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ST: ZIP:
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ST: ZIP:
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a a
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See FIGURE 3 Measurement for set up.
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See FIGURE 1 Measure from front frame to floor. o
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o o132FA2 85°
Retail Value
Ultra Lite Package (No substitutions, discount given on separate line)
Compact Wheel Lock
Package Price
Frame Style
Dealer Phone: Address:
Attention:
Dealer City:
Dealer Address:
Single Sided Fork
$625.00
$535.00
$250.00
Ultra Lite Seat Sling
132QD01
80°
NC
NC
$125.00
Retail Value
Package Price
75°
$600.00
Figure 1
NC
NC
Figure 3
132WH13 Direct Mount Wheel Lock
NC
Option # PriceDefinition
Standard
132FF1
NC
$315.00
1" (NA w/ 12" wide)132FF2
NC
NC
132FF3 2" (NA with 12" & 13" wide)
0"
Transit System
132FA1
Figure 2
o
$250.00
$2,495.00
132FA8
132WM88Quickie 7R - Adjustable (265 lbs) Use
E1235 for sizes 14" or less
$150.00
Confirm Via: Email
Classic
NC
1. FRAME
HCPCS Price
Frame Inset Per Side
See FIGURE 2 Frame Inset is the distance from the outside of the seat tube to
the outside of the footrest.
$125.00
Frame - Direct Mount Wheel Lock (Optional)
$100.00
$510.00
Frame Angle
132QD02
Compact Wheel Lock
Ultra Lightweight Wheel
$125.00Schwalbe Speed Run Tire
Only available with Compact Wheel Lock, 0° & 3° Camber and 24-25 rear wheels.
No mounting clamp hardware, NA with Aluminum or carbon fiber sideguards.NA
with mountain tires or rear suspension. NA in 12"-15" seat depths. NA with height
adjustable armrests.
Definition
132FS34
132FS9
Transit
132TO45
Quickie 7R
Fax
Ship To City:
Submitting for:
Confirmation Email:
Quote Order
EIR11
PO#:
Dealer:
Mark For:
Dealer Acct #:
Dealer Contact:
ADDITIONAL SHIPPING INFORMATION
Ship To:
Schwalbe Marathon Plus Evolution $125.00
Base Model
Performance Package (No substitutions, discount given on separate line)
Date:
Ship To Phone:
Address:
* Standard Frame - Seat Sling to front frame bend angle is 1.5" shorter than the
classic position. Classic Frame - Traditional seat sling to front frame bend angle
dimensions. Front of back cane post to front edge of seat sling will remain the
same for both Standard and Classic.
HCPCS
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.
K0005
Option #
Ultra Lightweight Wheel
December 2015
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 1
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o 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
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NC
$85.00
5" Micro Lighted $85.00
$75.00
$85.00
$195.00
132CW33
5" x 1.5" Aluminum Soft Roll
132CW34
132CW7
132CW65
132CW66
5" x 1" Aluminum Poly
Frog Legs 191 lbs. weight to 265 lbs.
$425.00
$425.00
$110.00
132CW72
$70.00
3" Micro
Carbotecture Forks
132CW68
$150.00
Seat Depth
132SD11
20"(E2203)
$55.00
$100.00
132CW3
4" Micro Lighted
$550.00
NC
18.5"
NC
$185.00
Width:
3. CASTERS / SEAT HEIGHT
132JC20
Depth:
132CU1 K0669
JAY Bundled Cushion
Cushion Name or Part #
132CW31
Caster Wheels
NC
2" Cushion
Seating Systems
NC
$100.00
Standard Seat Sling
Price List
NCOmit Seat Sling
$165.00
Figure 4
NC
-2 Setting Backrest -2" offset, field
adjustable to flush or -1"
Seat Width
Ultra Seat Sling Available 14" to 18"
Widths and Depths. Ultra Seat Sling will be
~1/4" less than requested seat height
value.
Cushion
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132SH20
NC14"
132OP04
132CW1
18"
132OP02
$500.00
o
132DP03
132SD7 19"
o
-1 Setting Backrest -1" offset, field
adjustable to flush or -2"
NC
16"
NC
15"
4" Low Profile Polyurethane
NC
See FIGURE 7 Measure from the front of the seat rail to the floor.
16.0"
132SD6
132SD8
17"132SD5
See FIGURE 6 Measure from front of back post to front edge of seat sling. Seat sling is 1"
shorter than depth ordered, but actual seat depth will remain the same as ordered.
0 Setting Backrest at standard position,
field adjustable to -1" or -2"$165.00
2. SIZE / SEATING
Depth Adjustable Backrest (Optional)
See Figure 4 Depth Adjust Backrest extends the frame rear of the seat sling,
select a factory setting.
4" x 1" Aluminum Poly
o
o $165.00
132DP04
132OP01
JAY Cushions (Optional)
$120.00
132SH23
132DP02
132CF55
132CW35
132CF74
E1015132CF54
$425.00
Frog Legs 0 weight to 100 lbs.
E2214
E2215
6" x 1.5" Semi Pneumatic
6" Pneumatic
Frog Legs 101 lbs. weight to 190 lbs.
132SH17
132CF65
132CW51
132CW5132SH27
o
NC
17.5"
Multiple Position
4" x 1.5" Aluminum Soft Roll
4" x 1.25 Semi Pneumatic
NC
132CW6
6" x 1.5" Aluminum Soft Roll
132CW44
16.5" 19.0"
17.0"
20.0"
19.5"
20.5"
Multiple Position Single Sided Fork132CF69
18.0"
6" Poly
5" x 1.5" Semi Pneumatic
132SH18 132SH26
Caster Fork and Suspension
5" Soft Roll (Grey) -NA w/Frog Legs
Figure 6Figure 5
$85.00
132SH21
132SH24
132SH16
132SD9132SD13
132SD12
NC
17"
13"132S4
132S6
132S3
20"(E2201)
19"
132S9
132S10
132S48
NC
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NC
132SD1012"
132S5
NC
132S8
13" 18"
NC
14"
12" NC
NC132S7
15"
132SH15
E1015
Front Seat Height
E1015
NC
NC
NC
21.0"
16"
132CF53
See FIGURE 5 Measure from outside of seat tube to the outside of opposite seat tube.
132CW64
132SH14
5" Low Profile Polyurethane NC
$175.00
Figure 7
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 2
See FIGURE 8
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RSH 13"-15.5" only w/ 20" Rear Wheel.
RSH 15"-15.5" Only w/ 20, 22 or 24" w/HP Clincher Rear Wheel.
RSH 16"-16.5" NA w/ 24, 25 & 26" Rear Wheels and Rear Suspension
o
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o 6° (NA w/ 5 spk Mag wheel)
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o Natural Fit Handrims only available in 22", 24", & 25".
o Natural Fit w/ 5 spoke MAG only available in 24". See APPENDIX 11 for matrix
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o o Natural Fit LT - Super Grip
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$1,195.00
Q-Grip Neoprene Coated
132RW40
132RW107
$250.00
26" Spinergy SPOX Black Spokes
$995.00
25" Spinergy SPOX Black Spokes
132RW108
132RW96
132RH18
132RH19
132RH22
132RW102
Handrim
132RW104
NC
Ultra Lightweight only available w/ Aluminum Handrim. Contact Built 4 Me for
Spinergy color options
132RH15
15.5"
20" Mag Wheel 5 Spoke
Rear Wheel
NC
132CI4
132RH37
132HR28
132HR26
132HR24
132RW97
NCOmit Handrim
NA w/ Ultra Lightweight Wheels132HR7
The Surge LT - Oval w/Gription Strip
$410.0026" Spinergy LX Black Spokes
Spinergy Flex Rim Only available on
Spinergy LX wheels 24" & 25"
NC
13.0" (NA w/ Rear Suspension)Pneumatic Airless Insert
NC
NC
E2218
Mountain Only available in 24"
132RT2 $80.00132RH11
132RH26
132RW94
20" Lite Spoke
132RW109
$1,195.00
132RW103
o
Camber
132CI2
18.5"
132RH21
17.5"
132RH20
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19.0"
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14.0"
132RH17
13.5" (NA w/ Rear Suspension)
132RH16
Setting 2 Suggested for 5" & 6" casters.
14.5"$95.00
132RT1
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Full Poly Tire
E2211
E2212
NC
NCHigh-Pressure Clincher Black
132RT3
Rear Seat Height Rear Wheel Tire
3. CASTERS / SEAT HEIGHT (CONT)
SHOX Performance PolyNC
Setting 1 Suggested for 3" & 4" casters.
For 2" Inset NA w/ setting 1
$1,195.00
$250.00
22" Lite Spoke
25" Ultra Lightweight Spoke Wheel
$795.00
$250.00
$1,195.0025" Topolino Carbon Red Spk Whl
24" Topolino Carbon Yellow Spk Whl
24" Mountain
o
19", 20" Seat DepthNC
NC
NC
15.0"
17.0"
NC
132RT27
NC
NC
NC
19.5"
$375.00
22" Ultra Lightweight Spoke Wheel
0°
24" Spinergy SPOX Black Spokes
17", 18" Seat Depth
22" Mag Wheel 5 Spoke
24" Ultra Lightweight Spoke Wheel
3°
$200.00
$250.00
Natural Fit LT - Standard Grip
NC
12" Seat Depth
Natural Fit - No Thumb Grip
4.5" Max Front to Rear Seat Hgt.
$795.00
$995.00
$375.00
NC
$200.00
132HR1
132RT21
$95.00
NC
3.5" Max Front to Rear Seat Hgt.
Aluminum Anodized
132RT28 Schwalbe Speed Run Tire
132HR32
$80.00
$795.00132HR4
$795.00
132HR25
o
132HR22
$375.00
22" Spinergy LX Black Spokes
24" Topolino Carbon Red Spk Whl
Natural Fit - Standard Grip
Natural Fit LT - No Thumb Grip
132HR23
22" Spinergy SPOX Black Spokes
20.0" ( NA w/ Rear Suspension)
E2211
E2213
$995.00 132HR30
NC
NC
15", 16" Seat Depth
Plastic Coated NA w/ 25" & 26"
Lite Spoke Wheels
NC
E2211
E2212
132HR27
25" Spinergy LX Black Spokes
$995.00 132HR31
o
NC132RT39
26" Lite Spoke
E2211
E2212
18.0"
NC
NC
o
25" Lite Spoke
NC
4. REAR WHEELS / SEAT HEIGHT
16.5"
132RH12
16.0"
132RW95
24" Lite Spoke
24" Spinergy LX Black Spokes
Setting 3 NA w/ 6" casters
24" Mag Wheel 5 Spoke
132RW50
132RW110 25" Topolino Carbon Yellow Spk Whl
132RW32
132RW28
132RH27
132RW91
132RH13
132RH14
132CI1
132LH02
132RW06
132RW93
Caster Housing Position
NC
132LH03
132LH01
132RT38 E2218
NC
132RW92
Schwalbe Marathon Plus Evolution
Knobby V-TRAK by Kenda
2.5" Max Front to Rear Seat Hgt.
13", 14" Seat Depth 3.0" Max Front to Rear Seat Hgt.
Front to Rear Seat Height Matrix
$95.00132RT12
$125.00
NC
NC
132RW90
132RW16
132RW98
Natural Fit - Super Grip
132RW10
Pneumatic
E2211
E2212
132RW99
4.0" Max Front to Rear Seat Hgt.
$525.00
E2211
E2212
E2211
E2212
$395.00
$410.00
$375.00
The Surge - Oval w/Gription Strip $375.00
$315.00
$125.00
$95.00
$95.00
High-Pressure Clinch Blk
SHOX Performance Poly
5 Spoke Mag
20,22,24 20,22,24
Ultra
LightweightTire
Full Poly
Pneumatic 20,22,24 20,22,24,26
Lite Spoke
Pneumatic w/ Airless Insert
Schwalbe Speed Run
20,22,24
Schwalbe Marathon
24,25
24,25
20,22,24,25
20,22,24
24
24,25,26 22,24,25
22,24,26 22,24
20"= 451 mm 22" = 501 mm 24" = 540 mm 25" = 559 26" = 590
24,25,26
24,25
22,24,26
Wheel
22,24,2620,22,24,26
TopolinoSpinergy
24,25
22,24,26
Knobby V Trak by Kenda
24,25
2424
Figure 8
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 3
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Extended COG NA w/ Xtender Power Assist Please select one of the following handrim options
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Measure from front of back post to the center of rear axle.
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Not all wheel locks available in all seat depths, wheel size, or COG o
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o Ext. handles only available with high mount push or pull wheel locks
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o NA with Aluminum Tubular or Ultra Lite Platform.
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132F323 $135.00
132CC4
Adjustable Extended COG (0"-3")
Axle Plate
2.5"
Not available on 19"-20" W
5. WHEEL LOCKS
132CC8
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132AX1 NCQuick Release Steel
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Quad Quick Release Steel
Only available with Mountain Whls
NC
Xtender Power Assist
NC
132DI04
132DI06
Do Not Mount
132DI07
132CC12
132CC1
$50.00
Wheel Lock Options
Adaptive Platform 4" Spacer
132XT2
Extension Handle
o $125.00
Rear seat height is 17" to 20", 0° camber, ships with 1" COG, pneumatic tire. 24" wheels
only. Anti-Tips no charge. NA w/ Padded Swing Arms or Transit.
o
132AX13
132CC5
1.5"
Plastic Coated132XH3
Extension Handle (Pair)132WL10
132CC7
NC
Rear Suspension (Optional)
$185.00
Gel Hanger Cover
Platform Carbon Fiber footrest
Footrest Options
K0040
Angle Adjustable Flip Back
$35.00
Ergo Scissor
NC
High Mount Pull
Omit Wheel Lock
$95.00
NC
$85.00
132AD3
E0961
132F276
NC
132F274
6. FOOTREST OPTIONS
132WL45
$65.00
132DI03
NC
NC
$90.00
$125.00
$50.00
K0040
High Mount Push132WL1
132WL2
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NC
132F51
132F111
Platform Footrest
Ultra Lite Platform FootrestNA w/ 14" wide and 2" inset, NA w/ 19-20
wide w/ 0" inset
Aluminum Tubular
Aluminum Tubular w/ Snap On Cover 132AD1
Adaptive Platform 6" Spacer
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NC
NC
132XA4
132CC2 NC
Xtender - Other Options
Stainless Steel
NC
Footrest
132CC6
3.5"
132WL12
132EH7
$185.00
Compact
NC
132AD2
Adaptive Platform Spacer
.5"
NC
$595.00
NC
Center of Gravity Preset
K0037
3.0"
132XA7132SV08
4.0"
$595.00
0"
2.0"
Extra Leg Strap
Adaptive Platform 2" Spacer$30.00
Neoprene Impact Guards
K0040
$35.00
o $55.00
132DI05
K0038
132DI08
Leg Strap
$105.00
Position Plates NA for Tubular Footrest
Wear Pads
NC
Axle
132CC3
1.0"
$95.00
Adjustable COG (1"-4")
Weight from 0 lbs to 175 lbs
Weight from 176 lbs. to 265 lbs
4-Link Rear Suspension COG (0"-3") Single Post only available up to 2"
COG. Plastic Side Guards only available up to 2.5" COG.
132F325
132SV09
Wheel Lock
Angle Adjustable FB Carbon Fiber $95.00
132F229
NC
$95.00
Spare Li-ion Power Pack - LITHIUM
Spare NiMH Power Pack - NICKEL
High Mount Ext Tubes (NA w/ Tubular
footrest)
SPARE 24" Lite Spoke Pneu Plastic
132DI02
K0038
$1,395.00
NC
4. REAR WHEELS / SEAT HEIGHT (CONT)
$1,795.00
E2211
E2212
132WL30
$115.00
E2211
E2213
132XA2
E0986Xtender Power Assist 4X Multiplier
NICKEL$6,595.00
o NC
132XH4
132XT3 E0986Xtender Power Assist 4X Multiplier
LITHIUM$7,595.00
SPARE 24" Lite Spoke Pneu Alum
Xtender Wheel Options
132XA1
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 4
Freestyle Backrest not available on Active Rigid chairs. See option 3 for details
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o 14 o 15 o 16 o 17 o 18 o o
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o Only available on tension adjustable upholstery and when ordered
separate through JAY J3 Back OF
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Medium size backrest not available in Carbon Fiber.
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Not applicable with carbon fiber back or Zebra color.
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NC
Backrest Tension Adj 3DX Vented*Reference 186BU71 for billing
NC
Standard Upholstery
$315.00
JAY J3 Back LT Aluminum
model (J3PAXXXYYZZ)
Omit Back Upholstery
12"
Freestyle Backrest Folding
132VU10
132VU5
E2611Backrest Tension Adj Ballistic Nylon*Reference 186BU70 for billing
$145.00
Purple Heart with Coast Guard Patch
Telescoping Push Handles Range of
13-19" from sling to handle
132OD5o
132GZ03
Backrest Height
132QF04
132JQ04
E2613
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NC
$535.00
JAY J3 Back LT Carbon Fiber
model (J3CFPAXXXYYZZ)
132VU12
Telescoping Push Handlles have Double "D" tubing to eliminate rotation.
$215.00
18" Backrest Width
Backrest Upholstery
Medium 8" shell hgt, 10.5" back height
NC
132BU14
E2613
Price List
Backrest Type
132JB06
Small 6.5" shell hgt, 9" back height
$90.00
132BB15
132JB07 $895.00
NC
$90.00
NC
Matching Frame- Custom Color
$195.00
$50.00
132BT121
132BT122
NC
Setting
Setting
10 "- 14" Back Height
Non-Folding Angle Adjustable
$90.00
132BB16
14"
US Army Patch
US Marines Patch
$75.00
Military Service Patches
132BB19132BB13
132BB20
132BB14
132BB21
9"
Freestyle Backrest Non- folding
132GZ01
132GZ02 Matching Frame- Standard Colors
$50.00
$75.00
$75.00
17"
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Black
NC
NC
Standard Style - 4" Offset
Backrest Color
16 "- 20" Back Height
132PH6
Accessories such as head supports & lateral supports are not available with Freestyle backrest. The Freestyle back comes standard with a small lumbar positioning component
132A195Telescoping Push Handles - Tall
(25" from seat to push handle)
132VU11
132VU9
US Air Force Patch
$100.00
Integral Push Handles
132BU1
$145.00
Purple Heart with Air Force Patch
132QF05
132PH2
$75.00
$75.00
19"Setting
NC
NC
Folding w/ Double Lock Down
Angle Adj
Back Type
132BT3
132BT96
$75.00
1. Aluminum Height Adjustable Backrest
132BB17
2. Ultra Lightweight Aluminum Fixed Backrest
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132BB10
$195.00
132BB18
$75.00
15"
$75.00
$75.00132BB11
7. BACKREST
$75.00
16"
$90.00
Purple Heart Patch
132VU4
132VU3
Coast Guard Patch
US Navy Patch
20" Backrest Width
Backrest Options
$145.00
14" Backrest Width
132VU8
NC
16" Backrest Width
NC
NC
132VU1
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132VU2
$90.00
$90.00
132QT02
Fold Down Push Handles NA w/ 10"-
14" adj height & 8"-10" fixed height
NA w/ standard upholstery
Purple Heart with Marines Patch $145.00
132VU13
132JQ02
132JQ01
$80.00
NC14 "- 18" Back Height
$75.00
$215.00
Purple Heart with Navy Patch
132A192
Purple Heart with Army Patch
132BB12
Backrest Width
Available with Plastic side guards and limited ranges with Carbon fiber sideguard with fender. Chair Seat depth wil be reduced by 1" with backrest.
$145.00
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13"
10" $75.00
-$15.00
132JQ03
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$330.00
Freestyle Backrest Option 3
JAY J3 Back
Narrow Backrest Inset Backcanes 1"
narrower than selected seat width. NA with
12" Wide. NA w/ Aluminum or Carbon Side
Guards
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132QF06
132PH5
NC
NC
NC
J3 Back To order a J3 Back please
select Omit Back Upholstery. See J3 Back
Order Form for Part #'s. NA
w/Freestyleback
Low Profile - 2" Offset Limited
w/Solid Backs, Not suggested with
19" & 20" wide
132B127
132B110
12 "- 16" Back Height
132JB01
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o
Setting132B111
132B137
132QT01
Towel Bar
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o
o
132BU70
132BU71 E2611
Push Handles
Select back height. 8", 9", or 10" only available with omit push handles.
17", 18", or 19" only available with fold down push handles
NC
Omit Push Handles
8"
Tall 9.5" shell hgt, 12" back height
18"
11"
Choose Option 1 or 2
Height
RangesDim "B"
Medium 1.5" - 5.5"
Dim "A"
12.0" - 16.0"
12.0" - 17.5"
Small 12.0" - 14.5"
Tall 0.5" - 5.5"
3.0" - 5.5"
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 5
Some limitations when used with the Angle Adjustable Back in the rear most setting
Please select a setting, will default to 11" if no selection is made
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o 9" o 10" o 11" o 12" o 13" o 14" o
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o Available with Aluminum or Aluminum with Fender. Not applicable to carbon
o fiber options
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o Only available with Lite spoke
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o $120.00
$295.00
NC
Belt 1.5" Auto Buckle Universal
$295.00
9. KEY OPTIONS AND ACCESSORIES
Full Length (14") Contour
Matching Frame- Custom Color
Miscellaneous
o 132A826
132C152
132SG29
E0973
132AA18
K0108
$210.00
NC
Stars & Stripes
NC
Matte Purple
Desert Camouflage
o
o
K0108
NC
132AT37
E0973
Armrest - Padded Swing Away
Setting
132AM22
Desk Length (10") Classic
Padded Swing-Away STD (9" to 14")
NC
NC
Desk Length (10") Contour132AM21
132AM23
o
o
Armpad - For Height Adjustable
Single Post Height Adjustable - StdRange 8" - 13". Adjust in 1" increments
Full Length (14") Classic
132GE01
NC
Black
Anti Tips (Pair) $140.00
1324A02
1324A01
E0978
E0973
132A824
Anti Tips
E0971
132A1
$285.00
132A2
132C36
K0108
10. COLOR
Matte Frame Colors
132C38
132C2
132C141
NC
NC
132C14
$45.001321A01
132C150
Bead Blast
Candy Red
132C10
132A2100
Increases overall width of chair. Some interferance may exist w/ padded SA arms
at lowest settings Not available w/Height Adjustable Arms
o
$105.00
K0065
Matte Black
Quickie Black Spoke Guard
1328A21
132C116
$195.00
$115.00
132C143
132GE02
132C142 Electric Blue
132C35
132C126
Glossy White - Limited Edition
132C144
Glow
Green Apple
132C44
$285.00
NC
$50.00132GE03
Armrest - Height Adjustable
o
Plastic Low
132SG41
Crutch Holder
$45.00
NC
Single Post Height Adjustable - LowRange 6.5" - 10.5". Adjust in 1" increments
$125.00
K0108
K0108
Aluminum NA w/High Push or Pull
Wheel Locks
Carbon Fiber NA w/ High Push or Pull
Wheel Locks
K0108
K0108
$125.00
Plastic Standard
132SG35
Matching Frame- Standard Colors
$450.00
Side Guard - Color Option
o
Side Guards
8. ARMREST / SIDEGUARDS
132SG36
132SG12
$245.00
132SG33
132AA11
132AA29
132AM24
E2207
Backpack - Adult
Standard Frame Color
132C118
Additional Pack Accessories
Positioning Belt Clamps Only
$55.00
$70.00
132A804
Positioning Belt
132A825
$110.00
$50.00
Aztec Gold NC
E0978
E0978 Belt 2" Aircraft Buckle
Backpack - Kids
$50.00
NC
Black Opal
Black (Not avail as base w/Zebra) NC
NCBlack Cherry
Belt 2" Aircraft Buckle Padded
Seat Pouch Black
Matte Black Cherry
Matte Evergreen
132C43
NC
Matte Electric Blue
Zebra (Choose above base color) Std with
White unless above base paint is chosen
NA w/ Blk, Matte Black, Blk Opal, Titanium
or Bead Blast)NC
132C140
132C151
NC
Candy Blue
NC
Blue Opal
NC
132C42
Hot Sparkle Pink
NC
Yellow NC
NC132C147
NC
132C113
132C8
NC132C145
132C103
NC
NC
$295.00132C108o
Mossy Oak Camouflage
NC
NC
$295.00
NC
Custom Frame Color
Titanium Color Paint
NCRootbeer
Sunrise Orange
132C114
132C148 Mauve Pink
Sparkle Silver
132NP01
Candy Purple
132C149
Evergreen
132C112
Tool Kit
Spoke Guards
Gel Swing Away Pad
$115.00K0065
Aluminum w/ Fender NA w/ High Push
or Pull Wheel Locks
$235.00
Quickie Clear Spoke Guard
NC
Carbon Fiber Long w/LG FenderNA w/High Push or Pull Wheel Locks
$495.00
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 6
Forks, Backcane Bracket, Rear Axle Clamp,and Freestyle mounting bracket
(if selected). NA w/ Frog Legs & Carbotecture forks.
o
o
o
o
o Commonly Requested Options Include:
o Swing Away Knee Adductors for Oval Tubing
o One Arm Drive
Unilateral Wheel Locks
Seat Pan
Caster Pin Lock
Grade Aids
Active Rigid w/Folding Back
Spinergy Color Spokes
Graphic designs on front frame tubes. NA with transit & Matte Black Cherry. Custom color casters (Alum sofroll only)
NA w short height frames 24",25" Glance wheels
o Lifestyle custom paint package (see website)
o
o
o
o
11. APPENDIX
Ti Grey
Built For Me
132EB09
To inquire about any unique customization for Quickie products, contact:
Phone: (800) 333 - 4000, Option #3, Fax: (800) 333 9011
$150.00
132EB11 Red $150.00
$150.00Purple
$150.00
$150.00
132EB10
Black
132EB13 $150.00Gold
132EB08
132EB07
10. COLOR (CONT)
NC
Blue
132EB12
Lime Green
Anodized Color Package
1328A27 Retro Squares
$295.00
$295.00
1328A26 Ghost Flames
Frame Graphics
1328A25
1328A24
Dragon
$295.00
1328A28 Tribal $295.00
Bloom $295.00
24
N/A
24,25
24,25Q Grip Neoprene Coated N/A 24,25 N/A 24,25 N/A
24,25Omit Handrim 20,22,24 N/A N/A 22,24,25,26
Spinergy Flex Rim N/A N/A N/A 24,25 N/A
24,25
Natural Fit LT - No Thumb Grip 24
Surge LT - Oval w/Gription Strip 24 22,24,25,26 N/A 22,24,25,26 N/A
Surge - Oval w/Gription Strip 24 22,24,25,26 N/A 22,24,25,26 N/A
Natural Fit LT - Super Grip 24 22,24,25,26 N/A 22,24,25,26
24,25
N/A
22,24,25,26 N/A 22,24,25,26 N/A
24,25
24,25
Natural Fit - No Thumb Grip 24
N/A 24,25
Natural Fit LT - Std Grip 24 22,24,25,26 N/A 22,24,25,26
Natural Fit - Super Grip 24 22,24,25,26 N/A 22,24,25,26 N/A
22,24,25,26 N/A 22,24,25,26 N/A
24,25
22,24,25,26 N/A 22,24,25,26
24,25
N/A 24,25
Plastic Coat 20,22,24 22,24 N/A 22,24,25,26 24
Natural Fit - Standard Grip 24
24
Handrim & Wheel Matrix
Wheels
Handrims5 Spoke Mag
24,25Aluminum Anodized
TopolinoMountain
20,22,24 20,22,24,26 22,24,25 22,24,25,26
SpinergyUltra
LightweightLite Spoke
Bloom design Dragon design
Ghost Flames design Retro Squares design
Tribal design
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2015 Sunrise Medical (US) LLC. 7R, MK-100204 Rev B
Page 7
![PAGE 2 QUICKIE 7r/7rssunparts.us/partscatalog/print/completepartsmanual_quickie_7r-7rs.pdf[06/2017] QUICKIE 7r/7rs PAGE 5 7R ADJUSTABLE FRAME Note:whenorderingreplacementframespecifySeatDepth,FrameStyle/Type,FrontSeatHeight,Color,andifequippedw](https://img.pdfslide.us/doc/110x75/5aadeda37f8b9a5d0a8b75c4/page-2-quickie-7r-062017-quickie-7r7rs-page-5-7r-adjustable-frame-notewhenorderingreplacementframespecifyseatdepthframestyletypefrontseatheightcolorandifequippedw.jpg)
