OF_QM720_120757 Changed 10 1 12 VR 720 OF QM720 Rev C
User Manual: VR 720
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Quickie QM-720™ Group 4 (K0868, K0877, K0884) EIPW11, November 2012 Account: Ship To: Date: Name: PO#: Address: Buyer: City,State,Zip: Marked For: Phone: The HCPCS CODES provided are based on code verification through PDAC or our interpretation of the code definitions. The use of HCPCS CODES does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy. a Option # HCPCS Definition Price a Option # HCPCS Definition Price 1. QUICKIE QM-720™ GROUP 4 CATEGORY (Select One) QUICKIE QM-720 ™ BD (Group 4 K0868/K0014) o Quickie QM-720™ BD w/ ASAP II Seat (Fig 1.1) 172PC81 K0868 K0014 QUICKIE QM-720 ™ MPD (Group 4 K0884/K0014) $6,765.00 o Quickie QM-720™ MPD SPOT Tilt/Recline (Fig. 1.3) 172PC87 Base Package VR-2 90A Drive Control (non-expand) K0884 K0014 300 lb 8 mph 4-pole Motor Package o 172NB90 K0868 o 172EQ23 - o 172EQ22 - VR-2 90A Drive Control (non-expand) 300 lb 8 mph 4-pole Motor Package ASAP II Rehab Seat Frame Recline Seat Frame 14" Drive Wheels (flat free insert N/C) 14" Drive Wheels (flat free insert N/C) 8A Dual Mode (Compact) CTE 8A Dual Mode (Compact) CTE QM-720™ BD BASE ONLY For use with Aftermarket Seat frame. $7,195.00 Base Package $6,765.00 o 172NB92 K0884 QM-720™ BD SEAT ONLY w/o elect. For use to add/replace seating when additional electronics are not required. $750.00 o 172EQ26 - QM-720™ BD SEAT ONLY w/ elect. For use to add/replace seating when additional electronics are required. $750.00 QM-720™ MPD BASE ONLY For use with Aftermarket Seat frame. QM-720™ MPD SEAT ONLY w/ elect. For use to add/replace seating when additional electronics are required. $7,195.00 $750.00 QUICKIE QM-720 ™ SD (Group 4 K0877/K0014) o Quickie QM-720™ SD for SPOT Tilt or Recline (Fig 1.2) 172PC86 K0877 K0014 $7,195.00 Base Package VR-2 90A Drive Control (non-expand) 300 lb 8 mph 4-pole Motor Package ASAP II Rehab Seat Frame 14" Drive Wheels (flat free insert N/C) 8A Dual Mode (Compact) CTE QM-720™ SD BASE ONLY For use with Aftermarket Seat frame. o 172NB91 K0877 o 172EQ25 - QM-720™ SD SEAT ONLY w/o elect. For use to add/replace seating when additional electronics are not required. $750.00 o 172EQ24 - QM-720™ SD SEAT ONLY w/ elect. For use to add/replace seating when additional electronics are required. $750.00 1.1 QM-720™ BD $7,195.00 1.2 QM-720™ SD 1.3 QM-720™ MPD Shown w/ optional Seat Elevator ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 1 2. BASE CHAIR OPTIONS Speed Package o 172PF89 - Ventilator Options 300lbs / 8 mph 4 Pole Motor o N/C o Shroud Color 172VT7 172VT4 (not available w/ transit option or lift module) E1030 Articulating Vent Tray E1029 Fixed Vent Tray (Pulmonetic LTV Models) NA with Recline o 172EZ01 - Candy Apple Red N/C o 172EZ02 - High Gloss Black N/C o 172EZ03 - Candy Blue N/C o 172FA10 - 0° o 172EZ04 - Silver N/C o 172FA3 - 3° o 172EZ05 - Copper N/C o 172FA4 - 6° o 172EZ06 - Digital Camo. $500.00 o 172FA5 - 9° o 172EZ07 - Woodland Camo. $500.00 $1,395.00 $440.00 Pre-Set Seat