Top End Crossfire T6A Ultra Lightweight Active Performance Adjustable Rigid Wheelchair

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Top End Crossfire T6A Ultra Lightweight Active Performance Adjustable Rigid Wheelchair Price List and Order Form Effective September 5, 2008 rev July 24, 2009 For ease of ordering, contact customer Service Toll Free at: 800-333-6900 Fax: 800-678-4682 To order Literature: 800-828-6282 www.topendwheelchair.com www.invacare.com Company Name Account # Phone P.O. # Date Ship to Name & Address Special Note HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail. FRAME TYPE CT6A Crossfire T6A (K0005)...2,386.00 1 FRONT FRAME MODIFICATONS: (CHOOSE ONE) TFE Tapered Front End... No Charge 2 CRF2 Non Tapered "V" Front End...200.00 3 FORK OPTIONS FLOSF Frog Legs One-Sided Fork...150.00 CRF59 Frog Legs Suspension Forks (E1015)...375.00 4 SEAT WIDTH 5 W12 W13 W14 W15 W16 W17 W18 W19 No Charge W20 (E2201)...250.00 SEAT DEPTH 6 7 D14 D15 D16 D17 D18 D19... No Charge D20 (E2203)...250.00 Width/Depth Matrix 12W 13W 14W 15W 16W 17W 18W 19W 20W FRONT SEAT-TO-FLOOR HEIGHT 2 FSTF 16" 16.5" 17" 17.5" 18" 18.5" 19" 19.5" 20" 20.5" 21" 8 Front Seat-to-Floor Knee-to-Heel Range 16" 11.25" 15.25" 17" 12.25" 16.25" 18" 13.25" 17.25" 19" 14.25" 18.25" 20" 15.25" 19.25" 21" 16.25" 20.25" REAR SEAT-TO-FLOOR HEIGHT 9 RSTF 14" 14.5" 15" 15.5" 16" 16.5" 17" 17.5" 18" 18.5" 19" 19.5" 20" FRONT FRAME ANGLE FFA70 FFA75 FFA80 FFA85 CENTER OF GRAVITY: 10 (CHOOSE ONE) COGAC Active Position.75" to 4.0"...No Charge 11 COGEX Extended Position -1.63" to 1.63"... 175.00 14D 15D 16D 17D 18D 19D 20D = Special = Available 1 Crossfire T6 is built of 6061T6 Aluminum. 2 Tapered front end not available with front seat heights of 16" through 17.5" 3 Not available w/tapered seat width or tubular footrest. 4 Front suspension casters not available with 90 front frame angle. Not recommended for seat depths less than 16". 5 W12 & W13 only available with D14 or Less, W14 & W15 not available with D19 or D20, W16 not available with D20, W19 and W20 not available with D14 or D15 6 14" Seat Depth only available with Front Seat To Floor Height less than 19" 7 15" Seat Depth only available with Front Seat To Floor Height less than 19" 8 21" front seat-to-floor height is not available with a 16" seat depth. 9 14" is the lowest rear seat height for 22" wheels, 15" for 24" wheels with std. tires, 15.5" for 25" wheels with std. tires or 24" wheels with knobby tires, 16" for 25" wheels with knobby tires or 26" wheels with std. tires. 10 The nominal (i.e, zero) position are back canes perpendicular with the ground. 11 Measured from the front of the back post to the center of the axle. For the most current pricing information go to www.invacare.com. page 1

SIDE FRAME COLORS 24P Wet Black...No Charge 71P Silver Vein...No Charge 60P Silver Metallic...No Charge 115P Black Prism...No Charge 105P Midnight Blue...No Charge 30P Sunny Yellow...No Charge 61P Electric Red...No Charge 119P Bubblegum Pink...No Charge 120P Grape Madness...No Charge 62P Electric Blue...No Charge 121P Lolly Pop Blue...No Charge 122P Cosmic Blue...No Charge 125P Emerald Green...No Charge 127P Grasshopper Green...No Charge 104P Electric Teal...No Charge 29P White Snow...No Charge The T6A above is shown with a White Snow seat and side frame and Shadow Blue Anodizing Accents. SEAT FRAME COLORS 24PST Wet Black Seat Frame... No Charge 71PST Silver Vein Seat Frame... No Charge 60PST Silver Metallic Seat Frame... No Charge 115PST Black Prism Seat Frame... No Charge 