Quickie Xenon 2 April 2018 EIX2

a Mark Fr: ST: Dealer Phne: ( ) Fax: ( ) ZIP: Qute Fax Email Ship T Phne: ( ) Fax: ( ) Base Mdel Frame Angle Fr sizes 14" r less please use HCPCS E1236 Fixed Frnt & Dual tube nly. See FIGURE 2 107WM96 107FA8 80 K0005 Xenn2 - Fixed Frnt $2,900.00 Weight capacity 0 lbs 107FA16 88 107WM98 Date: Dealer Acct #: Dealer Address: Dealer City: Cnfirm Via: Optin # Dealer: Dealer Cntact: Cnfirmatin Email: Definitin Xenn 2 - Swing Away Weight capacity 265 lbs Carbn Package (N substitutins, discunt given n separate line) Prtn wheel weight limit f 220 lbs, Aut fld ftplate nt available. 107QD03 Prtn rear wheel Platfrm CF Ftplate / leg strap Carbn Side Guard w/ Large fender Retail Value Package Price Quickie Xenn 2 April 2018 $165.00 $170.00 $495.00 $830.00 $730.00 EIX2 a Frame Inset Per Side Fixed Frnt versin nly. See FIGURE 1. N/A with 32cm width. 107FF1 0 107FF12 1cm Frame - Direct Munt Wheel Lck (Optinal) Only available with Fixed Frnt Frame and with Cmpact Wheel Lck, 0-2 Camber. N munting clamp hardware, N/A with Aluminum r carbn fiber sideguards.n/a with muntain tires. N/A in 34-40cm seat depths. N/A with height adjustable armrests.n/a with carbn package. Nt available with Desk Sideguard Submitting fr: Optin # 107WH13 PO#: Ship T: Address: Ship T City: HCPCS ST: Direct Munt Wheel Lck Order The HCPCS CODES prvided are based n cde verificatin thrugh PDAC r ur interpretatin f the cde definitins. The use f HCPCS CODES des nt ensure cverage r payment. Fr cverage infrmatin, verify the apprpriate payer's cverage plicy. Specificatins are subject t change withut ntice. HCPCS K0005 107WM97 K0005 Xenn2 - Hybrid Dual Tube Weight capacity 300 lbs Price $2,900.00 $2,900.00 1. FRAME Attentin: Address: ADDITIONAL SHIPPING INFORMATION Definitin ZIP: Price Ultra Lite Package (N substitutins, discunt given n separate line) Prtn wheel weight limit f 220 lbs 107QD04 Prtn rear wheel $165.00 Schwalbe Speed Run Tire Cmpact Wheel Lck Retail Value $415.00 Package Price $350.00 XENON² Fixed Frnt XENON² Swing Away XENON² Hybrid Dual Tube Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 1

Seat Width 2. SIZE / SEATING See FIGURE 1 Measured frm utside f seat tube t the utside f ppsite seat tube. 48-50cm N/A with Fixed Frnt frame. 1cm inset N/A with 32cm. 107OP13 Seat sling, tensin adjustable 107S53 32cm 12.6" 107S58 42cm 16.5" Seat sling, tensin adjustable, 107OP12 107S54 34cm 13.4" 107S59 44cm 17.3" 1 utility bag 107S55 36cm 14.2" 107S60 46cm 18.1" 107OP04 Omit Seat Sling 107S56 38cm 15.0" 107S61 48cm 18.9" 107S57 40cm 15.7" 107S62 50cm 19.7" Cushin Cushin size increments are in inches. Seat Depth 107CU1 E0669 2" Cushin $120.00 See FIGURE 2 Measured frm back canes t frnt edge f uphlstery. 107SD81 34cm 13.4" 107SD86 44cm 17.3" JAY Cushins (Optinal) 107SD82 36cm 14.2" 107SD87 46cm 18.1" T rder any JAY cushins n-chair, please see the JAY price list n Page 8. 107SD83 38cm 15.0" 107SD88 48cm 18.9" Cushin name r part number must be filled ut with desired width and depth 107SD84 40cm 15.7" 107SD89 50cm 19.7" *JAY Cushins are designed t imperial values and listed metric equivalents are 107SD85 42cm 16.5" nt exact measurements. JAY Bundled Cushin Figure 1 Figure 2 107JC20 Cushin Name r Part # Price List Width: Depth: 3. CASTERS / SEAT HEIGHT Frnt Seat Height Caster Wheels Dependence f frnt casters, frks and frame versin, see Matrix n Page 7 and measure frm the tp f the seat sling t the flr like in Figure 3. 