Frame Angle (N/C) N/C Not available with Lift N/C Not available with Tilt or Lift N/C N/C Seat Height User weight (Measured in the front) - Obtain Quote to verify est. STFH o 172WG06 - Less than 150lbs N/C o 172HT44 - Lowest STFH o 172WG13 - 151-200lb N/C o 172HT45 - +1" STFH o 172WG14 - 201-250lb N/C o 172HT46 - +2" STFH o 172WG03 - 251-300lb N/C o 172HT47 - +3" STFH 172DW37 - 14" Cast Wheel Solid Inserts (Knobby) N/C o 172DW36 - 14" Cast Wheel Pneumatics (Knobby) N/C Transit Option o 172TO25 - 4-Point Transit Package ( N/A with Vent) o 172TO40 - Omit Transit $300.00 NC Wheel locks 172WL42 N/C N/C Not available with Lift/Tilt combination N/C STFH Matrix Drive Wheel o o N/C - Wheel locks $100.00 Seating Type and Power Option Combinations Seat-to-Floor Height at 0 tilt Low +1" +2" +3" ASAP II No power seating. 17.3" 18.3" 19.3" 20.3" ASAP II Lift only. 18.8" 19.8" 20.8" 21.8" ASAP II Tilt only 18.3" 19.3" 20.3" 21.3" ASAP II Tilt and Lift 21.2" 22.2" NA NA Power Recline Only Seat 16.1" 17.1" 18.1" 19.1" Power Recline and Lift Seat 17.6" 18.6" 19.6" 20.6" Tilt and Power Recline seating. 17.1" 18.1" 19.1" 20.1" Lift/Tilt and Power Recline Seat. 20" 21" 22" NA Adding seat angle will increase STFH by 1" for each incremental change. Actual STFH may vary by .5" 3. BATTERIES and CHARGERS Batteries (Gel Cells) o o 172AG04 172AG06 E2363 - Battery Charger Group 24 Flat Top Gel Cell (Pair) w/straps Omit batteries Includes harness & straps for flat top batteries $390.00 o 172BJ19 - 8A Dual Mode (Compact) CTE N/C o 172BJ3 - Omit Charger ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 2 N/C -$40.00 4. ELECTRONICS Drive Control Options o o Switch Mount Bracket Non-expandable controller N/C o 172EM01 Single Switch Mount Bracket $195.00 R-Net Expandable Drive Control Upgrade (90A) $950.00 o 172EM02 Dual toggle switch mount bracket $195.00 o 172EM03 4-way toggle switch mount bracket. $195.00 172ER01 - 172EX01 E2377 Expandable Controller - R-net $525.00 172EX02 E2313 Harnessing for Expandable Controller $425.00 VR2 Joystick (non-expandable) o 172J94 - Non Expandable VR2 Joystick N/C Specialty Driver Control Options R-net Joystick (for expandable electronics) o 172J70 o 172J93 o o 172J88 172J95 - - Std LED Joystick for Expandable Ctrls N/C Joystick w/stereo Jacks and Monochrome Display $200.00 Joystick W/Toggle, Spd Pot, Stereo Jacks & Color Display $395.00 Omit JS for use with OMNI Requires expandable controls and OMNI. All packages must be added to the specialty control on-chair package. Not available with Upholstered backs. o N/C o Joystick Mount (Fixed or Swing Away) o 172JM10 - o 172JM11 E1028 Fixed Mount Swing Away Mount N/C $235.00 o Joystick Mount (Location) o Height Adjustable. Quickie Sip n' Puff System E2325 Sip N' Puff Kit 172II01 E0955 Headrest $225.00 172IJ01 E1028 Headrest Removable Mount $225.00 172IH1 E2326 Sip n' Puff Tubing and Hardware 172II02 E2330 ASL Proximity Head Array (Adult) $3,795.00 172IJ01 E1028 Headrest Removable Mount ASL Head Array Package (Ped) 172II03 E2330 ASL Proximity Head Array (Ped) 172IJ01 E1028 Headrest Removable Mount Switch-It Head Array Package (Adult) 172HM1 - Right Side Mount N/C 172II04 E2330 Switch-it Proximity Head Array 172HM2 - Left Side Mount N/C 172IJ01 E1028 Headrest Removable Mount Joystick Handle (Optional) 172JH1 E2323 Ball Handle $75.00 o 172JH2 E2323 Foam Ball Handle $75.00 o 172JH4 E2323 T-Handle $75.00 o 172JH6 E2323 Goalpost $75.00 o R-net OMNI and Output Options (For expandable controls, choose all that apply) o 172ON1 - o 172ON2 E2351 o 172ON3 - o Rnet OMNI Input Control Module and display with built in Infrared and armrest mount. Choose mount below. (required for Specialty Input Devices.) $975.00 Rnet Output Module (ECM) $995.00 Rnet Bluetooth Mouse-mover $850.00 o $364.00 $4,020.00 o o $1,420.00 ASL Head Array Package (Adult) o o $2,234.00 172ID34 Switch-It Head Array Package (Pediatric) 172II05 E2330 Switch-it Proximity Head Array 172IJ01 E1028 Headrest Removable Mount ASL Proportional Mini Joystick Chin / Lip Control Package $225.00 $4,020.00 $3,795.00 $225.00 $4,020.00 $3,795.00 $225.00 $4,020.00 $3,795.00 $225.00 $4,945.00 172ID36 E2312 Mini Joystick 172II01 E0955 Headrest $225.00 172IJ01 E1028 Headrest Removable Mount $225.00 ASL Proportional Mini Joystick Midline with Gatlin Package 172ID37 E2312 Mini joystick 172IJ03 E1028 ASL Proportonal S/A Joystick Mount Quickie Proportional Chin Control Package $4,495.00 $4,720.00 $4,495.00 $225.00 $4,345.00 172ID45 E2312 Proportional Joystick 172IJ03 E1028 ASL Proportonal S/A Joystick Mount $4,120.00 $225.00 OMNI Mount Attendant Control (If used with Joystick must be mounted opposite side) o 172DS03 E1028 Swing Away Left Side OMNI Mount $235.00 o 1720A01 E2331 Attendant Control for VR-2 $995.00 o 172DS04 E1028 Swing Away Right Side OMNI Mount $235.00 o 1720A02 E2331 Attendant Control for R-net $995.00 Switch inputs for Joysticks or OMNI Attendant Mounting location Drive or Mode / Profile Control o 172DN1 Mounting location: Right Back Cane N/C o 172DN2 Mounting Location: Left Back Cane N/C o 172SW22 Stereo to 2 Mono Splitter $60.00 o 172SW6 Ribbon Switch $95.00 o 172SW1 Buddy Button Switch o 172SW2 Disc Switch $160.00 o 172PR2 VR-2 Hand Held Programmer (HHP) o 172SW9 Wobble Switch $500.00 o 172PR5 R-net PC Programmer with Dongle o 172SW4 Micro Light Switch $75.00 o 172PR6 DTT VR2 and Rnet cables included. o 172SW24 Egg Switch-Black o 172SW21 Dual toggle switch only $170.00 o 172SW19 Penta Switch with DB9 Connector $200.00 o 172SW20 CA5 5 Switch Adapter w/ DB9 Connector $150.00 o 172SW23 4-way toggle switch w/5th button DB9 Connector. $170.00 $75.00 Electronic Programmers $95.00 ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 3 $250.00 $400.00 $1,000.00 5. SEAT TYPE o 172ST56 - Quickie A.S.A.P II (Adjustable Seating and Positioning) Choose Seat Frame Size Platform. o N/C OR ASAP II Frame size (each frame is width and depth adjustable within given range. ) o 172FU17 - Adjustable 12x12 to 16X19 ( A ) N/C o 172FU18 - Adjustable 16x12 to 20x20 ( B ) N/C o 172FU19 - Adjustable 18x16 to 22x22 ( C ) N/C 172ST57 Power Recline Seat Frame ( G ) (Not width Adjustable) - N/C NOTE: If you have Tilt & Recline with shear you must select the Power Recline Seat Frame. 6. SEAT SIZE Seat Size Matrix. Seat type is chosen in section 5. G = Recline Seat (not adjustable) ASAP II Seat Width B = ASAP II Seat Frame (Adjustable from 16X12 to 20X20) C = ASAP II Seat Frame (Adjustable from 18X16 to 22X22) 13" 14" 15" 12" A A A A 13" A A A 14" A A 15" A 16" 16" Recline Seat Width 17" 18" 19" 20" A,B B B B B A A,B B B B B A A A,B B B B B A A A A,B B B B B A A A A A,B B B,C B,C B,C C 17" A A A A A,B B B,C B,C B,C C 18" A A A A A,B B B,C B,C B,C C 19" A A A A A,B B B,C B,C B,C C B B B,C B,C B,C C 20" 22" Seat Depth Seat Depth A = ASAP II Seat Frame (Adjustable from 12x12 to 16X19) 12" 21" C C C C 22" C C C C Seat Width 16" 17" 18" 19" 20" 22" 16" G G G G G G 17" G G G G G G 18" G G G G G G 19" G G G G G G 20" G G G G G G Seat Depth o 172R21 12" Seat width (N/C) o 172RF20 12" Seat depth (N/C) o 172R22 13" Seat width (N/C) o 172RF21 13" Seat depth (N/C) o 172R23 14" Seat width (N/C) o 172RF22 14" Seat depth (N/C) o 172R24 15" Seat width (N/C) o 172RF23 15" Seat depth (N/C) o 172R5 16" Seat width (N/C) o 172RF5 16" Seat depth (N/C) o 172R6 17" Seat width (N/C) o 172RF6 17" Seat depth (N/C) o 172R7 18" Seat width (N/C) o 172RF7 18" Seat depth (N/C) o 172R8 19" Seat width (N/C) o 172RF8 19" Seat depth (N/C) o 172R9 20" Seat width (N/C) o 172RF24 20" Seat depth (N/C) o 172R25 22" Seat width (N/C) o 172RF26 21" Seat depth (N/C) o 172RF25 22" Seat depth (N/C) 7. SEAT CUSHIONS ` To order any JAY cushions on-chair, please see the JAY price list. Standard Cushion o 172CU1 2" Cushion $95.00 Cushion name or part number must be filled out w/ desired width and depth JAY Bundled Cushion o Price List 172JC20 Cushion Name or Part # Width: Depth: 8. POWERED SEATING Power Seating Options (SD and MPD Models) Powered Seating Control Method - Cont. o 172PJ2 E1002 Quickie SPOT 50° CG Tilt $4,950.00 o 172PA6 E1005 Recline w/Power Shear Reduction Only $5,725.00 o 172PA7 E1008 Tilt & Recline w/Power Shear Reduction $9,995.00 Powered Seat Elevator- 9" Travel (AKA: Power Lift) o 172PA8 E2300 Power Seat Elevate (adds to STFH) $2,500.00 Powered Seating Control Method (For use with power seating actuators. Switch activation is stand-alone and does not require expandable or thru-drive electronics. o o 172EO10 172EO11 Switch Control 1 actuator w/dual toggle and mount. (For operating Tilt or Lift) Switch Control 1 actuator w/buddy button & mount. (For operating Tilt or Lift) Switch Control 2 - 3 Actuator w/ 4-way Toggle Switch & Mount. (Capable of operating combo of Tilt/Legs, Tilt/Lift or legs only) o 172EO12 o 172EO13 E2310 Thru Drive 1 Actuator (For operating Tilt or Lift thru Joystick.) $1,375.00 o 172EO14 E2311 Thru Drive 2+ Actuators (2+ actuators per Input Device requires expandable Rnet) $2,825.00 N/C Switch Mount (for use with switch control powered seating) N/C N/C o 172EY01 - Switch Mount Right N/C o 172EY02 - Switch Mount Left N/C ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 4 9. BACKREST AND BACK OPTIONS Backrest Frame Type o o o 172BT8 172BT98 172BT89 E1225 - Back Type (Uphostery or Solid) Angle Adjustable (ASAP II Seat only) Manual Recline 40° (ASAP II Seat only) not width adjustable Power Recline (Power Recline Seat only) N/C o 172BU1 - $425.00 o 172BU70 E2611 o 172BU71 E2611 172BU76 - Back Height 23". o 172MN01 Tool N/C o o 172MN02 Knob (NA with dual post arms.) N/C o (NA with Manual recline) 172OD8 Non-Folding Backrest 172OD9 Folding Backrest (ASAPII only) 172BU77 E2613 o 172BU78 E2617 ART SPO Custom Back (ASAP II only) See appendix 1 N/C o 172BU79 - Recline (Power Recline Seat only) $110.00 o 172BU14 - Omit Upholstery N/C o Cane Angle (ASAP II) o o 172BP40 8o Bend Back Post (Avail. only w/ Upholstery or J3 Back) o 172QT03 Shallow (NA with Upholstery backs.) N/C o 172QT04 Deep (Extends 4" from back canes for deep backs) N/C Back Cane (ASAP II) (Upholstery Height Measured pan to top of upholstery.) Low (15.5") 172B1 o Med (17.5")172B5 o Tall (19.5") 172B9 Power Recline Backrest Preset Home Angle N/C o o 90° 172QK1 $330.00 N/C $475.00 See Pg 8 N/C -$15.00 95° 172QK2 default o 172JB01 - Jay J3 (select OMIT above) See J3 OF $100.00 Towel Bar Depth (ASAP II) o $315.00 Jay 3 Option (ASAP II) Straight Back Post 172BP41 Tension adj Upholstery 3DX Vented. (with 1" width adjustment) (Not avail with tilt or recline) S.P.O.T. Curved (ASAP II only) Jay SPO Posterior Positioning (ASAP II only) Angle Adjustable Backrest Options (ASAP II) o Tension adj Upholstery Ballistic Nylon. (with 1" width adjustment.) (Not avail with tilt or recline) N/C N/C Manual Recline Adjustment Method Option (ASAP II) o Upholstery (Not avail with tilt or recline) 100° 172QK3 Back Height - Required for SPOT Curved, SPO Backs and Recline Backs. (Limited combinations of widths) Measured from pan to top of solid back. o 172B132 - 14" o 172B36 - 16" o 172B38 - 18" o 172B40 - 20" o 172B42 - 22" o 172B44 - 24" o 172B140 - 26" o 172B141 - 27" o 172B142 - 28" N/C 14"-20" Not available with Power Recline Seating N/C N/C N/C N/C 22" - 26" Available on all back types. N/C N/C 27"-28" Only avail on power recline N/C N/C 10. HEADREST OPTIONS Available with on-chair solid backs. Headrests for Jay 3 backs need to be ordered on Jay 3 Order form. o Whitmyer Linx Headrest Small $450.00 o Whitmyer Linx Headrest Large $450.00 172HE65 E0955 Plush Head Support Pad 8" $225.00 172HE66 E0955 Plush Head Support Pad 10" $225.00 172MH1 E1028 No Tool / Quick Rem. Headrest Mount $225.00 172MH1 E1028 No Tool / Quick Rem. Headrest Mount $225.00 11. POSTURAL SUPPORTS ALL Postural Supports are Sold as EACH. Must select both left and right for a pair. Swing Away Lateral Thoracic Support - Left o o Swing Away Lateral Thoracic Support 4x5" - Left Swing Away Knee Adductor Supports $325.00 172ZV09 E0956 Lateral Pad Curved 4"x5" $100.00 172ZS06 E1028 Swing Away Mount $225.00 Swing Away Lateral Thoracic Support 4x6" - Left Available only with Fixed and Power Center Mount Legrests. Not available with Dual Post Arm Rests Knee Adductor Supports - LEFT (choose Pad and Arm) $325.00 $395.00 Pad Size 172ZV11 E0956 Lateral Pad Curved 4"x6" $100.00 o 172KB5 E0956 Knee Adductor Pad SM- Left $170.00 172ZS06 E1028 Swing Away Mount $225.00 o 172KB7 E0956 Knee Adductor Pad LG- Left $170.00 S/A Arm Size Swing Away Lateral Thoracic Support -Right o o Swing Away Lateral Thoracic Support 4x5" - Right $325.00 172ZV10 E0956 Lateral Pad Curved 4"x5" $100.00 172ZS05 E1028 Swing Away Mount $225.00 o 172XX04 E1028 Swing Away Short - Left $225.00 o 172XX06 E1028 Swing Away Long - Left $225.00 Knee Adductor Supports - RIGHT(choose Pad and Arm) $395.00 Pad Size $325.00 o 172KB6 E0956 Knee Adductor Pad SM- Right $170.00 172ZV12 E0956 Lateral Pad Curved 4"x6" $100.00 o 172KB8 E0956 Knee Adductor Pad LG- Right $170.00 172ZS05 E1028 Swing Away Mount $225.00 Swing Away Lateral Thoracic Support 4x6" - Right Long Thigh Support w/Removable Mount S/A Arm Size o 172XX05 E1028 Swing Away Short - Right $225.00 o 172XX07 E1028 Swing Away Long - Right $225.00 Padded Chest Strap $225.00 Available with Cantilever Arms, NA with Manual Recline Back, Dual Post, Single Post or Cantilever w/ 2 pt Locking arms. o o SPOT Long Thigh Support - Left $325.00 172TV2 E0956 Long Thigh Support - Left $100.00 172TX1 E1028 Removable Mount - Left $225.00 SPOT Long Thigh Support - Right CHEST STRAP o 172ZR03 E0960 $325.00 172TV1 E0956 Long Thigh Support - Right $100.00 172TX2 E1028 Removable Mount - Right $225.00 ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 5 12. ARMREST AND ARMPAD OPTIONS 12A. Armrest options for ASAP II seating. Armrest Mounting for K0868 BD Models with ASAP II Dual Post Armrests Armrest Mounting for K0877 SD Models with ASAP II. Dual Post Armrests o 172EG01 Short Dual Post Flip Back 10" Height. N/C o 172EG09 - Shrt Dual Post Flip Back HT Adj 10"-15" N/C o 172EG21 Long Dual Post Flip Back 10" Height. N/C o 172EG23 - Lng Dual Post Flip Back HT Adj 10"-15" N/C o 172EG02 E0973 Shrt Dual Post Flip Back HT Adj 10"-15" $230.00 Cantilever Armrests o 172EG22 E0973 Lng Dual Post Flip Back HT Adj 10"-15" $230.00 Cantilever Armrests (Adjustable length arm pad included (choose Pad setting below, except for Low Arm Option) NA with Manual Recline Back (Adjustable length arm pad included (choose Pad setting below, except for Low Arm Option) NA with Manual Recline Back o 172EG10 - Standard Cantilever Arm w/ 2 Point Locking Post. (9"-10" Ht Range.) NA w/ seat depths below 16" N/C o 172EG11 - Standard Cantilever Arm w/ 2 Point Locking Post. (11"-12" Ht Range.) NA w/ seat depths below 16" N/C o 172EG12 - STD Cantilever Arm 9"-12" Ht Range N/C - Low Cantilever Arm 7"-10" Ht Range (Choose ASAPII pad type and size below) N/C o o 172EG03 172EG04 E0973 E0973 Standard Cantilever Arm w/ 2 Point Locking Post. (9"-10" Ht Range.) NA w/ seat depths below 16" $230.00 Standard Cantilever Arm w/ 2 Point Locking Post. (11"-12" Ht Range.) NA w/ seat depths below 16" $230.00 o 172EG05 E0973 STD Cantilever Arm 9"-12" Ht Range $230.00 o 172EG06 E0973 Low Cantilever Arm 7"-10" Ht Range (Choose ASAPII pad type and size below) $230.00 Single