Quickie IRIS March 2015 EIZ4-2 Mark For: Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: Dealer Phone: ( ) Fax: ( ) Confirmation Email: PC Please address all correspondence to david.westbrook@unicarehealth.com.au PO#: ADDITIONAL SHIPPING INFMATION Ship To: Attention: Address: Address: Ship To City: ST: PC Ship To Phone: ( ) Fax: ( ) Option # Option # 1. FRAME STYLE & SETUP 183WM56 Pre-Set Tilt Angle (55 range) (Default in Bold) 183TA5-5 to 50 NA w/ Heavy Duty and 12.5" STFH 183TA6 0 to 55 183TA7 +5 to 60 NA w/heavy Duty Package Pre-Set Tilt Angle (40 range) (Default in Bold) 183TA8-5 to 35 NA w/ Heavy Duty and 12.5" STFH 183TA1 0 to 40 183TA10 +5 to 45 NA w/heavy Duty Package 183FS23 183HV1 183FS24 183FT46 183TT8 183TT12 183TO45 Base Model Quickie IRIS with True Fit Growth 183GY01 183GY02 183W5 183W6 183W7 183W8 183W9 183W10 183W11 183W12 183W13 Frame Struts Fixed (Standard) Width Adjusting System Avail. range 14"-21". Max growth 22" with Mono Back Frame Width 14" 15" 16" 17" 18" 19" 20" 21" NA w/ removable stroller handle extension 22" NA w/ removable stroller handle extension Frame Options Standard Base and Seat Frame Standard Frame Colour Maximum Weight: 113kgs 183C140 Aztec Gold 183C126 Glow 183C2 Black 183C144 Green Apple Heavy Duty Package (Max: 159kgs) 183C141 Black Cherry 183C147 Hot Pink NA w/ Vent, Battery Tray and Mono Back 183C10 Black Opal 183C148 Mauve Pink Vent/Battery Tray Base NA w/ Attendant 183C38 Blue Opal 183C103 Rootbeer Wheel Lock, Mono Back and 14" and 15" 183C36 Candy Blue 183C114 Sparkle Silver frame width; min 17" STFH. 183C14 Candy Purple 183C145 Sunrise Orange Contracture Seat Frame NA w/ 14" or 183C35 Candy Red 183C113 Titanium 15" frame depths. NA w/ drop seat 183C142 Electric Blue 183C8 Yellow pan. 183C143 Evergreen Matte Frame Colour Tilt Release Options Foot Release - No Cables 183C116 183C151 Matte Black Matte Black Cherry NA with Vent and Battery Tray. NA 183C150 Matte Electric Blue with 21-22" depth and +5 set-ups. 183C149 Matte Evergreen Left Right (Facing from rear) 183C152 Matte Purple Backrest Dual trigger cable releases Custom Frame Colour 183C112 Desert Camouflage Transit 183C43 Mossy Oak Camouflage 183C42 Stars & Stripes WC-19 Transit Option Zebra (Choose above base Colour) 183C108 Std with White unless above base paint is chosen NA w/ Black NA Page 1
Option # Option # 2. FRAME DEPTH SET UP (Fill out either A or B) A. Setup By QUICKIE B. Setup By DEPTH A. User's Seated Height See Figure 1.2, Dimension B. Distance from seat surface to top of the head. 183SJ01 Less than 37" 183SJ02 37" or Greater 183FL91 183FL92 183FL93 B. Frame Depth Range Short Seat Frame 14"-18" Medium Seat Frame 16"-20" Long Seat Frame 18"-22" A. User's Weight (Default in Bold) 251-350 lb options only available w/ HD Package 183BO01 0-113 kgs 183BO02 114-136 kgs 183BO03 137-159 kgs A. Backrest Position See FIGURE 1.1 and FIGURE 1.3, Dimension C. The location of the backrest surface in relation to the front of the backpost. The measurement is taken from the front surface of the backpost to the deepest area of the backrest in contact with the user's body. 183BQ01 183BQ05 183BQ02 183BQ03 183BQ04 183BQ06 +3" +2" +1" Flush -1" -2" 