107CW1 107CW3 3" Micr 4" Lw Prfile Plyurethane 107SH83 43cm 16.9" 107SH90 50cm 19.7" 107CW31 4" Micr Lighted $70.00 107SH84 44cm 17.3" 107SH91 51cm 20.0" 107CW72 4" x 1" Aluminum Ply $110.00 107SH85 45cm 17.7" 107SH92 52cm 20.4" 107CW44 E2219 4" x 1.25" Semi Pneumatic $55.00 107SH86 46cm 18.1" 107SH93 53cm 20.9" 107CW5 5" Lw Prfile Plyurethane 107SH87 47cm 18.5" 107SH94 54cm 21.2" 107CW51 5" Micr Lighted 107SH88 48cm 18.9" 107SH95 55cm 21.6" 5" Sft Rll (Grey) 107CW6 E2219 107SH89 49cm 19.3" N/A w/frg Legs r Single sided frk Caster Frk and Suspensin 107CW65 107CW7 E2219 5" x 1" Aluminum Ply 5" x 1.5" Semi Pneumatic $110.00 Multiple & d frks are std black finish unless andize package chsen. 107CW34 6" Ply 107CF65 Multiple Psitin E2214 107CW33 6" Pneumatic 107CF69 Multiple Psitin d Frk $150.00 E2215 $75.00 107CF53 E1015 Frg Legs 0 weight t 100 lbs. $425.00 107CW35 E2219 6" x 1.5" Semi Pneumatic 107CF54 E1015 Frg Legs 101 lbs. weight t 190 lbs. $425.00 107CF55 E1015 Frg Legs 191 lbs. weight t 265 lbs. $425.00 Caster Clr Wheels ptin Refer t Andize package sectin n Page 6 fr Andize clr selectin. Cannt chse Match frame clr and Andize package at same time. Casters are silver clr unless yu chse Match frame clr r Andize package. Figure 3 107CW64 107CW66 107CW68 Clrs: Seating Systems Dimensins inches cm 12 30 13 33 14 35 15 38 16 40 17 44 18 46 19 48 20 50 4" x 1.5" Aluminum Sft Rll* $185.00 5" x 1.5" Aluminum Sft Rll* $195.00 6" x 1.5" Aluminum Sft Rll* $205.00 Match frame clr $50.00 Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 2

4. REAR WHEELS / SEAT HEIGHT Rear Seat Height 49-50cm RSH nly with lightweight adapter. Refer t Seat Squeeze matrix. 107RH61 37cm 14.5" 107RH68 44cm 107RH62 38cm 14.9" 107RH69 45cm 107RH63 39cm 15.3" 107RH70 46cm 107RH64 40cm 15.7" 107RH71 47cm 107RH65 41cm 16.1" 107RH72 48cm 107RH66 42cm 16.5" 107RH73 49cm 107RH67 43cm 16.9" 107RH74 50cm 17.3" 17.7" 18.1" 18.5" 18.9" 19.3" 19.7" Seat squeeze matrix Max 11cm f seat squeeze Rear Wheel Handrim Sme Rear wheel ptins may limit the chair weight capacity. Prtn wheels See Page 6 fr clr handrim ptin weight limit is 220 lbs. " wheels N/A w/50cm RSH. 25" wheels N/A w/37cm RSH. 107HR1 Aluminum Andized 107RW102 " Mag Wheel 5 Spke 107HR29 Aluminum Pwder cated clred 107RW92 " Lite Spke Plastic Cated 107HR4 107RW93 25" Lite Spke N/A w/ 25" Lite Spke Wheels 107RW10 " Ultra Lightweight Spke Wheel $250.00 107HR22 Natural Fit - Standard Grip 107RW16 25" Ultra Lightweight Spke Wheel $250.00 107HR23 Natural Fit - Super Grip 107RW95 " Spinergy SPOX Black Spkes $820.00 107HR25 Natural Fit - N Thumb Grip 107RW96 25" Spinergy SPOX Black Spkes $820.00 107HR30 Natural Fit LT - Standard Grip 107RW98 " Spinergy LX Black Spkes $1,025.00 107HR31 Natural Fit LT - Super Grip 107RW99 25" Spinergy LX Black Spkes $1,025.00 107HR32 Natural Fit LT - N Thumb Grip 107RW50 " Muntain $250.00 107HR26 The Surge - Oval w/griptin Strip 107RW148 " Prtn Wheel $165.00 107HR27 The Surge LT - Oval w/griptin Strip 107RW149 25" Prtn Wheel $165.00 107HR28 Q-Grip Neprene Cated 107RW150 " Drum brake