair commodes that are designed to support a wide range of clients and conditions.
EASyS 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,
A growth adaptable wheelchair - for comfort and support
kudutm A growth adaptable wheelchair - for comfort and support SEATING/KUDU 2 kudutm The Kudu is a practical indoor and outdoor wheelchair which combines form and functionality to provide the right fit
RETAIL Max user weight: 100kg - seat widths 12" & 13" Max user weight: 130kg -seat widths 14" -16"
Manual Wheelchair Retail Prescription Form ACTION515112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref: Contact
Order form LEVO LAE 2011/1
Seat height 48 Seat height 51 Seat height 54 Seat height 57 Order form LEVO LAE 2011/1 Please answer the following questions exactly and consider the indications.the exact measurement within the pictograms
Large Activity Chair (R870)
Large Activity Chair (R870) Activity Chair We knew we had a good chair when we first introduced the medium Activity Chair. After all, our product designers had collected input from hundreds of therapists.
Shower commode chairs. Ocean. Series
Shower commode chairs Ocean Series Ocean Series Stable, stainless steel frame Individually adjustable seat height: no tools required Machine-washable adjustable backrest with quick-release buckles, can
A passion for posture
A passion for posture We are passionate about posture. Our experienced team of clinicians and engineers understand the importance of sitting correctly and comfortably, especially for those who do not have
Technical 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
Everyday Activity Seat. User Instructions
Everyday ctivity Seat User Instructions The Everyday ctivity Seat is a moderate seating system designed for use in the home and classroom. It comes in 3 sizes with adjustable seat height, depth and width
Index. 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
Frame. Pos Item number Description Comment
Titel - 1 - Titel - 2 - 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... 10 Seat Cushion...
2016 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
I C O N hug ski r aft climb shop Ventu
layswimskidanceclimbraceventu ovehugcryrafthikeworkshopea ICON BACK SYSTEM L I F E I S C A L L I N G Icon back system Innovation, Versatility, Comfort For many wheelchair users, a solid back system is
Black -01 Moss green -95 Yellow -99. Heather purple -97. Indicate height. Indicate height. Indicate angle. Indicate height: cm. Indicate height: cm
Cross 5 XL Prescription form 75188K 017-05-08 Reference: Name: Tel: Date: version is marked with The measurements given can vary ±% Short frame Seat width (cm) Seat depth 36-4 (-49*)cm Measured from back
SALSA M. Salsa MWD. Base Price 4,733 STANDARD SEAT: FRAME / SEAT SIZE STANDARD SEAT: CUSHION JAY CUSHIONS JAY COMFORT SEAT
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: SALSA M Max. user weight: 140 kg
FUZE T20. Order Form - Canada Prices in Canadian Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a
BINGO 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
Invacare Storm4 Easy Adapt Retail Max User Weight 150kgs (23.5 stone) Standard Features
Power Wheelchair Retail Prescription Form STORM4EA010117 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref : Account
Spynamics Grande Specialist back care seating for all
Spynamics Grande Specialist back care seating for all Since its introduction in 1999, Spynamics has evolved from a single chair into the most comprehensive range of ergonomic seating for all shapes and
Seatpan and backrest angles can be adjusted independently, usually with two separate levers
Feature Explanation Considerations Standard Features & Options Synchronous Mechanism Relationship between seatpan and backrest is linked so that the angles adjust in a fixed ratio. Typically, the backrest
Adult Manual Wheelchairs. Etac Crissy. Reach your positioning targets. Now.
Adult Manual Wheelchairs Etac Crissy Reach your positioning targets. Now. Finally the wheelchair that covers all seat depths. Etac Crissy, with a simplicity that makes your assessment easy! It will save
Rehab strollers. for children with special needs
Rehab strollers for children with special needs EASyS The rehab stroller with safety seat Thanks to the BSS Balance Safety System a child can lie down in full reclined position without the risk of tipping
Solutions 4 Office Ltd Spynamics Grande Specialist back care seating for all
Solutions 4 Office Ltd Spynamics Grande Specialist back care seating for all May 2016 Since its introduction in 1999, Spynamics has evolved from a single chair into the most comprehensive range of ergonomic
ICON BACK SYSTEM featuring VariLock hardware
LAYHUGLAUGHTRAVELDANCELOVES ORKSIT LIVERELAXEXPERIENCEROLLSHOP ICON BACK SYSTEM featuring VariLock hardware Icon Back System Innovation, Versatility & Comfort For many wheelchair users, a solid back system