183FD5 183FD6 183FD7 183FD8 183FD9 183FD10 183FD11 183FD16 183FD17 B. Frame Depth 14" recommend short seat frame 15" recommend short seat frame 16" recommend short seat frame 17" recommend short seat frame 18" recommend medium seat frame 19" recommend medium seat frame 20" recommend long seat frame 21" recommend long seat frame $275.00 22" recommend long seat frame $275.00 A. Figures for Setup by Quickie Figure 1.2 A. Top of Cushion to Seat Rail See FIGURE 1.4 Dimensions A & B. This measurement is taken from the top of the cushion to the upper surface of the seat rail. If the cushion has a wedged shape and/or has significant lateral pelvic contour, then determine the height of the cushion at the point where the ischial tuberosities would contact (not immerse) the cushion surface. 183CJ01 183CJ02 183CJ03 2 1/2" or Greater Less than 2 1/2" Below Seat Rail Desired Seat Depth A. Desired Seat Depth See for pricing, Figure 1.2, Dimension A for measurement 183SD7 183SD8 183SD9 183SD10 183SD11 183SD12 183SD13 183SD14 183SD33 14" 15" 16" 17" 18" 19" 20" 21" 22" Figure 1.3 Figure 1.4 3. SEATING 183ST35 183ST36 183ST54 Seat Type Standard Seat Pan For growth ranges, see Figure 1.5 Drop Seat Pan NA w/ transit, HD, contracture footrest system Omit Seat Pan JAY Cushions (Optional) To order any JAY cushions on-chair, please see the JAY price list. Cushion name or part number must be filled out with desired width and depth. JAY Bundled Cushion 183JC20 Cushion Name/Part #: List Width: Depth: 183QC01 Custom Seating Surefit Figure 1.5 Frame Width Seat Pan Growth 14" 14" - 16" 15" 15" - 16" 16" 16" - 18" 17" 17" - 18" 18" 18" - 20" 19" 19" - 20" 20" 20" - 22" 21" 21" - 22" 22" NA See OF Page 2
Option # Option # 4. BACKREST 183BT101 Dynamic Backrest Dynamic Backrest NA w/ Reclining Backrest or 19"-22" seat depths 183JB01 JAY J3 Back JAY J3 Back NA w/ O2 Holder See OF Backpost Style - (Choose ONE Option - A, B, C, or D) A. Stroller Handle Backpost (Fixed) 183BP9 Low (18") 183BP10 Medium (21") 183BP11 Tall (24") Removable Extension NA w/ 21"- 183BP13 22" frame width, height adj back with adj stroller handles A C. Reclining Backrest (0-40 ) Only available with 40 degree tilt range. NA w/ 22" Deep Frame. 183BT21 Reclining Backrest 183B5 183B9 Medium Tall C B. Height Adjustable Back w/ Adj. Stroller Handles Select desired Push Handle 183PH8 Standard Push Handle 183PH9 Long Push Handle Recommended in combo w/ vent & battery tray AND select desired Back Cane 183B200 Standard 15"-21" 183B201 Tall 18"-24" B D. Mono Back System Must select JAY J3 or JAY Custom Back when ordering Mono Back System. Select One 183MO1 Mono Backrest System 183MO2 Mono Backrest System w/dynamic Backrest AND Select desired Push Handle 183PH8 Standard Push Handle D 183PH9 Long Push Handle Reclining/Fixed Handle Ht. Diagram Height Adj. Handle Height Diagram Mono Height Adj. Handle Height Diagram Page 3
