Quickie GTX Fixed Frame EIF3, Effective July 2009

Similar documents
Quickie GTX Swing-Away FSS NET ORDER FORM/PRICE LIST (SIN F-1)

Quickie Q7 Adjustable March 2014

Quickie QXi AADL. EIF6, October ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To City: Fax. Price 1. FRAME $2,

Quickie QX July 2017

Quickie QX December 2018

Quickie 2 January 2014

Quickie 2 EIQ2N Effective April 2011

Zippie Zone July 2018 EIRZ1

Quickie IRIS January 2014

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

Quickie 2 AADL - W137

Sling Position. Push Handle. q Omit Push Handles N/C q Standard Push Handles 53 q Fold Down Push Handles 80 q Bolt-On Push Handles 109

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

October 2018 EIQ2X. Mark For: Submitting for: Quote Order. ADDITIONAL SHIPPING INFORMATION Dealer Contact: Price. Option # 1. FRAME 002RS1 002RS2

MEDmobility Calgary Trail NW Edmonton AB T6H 2K1 P: F:

Frame. Backrest. Seat Depth. Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time free growth kit. 165 lb weight capacity.

MASS Script Form. Frame. Backrest. Seat Depth. Tsunami ALX K0005 Charge. Sling Position. Seat Width / Seat Depth. Seat Width.

MASS Script Form. Frame. Backrest. Seat Depth

q q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.

Custom Manual Options & ACCESSORIES AUSTRALIA 2013

ZIPPIE IRIS (Transit Included) EIZ5A

This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. AADL CAT # 151.

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) Freedom 2 Kids

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

MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan.

Account Number: Provider Name: Contact:

4.2 HELIO KIDS MODEL. Ultralight Folding Carbon Fiber HELIO KIDS Wheelchair Including angle & depth adjustable back (79 kg lbs weight capacity)

Account Number: Provider Name: Contact:

Quickie IRIS March 2015

NOT JUST A WHEELCHAIR. A MEMBER OF THE TEAM.

4.6. Clinician/ATP/RTS: City: State: C2MA029 * Required

Kids Quickie 2 SE November 2012

ORDER FORM Ver.9.0 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

4.2. Ship to: Vendor: Name: Date: Address: Ordered by: City: Province:

Quickie 2HP July 2018

Product. QUICKIE QRi PAGE 1

Condor Script Form Folding Frame Day Wheelchair 90050

4.6. Clinician/ATP/RTS: City: State: VEMA039 * Required. Veloce - FRONT Seat-to-floor height. 16 to 19 Specify desired height: 80.

Quickie 2HP January 2018

APEX 4.6. FRONT Seat-to-floor height Caster sizes Height available +- 1/4" ORDER FORM - International. 3" Caster. Specify desired height:

UNMATCHED PERFORMANCE. THE PROFESSIONALS BEST CHOICE IN FOLDING ULTRA- LIGHTWEIGHT ABILITY.

Serial Number: Manufacturing Date: /20

APEX 4.7. FRONT Seat-to-floor height ORDER FORM - USA. Height available +- 1/4" Caster sizes. 3" Caster 14" to 21" Specify desired height:

Additional Front Wheel Options Not Shown FW1 3 x.75 Micro-Caster FW14 4 x.75 Plastic Wheel w/poly Tire FW3 4 x.75 Light-Up Micro-Caster

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

Town: Postal code: Town: Postal code: CLIENT MEASUREMENTS. Seat Width in cm 38 cm 40 cm 42 cm 44 cm 46 cm. 40 cm

ORDER FORM Ver.9.0 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

1,795. Base Price. Part no.: CLIENT MEASUREMENTS. Town: Postal code: Town: Postal code: Tel: Fax: Tel: Fax: Purchase order:

ORDER FORM Ver.9.0 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

ADJ BACK UPH USED W/ OMIT & INTEGRAL PUSH HANDLES ADJ BACK UPH USED W/ FOLDING PUSH HANDLES VENTED ADJ BACK UPH FOOTRESTS...

