JIVE F/R: 5,650 9,193 JIVE M: 5,895 9,591

Transcription

1 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 or central legrest Lights & indicators JAY Comfort shallow contour backrest VR2 90Ah controller Solid or pneumatic drive wheels JAY Comfort optimum cushion Parallel swing away mount Solid or pneumatic castors Headrest 60Ah batteries Rear view mirror Lap belt (aircraft buckle) 6 or 10kph (4-pole) motors Fax: +44 (0) orders@sunmed.co.uk Max. user weight: 160KG USER WEIGHT Mandatory information to ensure correct configuration JIVE F/R: 5,650 9,193 JIVE M: 5,895 9,591 JIV / JIV JIV SEAT DIMENSION JAY COMFORT Seat frame width is 41cm. The seat width can be adjusted from 40 to 56cm via the armrests, based on the seat/back cushion configuration. The seat depth can be adjusted from 41 to 55cm via the backrest. Cushion width inches ,5 22 cm JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV JIV Seat depth setting SEAT HEIGHT & DRIVE WHEEL POSITION Seat height setting (fixed tilt only) inches cm (1) not available with powered RWD seating modules or 0 seat JIV JIVH43 JIVH44.5 JIVH46 JIVH47 JIVH48 angle setting with no module FWD (1) JIV JIVH43 JIVH44.5 JIVH46 JIVH47 JIVH48 (2) not available with powered MWD (2) seating modules JIV JIVH42 JIVH43 JIVH44.5 JIVH46 JIVH47 JIVH48 Drive wheel 48 cm depth 55 cm depth seat cushion seat cushion When powered lift/tilt options are selected minimum achievable seat height is as follows: FWD: Tilt, Lift or Lift & Tilt: 44.5cm MWD: Tilt: 43cm, Lift or Lift & Tilt: 46cm RWD: Tilt, Lift or Lift & Tilt: 43cm Please Note: factory setting is always set at minimum. If greater than minimum SH is required select on table above. This will be processed via B-4-M as risk assessment is required. kg

2 JIV JIV JIV JIV JIV JIV SEAT TO BASE INTERFACE Fixed tilt (filler module) (tool adjustable seat angle) Power seating modules 30 Power COG tilt Power COG tilt (Jive MWD Only) to 25 Powered COG tilt (3cm added seat to floor height at 0 ) Power seat lift (30 cm (12") lift) Power seat lift and tilt combined (30 tilt and 30cm lift) JAY CUSHION SIZE SEAT WIDTH Width Coding JL40 JL42 JL44 JL46 JL48 JL50 JL56 Size Configuration - COMPLETE PRODUCT Depth Coding cm JL * * Conversion Table JL cm JL inches JL JL * Not available with Soft JL Combi P or Easy Fluid Cushion JAY CUSHION OPTIONS JAY Jay Lite Standard version (Micro climat cover, Wooden seat plate to be selected) JAY Jay Easy Fluid with Flat Base (Incontinence cover, Wooden seat plate to be selected) JAY Jay Easy Visco with Flat Base (Incontinence cover, Wooden seat plate to be selected) JAY Jay Soft Combi P (Incontinence cover, Wooden seat plate to be selected) JAY Wooden Seat Plate (supplied in the size of the cushion chosen) JIV JIV JIV JIV JIV JAY COMFORT SEAT CUSHION OPTIONS Comfort seat pan, without threshold (thickness 2 cm) Comfort seat pan, with 5cm (2") threshold (thickness 2 cm) Standard cushion -stretched rubber upholstery (thickness 8 cm) Optimum comfort-stretched rubber upholstery (anatomic formed) (thickness 9 cm) Omit cushion JAY COMFORT BACK CUSHION OPTION JIV Shallow contour (standard velour) (hard back) (57 cm back height - Adj. up to 70cm) JIV Shallow contour (standard velour) (vertical elastic straps) JIV Shallow contour (standard velour) (horizontal tension adjustable straps) JIV Deep contour - active (horizontal tension adjustable straps) JIV Deep contour - passive (horizontal tension adjustable straps) JIV Omit back upholstery COMFORT BACK CUSHION WIDTH JIV cm (15.5") JIV cm (20.5") JIV cm (17") JIV cm (22") JIV cm (19") 3rd PARTY BACKRESTS & INTERFACES JIV Jay J3 two point fixation kit See Pages 8 and 9 to select J3 Backrest and options. Additional options can be found on the J3 prescription form JIV JIV JIV JIV Shallow Contour JIV / JIV / JIV JAY J3 BACKRESTS AND OPTIONS JIV Deep Contour Active JIV See Pages 8 and 9 to select J3 Backrest and options. Additional options can be found on the J3 prescription form JIV Deep Contour Passive JIV Positioning straps 5 cm (2") aircraft buckle 5 cm (2") padded aircraft buckle 45 73

