Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail info@proactiv-gmbh.de www.proactiv-gmbh.de Quotation date: Order date: according to GTC PRO ACTIV GmbH TRAVELER Heavy Duty Active easy running folding wheelchair with individual reinforcements Approved up to 150kg/180kg user load capacity HMV Pos.Nr.: 18.50.03.0074 9030100000 3,359.00 Invoice address: same as company address Medical suppliers / Company address: Cust. no.: Name: Street: Postcode, city: Phone: Fax: E-mail: Contact: Invoice address: other (see below) Cust. no.: Name: Street: Postcode, city: Phone: Fax: E-mail: Contact: Shipping address:same as company address other (see below) Name: Street: Postcode, city: Customer name / commission: Name: Street: Postcode, city: Phone: Fax: E-mail: Date of birth: Paying organisation: Indication: - 1-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Basic size Body size: Wheel chair dimensions: Seat width SB 45 46 47 48 49 50 51 52 Seat depth ST Back height RH Lower leg length USL Short frame Long frame 36 37 38 39 40 40 41 42 43 44 41 42 43 45 46 47 48 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 Seat height back SHh 37 38 39 40 41 42 43 Seat height front SHv 44 45 46 47 48 49 50 51 52 Tipping point KP 4 5 6 7 8 9 10 11 12 13 (front side rear tube to axis middle drive wheel; at frame angle 95 of 4-10 cm and at frame angle 105 6-13 cm possible) Please cross on the appropriate dimension (all dimensions are specified in cm). Underlined values are standard settings. The values SHh and SHv may deviate a little from the specified values depending on the wheel size, wheel camber as well as the front and rear frame angle! Special dimensions possible upon request. - 2-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Frame colour - One-colour design Information on current colour designs and example images under: www.proactiv-gmbh.de/farben.php White RAL 9016 gloss 9000100170-023 matt 9000100170-123 Brilliant Silver gloss 9000100170-011 Anthrazit RAL 7016 gloss 9000100170-001 matt 9000100170-101 Black RAL 9005 gloss 9000100170-003 matt 9000100170-019 Deep black, silver effect gloss 9000100170-007 Pure orange RAL 2004 gloss 9000100170-022 Fire Red gloss 9000100170-018 matt 9000100170-118 Pink magenta RAL 4010 gloss 9000100170-037 matt 9000100170-137 Sky blue gloss 9000100170-017 Pastel blue RAL 5024 gloss 9000100170-036 matt 9000100170-136 Navy blue gloss 9000100170-045 matt 9000100170-145 Apple green gloss 9000100170-014 matt 9000100170-114 Lemon green gloss 9000100170-005 matt 9000100170-105 Purple gloss 9000100170-044 Yellow RAL 1023 gloss 9000100170-046 matt 9000100170-146 Red RAL 3001 gloss 9000100170-047 matt 9000100170-147 Colour - Attachment parts Drive wheel Aluminium rim and hub Caster fork and bearing block silver 9000100171-011 9000100173-011 Rahmenfarbe Frame colour - - Einfarbdesign Two-colour design Information on current colour designs and example images under: www.proactiv-gmbh.de/farben.php Note: With two-colour design, according to both colours of the gloss level of the design colour. Two-colour design 205.90 comprising one basic colour (on the back of the frame) and one design colour (on the front of the frame) Please select from the following colours: Base colours (on the back frame): White 9000100170-200 Silver 9000100170-201 Anthracite 9000100170-202 Black 9000100170-203 Pastel blue 9000100170-206 Lemon green 9000100170-207 Yellow 9000100170-208 Design colours (on the front frame) Yellow gloss 9000100170-261 matt 9000100170-262 Lemon green gloss 9000100170-250 matt 9000100170-251 Blue gloss 9000100170-252 matt 9000100170-263 Chili gloss 9000100170-253 matt 9000100170-254 Pure orange gloss 9000100170-255 matt 9000100170-256 Cappuccino gloss 9000100170-257 matt 9000100170-258 Black black 9000100171-003 9000100173-003 If no details have been made, the attachment parts are mounted in black. Attachment parts colour design according to customer desires: Drive wheel 1 Aluminium rim and hub Orange 144.390 1 RAL 2004 9000100171-022 white RAL 9016 144.90 1 9000100171-023 in frame colour Selection from single colour design deviating from the frame colour 176.10 1 