wheel - 36 spkes Spinergy Flex Rim Only available 107HR n Spinergy LX wheels " & 25" Rear Wheel Tire Omit Handrim 107HR7 N/A w/ Ultra Lightweight Wheels 107RT1 Pneumatic $70.00 $395.00 $425.00 $375.00 $415.00 $475.00 $375.00 $385.00 $415.00 $325.00 $650.00 107RT2 107RT3 107RT38 107RT39 107RT21 107RT28 107RT40 107RT41 Handrims 107RT27 107RT12 Aluminum Andized / Clr Plastic Cat Natural Fit - Standard Grip Natural Fit - N Thumb Grip Natural Fit - Super Grip Natural Fit LT - Standard Grip Natural Fit LT - Super Grip Natural Fit LT - N Thumb Grip Surge - Oval w/griptin Strip Surge LT - Oval w/griptin Strip Q Grip Neprene Cated Spinergy Flex Rim Omit Handrim E2213 Pneumatic Airless Insert Full Ply Tire E2218 SHOX Perfrmance Ply High-Pressure Clincher Black Schwalbe Marathn Plus Evlutin Schwalbe Speed Run Tire Schwalbe Dwn Twn Tw Grip Only available in " Schwalbe Right Run Only available in " Knbby V-TRAK by Kenda Muntain Only available in " 5 Spke Mag Lite Spke Ultra Lightweight Wheels Spinergy Muntain Prtn $80.00 $135.00 Drum Brake 107AX1 107AX13 107AL36 Axle Quick Release Steel Quad Quick Release Steel Only available with Muntain Wheels Axle Plate Axle plate Standard Camber Light weight adapter available nly 0 107CI1 0 107CI13 2 107CI3 4 Center f Gravity Preset Lightweight adapter N/A with Single pst r Desk side guard armrests. 107LQ01 Standard Adapter. Chse yur setting: 1cm (0.4") 2cm (0.8") 3cm (1.2") 4cm (1.6") 5cm (2.0") 6cm (2.4") 7cm (2.8") 8cm (3.1") 9cm (3.5") OR 107LQ02 Lightweight Adapter. Chse yur setting: 4cm (1.6") 5cm (2.0") 6cm (2.4") 7cm (4.3") 9cm (3.5") 10cm (3.9") Pneumatic Pneumatic w/ Airless Insert Full Ply Tire SHOX Perfrmance Ply High-Pressure Clincher Blk Schwalbe Marathn Schwalbe Speed Run Schwalbe Dwn Twn Schwalbe Right Run Knbby V Trak by Kenda 5 Spke Mag Lite Spke Ultra Lightweight Wheels Spinergy " = 540 mm 25" = 559 mm Prtn Drum Brake Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 3

Wheel Lck Additinal N Gs may exist depending n wheel size and psitin. Recmmend t rder a wheel lck ptin in cmbinatin with the Drum brake. 107WL1 High Munt Push 107WL2 High Munt Pull 107WL27 Erg Scissr 107WL30 Cmpact 107WL10 Omit 5. WHEEL LOCKS $110.00 Must select Drum brake rear wheel. N/A w/ erg scissr r cmpact wheel lcks 107WL79 E2228 Drum Brake 107WL12 107EH6 E0961 Attendant Brake Wheel Lck Optin D Nt Munt Extensin Handle Extensin Handle (Pair) $500.00 $75.00 Hangers (Swing away nly) 6. HANGER & FOOTREST OPTIONS Ftrest (Chse ONE Optin ) Ftplates (Fixed Frnt & Dual Tube nly) ELR nly available 38cm-50cm width. Platfrm ftplates 107H168 70 Swing In/Out Hanger Platfrm Aluminum - Flip Up 107F332 107H169 80 Swing In/Out Hanger Black Std Frame clr$50 107H170 E0990 Elevating Hanger (0-90 ) (pair) $300.00 Platfrm Cmpsite Ftrest - Flip up 107F334 107H32 Omit Hanger & Ftplate -$15.00 (sideways), angle adjustable Platfrm Cmpsite High Munt - Flip 107F337 Ftplates (Swing Away nly) up, Lwer Leg Length 22-34 cm $100.00 Z-finity ftplates & Platfrm Alum High Munt Max weight capacity 165 lbs. Platfrm Ultra Lite Ftrest - Flip up 107F335 Divided ftplates (sideways) Aluminum, angle adj. 107F1 Cmpsite - Flip up Platfrm Carbn Fiber ftrest - Flip 107F336 $135.00 Cmpsite angle adj - Flip up Up (sideways), N/A with 32cm widths 