Quantum 4Front Order Form - TRU-Balance 3 Positioning · Part: DGN124336-PPK3 Deep Purple Part:...

Page 1 of 19INFINFB3757/RevB/02OCT2017

Quantum 4Front™ Order Form - Group 3, TRU-Balance 3 Positioning

Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

Weight:________ Height:________

PATIENT INFORMATION

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

A. Shoulder Width: _______B. Chest Width: _________C. Hip Width: ___________

D. Max Sitting Height: ____E. Shoulder Height: ______F. Axilla Height: _________

G. Thigh Depth: _________H. Lower Leg Length: ____I. Elbow Height: ________

INTRODUCTION This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applica-tions other than Acrobat. Complete the form by placing checks in the desired boxes and provide information in the interactive fields. Buttons shown at the bottom of the form may be utilized to print or submit the order form through a desktop email application. To email via a web-based application, please ‘Save As’ and attach the PDF to your email. This order form contains a large variety of options to fulfill various patient needs. Descriptions and section notes, such as optional or required, are included to help you complete your order. Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax (866-707-3422) or email ([email protected]). Incomplete forms may delay the quote or order. Customer service will contact you if the order is incomplete or if there are compatibility issues. If special order requests are needed, be sure that the Patient Information section is completed or include a completed physical assessment form with this order form. HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power chair. Please contact technical service for accurate parts ordering. Options noted with "XRef" have multiple possible part numbers based on system configuration. Please see cross-reference spreadsheet for the XRef part numbers.

Thank you for choosing Quantum!

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http://www.quantumrehab.com/resources/downloadorderforms.php?f=seating/us_physical_assessment_form.pdf


Red CorvettePart: DGN1700109-PRD1

Electric BluePart: DGN1700109-PBU9

Back in BlackPart: DGN1700109-PBK1

Night TrainPart: DGN1700109-PBK3

White SatinPart: DGN1700109-PWT2

Pretty in PinkPart: DGN1700109-PPK3

Deep PurplePart: DGN1700109-PPR5

Lime LightPart: DGN1700109-PGN7

Grey StreetPart: DGN1700109-PSL3

Silver BulletPart: DGN1700109-PSL7

Midnight BluePart: DGN1700109-PBU10

Orange CrushPart: DGN1700109-POR6

Yellow BlazePart: DGN1700109-PYL3

Military GreenPart: DGN1700109-PGN8

To Be DeterminedPart: N/A

Quantum 4Front 3MP-SS .....................................$7,895Part: 4FRONT 3MP-SS. HCPCS: K0861Multiple actuator power option.

Quantum 4Front 3SP-SS ......................................$7,895Part: 4FRONT 3SP-SS. HCPCS: K0856Single power option.

Quantum 4Front 3S-SS ........................................$7,895Part: 4FRONT 3S-SS. HCPCS: K0848Solid seat pan standard with no power option.

DRIVE WHEELSREQUIRED. Select a type of drive wheels and accent color.

3”x14” Flat Free Black Tires with Accent .............StandardPart: PTOINDV3525

3”x14” Pneumatic Black Tires with Accent ......... No ChargePart: WHL1704059

BASE COLORREQUIRED. Select one shroud color. Colors shown here may differ from actual product depending on monitor/printer calibration used.

Back in Black ....................StandardPart: DGN164245-PBK1

Red Corvette .................. No ChargePart: DGN164245-PRD1

Electric Blue ................... No ChargePart: DGN164245-PBU9

White Satin ..................... No ChargePart: DGN164245-PWH2

Pretty in Pink .................. No ChargePart: DGN164245-PPK3

Night Train ..................... No ChargePart: DGN164245-PBK3

Deep Purple ................... No ChargePart: DGN164245-PPR5

Lime Light ...................... No ChargePart: DGN164245-PGN7

Grey Street ..................... No ChargePart: DGN164245-PSL3

Silver Bullet .................... No ChargePart: DGN164245-PSL7

Midnight Blue .................. No ChargePart: DGN164245-PBU10

Orange Crush .................. No ChargePart: DGN164245-POR6

Yellow Blaze ................... No ChargePart: DGN164245-PYL3

Military Green ................. No ChargePart: DGN164245-PGN8

To Be DeterminedFollow-up required.

BASE MODELREQUIRED. Select a power base. 300 lb. weight capacity with standard 6mph programmable motors and 8 amp off board charger. Dimensions of base without legrests: 24.2”Wx45.7”L

PATIENT'S WEIGHTREQUIRED. The patient's weight is required to quote and order the power chair.

