Power Wheelchair Retail Prescription Form KITEMAX160718 Tel: 01656 776222 Fax: 01656 776220 JULY 2018 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Account No : Contact No : Delivery Address : Order Qty : Order Date : Invacare Kite (Max Seating System) Retail Max User Weight 160Kg (25 stone) Standard Features MAX Seating Tension Adjustable backrest upholstery Seat Widths from 560mm 600mm (22" 24") Seat Depths 510mm 580mm (20" 23") Detachable T Armrests, height, width and depth adjustable with extended armpad Manually settable seat tilt (0 12 ) and backrest recline ( 10 +30 ) Standard 80⁰ detachable legrest hangers with fixed footplate LiNX Control System with standard bracket 250mm (10") puncture proof PU foam sealed, Grey castors 350mm (14") puncture proof solid inlay Grey drive wheels Dual Swing Technology Black or Arctic White Frame colour 7 Body Shroud colours, 7 side shroud colours and 3 Rim colours 6 km/h (4mph) 4 Pole Motors and 60Ah gel Batteries Anti tippers 4 Point tie down system Lapbelt with autolock (adjustable both sides) 8A (200 250V) Charger Standard Base Price 5,508 Configurations may vary from image shown X Please make your selection with a cross in the box Standard feature Free of Charge Customer weight = Kg Code Description RETAIL AVC0010 Kite Basic Model AVZ0010 Kite Special Basic Model PLEASE COMPLETE DETAILS AT THE END OF THE FORM POA SEATING TYPE AVC1145 X Max Seat Unit 5,508 SEAT WIDTH AVC0383 X Width of Seat Frame 550mm adjustable by armrests 560mm - 600mm (22" - 24") SEAT DEPTH AVC0317 X 510mm - 580mm (20" - 23") SEAT CUSHION AVC1459 X 550mm x 635mm PUSH HANDLES AVC1306 X Push handles Page 1 of 6
BACKREST UPHOLSTERY / CUSHION (backrest height 630mm - 680mm, Dartex) AVC1104 X Tension Adjustable UPHOLSTERY TYPE AVC0278 X Dartex ARMREST (Pair) AVC0606 X T-armrest, adjustable in height 290mm - 360mm, without armpads (with depth and width adjustable receiver) ARMPADS (Pair) AVC0649 X Armpad extended (375mm) SEAT ACCESSORIES HEADREST / NECKREST (Dartex) - Adequate headrest option must be selected Neckrest 1350 Headrest 1432 Headrest (with cheek support) 1427 AVC1350 Neckrest: height and depth adjustable 64 AVC1432 Headrest: height, depth and sideways adjustable 158 AVC1427 Headrest with cheek support: height and depth adjustable 179 AVC1495 Push bar dia. 22mm in conjunction with telescopic seat frame / backposts, No Headrest - no mounting hardware. SEAT ADJUSTMENTS SEAT LIFTER / SEAT TILT AVC1002 Manually settable Seat Tilt (0-12 ) AVC1001 Powered Tilt (0-12 ) 375 AVC1045 Powered Tilt (0-20 ) 397 AVC1014 Powered Tilt (0-28 ) ( min. SH 510 mm with Max Seat) 918 AVC1021 Seat lifter with powered tilt (300mm, 28 ) ( min. SH 510mm with Max Seat) Only with hard suspension option AVC1219 1,583 SEAT HEIGHT SETTING (only if option 1002,1001 or 1045 is chosen before) AVC0331 Seat height setting 460mm Not available with Powered tilt (0-20 ) AVC0339 Seat height setting 480mm Not available with Powered tilt (0-20 ) AVC0381 Seat height setting 500mm Luggage rack not available with combination of BACKREST RECLINER AVC0959 Manual settable reclining angle (-10 / 0 / 7,5 / 15 / 22,5 / 30 ) Max Seat: by spindle Not available with Seat lifter with Powered tilt AVC0947 Powered Recliner 375 LEGREST / FOOTREST FOOTREST HANGER TYPE (Pair) VARI F 0503 VARI A 0533 ADE 0531 AVC0503 VARI F Angle adjustable with tools 0-70, length 290mm - 460mm AVC0533 VARI A : Angle adjustable with tools 0-70, length 290mm - 460mm Not available with Fixed footplates 185 AVC0531 ADE Powered : Angle adjustable powered by joystick, 0-80, length 290mm - 460mm Not available with Fixed footplates or footboard 530 FOOTPLATE TYPE (Pair) AVC0512 Fixed Footplate pair AVC0504 Angle adjustable Footplate pair 25 AVC0513 Angle and depth adjustable Footplate pair (Adapt) 94 AVC0522 Angle adjustable Footboard 121 Page 2 of 6