107F330 $150.00 E0951 (sideways) 38-50cm width Aut-flding Platfrm 107F331 107F320 Alum angle adj - Divided, Flip up Platfrm Carbn Fiber ftrest - Flip $185.00 107F338 Black Std Frame clr$50 Up (sideways), angle adjustable Multi Angle Adustable (Z-finity) Platfrm Cmpsite Ftrest - Flip up $185.00 107F339 Black Std Frame clr$50 (sideways), angle adjustable $250.00 $200.00 Platfrm ftplates 107F332 107F333 107F334 107F335 107F336 Platfrm Aluminum - Flip Up Ftrest Optins Black Std Frame clr$50 Platfrm Swingaway Mechanism nly available with Platfrm Aluminum Platfrm Alum AA High Munt - Flip 107DI31 E0951 Heel Lp (Swing away nly) $30.00 up (Z-finity) $150.00 107DI03 K0038 Leg Strap $35.00 Platfrm Cmpsite Ftrest - Flip up 107DI04 K0038 Extra Leg Strap $35.00 (sideways), angle adjustable 107DI05 Gel Hanger Cver $105.00 Platfrm Ultra Lite Ftrest - Flip up 107DI07 Neprene Impact Guards (sideways) angle adjustable 107DI06 K0038 Platfrm Psitin Plates $50.00 Platfrm Carbn Fiber ftrest - Flip 107DI32 Platfrm Swingaway Mechanism $135.00 Up (sideways), N/A with 32cm widths 107F6 Omit Ftplate -$15.00 Lwer Leg Length (LLL) Lwer Leg length standard clearance must be minimum f 5 cm (2") less than Frnt Seat Height. All measurements are in cm. Measured frm seat sling t the tp - rear f the ftrest. See Appendix n Page 7 22cm (8.6") 31cm (12.2") 40cm (15.7") 49cm (19.3") 25cm (9.8") 34cm (13.3") 43cm (16.9") 28cm (11.0") 37cm (14.5") 46cm (18.1") 7. BACKREST Back Type Back Height Setting All Back height settings are in cm. Fld dwn ptin nly available with 32.5cm back height and up, Fld dwn push handle 25-30cm Back Height N/A with height adj push handles r JAY backs. Fld dwn back type N/A with Std EXO Uph. 107B254 Setting 25 (9.8") 27.5 (10.8") 30 (11.8") 107BT123 Fixed (90 ) 30-35cm Back Height 107B250 Setting 107BT1 Fixed Half Fld dwn (t the frnt) $185.00 30 (11.8") 32.5 (12.8") 35 (13.7") 107BT125 Angle Adjustable Back (75-103 ) 35-40cm Back Height 107B251 Setting 107BT126 Angle Adjustable Back Half Fld dwn $185.00 35 (13.7") 37.5 (14.7") 40 (15.7") Half Fld Dwn 107B252 107B253 Setting Setting 40-45cm Back Height 40 (15.7") 42.5 (16.7") 45 (17.7") 45-47.5cm Back Height 45 (17.7") 47.5 (18.7") Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 4

Push Handles 7. BACKREST (cnt) Stabilizer Bar Std EXO Uph N/A with Fld dwn r Height Adjustable push handles Only available 38cm-50cm seat width. Swing away painted match t frame. Available 107PH20 Push handle Erg grip lng between 35cm-47.5cm back height. Fld Dwn Push Handles Available 107SZ8 Stabilizer Bar 107PH5 $100.00 w/ 32.5-42.5cm height (12.7-16.7") Stabilizer swing away bar Must 107SZ9 $150.00 select height adj push handles Height adjustable push Handles 107PH21 $150.00 Available w/ 30-42.5cm height (11.8-16.7") Military Service Patches 107PH25 Only available n tensin adjustable uphlstery and when rdered Height adjustable push Handles fr $150.00 separately thrugh JAY J3 Back OF JAY Backs 107VU4 US Air Frce Patch 107PH22 Omit Push Handles - Straight Pst 107VU2 US Army Patch 107VU12 US Cast Guard Patch Backrest Uphlstery Std EXO Uph available with Omit & Erg grip push handles, plastic side guards, Single pst height adj & padded swing away armrests.exo Standard and Tensin Adj uphlstery 