Option # Option # Mono Backrest Options ONLY- (Choose ONE Option - A or B) NA on HD, Vent/Battery Tray Base(LTV only), Reclining Backrest, Desk Length Armpads and Canopy. A. JAY J3 Back for Mono Backrest System A. JAY J3 Back for Mono Backrest System Cont. 183JB04 JAY J3 Back Mono See OF Select desired Headrest Mount (optional) 183JB05 JAY J3 via JAY Your Way See OF 183MH10 Axys Mount & Bracket JAY J3 Backrest Contour 183MH15 Cobra Flip Back Mount and Bracket 183JP01 183JP02 183JP03 183JP04 183JP05 J3 PA Back (2.2" of Contour Depth) 183MH17 Omit 22" Wide Select desired Headrest Pad (optional) J3 PA Back (2.2" of Contour Depth) J3 PL Back (3.0" of Contour Depth) J3 PDL Back (6.0" of Contour Depth) J3 PDC Back (6.0" of Contour Depth) 183MH16 183HE65 183HE78 183HE88 Onyx Mount and Bracket Plush Head Support Pad 8" Plush Head Support Pad 14" HeadsUp Med: 4.1" Sht Arms 14"-20" Wide 14"-20" Wide 14"-20" Wide 14"-20" Wide 183HE66 183HE87 183HE89 Plush Head Support Pad 10" HeadsUp Lrg: 5.3" Lng Arms HeadsUp Sml: 3.5" Sht Arms JAY J3 Backrest Height 183HE83 Adjust-A-Plush Standard 183JR07 183JR08 183JR09 UT Standard 16.5" shell height 183HE82 Adjust-A-Plush Narrow Select desired Lateral (optional) UT Medium 18" shell height LAT 4X4 S/A MOUNTS includes 1" OFFSET - PR 183ZV14 LATERAL 4X4 W/ 1" OFFSET - PAIR UT Tall 19.5" shell height A LAT 4X5 S/A MOUNTS includes 1" OFFSET - PR 183JR10 SH Standard 21" Shell Height 183ZV15 LATERAL 4X5 W/ 1" OFFSET - PAIR 183JR11 183JR12 SH Medium 22.5" SH Tall 24" LAT 4X6 S/A MOUNTS includes 1" OFFSET - PR 183ZV16 LATERAL 4X6 W/ 1" OFFSET - PAIR LAT 6X4 S/A MOUNTS includes 1" OFFSET - PR JAY J3 Backrest Width 183ZV17 LATERAL 6X4 W/ 1" OFFSET - PAIR Some interference with armrest may exist when ordering a Backrest with greater than 4" wider than the base. LAT 6X5 S/A MOUNTS includes 1" OFFSET - PR 183JQ06 12" Backrest Width 183ZV18 LATERAL 6X5 W/ 1" OFFSET - PAIR 183JQ01 14" Backrest Width 183ZV07 183JQ02 16" Backrest Width LAT 6X6 S/A MOUNTS includes 1" OFFSET - PR 183JQ03 18" Backrest Width 183ZV19 LATERAL 6X6 W/ 1" OFFSET - PAIR 183JQ04 183JQ05 20" Backrest Width 22" Backrest Width JAY J3 Backrest Colour 183GZ01 183GZ02 183GZ03 Black Matching Frame- Standard Colours Matching Frame- Custom Colour B. Custom Seating JAY Surefit 183QC05 Add Custom Seating order after IRIS configuration. Must be on the same order Select desired Custom Seating Back Height 183QF01 183QF02 183QF03 Short (12"-18") Medium (16"-20") Tall (18"-22") See OF A B Page 4
Option # Option # 5. ARMREST Armrest Heavy Duty Option only available w/ Dual Post Armrest 183AA63 183AA43 183AA62 183AA48 183AA11 183AA29 183AA7 Dual Post Height Adjustable Dual Post Flip Back Dual Post Dual Post Flip Back Height Adj Single Post Height Adjustable - Std Single Post Height Adjustable - Low Length Adjustable Locking Flip-Up NA w/ Contour Armpad 183AA1 Adjustable Locking Flip-Up Height Adj. Cantilever Armrest 183AA154 Available with Mono Back only. NA w/ 20", 22" and 24" rear wheels. 183AA14 Omit Armrest Armrest Size LOW Armrest Matrix for Single Post Classic Pad Transfer Tube Receiver Pad Length L Length D H Range Desk Full 10 3/4" to 15 3/4" 8" LOW 8 3/4" to 13 3/4" 10 1/4" 14" 9" to 13" 5 1/4" LOW 7 1/4" to 11 1/4" Contour Pad Receiver Pad Length L H Range Desk Full 10" to 15" LOW 8 1/4" to 12 1/2" 10 1/2" 14 1/4" 8 1/2" to 12 1/2" LOW 6 3/4" to 10 3/4" Armrest Receiver (Single Post Height Adjustable Only) 183AR17 Low 183AR18 Std 183AM23 183AM21 183AM24 183AM22 183AM9 183AM10 Armpad Desk Length Classic Desk Length Contour Full Length Classic Full Length Contour Foam Short Option for Length Adj Locking Flip Up Foam Long Option for Length Adj Locking Flip Up JAY Arm Troughs NA with Length Adj. Locking Flip Up and Adj Locking Flip Up armrests and Single Post Height Adj Armrests. Full Length Classic Armpads will automatically be selected when chosing only one side Arm Trough. 