Quickie QM-720 Group 4

Similar documents
Quickie QM-710 Group 3

Quickie QM-715 HD Group 3

Quickie Pulse 6 Group 3

Quickie QM-7 Series Single Powered Tilt AADL - W581

Zippie ZM-310 Group 3

Quickie QM-7 Series Non-Powered Seating

Quickie QM-7 Series Single Powered Tilt Seating K0856, K0848, K0877 EIPW11, March 2018

Quickie QM-710 Generation 2 Group 3 Powered Seating EIPW11, November 2017

Quickie Pulse 6 BC July 2018

Kids Quickie 2 SE November 2012

Kids Quickie 2 SE (Without Seating) NOVEMBER 2012

Kids Quickie 2 SE (Without Seating) NOVEMBER 2012

Zippie TS SE November 2012 EIZ1A

Kids Quickie 2 SE January 2018 EIZ10

Quickie IRIS SE. November 2012

Zippie TS January 2019 EIZ1A

Zippie TS SE January 2019 EIZ1A

Zippie TS SE January 2018 EIZ1A

Quickie QX February 2019

Zippie 2 January 2018 EIZ2

Zippie GS SE January 2019 EIZGS

Zippie GS January 2019 EIZGS

Quickie QM-710 Group 3

Quickie QM-710 Group 3

Quickie QM-715 HD Group 3

Quickie QXi January 2018

Quickie QXi January 2019

Quickie LXI/LX. January 2019 EILXI/EILX. Address: Ship To City: o Fax o

Quickie Qxi November 2016

Quickie SR45 January 2018

Quickie QXi July 2018

Quickie 2HP January 2017

Quickie IRIS March 2015

Quickie QRi January 2019

Quickie 2HP January 2018

Zippie Voyage January 2018 EIZ16

Zippie Voyage January 2019 EIZ16

Orderform Balder Finesse Tilt

Quickie 2HP July 2018

Quickie 2 Lite. January 2018 EIQ2X

Quickie 2 Lite. January 2019 EIQ2X

Quickie Q7 Active Rigid November 2012

Zippie Zone January 2019 EIRZ1

QUICKIE S646 SE BD/SD/MPD No Power, Single Power & Multi Power Seating Option AADL - W579

Zippie IRIS SE January 2019 EIZ5A

QUICKIE P222 SE BD/SD Solid Seat (No Power or Single Power Seating Options) EIPW2 - Effective January 2018

Quickie Q7 Adjustable November 2012

Quickie Q7 Adjustable December 2012

Quickie QM-7 Series Power Recline Seating AADL - W581

SPECIALTY CONTROLS Switch-It Order Form, January 2019

Zippie ZM-310 Group 3

Zippie ZM-310 Group 3. EIPW22, July Address: City,Province,Postal Code: 1. Zippie ZM-310 GROUP 3 CATEGORY (Select One) 195PC107 $7,056.

Zippie X'Cape March 2018 EIFZ1

Zippie X'Cape January 2019 EIFZ1

Quickie QM-7 Series Power Recline Seating

Quickie QM-7 Series Non-Powered Seating

Quickie IRIS March 2016

Quickie Q7 Active Rigid January 2018

Quickie Pulse 6 Single Power Tilt Seating

Quickie IRIS April 2017

Quickie Pulse 5 Group 3 (K0848, K0849, K0011) EIPW22, September 2017

o Order o Cost estimate Date: Basic model Price / piece Price / piece Price / piece Price / piece Frame colours

Quickie IRIS. January 2019 EIZ4-2

Quickie IRIS. January 2018 EIZ4-2

Quickie IRIS SE. January 2018 EIZ4-2

Quickie 2 EIQ2 MASS MASS PLAQUE NO. P

Quickie Xenon 2 January 2019 EIX2

JAY J3 Posterior (PA) Backrest E2613 (<22" Wide) January 2017

Quickie Xenon 2 April 2018 EIX2

Quickie Q7 Adjustable August 2015

Quickie QM-7 Series Non-Powered Seating (K0848 / K0850 / K0868) EIPW11, February 2018