107VU1 107VU3 107VU5 US Marines Patch US Navy Patch Purple Heart Patch binding is Standard black. Std Uph N/A with Stabilizer bar. 107VU11 Purple Heart with Air Frce Patch $145.00 107BU88 Standard Uphlstery EXO 107VU9 Purple Heart with Army Patch $145.00 Clrs: Blue Orange Red Silver 107VU13 Purple Heart with Cast Guard Patch $145.00 107BU89 Backrest Tensin Adj EXO 107VU8 Purple Heart with Marines Patch $145.00 E2611 $315.00 *Reference 186BU70 fr billing 107VU10 Purple Heart with Navy Patch $145.00 Clrs: Blue Orange Red Silver 107BU90 E2611 Backrest Tensin Adj EXO Pr 3DX JAY J3 Back $330.00 *Reference 186BU71 fr billing J3 Back T rder a J3 Back please Clrs: Blue Orange Red Silver 107JB01 select Omit Back Uphlstery. See J3 Back Price List 107BU14 Omit Back Uphlstery -$15.00 Order Frm fr Part #'s in Page 9. Armrest - Padded Swing Away Armpad - Fr Height Adjustable Sme limitatins when used with the Angle Adjustable Back. * Desk Sideguard nly. **Single Pst nly 107AA162 Padded Swing-Away Fixed height 107AM29 Desk Length 25cm/9.8" height * 107AA18 E0973 Padded Swing-Away HT Adj (11" t 14") $210.00 107AM30 Desk Length 31cm/12.2" height * Setting 11" 12" 13" 14" 107AM31 Desk Length 33cm/13" height ** Please select a setting fr adjustable versin, will default t 11" if n selectin is made Desk Sideguard Nt available with Fld Dwn back ptin r cmbined with Side Guard 107LA01 E0973 Desk sideguard fixed flip up, n pad 107LA02 E0973 Desk sideguard fixed flip up 107LA03 E0973 Desk sideguard height adj. flip up, remvable 107LG01 Quad Release - ptin Armrest - Single pst Desk length 33cm armpad available nly. Single pst height adj. remvable, 107AA161 E0973 depth adjustable 8. ARMREST / SIDEGUARDS $250.00 $250.00 $150.00 $285.00 Side Guards Increases verall width f chair. Sme interferance may exist w/ padded SA arms at lwest settings Nt available w/single pst HA r Desk Sideguard armrests. 107SG33 K0108 Plastic Standard $140.00 107SG29 K0108 Plastic Lw $140.00 107SG35 K0108 Aluminum $235.00 107SG36 K0108 Aluminum w/ Fender $5.00 107SG12 K0108 Carbn Fiber $450.00 107SG41 K0108 Carbn Fiber Lng w/lg Fender $495.00 Side Guard / Desk Sideguard - Clr Optin Available with Aluminum r Aluminum with Fender. Nt applicable t carbn fiber ptin. Standard clrs nly 107GE01 Black 107GE02 Matching Frame- Standard Clrs 107AT1 107AT81 107AT83 E0971 E0971 E0971 Anti Tips Anti Tips (Pair) Anti Tip swing away $140.00 Right Mnt Left Mnt Tip assist Right Mnt Left Mnt $30.00 Tray Tables Swing Away Frame nly. Only available with Single Pst Height Adjustable armrests. 107A44 E0950 Small 33-35cm (13"-14") $255.00 107A45 E0950 Medium 38-43cm (15"-17") $255.00 107A46 E0950 Large 45-50cm (18"-20") $255.00 107A47 E0950 X-Large 53-55cm (21"-22") $255.00 9. KEY OPTIONS AND ACCESSORIES 107A1 107A2 1071A01 107A833 E0978 Additinal Pack Accessries Backpack - Adult Backpack - Kids Seat Puch Black Psitining Belt Universal 1.5" Aut Buckle Belt $65.00 $60.00 $50.00 $70.00 Spke Guards Only available with " Lite spke wheels. 1074A01 K0065 Quickie Black Spke Guard 1074A02 K0065 Quickie Clear Spke Guard Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 5

