Manual Wheelchair Retail Prescription Form ReaAzaleaSPTall071116 Tel: 01656 776222 Fax: 01656 776220 Email: [email protected] Online spares available at: www.invacare.co.uk JANUARY 2017 Customer Ref: Account No : Contact No: Order No : Delivery address : Order Qty : Order Date : ® Invacare REA Azalea Self Propel Tall RETAIL Max User Weight 135Kg (21 stone) Standard Features • • • • • • • • • • • • • Self Propulsion, Choice of 24" or 22" Wheels Choice of Seat Widths 390mm to 490mm (+50mm) Seat Height 500mm Depth Adjustable Seat 480mm - 550mm Flex 3 Backrest Plate, Passad 2 Cushion with Braced Push Handles Assistant Operated Gas Piston Seat and Backrest Recline with Tilt Lock Angle Adjustable Legrests with Calf Support Height Adjustable Standard Pad Armrests (including autolock) Sideways Adjustable Headrest Chassis Extender - Castors Set 50mm Forward Pearl Silver Frame Quick Release Self Propel Wheels, Solid Tyres and Aluminium Hand Rims User Manoeuvred Tyre Brakes, Pelvic Belt, Anti Tippers Standard Base Price: £2,026 X Please make your selection with a cross in the box Customer weight = Code BNF9003 Standard feature Description X Free of Charge Kg NC's (Non Conformance) Rea Azalea Self Propel Tall Rea Azalea Self Propel Tall Special Basic Model - PLEASE COMPLETE DETAILS AT THE END OF THE FORM BNZ9003 Retail £2,026 POA PROPULSION TYPE BNF0025 Equipped with 24" self propelling wheels inc. tyre brakes BNF0030 Equipped with 24" self propelling wheels inc. assistant hub brakes £119 SEAT DIMENSIONS BNF0036 X £128 Tall (+50mm in seat height-depth and chassis length) SEAT WIDTH BNF0040 390mm (15") ( Small chassis) BNF0050 440mm (17") ( Medium chassis) BNF0060 490mm (19") ( Large chassis) SEAT WIDTH ADJUSTMENT (PRE ADJUSTMENT) BNF0085 Without seat width extension (Set at 0mm adjustment but can be adjusted wider if required) BNF0065 + 50mm seat width pre adjustment (NC : 1180; 1185) SEAT DEPTH BNF0105 X 480 - 550mm (19" - 22") ( Azalea Tall - incl chassis extension) SEAT HEIGHT BNF0125 X 500mm (20") (Azalea Tall) SEAT ANGLE BNF0127 Negative Seat angle -1º to +23º (std +1º to +25º) (NC : 0360) SEAT TYPE BNF0130 X Depth adjustable 480mm to 550mm SEAT CUSHION BNF0165 Cushion Floshape BNF0180 Without seat cushion £49 SEAT UPHOLSTERY BNF0201 Black dartex TR26 BNF0202 Black spacer TR36 Order No : Customer Ref : REA Azalea SP Tall Page 1 of 5 Subject to Invacare's standard Terms and Conditions. Invacare reserve the right to alter product specification without prior notice. FLEX 3 BACKREST BACKREST WIDTH ADJUSTMENT (PRE ADJUSTMENT) (NC: 0221; 0223; 0225; 0228) If selecting this option on the Tension adjustable backrest, the +50mm seat width adjustment must also be selected BNF0205 +50mm width pre adjustment, fitted with larger cushion BNF0207 Without width pre adjustment (Set at 0mm adjustment but can be adjusted wider if required) BACKREST TYPE BNF0210 Backrest plate - Flex 3 width and height adjustable (NC : 0233; 0234; 0240; 0343; 0771) BNF0220 Tension adjustable - Flex 3 width and height adjustable BNF0221 Matrx Elite, includes posture back hardware mounted to frame, backrest supplied in box BNF0223 Matrx Elite deep, includes posture back hardware