9000100171-999 206.20 1 9000100171-998 5" Aluminium rim 2 3 spoke design 30.70 2 9000100174-022 30.70 2 9000100174-023 51.50 2 9000100174-999 60.80 2 9000100174-998 Please enter the last 3 digits of the desired colour (single colour design): 9000100170-9000100170- gloss 9000100170-259 matt 9000100170-260 Special colour requests (frame or attachment parts) Frame colour single procurement Frame from RAL range of colours Surface coating: gloss matt - 3-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Colours Rev. 02 9000100170-100 317.20 Colour details with RAL number Note: Attachment parts not possible in design colours 1 Only in combination with aluminium rim drive wheel 9000203000-9000203300 2 Only in combination with caster wheel 5" Aluminium rim 3-spoke design smooth running 9000501200 or 5" Aluminium rim 3-spoke design good shock absorption 9000501210
Frames Note: Footrest area with V-shape x=sb-(0,25 x USL + 6cm) Straight Front end 9030100010 Front end V-shape 9030100020 232.50 Frame angle KP=Tipping point (distance inner edge RL joint to axle middle drive wheel) standard setting 8.5 cm Knee angle 105 9030100200 Rear frame angle 105 9030100110 KP from 6.5 cm to 13 cm Knee angle 95 9030100090-001 259.50 Rear frame angle 95 9030100100 98.80 KP from 4.5 cm to 11 cm Heavy Duty version 9030100300 485.00 Reinforced drive wheel plate, 2-slots, 12 mm thick, reinforced steering fork closed version, rear tube reinforcement inlet on the side plate bolted thread, stainless steel backrest locking bolts, reinforced push handles, 2 mm Stainless steel version, foamed side panel with aluminium inserts, 2 mm, footrest or footbar continuous, reinforced version, stainless steel braking bolt for brake system (with 5 easy-running aluminium rim 9000 501 200/ 210 the reinforced 5-spoke aluminium rim is mounted) Heavy Duty Reinforcement of the frame as well as of different options for loading capacity 150-180kg 9030100301 130.00 Welded gusset plates for a higher stiffness and stability of the frame. Plates are welded where the folding arms are attached on the frame.. Push handles Aluminium push handles fixed in back tube 9030401050 99.90 from RH 23 cm Safety push handles with continuous height adjustment 9030401060 166.00 Mount in the back tube from RH 30 cm with belt cover from RH 43 cm with back shell Push handles, horizontally screwed in back tube 9030401076 185.10 can be unscrewed Backrest Folding backrest 9030400011 7-way inclination adjustment with integrated aluminium side parts Back tubes with lordosis bend 9000400005 88.00 1cm 2cm 3cm Back equipment Adaptable back with back padding 9030802010 Colour: black Equipment with back cross bar Adaptable back with back padding "light" 9030802320 35.40 Back padding extra thin for an easy and space-saving folding of the wheelchair Colour: black Padding thickness: 9mm Equipment with back cross bar Attention: Not recommended for users with a risk for decubitus on the back Raised back + 3-5 cm 9030802100 119.60 for nominal RH dimension Only in combination with height adjustable push handles! - 4-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Equipment without back upholstery and without back padding or back system 9000802011-50.00 Equipment with back cross bar Further back systems e.g. ergonomic back shell see separate dimension sheet: "PRO ACTIV Seat and back systems" Seat upholstery Open belt system 9030801010 Closed belt system 9030801020 70.80 Clothing guard Aluminium clothing guard removable via lock function Adjustable following wheel arch Only in combination with folding backrest! anthracite, matt 9030403210 186.30 in frame colour (basic colour with two-colour design) 9030403211 in design colour (only possible with frames in twocolour design) 9030403212 238.20 264.20 Carbon clothing guard removable via lock function Adjustable following wheel arch Only in combination with folding backrest! 9000400012 431.60 Equipment without seat upholstery 9000801050 Seat cushion Armrests 25 cm long arm padding mounted on the clothing guard 9030403151 126.90 Upper arm padding edge depending on the clothing guard setting mounted approx. 20 cm to 24 cm above the seat tube. Only in combination with clothing guard! rectangluar contour radius contour Armrests folding up, removable 9000403141 274.60 with arm padding 25 cm long Positioning: upper arm padding edge approx. 25cm to 31 cm above the seat tube, adjustable in 1.5 cm steps Axle plate Standard equipment with 12 mm sockets / axles, further axle plates on request 2-slot axle plate 9030201000 Rear seat height = approx. 37-43 cm (for 24" wheel) 3-slot axle plate cover: black, breathable, open fabric surface black, closed fabric surface If no specification is given, the cover material "black breathable, open surface" will be delivered. Further seat cushions, e.g., "Anti-Decubitus" see separate dimension sheet: "PRO ACTIV "Seat and back systems" 9030201020 133.70 Rear seat height (with 24" wheel): short frame= approx. 40-46cm longer frame= approx. 42-48cm 2-slot extended axle plate 9030201010 133.70 Wheelbase extension by 7.5 cm Extended Bike plate 9030201030 241.30 + 4 camber integrated Bike track can be set separately Further axle plates on request - 5-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Wheel camber * Total width with tight-mounted hand rim 1 drive wheel camber 9030202010 Total width = approx. SB + 20 cm* 4 drive wheel camber 9030202030 Total width = approx. SB + 26cm * 6 drive wheel camber Brake handle angle 20 9000700002 Space-saving; recommended for users with slight motoric disabilities. Only compatible with brake system push to lock with standard brake handle, long brake handle or low brake handle. Brake handle to Flip-down 9030706008 121.50 Length: 9cm 9030202040 Total width = approx. SB + 30cm* E-adoptions Preparation for "e-motion" mounting 9030201200 96.10 Equipment: e-motion torque support, 1/2" axle and socket length 50.8 mm (2") Pro Activ and Alber recommend that antitipping supports are installed in pairs for wheelchair equipment with e-motion, please select the equipment 9030300100-001 and 9030300100-002! Preparation for "e-fix" mounting 9030201210 129.00 Equipment: 1/2" axle, socket length 50.8 mm (2") and e-fix torque support. Pro Activ and Alber recommend that antitipping supports are installed in pairs for wheelchair equipment with e-fix. Please order anti-tipping support e-fix with mount "Traveler" direct from Alber! Wheelchair delivery to Alber GmbH Specialist dealer Brake system Brake system push to lock Standard brake handle 9030701010-001 Brake system push to lock Long brake handle 9030701010-002 Brake system push to lock Low brake handle 9030701010-003 Drum brake 9030702010 362.90 Operating from the push handle, Only with 2-slot axle plates (Total width (see "Wheel camber" selection) + 3 cm wheel plate cannot be mounted on the inside) Only in combination with 36 spoke drive wheel aluminium rim and hub in silver. Not in combination with one arm drive, e-fix or e-motion! Footrest Continuous footrest 9030601000 with tubular resting bracket foldable, removable When folding the wheelchair, the footrest also folds completely from USL 37 cm. With footrest x < 22 cm the foot bracket is carried out parallel. For equipment of the footrest with "Rubber coated footplate", please select under "Footrest accessories". Footrest folding up to one side 9030601200 189.40 with continuous tubular resting bracket, height adjustable +/- 3 cm, can be swung away, removable (with V-shape from SB 40 cm) For equipment of the footrest with "Rubber coated footplate", please select under "Footrest accessories". Footrest folding back to the rear with locking mechanism 9000602005 220.00 with tubular resting bracket minimum USL 42cm For equipment of the foot bracket with "Rubber coated footplate", please select under "Footrest accessories". - 6-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Divided footrest 9030603100 309.90 with rubber coated foot rest, angleadjustable, can be pivoted outwards and folded up to the side, removable (with V-shape from SB 40 cm) "Swing away" footrest 9030604100 299.60 with rubber coated foot rest, separated in the middle, pivoted to the side, can be folded up, height adjustable, removable, angle-adjustable Footrest accessories Rubber coated footplate 9030610000 96.30 bolted, angle-adjustable Depth: 14cm Only in combination with tubular bracket Art.