LiNX PRIMARY CONTROLS Drive Only Drive & Actuators Drive, Actuators & Lights REM110 REM211 REM216 LiNX PRIMARY REMOTE & BRACKET AVC2201 REM110 Drive only Not available with lights AVC2203 REM211 Drive & Actuators Not available with lights AVC2204 REM216 Drive, Actuators & Lights 120 AVC1207 Standard Bracket RH AVC1208 Standard Bracket LH AVC1707 Swing Away RH 105 AVC1708 Swing Away LH 105 AVC2227 Bracket RH mounted for Attendant 50 AVC2228 Bracket LH mounted for Attendant 50 Dual Control CompactDual LiNX IDC Dual Control 10-Way Switch Control REM050 ACU200 LiNX DUAL CONTROL & BRACKET: CAN ONLY BE SELECTED IN ADDITION TO LiNX USER CONTROL AVC2220 Dual Control REM050 as secondary remote 313 AVC2219 Compact Dual Control (ACU200) 313 AVC1207 Standard Bracket RH AVC1208 Standard Bracket LH INVACARE LiNX IDC DUAL CONTROL & BRACKET AVC2245 Invacare IDC Dual control 595 AVC1221 IDC Dual control Detachable Bracket RH AVC1222 IDC Dual control Detachable Bracket LH LiNX 10-WAY SWITCH & BRACKET AVC2251 10-Way Switch DLX-SW10-A for direct Powered Seating Access (includes loom to connect + additional jack for mode switch) 400 AVC2217 Bracket RH, mounted for user AVC2218 Bracket LH, mounted for user AVC2227 Bracket RH, mounted for attendant 50 AVC2228 Bracket LH, mounted for attendant 50 LiNX ACCESSORIES AVC2252 Loom providing jack sockets for 10 way switch and buddy button (Mode) 80 FURTHER LiNX COMPONENTS / ACCESSORIES Buddy Button Egg Switch Piko Button AVC2300 X To be enclosed only - not mounted to the chair BUDDY BUTTONS to be enclosed only (Accessory loom 2252 required) AVC1685 Red Buddy Button 70 AVC1686 Yellow Buddy Button 70 AVC1687 Green Buddy Button 70 AVC1690 Blue Buddy Button 70 Page 3 of 6
EGG SWITCH to be enclosed only (Accessory loom 2252 required) AVC2254 Egg Switch, black 70 PIKO BUTTONS to be enclosed only (Accessory loom 2252 required) AVC1711 Red Piko Button 125 AVC1712 Yellow Piko Button 125 AVC1713 Green Piko Button 125 AVC1714 Orange Piko Button 125 AVC1715 Blue Piko Button 125 AVC1716 Black Piko Button 125 TOGGLES / BUTTONS to be enclosed only AVZ2261 Stereo Toggle - direct control for Tilt only 213 AVZ2262 Stereo Button - direct control for Tilt only 204 AVZ2263 Four-Way Toggle - direct control for Tilt & Recline 266 AVZ2264 Four-Way Button - direct control for Tilt & Recline 284 AVZ2207 RH Mount AVZ2208 LH Mount AVZ2225 Without Mounting REMOTE STOP SWITCH to be enclosed only AVZ2258 Remote Stop Switch (ASL504) 832 DRIVE UNIT OPTIONS FRAME COLOUR AVC0228 Frame colour Black AVC0252 Frame colour Arctic White BODY SHROUD COLURS AVC0242 Body shroud colour Pearl Night Blue AVC0243 Body shroud colour Metallic Silver AVC0224 Body shroud colour Black AVC0204 Body shroud colour Transparent Cherry Red AVC0222 Body shroud colour Artic White AVC0248 Body shroud colour Grasshopper Green AVC0279 Body shroud Sunshine Yellow SIDE SHROUD COLOURS AVC0284 Side shroud colour Pearl Night Blue AVC0285 Side shroud colour Metallic Silver AVC0265 Side shroud colour Black AVC0261 Side shroud colour Transparent Cherry Red AVC0253 Side shroud colour Artic White AVC0250 Side shroud colour Grasshopper Green AVC0254 Side shroud colour Sunshine Yellow RIM COLOUR AVC0290 Rim colour