Post Armrests o 172EG07 E0973 Single Post Height Adjustable - Std. $230.00 o 172EG08 E0973 Single Post Height Adjustable - Low $230.00 o 172EG13 Single Post Armrests o 172EG14 - Single Post Height Adjustable - Std. N/C o 172EG15 - Single Post Height Adjustable - Low N/C - Omit Armrest and Mounts N/C Omit Armrest o 172EG20 Armpad Options for ASAPII Pad Type / Size Options for Dual Post / Single Post / Low Cantilever Left Arm Pad (N/C) Right Arm Pad (N/C) o 172AE01 - Desk Length Waterfall (10") o 172AB01 o 172AE02 - Full Length Waterfall (14") NA w/Low Cantilever arm o 172AB02 o 172AE03 - Desk Length Standard (10") o 172AB03 o 172AE04 - Full Length Standard (14") NA w/Low Cantilever arm o 172AB04 Pad Setting Options for Standard Cantilever Arm Left Arm Pad (N/C) Right Arm Pad (N/C) o 172AE11 - Full Length Cantilever (14") o 172AB11 o 172AE10 - Desk Length Cantilever (10") o 172AB10 12B. Armrest options for Power Recline Seating Armrest for Power Recline Seating. (Recline Seat Frame Only) Reclining Armpad Options (Recline Seat Frame Only) o 172EG16 Std Ht. Reclining Armrest Short 10.8" - 14" N/C o 172EG17 Tall Ht. Reclining Armrest Short 12.8" - 16" N/C o 172EG18 Std Ht. Reclining Armrest Long 10.8" - 14" N/C o 172EG19 Tall Ht. Reclining Armrest Long 12.8" - 16" N/C Standard Reclining Armpad Left Arm Pad (N/C) o 172AE05 - Right Armpad (N/C) o Reclining Arm Pad (16") 172AB05 Otto Bock Reclining Armpad (Power Recline Seat only) Left Arm Pad ($120.00) Omit Armrest o 172EG20 - Omit Armrest and Mounts N/C Right Armpad ($120.00) o 172AE08 E2209 SM Forearm Pads (8") o o 172AE06 E2209 MD Forearm Pads (11.5") o 172AB06 o 172AE07 E2209 LG Forearm Pads (14") o 172AB07 172AB08 Otto Bock Hand Pad Options Left Hand Pad ($52.50) Right Hand Pad ($52.50) o 172OL01 MD Flat Hand Pads (4-1/2" x 7") o 172OR01 o 172OL02 LG Flat Hand Pads (5-1/2" x 9") o 172OR02 ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 6 13. HANGERS AND FOOTRESTS FOR ASAP II Hanger and Extension Tubes Options (see footplate compatibility in the brackets) Non-Powered Swing Away Legrests Footplate (Pair) o Sold as Pairs A - Composite with Heel Loop (Pair) o 172H95 65° Swing Away (A,B,C) N/C 172F1 o 172H2 70° Swing Away (A,B,C) N/C 172HL1 o 172H94 75° Tapered Swing Away (E) N/C o 172H6 90° Swing Away (B,C) (5.5-9") N/C o 172H138 E0990 Manual ELR S/A (A,B,C,D) (Avail. with Fixed Centermount, choose below) o o 172H125 172H126 K0108 Centermount Pwr ELR w/ Articulation (F,G,H) E1010 S/A Power ELR w/ Articulation (B) Pair (N/A for 12" or 13" wide) (Avail. with Fixed Centermount, choose below) Fixed Center Mount Legrests (includes footplate) N/C o 172H134 Fixed Center Mount Short N/C o 172H135 Fixed Center Mount Long N/C o 172xxx Fixed Center Mount Short $200.00 o 172xxx Fixed Center Mount Long $200.00 Heel Loop Omit Hangers N/C K0040 Adult Angle Adjustable Footplate E0951 Heel Loop $210.00 $165.00 $45.00 172F283 K0040 Kids Angle Adjustable Footplate 172LS13 K0038 Leg Strap $195.00 $165.00 $30.00 C - Kids Angle Adjust w/Leg Strap for use with 90° hanger(Pair) 172F286 K0040 