9. KEY OPTIONS AND ACCESSORIES (cnt) Miscellaneus Rubber cver nly available with Aluminum Andized & Painted handrims 1078A48 1078A21 1078A01 1078A46 1078A03 1078A47 E2207 Crutch Hlder Tl Kit Gel Swing Away Pad Handrim rubber cver (" nly) Caddy Mbile phne pcket $195.00 $45.00 $110.00 $105.00 $50.00 $25.00 Built Fr Me T inquire abut any unique custmizatin fr Quickie prducts, cntact: Phne: (800) 333-4000, Optin #3, Fax: (800) 333-9011 Psitining Pad size is 6"x9". Swing Away frame nly. 1078A49 E1020 Lwer Extremity S/A supprt Right Left $395.00 Standard Frame Clr 10. COLOR Custm Frame Clr Handrim clr ptin nly available if Aluminum Cated clred ptin was selected. N/A fr handrim clr cated ptin Black nt available as base w/zebra Handrim 107C112 Desert Camuflage 107C140 Aztec Gld 107C43 Mssy Oak Camuflage 107C118 Bead Blast 107C42 Stars & Stripes 107C2 Black Zebra (Chse abve base clr) Std 107C141 Black Cherry with White unless abve base paint is 107C108 107C10 Black Opal chsen N/A w/ Black, Matte Black, Black Opal, Titanium r Bead Blast) 107C38 Blue Opal 107C36 107C14 107C35 Candy Blue Candy Purple Candy Red Andized Clr Package Frks and Aluminum casters nly. N/A with Frg Legs and Alum Caster clr ptin 107C142 Electric Blue 107EB15 Blue 107C143 Evergreen 107EB19 Red 107C44 Glssy White 107EB16 Gld 107C126 Glw 107EB17 Lime Green 107C144 Green Apple 107EB18 Purple 107C147 Ht Sparkle Pink 107EB20 Ti Grey 107C148 107C103 Mauve Pink Rtbeer Frame Graphics 107C114 Sparkle Silver Graphic designs n frnt frame tubes. N/A Custm clrs & Matte Black Cherry. 107C145 Sunrise Orange N/A with Fixed Frnt lw height frames r Swing Away frame 107C113 Titanium Clr Paint 1078A Blm 107C8 Yellw 1078A25 1078A26 Dragn Ghst Flames Matte Frame Clr 1078A27 Retr Squares Handrim clr ptin nly available if Aluminum Cated clred ptins was selected. 1078A28 Tribal Handrim 107C116 107C151 107C150 107C149 107C152 Matte Black Matte Black Cherry Matte Electric Blue Matte Evergreen Matte Purple Blm design Dragn design Retr Squares design Tribal design Ghst Flames design Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 6

11. APPENDIX Swing Away frame Frnt Seat Height matrix FRONT SEAT HEIGHT SELECTION: in dependence f frnt casters, frks and frame versins Fixed Frnt/Dual Tube frame Frnt Seat Height matrix FRONT SEAT HEIGHT SELECTION: in dependence f frnt casters, frks and frame versin Frnt Caster 3" 4" 5" 6" Frk Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Frnt seat height in centimeters 43 44 45 46 47 48 49 50 51 52 53 54 55 Lwer Leg Length Frnt Caster 3" 4" 5" 6" Frk Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Multi Pst. Frg Leg Frame: lw high lw high lw high lw high Frnt seat height in centimeters 43 44 45 46 47 48 49 50 51 52 53 54 55 LLL 2" Sunrise Medical (US) LLC 2842 Business Park Ave. Fresn, CA 93727 USA Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 7

Nte: The JAY cushin ptins shwn belw are the mst ppular with Xenn 2 users. Fr additinal variatins f the cushins shwn belw r ther cushin ptins, please visit www.sunrisemedical.cm r cntact Custmer Service. JAY X2 Cushin - HCPCS Cde E2622 JAY Fusin Reduced Prfile w/ Air Insert Single Valve - HCPCS Cde E2622 a Part Number Width x Depth (in)* Width x Depth (cm)* ǂ Price a Part Number Width x Depth (in)* Width x Depth (cm)* ǂ Price JX21414 13.75 x 14 35 x 35.6 $425 JFUSION1414RPAS 14 x 14 35.6 x 35.6 $495 JX21416 