3 HEADRESTS JIV Curved headrest 20 cm x 11 cm (8" x 4.5") JIV Curved headrest 23 cm x 11 cm (9" x 4.5") JIV Contoured (winged) headrest JIV Jay Comfort: standard comfort seating headrest JIV Jay Comfort: flexible comfort seating headrest (winged style) Curved Headrest JIV / JIV Contoured Headrest JIV JAY Comfort: Std Comfort headrest JIV JAY Comfort: Winged headrest JIV BACKREST RECLINE OPTIONS JIV Manual adjustable backrest (-5 to 12, preset angle at 5 ) JIV Manual recline gas spring system (-10 to 30, require push handle option) JIV Power recline (-10 to 40 ) JIV Height adjustable push handles ARMREST TYPE JIV Single post armrest (skirt guard to be selected) JIV Reclining and flip-back armrest (width and height adjustable) SKIRT GUARDS (not available with reclining armrest) JIV Long 36 cm (14") (plexi glass) JIV Jay Comfort padded skirt guard 36 cm (14") Standard Full Standard Comfort JAY Comfort Padded JAY Comfort P-Shaped Hemi Armpads ARMPADS - LEFT AND RIGHT HAND SIDE Standard armpads Left Right Full length 36 cm (14") JIV JIV Comfort armpads 41 cm (16") JIV JIV JAY COMFORT armpads Padded (vinyl) upholstery full length 35 cm (13.5") JIV JIV each 73 each P-Shaped skai upholstery full length 35 cm (13.5") JIV JIV each 73 each Hemi Armpads (Hemi Armpad & hand pad must be chosen together) Hemi forearm pad small 23 cm ( 9") JIV JIV each 122 each Hemi forearm pad medium 28 cm (11") JIV JIV each 122 each Hemi forearm pad large 33 cm (13") JIV JIV each 122 each Flat hand pads small 11 x 18 cm (4.5" x 7") JIV JIV each 122 each Flat hand pads large 14 x 23 cm (5.5" x 9") JIV JIV each 122 each CENTRE MOUNT LEGRESTS (Inc footboard) JIV Fixed centre mount legrest Short 20.4 cm cm ( 8" ") JIV Fixed centre mount legrest Medium 37 cm - 47 cm (13.5" ") JIV Fixed centre mount legrest Long 42 cm - 55 cm (16.5" - 22") JIV Powered centre mount legrest (37-49cm fixed mechanical adjustment + 11cm articulation) SWING AWAY LEGRESTS JIV s/a legrest (width adjustable legrest mount; 8 cm (3") each side) JIV s/a legrest tapered (Only with footboard, reduces inner legrest width by 2") JIV Manual elevating adult (c/w standard foam calf pads) JIV Powered elevating (c/w standard foam calf pads) JIV Powered articulating (c/w standard foam calf pads) JIV Auto connectors for powered s/a legrests JIV Skai-vinyl calf pads Extension tubes for s/a legrests: JIV Short 33 cm - 41 cm (13" - 16") JIV Medium 39 cm - 46 cm (15" - 18") JIV Long 43 cm - 53 cm (17" - 21") (per pair) FOOTPLATES FOR SWING-AWAY LEGRESTS JIV Aluminium angle adjustable JIV Foot board (angle adjustable) (not available on 90 legrest) JIV Extra legrest strap (per pair)

4 VR2 CONTROLS JIV VR2 Joystick: with actuator and light control (lights & indicators plus max. 2 actuators) Dual/Attendant control options JIV VR2 Dual control JIV VR2 JSM attendant only VR2 User Joystick JIV VR2 Dual Control Joystick JIV R-NET CONTROLS JIV R-net Control System (Required for over 2 actuators / recommended for 13kph & users requiring max torque & performance) JIV R-net LED Joystick (Incl. L&I and actuator control option) JIV R-net LCD Colour Joystick (Integrated colour display with 2 jack inputs for buddy buttons) JIV Omit Joystick (When joystick is not required for clients using special controls) Dual/Attendant control options JIV Dual control (Separate dual control module mounted at rear - Always RH) JIV R-net attendant only joystick R-net LED User Joystick JIV R-net LCD User Joystick JIV R_net Dual Control Joystick JIV R-net Attendant Only Joystick JIV JOYSTICK MOUNTINGS Front control mountings JIV Swing away (for single Joystick selection mount) JIV Centre bar control mount JIV Swing away tray mounted centre control (not avail. on 22" width; LED JSM only) Joystick mounting side JIV Left Right JIV LIGHTS & INDICATORS JIV Approved for road use (StVZO) JIV LED R-NET OMNI DISPLAY & SPECIAL CONTROL INPUT MODULE (with IR functionality) JIV R-net OMNI colour display input module (includes Special Control Interface) JIV OMNI in scanning mode JIV OMNI Flexi mount (30 cm (12") long flexible height extension) JIV Left Right JIV R-NET OMNI ACCESSORIES JIV R-net Bluetooth module JIV R-net Input/Output module JIV Bluetooth wireless mouse receiver R-net OMNI + Flexi Mount JIV R-net Bluetooth Module JIV Provides Visual Display, infrared commands (Controls TV, DVD, Stereo, etc) & Special Control interface Allows users to control Windows based PC's, Tablets and Phones from joystick (mounted in base)