183JL01 183JL04 183JL05 183JL02 183JL06 183JL07 183JL03 183JL08 183JL09 Arm Trough - 14" long - Left Arm Trough - 14" long - Right Arm Trough - 14" long - Pair Arm Trough - 18" long - Left Arm Trough - 18" long - Right Arm Trough - 18" long - Pair Arm Trough - 22" long - Left Arm Trough - 22" long - Right Arm Trough - 22" long - Pair JAY Arm Trough - Hardware 183JN01 183JN03 183JN02 183JN04 Fixed (EA) Fixed (Pair) Swing Away - Rotational (EA) Swing Away - Rotational (Pair) Page 5
Option # Option # 6. HANGER AND FOOTPLATE OPTIONS Footrest (Choose ONE Option - A, B, or C) 183H140 183H142 183H158 183H146 183H132 183H147 183H161 A. Hanger Mounted Footrest 70 Swing In/Swing Out -Front Mount 80 Swing In/Swing Out -Front Mount 90 Swing In/Swing Out -Front Mount 70 Heavy Duty Front Mount Lift Off 80 Heavy Duty Front Mount Lift Off NA w/ 4" casters 90 Heavy Duty Front Mount Lift Off NA w/ 4" casters Elevating Hanger - Front Mount NA 90 footboard, some interference with casters if not tilted A. Hanger Mounted Footrest Extension Tubes NA w/ 12.5" seat height 183E23 2" NA w/ 90 swing away, 90 lift off hangers 183E24 4" NA w/ 90 swing away, 90 lift off A. Hanger Mounted Footrest Footplates Heel loop or leg strap not included, See Footplate Options Section 183F4 Kids Angle Adj Available w/ 14" to 16" frame width only 183F8 Adult Angle Adj - Front Mount 183A7 Omit Footplate A C. Contracture Footrest System Multi-Adjustable Padded Hangers & Angle Adjustable Aluminum Footrests 183H26 Contracture Footrest System NA w/ drop seat pan. NA w/ 15" frame depth 183FP02 Outside Mount 183FP01 Center Mount Select Extension Height Below for Short 183E25 Short 183EP1 10.5" Extension Height 183EP2 11.0" Extension Height 183EP3 11.5" Extension Height 183EP4 12.0" Extension Height 183EP5 12.5" Extension Height 183EP6 13.0" Extension Height Select Extension Height Below for Regular 183E26 Regular 183EP5 12.5" Extension Height 183EP6 13.0" Extension Height 183EP7 13.5" Extension Height 183EP8 14.0" Extension Height 183EP9 14.5" Extension Height 183EP10 15.0" Extension Height Additional Hanger and Footplate Options C B. Extension Tube Mounted Footrests Hanger Mounts Footrests mount to extension tubes 1" Offset NA with -5-50 and -5-35 preset tilt angle and 183H145 60 Swing In/Swing Out possible interference with 80 & 90 hangers 183H139 70 Swing In/Swing Out 183MZ02 Standard Hanger Mount 183H141 80 Swing In/Swing Out 183MZ01 1" Offset Hanger Mount NA w/ 8" casters Elevating Hanger - Ext Mount Footrest Options 183H160 NA w/ Platform Flip Up and Alum Angle Adj Front Mount footplates. 