STD +1" +2" STD +1" +2" STD +1" +2" STD +1" +2" STD +1" +2" STD

NXT Pediatric. Manual Wheelchair. Transport Optional Base

AADL #W643 NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS

Condor Script Form Folding Frame Day Wheelchair 90050

STELLAR GL. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

Stallion Script Form Fixed Frame Adjustable Wheelchair 90100

SEAT BACKREST. REAR SEAT HEIGHT SELECTION: independant of rear wheel size. Rear seat height in cm (2)

STELLAR. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

Serial Number: Manufacturing Date: /20

Kids Quickie 2 SE (Without Seating) NOVEMBER 2012

Kids Quickie 2 SE January 2018 EIZ10

YOU RE YOUNG. YOU RE ACTIVE. YOU RE YOU. GROWTH WITH AN EDGE. ROGUE XP.

Kids Quickie 2 SE (Without Seating) NOVEMBER 2012

Quickie 2HP January 2017

Max. user weight: 110Kg / 140kg USER WEIGHT Fax number: +44 (0)

4.8. Name: K0005. Stem bolt Length /2 15 1/2 16 1/ /2 15 1/2 16 1/ /2 16 1/2 17 1/2

FUZE T20. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

3 A7WC10 E-Motion adaptor Kit (2 adaptors)

Quickie QX February 2019

FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.

IT S NOT IMAGINARY. IT S REALITY. BRINGING YOU LITTLE WAVE.

ORDER FORM Ver.6 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) PRO-CG. Adult Manual Wheelchair

Parts Catalog Issued: Apr 11, A-4 A-4 Titanium. (Wheelchairs Built After 9/15/02)

C2 FRONT Seat-to-floor Height - Please select your choice. Custom Technologies Limited. 40 Raywood Crescent TAUPO. New Zealand

Quickie QXi July 2018

TiLite. Please Fax to the TiLite Customer Service Team at or

4.1 MOVE. ORDER FORM - CANADA Ship to: Name: Address: Account: Vendor: Date: Ordered by: Marked for: User manual: PO: Postal Code: Phone:

Quickie 2 EIQ2 MASS MASS PLAQUE NO. P

VELOCE 4.7. FRONT Seat-to-floor height ORDER FORM - USA. Caster sizes Height available +- 1/4" 3" Caster 14" to 21" Specify desired height:

Zippie GS. Growth System

4.8. A6MA085 Italian Manual. 3" caster 4" caster. 8" caster Stem bolt Length. + 2,54 cm 1" + 5,08cm 2" STD. 36,8cm 14,5" 34,3cm 13,5" 39,4cm 15,5"

q Little Wave Flip XP-Rigid Base E1233, E1161 $

RETAIL Max user weight: 100kg - seat widths 12" & 13" Max user weight: 130kg -seat widths 14" -16"

Top End Crossfire T7A Ultra Lightweight AADL Customers Only Active Performance Adjustable Rigid Wheelchair AADL # W149

Zippie 2 January 2018 EIZ2

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) P.R.O. CG. Adult Manual Wheelchair

q Little Wave Flip XP - Rigid Base KF-XPRIGID $

RESIST CONFORMITY. GO ROGUE.

Invacare A4 Ultralight Active Performance Rigid

4.8. Clinician/ATP/RTS: City: State/Prov: Marked for: Phone: * Required KDMA063 English Manual (STD) Manuel Français

Quickie QXi January 2018

Quickie QXi January 2019

4.6. A7 FRONT Seat-to-floor Height - Please select your choice. Stem bolt Length /2 15 1/2 16 1/2

Order Form. English Company stamp

Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14

Helio A6 ORDER FORM - CANADA

4.2. Ship to: Vendor: Name: Date: Address: Ordered by: Phone:

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) P.R.O. CG

Invacare A4 Titanium Ultralightweight Active Performance Rigid

Transcription:

Quickie GTX Fixed Frame EIF3, Effective July 2009 Account No: Date: P.O. #: Buyer: Marked For: Drop Ship/Ship To: Name: Address: City: State: Zip Code: Phone Number: The HCPCS codes provided are based on code verification by the PDAC or our interpretation of the code definitions. Proper use of HCPCS codes does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy. BASE MODEL FRAME TYPE SEAT WIDTH K0005 Quickie GTX- Fixed Frame W/C $1,849.00 Please note: The J3 Back is not available with 12" or 13" frame widths. 163S3 12" NC Not available with Jay Precision Backs 163FS9 K0005 Standard NC 163S4 13" NC 250 Lbs. Max Wt Limit Not available with Jay Precision Backs 163FS30 Heavy Duty $200.00 163S5 14" NC 251-308 Lbs. Max Wt Limit 163S6 15" NC Requires Stabilizer Bar 163S7 16" NC NA with -1" or -2" Back Depth Adj. or Xtender Power Assist 163S8 17" NC 163S9 18" NC FRAME ANGLE 163S10 19" NC 75 o Fixed Front Frame NC 163S11 E2201 20" $425.00 85 o Fixed Front Frame NC SEAT DEPTH FRAME INSET (PER SIDE) 163SD5 12" NC 163FF1 0" NC 163SD6 13" NC 163FF2 1" NC 163SD7 14" NC Not available with 12" or 13" wide frames 163SD8 15" NC 163SD9 16" NC FRAME COLOR 163SD10 17" NC 163C2 Black NC 163SD11 18" NC 163C10 Black Opal NC 163SD12 19" NC 163C1 Blue NC Not available with -1" or -2" Back Depth Adjustment 163C38 Blue Opal NC 163SD13 E2203 20" $425.00 163C12 Blue Velvet NC Not available with -1" or -2" Back Depth Adjustment 163C36 Candy Blue NC 163SD14 E2203 21" $425.00 163C35 Candy Red NC Not available with -1" or -2" Back Depth Adjustment 163C39 Candy Turquoise NC 163SD30 E2203 22" $425.00 163C6 Forest Green NC Not available with -1" or -2" Back Depth Adjustment 163C4 Midnight Purple NC 163C37 Orange NC 163C5 Pearl Pink NC 163C40 Razzleberry NC 163C11 Toxic Green NC 163C8 Yellow NC 163C43 Mossy Oak Camouflage $295.00 163C42 Stars & Stripes $295.00 SEAT WIDTH / SEAT DEPTH MATRIX Page 1 of 5

