Nurmi Neo. Pediatric Gait Trainer. Order Form and Price List. Standard Package P F Order Quote Only. Account Information

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1 Account Information Date Bill To Phone Number Account Number Fax Number Nurmi Neo Pediatric Gait Trainer Order Form and Price List Effective Date 07/01/17 Address Buyer P.O. Number Patient Name Ship To Name All specifications and pricing are subject to change without notice Ottobock HealthCare LP H_CA 07/01/17 Address Province Postal Code Phone Number Please complete this form and return to Ottobock by fax OR click the button to send via . Order Quote Only Notes: Standard Package Reverse-roll locks on the rear wheels Swivel front wheels Puncture proof tires Foldable for easy transport 5 year limited warranty Page 1/5

2 Nurmi Pediatric Gait Trainer For children requiring positioning aids and support during ambulation and various stages of gait development. HR Size 1 White 023 Saturn Blue Metallic 306 Sparkle Green 311 Pink 313 $985 HR Size 2 White 023 Saturn Blue Metallic 306 Sparkle Green 311 Pink 313 $998 HR Size 3 White 023 Saturn Blue Metallic 306 Sparkle Green 311 Pink 313 $1,020 * E1399 if No Posterior Supports are ordered. Please choose Grip Bar from below. Sling Saddle Seat for Gait Training Helps build endurance ambulation over greater distances. Supports the child s weight when needed. HR Size 1 $287 HR Size 2 $287 HR Size 3 $287 Combined Gluteal Pelvic Support for Gait Training (3D Adjustable) To assist with maintaining upright trunk position. Height, depth and angle adjustable. HR One Size $ C49=PB-NNPBS Pelvic Belt (mounts to Gluteal Supports) Small $ C49=PB-NNPBM Pelvic Belt (mounts to Gluteal Supports) Medium $ C49=PB-NNPBL Pelvic Belt (mounts to Gluteal Supports) Large $121 Gluteal Support To assist with maintaining upright trunk position. Height, depth and angle adjustable. HR One Size $227 Postural Supports and Accessories Standard Grip Bar Continuous height and depth adjustable grip bar. HR Size 1 $208 HR Size 2 $208 HR Size 3 $208 Grip Bar with Universal Grips Grips can be adjusted to reduce the width between grips, as well as the grip height. HR Size 1 $362 HR Size 2 $362 HR Size 3 $362 Extra High Grip Bar with Forearm Supports and Vertical Hand Grips Height, depth and angle adjustable HR Size 1 $476 HR Size 2 $476 HR Size 3 $476 Page 2/5

3 Extra High Grip Bar with Standard Grips Continuous height and depth adjustable Grip Bar that allows for extra heights. HR Size 1 $287 HR Size 2 $287 HR Size 3 $287 Mini Grip Bar with Universal Grips When a lower grip height and/or shorter width between grips is needed for smaller children. HR Size 1 Only $271 Universal Grips (Sold Individually) Sold individually as needed for grip height discrepancies. HR E One Size $133 Adjustable Forearm Support Complete (Sold Individually) Sold individually as needed for grip strength discrepancies. HR E Size 1 $255 HR E Size 2 & 3 $364 Hand Plate for Grip Bars (Available for Standard and Universal grip bars only) Prevents the child s hands from slipping forward off the end of the grip. HR For Standard Grip Bar $183 HR For Universal Grip Bar $183 Anti-Tip Bars (Sold Individually) (indicate color) Provides stability to prevent posterior tipping. HR * x 2 Size 1 Black 003 Saturn Blue Metallic 306 Sparkle Green 311 Pink 313 $179 HR * x 2 Friction Brake (Sold Individually) Size 2 & 3 Black 003 Saturn Blue Metallic 306 Sparkle Green 311 Pink 313 Applies friction to the rear wheels to slow forward progression/speed during ambulation. Friction can be increased or decreased by adjusting the interior set screws. HR x 2 One Size $223 Caster Swivel Wheel Locks* * Must be installed by manufacturer at time of order Caster wheels can be locked in straight alignment to help control lateral movement during ambulation. Quick release feature allows for quick unlocking as gait development progresses. HR One Size $187 $179 Page 3/5

4 Fold Up Seat Helps build endurance levels for ambulation over greater distances. HR Flip-Up Seat; size 1; Black $367 HR Flip-Up Seat; size 2; Black $367 HR Flip-Up Seat; size 3; Black $367 Storage Basket (Mounted on leftside of grip bar, please request alternate location if needed.) Allows personal items to be kept within reach. HR One Size $187 Drive Brake and Wheel Lock (Sold Individually) Helps the child control the speed and secure the walking aid on incline surfaces. For Standard Grip Bar HR x 2 Size 1 $224 HR x 2 Size 2 $224 HR x 2 Size 3 $224 For Universal Grip Bar HR x 2 Size 1 $318 HR x 2 Size 2 $318 HR x 2 Size 3 $318 For Extra High Grip Bar HR x 2 Size 1 $271 HR x 2 Size 2 $271 HR x 2 Size 3 $271 Product Assembly Fee 481A00=2320 Assembly $102 Page 4/5

5 Nurmi Neo Technical Specifications: Dimensions (in) and Weight (lbs) Size 1 Size 2 Size 3 Minimum -Maximum Handle Height Standard Grip Bar 17.5" " 22.3" " 25" " With forearm supports (measured to lowest pad surface) vertical grips 20" " 25.25" " 27" - 33" Mini Grip Bar 12" - 19" N/A N/A Universal Grip Bar 15" " 20" " 22.4" " Extra High Grip Bar with Vertical Grips To Vertical Grip 22.5" " 25.5" - 34" 27.5" - 36" To Forearm Supports (measured to lowest pad surface) 22.5" " 25.5" - 34" 27.3" " Extra High Grip Bar with Standard Grips 27" 32" 33.75" Inside Width between Handlebars Distance between Grips: Standard Grip Bar 15" 17" 19" Distance between Grips: Mini Grip Bar 8" - 15" Distance between Grips: Universal Grip Bar 10.6" - 15" 12.5" - 17" 14.5" - 19" Distance between Forearm Supports (center) 9.8" - 15" 11.8" - 17" 13.8" - 19" Forearm Support (width x length)(inside) 2.75" " 2.75" " 2.75" " Tube Diameter Grip 1" 1" 1" Frame 1.25" 1.25" 1.25" Overall Width 25" 26.7" 28" Overall Length (with anti-tipper add 4 ) 25.5" 30" 32.5" Folding Dimensions (L x H x W) Length 25.5" 29.5" 33.5" Height 24.8" 26.8" 28.3" Width 9.5" 9.5" 9.5" Turning Diameter (without accessories) 34" 39" 42" Seat Height 11.7" 17.6" 18.7" Front Wheel Diameter 6" 6" 6" Rear Wheel Diameter 6" 8" 8" Weight Capacity 55 lbs. 88 lbs. 121 lbs. Product Weight 12 lbs. 13 lbs. 14 lbs. Since we are constantly updating and adding to our line of products, certain items may be discontinued or redesigned without notice. Page 5/5