5 R-NET SPECIAL CONTROLS (R-net OMNI required from previous page; 2 buddy buttons recom.) JIV Proportional compact joystick as hand control JIV HMC mini joystick as hand control JIV Switch-It 0-way joystick as hand control JIV Swing-away front mount Left Right JIV JIV R-Net OMNI in Scanning Mode JIV Proportional Compact Joystick JIV HMC Mini Joystick JIV Switch IT 0-Way Joystick JIV R-net head related special input devices (if you have already chosen a standard headrest then Switch- It head array is not possible) JIV Switch-It head array / adult (OMNI required, 2 BB recommended) JIV Switch-It 0-way joystick as chin control (OMNI required, 2 BB recommended) JIV Proportional chin control (proportional joystick; OMNI required; 2 BB recommended) JIV Sip & puff control (tube and mouthpiece; OMNI required; 2 BB recommended) JIV HMC mini joystick as chin control (OMNI required, 2 BB recommended) JIV Switch-It proportional head control (OMNI required, 2 BB recommended) JIV Prop. compact joystick as chin control (OMNI required, HMC flex switch kit incl.) Switch IT Head Array JIV Proportional Compact Joystick as chin control JIV Head control s/a options JIV Manual s/a option Powered s/a option (1) (choose your setting below) JIV Operated with buddy button (operated via one buddy button - select colour below) JIV Operated with ribbon switch Left Right Swing-away direction JIV JIV Buddy button switches JIV Red x 1 JIV Red x 2 75 each 122 each JIV Green x 1 JIV Green x 2 75 each 122 each JIV Yellow x 1 JIV Yellow x 2 75 each 122 each JIV Blue x 1 JIV Blue x 2 75 each 122 each

6 = Standard = No cost option = Cost option REAR or FRONT WHEEL DRIVE CASTOR WHEELS (delivered always as a pair) (JIVE R/F only) JIV " x 2.5" Solid JIV " x 2.5" Pneumatic JIV " x 3" Solid (Not available with 13 kph motors and 6 kph FWD / RWD. Not recommended on RWD base) JIV " x 3" Pneumatic (Not recommended on RWD base) MID WHEEL DRIVE JIV " solid castor wheel on front and rear KERB CLIMBER JIV Kerb climber (Jive R only, max. user weight 137 kg) DRIVE BASE MOTORS/SPEED (Max kerb climbing is affected by many factors incl user weight, speed selection etc. Contact Tech Serv Ctr for more info) JIV kph (4-pole) high torque motors for optimal kerb climbing JIV kph (4-pole) high torque motors for optimal kerb climbing JIV kph (4-pole) (Not available on JIVE F) DRIVE WHEELS JIV " Pneumatic "V-type" JIV " Solid "V-type" JIV " Pneumatic "knobby" JIV " Solid "Knobby" BATTERIES JIV Ah maintenance free JIV Ah maintenance free (Recommended for 13Kph Motors where battery power is drawn faster) CHARGER JIV V/ 8A automatic charger (UK) JIV V/ 10A automatic charger (UK) (Recommended for 13 kph speed - charges batteries faster)

7 JIVE F/ RWD (body panel colour, frame is always black) JIVE MWD (body panel colour, frame is always silver) JIV White RAL 9010 JIV White RAL 9010 JIV Red JIV Red JIV Blue JIV Blue ACCESSORIES JIV Crutch holder JIV Rear view mirror (Always required with 10Kph or 13Kph Chairs) JIV Swing-away tray table (available from 36 cm (14") to 51 cm (20") seat width) JIV /12V DC/ DC converter JOYSTICK KNOBS JIV Golf ball joystick knob JIV T bar B38 joystick knob JIV Soft ball joystick knob JIV Ball joystick knob JIV Chin cup joystick knob JIV Stick joystick knob JIV Mushroom joystick knob For special requirements, please complete Built-4-Me prescription form JIVE - base price Option Price Total Price