105PST Midnight Blue Seat Frame... No Charge 30PST Sunny Yellow Seat Frame... No Charge 61PST Electric Red Seat Frame... No Charge 119PST Bubblegum Pink Seat Frame... No Charge 120PST Grape Madness Seat Frame... No Charge 62PST Electric Blue Seat Frame... No Charge 121PST Lolly Pop Blue Seat Frame... No Charge 122PST Cosmic Blue Seat Frame... No Charge 125PST Emerald Green Seat Frame... No Charge 127PST Grasshopper Green Seat Frame... No Charge 104PST Electric Teal Seat Frame... No Charge 29PST White Snow Seat Frame... No Charge 12 13 ANODIZING ACCENTS ANOBLK Bold Black... Standard ANOSLV Classic Silver...No Charge ANOBLU Shadow Blue... 50.00 ANORED Victory Red... 50.00 See page 5 for Special Edition anodizing colors... 60.00 12 Includes Forks, Seat Slope Crescent Pivot Link, and Back Angle Bracket 13 Anodizing accents are not exact matches to any frame colors. Shadow Blue does not match any blue frame, Victory Red does not match the Electric Red frame, and Classic Silver does not match the Silver Metallic frame. For the most current pricing information go to www.invacare.com. page 2

WHEELS CASTER OPTIONS 3SOFR 3" Aluminum Soft Roll...90.00 14 CRFF3 3" Micro... No Charge CRF654 4" Semi-Pneumatic... No Charge CRF655 5" Semi-Pneumatic... No Charge CRFA654 4" Aluminum Soft Roll...90.00 CRFA655 5" Aluminum Soft Roll...90.00 CRF884 4" Lighted Front Wheels...70.00 Overall Width by Camber Angle Wheel Type 0 3 6 9 Spoke 6.75" 8" 10" 12.25" Add the amount above to the seat width to obtain the overall width at its widest point. CAMBER SYSTEM 15 CRF630 0 Camber Tube with Single Camber...Standard CRF633 3 Camber Tube with Single Camber... No Charge CRF636 6 Camber Tube with Single Camber... No Charge CRF639 9 Camber Tube with Single Camber... No Charge 16 CRF640 0 Extra Camber Tube...150.00 CRF643 3 Extra Camber Tube...150.00 CRF646 6 Extra Camber Tube...150.00 CRF649 9 Extra Camber Tube...150.00 Wheel/Tire Chart Spoked Wheels; See Footnotes for Detailed Exclusions Tire Choices 22" 24" 25" 26" Primo: 1" high pressure grey clincher Kenda: 1" high pressure clincher Schwalbe 1" Black flat resistant 1-3/8" grey treaded 1-3/8" w/ flat free Solid 1" no-flat Knobby: 2" wide grey =Available REAR WHEEL OPTIONS: (SEE WHEEL/TIRE CHART) CRF22SP 22" Spoke... No Charge 17 ZEROG24 24" Sun Zero-G 30 Spoke Stylized Wheel... No Charge ZEROG25 25" Sun Zero-G 30 Spoke Stylized Wheel... No Charge ZEROG26 26" Sun Zero-G 30 Spoke Stylized Wheel... No Charge CRF6722 22" Spinergy Spox Wheels*...695.00 CRF6724 24" Spinergy Spox Wheels*...695.00 18 CRF6725 25" Spinergy Spox Wheels*...695.00 18 CRF6726 26" Spinergy Spox Wheels*...695.00 18 SPLX24 24" Spinergy LX Wheels*...895.00 18 SPLX25 25" Spinergy LX Wheels*...895.00 FN1624 24" Sun Fusion 16 Spoke Wheel...325.00 18 FN1625 25" Sun Fusion 16 Spoke Wheel...325.00 18 FN1626 26" Sun Fusion 16 Spoke Wheel...325.00 18 17 18 17 18 14 Aluminum soft roll casters are 1.4" wide with soft roll tires. For suspension fork option, see page 1. 15 0, 3, and 6 degree camber with 22" wheels not available with 19.5" through 21" front seat heights 16 9 degree camber with 24" wheels not available with 21" front seat height and 20" through 21" rear seat heights and 9 degree camber with 22" wheels not available with 19" through 21" front seat heights 17 22" wheels not available with 19", 19.5", 20", 20.5" and 21" rear seat heights. 