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Drive Wheel Accent Color REQUIRED.

Patient's Weight:________

FENDER LIGHTSREQUIRED. Fender lights are standard and will be automatically included unless omitted or if base mounted lights are selected.

FULL LIGHT PACKAGESOptional. Requires Q-Logic 3 Joystick for Full Light Package. Select one available package below.

Switch Operated Fender Lights..........................StandardPart: DGN1700033

Omit Fender Lights ....................................... No ChargePart: DGN1700032

Base Mounted, LED, Full Light Package .............................................................................$995Part: ELE1700035Fender lights will be omited with Base Mounted, LED, Full Light Package.

Seat Mounted, LED, Full Light Package .............................................................................$995Part: ELE131477

Seat Mounted LEDLights (One Shown)



JOYSTICK/SCIM ELECTRONICSREQUIRED. Select a type of drive control from the following sections. The No Joystick option is used to omit the joystick and utilize another control, such as a specialty control at the end of this form or found on the Alternative Controls and Electronics Order Form.

Q-Logic 3 Expandable Capacity Controller Module ...... $695Part: See XRef. HCPCS: E2377

Q-Logic 3 Expandable Capacity Controller Harness ...... $425Part: HAR144005. HCPCS: E2313

Q-Logic 3 Non-Expandable Capacity ...................StandardController ModulePart: See XRefControls up to one actuator.

Q-Logic 3 Non-Expandable Capacity ...................StandardController HarnessPart: HAR144005-NE

Q-Logic 3 Non-Expandable Capacity Joystick ........StandardPart: CTL167724-NE

Q-Logic 3 Non-Expandable Capacity Joystick ...... No Chargefor Full Light PackagePart: CTL167725-NE

Q-Logic 3 Expandable Capacity Joystick .... $700Part: CTL167724Allows use of specialty controls and multiple actuators.

Q-Logic 3 Expandable Capacity Joystick .... $700for Full Light PackagePart: CTL167725Allows use of specialty controls, multiple actuators, and light packages.

No Joystick, Setup for Q-Logic 3 ElectronicsPart: Configuration selection.

Q-Logic 3 Non-Expandable CapacityControls one actuator.

Q-Logic 3 Expandable Capacity

Q-Logic 3 Joystick ShroudREQUIRED with Q-Logic 3 Joystick selection above. Reference colors shown on page 2.

Q-Logic 3 Expandable Capacity Required ComponentsQ-Logic 3 expandable capacity controls require the controller module and expandable harness below. If a specialty control is selected later in this form, Customer Service may quote the order with these items.

Q-Logic 3 Non-Expandable Capacity Required ComponentsQ-Logic 3 non-expandable capacity joystick requires a controller module and harness below.

Black, Soft Touch ...........................................StandardPart: DGN124307

Non-matching Joystick Shroud .................................$50Part: PTOINDV3422Select color below

Match Joystick Shroud to Base Color ..........................$50Part: PTOINDV3421





White SatinPart: DGN124336-PWH2









Military GreenPart: DGN124336-PGN8

Q-Logic 3 SCIM ModuleOptional.

SCIM Module Kit for Q-Logic 3 ........................................................................................$525Part: CTL168055Allows use of joystick display for specialty devices. Available with Q-Logic 3 Expandable Capacity Joystick selection above. Up to 5 profiles to control drive, seat, and auxiliary functions, excluding sip-n-puff and single switch functions. A switch is required to operate the input device attached to the SCIM module.

SCIM Module

Q-Logic 3 Joystick

http://www.quantumrehab.com/resources/downloadorderforms.php?f=electronics/us_alternative_controls_order_form.pdf


JOYSTICK MOUNTING BRACKETSREQUIRED. Select a mount to be used with a joystick selected in previous section.

Omit Joystick Mounting Bracket

Swing-away, Inline, Left Side Mount .......... $245Part: ACC142524. HCPCS: E1028

Swing-away, Inline, Right Side Mount ........ $245Part: ACC142525. HCPCS: E1028

Swing-away, 1” Offset, Left Side Mount ..... $245Part: ACC142742. HCPCS: E1028

Swing-away, 1” Offset, Right Side Mount .... $245Part: ACC142743. HCPCS: E1028

Swing-Away (Retractable) BracketAllows the joystick to retract to the side of the armrest while maintaining the same joystick orientation. "Inline brack-et" is used with TRU-Balance 3 arms when the joystick is inline with armpad. "Inline bracket" will be offset 1" when used with tube style arms. Select "Offset Bracket" to have the joystick inline with armpad on tube style armrests.