mounted to frame, backrest supplied in box BNF0225 Matrx Posture, includes posture back hardware mounted to frame, backrest supplied in box BNF0228 Matrx Elite TR, includes posture back hardware mounted to frame, backrest supplied in box (NC : 0233; 0234; 0343; 0771; 0925) (NC: 0240; 0250; 0260; 0270; 0280; 0311; 0321; 0322; 0335; 0800; 0810; 0820; 0830; 0880; 0890; 0895; 0896; 0900; 0910; 0920; 0925 (NC: 0240; 0250; 0260; 0270; 0280; 0311; 0321; 0322; 0335; 0800; 0810; 0820; 0830; 0880; 0890; 0895; 0896; 0900; 0910; 0920; 0925 (NC: 0240; 0250; 0260; 0270; 0280; 0311; 0321; 0322; 0335; 0800; 0810; 0820; 0830; 0880; 0890; 0895; 0896; 0900; 0910; 0920; 0925 (NC: 0240; 0250; 0260; 0270; 0280; 0311; 0321; 0322; 0335; 0800; 0810; 0820; 0830; 0880; 0890; 0895; 0896; 0900; 0910; 0920; 0925 £87 £406 £450 £406 £335 BACKREST HEIGHT MATRX BACKRESTS (Select required height with Matrx backrests only) BNF0233 Matrx backrest height 410mm BNF0234 Matrx backrest height 510mm BACKREST COVER/ CUSHION BNF0240 Cover, Lateral for tension adjustable upholstery BNF0250 Cushion, Laguna (lateral support) BNF0260 Cushion, Mistral 2 (waist support) BNF0270 Cushion, Passad 2 (shoulder support) BNF0280 Cushion, Shoulder High 05 (dartex) BNF0300 Without backrest cushion, select with Matrx backrest options (NC : 0322) £123 (NC : 0322) £128 (NC: 0771) £61 BACKREST UPHOLSTERY BNF0321 Black dartex TR26 BNF0322 Black spacer TR36 PUSH HANDLES BNF0335 BNF0343 BNF0345 Push handles connected Push handles connected to fit Rea head/neck rests in combination with Matrx backrest Push bar, angle adjustable £87 SEATING SEAT TILT AND BACKREST REGULATION TYPE BNF0350 Assistant operated gas piston seat and backrest tilt. BNF0360 Electrical operated seat and backrest tilt. (NC: 0370) £625 (NC: 0375; 0376; 0380; 0390; 0410; 0430; 0440; 0460; 0475; 0476; 0477; 0480; 0490, 0510; 0520; 0540; 0550; 0570; 0580; 0720; 0930; 0940; 0941; 0942; 0945; 1290) £259 LEGRESTS / FOOTRESTS CENTRAL LEGRESTS TYPE BNF0370 Central legrest, incl calfpad and footrest. Not to combine with separate footrest lower parts, abduction cushion, footplate extender and clinic kit. LEGREST/HANGER POSITION BNA0375 Standard position for legrest mounting BNA0376 High position for legrest, mounted 50mm higher Standard Position High Position LEGRESTS / HANGERS LH TYPE BNF0380 Hanger angle adjustable - alu 2008 LH. With knee pad and calf support BNF0390 Hanger fixed 80 deg, swing in swing out - alu 2003, LH BNF0410 Legrest amputee - alu 2008 LH (NC : 0942; 0945) (NC : 0475; 0476; 0477; 0480; 0490; 0510, 0520; 0930; 0941; 0942; 0945) £117 LEGRESTS / HANGERS RH TYPE BNF0430 Hanger angle adjustable - alu 2008 RH. With knee pad and calf support (NC : 0942; 0945) BNF0440 Hanger fixed 80 deg, swing in swing out - alu 2003, RH BNF0460 Legrest amputee - alu 2008 RH (NC: 0950) (NC : 0475; 0476; 0477; 0540; 0550; 0570, 0580; 0940; 0941; 0942; 0945) £117 FOOTRESTS ONE PIECE BNF0475 Footrest one piece depth and angle adjustable short tube BNF0476 Footrest one piece depth and angle adjustable long tube (NC : 0477; 0480; 0490; 0510; 0520; 0540; 0550; 0570; 0580; 0930; 0940) (NC : 0477; 0480; 0490; 0510; 0520; 0540; 0550; 0570; 0580; 