18 FN1624 excludes CRF73; FN1625 excludes CRFPN and CRF73; FN1626 excludes CRF73, CRF60, CRF7G, CRF7BK, CRF101R and CRF101Y; CRF6722 excludes CRF123, CRF60, CRF7G, CRF7BK, CRF101R and CRF101Y, CRF6724 and SPLX24 excludes CRF73, CRF6725 and SPLX25 excludes CRFPN and CRF73, CRF6726 excludes CRF73, CRF60, CRF7G, CRF7BK, CRF101R and CRF101Y *Spinergy Spoke Color (If color is not chosen, spokes will be black.) SPCY Yellow SPCBK Black SPCW White SPCR Red SPCBL Blue TIRE OPTIONS: (SEE WHEEL/TIRE CHART) CRFPR Primo High Pressure Tires: Grey...No Charge CRFPN Pneumatic 1 3/8 Treaded: Grey...No Charge CRF123 Schwalbe 1" Flat resistant: black... 90.00 CRF73 Pneu w/ff 22 or 24 x 1 3/8" Tires (E2213)... 125.00 CRF60 Knobby Tires Grey... 75.00 CRF7G Solid No Flat Tires: Grey... 75.00 CRF7BK Solid No Flat Tires: Black... 75.00 CRF101R Kenda High Pressure Tires: Red... 75.00 CRF101Y Kenda High Pressure Tires: Yellow... 75.00 HANDRIM OPTIONS BLKANHR Bold Black Anodized Handrims... Standard CRF77 Aluminum Anodized Handrims...No Charge CRF75 Titanium Handrims... 600.00 CRF8 Coated Handrims... 100.00 NFSDLT Natural Fit LT Standard Grip Handrims... 325.00 19 NFSPLT Natural Fit LT Super Grip Handrims... 370.00 19 CRF99 Natural Fit Standard Grip Handrims... 295.00 19 CRF98 Natural Fit Super Grip Handrims... 340.00 19 MOUNTING HANDRIMS OUT Mount Outside Handrim... Standard IN Mount Inside Handrim (Close)...No Charge AXLE TYPE A1577 Quick Release Axles... Standard CRF27 Quad Release Axles (K0108)... 125.00 CRF76 Titanium Axles (K0108)... 150.00 WHEELS: EXTRA SET FOR OFF ROAD (INCLUDES: WHEELS, TIRES & ALUMINUM PUSHRIMS) CRF91 24" Knobby Tires (540)... 550.00 20 CRF92 25" Knobby Tires (559)... 550.00 CRF93 Extra Set of Axles... 55.00 WHEEL LOCKS: (CHOOSE ONE) CRFPUL Pull to Lock Wheel Locks...No Charge CRFPSH Push to Lock Wheel Locks...No Charge CRF109 Hideaway Undermount Wheel Locks... 65.00 21 CRF22 Hill Holders (E0974)... 150.00 22 CRFOWL Omit Wheel Locks...No Charge POSITIONING BACK TYPE 23 LKDWN Lock-Down, Folding Ht/Angle Adj Back... Standard BACK HEIGHT: (CHOOSE ONE) 23 BH811 8" 11" BH1014 10" 14" BH1216 12" 16" BH1418 14" 18" BH1620 16" 20" 19 Natural Fit handrims not available with 22" std. spoke wheel 20 24" knobby match up with 25" daily use wheels, with Primo tires and 25" knobby match up best with 26". Extra set includes standard wheels, anodized handrims and knobby tires. 21 Not available on 14" depth. 22 Not available when CRF7G or CRF7BK is selected. 23 16º range in 4 increments (98, 94, 90, 86, 82); factory setting ~90 relative to ground. The folding back is manufactured of 1" aluminum tubing and is available with adjustable height (3/4" tube telescoping in 1" tube). For the most current pricing information go to www.invacare.com. page 3

BACK UPHOLSTERY OPTIONS 24 CRFBAT Ballistic Nylon Adj. Tnsn Uph w/ Anchors...Standard MESH Breathable Mesh Adj. Tnsn Uph w/anchors No Charge CRF16 Fold Over Back Upholstery...100.00 BACK UPHOLSTERY COLORS UPH1 Camouflage...100.00 25 SEAT UPHOLSTERY CRFT1112 Screw-on Seat Upholstery...Standard CUSHION 26 CRF14 2 Soft Cushion...104.00 ARM TYPE CRF78 Swingaway Arms...Standard TAHD T Arm Adj Hgt Desk (E0973)...240.00 29 Arm Heights (Top of Seat Rail to Top of Armrest) Arm Type Swingaway 10.5" 12.5" (Adjustable in 1" Increments) T-Arm 9.5" 11.5" (Adjustable in 1" Increments) MISCELLANEOUS BACK ACCESSORIES CRF82 Push Handles adjustable height bolt-on...200.00 30 CRF13 Push Handles non-adjustable bolt-on...75.00 CRF97 Bolt-through Integral Push Handles...100.00 31 L8601 Omit Back Upholstery... Less 10.00 SEAT ACCESSORIES CRF29 Seat Pouch...35.00 CRF72 Positioning Strap Hook & Loop (E0978)...40.00 CRF74 Positioning Strap Auto Style (E0978)...50.00 SIDE