Swing Away JoystickInline Mount (Right)

Swing Away JoystickOffset Mount (Right)

JOYSTICK HANDLESOptional. The standard Q-Logic 3 joystick knob can be seen in the image on the previous page. An optional handle selected below will be mount-ed to the joystick and the standard handle will be shipped with the unit.

Joystick Handles


Fixed, In-line, Bracket .............................................................................................StandardPart: FRMASMB10617.

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

Fixed, In-line Joystick Bracket

Multi-Axis JoystickMount

Retract4

Swing-Away/Flip DownBracket (Stand Alone

Hardware Shown)

Retract4 Mount ................................... $350Q-Logic Part: MEC138860. HCPCS: E1028Full 180° of movement that translates into multi-position use, straight, right offset, left offset, or fold away. Joy-stick orientation varies as bracket is adjusted.

Multi-axis Mount ...................................$100Q-Logic Part: ACC131216. HCPCS: E1028Allows height adjustment of joystick.

Stealth Swing-Away/Flip Down Bracket ....$294.25QL3 SAJ: ST-TWBM480CJ-Q. HCPCS: E1028QL3 Joystick Part: ST-TWBM480QL-Q. HCPCS: E1028Allows the joystick to pivot to side of armrest, or flip-down if bracket is adjusted.

Specialty Joystick MountsSelect a bracket and side to mount it.

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

Specialty Mount Side

Mushroom Handle (B) .............................. $85Part: ACCASMB1860. HCPCS: E2323

Chin Cup (C) ......................................... $85Part: ACCASMB1861. HCPCS: E2323 (E2324 when chin control)

T-Bar (D) .............................................$120Part: ACCASMB1858. HCPCS: E2323

Medium Ball Handle (E) ............................ $65Part: ACCASMB1859. HCPCS: E2323

Soft Ball Handle (F) ................................. $65Part: ACCASMB1856. HCPCS: E2323

Extended I-Handle (G) ............................. $85Part: ACCASMB1857. HCPCS: E2323

Bodypoint 3” Goal Post Handle .................. $99Part: PLSKNCP1057. HCPCS: E2323

Bodypoint 4” Goal Post Handle .................. $99Part: PLSKNCP1058. HCPCS: E2323

Q-Logic 3 Carrot Handle (A) ............. No ChargePart: DGN124308


12”-16” Depth PackageMinimum depth is 14". Not avail-able with Power Lift.

14”-16” Depth PackageOnly available with Power Lift.

16”-20” Depth Package 20”-24” Depth PackageMaximum depth is 22".

TRU-Balance® 3 ConfigurationREQUIRED. Select one seating system. Be sure to complete the seat dimensions, seat to floor, and back selections.

TRU-BALANCE® 3 SEATING - Quantum Intelligent Systems™


14” D(#1004)

15” D(#1005)

16” D(#1006)

17” D(#1007)

18” D(#1008)

19” D(#1009)

20” D(#1010)

21” D(#1011)

22” D(#1012)

14” W(#1004)

15” W(#1005)

16” W(#1006)

17” W(#1007)

18” W(#1008)

19” W(#1009)

20” W(#1010)

21” W(#1011)

22” W(#1012)

Seat Width

Seat Depth

Static Seat Seat to Floor

Tilt, Recline, and Lift Seat to Floor

Seat DimensionsREQUIRED with seat selection. Select width and depth package and enter or check desired set width and depth in that package range, available in 1” increments. Configurations disallowed or not shown may be available through special order. 15” width is only available with non-matching back width. Minimum seat size is 14"W x 14"D. Maximum seat size is 22"W x 22"D. Parts: See XRef: TB3SPACK

Set Width at:______ Part: SETWDTH#, see below

Set Depth at:______ Part: SETDPTH#, see below

Seat to Floor HeightREQUIRED. Select a seat to floor height compatible with the seat functions previously selected. Seat to floor height stated below is based on unoccupied height. Actual height may vary depending on weight of patient.

17.75” Seat to FloorPart: PTOINDV3649



ELECTRONICS ACCESSORIESOptional.

USB Mobile Device Charger ......................$175Part: ELE124122Can charge 1 device. See multiplier harness section for secondary multiplier.

Q-Logic PC Programming Disk with Cable ... $750Part: ELEASMB5216

USB MobileDevice Charger

12”-16” Width PackageMimimum width is 14". Not available with Power Lift.