Quickie Pulse 6 Power Recline Seating

Quickie QM-7 Series Power Recline Seating

September 2016 EIR11 ADDITIONAL SHIPPING INFORMATION

Quickie 7 RS October 2015

September 2017 EIQ2X. Mark For: Submitting for: o Quote

Quickie QM-7 Series Power Recline Seating

Quickie Q7 Adjustable January 2018

Quickie 7 RS March 2018

JAY J3 Posterior (PA) Backrest

Quickie QM-7 Series SEDEO Ergo (K0861, K0862, K0844, K0011, K0014) EIPW11, January 2018

ORDER FORM EIPW25. with CAPTAIN'S SEAT. Print pages 1-10 to exclude pictures. Buyer State Zip

Quickie QM-7 Series. Live Without Limits. Available in Eight Group 3 and Group 4 Models:

Quickie QM-7 Series. Live Without Limits. Available in Eight Group 3 and Group 4 Models:

Quickie QM-7 Series SEDEO Ergo

Scooters & Power Chairs

Order Form XL5 and XL5ci manual wheelchair

Quickie 7 R October 2015

Quickie 7 R. January 2019 EIR11. ADDITIONAL SHIPPING INFORMATION Dealer Contact:

Quickie 7 R March 2018

Quickie 7 R. January 2018 EIR11. ADDITIONAL SHIPPING INFORMATION Dealer Contact:

Order Form XL5 and XL5ci manual wheelchair

Quickie 7 R. July 2018 EIR11. ADDITIONAL SHIPPING INFORMATION Dealer Contact: Option # 1. FRAME 132FF1 132FF2 132FF3. o o o $ $ $150.

Quickie IRIS March 2015

Quickie IRIS January 2014

AES Custom Seating January 2019

Tilt in space up to 60 degrees Comfort seating Max. user weight: 113kg. Height adjustable folding back Heavy Duty version 158kg

Quickie IRIS FSS Net Order Form/Price List (SIN F-1)

Alberta AADL Order Form XL5 and XL5ci manual wheelchair

TDXSPLOW 17.25" No Charge TDXSPMED 18.25" No Charge TDXSPTALL 19.25" No Charge T 14'' X 3'' Pneumatic Tires No Charge

Transcription:

Quickie QM720 rup 4 (K0868, K0877, K0884) EIPW11, Nvember 2012 ccunt: Ship T: Date: Name: PO#: ddress: uyer: ity,state,zip: Marked Fr: Phne: The HPS ODES prvided are based n cde verificatin thrugh PD r ur interpretatin f the cde definitins. The use f HPS ODES des nt ensure cverage r payment. Fr cverage infrmatin, verify the apprpriate payer's cverage plicy. a Optin # HPS Definitin Price a Optin # HPS Definitin Price 1. QUIKIE QM720 ROUP 4 TEORY (Select One) QUIKIE QM720 D (rup 4 K0868/K0014) Quickie QM720 D w/ SP II Seat (Fig 1.1) 172P81 K0868 K0014 QUIKIE QM720 MPD (rup 4 K0884/K0014) $6,765.00 Quickie QM720 MPD SPOT Tilt/Recline (Fig. 1.3) 172P87 ase Package VR2 90 Drive ntrl (nnexpand) K0884 K0014 300 lb 8 mph 4ple Mtr Package 172N90 K0868 172EQ23 172EQ22 VR2 90 Drive ntrl (nnexpand) 300 lb 8 mph 4ple Mtr Package SP II Rehab Seat Frame Recline Seat Frame Drive Wheels (flat free insert ) Drive Wheels (flat free insert ) 8 Dual Mde (mpact) TE 8 Dual Mde (mpact) TE QM720 D SE ONLY Fr use with ftermarket Seat frame. ase Package $6,765.00 172N92 K0884 QM720 D SET ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are nt required. 172EQ26 QM720 D SET ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are required. QM720 MPD SE ONLY Fr use with ftermarket Seat frame. QM720 MPD SET ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are required. QUIKIE QM720 SD (rup 4 K0877/K0014) Quickie QM720 SD fr SPOT Tilt r Recline (Fig 1.2) 172P86 K0877 K0014 ase Package VR2 90 Drive ntrl (nnexpand) 300 lb 8 mph 4ple Mtr Package SP II Rehab Seat Frame Drive Wheels (flat free insert ) 8 Dual Mde (mpact) TE QM720 SD SE ONLY Fr use with ftermarket Seat frame. 172N91 K0877 172EQ25 QM720 SD SET ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are nt required. 172EQ24 QM720 SD SET ONLY w/ elect. Fr use t add/replace seating when additinal electrnics are required. 1.1 QM720 D 1.2 QM720 SD 1.3 QM720 MPD Shwn w/ ptinal Seat Elevatr ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 1

2. SE HIR OPTIONS Speed Package 172PF89 Ventilatr Optins 300lbs / 8 mph 4 Ple Mtr Shrud lr 172VT7 172VT4 (nt available w/ transit ptin r lift mdule) E1030 rticulating Vent Tray E1029 Fixed Vent Tray (Pulmnetic LTV Mdels) N with Recline 172EZ01 andy pple Red 172EZ02 High lss lack 172EZ03 andy lue 172F10 0 172EZ04 Silver 172F3 3 172EZ05 pper 172F4 6 172EZ06 Digital am. $500.00 172F5 9 172EZ07 Wdland am. $500.00 $1,395.00 $440.00 PreSet Seat Frame ngle () Nt available with Lift Nt available with Tilt r Lift Seat Height User weight (Measured in the frnt) Obtain Qute t verify est. STFH 172W06 Less than 150lbs 172HT44 Lwest STFH 172W13 151200lb 172HT45 +1" STFH 172W14 201250lb 172HT46 +2" STFH 172W03 251300lb 172HT47 +3" STFH 172DW37 ast Wheel Slid Inserts (Knbby) 172DW36 ast Wheel Pneumatics (Knbby) Transit Optin 172TO25 4Pint Transit Package ( N/ with Vent) 172TO40 Omit Transit $300.00 N Wheel lcks 172WL42 Nt available with Lift/Tilt cmbinatin STFH Matrix Drive Wheel Wheel lcks Seating Type and Pwer Optin mbinatins SeattFlr Height at 0 tilt Lw +1" +2" +3" SP II N pwer seating. 17.3" 18.3" 19.3" 20.3" SP II Lift nly. 18.8" 19.8" 20.8" 21.8" SP II Tilt nly 18.3" 19.3" 20.3" 21.3" SP II Tilt and Lift 21.2" 22.2" N N Pwer Recline Only Seat 16.1" 17.1" 18.1" 19.1" Pwer Recline and Lift Seat 17.6" 18.6" 19.6" 20.6" Tilt and Pwer Recline seating. 17.1" 18.1" 19.1" 20.1" Lift/Tilt and Pwer Recline Seat. 21" N dding seat angle will increase STFH by 1" fr each incremental change. ctual STFH may vary by.5" 3. TTERIES and HRERS atteries (el ells) 17204 17206 E2363 attery harger rup 24 Flat Tp el ell (Pair) w/straps Omit batteries Includes harness & straps fr flat tp batteries $390.00 172J19 8 Dual Mde (mpact) TE 172J3 Omit harger ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 2 $40.00

4. ELETRONIS Drive ntrl Optins Switch Munt racket Nnexpandable cntrller 172EM01 Single Switch Munt racket RNet Expandable Drive ntrl Upgrade (90) $950.00 172EM02 Dual tggle switch munt bracket 172EM03 4way tggle switch munt bracket. 172ER01 172E01 E2377 Expandable ntrller Rnet $525.00 172E02 E2313 Harnessing fr Expandable ntrller $425.00 VR2 Jystick (nnexpandable) 172J94 Nn Expandable VR2 Jystick Specialty Driver ntrl Optins Rnet Jystick (fr expandable electrnics) 172J70 172J93 172J88 172J95 Std LED Jystick fr Expandable trls Jystick w/stere Jacks and Mnchrme Display Jystick W/Tggle, Spd Pt, Stere Jacks & lr Display $395.00 Omit JS fr use with OMNI Requires expandable cntrls and OMNI. ll packages must be added t the specialty cntrl nchair package. Nt available with Uphlstered backs. Jystick Munt (Fixed r Swing way) 172JM10 172JM11 Fixed Munt Swing way Munt $235.00 Jystick Munt (Lcatin) Height djustable. Quickie Sip n' Puff System E2325 Sip N' Puff Kit 172II01 E0955 Headrest Headrest Remvable Munt 172IH1 E2326 Sip n' Puff Tubing and Hardware 172II02 SL Prximity Head rray (dult) Headrest Remvable Munt SL Head rray Package (Ped) 172II03 SL Prximity Head rray (Ped) Headrest Remvable Munt SwitchIt Head rray Package (dult) 172HM1 Right Side Munt 172II04 Switchit Prximity Head rray 172HM2 Left Side Munt Headrest Remvable Munt Jystick Handle (Optinal) 172JH1 all Handle 172JH2 Fam all Handle 172JH4 THandle 172JH6 alpst Rnet OMNI and Output Optins (Fr expandable cntrls, chse all that apply) 172ON1 172ON2 E2351 172ON3 Rnet OMNI Input ntrl Mdule and display with built in Infrared and armrest munt. hse munt belw. (required fr Specialty Input Devices.) $975.00 Rnet Output Mdule (EM) $995.00 Rnet luetth Musemver $850.00 $364.00 $1,420.00 SL Head rray Package (dult) $2,234.00 172ID34 SwitchIt Head rray Package (Pediatric) 172II05 Switchit Prximity Head rray Headrest Remvable Munt SL Prprtinal Mini Jystick hin / Lip ntrl Package $4,945.00 172ID36 E2312 Mini Jystick 172II01 E0955 Headrest Headrest Remvable Munt SL Prprtinal Mini Jystick Midline with atlin Package 172ID37 E2312 Mini jystick 172IJ03 SL Prprtnal S/ Jystick Munt Quickie Prprtinal hin ntrl Package $4,495.00 $4,720.00 $4,495.00 $4,345.00 172ID45 E2312 Prprtinal Jystick 172IJ03 SL Prprtnal S/ Jystick Munt $4,120.00 OMNI Munt ttendant ntrl (If used with Jystick must be munted ppsite side) 172DS03 Swing way Left Side OMNI Munt $235.00 172001 E2331 ttendant ntrl fr VR2 $995.00 172DS04 Swing way Right Side OMNI Munt $235.00 172002 E2331 ttendant ntrl fr Rnet $995.00 Switch inputs fr Jysticks r OMNI ttendant Munting lcatin Drive r Mde / Prfile ntrl 172DN1 Munting lcatin: Right ack ane 172DN2 Munting Lcatin: Left ack ane 172SW22 Stere t 2 Mn Splitter $60.00 172SW6 Ribbn Switch $95.00 172SW1 uddy uttn Switch 172SW2 Disc Switch $160.00 172PR2 VR2 Hand Held Prgrammer (HHP) 172SW9 Wbble Switch $500.00 172PR5 Rnet P Prgrammer with Dngle 172SW4 Micr Light Switch 172PR6 DTT VR2 and Rnet cables included. 172SW24 Egg Switchlack 172SW21 Dual tggle switch nly 172SW19 Penta Switch with D9 nnectr 172SW20 5 5 Switch dapter w/ D9 nnectr $150.00 172SW23 4way tggle switch w/5th buttn D9 nnectr. Electrnic Prgrammers $95.00 ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 3 $250.00 $400.00 $1,000.00

5. SET TYPE 172ST56 Quickie.S..P II (djustable Seating and Psitining) hse Seat Frame Size Platfrm. OR SP II Frame size (each frame is width and depth adjustable within given range. ) 172FU17 djustable 12x12 t 1619 ( ) 172FU18 djustable 16x12 t 20x20 ( ) 172FU19 djustable 18x16 t 22x22 ( ) 172ST57 Pwer Recline Seat Frame ( ) (Nt width djustable) NOTE: If yu have Tilt & Recline with shear yu must select the Pwer Recline Seat Frame. 6. SET SIZE Seat Size Matrix. Seat type is chsen in sectin 5. = Recline Seat (nt adjustable) SP II Seat Width = SP II Seat Frame (djustable frm 1612 t 2020) = SP II Seat Frame (djustable frm 1816 t 2222) Recline Seat Width,,,,,,,,,,,,,,,,,,,,,,, Seat Depth Seat Depth = SP II Seat Frame (djustable frm 12x12 t 1619) 21" Seat Width Seat Depth 172R21 () 172RF20 () 172R22 () 172RF21 () 172R23 () 172RF22 () 172R24 () 172RF23 () 172R5 () 172RF5 () 172R6 () 172RF6 () 172R7 () 172RF7 () 172R8 () 172RF8 () 172R9 () 172RF24 () 172R25 () 172RF26 21" () 172RF25 () 7. SET USHIONS ` T rder any JY cushins nchair, please see the JY price list. Standard ushin 172U1 2" ushin $95.00 ushin name r part number must be filled ut w/ desired width and depth JY undled ushin Price List 172J20 ushin Name r Part # Width: Depth: 8. POWERED SETIN Pwer Seating Optins (SD and MPD Mdels) Pwered Seating ntrl Methd nt. 172PJ2 E1002 Quickie SPOT 50 Tilt $4,950.00 172P6 E1005 Recline w/pwer Shear Reductin Only $5,725.00 172P7 E1008 Tilt & Recline w/pwer Shear Reductin $9,995.00 Pwered Seat Elevatr 9" Travel (K: Pwer Lift) 172P8 E2300 Pwer Seat Elevate (adds t STFH) $2,500.00 Pwered Seating ntrl Methd (Fr use with pwer seating actuatrs. Switch activatin is standalne and des nt require expandable r thrudrive electrnics. 172EO10 172EO11 Switch ntrl 1 actuatr w/dual tggle and munt. (Fr perating Tilt r Lift) Switch ntrl 1 actuatr w/buddy buttn & munt. (Fr perating Tilt r Lift) Switch ntrl 2 3 ctuatr w/ 4way Tggle Switch & Munt. (apable f perating cmb f Tilt/Legs, Tilt/Lift r legs nly) 172EO12 172EO13 E2310 Thru Drive 1 ctuatr (Fr perating Tilt r Lift thru Jystick.) $1,375.00 172EO14 E2311 Thru Drive 2+ ctuatrs (2+ actuatrs per Input Device requires expandable Rnet) $2,825.00 Switch Munt (fr use with switch cntrl pwered seating) 172EY01 Switch Munt Right 172EY02 Switch Munt Left ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 4

9. KREST ND K OPTIONS ackrest Frame Type 172T8 172T98 172T89 E1225 ack Type (Uphstery r Slid) ngle djustable (SP II Seat nly) Manual Recline 40 (SP II Seat nly) nt width adjustable Pwer Recline (Pwer Recline Seat nly) 172U1 $425.00 172U70 E2611 172U71 E2611 172U76 ack Height 23". 172MN01 Tl 172MN02 Knb (N with dual pst arms.) (N with Manual recline) 172OD8 NnFlding ackrest 172OD9 Flding ackrest (SPII nly) 172U77 E2613 172U78 E2617 RT SPO ustm ack (SP II nly) See appendix 1 172U79 Recline (Pwer Recline Seat nly) $110.00 172U14 Omit Uphlstery ane ngle (SP II) 172P40 8 end ack Pst (vail. nly w/ Uphlstery r J3 ack) 172QT03 Shallw (N with Uphlstery backs.) 172QT04 Deep (Extends 4" frm back canes fr deep backs) ack ane (SP II) (Uphlstery Height Measured pan t tp f uphlstery.) Lw (15.5") 1721 Med (17.5")1725 Tall (19.5") 1729 Pwer Recline ackrest Preset Hme ngle 90 172QK1 $330.00 $475.00 See Pg 8 $15.00 95 172QK2 default 172J01 Jay J3 (select OMIT abve) See J3 OF Twel ar Depth (SP II) $315.00 Jay 3 Optin (SP II) Straight ack Pst 172P41 Tensin adj Uphlstery 3D Vented. (with 1" width adjustment) (Nt avail with tilt r recline) S.P.O.T. urved (SP II nly) Jay SPO Psterir Psitining (SP II nly) ngle djustable ackrest Optins (SP II) Tensin adj Uphlstery allistic Nyln. (with 1" width adjustment.) (Nt avail with tilt r recline) Manual Recline djustment Methd Optin (SP II) Uphlstery (Nt avail with tilt r recline) 100 172QK3 ack Height Required fr SPOT urved, SPO acks and Recline acks. (Limited cmbinatins f widths) Measured frm pan t tp f slid back. 172132 17236 17238 17240 17242 17244 24" 172140 26" 172141 27" 172142 28" Nt available with Pwer Recline Seating 26" vailable n all back types. 27"28" Only avail n pwer recline 10. HEDREST OPTIONS vailable with nchair slid backs. Headrests fr Jay 3 backs need t be rdered n Jay 3 Order frm. Whitmyer Linx Headrest Small $450.00 Whitmyer Linx Headrest Large $450.00 172HE65 E0955 Plush Head Supprt Pad 8" 172HE66 E0955 Plush Head Supprt Pad 10" 172MH1 N Tl / Quick Rem. Headrest Munt 172MH1 N Tl / Quick Rem. Headrest Munt 11. POSTURL SUPPORTS LL Pstural Supprts are Sld as EH. Must select bth left and right fr a pair. Swing way Lateral Thracic Supprt Left Swing way Lateral Thracic Supprt 4x5" Left Swing way Knee dductr Supprts 172ZV09 Lateral Pad urved 4"x5" 172ZS06 Swing way Munt Swing way Lateral Thracic Supprt 4x6" Left vailable nly with Fixed and Pwer enter Munt Legrests. Nt available with Dual Pst rm Rests Knee dductr Supprts LEFT (chse Pad and rm) $395.00 Pad Size 172ZV11 Lateral Pad urved 4"x6" 172K5 Knee dductr Pad SM Left 172ZS06 Swing way Munt 172K7 Knee dductr Pad L Left S/ rm Size Swing way Lateral Thracic Supprt Right Swing way Lateral Thracic Supprt 4x5" Right 172ZV10 Lateral Pad urved 4"x5" 172ZS05 Swing way Munt 17204 Swing way Shrt Left 17206 Swing way Lng Left Knee dductr Supprts RIHT(chse Pad and rm) $395.00 Pad Size 172K6 Knee dductr Pad SM Right 172ZV12 Lateral Pad urved 4"x6" 172K8 Knee dductr Pad L Right 172ZS05 Swing way Munt Swing way Lateral Thracic Supprt 4x6" Right Lng Thigh Supprt w/remvable Munt S/ rm Size 17205 Swing way Shrt Right 17207 Swing way Lng Right Padded hest Strap vailable with antilever rms, N with Manual Recline ack, Dual Pst, Single Pst r antilever w/ 2 pt Lcking arms. SPOT Lng Thigh Supprt Left 172TV2 Lng Thigh Supprt Left 172T1 Remvable Munt Left SPOT Lng Thigh Supprt Right HEST STRP 172ZR03 E0960 172TV1 Lng Thigh Supprt Right 172T2 Remvable Munt Right ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 5

12. RMREST ND RMPD OPTIONS 12. rmrest ptins fr SP II seating. rmrest Munting fr K0868 D Mdels with SP II Dual Pst rmrests rmrest Munting fr K0877 SD Mdels with SP II. Dual Pst rmrests 172E01 Shrt Dual Pst Flip ack 10" Height. 172E09 Shrt Dual Pst Flip ack HT dj 10" 172E21 Lng Dual Pst Flip ack 10" Height. 172E23 Lng Dual Pst Flip ack HT dj 10" 172E02 Shrt Dual Pst Flip ack HT dj 10" antilever rmrests 172E22 Lng Dual Pst Flip ack HT dj 10" antilever rmrests (djustable length arm pad included (chse Pad setting belw, except fr Lw rm Optin) N with Manual Recline ack (djustable length arm pad included (chse Pad setting belw, except fr Lw rm Optin) N with Manual Recline ack 172E10 Standard antilever rm w/ 2 Pint Lcking Pst. (9"10" Ht Range.) N w/ seat depths belw 172E11 Standard antilever rm w/ 2 Pint Lcking Pst. (11" Ht Range.) N w/ seat depths belw 172E12 STD antilever rm 9" Ht Range Lw antilever rm 7"10" Ht Range (hse SPII pad type and size belw) 172E03 172E04 Standard antilever rm w/ 2 Pint Lcking Pst. (9"10" Ht Range.) N w/ seat depths belw Standard antilever rm w/ 2 Pint Lcking Pst. (11" Ht Range.) N w/ seat depths belw 172E05 STD antilever rm 9" Ht Range 172E06 Lw antilever rm 7"10" Ht Range (hse SPII pad type and size belw) Single Pst rmrests 172E07 Single Pst Height djustable Std. 172E08 Single Pst Height djustable Lw 172E13 Single Pst rmrests 172E14 Single Pst Height djustable Std. 172E15 Single Pst Height djustable Lw Omit rmrest and Munts Omit rmrest 172E20 rmpad Optins fr SPII Pad Type / Size Optins fr Dual Pst / Single Pst / Lw antilever Left rm Pad () Right rm Pad () 172E01 Desk Length Waterfall (10") 17201 172E02 Full Length Waterfall () N w/lw antilever arm 17202 172E03 Desk Length Standard (10") 17203 172E04 Full Length Standard () N w/lw antilever arm 17204 Pad Setting Optins fr Standard antilever rm Left rm Pad () Right rm Pad () 172E11 Full Length antilever () 17211 172E10 Desk Length antilever (10") 17210 12. rmrest ptins fr Pwer Recline Seating rmrest fr Pwer Recline Seating. (Recline Seat Frame Only) Reclining rmpad Optins (Recline Seat Frame Only) 172E16 Std Ht. Reclining rmrest Shrt 10.8" 172E17 Tall Ht. Reclining rmrest Shrt 12.8" 172E18 Std Ht. Reclining rmrest Lng 10.8" 172E19 Tall Ht. Reclining rmrest Lng 12.8" Standard Reclining rmpad Left rm Pad () 172E05 Right rmpad () Reclining rm Pad () 17205 Ott ck Reclining rmpad (Pwer Recline Seat nly) Left rm Pad ($120.00) Omit rmrest 172E20 Omit rmrest and Munts Right rmpad ($120.00) 172E08 E2209 SM Frearm Pads (8") 172E06 E2209 MD Frearm Pads (11.5") 17206 172E07 E2209 L Frearm Pads () 17207 17208 Ott ck Hand Pad Optins Left Hand Pad ($52.50) Right Hand Pad ($52.50) 172OL01 MD Flat Hand Pads (41/2" x 7") 172OR01 172OL02 L Flat Hand Pads (51/2" x 9") 172OR02 ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 6

13. HNERS ND FOOTRESTS FOR SP II Hanger and Extensin Tubes Optins (see ftplate cmpatibility in the brackets) NnPwered Swing way Legrests Ftplate (Pair) Sld as Pairs mpsite with Heel Lp (Pair) 172H95 65 Swing way (,,) 172F1 172H2 70 Swing way (,,) 172HL1 172H94 75 Tapered Swing way (E) 172H6 90 Swing way (,) (5.59") 172H138 E0990 Manual ELR S/ (,,,D) (vail. with Fixed entermunt, chse belw) 172H125 172H126 K0108 entermunt Pwr ELR w/ rticulatin (F,,H) E1010 S/ Pwer ELR w/ rticulatin () Pair (N/ fr r wide) (vail. with Fixed entermunt, chse belw) Fixed enter Munt Legrests (includes ftplate) 172H134 Fixed enter Munt Shrt 172H135 Fixed enter Munt Lng 172xxx Fixed enter Munt Shrt 172xxx Fixed enter Munt Lng Heel Lp Omit Hangers dult ngle djustable Ftplate Heel Lp $210.00 172F283 Kids ngle djustable Ftplate 172LS13 Leg Strap Kids ngle djust w/leg Strap fr use with 90 hanger(pair) 172F286 Kids ngle djustable Ftplate 172LS13 Leg Strap 172F287 D luminum (Pair) E One Piece ngle djust Ftplate 172F284 One piece ngle djustable Ftplate 172LS13 Leg Strap 172F288 F entermunt single Ftplate Hanger Extensins. (See range listed in matrix belw) Kids ngle djust w/leg Strap fr use with 65 and 70 hanger (Pair) $210.00 dult ngle djust w/heel Lp fr use with 90 hanger (Pair) Omit Hangers. 172H144 dult ngle djustable Ftplate Fixed enter Munt Legrests (includes ftplate) dditinal 172HL10 $2,200.00 172F282 172F285 $2,200.00 Heel Lp 172HL10 Pwered Elevating Legrests dult ngle djust w/heel Lp fr use with 65, 70 hanger and ELR (Pair) $270.00 mpsite Ftplate entermunt dual ftplate $210.00 172F289 MT ngle djustable Ftplate 172HL10 Heel Lp NOTE: Nt all extensin tube will be available; depending n the seat height, sme extensin tube ptins may nt ffer enugh grund clearance. 172E16 172E1 Shrt 172E2 Medium 172E5 Lng 172501 E0952 Te Lp (Pair) Only avail n (pt ). 172E21 Omit Extensin 172LS14 Extra Leg Strap K0037 High Munt Hanger H entermunt High Mnt Ftplate 172F290 K0037 Ftplate Matrix High Munt Shrt Medium Lng Hanger Type 65 Swing way 7 13.5 1618.5" 1820.5" 65 Swing way 70 Swing way 7 13.5 1618.5" 1820.5" 70 Swing way 75 Tapered S/ 7 13.5 14.5 15 75 Tapered S/ 5.59" Ftplate munts t frnt f hanger. 12.5 14.5 1721" Manual ELR S/ Pwer ELR S/ 12 14 16.5 Pwer ELR S/ 12.5"15.5" 13.518.5" D E F H 90 Swing way Manual ELR S/ Fixed ntrmnt Ftrest ccessries Hanger Type Pwer ntrmnt 172F279 Omit Ftplate and extensin tube Lwer Leg Length Matrix (measured seat pan t the tp f the ftplate surface) 90 Swing way One piece ngle djustable Ftplate 14.5"19.5" Fixed ntrmnt 16.521.5" Pwer ntrmnt 14. ESSORIES Wheelchair Tray Table Psitining elt Select fr any style seat 172701 E0950 TRY TLE SM TUFFK 1314 172EJ01 172702 E0950 TRY TLE MED TUFFK 1517 PWR 172EJ02 E0978 elt 2" ircraft uckle $35.00 172703 E0950 TRY TLE LR TUFFK 1820 PWR 172EJ03 E0978 elt 2" ircraft uckle Padded $65.00 ackpack ut Style uckle UILT 4 ME OPTIONS 1721 lack Utility 1722 lack/harcal Kids $50.00 T Inquire abut any unique custmizatin fr Quickie prducts, cntact: Phne: (800) 3334000, Optin #3 r Fax: (800) 3339011 ORDERIN INFORMTION: PHONE: (800) 3334000 F: (800) 3007502 EMIL: rders@sunmed.cm WESITE: www.sunrisemedical.cm Specificatins are subject t change withut ntice. pyright 2011 120757 REV Page 7