0930; 0940) £101 £101 FOOTBOX BNF0477 (NC: 0480; 0490; 0520; 0540; 0550; 0580; 0930; 0940; 0941; 0942; 0945) Footbox, angle adjustable, padded with short tube £465 Order No : Customer Ref : REA Azalea SP Tall Page 2 of 5 Subject to Invacare's standard Terms and Conditions. Invacare reserve the right to alter product specification without prior notice. FOOTRESTS LH TYPE Short tube knee to heel range 290mm - 400mm, Long tube 370mm - 500mm Footrest lower part, fixed with short tube and heel strap, LH. Not to (NC : 0930; 0941; 0945) combine with footplate extender. Footrest lower part, depth and angle adjustable with short tube and heel (NC : 0945) BNF0490 strap, LH Footrest lower part, fixed with long tube and heel strap, LH. Not to BNF0510 (NC : 0930; 0941; 0945) combine with footplate extender. Footrest lower part, depth and angle adjustable with long tube and heel BNF0520 (NC : 0945) strap, LH FOOTRESTS RH TYPE Short tube knee to heel range 290mm - 400mm, Long tube 370mm - 500mm BNF0480 Footrest lower part, fixed with short tube and heel strap, RH. Not to combine with footplate extender. Footrest lower part, depth and angle adjustable with short tube and heel strap, RH Footrest lower part, fixed with long tube and heel strap, RH. Not to combine with footplate extender. Footrest lower part, depth and angle adjustable with long tube and heel strap, RH BNF0540 BNF0550 BNF0570 BNF0580 (NC : 0940; 0941; 0945) (NC : 0945) (NC : 0940; 0941; 0945) (NC : 0945) ARMRESTS ARMRESTS LH TYPE BNF0600 Height adjustable, ducktail pad, LH (Autolock armrest included) BNF0607 Height adjustable and reinforced, wide pad, LH (Autolock armrest included) (NC : 1230, 1231, 1250, 1260) £76 BNF0610 Height adjustable padded, LH. Not possible to combine with standard table.( Autolock armrest included) (NC : 0680; 0690; 1230; 1231; 1250; 1260) £54 BNF0615 Hemiplegic armrests, LH. Not to combine with table accessories. (Autolock armrest included) (NC : 0695; 1230; 1231; 1240; 1245; 1250; 1260) £153 ARMRESTS RH TYPE BNF0630 Height adjustable, ducktail pad, RH (Autolock armrest included) BNF0637 Height adjustable and reinforced, wide pad, RH. ( Autolock armrest included) (NC : 1230, 1231, 1250, 1260) £76 BNF0640 Height adjustable padded, RH. Not possile to combine with standard table.( Autolock armrest included) (NC : 0680; 0690; 1230; 1231; 1250; 1260) £54 BNF0645 Hemiplegic armrests, RH. Not to combine with table accessories. (Autolock armrest included) (NC : 0695; 1230; 1231; 1240; 1245; 1250; 1260) £153 £44 SEATING OPTIONS ARMREST OPTIONS BNF0680 Side support cover - cover only, over sideguard (NC: 0695) BNF0690 Cushion to side support cover (Side support cover must also be choosen) (NC: 0695) BNF0695 Pad for siderest - removable pad with velcro straps £44 SEAT OPTIONS BNF0710 Incontinence cover £34 BNF0720 Abduction/pommel cushion £101 BNF0725 Scale for seat tilt £38 BACKREST OPTIONS BNF0730 Headrest, sideways adjustable (NC : 0770; 0780) BNF0740 Cover for headrest (NC: 0750) £26 BNF0750 Headrest with cheek support, sideways adjustable (NC : 0770; 0780) £92 BNF0770 Neckrest (NC: 0780; 0790) £159 BNF0771 Headrest Matrx, 250mm soft pad BNF0780 Cover for neckrest £18 