14”-16” Width PackageOnly available with Power Lift.

16”-20” Width Package 20”-24” Width PackageMaximum width is 22".

TRU-Balance 3 Static Seat ...................................$2,295Part: PTOINDV344220° of limited recline adjustment (-5/ +15) via gas strut within back cover.

TRU-Balance 3 Power Tilt ....................................$6,995Part: PTOINDV3443. HCPCS: E100250° Center of Gravity (CG) power tilt seating system.

TRU-Balance 3 Power Recline ..............................$7,595Part: PTOINDV3444. HCPCS: E1004175° of power recline.

TRU-Balance 3 Power Tilt & Recline ......................$11,895Part: PTOINDV3446. HCPCS: E100750° CG power tilt with 175° of power recline. Full drive lockout at 20°.

TRU-Balance 3 Power 10” Lift ............................. $2,600Part: PTOINDV3775. HCPCS: E230010” of scissor lift. 22”W x 22”D maximum seat size.

Attendant Manual Recline .....................................$500Part: PTOINDV3501. HCPCS: E1226Available with Static Seat or Power Tilt. Not available with Power Lift. Will require extended lead time when selected with Articulating Foot Platform or Fender Lights.

10” Power Lift or Manual ReclineOptional. Select one option below.

15” Seat to FloorPart: PTOINDV3847




TRU-BALANCE® 3 SEATING continued

Angle Adjustable .......................................... No ChargePart: MEC140266

Flip Forward ........................................................$25Part: MEC140272

1” Endo ..............................................................$35Part: MEC141455

2” Endo ..............................................................$35Part: MEC141456

Back CaneSelect with Back Cane Option selected above.

Back Cane HeightSelect with Back Cane Option selected above.

16”H CanePart: FRMASMB15834






Back SelectionREQUIRED. Match choice in this section with the options in the back cushion configuration section.

TRU-Balance 3 Back Assembly (Static Back)Part: Configuration selectionSelect a back cushion configuration in the subsequent section.

Back Cane OptionPart: Configuration selectionAvailable only with Static Seat and Power Tilt selections. Not available with ADI Q-Backs. Select cane type, back cane height, and back cush-ion configuration below.

Flip Forward Back ............................................... $150Part without Lift: MEC131957, Part with Lift: MEC148117Available with Power Tilt and Lift. Only available with 2-post, flip back or pediatric armrests. Not available with 12”-15” width or with atten-dant manual recline. Select a back cushion type in the subsequent section.


Sport Back.................................................. No ChargePart: See XRefComplete following width package and size.

ADI Q-Back, Active Contour ................................... $525Part: See XRef. HCPCS: E2613Complete following width package and size.

ADI Q-Back, Deep Contour..................................... $595X Part: See Ref. HCPCS: E2615Complete following width package and size.

ADI Q-Back, Extra Deep Contour ............................. $650Part: See XRef. HCPCS: E2620Complete following width package and size. 20" Wide Extra Deep Contour is not compatible with Gel and Water-fall Armpads, Endo/Meso Downposts, 2 Post Arms, or Ottobock arm blocks unless wider arm bars are installed on the chair.

TRU-Comfort 2 Back, 20” Width or less .................... $675Part: See XRef. HCPCS: E2620Complete following width package and size.

TRU-Comfort 2 Back, 22” Width or greater ............... $775Part: See XRef. HCPCS: E2621Complete following width package and size.

Omit Back Pan/Cushion .................................. No ChargePart: PTOINDV1287Select a following width package.

After-market Back Interface ..................................$200Part 16"-20"W: SET131920. Part 20"-24"W: SET131921Enter the set width below, range of 16"-24". Overall seat depth may need to be adjusted to accommodate certain backs. May interfere with gel/waterfall armpads and arm through. Does not include brack-ets to mount after-market backs. A Special Order is required on back widths less than 16”.

Back Cushion ConfigurationREQUIRED. Select a configuration type and applicable dimensions. See the Sport, Q-Back, and TRU-Comfort 2 back availability chart for stock order back size ranges. Other size backs may be available with Special Order and extended lead time.


TRU-BALANCE 3 SEATING continued

Back Overall HeightStatic Seat and Power Tilt available height range: 14”-25”H. Odd heights include 4” gap and even heights include 3” gap between seat pan and bottom of back cushion. Power Recline available height range: 19”-28”H. Odd heights include 6” gap and even heights include 7” gap. See the Sport and TRU-Comfort back availability chart for stock order back size ranges.