Kids Angle Adjustable Footplate 172LS13 K0038 Leg Strap $195.00 $165.00 $30.00 172F287 D - Aluminum (Pair) $30.00 E - One Piece Angle Adjust Footplate $195.00 172F284 K0040 One piece Angle Adjustable Footplate 172LS13 K0038 Leg Strap $165.00 $30.00 172F288 F - Centermount single Footplate o Hanger Extensions. (See range listed in matrix below) $45.00 C - Kids Angle Adjust w/Leg Strap for use with 65° and 70° hanger (Pair) o $210.00 $165.00 B - Adult Angle Adjust w/Heel Loop for use with 90° hanger (Pair) o o Omit Hangers. 172H144 Adult Angle Adjustable Footplate o o Fixed Center Mount Legrests (includes footplate) Additional o K0040 E0951 172HL10 $2,200.00 $30.00 172F282 172F285 $2,200.00 N/C Heel Loop 172HL10 o Powered Elevating Legrests E0951 B - Adult Angle Adjust w/Heel Loop for use with 65°, 70° hanger and ELR (Pair) o $270.00 $30.00 Composite Footplate N/C G - Centermount dual footplate $210.00 172F289 K0040 CMT Angle Adjustable Footplate 172HL10 E0951 Heel Loop $165.00 $45.00 NOTE: Not all extension tube will be available; depending on the seat height, some extension tube options may not offer enough ground clearance. o o 172E16 o o 172E1 Short N/C o 172E2 Medium N/C o 172E5 Long N/C o 1725A01 E0952 Toe Loop (Pair) Only avail on (opt B). $45.00 o 172E21 Omit Extension N/C o 172LS14 K0038 Extra Leg Strap $30.00 K0037 High Mount Hanger $55.00 H - Centermount High Mnt Footplate 172F290 K0037 Footplate Matrix High Mount Short Medium Long Hanger Type A B C 65° Swing Away 7-14" 13.5- 16" 16-18.5" 18-20.5" 65° Swing Away X X X 70° Swing Away 7-14" 13.5- 16" 16-18.5" 18-20.5" 70° Swing Away X X X 75° Tapered S/A 7-14" 13.5- 16" 14.5-19" 15-18" 75° Tapered S/A X X X X 5.5-9" Footplate mounts to front of hanger. 12.5-17" 14.5-19" 17-21" Manual ELR S/A Power ELR S/A 12-14" 14-17" 16.5-19" Power ELR S/A 12.5"-15.5" 13.5-18.5" D E F G H X X X 90° Swing Away Manual ELR S/A Fixed Cntrmnt N/C Footrest Accessories Hanger Type Power Cntrmnt $55.00 172F279 Omit Footplate and extension tube Lower Leg Length Matrix (measured seat pan to the top of the footplate surface) 90° Swing Away $55.00 One piece Angle Adjustable Footplate X X X 14.5"-19.5" Fixed Cntrmnt X 16.5-21.5" Power Cntrmnt X 14. ACCESSORIES Wheelchair Tray Table Positioning Belt - Select for any style seat o 1727A01 E0950 TRAY TABLE SM TUFFAK 13-14 $225.00 o 172EJ01 o 1727A02 E0950 TRAY TABLE MED TUFFAK 15-17 PWR $225.00 o 172EJ02 E0978 Belt 2" Aircraft Buckle $35.00 o 1727A03 E0950 TRAY TABLE LRG TUFFAK 18-20 PWR $225.00 o 172EJ03 E0978 Belt 2" Aircraft Buckle Padded $65.00 Backpack Auto Style Buckle BUILT 4 ME OPTIONS o 172A1 Black Utility $55.00 o 172A2 Black/Charcoal Kids $50.00 To Inquire about any unique customization for Quickie products, contact: Phone: (800) 333-4000, Option #3 or Fax: (800) 333-9011 ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 E-MAIL: orders@sunmed.com WEBSITE: www.sunrisemedical.com Specifications are subject to change without notice. Copyright © 2011 120757 REV C Page 7 N/C
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