BNF0782 Alternative headrest mounting bracket £19 BNF0790 Handles clinic kit for head-/neckrest BNF0800 Trunk support multi adjustable with standard arm (LH) BNF0810 Trunk support multi adjustable with standard arm (RH) (NC 0900) BNF0820 Trunk support multi adjustable with extended arm in height (LH) (NC 0900) BNF0830 Trunk support multi adjustable with extended arm in height (RH) (NC 0900) BNF0880 Trunk support swingaway (LH) (NC 0900) £90 BNF0890 Trunk support swingaway (RH) (NC 0900) £90 BNF0895 Trunk support multi adjustable swingaway (LH) (NC 0900) £97 BNF0896 Trunk support multi adjustable swingaway (RH) (NC 0900) £97 BNF0900 X (NC 0900) Trunk support attachment to mount laterals later. If trunk supports are chosen above, the attachment bracket is already included BNF0910 Lumbar support cushion £26 BNF0915 Scale for backrest recline £38 BNF0920 Wedges (one pair) £9 BNF0925 Privacy attachment (material connecting backrest and seat) £29 LEGREST OPTIONS BNF0930 Footplate extender LH (NC : 0941) £29 BNF0940 Footplate extender RH (NC : 0941) £29 BNF0941 Footplate cover, plush material £46 BNF0942 Calf strap (padded) £62 BNF0945 Calf strap (for one piece footrest only) Order No : Customer Ref : REA Azalea SP Tall Page 3 of 5 Subject to Invacare's standard Terms and Conditions. Invacare reserve the right to alter product specification without prior notice. CHASSIS CHASSIS COLOUR BNF0944 Silver Pearl BNF0946 Azurite (dark blue) CHASSIS SAFETY BNF0950 X Chassis extender, castors 50mm forward. CASTOR ATTACHMENT TYPE BNF0960 X Fixed FRONT CASTORS BNF1000 200mm x 27mm (8" x 1") medium hard BNF1010 200mm x 30mm (8" x 1.25") soft BNF1035 200mm x 45mm (8" x 1.75") medium hard REAR WHEEL ATTACHMENT TYPE BNF1040 X Quick Release REAR WHEELS SIZE/TYPE BNF1060 X 600mm (24") Self Propel TYRE TYPE BNF1070 Pneumatic non marking BNF1080 Pneumatic profiled BNF1085 Puncture proof BNF1090 Tyres solid £55 HANDRIM TYPE BNF1100 Aluminium BNF1120 Plastic coated £42 WHEEL OPTIONS SPOKEGUARD BNF1160 £142 Frost SAFETY BRAKE TYPE BNF1170 X User manoeuvred tyre brakes BNF1180 One arm brake LH £108 BNF1185 One arm brake RH £108 SAFETY OPTIONS BNF1200 X BNF1220 Pelvic belt £18 Reflectors kit (wheels and chassis) ACCESSORIES BNF1230 Table tray without elbow pads incl mounting kit (NC : 1260) £118 BNF1231 Table tray with elbow pads incl mounting kit (NC : 1260) £118 BNF1235 Cushion for table tray (NC : 1240; 1245) £44 BNF1240 Swing away table without elbow pads (NC : 1250; 1260) £130 BNF1245 Swing away table with elbow pads (NC : 1250; 1260) £130 BNF1250 Locking device for table tray (NC : 1260) £12 BNF1260 Mounting kit for table (if ordered separately) BNF1263 X £7 Tilt lock (Locking of pre-set angle) BNF1270 Pump £18 BNF1280 Cane holder £43 BNF1290 Clinic kit £47 BNF1300 Harness attachment (headrest or neckrest must be selected) £74 BNF1310 Attachment for positioning belt, fitted to seatframe £27 SPECIALS BNF8010 Special Comment PLEASE COMPLETE DETAILS AT THE END OF THE FORM Total Price: Non Conforming Options: BNF0221 MatrX Elite BNF0223 MatrX Elite Deep BNF0225 MatrX Posture Back BNF0227 MatrX Posture Back Deep BNF0233 Matrx backrest height 410mm BNF0234 Matrx