Set Overall Height at:______ Part: SETHGHT#, see below

14” H(#1027)

15” H(#1028)

16” H(#1029)

17” H(#1030)

18” H(#1031)

19” H(#1032)

20” H(#1033)

21” H(#1034)

22” H(#1035)

23” H(#1036)

24” H(#1037)

25” H(#1038)

26” H(#1039)

27” H(#1040)

28” H(#1041)


Match Seat Width SelectionsPart: PTOINDV3468

10”W-14”W PackagePart: Configuration selection, back cushions



Back Cushion WidthAvailable with +/-4” of seat width.

Tilt or Static Width Recline Width

Sport, Q-Back, and TRU-Comfort 2 Back Availability Chart

Ove

rall

Hei

ght

Sport or TRU-Comfort 2 BackSport BackSport, Q-Back, or TRU-Comfort 2 Back

Set Width at:______ Part: PTOINDV#, see below

12” W(#3562)

14” W(#3563)

16” W(#3564)

17” W(#3565)

18” W(#3566)

19” W(#3567)

20” W(#3568)

21” W(#3569)

22” W(#3570)

24” W(#3571)

TRU-Balance 3 Back ShroudREQUIRED. The back shroud is a feature of the TRU-Balance 3 seating system and is available in matching shroud colors. The back shroud is not available when Omit Back Pan/Cushion is selected. Reference colors shown on page 2.

Additional TRU-Balance 3 Back OptionsOptional.

TRU-Comfort 2 Lateral Positioning Wedge, pair ............$30Part: SET123465Available with TRU-Comfort 2 backs. Not available on power tilt backs 16”-17”H with limited adjustability on 18” H. Not available on power recline back 19”-20”H with limited adjustability on 21”H.

See Comfort Company Back order form

Privacy Flap, 9.75” ................................................$35Part: DWR1044E456BStandard on recline seating systems.

Privacy Flap, 12.75” ..............................................$35Part: DWR1044E456AStandard on recline seating systems.

Red CorvettePart: DGN148034

Electric BluePart: DGN148076

Back in BlackPart: DGN148032

Night TrainPart: DGN1706558

White SatinPart: DGN148075

Pretty in PinkPart: DGN148045

Deep PurplePart: DGN148046

Lime LightPart: DGN148036

Grey StreetPart: DGN148074

Silver BulletPart: DGN148047

Midnight BluePart: DGN148035

Orange CrushPart: DGN148038

Yellow BlazePart: DGN148077

Military GreenPart: DGN148037



TRU-Balance 3 Flip-Back, 8”-12”H ..................StandardPart: See XRef

TRU-Balance 3 Flip-Back, 12”-16”H ................StandardPart: See XRef

TRU-BALANCE 3 ARMRESTSREQUIRED. Select the desired type of armrest below. Please read notes to ensure seating compatibility. Be sure to also select an armrest size and armpad type.

2-Post, Flip Back, Height Adjustable, and Removable Armrests (9”-13” Height) .................................................No ChargePart: See XRefNot available with a depth less than 16”. Required with flip forward back and lap trays.

TRU-Balance 3 Flip-Back ArmrestsChoose a left and right TRU-Balance 3 armrest and set height in the following section. An optional downpost is also available. Different Left (L) and Right (R) armrest height packages are allowed. Not available with Back Cane Option.

Two-Post ArmrestsSelect the armrest and set the left and right heights in the following section. These armrests may interfere with offset backs/ back canes.

TRU-Balance 3 Armrest Downpost (Pair) .................................................................................................. $87.50 ea.Part: See XRefAvailable up to 2” difference between seat and back width via endomorph or mesomorph configuration. Not available on 14” Width seat or back.

14” Full LengthPart: Configuration selection

10” Desk LengthPart: Configuration selection

TRU-BALANCE 3 ARMREST SIZEREQUIRED. Select a Left (L) and Right (R) armrest size. This also affects the foam and waterfall armpad selection below.

TRU-BALANCE 3 ARMREST HEIGHTREQUIRED. Set left and right armrest height. Note the available height range in the option description.

Heavy Duty, Removable ArmrestsSelect a type of HD removable armrests and the set height in the following section. Only one height package is selectable as a normal configu-ration. Payer coding, coverage, and bundling guidelines may apply.

8”-12”H, Single Post, Height Adjustable, ...............$75 ea.Removable, Heavy Duty (Sold as pair) