q q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.

Transcription

1 Funder: Order Number: Date: q Quote q PO Number: Therapist: Marked For: Catalyst 5 K5-CAT5-ALI 136kg weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth Price HCPCS Seat Width N/C N/C N/C N/C N/C N/C K51-B K51-C K51-D 14 N/C q q q q q q q q q 15 N/C q q q q q q q q q Heavy Duty Option q 158kg Weight Capacity K51 Requires minimum 6 caster height Cross Brace Effective 17/7/2017 Ship To: Address: City: Post Code: Phone: /Fax: Notes: Titanium Option q Titanium Frame K5-CAT5-TITAN Includes hangers and base frame. Does not include Cross Braces. Seat Depth 16 N/C q q q q q q q q q 17 N/C q q q q q q q q q 18 N/C q q q q q q q q q 19 K51-E q q q q q q q q q q Standard Cross Braces q Seating System Cross Braces N/C Allows for easy attachment of seating system mounting hardware. Not available with Seat Sling. q Titanium Cross Braces K51-H Not available with 21 and 22 Seat Widths 20 K51-F q q q q q q q q q Transit Option q Transit System K51-A Not available with Removable Seat Pan or Heavy Duty Option Wheelchair Drive Ready q E-Move N/C q E-Drive N/C q Smart Drive N/C q Batec Bike N/C qadventus N/C qfreewheel N/C Rear Frame Type No selection needed with Titanium Frame q Curved Select from Standard or Angle Back Posts on chart on the next page q Depth K51-G Select from Standard Depth or Height Depth Back Posts in chart on the next page. Provides 2 forward and 2 rearward adjustment with minimum Seat Depth of 14 and maximum Seat Depth of 22. Available only with T-Arm or Flip Up Armrests. Not available with Back Upholstery. q Reclining K51-J Select from Reclining Back Post in chart on the next page. Not available with Seating Dynamics Rocker Back, O 2 Holder, Transit Option, Heavy Duty Option, Swing Away Armrests, Flip Back Armrest, Height Flip Back T-Arm, Back Upholstery or IV Pole. Pricing and specifications subject to change without notice Page 1 of 9

2 Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post and Height Range. Depth not available with Titanium Frame. Back Post Standard Angle w/ Push Handle Standard Depth Height Depth Price N/C K513 N/C K510 Height Range Back Height Short q 8.5 q 9.5 q10.5 q 11.5 Medium q 12.5 q 13.5 q 14.5 q 15.5 Tall q 16.5 q 17.5 q 18.5 q 19.5 Short q 14 q 15 q 16 Medium q 16 q 17 q 18 Tall q 18 q 19 q 20 Short q 20 Tall q 24 Short 1 q 13 q 14 q 15 q 16 q 17 Medium q 16 q 17 q 18 q 19 q 20 Tall q 20 q 21 q 22 q 23 q 24 Reclining w/ Short q 22 Handle 1, 2 N/C Tall (Removable) q 26 1 Not available with Seating Dynamics Rocker Back 2 Not available with O2 Holder, Transit Option, Heavy Duty Option, Swing Away Armrests, Flip Back Armrest, Height Flip Back T-Arm, Back Upholstery or IV Pole Reclining Back Post Option Select options below if Reclining Back is selected on chart above. Recline angle range is 0º - 65º. Gas Spring: q Standard Spring q Heavy Duty Spring Standard Back Post Select option below only if a Standard Back Post option is selected on chart at left q Straight with Push Handle q Straight without Push Handle N/C q 8º Bend with Push Handle K512 Not available with Short Back Height Range q Straight with Fold Down Push Handle K512A Not available with Heavy Duty option Push Handle Options Not available with Standard Depth Back Post, Straight Back Post with Fold Down Push Handle, Reclining Back Post or Heavy Duty Option q Profile Push Handle K512B 2 shorter than standard push handles Depth Back Post Options Options below may be selected only if Standard Depth or Height Depth option is selected on chart at left q Stroller Handle Extensions K511 Not available with Height Depth Back Posts q Seating Dynamics Rocker Back K511A Available only with T-Arms Back Upholstery Select option below only if Standard or Angle Back Post option is selected on chart at left q Standard Not available with Short or Medium Back Height Ranges on Seat Widths q Tension K514 q Omit Back Upholstery N/C Footrest Hanger / Front Frame Bend q 60º N/C Available only with Extension Tube Hangers. Not available with Titanium Frame. q 70º N/C q 80º N/C Not available with 7 or 8 Casters q 90º N/C Available only with Front Mount Hangers. Not available with Titanium Frame or 7 and 8 Casters. q Elevating Leg Rests (ELR) K523 q Pro Elevating Leg Rests (PRO ELR) K523A New! q Omit Hangers N/C Footplate q Composite N/C Not available with Front Mount Hangers or PRO ELR q Composite Angle K528A Not available with Front Mount Hangers, ELR or 14 Seat Width q Aluminum Angle K528 q One Piece Flip Up Angle K529 Not available with Front Mount Hangers, ELR or PRO ELR Pricing and specifications subject to change without notice Page 2 of 9

