SW 65-75 cm Date ____________________________ Customer code C-______________________ Invoice address ___________________ Contact person ________________________ ________________________________ Reference ____________________________ ________________________________ Other delivery address __________________ ________________________________ _____________________________________ ________________________________ _____________________________________ Invoice address = delivery address Quote Basic price 7.699,- € Excl. VAT Seat width X20065 X20070 X20075 65 cm 70 cm 75 cm Seat depth A B C D E Capacity Seat height D22149 50,0 cm 47,5 cm 45,0 cm 42,5 cm 40,0 cm Max. 200 kg See page 6 Side upholstery (reduces SW with 2 x 2,5 cm) 129,- € = Standard equipment FRAME Item nr. Description Price in € Standard Push handles 30 cm, height adjustable and swingable 0,- Standard Anti tip w/ pedal 0,- D21808 Push handles 50 cm, height adjustable and swingable 189,- D20824 Frame extension incl. brakes on lower frame tube 269,- D41074 Car fastener 158,- SOLUTIONS FOR RESPIRATION MACHINES AND OTHER MEDICAL DEVICES X21186 X21187 D42900 Universal device holder (incl. frame extender D20824) D: 34,8 cm / W: SW minus 3,6 cm / Max. capacity 10kg Cover plate for universal device – add. Level (only with X21186) D: 19,3 cm / W: SW minus 3,7 cm / H (free area): 23,7 cm Extra set of 4 mounting brackets, incl. screws 1926,592,234,- NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 1 of 7 Version 2017-01 #6 SW 65-75 cm BRAKES Standard D21010 D21029 D21031 User brake, brake lever 9 cm Drum brakes Brake lever extension + 6 cm, length: 15 cm Brake lever extension + 16 cm, length: 25 cm 0,229,69,79,- BACK UNIT (for belts please see page 4) Standard Standard X21006 D44992 X21123 X21124 D26831 D26844 D27541 X27702 X27703 D21042 D21084 Back cushion Netti Stabil - side support 17 cm, 3D cover Back height 50 cm (incl. adjustable velcro back) Back height 60 cm (incl. back extender + longer cushion) Adjustable velcro with cut for side supports Back cushion Netti SUPER STABIL for SW 65-70 cm - with 17 cm reinforced side support - 3D cover Back cushion Netti SUPER STABIL for SW 75 cm - with 17 cm reinforced side support - 3D cover Side support stable left – for Netti STABIL and SUPER STABIL Side support stable right – for Netti STABIL and SUPER STABIL Upholstery for side support stable, pair Firm back in aluminium, back height 50 cm Firm back in aluminium, back height 60 cm, incl. X21006 Lumbar support Back wedge 0,0,294,236,897,897,219,219,134,333,467,164,164,- SEAT UNIT (for belts please see page 4) Standard Standard X21125 D27490 D27491 D27492 D20830 Netti Sit - anti-decubitus cushion with incontinence layer under the 3D Reinforced seat plate Vital Base Royal, anti-decubitus cushion with temperature regulating cover – only for SW 65 + 70 cm Abduction block small (W: 8 x L: 14 x H: 8 cm) Abduction block medium, (W: 11 x L: 15 x H: 8 cm) Abduction block large, (W: 14 x L: 17 x H: 8 cm) Removable knee and thigh support 1 piece 2 pieces 0,0,912,235,235,235,188,- LEG SUPPORTS AND ACCESSORIES Standard D21008 D21745 D23014 Reinforced leg supports, manual adjustable leg rests with automatic length adjustment, angle adjustable footboard, calf supports and knee upholstery Gas spring for adjustable leg supports Calf support bracket upholstery, pair Foot fixation, pair 0,- 175,49,132,- NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 2 of 7 Version 2017-01 #6 SW 65-75 cm Bodypoint Ankle huggers D44863 S (L: 17-20 cm) D44864 M (L: 19-23 cm) D44865 L (L: 22-29 cm) D44904 XL (L: 28-33 cm) 213,213,223,244,- ARM SUPPORTS AND ACCESSORIES Standard Standard Standard D21014 D21015 D21078 D21079 D21927 D23003 D41650 D22185 D22186 Arm supports height and depth adjustable with skirt guard in aluminium (length 39,5 cm) Arm pads 420 x 80 mm Reinforced arm support brackets Arm supports extended with 5 cm (44,5 cm) Arm supports extended with 10 cm (49,5 cm) Arm pads 445 x 70 mm Arm pads 525 x 80 mm Arm pads curved at the back 525 x 80 mm Hemiplegic cushion Arm pad upholstery extra soft (for arm pads 420 x 80 mm) – 3D cover (not to be combined with a tray) Arm support hemiplegic left (not to be combined with a tray) Arm support hemiplegic left (not to be combined with a tray) 0,0,0,464,464,112,112,148,123,196,296,296,- WHEELS Standard Standard X21035 