13.75 x 16 35 x 40.6 $425 JFUSION1415RPAS 14 x 15 35.6 x 38.1 $495 JX21515 15.25 x 15 38.7 x 38.1 $425 JFUSION1416RPAS 14 x 16 35.6 x 40.6 $495 JX21516 15.25 x 16 38.7 x 40.6 $425 JFUSION1417RPAS 14 x 17 35.6 x 43.2 $495 JX21616 15.75 x 16 40 x 40.6 $425 JFUSION1418RPAS 14 x 18 35.6 x 45.7 $495 JX21617 15.75 x 17 40 x 43.2 $425 JFUSION1514RPAS 15 x 14 38.1 x 35.6 $495 JX21618 15.75 x 18 40 x 45.7 $425 JFUSION1515RPAS 15 x 15 38.1 x 38.1 $495 JX21620 15.75 x 20 40 x 50.8 $425 JFUSION1516RPAS 15 x 16 38.1 x 40.6 $495 JX21716 17.25 x 16 43.8 x 40.6 $425 JFUSION1517RPAS 15 x 17 38.1 x 43.2 $495 JX21717 17.25 x 17 43.8 x 43.2 $425 JFUSION1518RPAS 15 x 18 38.1 x 45.7 $495 JX21816 17.75 x 16 45.1 x 40.6 $425 JFUSION1519RPAS 15 x 19 38.1 x 48.3 $495 JX21818 17.75 x 18 45.1 x 45.7 $425 JFUSION1520RPAS 15 x 20 38.1 x 50.8 $495 JX21820 17.75 x 20 45.1 x 50.8 $425 JFUSION1614RPAS 16 x 14 40.6 x 35.6 $495 JX22020 19.75 x 20 50.2 x 50.8 $425 JFUSION1615RPAS JFUSION1616RPAS JFUSION1617RPAS 16 x 15 16 x 16 16 x 17 40.6 x 38.1 40.6 x 40.6 40.6 x 43.2 $495 $495 $495 JAY Lite Cushin - HCPCS Cde E2603 JFUSION1618RPAS 16 x 18 40.6 x 45.7 $495 a Part Number Width x Depth (in)* Width x Depth (cm)* ǂ Price JFUSION1619RPAS 16 x 19 40.6 x 48.3 $495 JL1414 14 x 14 35.6 x 35.6 $365 JFUSION1620RPAS 16 x 20 40.6 x 50.8 $495 JL1416 14 x 16 35.6 x 40.6 $365 JFUSION1714RPAS 17 x 14 43.2 x 35.6 $495 JL1418 14 x 18 35.6 x 45.7 $365 JFUSION1715RPAS 17 x 15 43.2 x 38.1 $495 JL1515 15 x 15 38.1 x 38.1 $365 JFUSION1716RPAS 17 x 16 43.2 x 40.6 $495 JL1516 15 x 16 38.1 x 40.6 $365 JFUSION1717RPAS 17 x 17 43.2 x 43.2 $495 JL 1517 15 x 17 38.1 x 43.2 $365 JFUSION1718RPAS 17 x 18 43.2 x 45.7 $495 JL1518 15 x 18 38.1 x 45.7 $365 JFUSION1719RPAS 17 x 19 43.2 x 48.3 $495 JL1615 16 x 15 40.6 x 38.1 $365 JFUSION1720RPAS 17 x 20 43.2 x 50.8 $495 JL1616 16 x 16 40.6 x 40.6 $365 JFUSION1814RPAS 18 x 14 45.7 x 35.6 $495 JL1617 16 x 17 40.6 x 43.2 $365 JFUSION1815RPAS 18 x 15 45.7 x 38.1 $495 JL1618 16 x 18 40.6 x 45.7 $365 JFUSION1816RPAS 18 x 16 45.7 x 40.6 $495 JL1620 16 x 20 40.6 x 50.8 $365 JFUSION1817RPAS 18 x 17 45.7 x 43.2 $495 JL1715 17 x 15 43.2 x 38.1 $365 JFUSION1818RPAS 18 x 18 45.7 x 45.7 $495 JL1716 17 x 16 43.1 x 40.6 $365 JFUSION1819RPAS 18 x 19 45.7 x 48.3 $495 JL1717 17 x 17 43.1 x 43.1 $365 JFUSION1820RPAS 18 x 20 45.7 x 50.8 $495 JL1718 17 x 18 43.1 x 45.7 $365 JFUSION1915RPAS 19 x 15 48.3 x 38.1 $495 JL1816 18 x 16 45.7 x 40.6 $365 JFUSION1916RPAS 19 x 16 48.3 x 40.6 $495 JL1817 18 x 17 45.7 x 43.2 $365 JFUSION1917RPAS 19 x 17 48.3 x 43.2 $495 JL1818 18 x 18 45.7 x 45.7 $365 JFUSION1918RPAS 19 x 18 48.3 x 45.7 $495 JL1820 18 x 20 45.7 x 50.8 $365 JFUSION1919RPAS 19 x 19 48.3 x 48.3 $495 JL1916 19 x 16 48.3 x 40.6 $365 JFUSION1920RPAS 19 x 20 48.3 x 50.8 $495 JL1917 19 x 17 48.3 x 43.2 $365 JFUSION2015RPAS 20 x 15 50.8 x 38.1 $495 JL1918 19 x 18 48.3 x 45.7 $365 JFUSION2016RPAS 20 x 16 50.8 x 40.6 $495 JL1920 19 x 20 48.3 x 50.8 $365 JFUSION2017RPAS 20 x 17 50.8 x 43.2 $495 JL2016 20 x 16 50.8 x 40.6 $365 JFUSION2018RPAS 20 x 18 50.8 x 45.7 $495 JL2018 20 x 18 50.8 x 45.7 $365 JFUSION2019RPAS 20 x 19 50.8 x 48.3 $495 JL2020 20 x 20 50.8 x 50.8 $365 JFUSION2020RPAS 20 x 20 50.8 x 50.8 $495 * JAY cushins are designed t imperial values and