GUARDS CRF121 Fold-in Style Black Aluminum Side Guards...125.00 CRFSG Fold-in Style Carbon Fiber Side Guards...325.00 CRF79 Removable Side Guards/Fender...175.00 1671-SM Rigid Side Guards, Small...125.00 1671-LG Rigid Side Guards, Large...125.00 1671-SMH Quad Rigid Side Guards, Small...125.00 1671-LGH Quad Rigid Side Guards, Large...125.00 27 28 FOOTPLATE OPTIONS CRFTFR 1 Piece Tubular Footrest... Standard 32 CRF1FP Adjustable Angle One Pc Ftplate...No Charge 33 CRF191 Adjustable Angle Footrest with 2" Risers (K0040)95.00 FOOTREST/LEGREST ACCESSORIES CRF10 Plastic Footrest Cover... 75.00 34 CRF89 Carbon Fiber Footrest Cover... 125.00 34 FRMPRBK ChairArmor Black Neoprene Frame Protectors....65.00 35 FRMPRS ChairArmor Silver Neoprene Frame Protectors....65.00 35 FRMPRR ChairArmor Red Neoprene Frame Protectors....65.00 35 FRMPRB ChairArmor Blue Neoprene Frame Protectors... 65.00 35 CRF103 Luggage Carriers... 100.00 CRF133 Calf Strap...No Charge SPECIFICATIONS Overall Width 6.75" plus seat width w/0 camber Seat Widths 12"-20" Seat Depths 14"-20" Front seat-to-floor* 16"-21" (1/2" increments) Rear seat-to-floor 14.5"-20" (1/2 increments) Axles Positions Active, Extended Center-of-gravity range 3.25" Front Frame Modifications Tapered, V-front Front Frame Angles 70, 75, 80,85 Side and Seat frame color choices 16 colors Anodizing color options Victory Red, Shadow Blue, Bold Black, Classic Silver Wheel options 22", 24", 25", 26" Tire Options Schwalbe Primo, Knobby, Kenda, Treaded Pneumatic, Pneumatic Flat Free Camber Choices 0, 3,6, 9 Spinergy wheel spoke color Red, Blue, White, Yellow, Black choices Caster Options 3",4",5" Handrim Options Black & Silver Anodized, Natural Fit, Titanium, Nylon Coated Arm Type T-Arm Swingaway Back Type Folding, lock down, angle adj. back (16 range of adjustment in 4 increments) Back Height 8"-11", 10"-14", 12"-16", 14"-18", 16"-20" Adjustable Tension Back Breathable mesh, Ballistic Nylon Upholstery Options Side Guards Fold in, Folding, Removable Weight Capacity 250 lb. Chair Weight ** 13.16 lbs. * Measurement taken from top of seat rail to bottom of footrest ** 16x16 w/no rear wheels, bolt-on seat upholstery, mesh back upholstery w/ adjustable tension & 4 semi-pneumatic casters MISCELLANEOUS ACCESSORIES CRF21C Spoke Protectors: Clear (K0065)...75.00 CRF23 Rear Anti Tippers (E0971)...100.00 CRF94 Alignment Gauge...75.00 24 All back upholstery options are a standard black color. CRF16 is Nylon ONLY 25 Camouflage upholstery available with CRFBAT and CRF16 26 Cushions are soft foam cushions not intended to provide skin protection or positioning. If a therapeutic cushion is needed please order from Invacare Customer Service 1-800-333-6900. 27 Adjustable height push handles are not compatible with swingaway arms. The non-adjustable push handles (CRF13) or integral style will work. 28 Swingaway arms are not available with an extended frame when 22" wheels are selected with RSTF less than 15", or when 24" wheels are selected with RSTF less than 16", or when 25" wheels are selected with RSTF less than 16.5", or when 26" wheels are selected and RSTF is less than 17". 29 Not available w/side guard options; comes standard with rigid side guards. 30 Bolted to the back post and have 10" of adjustment up or down. 16" tall. Adjustable height push handles are not compatible with swingaway arms. The non-adjustable push handles (CRF13) or integral style will work. 31 Not available with fold over back upholstery (CRF16). FOOT SPACE WIDTH: See above, except seat widths 12"/13"/14" = width of 8" 32 One piece tubular footrest does not have a cover. 33 Adjustable angle one-piece footplate is standard for frames with V style front end and not available with CRFTFR 34 Tubular footrest only. 35 Set of 3 pieces includes two front frame protectors and one rigidizer bar protector For the most current pricing information go to www.invacare.com. page 4

