Frame. q Titanium Frame Add Charge Includes hangers and base frame. Does not include Cross Braces.

Transcription

1 Australian Importer: Paragon Mobility Phone Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Effective 07/04/2016 Ship To: Address: City: State: Zip: Phone: /Fax: Catalyst 5 K0005 Add Charge 250 lb weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth Price HCPCS Seat Width N/C N/C N/C N/C N/C N/C N/C N/C N/C 14 N/C q q q q q q q q q 15 N/C q q q q q q q q q 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. Titanium Option q Titanium Frame Add Charge Includes hangers and base frame. Does not include Cross Braces. Heavy Duty Option q 350 lb Weight Capacity Add Charge Requires minimum 6 caster height Cross Brace Seat Depth 16 N/C q q q q q q q q q 17 N/C q q q q q q q q q 18 N/C q q q q q q q q q 19 N/C q q q q q q q q q 20 N/C E2203 q q q q q q q q q Transit Option q Transit System K0108 Add Charge 300 lb maximum weight capacity. Not available with Removable Seat Pan. New! Wheelchair Drive Ready Chair will ship from Ki Mobility with adaption kit installed for selected Alber system. Order system separately from Alber USA. Select Rear Seat Height (full profile selections only) in drive wheel size on Rear Seat Height chart (page 5). Requires Rear Anti-Tips. q e-motion Ready N/C q twion Ready N/C q Standard Cross Braces q Seating System Cross Braces N/C Allows for easy attachment of seating system mounting hardware. Not available with Seat Sling. q Titanium Cross Braces) Add Charge (Not available with 21 and 22 Seat Widths Rear Frame Type No selection needed with Titanium Frame q Curved Select from Standard or Angle Adjustable Back Posts on chart on the next page q Depth Adjustable K0108 Add Charge Select from Standard Depth Adjustable or Height Adjustable Depth Adjustable Back Posts in chart on the next page. Provides 2 forward and 2 rearward adjustment with maximum Seat Depth of 22. Available only with T-Arm or Flip Up Armrests. Not available with Back Upholstery. q Reclining New! N/C Select from Reclining Back Post in chart on the next page. Not available with Seating Dynamics Rocker Back, O 2 Holder, Transit Option, Heavy Duty Option, Swing Away Armrests, Back Upholstery or IV Pole. DCN Pricing and specifications subject to change without notice Page 1 of 10

2 Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post and Height Range. Depth Adjustable not available with Titanium Frame. Back Post Standard Angle Adjustable w/ Push Handle Standard Depth Adjustable Height Adjustable Depth Adjustable Reclining w/ Adjustable Handle 1, 2 (Non-folding) Price N/C Height Range Back Height Short q 8.5 q 9.5 q10.5 q 11.5 Medium q 12.5 q 13.5 q 14.5 q 15.5 Tall q 16.5 q 17.5 q 18.5 q 19.5 Short q 14 q 15 q 16 Add Medium Charge q 16 q 17 q 18 Tall q 18 q 19 q 20 N/C Standard q 20 Tall q 24 Short 1 q 13 q 14 q 15 q 16 q 17 Add Medium Charge q 16 q 17 q 18 q 19 q 20 Tall q 20 q 21 q 22 q 23 q 24 New! Add Charge Short q 22 Tall q 26 1 Not available with Seating Dynamics Rocker Back 2 Not available with O2 Holder, Transit Option, Heavy Duty Option, Swing Away Armrests, Back Upholstery or IV Pole New! Reclining Back Post Option Select options below if Reclining Back is selected on chart above. Recline angle range is 0º - 65º. Gas Spring: q Standard Spring q Heavy Duty Spring Standard Back Post Select option below only if