3 Footrest continued Footrest / Extension / Seat to Footrest Length Select Seat to Footrest Length in row corresponding to desired Footrest and Extension. Footrest Length of at least 2.5 shorter than Front Seat Height recommended. Extension Tube Hangers and Fixed Front Frame measurements are based on 70º Hanger / Front Frame Bend. Footrest Extension Seat to Footrest Length Extension Tube Hangers (60º, 70º, 80º) Short q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 Front Mount Hangers 1 Elevating Leg Rests (ELR) Extended Length ELR PRO ELR Pivot PRO ELR High Pivot Short (70º, 80º, 90º) Medium (70º, 80º, 90º) Long (70º, 80º) Standard Selections Requires 3 Extension for q 5 q 5.5 q 6 q 6.5 q 7 q 10 q 10.5 q 11 q 7.5 q 8 q 8.5 q 9 q 9.5 q 11.5 q 12 q 12.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 12 q 12.5 q 13 q 8.5 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 13.5 q 14 q 14.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 9 q 14 q 14.5 q 15 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 15.5 q 16 q 16.5 Short q 12 q 13 q 14 q 15 q 16 Long q 13 q 14 q 15 q 16 q 17 q 18 Short q 18 q 19 q 20 q 21 q 22 Long q 18 q 19 q 20 q 21 q 22 q 23 q 24 Short q Long q Short q Long q Fixed Front Frame (70º, 80º) Short q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q Available only with Aluminum Angle Footplates. Not available with Titanium Frame. See Minimum Front Seat Height chart below. Minimum Front Seat Height with Front Mount Hangers Hanger Length Short Medium Long Hanger Bend 70º 80/90º 70º 80/90º 70º 80º Minimum Front Seat Height with Standard Selection Minimum Front Seat Height with 3 Extension Hanger Release If no selection is made Classic Hanger Release will be used q Classic q 4-Way - In line New! N/C See reference A below. Not available with ELR or PRO ELR. q 4-Way - Out New! N/C See reference B below A B 3 Extension Available only with Front Mount Hangers. Provided as parts. q 3 Extension for Front Mount Hanger K526 Residual Limb Support q Residual Limb Support q Left K527X q Right K527X q Omit Left Hanger N/C q Omit Right Hanger N/C Cover q Smooth q Air Mesh q Smooth q Air Mesh Pad Size q 5 x 8 q 9 x 14 q 5 x 8 q 9 x 14 q 7 x 10 q 11 x 10 q 7 x 10 q 11 x 10 q 9 x 10 q 11 x 14 q 9 x 10 q 11 x 14 Pricing and specifications subject to change without notice Page 3 of 9