Quickie GTX Fixed Frame, November 2008 FRONT SEAT HEIGHT XTENDER POWER ASSIST ACCESSORIES 163SH14 16" NC 163XA1 Xtender Spare Nimh Power Pack $1,295.00 163SH15 16.5" NC Manual Wheel Add-On Accessory Pkg for Xtender Only 163SH16 17" NC 163XA2 24" Spoke Pneu Alum Handrim NC 163SH17 17.5" NC 163XA3 24" Spoke Pneu w/airless Alum Hand $70.00 163SH18 18" NC 163XA4 24" Spoke Pneu Plastic Handrim $90.00 163SH20 18.5" NC 163XA5 24" Spoke Pneu w/airless Plast Hand $160.00 163SH21 19" NC 163SH23 19.5" NC BACK TYPE 163SH24 20" NC 163BT3 Folding Backrest NC 163SH26 20.5" NC 163BT1 Non-Folding Backrest NC 163SH27 21" NC BACKREST HEIGHT REAR SEAT HEIGHT 163B110 10" To 14" Back Height NC Size Rear STFH Range Size Rear STFH Range 20" RW 12"-16.5" 22" RW 13"-17.5" 24" RW 14"-18.5" 24" (559) RW 14.5"-19" 26" RW 15"-19.5" CUSHION 163RH9 12" NC BACKREST UPHOLSTERY 163B127 12" To 16" Back Height NC 163B111 14" To 18" Back Height NC 163B137 16" To 20" Back Height NC 163RH10 12.5" NC 163BU1 Standard Upholstery NC 163RH11 13" NC 163BU8 Adjustable Upholstery $150.00 163RH12 13.5" NC Not available with fabric side guards 163RH13 14" NC 163BU57 Vented Adjustable Upholstery $200.00 163RH14 14.5" NC 163BU14 Omit Back Upholstery -$15.00 163RH15 15" NC Jay J3 Back 163RH16 15.5" NC Please see the J3 Back order form for part #'s. 163RH17 16" NC To order a J3 Back please select Omit Back Upholstery. 163RH18 16.5" NC Please note: The J3 Back requires back canes or push ha 163RH19 17" NC 163BU34 E0956 Jay Precision Back Med w/laterals $315.00 163RH26 17.5" NC May interfere with some armrest heights 163RH20 18" NC Not available with 12" and 13" seat width 163RH27 18.5" NC 163BU35 E0956 Jay Precision Back Tall w/laterals $345.00 163RH21 19" NC May interfere with some armrest heights 163RH37 19.5" NC Not available with 12" and 13" seat width 163BU41 Jay Precision Back Med w/o Laterals $315.00 Not available with 12" and 13" seat width To order any of the following JAY cushions on-chair, please see the on-chair order form. 163BU42 Jay Precision Back Tall w/o Laterals $345.00 163JC01 Jay Basic See OF Not available with 12" and 13" seat width 163JC02 Jay Easy See OF 163KE22 E1028 Lateral Pad Symmetric Swing Away $340.00 163JC03 Jay Soft Combi P See OF Should additionally billed as E0956 163JC04 Jay J2 See OF 163KE20 E0956 Lateral Pad Symmetric $190.00 163JC05 Jay J2 DC See OF 163KE19 E0956 Lateral Pad Asymmetric $190.00 163JC06 Jay Lite See OF 163KE21 E1028 Lateral Pad Asymmetric Swing Away $340.00 163SL6 Omit Seat Sling -$15.00 Should additionally billed as E0956 163CU1 2" Cushion $95.00 XTENDER POWER ASSIST Only available with 24" wheels and 0 o camber. BACKREST OPTIONS 163PH6 Integral Push Handles NC HD Frames require Integral Push Handles and Stabilizer B 163XT1 E0986 Xtender Power Assist $6,395.00 163PH5 Fold-Down Push Handles $90.00 XTENDER POWER ASSIST HANDRIM Rear Seat Height Range 17.5"-19.5" for Xtender. Not available with 10"-14" Back Height or Standard Uphols NA with HD Frame. Center of Gravity Range 1", 0, -.5" 163PH2 Omit Push Handles NC Not available with Padded S/A arms 163SZ1 Stabilizer Bar $105.00 Stabilizing Bar required with HD Frame Style Only available with Integral Push Handles You must choose one of the following torque options. 163SZ2 Folding Stabilizer Bar $340.00 163XH1 3x Torque Multiplier (Plastic Coated) NC Stabilizing Bar required with HD Frame Style 163XH2 1.5x Torque Multiplier (Stainless Steel) NC Only available with Integral Push Handles XTENDER POWER ASSIST TIRE HEADREST 163XW2 E2213 Xtender Airless Tire $70.00 163HE1 E0955 Curved Headrest 8" X 4.5" $270.00 163XW1 Xtender Pneumatic Tire NC Available only with Folding Stabilizer Bar 163HE2 E0955 Curved Headrest 9" X 4.5" $270.00 Available only with Folding Stabilizer Bar Page 2 of 5