183HL1 183HL5 Heel Loop Leg Strap B. Extension Tube Mounted Footrest Footplates Heel loop or leg strap not included, See Footplate Options Section 183H159 183E1 183E2 183E5 183E16 183F1 183F5 183F3 183F48 183F7 Articulating Hanger NA w/ Platform Flip Up and Alum Angle Adj Front Mount footplates. B. Extension Tube Mounted Footrests Short Medium NA with 12.5" seat height Long NA with 12.5" seat height High Mount Only available with adult or kids angle adj. footplates Composite Aluminum Only available w/elr Adult Angle Adjustable - Ext Mount Platform Flip-Up NA w/ med ext tubes. Omit Footplate and Ext. Tube B 183JX01 183JX02 183JX03 183JX04 183JX05 183JX06 183JX07 183JX08 183JX09 183JX10 183IG2 183H32 183HL4 183HL6 Impact Guard Neoprene Only available w/ 60 or 70 ext. mount hanger Omit Hanger Omit Heel Loop Omit Single Leg Strap JAY FOOT BOXES Only available with Swing Away, Lift-off Hangers, Adult Angle Adj Footplates and ELR / ALR.Single Foot Box pairs NA with 14"-15" frame widths. Full Foot Boxes NA with Heel Loop or Leg Strap, Tall Height Full Footbox w/ 14"-15" frame width and ELR / ALR. Single Foot Box Standard Height - Left Tall Height - Left Standard Height - Right Tall Height - Right Standard Height - Pair Tall Height - Pair Full Foot Box Full Foot box Std Height Full Foot box Tall Height Full Foot box w/ Divider Std Ht Full Foot box w/ Divider Tall Ht Page 6
Option # Option # 7. SEAT HEIGHT SETUP Rear Wheel Size 12" Mag 12" Low Poly 16" Mag 20" Mag 22" Mag 24" Mag & Spoke 4" 5" 12.5" 13.5" 16.5" 16.5" 16.5" 17.0" 17.0" 17.0" 17.0" 17.5" 17.5" 17.5" 17" 17.5" 18.0" 18.0" 18.0" 183RT1 183RT2 Pneumatic Pneumatic Airless Insert 16.0" 16.0" 16.0" 16.5" 16.5" 16.5" 16.5" 16.5" Handrim 17.0" 17.0" 17.0" 17.0" 17.0" 12" and 16" wheels not available with hand rims. 17.5" 17.5" 183HR1 Aluminum Anodized 13.5" 183HR4 Plastic Coated 14.0" 183HR7 Omit Handrim 14.5" 14.5" 15.0" 15.0" Projections 18.0" 18.0" 18.0" 18.0" 18.0" Not available on plastic coated. Only available with 24" rims. 18.5" 18.5" 18.5" 18.5" 183HR8 8 Oblique 19.0" 19.0" 19.0" 19.0" 19.5" Axle 16.0" 17.0" 16.0" 17.0" 17.0" 16.0" 17.0" 17.0" 16.5" 17.5" 16.5" 16.5" 17.5" 16.5" 16.5" 183AX1 183AX17 17.0" 17.0" 17.0" 17.0" 17.5" 17.5" 17.5" 17.5" 18.0" 18.0" 18.0" 18.0" 18.0" 183AL33 18.5" 18.5" 18.0" 18.0" 18.0" 18.0" 183AL17 18.5" 18.5" 18.5" 18.5" 183OA2 19.0" 19.0" 19.0" 19.0" 19.5" Casters 183CW73 4" x 1.25" Semi Pneumatic NA w/ Heavy Duty Option 183CW53 5" x 1" Polyurethane 183CW7 5" x 1.5" Semi Pneumatic 183CW45 6" x 1" Polyurethane 183CW35 6" x 1.5" Semi Pneumatic 183CW46 8" x 1" Polyurethane 183CW39 8"x 1.5" Semi Pneumatic 183CW36 Front Seat Height 8"x 2" Pneumatic CASTER SIZE 6" 8x1" 8x1.5" 8x2" Hub Lock Only available w/ 12" or 16" wheels. NA w/ one arm drive. 183LK01 12" Hub Lock 183LK02 16" Hub Lock 183RT3 183RT4 Rear Wheel Tire Full Polyurethane Low Polyurethane Only available w/ 12" Mag Wheel Quick Release Axles NA w/ one arm drive Threaded Axles NA w/ 24" spoke wheels Axle Plate Standard Axle Plate One Arm Drive Axle Plate NA w/ 12" & 16" mag, 24" spoke wheels. One Arm Drive Standard Handrim 183HM1 Right Hand Mount 183HM2 Left Hand Mount 183OA1 One Arm Drive Small Handrim NA w/ 20" mag wheels 183HM1 183HM2 Right Hand Mount Left Hand Mount Wheel Lock 183WL8 Push to Lock 183CW37 8"x 2" Pneumatic w/insert 183WL41 Attendant Wheel Lock (Foot Lock) NA w/ ext handles. NA w/ one arm drive Rear Wheel 183WL10 Omit Wheel Lock 183RW13 12" Mag Wheel NA w/ hand rims and full poly tires. With attendant wheel lock NA w/ +5-60 tilt angle. 183EH7 6" Pair Extension Handle 183RW14 16" Mag Wheel NA w/ hand rims. Only avail w/pneumatic or pneumatic w/ airless inserts tires. 183RW3 183RW8 183RW1 183RW51 20" Mag Wheel NA w/ projection handrims. 22" Mag Wheel NA w/ projection handrims. 24" Mag Wheel 24" Spoke Wheel Page 7