-no. 9030601000 or 9030601200! Footplate side stop 9030610100 46.00 adjustable Only in combination with rubber coated footplate! Adaptations 5" Caster wheel "Standard" grey 9000501010-005 (82A), 5" Caster wheel "Standard" black 9000501011-005 (82A), 6" Caster wheel "Standard" 9000501010-006 (82A), 5" Lenkrad "2 components" 9000501030 43.00 6" Caster wheel "Pneumatic tyre" 9000501050 43.00 6" Caster wheel "Flexel System" 9000501070 43.00 3" Skate wheel (80 mm) Anti-tipping support right side 9030300100-001 129.40 9000501110 54.20 left side 9030300100-002 129.40 adjustable, removable, can be pivoted, with tension spring and universal adapter Transit wheels 9030301100 253.90 detachable with universal adapter Not in combination with anti-tipping support! 4" Skate wheel (100mm) 9000501120 54.20 Safety light-up wheel 4" (100mm) 9000501220 92.10 Tilting clamp right side 9030302100-001 left side 9030302100-002 108.40 108.40 Safety light-up wheel 5" (125mm) 9000501221 92.10 with universal adapter and Quick pin Not in combination with anti-tipping support, right side or left side! Caster wheels All caster wheels (except pneumatic tyres) are 4" Caster wheel "Standard" black 9000501010-004 (82A), 5" Aluminium rim 3-spoke design "easy running" with replaceable rubber race 3 mm, hard, silver, anodised 9000501200 103.80 black 9000501201 103.80-7 - 2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
5" Aluminium rim 3-spoke design "good shock absorption" with replaceable rubber race 6 mm, medium hard, silver, anodised 9000501210 103.80 black 9000501211 103.80 Frog Legs-Caster wheel 4" (ø100x32) 9000501230 137.30 5" (ø125x32) 9000501232 137.30 with replaceable rubber race, black, puncture proof, 3-spokes, rim: silver Caster fork Caster fork colours, see "Component colours Caster fork "Heavy duty" for high loads Extra weight approx. 100-150g 9000510111-001 43.40 with screwed axle 9000510111-002 176.00 with quick-release axle Suspension fork 9000500160-001 334.90 with screwed axle and 5" Aluminium rim "good shock absorption" 9000500160-002 446.20 with quick-release axle and 5" Aluminium rim " good shock absorption " Caster fork spare wheel 9000500300 228.30 with quick-release axle Article is without caster wheel. In case a caster wheel is requested, please put a cross on a second selection in the category Caster wheels. Track distance Caster wheel track extension 10mm per side 9000500400 15mm per side 9000500401 20mm per side 9000500410 45.80 45.80 45.80 Antriebsräder Information on further rim types, versions and avaiabilities under www.proactiv-gmbh.de Drive wheel, 36 spoke aluminium rim 24 (ETRTO 540) 9000203000 with aluminium front hub, spoked radially Drive wheel double rim 36 spokes 24 (ETRTO 540) 9000203100 126.90 25 (ETRTO 559 9000203200 126.90 26 (ETRTO 590) 126.90 9000203300 with aluminium front hub, spoked radially Use with higher loads and body weight > 120 kg! Spinergy running wheel "Spox Sport" with 24 PBO spokes; rim, hub and spokes in black 24 (ETRTO 540) 9000203550 561.40 25 (ETRTO 559) 9000201559 561.40 26 (ETRTO 590) 9000203555 561.40 Handrims x = dimension handrim attachment Handrim attachment: x = 11mm x = 19mm Curve Handrim attachment: x = 10mm x = 18mm If no specification is given, the handrims will be mounted wide (19mm/18mm). Ø 20 mm stainless steel handrims 9000205010-004 9000205010-006 Ø 19 mm aluminium handrims silver anodised 9000205019-004 - 8-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Ø 19 mm aluminium handrims powder coated in the frame colour (Basic colour in two-colour design) = surface gloss = surface matt Please note: coating in matt is because of the minimal Grip not recommended. 