Quickie GTX Fixed Frame, July 2008 BACK DEPTH ADJUSTMENT CASTER OPTIONS 163BG1 Standard non adjustable NC 163OC1 K0073 Caster Pin Locks $200.00 163BG2-1" $105.00 Not available with Frog Legs NA with HD Frame or 19"-22" deep seats, Omit Back Uph. 163BG3-2" $105.00 CASTER FORK SUSPENSION NA with HD Frame or 19"-22" deep seats, Omit Back Uph. 163CF53 E1015 Frog Legs 0# weight to 100# $385.00 163CF54 E1015 Frog Legs 101# weight to 190# $385.00 FOOTPLATE 163CF55 E1015 Frog Legs 191# weight to 250# $385.00 163F245 Tubular Flip Up NC 163F246 Tubular Flip Up w/ ABS Cover NC CASTER INTERFERENCE MATRIX 163F247 Platform Angle Adj Flip Up $150.00 163F248 High Mount Plat. Angle Adj Flip Up $150.00 Not available with12" or 13" Seat Width and 1" Frame Inset 163F249 K0040 Split Platform Angle Adj Flip Away $150.00 Split Platform footrest NA with 12" wide frame or 14" wide with 1" inset 163F250 Auto Folding Angle Adj $200.00 Not to be used by double amputee FOOTREST OPTIONS 163A179 Positioning Plates $50.00 ARMREST - PADDED SWING-AWAY Not available with Auto Folding Angle Adj footrest 163AA16 Padded Swing-Away Adult $175.00 163AA20 Padded Swing-Away Adult Long $175.00 163AA17 Padded Swing-Away Kids $175.00 163AR6 Standard Hardware NC 163AR5 Angle Adjustable Hardware $50.00 Tubular/Flat Autofold Platform Split Inset Inset Inset Inset 0" 1" 0" 1" 0" 1" 0" 1".5".5".5" 2" 1" 1" 1" NA Soft Roll 1" 1" 1" NA 1" 2" 1" NA 2".5" NA.5" 2".5" NA.5" 2" 1" NA 1" 2" 1" NA 1" 1" 1" 1" 1" 1.5" 1.5" 1.5" 1.5" 2".5" 2".5" 2".5" NA.5" NA 1.5" NA 1.5" NA 1.5" NA 1.5" NA 1.5" NA 1.5" NA 1.5" NA 1.5" Soft Roll NA 1.5" NA 1.5" NA 1.5" NA 1.5" NA 2" NA 2" NA 2" NA 2" NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA = Go # = "Soft" Go with limited seat angles NA = No-Go Min seat angle listed in cell AXLE SPACING ARMREST - HEIGHT ADJUSTABLE 163AV7.75" NC 163AA8 E0973 Single Post Height Adjustable - Adult $250.00 Not available with plastic sideguards Requires minimum axle spacing of 1 //2" Not available with 0 o Camber 163AM1 Desk Length (10") NC 163AV2 1" NC 163AM2 Full Length (14") NC Not available with plastic sideguards 163AA9 E0973 Single Post Height Adjustable - Kids $250.00 163AV6 1.25" NC Requires minimum axle spacing of 1 //2" Not available with plastic sideguards 163AM1 Desk Length (10") NC 163AV3 1.5" NC 163AM2 Full Length (14") NC 163AV8 1.75" NC 163AA86 E0973 3 Point Height Adjustable $245.00 Only available with Adjustable Upholstery (Non Vented) CAMBER 163AM1 Desk Length NC 163CI1 0 o NC 163AM2 Full Length NC 16317CI 2 o NC Not available with Xtender Power Assist. CASTERS 163CI3 4 o NC 85 Frame Angle 75 Frame Angle 163CW1 3" Micro NC Not available with Xtender Power Assist. 163CW30 3" Micro Lighted $65.00 163CW3 4" Low Profile Polyurethane NC REAR WHEEL SIZE 163CW31 4" Micro Lighted $70.00 163RW3 20" Mag Wheel NC 163CW47 E2219 4" x 1.5" Semi Pneumatic $55.00 163RW8 22" Mag Wheel NC Available only with Frog Legs 163RW1 24" Mag Wheel NC 163CW5 5" Low Profile Polyurethane NC 163RW4 20" Spoke Wheel $200.00 163CW51 5" Micro Lighted $55.00 163RW9 22" Spoke Wheel $200.00 163CW6 5" Soft Roll $85.00 163RW2 24" Spoke Wheel NC Not available with Frog Legs 163RW11 26" Spoke Wheel $60.00 163CW7 E2119 5" x 1.5" Semi Pneumatic $85.00 163RW77 22" Ultra Lightweight Spoke Wheel $250.00 163CW34 6" Poly NC Available with silver anodized aluminum handrim 163CW35 E2219 6" x 1.5" Semi Pneumatic $85.00 and high pressure clincher tire REAR WHEEL SIZE CONTINUED ON NEXT PAGE Caster Size 3" 4" 5" 6" 3" 4" 5" 6" Fork Page 3 of 5