4 Footrest continued Heel Loop q Heel Loops K527A Not available with One Piece Flip Up Angle Footplate q Heel Loops K27G q Omit Heel Loops N/C Calf Strap q Velcro K527B q Padded Velcro K527C q Bodypoint Padded AeroMesh K527D Front Seat Height and Casters Caster Size / Front Frame Type / Front Seat Height Select Front Seat Height in row corresponding to desired caster size. Note: Selections in first three Front Seat Height columns use Front Frame. Front Frame not available with Titanium Frame or Fixed Front Frame. Caster Front Seat Height Size Uses Front Frame 4 q q 14 q 14.5 q 15 2 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 5 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 7 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 8 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 1 Front Seat Height not available with 4 x 1 Poly Caster 2 Front Frame required when using 4 x 1 Poly Caster Caster Type q.75 Rollerblade N/C Not available with 5, 6, 7 and 8 Caster Sizes q.75 Lighted Rollerblade K574 Not available with 5, 6, 7 and 8 Caster Sizes q 1 Poly N/C q 1 Poly Aluminum K575 / K579 Not available with 6, 7 and 8 Caster Sizes q 1 Pneumatic K585/ K586 Not available with 4, 5 and 7 Caster Sizes q 1.5 Poly K578A / K578 / K582 Not available with 7 and 8 Caster Sizes q 1.5 Soft Roll Aluminum K577 / K581 / K584 Not available with 7 and 8 Caster Sizes q 2 Poly K582A / Not available with 4, 5, 7 and 8 Caster Sizes q 2 Pneumatic w/ Foam Insert K587 Not available with 4, 5, 6 and 7 Caster Sizes Caster Housing q Standard - Front Facing Casters N/C q Performance - Rear Facing Casters N/C Maximum Seat Dump Reference (Front Seat Height minus Rear Seat Height) Seat Depth Maximum Dump Standard Caster Housing Maximum Dump Performance Caster Housing Depending on configuration, chairs with Fixed Front Frame Type may achieve up to an additional.75 Fork Stem q Best Fit Ki Mobility will pick optimal Fork Stem based on Caster Size and Front Seat Height q Standard Fork Stem N/C q 3/4 Longer Fork Stem N/C q Longer Fork Stem N/C Fork Options q Frog Legs Ultra-Sport Fork - Black K588 Available only with 4, 5 or 6 casters. Not available with Caster Pin Locks, Heavy Duty Option, 2 Poly caster or 2 Pneumatic w/ Foam Insert caster. End User Weight Required: kgs q Frog Legs PHASE 2 Carbon Fork K588G New! Lightweight shock absorbing fork. Available only with 4, 5 or 6 casters. Not available with Caster Pin Locks, Heavy Duty Option, 2 Poly caster or 2 Pneumatic w/ Foam Insert caster. q Caster Pin Locks K589 Not available with Performance Caster Housing, Longer Fork Stem or Frog Legs Fork Pricing and specifications subject to change without notice Page 4 of 9

5 Wheel Locks Wheel Lock q Push to Lock q Push to Lock Flush Mount N/C q Pull to Lock N/C q Profile Scissor Lock K567A Not available with Poly, Full Poly or Sentinel Solid tires q Short Thro Scissor Lock K567 q Omit Wheel Locks N/C Rear Seat Height and Wheels Wheel Size / Tire Profile / Rear Seat Height Wheel Size Tire Profile Rear Seat Height Axle Plate No selection needed with One Arm Drive q Standard m Curved K564 q Amputee K565 Not available with Swing Away Armrests or Wheelchair Drive Ready Option. Required with Reclining Backrest. Wheel Lock Options q Extension Handles K569 Available only with Push to Lock or Pull to Lock Wheel Locks q Grade Aids K570 Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert Rear Tire Types Select Rear Seat Height in row corresponding to Wheel Size and Tire Profile. 14 Seat Depth not available with 24, 25 or 26 Rear Wheels. m Requires curved axle plate q Any axle plate can be used (Curved, Standard, Amputee, One Arm Drive) m 11.5 q 12 1 m 12.5 q 13 1 m 13.5 q 14 m 14.5 q 15 m 15.5 m 16 Full m 12 q m 13 q m 14 q 14.5 m 15 q 15.5 m 16 m 16.5 m 12.5 q 13 1 m 13.5 q 14 1 m 14.5 q 15 m 15.5 q 16 m 16.5 m 17 Full m 13 q m 14 q m 15 q 15.5 m 16 q 16.5 m 17 m 17.5 m 13.5 q 14 1 m 14.5 q 15 1 m 15.5 q 16 m 16.5 q 17 m 17.5 m 18 Full m 14 q m 15 q m 16 q 16.5 m 17 q 17.5 m 18 m m 14 q m 15 q m 16 q 16.5 m 17 q 17.5 m 18 m m 14.5 q 15 1 m 15.5 q 16 1 m 16.5 q 17 m 17.5 q 18 m 18.5 m 19 Full m 15 q m 16 q m 17 q 17.5 m 18 q 18.5 m 19 m Not available with Amputee Axle Plate One Arm Drive q One Arm Drive K544 Available only with 24 Mag wheels. Not available with 14 Rear Seat Height in combination with 24 rear wheel or 4 camber. Standard Handrim will be Aluminum Anodized. Axle not quick release. Drive Handrim Side: q Left q Right Drive Handrim Type: q Aluminum N/C q Poly Coated K555B Rear Tire Type Full Profile q Street Pneumatic 1 3/8 Not available on 25 rear wheel q Full Poly 1 3/8 N/C Not available on light or 25 rear wheel q Pneumatic with Airless Insert 1 3/8 K548 Not available on light or 25 rear wheel q Schwalbe HS /8 K553B New! Available only on 24 rear wheel. Not available on Mag wheels. q Euro Trek Knobby 1 3/8 K552 Available only on 24 rear wheel Rear Wheel Type q 24 Spoke N/C q Spoke (20, 22, 25 or 26 ) K530 / K531 / K532 / K533 q Mag N/C Not available in 25 or 26 rear wheels q light Spoke K534 / K535 Available only in 24 and 25 rear wheels. Not available with Heavy Duty Option. q Spinergy Spox K536 / K537 / K538 / K539 Not available in 20 rear wheel Color: q Black q Red q White q Blue q Yellow Handrim: q Short Tab q Long Tab Available only with Aluminum Anodized and Plastic Coated Handrims q Spinergy LX K540 / K541 / K542 / K543 Not available in 20 rear wheel Color: q Black q Red q White q Blue q Yellow q Pink q Green q Orange Handrim: q Short Tab q Long Tab Available only with Aluminum Anodized and Plastic Coated Handrims Profile q Poly 1 N/C Not available on light, 25 or 26 rear wheels q Sentinel Solid Tire 1 K549 Not available on light wheels or 20" and 22" Mag Wheels q High Pressure 1 K550 Not available on Mag wheels q Schwalbe One 1 K553C Not available on Mag, 20, 22 or 26 rear wheels q Schwalbe Marathon Plus Evolution 1 K553 Not available on Mag, 20 or 22 rear wheels Pricing and specifications subject to change without notice Page 5 of 9