a Standard Back Post option is selected on chart at left q Straight with Push Handle q Straight without Push Handle N/C q 8º Bend with Push Handle Add Charge Not available with Short Back Height Range q Straight with Fold Down Push Handle Add Charge New! Push Handle Options Not available with Standard Depth Adjustbale Back Post, Straight Back Post with Fold Down Push Handle or Heavy Duty Option q Low Profile Push Handle Add Charge Depth Adjustable Back Post Options Options below may be selected only if Standard Depth Adjustable or Height Adjustable Depth Adjustable option is selected on chart at left q Stroller Handle Extensions Add Charge Not available with Height Adjustable Depth Adjustable Back Posts q Seating Dynamics Rocker Back K0108 Add Charge Available only with T-Arms Back Upholstery Select option below only if Standard or Angle Adjustable Back Post option is selected on chart at left q Standard Not available with Short or Medium Back Height Ranges on Seat Widths q Tension Adjustable E2611 Add Charge q Omit Back Upholstery N/C Footrest Hanger / Front Frame Bend q 60º N/C Available only with Extension Tube Hangers. Not available with Titanium Frame. q 70º N/C q 80º N/C Not available with 7 or 8 Casters q 90º N/C Available only with Front Mount Hangers. Not available with Titanium Frame or 7 and 8 Casters. q Elevating Leg Rests (ELR) E0990 Add Charge Available only with Composite or Aluminum Angle Adjustable Footplates q Omit Hangers N/C Footplate Heel Loops not included q Composite N/C Not available with Front Mount Hangers q Aluminum Angle Adjustable K0040 Add Charge q One Piece Flip Up Angle Adjustable K0040 Add Charge Not available with Front Mount Hangers or Elevating Leg Rests DCN Pricing and specifications subject to change without notice Page 2 of 10

3 Footrest continued Footrest / Extension / Seat to Footrest Length Select Seat to Footrest Length in row corresponding to desired Footrest and Extension. Footrest Length of at least 2.5 shorter than Front Seat Height recommended. Extension Tube Hangers and Fixed Front Frame measurements are based on 70º Hanger / Front Frame Bend. Footrest Extension Seat to Footrest Length Extension Tube Hangers (60º, 70º, 80º) Front Mount Hangers 1 Elevating Leg Rests (ELR) Extended Length ELR Short q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 Short (70º, 80º, 90º) Medium (70º, 80º, 90º) Long (70º, 80º) Standard Selections Requires 3 Extension Add Charge q 5 q 5.5 q 6 q 6.5 q 7 q 10 q 10.5 q 11 q 7.5 q 8 q 8.5 q 9 q 9.5 q 11.5 q 12 q 12.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 12 q 12.5 q 13 q 8.5 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 13.5 q 14 q 14.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 9 q 14 q 14.5 q 15 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 15.5 q 16 q 16.5 Short q 12 q 13 q 14 q 15 q 16 Long q 14 q 15 q 16 q 17 q 18 Short q 17 q 18 q 19 q 20 q 21 Long q 19 q 20 q 21 q 22 q 23 Fixed Front Frame (70º, 80º) Short q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q Available only with Aluminum Angle Adjustable Footplates. Not available with Titanium Frame. See Minimum Front Seat Height chart below. Minimum Front Seat Height with Front Mount Hangers Hanger Length Short Medium Long Hanger Bend 70º 80/90º 70º 80/90º 70º 80º Minimum Front Seat Height with Standard Selection Minimum Front Seat Height with 3 Extension Heel Loop q Heel Loops E0951 Add Charge Not available with One Piece Flip Up Angle Adjustable Footplate q Omit Heel Loops N/C Calf Strap q Velcro Adjustable K0038 Add Charge q Padded Velcro Adjustable K0038 Add Charge q Bodypoint Padded AeroMesh K0038 Add Charge 3 Extension Available only with Front Mount Hangers. Provided as parts. q 3 Extension for Front Mount Hanger Add Charge Residual Limb Support q Residual Limb Support E1020 q Left Add Charge q Right Add Charge q Omit Left Hanger N/C q Omit Right Hanger N/C Cover q Smooth q Air Mesh q Smooth q Air Mesh Pad Size q 5 x 8 q 9 x 14 q 5 x 8 q 9 x 14 q 7 x 10 q 11 x 10 q 7 x 10 q 11 x 10 q 9 x 10 q 11 x 14 q 9 x 10 q 11 x 14 DCN Pricing and specifications subject to change without notice Page 3 of 10

4 Front Seat Height and Casters Caster Size / Front Frame Type / Front Seat Height Select Front Seat Height in row corresponding to desired caster size. Note: Selections in first three Front Seat Height columns use Super Low Front Frame. Super Low Front Frame not available with Titanium Frame. Caster Size Front Seat Height Uses Super Low Front Frame 4 q q 14 q 14.5 q 15 2 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 5 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 7 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 8 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 1 Front Seat Height not available with 4 x 1 Poly Caster 2 Super Low Front Frame required when using 4 x 1 Poly Caster Caster Type q.75 Rollerblade N/C Available only with 4 Caster Size q.75 Lighted Rollerblade Add Charge Available only with 4 Caster Size q 1 Poly N/C q 1 Poly Aluminum Add Charge Available only with 4 and 5 Caster Sizes q 1 Pneumatic Add Charge Available only with 6 and 8 Caster Sizes q 1.5 Poly Add Charge Available only with 4, 5 and 6 Caster Sizes q 1.5 Soft Roll Aluminum Add Charge Available only with 4, 5 and 6 Caster Sizes q 2 Poly Add Charge Available only with 6 Caster Size q 2 Pneumatic w/ Foam Insert Add Charge Available only with 8 Caster Size Caster Housing q Standard N/C q Performance Add Charge Wheel Locks Wheel Lock q Push to Lock q Push to Lock Flush Mount N/C q Pull to Lock N/C q Low Profile Scissor Lock Add Charge Not available with Low Poly Tires or Extension Handles q Short Thro Scissor Lock Add Charge q Omit Wheel Locks N/C Maximum Seat Dump Reference (Front Seat Height minus Rear Seat Height) Seat Depth Maximum Dump Caster Housing Maximum Dump Performance Caster Housing Depending on configuration, chairs with Fixed Front Frame Type may achieve up to an additional.75 Fork Stem q Best Fit Ki Mobility will pick optimal Fork Stem based on Caster Size and Front Seat Height q Standard Fork Stem N/C q 3/4 Longer Fork Stem N/C q Longer Fork Stem N/C Fork Options q Frog Legs Ultra-Sport Fork - Black Add Charge Available only with 4, 5 or 6 Casters. Not available with Caster Pin Locks, 2 Poly Caster Type or 2 Pneumatic w/ Foam Insert Caster Type. 300 lb maximum weight capacity. End User Weight Required: lbs q Caster Pin Locks K0073 Add Charge Not available with Performance Caster Housing, Longer Fork Stem or Frog Legs Fork Wheel Lock Options q Extension Handles E0961 Add Charge Available only with Push to Lock or Pull to Lock Wheel Locks q Grade Aids E0974 Add Charge Available only with Push to Lock Wheel Locks and Pneumatic, Pneumatic with Airless Insert or Kenda Iron Cap Rear Tire Types DCN Pricing and specifications subject to change without notice Page 4 of 10

5 Rear Seat Height and Wheels Wheel Size / Tire Profile / Rear Seat Height Select Rear Seat Height in row corresponding to Wheel Size and Tire Profile. 14 Seat Depth not available with 24, 25 or 26 Rear Wheels. m Requires curved axle plate q Any axle plate can be used (Curved, Standard, Amputee, One Arm Drive) Wheel Size Tire Profile Rear Seat Height Low m 11.5 q 12 1 m 12.5 q 13 1 m 13.5 q 14 m 14.5 q 15 m 15.5 m Full m 12 q m 13 q m 14 q 14.5 m 15 q 15.5 m 16 m Low m 12.5 q 13 1 m 13.5 q 14 1 m 14.5 q 15 m 15.5 q 16 m 16.5 m 17 Full m 13 q m 14 q m 15 q 15.5 m 16 q 16.5 m 17 m 17.5 Low m 13.5 q 14 1 m 14.5 q 15 1 m 15.5 q 16 m 16.5 q 17 m 17.5 m 18 Full m 14 q m 15 q m 16 q 16.5 m 17 q 17.5 m 18 m All m 14 q m 15 q m 16 q 16.5 m 17 q 17.5 m 18 m Low m 14.5 q 15 1 m 15.5 q 16 1 m 16.5 q 17 m 17.5 q 18 m 18.5 m 19 Full m 15 q m 16 q m 17 q 17.5 m 18 q 18.5 m 19 m Not available with Amputee Axle Plate Axle Plate No selection needed with One Arm Drive q Standard m Curved Add Charge q Amputee Add Charge Not available with Swing Away Armrests. Required with Reclining Backrest. Rear Wheel Type q 24 Spoke N/C q Spoke (20, 22, 25 or 26 ) Add Charge q Mag N/C Not available with 25 or 26 Wheel Sizes q Superlight Spoke Add Charge Available only with 24 and 25 Wheel Sizes. Not available with Heavy Duty Option. q Spinergy Spox Add Charge Not available with 20 Wheel Size Color: q Black q Red q White q Blue q Yellow Handrim: q Short Tab q Long Tab Available only with Aluminum Anodized and Plastic Coated Handrims q Spinergy LX Add Charge Not available with 20 Wheel Size Color: q Black q Red q White q Blue q Yellow q Pink q Green q Orange Handrim: q Short Tab q Long Tab Available only with Aluminum Anodized and Plastic Coated Handrims Handrim Option q 3M Micro Grip Add Charge Not available on Plastic Coated or Projection Handrims Rear Tire Type Full Profile q Street Pneumatic 1 3/8 Not available on 25 Wheel Size q Full Profile Poly 1 3/8 N/C Not available on Superlight or 25 Wheel Size q Pneumatic with Airless Insert 1 3/8 E2211, E2213 Add Charge Not available on Superlight or 25 Wheel Size q Kenda Iron Cap 1 3/8 Grey E2211, E2212 Add Charge Available only on 24 Wheel Size. Not available on Mag wheels. q Euro Trek Knobby 1 3/8 E2211, E2212 New! Add Charge Handrim No selection needed with One Arm Drive Standard Handrims q Aluminum Anodized q Superlight Aluminum Anodized Add Charge Available only on 24 and 25 Superlight and Spinergy wheels. Not available with Heavy Duty Option. q Plastic Coated Add Charge q Projection (8 Vertical Projections) Add Charge Available on 22, 24, 25 and 26 Spoke wheels & 24 Mag wheels w/full tires q Spinergy Flex Rim New! Add Charge Available only on 24 and 25 Spinergy LX wheels q Omit Handrim N/C Natural Fit Handrims Not available on 20 Wheel Size or 22 Mag wheels q Natural Fit LT Regular Grip Add Charge q Natural Fit Standard Regular Grip Add Charge q Natural Fit LT Super Grip Add Charge q Natural Fit Standard Super Grip Add Charge q Natural Fit LT Omit Grip Add Charge q Natural Fit Standard Omit Grip Add Charge New! One Arm Drive q One Arm Drive Add Charge Available only with 24 Mag wheels. Not available with 4 camber. Standard Handrim will be Aluminum Anodized. Drive Handrim Side: q Left q Right Drive Handrim Type: q Aluminum N/C q Poly Coated Add Charge Low Profile q Low Profile Poly 1 N/C Not available on Superlight wheels, 25 or 26 Wheel Sizes q Sentinel Solid Tire 1 E2218 New! Add Charge Not available on Superlight wheels q High Pressure 1 E2211, E2212 Add Charge Not available on Mag wheels q Schwalbe Speedrun 1 E2211, E2212 Add Charge Not available on Mag wheels, 20, 22 or 26 Wheel Sizes q Schwalbe Marathon Plus Evolution 1 E2211, E2212 _ Add Charge Available only on 24 Wheel Size Not available on Mag wheels, 20 or 22 Wheel Sizes DCN Pricing and specifications subject to change without notice Page 5 of 10

6 Axles Axle q Quick Release q Quad Quick Release Add Charge Not available with Mag wheels Armrests Armrest Please select Arm Pad Option q Height Adjustable T-Arm ( ) E0973 Add Charge q Height Adjustable T-Arm Low ( ) New! Add Charge q Height Adjustable Flip Back ( ) E0973 Add Charge Not available with Seat Depths less than 16 or Angle Adjustable or Depth Adjustable Back Posts q Flip Back (10.5 ) N/C Not available with Seat Depths less than 16 or Angle Adjustable or Depth Adjustable Back Posts q Angle Adjustable Locking Extendable Flip Up E0973 Add Accessories Removable Side Guard q Composite Side Guards K0108 Add Charge Not available with T-Arm, Flip Back or Swing Away with Side Guard Armrests Anti-Tip q Rear Anti-Tips E0971 Add Charge Positioning Belt q Auto Buckle E0978 Add Charge q Padded Auto Buckle E0978 Add Charge q 2 Airline Buckle E0978 Add Charge q Bodypoint Evoflex - Pelvic Stabilizer E0978 Add Charge Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-37 ) q Bodypoint Belt Mounting Kit Add Charge Style: q Bracket q Band Clamp 1 Frame Color Frame Color not available with Titanium Frame Option Gloss Finish q Black N/C q Blue Skies N/C q Bright Orange N/C q Bubblegum Pink N/C q Candy Blue N/C q Candy Purple N/C q Candy Red N/C q Copper N/C q Fuchsia N/C q Granny Smith N/C Graphic Image Transfer Visit for current graphic image transfer options Note selection below q Add Charge Axle Position Rear Wheel Camber: q 0º q 2º q 4º Center of Gravity: q Rear q Center q Forward Arm Pad Not available with Swing Away Armrests Standard Arm Pad N/C q Desk q Full Waterfall Arm Pad Add Charge q Desk q Full Available only with Height Adjustable T-Arms Foam Grip New! N/C q Desk q Full Available only with Angle Adjustable Locking Extendable Flip Up Armrest Armrest continued q Swing Away ( ) E0973 Add Charge Not available with Angle Adjustable or Depth Adjustable Back Posts or Arm Pads q Swing Away with Side Guard ( ) E0973 Add Charge Not available with Angle Adjustable or Depth Adjustable Back Posts or Arm Pads q Omit Armrests N/C Seat Pan q Removable Aluminum Seat Pan E2231 Add Charge Not available with Transit System. Pan depth 1/2 shorter than Seat Depth. Other Accessories q Tool Kit Add Charge q Removable Underseat Pouch Add Charge q Ki Mobility Backpack Add Charge q Black Neoprene Impact Guards Add Charge q Clear Spoke Guards K0065 Add Charge Not available with Mag wheels q Black Spoke Guards K0065 Add Charge Not available with 20 Wheel Size or Mag wheels q Cane and Crutch Holder Add Charge q IV Pole Add Charge Available only with Curved Rear Frame Type and Straight Back Posts O 2 Holder Not available with Depth Adjustable Rear Frame q O 2 Holder E2208 Add Charge q Right Side q Left Side Matte Finish q Army Green N/C q Emerald Green N/C q Iridescent Burgundy N/C q Iridescent Navy N/C q Retro Red N/C q Royal Blue N/C q Shadow Black N/C q Charcoal Gray New! N/C q Smooth White N/C DCN Pricing and specifications subject to change without notice Page 6 of 10