Quickie GTX Fixed Frame, July 2009 REAR WHEEL SIZE (CONTINUED) AXLE PLATE 163RW78 24" Ultra Lightweight Spoke Wheel $250.00 C 163AL40 $45.00 Available with silver anodized aluminum handrim C 163AL36 Standard NC and high pressure clincher tire 163AL37 E0959 Amputee $175.00 163RW80 26" Ultra Lightweight Spoke Wheel $250.00 163AL39 Xtender NC Available with silver anodized aluminum handrim 163AL38 Rear Suspension $395.00 and high pressure clincher tire 163RW50 24" Mountain Wheel $250.00 REAR WHEEL/TIRE MATRIX 163RW19 24" HT BB Spoke Wheel (559) $250.00 Wheel 163RW23 24" HT Tnns Spoke Wheel (559) $250.00 163RW26 26" HT BB Spoke Wheel $250.00 163RW22 26" HT Tnns Spoke Wheel $250.00 163RW30 24" Spinergy (540) SPOX Black Spokes $695.00 163RW42 24" Spinergy (540) SPOX Yellow Spokes $695.00 163RW43 24" Spinergy (559) SPOX Black Spokes $695.00 Full Poly Tire 20,22,24 20,22,24 163RW31 24" Spinergy (559) SPOX White Spokes $695.00 163RW44 26" Spinergy (590) SPOX Black Spokes $695.00 163RW24 26" Spinergy (590) SPOX Yellow Spokes $695.00 163RW88 24" Spinergy (540) LX Black Spokes $895.00 163RW89 24" Spinergy (559) LX Black Spokes $895.00 REAR SUSPENSION WEIGHT RATING Rear Wheel & Tire Matrix Tire Mag Spoke Ultra Light Quickie HT Spinergy Mountain Pneumatic 20,22,24 20,22,24,26 24,26 Pneumatic Airless Insert 20,22,24 20,22,24 24 Mountain Tire 24 Kevlar 24 24 24 Latex Tubular 24,26 25 High-Pressure Clincher 22,24,26 22,24,26 24,25,26 Turbo Tread 25,26 Schwalbe Marathon Plus Evol. 24 24,25 Kik Mako Black 24 24 24,25 24 = 540 25 = 559 26 = 590 163RW49 Omit Rear Wheel & Axles X-tender NC 163SV04 From 0# weight to100# NC Only available with Xtender 163SV05 From 101# weight to190# NC 163SV06 From 191# weight to 250# NC REAR WHEEL TIRE 163RT1 Pneumatic NC CENTER OF GRAVITY (CG) PRESET 163RT2 E2213 Pneumatic Airless Insert $75.00 163CC11-1" NC 163RT12 Mountain Tire NC NA with Fixed, Standard or Amputee Axle Plate 163RT8 Kevlar $95.00 163CC10 -.5" NC 163RT7 Latex Tubular NC NA with Fixed or Standard Axle Plate 163RT3 Full Poly Tire NC 163CC12 0" NC 163RT6 High-Pressure Clincher $95.00 NA with Fixed or Standard Axle Plate 163RT5 Turbo Tread NC 163CC1.5" NC 163RT21 Schwalbe Marathon Plus Evolution $95.00 NA with Fixed or Xtender Axle Plate 163RT22 Kik Mako Black $80.00 163CC2 1" NC NAwith Fixed Axle Plate HANDRIM 163CC3 1.5" NC 163HR1 Aluminum Anodized NC NA with Fixed or Xtender Axle Plate 163HR4 Plastic Coated $90.00 163CC4 2" NC 163HR22 Natural Fit Standard Grip $340.00 NA with Fixed or Xtender Axle Plate NA on Quickie HT, Mountain Wheels, or Ultra Lightweight 163CC5 2.5" NC 163HR23 Natural Fit Super Grip $370.00 NA with Xtender Axle Plate NA on Quickie HT, Mountain Wheels, or Ultra Lightweight 163CC6 3" NC 163HR7 Omit Handrim -$10.00 NA with Fixed or Xtender Axle Plate 163HR9 8 Vertical Projections $195.00 163CC7 3.5" NC NA with Xtender Axle Plate 163HR8 8 Oblique Projections $195.00 163CC8 4" NC NA with Xtender Axle Plate 163HR11 12 Vertical Projections $195.00 163CC9 4.5" NC NA with Fixed, Standard or Amputee Axle Plate 163HR10 12 Oblique Projections $195.00 163CC13 5" NC NA with Fixed or Xtender Axle Plate AXLE WHEEL LOCK 163AX1 Quick Release Steel NC 163WL1 High Mount Push NC 163AX11 Quad Quick Release $90.00 163WL2 High Mount Pull NC NA with Spinergy Wheels or Ultra Lightweight Wheels 163WL27 Ergo Scissor NC 163AX5 Titanium $135.00 163WL29 Compact $100.00 NA with Spinergy Wheels or Ultra Lightweight Wheels 163WL24 Unilateral Push Lock Right Mount $300.00 Only available with Performance HT Wheels Not available with Grade Aids or Extension Handles 163AX16 Titanium Quad $225.00 163WL23 Unilateral Push Lock Left Mount $300.00 NA with Spinergy Wheels or Ultra Lightweight Wheels Not available with Grade Aids or Extension Handles Only available with Performance HT Wheels 163WL10 Omit Wheel Lock NC 163WL12 Do Not Mount NC Page 4 of 5