listed metric equivalents are nt exact measurements. Nminal dimensins may vary by ±0.5 in. r ±1.5 cm. ǂ Nt all Xenn 2 chair sizes will have a JAY cushin equivalent. Please cntact Custmer Service t mdify standard cushins via JAY Yur Way t chair specificatins. X" Y" Bttm View JAY X2 Measuring Guide Width Depth JAY Cushin Optins Y = Depth Y = Depth Nte: Measurement made frm frnt Nte: Measurement made frm frnt edge f rear cutut and frnt lwer Y" edge f rear cutut and frnt lwer edge f cushin. edge f cushin. Ex: JX21618 Y = 18" Ex: JL1618 Y = 18" Bttm View JAY Lite/Fusin Measuring Guide X = Width X = Width Nte: Measurement made frm rear Nte: Measurement made frm rear bttm edge t bttm edge f the bttm edge t bttm edge f the cushin. cushin. X" Ex: JX21618 X = 16" Ex: JL1618 X = 16" Width Depth Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 8

JAY J3 BACKREST OPTIONS T rder a J3 Backrest, first chse a cntur frm ne f the fur ptins (A, B, C r D) belw, then select the apprpriate backrest height and width. A) JAY J3 Psterir (PA) Back - 2.2" Cntur B) JAY J3 Carbn Fiber Psterir (PA) Back - 2.2" Cntur JAY J3 Back Size (in) 12 14 16 18 20 JAY J3 Back Size (in) 14 16 18 20 Xenn 2 Chair Width (cm) 31-36 36-41 41-46 46-51 51-56 Xenn 2 Chair Width (cm) 36-41 41-46 46-51 51-56 Max Trunk Width (in) 11 13 15 17 19 Max Trunk Width (in) 11.5 13.5 15.5 17.5 Back Height Lwer Thracic (LT) $535 6.5" (S) 9.5" (T) J3PALTSxxSH 14 16 18 6.5" J3CFPALTSxxRH 14 16 18 J3PALTSxxRH 14 16 18 (S) J3CFPALTSxxRHF 14 16 18 J3PALTSxxRHF 14 16 18 9.5" J3CFPALTTxxRH 14 16 18 20 J3PALTMxxSH 12 14 16 18 (T) J3CFPALTSTxxRHF 14 16 18 20 12 14 16 18 J3PALTMxxRHF 12 14 16 18 Mid Thracic (MT) $895 J3PALTTxxSH 12 14 16 18 20 12.0" J3CFPAMTSxxRH 14 16 18 20 J3PALTTxxRH 12 14 16 18 20 (S) J3CFPAMTSxxRHF 14 16 18 20 J3PALTTxxRHF 12 14 16 18 20 15.0" J3CFPAMTTxxRH 14 16 18 20 (T) J3CFPAMTSTxxRHF 14 16 18 20 Mid Thracic (MT) $535 12.0" (S) J3PAMTSxxSH 13.5" (M) J3PAMTMxxSH 15.0" (T) J3PAMTTxxSH 12 14 16 18 20 12 14 16 18 20 12 14 16 18 20 C) JAY J3 Psterir Deep Cntur (PDC) Back - 6" Cntur D) JAY J3 Psterir Lateral (PL) Back - 3" Cntur JAY J3 Back Size (in) 14 16 18 20 JAY J3 Back Size (in) 12 14 16 18 20 Xenn 2 Chair Width (cm) 36-41 41-46 46-51 51-56 Xenn 2 Chair Width (cm) 31-36 36-41 41-46 46-51 51-56 Max Trunk Width (in) 11.5 13.5 15.5 17.5 Max Trunk Width (in) 9.5 11.5 13.5 15.5 17.5 9.5" (T) J3PDCLTMxxSH 14 16 18 12.0" (S) J3PDMTSxxSH 12 14 16 18 20 J3PDCLTMxxRH 14 16 18 13.5" (M) J3PDMTMxxSH 12 14 16 18 20 J3PDCLTMxxRHF 14 16 18 15.0" (T) J3PDMTTxxSH 12 14 16 18 20 J3PDCLTTxxSH J3PDCLTTxxRH J3PDCLTTxxRHF 14 16 18 20 14 16 18 20 14 16 18 20 Mid Thracic (MT) $750 12.0" (S) J3PDCMTSxxSH 15.0" (T) J3PDCMTTxxSH 12 14 16 18 20 12 14 16 18 20 JAY J3 Back Munting Hardware Optins SH RH RHF 8.0" (M) J3PALTMxxRH Back Height Lwer Thracic (LT) $895 Back Height Lwer Thracic (LT) $750 8.0" (M) Back Height Mid Thracic (MT) $625 Nte: The J3 Back ptins shwn are the mst ppular with Xenn 2 users. Fr mre cnturs, back heights, hardware ptins, and accessries, please see the J3 Back rder frm at www.sunrisemedical.cm. Sunrise Medical (US) LLC 2842 Business Park Ave. Fresn, CA 93727 USA Custmer Service: 800-333-4000 Fax: 800-300-7502 Email: rders@sunmed.cm www.sunrisemedical.cm Page 9