7 Catalyst Front Seat Height Matrix 4 Caster 5 Caster 6 Caster 7 Caster 8 Caster FSH Super Low Stem Fork FSH Super Low Stem Fork FSH Super Low Stem Fork FSH Super Low Stem Fork FSH Super Low Stem Fork / / / n/a 3/4 4 3/ / / /4 5 3/ n/a n/a / n/a / n/a 8 x 2 caster not available with 6 fork 3/ / n/a / / n/a x 2 caster not available with 5 fork Front Seat Height not available with 4 x 1 Poly Caster 2 Not available with 4 x 1 Poly, 4 x 1.5 Poly or 4 x 1.5 Soft Roll Aluminum Seat heights with FSH heading available with Standard Front Frame. Seat heights with Super Low heading available with Super Low Front Frame. Actual seat height may vary depending upon configuration. DCN Pricing and specifications subject to change without notice Page 7 of 10

8 Cushions Comfort Company Seat Cushions STEP 1: Choose Cushion q Comfort Company Curve Cushion (14 x14 to 20 x20 ) Add Charge q Comfort Company Curve Cushion (Over 20 x20 ) Add Charge STEP 2: Choose Cushion Size q Match to Chair Size q Other Size - Provide Part Number RIDE DESIGNS Seat Cushions Cushion size is determined by chair dimensions. Certain sizes will have higher price and longer lead time; visit for size specifications. STEP 1: Choose Cushion q Forward Cushion Add Charge Cushions have a weight capacity of 250 lbs. q Java Cushion Add Charge Weight capacity of 300 lbs q Additional Cushion Cover Add Charge STEP 2: Choose Cushion Size q Match to Chair Size q Other Size - Provide Part Number Backs Ride Designs Backs q Java Back Regular Add Charge Back Width: q 14 q 15 q 16 q 17 q 18 q 19 q 20 q Java Back Tall Add Charge Therafin Headrest for MATRX Back Systems q Headrest, Multi-Axis Offset Hardware with Smooth/Soft Pad (E1028, E0955) Add Charge PAD SIZE: q 5 x 8 q 5 x 10 q 5 x 14 Ride Designs Headrest Mounting Hardware Plate Back Width: q 14 q 15 q 16 q 17 q 18 q 19 q 20 q Java Back Grande Add Charge Back Width: q 14 q 15 q 16 q 17 q 18 q 19 q 20 q Add Charge For mounting most manufacturers Headrest hardware. q Backrest Depth: Standard 3 Contour q Backrest Depth: Deep 6 Contour DCN Pricing and specifications subject to change without notice Page 8 of 10

9 Vest Not compatible with Back Upholstery q Full Shape, Comfort Strap (E0960) Add Charge q Small q Medium q Large q X-Large q 2X-Large q Full Shape, Extended Strap (E0960) Add Charge q Small q Medium q Large q X-Large q 2X-Large q Trim Shape, Comfort Strap (E0960) Add Charge q Small q Medium q Large q X-Large q 2X-Large q Trim Shape, Extended Strap (E0960) Add Charge q Small q Medium q Large q X-Large q 2X-Large Shoulder Harness With metal clips and cam locks. Not compatible with Back Upholstery. q Small (E0960) Add Charge q Medium (E0960) Add Charge q Large (E0960) Add Charge q X-Large (E0960) Add Charge Hip Belt q 4 Point Y-Style, Metal Buckle (E0978) Add Charge q Small q Medium q Large q Dual Rear Pull, Metal Attaching Clips (E0978) q 1 Straps, 6.25 W x 1.75 H Pads Add Charge q 1.5 Straps, 7.25 W x 2.25 H Pads _Add Charge q 1.5 Straps, 9.25 W x 2.5 H Pads Add Charge q Single Pull, Metal Buckle (E0978) q 1 Straps, 4.25 W x 1.75 H Pads Add Charge q 1 Straps, 5.25 W x 1.75 H Pads Add Charge q 1 Straps, 6.25 W x 1.75 H Pads Add Charge q 1.5 Straps, 5.25 W x 2.25 H Pads _Add Charge q 1.5 Straps, 9.25 W x 2.5 H Pads Add Charge q 2 Straps, 9.25 W x 3 H Pads Add Charge q 2 Straps, W x 3 H Pads Add Charge Knee Adductor q Flip Down Hardware (E1028) Add Charge Sold in pairs, one right side and one left side q Short Arm, Fits 3/4, 7/8 and 1 Tubing q Long Arm, Fits 3/4, 7/8 and 1 Tubing q Knee Adductor Pad with Neoprene Cover (E0956) Add Charge Sold single q Small Pad, 4.25 x Quantity: q Medium Pad, 6.25 x Quantity: Foot / Shoe Holder Compatible only with Angle Adjustable Footplates q FootSure Ankle Support (K0108) Add Charge Sold in pairs q X-Small w/ Buckle Closure, 6-8 Circum q Small w/ Buckle Closure, Circum q Medium w/ Buckle Closure, 8-11 Circum q Large w/ Buckle Closure, 9-12 Circum q X-Large w/ Buckle Closure, Circum q X-Small w/ Hook-N-Loop Closure, 5-6 Circum q Small w/ Hook-N-Loop Closure, 6-8 Circum q Med w/ Hook-N-Loop Closure, Circum q Large w/ Hook-N-Loop Closure, 9-12 Circum q X-Lrg w/ Hook-N-Loop Closure, Circum q Padded Footbox (K0108) q Small, Full Design, Fits 14 Chair Add Charge q Medium, Full Design, Fits 16 Chair Add Charge q Large, Full Design, Fits 18 Chair Add Charge q Small, Split Design, Fits 14 Chair Add Charge q Medium, Split Design, Fits 16 Chair _Add Charge q Large, Split Design, Fits 18 Chair Add Charge q Molded Shoe Holders (K0108) Add Charge Sold in pairs q Small with Plain Straps, 3.5 x q Medium with Plain Straps, 4 x q Large with Plain Straps, 4.75 x q X-Large with Plain Straps, 5 x Cane Mounted Swing Away Lateral Thoracic Support Sold as pair. Not compatible with Back Upholstery. q Swing Away Kits w/ 4 x6 Gel Pads Add Charge q Swing Away Kits, No Pads Add Charge DCN Pricing and specifications subject to change without notice Page 9 of 10

10 Half Tray Not compatible with Swing Away Armrests q Standard Shape, Clear, Flip-Away (E0950, E1028) Add Charge q Right Side q Left Side q Standard Shape, Padded, Flip-Away (E0950, E1028) _ Add Charge q Right Side q Left Side q Trimline Shape, Padded, Flip-Away (E0950, E1028) Add Charge q Right Side q Left Side Clear Tray with Border and Pre-Drilled Holes STEP 1: Choose Tray Chair Width Tray Dimension ( W x D ) Body Cutout ( W x D ) Part Number Price 20 x x Add Charge q 20 x x Add Charge q 21 x x Add Charge q 21 x x Add Charge q 22 x x Add Charge q 22 x x Add Charge q 23.5 x x Add Charge q 23.5 x x Add Charge q 24.5 x x Add Charge q 24.5 x x Add Charge q 26.5 x x Add Charge q 26.5 x x Add Charge q 26.5 x x Add Charge q 26.5 x x Add Charge q 27.5 x x Add Charge q 27.5 x x Add Charge q 28.5 x x Add Charge q 28.5 x x Add Charge q Communication Mount Hardware Choose Device Holder AND Mount STEP 1: What DEVICE will be used? q Smart Phone Add Charge q Large Smart Phone Add Charge q I-Pad Add Charge q I-Pad Mini Add Charge q 7 Tablet Add Charge q 10 Tablet Add Charge STEP 2: Where does it need to MOUNT? q Frame Add Charge q Armrest Add Charge Not compatible with Swing Away Armrests q Tray Add Charge Cup Holder q Heavy Duty Add Charge Compatible only with Flip Back Armrests STEP 2: Choose Tray Hardware q E-Z Lock Clamps, Tube Arm (E1028) Add Charge Compatible only with Swing Away Armrests. Sold in Pairs. q E-Z Lock Clamps, Standard (E1028) Add Charge Not compatible with Swing Away Armrests. Sold in Pairs. DCN Pricing and specifications subject to change without notice Page 10 of 10