6 Rear Seat Height and Wheels continued Handrim No selection needed with One Arm Drive Standard Handrims q Aluminum Anodized q light Aluminum Anodized K554 Available only on 24 and 25 light and Spinergy wheels. Not available with Heavy Duty Option. q Plastic Coated K555 q Projection (8 Vertical Projections) K556 Available on 22, 24, 25 and 26 Spoke wheels & 24 Mag wheels w/full tires q Spinergy Flex Rim K555C Available only on 24 and 25 Spinergy LX wheels q Omit Handrim N/C Natural Fit Handrims Not available on 20 rear wheel or 22 Mag wheels. Not recommended with Mag wheels. q Natural Fit LT Regular Grip K558 q Natural Fit Standard Regular Grip K557 q Natural Fit LT Grip K560 q Natural Fit Standard Grip K559 q Natural Fit LT Omit Grip K562 q Natural Fit Standard Omit Grip K561 Handrim Option q 3M Micro Grip Not available on Plastic Coated or Projection Handrims Axles Axle No selection needed with Wheelchair Drive Ready Option and One Arm Drive q Quick Release q Quad Quick Release K566 Not available with Mag wheels Axle Position Rear Wheel Camber: q 0º q 2º q 4º Center of Gravity: q Rear q Center q Forward Armrests Armrest Please select Arm Pad Option q Height T-Arm ( ) K517D / K517F q Height T-Arm ( ) K517D / K517F q Height Flip Back T-Arm ( ) K518D, K518F Not available with Depth Back Posts q Flip Back (10.5 ) N/C Not available with Seat Depths less than 16 or Angle or Depth Back Posts q Angle Locking Extendable Flip Up K519D / K519F Available only with Depth and Reclining Back Posts Arm Pad Not available with Swing Away Armrests Standard Arm Pad N/C q Desk q Full Waterfall Arm Pad K520A q Desk q Full Available only with Height T-Arms Foam Grip N/C q Desk q Full Available only with Angle Locking Extendable Flip Up Armrest Armrest continued q Swing Away ( ) K516 Not available with Angle or Depth Back Posts or Arm Pads q Swing Away with Side Guard ( ) K516A Not available with Angle or Depth Back Posts or Arm Pads q Omit Armrests N/C Pricing and specifications subject to change without notice Page 6 of 9