Invacare Crossfire T6A Peak-Performance Rigid Wheelchair WEIGHT CHART 18 FSTF/16 RSTF W12 W13 W14 W15 W16 W17 W18 W19 W20 D14 19.88 20.06 20.24 20.42 20.60 20.78 20.96 D15 20.42 20.60 20.73 20.96 21.14 D16 20.60 20.78 20.96 21.14 21.32 21.50 21.68 D17 20.78 20.96 21.14 21.32 21.50 21.68 21.86 D18 20.96 21.14 21.32 21.50 21.68 21.86 22.04 D19 21.50 21.68 21.86 22.04 22.22 D20 22.04 22.22 22.40 Standard Chair Includes: Tubular footrest without plate 4" Semi-pneumatic casters/ forks 0 or 3 Camber 24" Sun Zero-G wheels 24" High pressure tires/aluminum anodized handrims 10" 14" height, folding back Adjustable tension back w/ breathable mesh upholstery Seating No cushion 0 2" cushion +1.10 3" cushion +1.65 Screw-on seat upholstery +.05 Back Type Folding 0 Push Handles Adjustable height bolt-on +1.60 Fixed height bolt-on +1.70 Integral: welded +.75 Integral: bolt-through +.75 Back Upholstery Adjustable tension w/ straps 0 Fold over +.09 Omit back upholstery -.97 Armrests Swingaway padded tubular T-Arm, Desk Length +3.06 +3.04 Footrest Tubular 0 Adjustable angle one piece footplate +.60 Plastic footrest cover +.35 Carbon fiber footrest cover +.30 Front Casters (pair) 3" Micro -.13 3" Aluminum softroll +.04 4" Semi pneumatic 0 5" Semi pneumatic +.27 4" Aluminum softroll +.44 5" Aluminum softroll +.88 4" Lighted +.22 Frog leg front suspension forks +.64 Wheel Locks Push or pull-to-lock +1.24 Undermount scissor +1.36 Hill holders/grade aids +.51 Sideguards Fold-in Aluminum Large/Small +2.15/1.45 Removable +1.45 Removable side guards with fender +1.94 Fixed aluminum +1.45 Fixed/fold-in carbon fiber +.95 Rear Tires (pair) High pressure, Primo or Kenda 0 Schwalbe +.75 Pneumatic 1 3/8" +1.40 Pneumatic Flat Free +1.45 Knobby +3.10 Solid No Flat +2.15 Rear Wheels (pair) 22" spoke -.60 24" Sun Zero-G Stylized Wheel 0 25" Sun Zero-G Stylized Wheel +.12 26" Sun Zero-G Stylized Wheel +.24 24" Spinergy -.80 25" Spinergy -.60 26" Spinergy -.25 Handrim Aluminum 0 Titanium +.20 Plastic coated +1.40 Natural fit standard grip +1.68 Natural fit super grip +1.70 Axles Standard quick release 0 Titanium quick release +.17 Quad quick release +.22 Accessories Frame protectors +.10 Luggage carriers +.75 Calf strap +.10 Seat pouch +.35 Positioning Strap hook and loop +.10 Positioning Strap auto style +.50 Spoke guards black +1.40 Spoke guards clear +1.60 Anti-tip bars +1.63 Crutch holder +1.45 Available through our Specials Department Special Edition C- 090505102130 Anodizing Colors: Gold, Bronze, Orange, Green, Purple, Yellow USA One Invacare Way Elyria, OH USA 44035-4190 800-333-6900 All rights reserved. Trademarks are identified by the symbols and. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Sun is a registered trademark of Sun Components Inc. Spinergy is a registered trademark of Spinergy Corp. Frog Legs is a registered trademark of Frog Legs, Inc. Schwalbe is a registered trademark of RALF BOHLE GmbH in Reichshof Germany. Kenda is a registered trademark of Kenda Rubber Industrial Co. Ltd. Specifications and prices are subject to change without notification 2009 Invacare Corporation Form No: 08-029 rev 0709. page 5

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