Quickie Q7 Adjustable
December 2012
SUBMIT
EIR4
Mark For:
Submitting for:
Date:
PO#:
† Quote
† Order
Dealer Acct #:
Dealer:
ADDITIONAL SHIPPING INFORMATION
Dealer Contact:
Ship To:
Dealer Address:
Attention:
Dealer City:
Dealer Phone: (
Confirmation Email:
Confirm Via:
ST:
)
Address:
ZIP:
Fax: (
Address:
)
Ship To City:
† Fax
† Email
ST:
Ship To Phone: (
)
ZIP:
Fax: (
)
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.
D
Option #
HCPCS
Definition
D
Price
Option #
HCPCS
Definition
Price
1. FRAME STYLE & SETUP
†
†
†
186WM60
Base Model
Quickie Q7 - Adjustable (265 lbs)
K0005
Power assist NA on the Q7
$2,425.00
Performance Package (No substitutions, discount given on separate line)
Single Sided Fork
$125.00
186QD01
$250.00
Ultra Lightweight Wheel
Schwalbe Marathon Plus Evolution
$125.00
Compact Wheel Lock
$125.00
Retail Value
$625.00
Package Price
$535.00
Ultra Lite Package (No substitutions, discount given on separate line)
186QD02
Ultra Lite Seat Sling
Ultra Lightweight Wheel
Schwalbe Speed Run Tire
Compact Wheel Lock
Retail Value
Package Price
See FIGURE 1
186FA1
†
186FA8
†
186FA2
†
Frame Angle
Measure from front frame to floor.
75°
80°
85°
Figure 1
$100.00
$250.00
$125.00
$125.00
$600.00
$510.00
NC
NC
NC
Figure 2
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.
186FF1
0"
NC
†
NC
186FF2
1" (NA w/ 12" wide)
†
NC
186FF3
2" (NA with 12" & 13" wide)
†
Frame Style
See FIGURE 3 Measurement for set up
186FS9
Standard
NC
†
186FS34
Classic
NC
†
* Standard Frame - Seat Sling to front frame bend angle is 1.5" shorter than the
classic position. Classic Frame - Traditional GT 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.
Caster Housing Position
See FIGURE 4
†
186LH01
†
186LH02
†
186LH03
Setting 1 Suggested for 3" & 4" casters.
For 2" Inset all casters use Setting 2
Setting 2 Suggested for 5" & 6" casters.
Setting 3 NA w/ 6" casters
Same as current GT caster placement
NC
NC
NC
Frame - Direct Mount Wheel Lock (Optional)
No mounting clamp hardware. Only available with Compact Wheel Lock and 0
Camber. Not available with mountain tires or rear suspension. Traditional wheel
locks available, see page 5. NA with rear suspension system.
186WH13
Direct Mount Wheel Lock
NC
†
Figure 3
Figure 4
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2011 Sunrise Medical (US) LLC. (12.11) Q7 April 2012, 112828 Rev L
Page 1
1. FRAME STYLE & SETUP (CONT.)
Figure 6
Depth Adjustable Backrest (Optional)
See Figure 5 Depth Adjust Backrest extends the frame rear of the seat sling,
select a factory setting.
0 Setting Backrest at standard
†
$165.00
186DP02
Figure 7
position, field adjustable to -1" or -2"
†
186DP03
†
186DP04
-1 Setting
Backrest -1" offset, field
adjustable to flush or -2"
$165.00
-2 Setting Backrest -2" offset, field
adjustable to flush or -1"
$165.00
Figure 5
†
186OP01
Seating Systems
Standard Seat Sling
NC
Ultra Seat Sling
†
186OP02
Available 14" to 18"
Width and Depth. Ultra Seat Sling will be
~1/4" less than requested seat height
value.
†
186OP04
Omit Seat Sling
$100.00
NC
Seat Width
See FIGURE 6 Measure from outside of seat tube to the outside of opposite seat tube.