7 Accessories Removable Side Guard q Composite Side Guards K521 Not available with T-Arm, Flip Back or Swing Away with Side Guard Armrests Anti-Tip q Rear Anti-Tips K593 Positioning Belt q Auto Buckle K594 q Padded Auto Buckle K594A q 2 Airline Buckle K594B q Bodypoint Evoflex - Pelvic Stabilizer K594X Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-37 ) q Bodypoint Belt Mounting Kit Style: q Bracket K59F q Band Clamp 1 K59G Seat Pan q Removable Aluminum Seat Pan K590 Not available with Transit System. Pan depth 1/2 shorter than Seat Depth. Frame Color Frame Color not available with Titanium Frame Option Gloss Finish q Black N/C q Blue Skies N/C q Bubblegum Pink N/C q Candy Blue N/C q Candy Purple N/C q Candy Red N/C q Copper N/C q Fuchsia N/C q Granny Smith N/C q Metallic Orange New! N/C q Yellow N/C Other Accessories q Tool Kit K595 q Removable Underseat Pouch K596A q Ki Mobility Backpack K596 q Paediatric Ki Mobility Backpack K596D New! Luggage Carrier K596C New! q Not available with ELR, PRO ELR or Residual Limb Support q Black Neoprene Impact Guards K597 q Clear Spoke Guards K598A Not available with Mag wheels q Black Spoke Guards K598B Not available with 20 or Mag rear wheels q Cane and Crutch Holder K598C q IV Pole K598D Available only with Curved Rear Frame Type and Straight Back Posts O 2 Holder Not available with Depth Rear Frame q O 2 Holder q Right Side q Left Side Matte Finish q Army Green N/C q Charcoal Gray N/C q Emerald Green N/C q Iridescent Burgundy N/C q Iridescent Navy N/C q Retro Red N/C q Royal Blue N/C q Shadow Black N/C q Smooth White N/C Graphic Image Transfer Visit for current graphic image transfer options Note selection below q K599 Pricing and specifications subject to change without notice Page 7 of 9

8 Catalyst Front Seat Height Matrix 4 Caster 5 Caster 6 Caster 7 Caster 8 Caster FSH Stem Fork FSH Stem Fork FSH Stem Fork FSH Stem Fork FSH Stem Fork / / / n/a 3/4 4 3/ / / /4 5 3/ n/a n/a / n/a / n/a 8 x 2 caster not available with 6 fork 3/ / n/a / / n/a x 2 caster not available with 5 fork Front Seat Height not available with 4 x 1 Poly Caster 2 Not available with 4 x 1 Poly, 4 x 1.5 Poly or 4 x 1.5 Soft Roll Aluminum Seat heights with FSH heading available with Standard Front Frame. Seat heights with heading available with Front Frame. Actual seat height may vary depending upon configuration. Pricing and specifications subject to change without notice Page 8 of 9

9 Half Tray Not compatible with Swing Away Armrests q Standard Shape, Clear, Flip-Away KHTCFA q Right Side q Left Side q Standard Shape, Padded, Flip-Away KHTPLA q Right Side q Left Side q Trimline Shape, Padded, Flip-Away KHTPFA q Right Side q Left Side Clear Tray with Border and Pre-Drilled Holes STEP 1: Choose Tray if Ordering with Chair KCTRAY Chair Width Tray Dimension ( W x D ) Body Cutout ( W x D ) Price 20 x x 6 q 20 x x 6.5 q 21 x x 6.5 q 21 x x 7 q 22 x x 7.5 q 22 x x 8.5 q 23.5 x x 8.5 q 23.5 x x 9.5 q 24.5 x x 9.5 q 24.5 x x 10.5 q 26.5 x x 10.5 q 26.5 x x 11 q 26.5 x x 11 q 26.5 x x 11 q 27.5 x x 11 q 27.5 x x 11 q 28.5 x x 11 q 28.5 x x 11 q Communication Mount Hardware Choose Device Holder AND Mount STEP 1: What DEVICE will be used? q Smart Phone WA814 q Large Smart Phone WA857 q I-Pad WA810 q I-Pad Mini WA810.1 q 7 Tablet WA810.2 q 10 Tablet WA813 STEP 2: Where does it need to MOUNT? q Frame WA805 q Armrest WA805.1 Not compatible with Swing Away Armrests q Tray WA806 Cup Holder q Heavy Duty WA851 Compatible only with Flip Back Armrests STEP 2: Choose Tray Hardware q E-Z Lock Clamps, Tube Arm WA837 Available only with Swing Away, Swing Away with Side Guard and Angle Locking Extendable Flip Up with Foam Grip Armrests. Sold in Pairs. q E-Z Lock Clamps, Standard WA826 Not available with Swing Away, Swing Away with Side Guard and Angle Locking Extendable Flip Up with Foam Grip Armrests. Sold in Pairs. Pricing and specifications subject to change without notice Page 9 of 9