Option # Option # 8. KEY OPTIONS AND ACCESSIES Anti Tips Included with vent tray option. Not ordered as separate line item. 183AT1 Anti Tips (Pair) 183A1 183A8 183A54 Miscellaneous Accessories Black Utility Backpack Black Seat Pouch Extra Leg Strap Black Caddy Only available w/ extention tube mounted footrests O2 Holder NA w/ Height Adj Stroller Handles. NA w/ Reclining Backrest, Mono Back or Transit Option. Vent Tray - Back Cane Mount Utility hook has weight a limit of 15 lbs. Dovetail Vertical Frame Mounted 183LF12 Hardware for LTV Ventilators includes 1 utility hook 183A82 183A601 183A701 183LF13 IV Pole NA w/ Mono Back or transit option Dovetail Vertical Frame Mounted Hardware for Trilogy Ventilators includes 1 utility hook 183JY01 183JY02 183JY03 183JY04 183JY05 183JZ01 183JZ02 183JZ03 183JZ04 183JA01 183JA02 183JA03 183JA04 JAY Anterior Thoracic Support Style Classic Dynamic Classic Structure Contour Dynamic Contour Structure Center Opening with Buckle Size Small Medium Large X-Large JAY Padded Trunk Strap Padded Trunk Strap - Small Padded Trunk Strap - Medium Padded Trunk Strap - Large Padded Trunk Strap - XL Additional Options Through Built for Me To inquire about any unique customization for Quickie products, contact: Phone:02 9678 6600 Fax 02 9678 6655 Positioning Belt 183A158 2" Dual Pull Squeeze Pad w/clamp Commonly Requested Options Include: 183A141 1.5" Auto Buckle Universal w/clamp 23" & 24" Seat Widths 183A117 2" Aircraft Buckle w/clamps Angle Adjustable Handle for Reclining Backrest 183A118 2" Aircraft Buckle Pad w/clamp Frog Legs 183A120 Positioning Belt Clamps Only Longer Wheel Lock Extensions Reverse Configuration Side Guard Dual Mount Wheel Locks - Attendant Foot Lock Only available w/ length adj locking flip-up, adj locking flip-up and armrest styles. NA Dynamic Back on Frame Depth up to 20" w/ Mono Back. 183SG3 183SG4 Plastic Regular Plastic Kids Spoke Guards Not available with 12" and 16" mag wheels or projection handrims. 183A24 183A23 Clear Black NA w/ projection handrims Wheelchair Tray Table Only available if armrests are included. NA with JAY Arm Troughs. 183A30 183A31 183A32 183A33 Small (13"-14") Medium (15"-17") Large (18"-20") X-Large (21"-22") Canopy (SunShade) Need 2" back post clearance to mount canopy hardware. May require next height based on seating. Some interferance may occur with some height configurations. NA with Mono Back. 1838A06 Canopy (Sunshade) 10 "- 14" wide 1838A07 Canopy (Sunshade) 15" - 20" wide Page 8
Option # Option # 9. APPENDIX Lower Leg Length Matrix Front seat height must be at least 2" taller than lower leg length on all swing in/out hangers. Front seat height must be at least 2" taller than maximum lower leg length on all front mount hangers. Page 9