†
†
†
†
†
186S3
186S4
186S5
186S6
186S7
12"
13"
14"
15"
16"
NC
NC
NC
NC
NC
†
†
†
186S8
186S9
186S10
†
186S48
17"
18"
19"
20"
(E2201)
NC
NC
NC
$450.00
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
†
186JC20 Cushion Name or Part #
Price List
Depth:
Width:
Seat Depth
See FIGURE 7 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.
†
†
†
†
†
186SD5
186SD6
186SD7
186SD8
186SD9
12"
13"
14"
15"
16"
NC
NC
NC
NC
NC
†
†
†
186SD10
186SD11
186SD12
†
186SD13
17"
18"
19"
20"
(E2203)
NC
NC
NC
$475.00
2. FRONT SEAT HEIGHT SET UP
Front Seat Height
See FIGURE 8 Measure from the front of the seat rail to the floor.
18.5"
186SH14
16.0"
186SH20
†
†
NC
16.5"
19.0"
186SH15
186SH21
†
†
NC
17.0"
186SH23
19.5"
186SH16
†
†
NC
186SH17
17.5"
186SH24
20.0"
†
†
NC
18.0"
186SH26
20.5"
186SH18
†
†
NC
186SH27
21.0"
†
Figure 8
NC
NC
NC
NC
NC
NC
†
†
†
†
†
†
†
†
†
†
†
†
†
186CW1
186CW3
186CW31
186CW72
186CW44
186CW64
186CW5
186CW51
186CW6
186CW65
186CW7
186CW66
186CW34
†
186CW33
†
†
†
†
†
†
†
Caster Wheels
3" Micro
4" Low Profile Polyurethane
4" Micro Lighted
4" x 1" Aluminum Poly
4" x 1.25 Semi Pneumatic
4" x 1.5" Aluminum Soft Roll
5" Low Profile Polyurethane
5" Micro Lighted
5" Soft Roll (Grey) -NA w/Frog Legs
5" x 1" Aluminum Poly
5" x 1.5" Semi Pneumatic
5" x 1.5" Aluminum Soft Roll
6" Poly
NC
NC
$70.00
$80.00
$55.00
$135.00
NC
$85.00
$85.00
$100.00
$85.00
$145.00
NC
186CW35
186CW68
E2214
6" Pneumatic
E2215
6" x 1.5" Semi Pneumatic
6" x 1.5" Aluminum Soft Roll
$85.00
$160.00
186CF65
186CF69
186CF53
186CF54
186CF55
Caster Forks and Suspension
Multiple Position
Multiple Position Single Sided Fork
E1015 Frog Legs 0 weight to 100 lbs.
E1015 Frog Legs 101 lbs. weight to 190 lbs.
E1015 Frog Legs 191 lbs. weight to 265 lbs.
NC
$125.00
$395.00
$395.00
$395.00
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2011 Sunrise Medical (US) LLC. (12.11) Q7 April 2012, 112828 Rev L
Page 2
$75.00
3. FOOTPLATE OPTIONS
†
†
†
†
186F229
186F274
186F276
186F51
Footrest
Aluminum Tubular
Aluminum Tubular w/ Snap On Cover
K0040 Angle Adjustable Flip Back
K0040 Platform Footrest
NC
$30.00
$185.00
$95.00
†
186F111
Ultra Lite Platform Footrest
K0040 NA w/ 14" wide and 2" inset, NA w/ 19-20
$115.00
wide w/ 0" inset
Adaptive Platform Spacer
Only available with Platform Footrest. NA w/ Ultra Lite Platform.