backrest height 510mm BNF0240 Cover, Lateral 05 BNF0322 Black spacer TR36 Order No : Customer Ref : REA Azalea SP Tall Page 4 of 5 Subject to Invacare's standard Terms and Conditions. Invacare reserve the right to alter product specification without prior notice. BNF0360 Electrical operated seat and backrest tilt. BNF0375 Standard position for legrest mounting BNF0376 High position for legrest, mounted 50mm higher BNF0380 Hanger angle adjustable - alu 2008 LH. With knee pad and calf support BNF0390 Hanger fixed 80 deg, swing in swing out - alu 2003, LH BNF0410 Legrest amputee - alu 2008 LH BNF0430 Hanger angle adjustable - alu 2008 RH. With knee pad and calf support BNF0440 Hanger fixed 80 deg, swing in swing out - alu 2003, RH BNF0460 Legrest amputee - alu 2008 RH BNF0475 Footrest one piece depth and angle adjustable short tube BNF0476 Footrest one piece depth and angle adjustable long tube BNF0477 Footbox BNF0480 Footrest lower part, fixed with short tube and heel strap, LH. Not to combine with footplate extender. BNF0490 Footrest lower part, depth and angle adjustable with short tube and heel strap, LH BNF0510 Footrest lower part, fixed with long tube and heel strap, LH. Not to combine with footplate extender. BNF0520 Footrest lower part, depth and angle adjustable with long tube and heel strap, LH BNF0540 Footrest lower part, fixed with short tube and heel strap, RH. Not to combine with footplate extender. BNF0550 Footrest lower part, depth and angle adjustable with short tube and heel strap, RH BNF0570 Footrest lower part, fixed with long tube and heel strap, RH. Not to combine with footplate extender. BNF0580 Footrest lower part, depth and angle adjustable with long tube and heel strap, RH BNF0680 Side support cover BNF0690 Cushion to side support cover BNF0695 Pad for siderest BNF0720 Abduction cushion BNF0750 Headrest with cheek support, sideways adjustable BNF0770 Neckrest BNF0771 Headrest Matrx, 250mm soft pad BNF0780 Cover for neckrest BNF0790 Handles clinic kit for head-/neckrest BNF0900 Trunk support attachment BNF0925 Privacy attachment BNF0930 Footplate extender LH BNF0940 Footplate extender RH BNF0941 Footplate cover BNF0942 Calf strap (padded) BNF0945 Calf strap (for one piece footrest only) BNF0950 Chassis extender, castors 5cm forward. BNF1180 One arm brake LH BNF1185 One arm brake RH BNF1230 Table tray without elbow pads incl mounting kit BNF1231 Table tray with elbow pads incl mounting kit BNF1240 Swing away table without elbow pads BNF1245 Swing away table with elbow pads BNF1250 Locking device for table tray BNF1260 Mounting kit for table (if ordered separately) BNF1290 Clinic kit Please refer to our Invacare Unique special order form, for more complex custom requirements. Available at www.invacare.co.uk Special Instructions - Please supply the following information: Name: Email: Phone: Fax: Description of special request (please include relevant option code or part number): Order No : Customer Ref : REA Azalea SP Tall Page 5 of 5 Subject to Invacare's standard Terms and Conditions. Invacare reserve the right to alter product specification without prior notice.
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