Orderfrm Balder Finesse Tilt 74383F_ENG 2007-10-17 Cmpany: Cuntry: Order number: Date f rder: Way f transprtatin: Shipping agent:
Custmer Fact Find Custmer infrmatin Custmer name: Assessment date: Assessment lcatin: Attendees: Dealer infrmatin Name: Cntact inf: Address: Phne, fax: Page 2/16 Custmer facts Visin: Weight: Hearing: Stability: Medical histry: Intended use: Indrs Outdrs Bth Lcatins: Hme Wrk/Schl Bth Vehicle use: Passenger Driver Bth Vehicle (make and mdel): Tested in vehicle: Pass Fail Current chair details (phtgraph t be taken): Measurements Custmer name: A B D A B C D E C E Hip width: Ntes: Signature: Date:
Balder Finesse Tilt Page 3/16 Basic Chair Base Unit Chassis Balder with seat lift actuatr HP20071000 * Seat Lift ex. seat lift actuatr HP20071003 * Seat frame HP20071004 * Rear carriage HP20071005 * Back frame assembly HP20071008 * Electrnics Tilt functin HP20071019 * Items abve are frced ptins when rdering a Finesse Wheel Optins Wheels Puncture-prf, 1 pcs 2.50-3 cmplete HP000087 (x2) 3.00-8 cmplete HP4626 (x2) Air, 1 pcs 2.50-3 cmplete HP000631 (x2) 3.00-8 cmplete HP4627 (x2) Seat Unit Optins Seat unit Tilt functin Electrical 15 til +45 Manual 15 til +45 Back functin Electrical Manual HP20071014 HP20071015 HP20071009 HP20071010 Cver Optins Plastic cver fr chassi and back-frame Cver Cver chassi dzus seat stabilizer HP20071023 Cver chassi dzus Cver back frame HP20071022* HP20071029* Clur cver Grafit grey* Red Blue Green Unique adjusted clur (RAL n) Batteries and Charger Optins Batteries A500 Cyclic 12V GF12 044 Y HP9425 (x2)* Charger Medic CCC932 24V/10A HP9620* Jystick Optins Jystick * = Standard ptins DX-REMG90A DX-REMG90T with tggle switches Dlphin Remte DX- REM34 Jystick attachment Standard DX-G80/DX-G90 Swing-away Magnet lck Unique adjustment (specify n page 16) DX-REM34 DX-G80/DX-G90 DX-REM34 Munted right* Munted left HP10924* HP10925 HP1178 HP20071071 HP20071072 HP20071073* HP20071074
Attendant Cntrls Attendant cntrls Cntrl unit ACU3, attendent cntrl with ARC5 ACU1, attendent cntrl Separate panel with seatfunctins, ARC5 Attendent cntrl with wrist supprt with emergency stp switch Balder 2 Unique adjustment (specify n page 16) Special Steerings HP20071070 HP20071069 HP20071068 HP20071065 HP20071066 HP20071067 Page 4/16 Special steering Cntrl unit Sip and puff Chin cntrl HP20071062 HP20071063 Base unit 3-switch-driving head cntrl HP20071064 Unique adjustment (specify n page 16) Cmfrt Back Cmfrt back Cmfrt 1 Cmfrt 2 Hight (Q+P) = 440 (73¼), width (R) = 400 (15¾), S = 270 (10¾) Hight (Q+P) = 460 (7¼), width (R) = 400 (15¾), S = 270 (10¾) Up Cmfrt 3 Hight (Q+P) = 490 (19¼), width (R) = 420 (16½), S = 290 (11½) Cmfrt 4 Hight (Q+P) = 540 (21¼), width (R) = 440 (17¼), S = 310 (12¼) Cmfrt 5 Hight (Q+P) = 580 (22¾), width (R) = 460 (18), S = 330 (13) Cmfrt 6 Hight (Q+P) = 620 (24½), width (R) = 480 (19), S = 350 (13¾) Dwn All measures in mm (inch) Chse chassi and add pad t cmbine a cmplete backrest. Cmfrt Back Back Anti shear functin HP20071194* Back chassis Cmfrt 1 HP20071195 Cmfrt 2 HP20071196 Cmfrt 3 HP20071197 Cmfrt 4 HP20071198* Cmfrt 5 HP20071199 Cmfrt 6 HP20071200 Back pad standard Cmfrt 1 HP20071201 T = 50 mm (2 ), Cmfrt 1-6 Cmfrt 2 HP20071202 Cmfrt 3 HP20071203 Bttm Cmfrt 4 Cmfrt 5 HP20071204* HP20071205 Cmfrt 6 HP20071206 Back pad with big side members Cmfrt 1 HP20071207 U = 110 mm (4¼ ), Cmfrt 1-6 Cmfrt 2 HP20071208 Cmfrt 3 HP20071209 Bttm Cmfrt 4 Cmfrt 5 HP20071210 HP20071211 Cmfrt 6 HP20071212 Back pad with air lumbar supprt Cmfrt 1 HP20071213 Cmfrt 2 HP20071214 Cmfrt 3 HP20071215 Cmfrt 4 HP20071216 Cmfrt 5 HP20071217 Cmfrt 6 HP20071218 Back pad with air lumbar big side members Cmfrt 1 Cmfrt 2 HP20071219 HP20071220 Cmfrt 3 HP20071221 Cmfrt 4 HP20071222 Cmfrt 5 HP20071223 Cmfrt 6 HP20071224 * = Standard ptins
Material Clur Unique adjustment (sketches and specificatins n page 12) Standard* Skye Leather Other: Specify n page 12 Standard* Other: Specify n page 12 Page 5/16 Cmfrt Seat Cmfrt seat Rear Cmfrt 1 Seat depth (W) = 425 (16¾), effective: 400 (15¾), Width (X) = 400 (15¾) Cmfrt 2 Seat depth (W) = 450 (17¾), effective: 425 (16¾), Width (X) = 400 (15¾) Cmfrt 3 Seat depth (W) = 475 (18¾), effective: 450 (17¾), Width (X) = 420 (16½) Cmfrt 4 Seat depth (W) = 500 (19¾), effective: 475 (18¾), Width (X) = 440 (17¼) Cmfrt 5 Cmfrt 6 Seat depth (W) = 525 (20¾), effective: 500 (19¾), Width (X) = 460 (18) Seat depth (W) = 540 (21¼), effective: 525 (20¾), Width (X) = 480 (19) All measures in mm (inch) Frnt Chse chassi and ad pad t cmbine a cmplete seat unit. Cmfrt seat Seat chassis Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 HP20071152 HP20071153 HP20071154 HP20071155* HP20071156 HP20071157 Hard plate adj W:38 42 cm (15 16½ ) D:38 45 cm (15 17¾ ) W:42 45 cm (16½ 17¾ ) D:45 52 cm (17¾ 20½ ) HP20071304 HP20071305 Nte: Hard plate seat is cmpletely flat and suitable fr usage f special cushins. Frnt Frnt Seat pad standard Z = 20 mm (¾ ), Cmfrt 1-6 Seat pad with big side members Y = 70 mm (2¾ ), Cmfrt 1-6 Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 HP20071158 HP20071159 HP20071160 HP20071161* HP20071162 HP20071163 HP20071164 HP20071165 HP20071166 HP20071167 HP20071168 HP20071169 Preassure relief seat pad Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 HP20071170 HP20071171 HP20071172 HP20071173 HP20071174 HP20071175 Preassure relief seat pad with big side members Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 HP20071176 HP20071177 HP20071178 HP20071179 HP20071180 HP20071181 Material Standard* Skye Leather Other: Specify n page 14 Clur Standard* Other: Specify n page 14 Unique adjustment (sketches and specificatins n page 14) * = Standard ptins
Incntinence cver Standard Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 with big side members Cmfrt 1 Cmfrt 2 Cmfrt 3 Cmfrt 4 Cmfrt 5 Cmfrt 6 HP20071182 HP20071183 HP20071184 HP20071185 HP20071186 HP20071187 HP20071188 HP20071189 HP20071190 HP20071191 HP20071192 HP20071193 Page 6/16 Headrest Chse fastner (A) + pad (B) t cmbine a cmplete headrest. Headrest Headrest fastner HP20071146 Headrest pad Big HP20071147 A Small HP20071148 B Material Clur Unique adjustment (sketches and specificatins n page 10) Standard Skye Leather Other: Specify n page 10 Standard Red Blue Other: Specify n page 10 Armrest Armrest Cmfrt 1-2 Cmfrt 3-4 Cmfrt 5-6 Length: 300 mm (11¾ ) Length: 375 mm (14¾ ) Length: 450 mm (17¾ ) B A Chse fastner (A) + pad (B) t cmbine a cmplete armrest. Armrest fastener Flip up, set Cmfrt 1-2 Cmfrt 3-4 Cmfrt 5-6 Flip up, height adjustable, set Cmfrt 1-2 Cmfrt 3-4 Cmfrt 5-6 Armrest pad right side Cmfrt 1-2 Cmfrt 3-4 Cmfrt 5-6 left side Cmfrt 1-2 Cmfrt 3-4 Cmfrt 5-6 Unique adjustment (sketches and specificatins n page 16) HP20071037 HP20071038* HP20071039 HP20071040 HP20071041 HP20071042 HP10085 HP1079* HP10086 HP10085 HP1079* HP10086 * = Standard ptins
Ftrest Page 7/16 Chse legrest base unit (A), ftplate (B) and calf pad (C) t cmbine a cmplete ftrest. Legrest Base unit Manual HP20071048 C B A Legrest manual Cmfrt 1-3, right Cmfrt 1-3, left Cmfrt 4-6, right Cmfrt 4-6, left HP20071308 HP20071309 HP20071310 HP20071311 Legrest manual Single 35-37,5 (13¾-14¾ ), Cmfrt 1-3 Single 40-50 (15¾-19¾ ), Cmfrt 4-6 HP20071330 HP20071331 Base unit with aut. lenght cmp. HP20071050 Base unit with el. lenght cmp. 100 mm (4 ) 150 mm (6 ) 200 mm (7¾ ) HP20071051 HP20071052* HP20071053 Ftplate Divided Large, D22 cm (8¾ ), right Large, D22 cm (8¾ ), left Small, D16 cm (6¼ ), right Small, D16 cm (6¼ ), left HP20071054* HP20071055* HP20071056 HP20071057 Single HP20071058 Calf pad Large, W12 cm (4¾ ), H22 cm (8¾ ) Small, W12 cm (4¾ ), H16 cm (6¼ ) HP20071060 (x2)* HP20071061 (x2) Te strap 1 pcs HP20071329 Wheels Fr el. legrest HP20071315 Unique adjustment (sketches and specificatins n page 16) Clamp Dwn Units Clamp dwn units Wheelchair unit fr EZ-Lck Transprtatin lck system HP20071079 Wheelchair unit incl panel Unit munted n the Balder HP20071075 Spigt unit Unit munted in the car HP20071076 Undercarriage fr car seat Fr usage n riginal car seat HP20071080 Seat stabilizer unit HP20071141 * = Standard ptins
Accessries Page 8/16 Light Lights Frnt and rear HP20071094 Lights with indicatrs Frnt and rear HP20071095 Lights with ACU3 Jystick Frnt and rear HP20071096 Supprt pads Supprt pad seat back, set 8x10 cm (3¼x4 ), Cmfrt 1-3 10x15 cm (4x6 ), Cmfrt 4-6 HP20071117 HP20071118 Knee/thigh pad, set 10x15 cm (4x6 ), Cmfrt 1-6 HP20071125 Abductin pad Remvable, height adjustable Remvable, with velcr HP20071126 HP20071127 Tray Swing-aside Cmfrt 1-2, right Cmfrt 1-2, left Cmfrt 3-4, right Cmfrt 3-4, left Cmfrt 5-6, right Cmfrt 5-6, left HP20071083 HP20071084 HP20071085 HP20071086 HP20071087 HP20071088 Swing-aside, small right left HP20071081 HP20071082 Crutch fitting Under armrest 1 crutch 2 crutches HP20071091 HP20071092 Crutch fitting with strap 2 crutches HP20071093 Munted right Munted left Belts Hip safety belt with reel with autlck HP20071101 HP20071104 Chest harness HP20071106 Shulder strap fr 4-pint harness HP20071105 Basket and bags Fixing bar fr backpack/bag HP20071098 Basket, remvable fitted t back HP20071097 Armrest bag with velcr with zipper HP20071109 HP20071110 Munted right Munted left Backpack, 40x40x8 cm (15¾x15¾x3¼ ) HP20071111 Balder backpack, black HP20071112 Varius accessries Main circuit switch HP20071134 Emergency stp switch HP20071136 Wheelhair cver HP20071328 Mirrr fldable munted n armrest HP20071137 HP20071138 Hurcunter HP20071142 Platfrm fr breathing device W30 cm (11¾ ) D25 cm (9¾ ) HP20071143 Anti Crush Guard HP20071139 Emblem, reflective, set HP10957
Sketches and measurements Adjustments and unique adjustments Page 9/16
Unique adjustments Headrest Page 10/16 Small pad Big pad Psitin Small Big Measurements A 60 (2¼ ) 60 (2¼ ) B 260 (10¼ ) 260 (10¼ ) C 180 (7 ) 230 (9 ) D 90 (3½ ) 110 (4¼ ) E 60 (2¼ ) 75 (3 ) Ntes fr unique adjustments:
Unique adjustments Cmfrt back pad Page 11/16 Up Dwn Dwn Dwn Back pad Cmf 1 Cmf 2 Cmf 3 Cmf 4 Cmf 5 Cmf 6 Measurements P 280 (11 ) 290 (11½ ) 305 (12 ) 330 (13 ) 350 (13¾ ) 370 (14½ ) Q 160 (6¼ ) 170 (6¾ ) 185 (7¼ ) 210 (8¼ ) 230 (9 ) 250 (9¾ ) R 400 (15¾ ) 400 (15¾ ) 420 (16½ ) 440 (17¼ ) 460 (18 ) 480 (19 ) S 270 (10¾ ) 270 (10¾ ) 290 (11½ ) 310 (12¼ ) 330 (13 ) 350 (13¾ ) T 50 (2 ) 50 (2 ) 50 (2 ) 50 (2 ) 50 (2 ) 50 (2 ) U 110 (4¼ ) 110 (4¼ ) 110 (4¼ ) 110 (4¼ ) 110 (4¼ ) 110 (4¼ ) Inf measurements Ttal height (P+Q) 440 (17¼ ) 460 (18 ) 490 (19¼ ) 540 (21¼ ) 580 (22¾ ) 620 (24½ )