Quickie GTX Fixed Frame, July 2009 EXTENSION HANDLE MISCELLANEOUS Not available with Ergo Scissors, Throw, or Unilateral Wheel Locks 163A82 Caddy $45.00 163EH1 E0961 6" Pair $60.00 163A87 Travel Wheels $125.00 163EH2 E0961 6" Right $30.00 Not available with Xtender Power Assist 163EH3 E0961 6" Left $30.00 Not available with Heavy Duty Frame 163IG20 Impact Guards $85.00 GRADE AID 163A51 E2207 Crutch Holder $65.00 163GA1 E0974 Grade Aid $150.00 163A83 Tool Kit NC NA w/ Ergo Scissor, Throw, or Unilateral Wheel Locks 163A27 Touch Up Paint $25.00 NA with polyurethane or high pressure clincher tires 163A32 E0950 Wheelchair Tray $250.00 163A54 K0038 Xtra Leg Strap $30.00 REAR ANTI-TIP 163A96 Presta Valve Adapter $5.00 163AT1 E0971 Rear Anti-Tip $135.00 163AT53 E0971 Rear Anti-Tip- Swing Away $500.00 163AT3 Omit Rear Anti-Tip NC BACKPACK 163A1 Black Utility Backpack $55.00 163A2 Black/Charcoal Kids $50.00 SEAT POUCH 163A8 Black $45.00 SPOKE GUARD NA with Spinergy Wheels or Ultra Lightweight Wheels 163A23 Black $110.00 163A24 Clear $110.00 POSITIONING BELT 163A12 E0978 Belt 2" Aircraft Buckle $110.00 163A13 E0978 Belt 2" Aircraft Buckle Padded $120.00 163A142 E0978 Belt 1-1/2" Auto Buckle Universal $70.00 SIDE GUARD 163SG1 Fabric Regular $45.00 NA with Adjustable or Vented Upholstery 163SG2 Fabric Kids $45.00 NA with Adjustable or Vented Upholstery 163SG3 Plastic Regular $120.00 163SG4 Plastic Kids $120.00 163SG15 Aluminum $300.00 163SG13 Aluminum with Fender $355.00 163SG12 Carbon Fiber with Fender $375.00 Page 5 of 5

2024 © autodocbox.com Privacy Policy | Terms of Service | Feedback