8 J3 Back J3 Backrest Range = 5 days from the EDC Complete backrest package for clients up to 136kg = 15 days from the EDC Universal one point fixation for rapid application = upcharge option Easily adjustable for assessment & changing needs Wide range of positioning and transfer options Backs and options fully transit tested 1 Large & 1 small lumbar included in MT, UT & SH box Max. user weight: 136 Kg 1 small lumbar in LT box 2 year guarantee USER WEIGHT kg Mandatory information to ensure correct configuration Applications; For all clients requiring postural back support from mild lateral stability to extreme lateral and posterior stability. Full range of postural back shapes to cover clinical back support at the appropriate backrest height for the user. Adjustable in depth, height, angle and chair width, ensuring rapid and comprehensive client positioning and spine alignment. CLIENT MEASUREMENT 1. Assess Lateral Stability Requirement (SC, MT or DC) 2. Assess Posterior Stability Requirement (LT; MT; UT or SH) 3. Assess appropriate backrest height (Short, Medium, Tall) 4. Determine client trunk width across the sternum;and cross check with backpost width. 5. Assess for options and 'velcro' positioning inserts 5 cm 8 cm 15 cm Shallow Contour / SC Mid Contour / MC Deep Contour / DC Moderate Lateral Support Medium Lateral Support Full Lateral Support Jay 3 Backrest Width Width Chair backcane widths (Measured from outside of backcane to outside of backcane) Back height not available Laterals, headrest & harnesses Client max trunk width (cm) , Mid Thoracic (MT) Short (S) - 30 Med (M) - 34 Tall (T) - 38 Item Nr. construction: J3 SC Headrest LT S 41 (This & harnesses is only an available example) J3: J3 Back SC: Shallow Contour LT: Lower Thoracic S: Short (Height cm) 41: Chair Backrest Width (cm) Laterals, headrest & harnesses available Headrest & harnesses available Client max trunk width (cm) Upper Thoracic (UT) Short (S) ,5 39,5 (1) (1) 43 Med (M) - 46 Tall (T) - 50 Laterals, headrest & harnesses available Headrest & harnesses available Client max trunk width (cm) Shoulder Height (SH) Short (S) ,5 39,5 (1) (1) 43 Med (M) - 57 Tall (T) - 61 (1) Not available with laterals Conversion Table cm inches

9 JAY 3 BACK ACCESSORIES ACCESSORIES JAY Backrest depth extension JAY Point Hardware kit = upcharge option NEW! VANITY FLAP Vanity Flap (covers gap between cushion and backrest) 41 cm JAY cm JAY cm JAY HEADREST (only available where headrest is indicated on the first page) Please choose 1 mount and 1 pad to have a complete headrest with pad Mount JAY Jay Standard Headrest (Bracket & Mount only) JAY Jay Flip Back Headrest (Bracket & Mount only) Pad JAY Jay Standard Pad JAY Jay Contour Pad Crash tested JAY Universal Headrest Mount (required to use any other headrest not listed in this order form) LATERAL SUPPORT (only available where laterals are indicated on the first page) Left Hand lateral Depth cm JAY JAY JAY Fix lateral JAY JAY JAY JAY Fix lateral JAY JAY Swing Away option Right Hand lateral Depth cm JAY JAY JAY Fix lateral JAY JAY JAY JAY Fix lateral JAY JAY Swing Away option When ordering 2 laterals Left and Right, you need to pick the sizes in both matrices above. Total Price for laterals If a swing-away lateral is required, first select the height and the depth, then tick the Swing Away option box below the matrix Height Height POSITIONING KIT Spine Align Mini Fit Kit I Spine Align Mini Fit Kit II JAY Jay 3 Back Positioning Box JAY Jay 3 Back Hardware Box CM width 41 cm JAY JAY cm 51 cm JAY JAY JAY JAY CHEST STRAP (only available where harnesses are indicated on the first page) Padded Anterior Strap Centre open harness Medium Large Extra large JAY JAY JAY JAY JAY JAY SPARES (separate to product - separate box or delivery) CM width Small Lumbar (1 unit included as std with product LT, MT, UT & SH) Large Lumbar Support (1 unit included as std with product MT, UT & SH) Wedge JAY Curved Shim JAY Flat Shim JAY Posterior/Lateral Pelvic JAY Lateral Shim JAY Small Bean Bag JAY Large Bean Bag 41 cm 46 cm 51 cm JAY JAY JAY JAY JAY JAY JAY JAY JAY Unit price Quantity Total Price