Seat unit - Back Page 12/16 P: Height frm the upper edge f side members t the tp edge f seat back. A change f the P-measurement will change the height f the tp f the seat back. Reducing P will reduce the height at the tp f the seat back. Increasing P will increase the height at the tp f the seat back. If the measurement is changed, the verall height f the seat back will be accrdingly changed. Nte: Increase the P-measurement if yu want an increased ttal seat back height withut increasing the height f the side members. Q: Height frm the upper edge f the side members t the lwest part f seat back. A change f the Q-measurement will change the height f the lwest part f the seat back. Reducing Q will reduce height f the lwest part f the seat back and reducing the height f the side members. Increasing Q will increase the height f the lwest part f the seat back and increasing the height f the side members. If the Q-measurement is changed, the verall height f the seat back will be accrdingly changed. Nte: Increase the Q-measurement if yu want increased height f the side members and ttal height f seat back. If nly an increased height f the side member is desired, withut changing the verall seat height; increase the Q-measurement and reduce the P-measurement accrdingly. R: Ttal width f seat back (measured at the widest part; side members). A change f the R-measurement will change the verall width f the seat back, frm the bttm t the tp. The width f the centre sectin f the seat back will be changed accrdingly. Reducing R will reduce the verall width f the seat back and the width f the centre sectin. Increasing R will increase the verall width f the seat back and the width f the centre sectin. If the R-measurement is changed, the width between the armrests will be changed accrdingly. Nte: Change the R-measurement when yu want t change the width f the seat back and the width f the centre sectin frm the bttm t the tp f the seat back. Changing the width at the tp and at the bttm f the seat back with different dimensin; make a dimensinal sketch with specified R and the S-measurement. S: Width f the seat back at the tp f the seat back. A change f the S-measurement will change the width at the tp f the seat back. Increasing S will increase the width at the tp f the seat back and accrdingly at the tp f the centre sectin. Reducing S will reduce the width at the tp f the seat back and accrdingly at the tp f the centre sectin. A change f the S- measurement will nt change the verall width f the seat back. Changing the R-measurement changes the verall width f the seat back. Nte: Change the S-measurement when yu want t change the width at the tp f the seat back. T: Depth f the standard side members. A change f the T-measurement will change the depth frm the tip f the side member t the centre sectin f the seat back. Increasing T will make the side members bigger and the seat back will feel a little tighter. Reducing T will make the side members smaller and the seat back will be mre flat with less supprt. U: Depth f the big side members. A fixed change f the depth frm the tip f the side member t the centre sectin f the seat back. When big side members are chsen, the depth will increase with 60mm t a ttal f 110mm.The big side members will feel firmer than the standard side members, and the seat back will feel tighter. Ntes fr unique adjustments:
Unique adjustments Cmfrt seat pad Page 13/16 Rear Frnt Frnt Frnt Psitin Cmf 1 Cmf 2 Cmf 3 Cmf 4 Cmf 5 Cmf 6 Measurements Effective seat depth 400 (15¾ ) 425 (16¾ ) 450 (17¾ ) 475 (18¾ ) 500 (19¾ ) 525 (20¾ ) W 425 (16¾ ) 450 (17¾ ) 475 (18¾ ) 500 (19¾ ) 525 (20¾ ) 540 (21¼ ) X 400 (15¾ ) 400 (15¾ ) 420 (16½ ) 440 (17¼ ) 460 (18 ) 480 (19 ) Z 20 (¾ ) 20 (¾ ) 20 (¾ ) 20 (¾ ) 20 (¾ ) 20 (¾ ) Y 70 (2¾ ) 70 (2¾ ) 70 (2¾ ) 70 (2¾ ) 70 (2¾ ) 70 (2¾ )
Seat unit - Seat Page 14/16 W: Ttal length f seat pad NOTE! Effective seat depth is 25mm shrter than the ttal length f the seat pad, see chart. A change f the W-measurement will change the verall seat pad length and the effective seat depth. Fixed lengths f seat pads are 425-450-475-500-525-540mm. A change f the W-measurement will change the verall seat pad length and the length f the side members will be changed accrdingly. Nte: Yu want an effective seat depth f 500mm. Check the chart. The seat pad with a ttal length f 525mm will give yu an effective seat depth f 500mm. Effective seat depth can be increased with 25 r 50mm by mving the cmplete seat back ne r tw hles backwards, withut changing the verall length f the seat pad. If the seat back is mved mre than 50mm, the verall length f the seat pad must be changed als. NOTE! If the seat back is mved, the bar frm the seat back t the tiltswitch must be changed als. X: Width f seat pad, uter edge A change f the X-measurement will change the verall width f the seat pad frm the rear t the frnt. The width f the centre sectin f the seat pad will be changed accrdingly. Reducing X will reduce the verall width f the seat pad and the width f the centre sectin. Increasing X will increase the verall width f the seat pad and the width f the centre sectin. Nte: Increase the X-measurement when yu want a wider seat. Y: Height f standard side members A change f the Y-measurement will change the height frm the tp f the side member t the centre sectin f the seat pad. Increasing Y will make the side members bigger and the seat pad will feel a little tighter. Reducing Y will make the side members smaller and the seat pad will be mre flat with less supprt. Z: Height f the big side members A fixed change f the height frm the tp f the side member t the centre sectin f the seat pad. When big side members are chsen, the height will increase with 50mm t a ttal f 70mm. The big side members will feel firmer than the standard side members, and the seat pad will feel tighter. Ntes fr unique adjustments:
Unique adjustments Page 15/16 Armrests flip-up unit Psitin Cmf 1 2 Cmf 3 4 Cmf 5 6 Measurements A 300 (11¾ ) 375 (14¾ ) 450 (17¾ ) B 75 (3 ) 75 (3 ) 75 (3 ) C 400 (15¾ ) 440 (17¼ ) 480 (19 ) D Rubber Rubber Rubber Armrest placing Frm seat frame 1 frm seat 265 (10½ ) 190 290 (7½ 11½ ) 2 frm seat 290 (11½ ) 215 315 (8½ 12½ ) 3 frm seat 315 (12½ ) 240 340 (9½ 13½ ) 4 frm seat 340 (13½ ) 265 365 (10½ 14¼ ) Nte: Armrest are placed in hle 3 n cmfrt 3 6 and hle 2 n cmfrt 1 2 as standard. Tilt: Armrests fllw the seat 5 frm seat 365 (14¼ ) 290 390 (11½ 15¼ ) std height adj. Unique adjustments Ft rest Psitin Std measure Measurement A 300 450 (11¾ 17¾) B 220 (8¾ ) C 150 (6 ) D 225 (8¾ ) E 135 (5¼ ) F 35 (1½ ) Nte: A: Measures in 90º Can be 50mm (2 ) shrter by remving calf pads. Measure A, ft rest with el. length cmp. 100mm 150mm 200mm A: 330 520 (13 20½ ) A: 330 570 (13 22½ ) A: 330 620 (13 24½ ) G H I 340 (13½ ) 220 (8¾ ) 260 (10¼ )
Ntes fr unique adjustments: Page 16/16