Lisa™
Account Information
Date
Pediatric Postural
Mobility System
Account Number
Bill To
Order Form
Phone Number
Fax Number
Email Address
Buyer
P.O. Number
Patient Name
Effective Date 05/01/17
Ship To
All specifications and pricing are subject to change without notice.
©2017 Ottobock HealthCare LP • 12072388.1O • 05/01/17
Name
Standard Package
Address
City
State/Zip Code
Phone Number
Please complete this form and return to Ottobock by fax OR click the button to send via email.
Order
Quote Only
• F
or kids who are in between a children’s
solution and an adult chair, accommodates
up to 132 pounds (60 kg)
• Passed WC-19 crash testing
• Compact folding buggy in stable but yet lightweight aluminium construction
• Swivelling front wheels
• Reinforced nylon upholstery
Click to Email Form
Notes:
If combining frame with an OBSS® Custom Cushion, fax OBSS order form to: 800.810.7994
Effective 05/01/06
For more information please visit our web site at https://professionals.ottobockus.com/
Page 1/3
USA 800 328 4058
Fax 800 248 3961
Lisa™ Pediatric Postural Mobility System
Each system includes caster swivel wheel locks, reinforced solid dark blue nylon seat cover, back angle adjustment of 30°, integrated tie-down
anchor points, swiveling solid wheels with ball bearings, one-step wheel locks, integrated tip assist, height adjustable foot rest and a 2˝ standard
plastic lap belt in black. Comes standard with Lisa. (E1236)
HR32130001-027
E1236
Lisa – Size 1
481A00=1246
K0041
Single flip up footplate
$50
481A00=1248
K0108
Transit Tie Downs
$50
481A00=1247
E1225
Reclining Mechanism 120 degrees
K0108
Sun/Rain Canopy—Sizes 1 & 2
HR32140001-027
HR32136200-094
Lisa™ Postural Supports
E1236
$1,700
Lisa – Size 2
$1,750
$400
NC
HR32070060-031
E0955
Headrest, padded (blue) – Size 1
$300
HR32137700-031
E0955
Headrest, for multi-functional back insert (blue)—Size 1
$315
HR32086500-031
HR32147700-031
HR32137100-027
HR32020030
HR32020030
HR32136100
HR32075800-031
HR32085800-031
HR32137200-031
HR32147200-031
481A00=1249
HR32137800
HR32147800
HR32135700-031
HR32145700-031
HR32020080
HR32135800
HR32145800
662T13
471S138=SK008_CT
481A00=2017
E0955
E0955
E0973 x 2
E0978
E0978
E0960
K0108
K0108
E0957
E0957
E0128
K0108
K0108
K0108
K0108
E0951
K0108
K0108
K0108
E0950
E1028
Headrest, padded (blue) – Size 2
$315
Headrest, for multi-functional back insert (blue)—Size 2
$315
Flip-up Armrest – Size 1 & 2 (Pair)
$200
Lap Belt with Metal Buckle – Size 1
$80
Lap Belt with Metal Buckle – Size 2
$80
5-pt belt, w/neck pad, for stroller base – Size 1 & 2
$250
Padded Groin Strap (blue) (with or without seat inserts) – Size 2
$175
Padded Groin Strap (blue) (with or without seat inserts) – Size 1
Flip-down Abductor (blue) – Size 1
Flip-down Abductor (blue) – Size 2
$175
$325
$325
Flip Down hardware for Abductor
$120
Grab Rail (metal, without padding) – Size 1
$130
Grab Rail Padding (blue) – Size 1
$65
Grab Rail (metal, without padding) – Size 2
$130
Grab Rail Padding (blue) – Size 2
$65
Velcro Footstraps with instep padded (pair) – Sizes 1 & 2
$50
Folding Storage Bag support tubes – Size 1
$145
Medical Necessities Bag – Sizes 1 & 2
$140
Foldable storage bag with support tube – Size 2
$145
Upper extremity support surface (Tray) - must also order hardware
Hardware for Tray
$113
$232
* Note: The width reduction pads are filled with foam inserts.
For more information please visit our web site at https://professionals.ottobockus.com/
Page 2/3
USA 800 328 4058
Fax 800 248 3961
Lisa™ Specifications:
Dimensions and Weights
Size 1
Load Capacity
Product Weight
Push Handle Height
Overall Width
Min. Overall Width
132 lbs
30 lbs
31 lbs
41˝
41˝
24˝
26˝
40˝
40˝
48˝
48˝
13.75˝
13.75˝
15.75˝
min: 10.25˝ max: 12.25˝
min: 12.25˝ max: 14.75˝
14.2˝
16˝
Seat Depth—Min. Seat Depth
Seat Depth with multi-functional back
110 lbs
11.75˝
Max. Overall Width
Seat Depth—Max. Seat Depth
Size 2
Seat Width
Seat Width with multi-functional back
Seat Width with multi-functional back with width reduction pads
Seat Height—Anterior
Seat Height—Posterior
Seat Angle
Backrest Height
Seat to Back Angle (4 settings in increments of 7.5°)
Footrest Height—Min. Lower Leg Length
Footrest Height—Max. Lower Leg Length
Front Wheel Diameter
Back Wheel Diameter
Folding Size
Turning Radius
For more information please visit our web site at https://professionals.ottobockus.com/
Page 3/3
13˝
14.5˝
9.5˝ / 10.25˝ / 11˝
11˝ / 11.75˝ / 12.5˝
19.7˝
20.5˝
15˝
15˝
22°
22°
25.6˝
27.5˝
90° - 120°
90° - 120°
10.5˝
10.5˝
15.75˝
15.75˝
7˝
7˝
10˝
10˝
41˝ x 18˝ x 17˝
41˝ x 18˝ x 17˝
55˝
57˝
USA 800 328 4058
Fax 800 248 3961