White Not available with grey front wheels AVC0292 Rim colour Silver AVC0291 Rim colour Black Not available with grey front wheels FRONT WHEEL AVC0804 254mm (10") Castor pneumatic, Black (non-marking) AVC0805 255mm (10") Castor puncture proof solid inlay, Black (non-marking) AVC0806 256mm (10") Castor puncture proof (sealed), Black (non-marking) AVC0851 254mm (10") pneumatic, Grey AVC0855 254mm (10") puncture proof solid inlay, Grey AVC0853 254mm (10") puncture proof (sealed) Grey DRIVE WHEELS AVC0704 350mm (14") DW pneumatic, Black (non-marking) Not available with grey front wheels AVC0705 350mm (14") DW puncture proof solid inlay, Black (non-marking) Not available with grey front wheels AVC0706 350mm (14") DW puncture proof (sealed), Black (non-marking) Not available with grey front wheels AVC0771 350mm (14") pneumatic Grey Not available with black front wheels AVC0750 350mm (14") puncture proof solid inlay Grey Not available with black front wheels AVC0773 350mm (14") puncture proof (sealed) Grey Not available with black front wheels PERFORMANCE OPTIONS DUAL SWING TECHNOLOGY AVC1200 X Dual-swing technology suspension system Page 4 of 6
REAR SUSPENSION AVC1217 Rear suspension with soft shock absorbers recommended for user weight up to 90 kg Not available with seat lifter with electrical tilt AVC1218 Rear suspension with medium shock absorbers recommended for user weight 90-136 kg Not available with seat lifter with electrical tilt AVC1219 Rear suspension with hard shock absorbers, recommended for user weight 136-160 kg; mandatory for lifter version option AVC1021 MOTOR TYPE AVC1282 6 km/h (4mph) AVC1283 10 km/h (6mph) (Please select correct joystick and lights) 57 BATTERY AVC1259 60 Ah (Gel) AVC1364 73.5 Ah (Gel) 73 PERFORMANCE ACCESSORIES G-TRAC G-trac ensures the powerchair takes the intended direction as indicated by the user control, without the AVC1215 need for continual correction by the client on uneven or 653 sloping terrain. CHARGER AVC1343 OptiCharge Charger 8A (200-250V) AVC1313 OptiCharge Charger 10A (200-250V) Charging time will be 20% faster 120 SAFETY OPTIONS ANTI-TIPPERS AVC1205 X Standard anti-tipper LIGHT AVC1437 LED light system with Indicators 360 AVC1254 Without Light system SAFETY ACCESSORIES KERB RIDER AVC1244 Kerb Rider Not available with a footboard 168 TRANSPORTATION KIT AVC1494 X 4-Point tie-down (Tested version for using wheelchair as a vehicle seat according to ISO 7176-19:2001) (Adequate headrest is recommended) LAP BELT AVC1329 X Lap belt with Auto Lock (standard mount on backrest) REAR VIEW MIRROR AVC1415 Rear View Mirror RH 33 AVC1339 Rear View Mirror LH 33 ACCESSORIES LUGGAGE RACK AVC1438 Luggage rack Not available with combination of seat height 500mm with powered tilt (0-20 ) with powered recliner 261 CANE HOLDER (in combination with attendant or dual control the cane holder has to be mounted on the opposite side of the remote) AVC1312 Cane Holder RH 33 AVC1363 Cane Holder LH 33 FENDER AVC1416 Fender for castors 83 AVC1417 Fender for rear wheels 83 Total Price : Need a different option not on the form? Take a look at our Powerchair Alternative Options form, available as standard. Powerchair Alternative Option required: Page 5 of 6
Please refer to our Invacare Unique special order form, for more complex custom requirements. Available at www.invacare.co.uk Special Instructions - Please supply the following information: Name: Phone: Email: Fax: Description of special request (please include relevant option code or part number): Page 6 of 6