Main wheels 24 x 1 3/8” HD flexel Reinforced Fork with front wheels: 8" – 200 x 50 flexel Main wheels 12 ½” with DB flexel 0,0,345,- NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 3 of 7 Version 2017-01 #6 SW 65-75 cm HEAD SUPPORTS & ACCESSORIES Standard D20575 D82566 D20574 D20573 D20576 D27575 D27576 D21027 D21028 D21054 D23004 D23012 D23013 D23015 A B C D E Stabilizer for head support Head support A, with side support Head support A with side support and head band Head support B, small, oval Head support C, large, square Head support D, comfort (pressure distributive) Head support E with adjustable side supports Head support F with cheek support Head support adjustment tube (horizontal) + 10 cm, length 25 cm Head support adjustment tube (horizontal) + 23 cm, length 38 cm Head support adjustment tube (vertical) + 10 cm, length 50 cm Comfort cushion for head support type C – removable with Mars cover Easy Care cover for head support type A, B, C – removable 3D cover for head support type A, B, C – removable Grey head support cushion with Mars cover F 0,210,255,210,210,268,434,434,79,89,79,162,79,79,214,- X21060 X21061 D21052 Universal tray for SW 65-70 cm Universal tray for SW 75 cm Upholstery for tray 529,639,113,- TRAYS VARIOUS ACCESSORIES D21087 D21239 D41987 D42269 Clinic-Kit (tools and star wheels) Tool kit Intravenous rack Wheelchair bag 106,89,140,298,- BELT OPTIONS FROM BODYPOINT AND NETTI Belts and accessories for seat unit [A] [B] D86282 Belt bracket kit – seat [A] 98,- NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 4 of 7 Version 2017-01 #6 SW 65-75 cm X20845 Hip belt, with upholstery and car belt lock [B] 350,- Belts and accessories for back unit [A] D86890 D20881 D41645 D86895 D86896 D86895 D86896 [B] [C] [D] [E] H-harness adaptor kit (recommended for all upper body harnesses) [A] H-belt, with upholstery and car belt lock [B] Belt cross harness [C] Bodypoint Stayflex chest support without zipper [D] M (Shoulder width 33-41 cm) L (Shoulder width 41-48 cm) Bodypoint Pivofit shoulder harness [E] M (Shoulder width 33-41 cm) L (Shoulder width 41-48 cm) 250,175,175,246,- 246,- NETTI CUSTOMIZED Netti has many years of experience in developing customized solutions. Feel free to contact us for a quote concerning your individual solution. CUSTOM MADE – most wanted special adapted items (price on request) Reinforced foot plates, aluminium Extra-long calf supports (please state length) Back cushion with special side support Please describe your current case and how a possible solution could look. If you have any picture or video material, we would also like to see this. To offer the best solution, please describe the user in the best possible way, e.g. such as any given diagnosis, user weight and/or the exact pattern movement of the user. NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 5 of 7 Version 2017-01 #6 SW 65-75 cm Please write the exact measurements and draw the wished solution for the requested accessories e.g. by using the drawings underneath. Please inform us if there are any special circumstances in the living area that has an influence for the chair: e.g. the total possible width _______ cm and length ______ cm of the chair. TECHNICAL DATA Tilt (seat) Recline (back) Total width of the wheelchair Total length Total height Distance arm support to seatplate Weight of wheelchair Frame colour Cover variants -9° to +16° with double gas spring 86° to 133° with double gas spring Seat width + 22 cm (std. wheels/DB-wheels) / +19 cm (12‘‘ DB-wheels) 102 cm with leg rests 105 cm Min: 18,5 cm/ max. 32,5 cm App. 36 kg (without cushion) Silver 3D Cover Seat height – WITHOUT seat cushion (measured from floor to seat plate) Main wheel Seat height/ front wheel Leg rests Manual adjustable leg rests 12 1/2“ 48,5 cm 24“ 8‘‘ Min. calf length 32 cm 47,5 cm 8‘‘ Max. calf length 68 cm NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 6 of 7 Version 2017-01 #6 SW 65-75 cm Measurements A Hip width/Seat width ___________ cm B Thigh length / seat depth ___________ cm C Arm rest height ___________ cm D Leg length / seat height ___________ cm E Backrest height ___________ cm F Trunk width ___________ cm NORWAY: Alu Rehab AS | Bedriftsveien 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 7 of 7 Version 2017-01 #6
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