9000205020-004 51.90 9000205020-006 Ø 19 mm aluminium handrims polished and hard-anodised 51.90 9000205030-004 124.80 9000205030-006 Ø 19 mm titanium handrims 124.80 9000205040-004 257.90 9000205040-006 Ultra-Grip handrims "very good grip" 9000205070-004 9000205070-006 Ergo-Grip handrims 257.90 316.40 316.40 9000205080-004 316.40 9000205080-006 316.40 Resting attachment to the rim! Dual-Grip handrims 9000205110-004 178.90 9000205110-006 Silicone handrim covers for 24" hand rim 9000205100-004 for 26" hand rim 9000205100-006 Surface without structure, compatible with handrim Ø 19mm or Ø 20mm. 178.90 187.10 187.10 Curve handrim, black anodised, ergonomic handrim profile H 24mm 9000205130-004 H 31mm Größe L 9000205140-004 H 31mm Size L 9000205140-006 Curve handrim powder coated, ergonomic handrim profile 309.90 309.90 309.90 = frame colour (surface gloss) = black (surface gloss) Please note: coating in matt is because of the minimal Grip not recommended. H 24mm 9000205135-004 H 31mm Größe L 9000205145-004 H 31mm Size L 9000205145-006 Curve Grip handrim, Tetra-Grip coated, ergonomic handrim profile H 31mm Size L 9000205150-004 Quadro handrims, Tetra-Grip "very good grip" for 24 and 25" wheel 9000205170-004 359.90 359.90 359.90 395.20 395.20 9000205170-006 395.20 Gekko handrims for 24 and 25" wheel 9000205175-004 395.20 9000205175-006 395.20 Black anodised with strong and exchangeable rubber completely integrated in the handrim profile Equipment without handrims 9000205990-9 - 2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Spoke guard Finger- and spoke guard "transparent" für 24 Rad 9000206300-004 für 26" Rad 9000206300-006 158.60 158.60 Design and spoke protection film "basket" 9000206310-001 110.80 Only in combination with finger and spoke protection! Design and spoke protection film "silly-bubble" 9000206310-002 110.80 Only in combination with finger and spoke protection! Design and spoke protection film "blue-sky" 9000206310-003 110.80 Only in combination with finger and spoke protection! Design and spoke protection film "colour-stones" 9000206310-004 110.80 Only in combination with finger and spoke protection! Tyres Schwalbe "RightRun" High-pressure tyre 7.5 bar 24x1 (540-25) 9000204000-004 25x1 (559-25) 9000204000-005 26x1 (590-25) 9000204000-006 Schwalbe "DownTown" Tread tyre 7.5 bar 24x1 (540-25) 9000204010-004 Schwalbe "MarathonPlus Evolution" with "smart guard" puncture protection 24x1 (540-25) 9000204030-014 35.50 25x1 (559-25) 9000204030-015 35.50 26x1 (590-25) 9000204030-016 Colour: black 10 bar 35.50 Schwalbe "MarathonPlus" with "smart guard" puncture protection 24x1 (540-25) 9000204030-004 35.50 Colour: grey, black wall, 10 bar Schwalbe "Airborne" 24x1,2 (540-20) 9000204122-004 70.70 Colour: black Puncture-proof tyre "solid-rubber tyres" 24x1 (540-25) 9000204201-004 126.70 Not in combination with the 18 spoke drive wheel! Puncture protection belt for pneumatic tyres 9000206100 42.80 Accessories 24 MTB spare wheel set with double rim (ETRTO 507), aluminium front hub, quick-release axle and stainless steel hand rim Mountain bike tyres, selectively: 9000203410 538.70 24x1.75" Continental "RIDE Tour Trekking" Brake setting compatible with 24x1" wheel 9000203411 538.70 24x1.75" Continental "Explorer" Brake setting not compatible with 24x1" wheel 9000203413 538.70 24x2.1" Schwalbe "SMART SAM Sport" Brake setting not compatible with 24x1" wheel ATTENTION: we charge a surcharge of 150.00 for the use of drum brakes Lockable drive wheel axle clip "Tetra Clip" 9000206400 127.40 Not for Spinergy drive wheels! Hand air compressor with pressure gauge up to 14 bar 9000901100 85.50-10 - 2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected
Adjustable safety belt with belt buckle Your additional notes: 9000902100 61.90 Adjustable safety belt with hook and loop fastener 9000902110 49.30 Crutch holder with nylon cup 9000902310 110.40 flexibel Light set 9000903270 82.70 with battery and charger Transport bag for Traveler frame 9030903200 186.90 Transport bag for drive wheels for 24" wheel 9000903530-004 Ø76cmx2cm 9000903530-006 Ø83cmx2cm Accessory bag 59.50 59.50 9000903600 58.20 17cm x 13cm x 5cm Locking strap for Traveler 9030902200 15.40 Further accessories, e.g. adaptive bikes, steering attachments, etc. see separate dimension sheet or www.proactiv-gmbh.de I herewith confirm the details listed above Location, Date Signature (End customer) Location, Date Signature (Dealer) - 11-2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included the basic price = Position selected