186AD1
Adaptive Platform 2" Spacer
†
Adaptive Platform 4" Spacer
186AD2
†
186AD3
Adaptive Platform 6" Spacer
†
†
186DI08
†
†
†
†
†
†
186DI03
186DI04
186DI05
186DI07
186DI02
186DI06
Footrest Options
High Mount Ext Tubes (NA w/
K0037
Tubular footrest)
K0038 Leg Strap
K0038 Extra Leg Strap
Gel Hanger Cover
Neoprene Impact Guards
Wear Pads
Position Plates (NA for Tubular Footrest)
186BT3
Non-Folding Angle Adjustable
$55.00
$35.00
$35.00
$105.00
$85.00
$50.00
$50.00
$95.00
$95.00
$95.00
4. BACKREST
†
186BT96
Back Type
NC
†
Folding Angle Adj w/Double Lock Down
NC
Choose Option 1 or 2
186B110
†
186B110
†
186B110
†
186B110
†
186QT01
†
186QT02
†
186PH6
†
186PH5
†
186PH2
†
†
†
†
186BU1
186BU70
186BU71
186BU14
Towel Bar
Standard Style - 4" Offset
Low Profile - 2" Offset Limited
w/Solid Backs, Not suggested with
19" & 20" wide
Backrest Handles
Integral Push Handles
Fold Down Push Handles NA w/ 10"14" adj height & 8"-10" fixed height
NA w/ standard upholstery
Omit Push Handles
Backrest Upholstery
Standard Upholstery
E2611 Backrest Tension Adj Ballistic Nylon
E2611 Backrest Tension Adj 3DX Vented
Omit Back Upholstery
NC
† 14
NC
† 16
NC
† 18
NC
† 20
NC
$50.00
NC
$100.00
NC
NC
$315.00
$330.00
-$15.00
JAY J3 Back
J3 Back
†
186JB01
To order a J3 Back please
select Omit Back Upholstery. See J3 Back
Order Form for Part #'s.
OR
†
1. Aluminum Height Adjustable Backrest
10 "- 14" Back Height
Setting
† 10
† 11
† 12
† 13
12 "- 16" Back Height
Setting
† 12
† 13
† 14
† 15
14 "- 18" Back Height
Setting
† 14
† 15
† 16
† 17
16 "- 20" Back Height
Setting
† 16
† 17
† 18
† 19
2. Ultra Lightweight Aluminum Fixed Backrest
Select back height. 8", 9", or 10" only available omit push handles.
17", 18", or 19" only available with fold down push handles
8"
186BB21
$75.00
186BB17
14"
†
†
186BB20
9"
$75.00
186BB18
15"
†
†
186BB19
186BB13
10"
$75.00
16"
†
†
11"
186BB10
186BB14
$75.00
17"
†
†
186BB15
186BB11
12"
$75.00
18"
†
†
186BB16
13"
$75.00
186BB12
19"
†
†
Military Service Patches
Only available on tension adjustable upholstery and Jay 3 Back
186VU1
US Marines Patch
†
186VU2
US Army Patch
†
186VU3
US Navy Patch
†
186VU4
US Air Force Patch
†
186VU12
Coast Guard Patch
†
186VU5
Purple Heart
†
186VU8
Purple Heart with Marines Patch
†
186VU9
Purple Heart with Army Patch
†
186VU10
Purple Heart with Navy Patch
†
186VU11
Purple Heart with Air Force Patch
†
186VU13
Purple Heart with Coast Guard
†
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$90.00
$90.00
$90.00
$90.00
$90.00
$90.00
$145.00
$145.00
$145.00
$145.00
$145.00
Backrest Options
Narrow Backrest Inset Backcanes 1"
†
186OD5
†
186A192
narrower than selected seat width. NA with
12" Wide. NA w/ Aluminum or Carbon
Side Guards
Telescoping Push Handles Range
of 13-19" from sling to handle
$80.00
$215.00
Price List
5. REAR SEAT HEIGHT SET UP
†
Axle Plate
Adjustable COG (1"-4")
NC
Rear Suspension (Optional)
† 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
$595.00
186SV08 Weight from 0 lbs to 175 lbs
†
$595.00
186SV09 Weight from 176 lbs. to 265 lbs
†
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2011 Sunrise Medical (US) LLC. (12.11) Q7 April 2012, 112828 Rev L
Page 3
5. REAR SEAT HEIGHT SET UP (CONT)
Center of Gravity Preset
Measure from front of back post to the center of rear axle.
0" (Rear Suspension System Only)
186CC12
†
.5" (Rear Suspension System Only
186CC1
†
1.0"
186CC2
†
1.5"
†
186CC3
2.0"
†
186CC4
2.5"
†
186CC5
3.0"
†
186CC6
3.5" (NA w/ Suspension)
†
186CC7
4.0" (NA w/ Suspension)
†
186CC8
†
†
†
NC
NC
NC
NC
NC
NC
NC
NC
NC
Camber
0°
3°
6° (NA w/ Mag wheel)
186CI1
186CI2
186CI4
NC
NC
NC
Front to Rear Seat Height Matrix
12" Seat Depth
2.5" Max Front to Rear Seat Hgt.
13", 14" Seat Depth
3.0" Max Front to Rear Seat Hgt.
15", 16" Seat Depth
3.5" Max Front to Rear Seat Hgt.
4.0" Max Front to Rear Seat Hgt.
17", 18" Seat Depth
4.5" Max Front to Rear Seat Hgt.
19", 20" Seat Depth
†
186RH11
†
186RH12
†
†
186RH13
186RH14
†
186RH15
†
186RH16
†
186RH17
†
186RH18
†
†
†
†
†
†
†
186RH19
186RH26
186RH20
186RH27
186RH21
186RH37
186RH22
Wheel
Tire
Full Poly Tire
High Pressure Clincher
Kik Mako Black
Knobby V-TRAK
Pneumatic
Pneumatic w/Airless Insert
Schwalbe Marathon
Schwalbe Speed Run
22" = 489 mm
Rear Seat Height
13.0" Only w/ 20" Rear Wheel.
NA w/ Rear Suspension
13.5" Only w/ 20" Rear Wheel.
NA w/ Rear Suspension
14.0" Only w/ 20" Rear Wheel.
14.5" Only w/ 20" Rear Wheel.
15.0" Only w/ 20" or 22" Rear
Wheel for Adjustable Axle. Only w/
20" Rear Wheel for Rear Suspension
NC
NC
NC
NC
NC
15.5" Only w/ 20" or 22" or 24"
w/HP Clincher Rear Wheel. Only w/
20" Rear Wheel for Rear Suspension
16.0" NA w/ 24, 25 & 26" Rear
Wheels and Rear Suspension
16.5" NA w/ 24, 25 & 26" Rear
Wheels and Rear Suspension
17.0"
17.5"
18.0"
18.5"
19.0"
19.5"
20.0" NA w/ Rear Suspension
Mag
Lite Spoke
20,22,24
20,22,24
22,24,25,26
NC
186AX1
†
186AX13
†
186RT3
†
186RT6
†
186RT22
†
186RT27
†
186RT12
†
186RT1
†
186RT2
†
186RT21
†
186RT28
NC
NC
NC
NC
NC
NC
NC
NC
Spinergy
22,24,25
22,24,25,26
24
24,25
24
24
20,22,24
20,22,24,26
22,24,26
20,22,24
20,22,24,26
24
24,25,26
22,24,25
24,25,26
24,25
24,25
24,25
24,25
22,24,26
Axle
Quick Release Steel
Quad Quick Release Steel
Only available with Mag Wheels
Rear Wheel
Ultra Lightweight only available w/ Aluminum Handrim. Power assist not
available on the Q7. Contact Built 4 Me for Spinergy color options.
20" Mag
186RW3
†
22" Mag
186RW8
†
24" Mag
186RW1
†
20" Lite Spoke
186RW90
†
22" Lite Spoke
186RW91
†
24" Lite Spoke
†
186RW92
25" Lite Spoke
†
186RW93
26" Lite Spoke
†
186RW94
22" Ultra Lightweight Spoke 2.0
†
186RW06
24" Ultra Lightweight Spoke 2.0
†
186RW10
25" Ultra Lightweight Spoke 2.0
†
186RW16
22" Spinergy SPOX Black Spokes
†
186RW28
24" Spinergy SPOX Black Spokes
†
186RW95
25" Spinergy SPOX Black Spokes
†
186RW96
26" Spinergy SPOX Black Spokes
†
186RW97
22" Spinergy LX Black Spokes
†
186RW32
24" Spinergy LX Black Spokes
†
186RW98
25" Spinergy LX Black Spokes
†
186RW99
26" Spinergy LX Black Spokes
†
186RW40
24" Mountain
†
186RW50
NC
Ultra
Lightweight
24" = 540 mm 25" = 559 26" = 590
†
E2218
E2211
E2212
E2218
E2211
E2212
E2211
E2212
E2211
E2212
E2211
E2213
E2211
E2212
E2211
E2212
Rear Wheel Tire
Full Poly Tire
NC
$90.00
NC
NC
NC
$200.00
$200.00
NC
NC
$80.00
$250.00
$250.00
$250.00
$695.00
$695.00
$695.00
$695.00
$895.00
$895.00
$895.00
$895.00
$250.00
NC
High-Pressure Clincher
$95.00
Kik® Mako Black
$95.00
Knobby V-TRAK by Kenda
$95.00
Mountain Only available in 24"
$95.00
Pneumatic
Pneumatic Airless Insert
NC
$80.00
Schwalbe Marathon Plus Evolution
$125.00
Schwalbe Speed Run Tire
$125.00
Handrim
Natural Fit Handrims only available in 22", 24", & 25"
Aluminum Anodized
†
186HR1
Plastic Coated
NA w/ 25" & 26"
†
186HR4
Lite Spoke Wheels
Natural Fit - Standard Grip
†
186HR22
Natural Fit - Super Grip
†
186HR23
Natural Fit LT - Standard Grip
†
186HR30
Natural Fit LT - Super Grip
†
186HR31
Spinergy Flex Rim Only available
†
186HR24
on Spinergy LX wheels 24" & 25"
Omit Handrim
†
186HR7
NA w/ Ultra Lightweight Wheels
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2011 Sunrise Medical (US) LLC. (12.11) Q7 April 2012, 112828 Rev L
Page 4
NC
$95.00
$375.00
$395.00
$375.00
$395.00
$525.00
NC
5. ARMREST
Armrest - Padded Swing Away
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
186AA18
Setting
E0973 Padded Swing-Away STD (9" to 14")
† 9"
† 10" † 11" † 12" † 13" †
†
186AA11
Armrest - Height Adjustable
Single Post Height Adjustable - Std
E0973
†
186AA29
E0973
†
$175.00
14"
$260.00
Range 8" - 13". Adjust in 1" increments
Single Post Height Adjustable - Low
Range 6.5" - 10.5". Adjust in 1" increments
†
†
†
†
186AM23
186AM21
186AM24
186AM22
†
186NP01
Armpad - For Height Adjustable
Desk Length (10") Classic
Desk Length (10") Contour
Full Length (14") Classic
Full Length (14") Contour
Armrest Options
Gel Swing Away Pad
NC
NC
NC
NC
$105.00
$260.00
6. KEY OPTIONS & ACCESSORIES
Wheel Lock
Not all wheel locks available in all seat depths, wheel size, or COG
186WL1
High Mount Push
†
186WL2
High Mount Pull
†
Ergo Scissor
186WL45
†
186WL30
Compact
†
186WL10
Omit Wheel Lock
†
†
Wheel Lock Options
Do Not Mount
186WL12
Extension Handle
Ext. handles only available with high mount push or pull wheel locks
E0961 Extension Handle (Pair)
†
186EH7
†
186AT37
Anti Tips
E0971 Anti Tips (Pair)
NC
NC
NC
$125.00
NC
NC
$60.00
$135.00
Side Guards
Increases overall width of chair. Some interferance my exist w/ padded SA arms
at lowest settings
Plastic Standard
†
186SG33
K0108
$125.00
NA w/ Height Adjustable Arms
Plastic Low
†
186SG29
K0108
$125.00
NA w/ Height Adjustable Arms
Aluminum NA w/Height Adj. Arms, High
†
186SG35
K0108
$235.00
186A203
186A83
†
†
†
†
†
†
†
†
†
†
†
†
†
†
†
†
†
†
†
†
186C118
186C2
186C10
186C38
186C36
186C14
186C35
186C128
186C6
186C127
186C126
186C116
186C117
186C4
186C5
186C103
186C114
186C113
186C11
186C8
Frame Color
Bead Blast
Black
Black Opal
Blue Opal
Candy Blue
Candy Purple
Candy Red
Copper
Forest Green
Fuchsia
Glow
Matte Black
Matte Green
Midnight Purple
Pearl Pink
Rootbeer
Sparkle Silver
Titanium Color Paint
Toxic Green
Yellow
†
†
†
186C112
186C43
186C42
Custom Frame Color
Desert Camouflage
Mossy Oak Camouflage
Stars & Stripes
†
186C108
Push or Pull Wheel Locks
†
186SG36
K0108 Aluminum w/ Fender NA w/ Height Adj.
†
186SG12
K0108
Arms, High Push or Pull Wheel Locks
Carbon Fiber NA w/ Height Adj. Arms,
High Push or Pull Wheel Locks
Side Guard - Color Option
Available with Aluminum or Aluminum with Fender.
186GE01
Black
†
186GE02
Matching Frame- Standard Colors
†
186GE03
Matching Frame- Custom Color
†
$245.00
$450.00
NC
NC
$50.00
†
†
†
186A117
186A118
186A141
Positioning Belt
E0978 Belt 2" Aircraft Buckle w/clamps
E0978 Belt 2" Aircraft Buckle Padded w/clamps
E0978 Belt 1.5" Auto Buckle Universal w/clamps
$110.00
$120.00
$70.00
†
†
186A23
186A302
Spoke Guards
K0065 Black Spoke Guard
K0065 Quickie "Q" Clear
$115.00
$115.00
†
†
†
186A1
186A2
186A8
Additional Pack Accessories
Backpack - Adult
Backpack - Kids
Black Seat Pouch
Miscellaneous
E2207 Crutch Holder
Tool Kit
†
†
Zebra (Choose above base color) Std
with White unless above base paint is
chosen NA w/ Black
$195.00
$45.00
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
$295.00
$295.00
$295.00
$295.00
Anodized Color Package
Forks, Backcane Bracket, Rear Axle Clamp. NA w/ Frog Legs- anodized parts
can be ordered separately
186EB07
Black
NC
†
186EB08
Blue
$150.00
†
186EB09
Green
$150.00
†
186EB10
Purple
$150.00
†
Red
$150.00
186EB11
†
186EB12
Ti Grey
$150.00
†
Built For Me
To inquire about any unique customization for Quickie products, contact:
Phone: (800) 333 - 4000, Option #3, Fax: (800) 333 9011
$55.00
$50.00
$45.00
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2011 Sunrise Medical (US) LLC. (12.11) Q7 April 2012, 112828 Rev L
Page 5
7. APPENDIX
Base Chair Includes:
BASE CHAIR WEIGHTS
DEPTH
12
13
14
15
16
17
18
19
20
12
13
14
15
WIDTH
16
17
18
19
20
16.97
17.04
17.10
17.16
17.23
17.29
17.35
17.42
17.48
17.03
17.09
17.16
17.22
17.29
17.35
17.42
17.49
17.56
17.08
17.15
17.22
17.29
17.36
17.43
17.50
17.57
17.64
17.15
17.22
17.29
17.36
17.43
17.50
17.57
17.64
17.71
Front Caster
4" Low Profile Poly
Fork
Low Narrow
Caster Bolt
Caster Stem Short (1.75")
Foot Rest
Aluminum Tubular
Rear Wheel
24" Lite Spoke Wheel
Tire
Pneumatic
17.22
17.29
17.36
17.43
17.50
17.57
17.64
17.71
17.78
Handrim
17.29
17.36
17.43
17.50
17.57
17.64
17.71
17.78
17.85
Backrest
Aluminum Anodized
Short 2" Towel Bar
17.36
17.43
17.50
17.57
17.64
17.71
17.78
17.85
17.92
Backrest UPH
Standard
17.43
17.50
17.57
17.64
17.71
17.78
17.85
17.92
17.99
Seat Sling
Standard
17.50
17.57
17.64
17.71
17.78
17.85
17.92
17.99
18.06
Pushhandles
Omit Push Handle 12"-16"
Wheel Lock
Ergo Scissor
**Weights are provided as a guideline, actual can vary because of sizing, manufacturing, or material variances.
Example 20" tire vs. 24". **Not all frame set up or options are listed
Com ponent
lbs
Seat Sling
Com ponent
Standard Seat Sling
Ultra Seat Sling
Omit Seat Sling
Seat Cushion
0.00
-0.06
-0.66
DAB
With Padded S/A Armrest
With Out Padded S/A Armrest
Backrest w ith Tow el Bar
4" Tow el Bar
2" Cushion
1.26
Adj Height BackRest 10-14,12-16,14-18
Omit Cushion
0.00
Caster Wheels (Pair)
lbs
Com ponent
lbs
Rear Tires (Pair)
Com ponent
lbs
0.04
Full Poly
High-Pressure Clincher
Kik Mako Black
Knobby V-Trak by Kenda
0.70
-1.30
1.12
0.89
Wheel Lock (Pair)
Push Wheel Lock
Pull Wheel Lock
Ergo Scissor
Compact Wheel Lock
0.00
Mountain Tire
1.54
Grade Aid Hardw are
-0.20
Adj Height BackRest 16-20
0.09
Pneumatic
0.00
Direct Mount
-0.77
8" Fixed Height Backrest
-0.16
Pneumatic Airless Insert
2.00
Omit Wheel Lock
-1.04
-0.13
Schw albe Marathon Plus Evolution
0.34
Schw albe Speed Run
-1.32
1.20
0.66
3" Micro
-0.06
9" Fixed Height Backrest
4" Low Profile Poly
0.00
10" Fixed Height Backrest
-0.11
4" Micro Lighted
0.29
11" Fixed Height Backrest
-0.09
4" x 1" Aluminum Poly
0.03
12" Fixed Height Backrest
-0.06
Aluminum Anodized
0.00
Anti-tip 24" Wheel
4" x 1.25" Semi Pneu
0.19
13" Fixed Height Backrest
-0.04
Aluminum - Ultra Wheel Only
-0.45
Omit Anti-Tips
4 x 1.5" Aluminum Soft Roll
0.57
14" Fixed Height Backrest
-0.01
Plastic Coated
1.60
0.16
0.16
0.00
-0.12
Wheel Lock Extension Handle
6" Pair
Handrim s (Pair)
0.10
Rear Anti-tip
1.03
0.00
Side Guard
5" Low Profile Poly
0.40
15" Fixed Height Backrest
0.01
Natural Fit Standard Grip
1.95
Plastic Side Guard Low
1.36
5" Micro Lighted
0.72
16" Fixed Height Backrest
0.04
Natural Fit Super Grip
1.95
Plastic Side Guard Standard
1.74
5" Sof t Roll Semi Pneu
1.20
17" Fixed Height Backrest
0.06
Natural Fit LT Standard Grip
1.57
Carbon
0.92
5" x 1" Aluminum Poly
0.42
18" Fixed Height Backrest
0.08
Natrual Fit LT Super Grip
1.57
Aluminum Side Guard
2.91
Aluminum Side Guard w ith Fender
3.51
5" x 1.5" Semi Pneu
0.54
19" Fixed Height Backrest
0.11
5" x 1.5" Aluminum Sof t roll
1.04
Active Rigid Backrest
0.23
6" Poly
0.67
6" x 1.5" Semi Pneu
0.88
Tension Ballistic
0.51
6"x 1.5" Aluminum Soft Roll
1.35
Tension Vented
0.47
6" Pneumatic
0.55
Standard
0.00
Omit Upholstery
Caster Forks (Pair)
Low Narrow
Backrest UPH
0.00
-0.65
Push Handles (Pair)
Low Wide
0.07
Integral Push Handles Short
0.10
Low Single Sided
0.02
Integral Push Handles Medium
0.17
Arm rests (Pair)
Padded S/A Assembly
2.97
SPHA Standard
4.33
Backpack
0.45
SPHA Low
3.76
Backpack Kids
0.25
Arm rest Pads (Pair)
Desk Length - Classic
2.22
Accessories
Black Seat Pouch
0.20
Belt 2" Aircraf t Buckle
0.44
Desk Length - Contour
1.14
Belt 2" Aircraf t Buckle Padded
0.60
Full Length - Classic
2.73
Belt 1.5" Auto Buckle Universal
0.38
Full Length - Contour
1.50
Rear Wheel (Pair)
Crutch Holder
0.57
Gel Cover Armrest Pad
0.48
Standard Narrow
0.04
Integral Push Handles Tall
0.24
20" Mag Wheel
0.82
Neoprene Impact Guards
0.11
Standard Wide
0.12
Fold-Dow n Push Handles 12-16, 14-18
0.61
22" Mag Wheel
1.32
Wheelchair Tray
6.50
Standard Single Sided
0.09
Fold-Dow n Push Handles 16-20
0.69
24" Mag Wheel
1.78
Frog Legs
0.62
Omit Push Handle 10-14
-0.07
20" Lite Spoke Wheel
-0.47
Quick Release (Light Spoke Wheel)
0.00
Omit Push Handle 12-16
0.00
22" Lite Spoke Wheel
-0.21
Quick Release (Spinergy, Ultra-Light)
0.03
Footrest
Axles (Pair)
Aluminum Tubular
0.00
Omit Push Handle 14-18
0.07
24" Lite Spoke Wheel
0.00
Quick Release (Mag Wheels)
0.00
Aluminum Tubular Long
0.06
Omit Push Handle 16-20
0.14
25" Lite Spoke Wheel
0.07
Quad Quick Release
0.13
Aluminum Platform
1.07
No Push Handles
-0.42
26" Lite Spoke Wheel
0.27
Aluminum Platform Long
1.14
20" Ultra Lightw eight Spoke Wheel
-1.56
Ultra Lite Aluminum Footrest
0.36
22" Ultra Lightw eight Spoke Wheel
-1.30
Ultra Lite Aluminum Footrest Long
0.41
Footrest Options
Leg Strap
No Leg Strap
-0.15
Leg Strap (10-14")
0.00
24" Ultra Lightw eight Spoke Wheel
-1.09
Leg Strap (15-17")
0.00
25" Ultra Lightw eight Spoke Wheel
-1.02
0.01
24" Spinergy SPOX Black
-0.13
Removable Snap On Cover (16" Wide)
0.24
Wear Pads (ea) Need 2 per chair
0.02
Leg Strap (18-20")
Adaptive Platform 2" Spacer
0.16
Angle Adj. Folding Lock Dow n Back
0.00
Adaptive Platform 4" Spacer
0.34
Non-Folding Backrest
-0.05
Adaptive Platform 6" Spacer
0.52
Position Plate for Aluminum Footrest
1.04
No Foot Rest Options
0.00
Back Type
25" Spinergy SPOX Black
0.15
26" Spinergy SPOX Black
0.43
24" Spinergy LX Black
-0.50
24" Mountain (Uses a 22" Rim)
2.97
Suspension
4- Link Suspension Assembly
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2011 Sunrise Medical (US) LLC. (12.11) Q7 April 2012, 112828 Rev L
Page 6
2.75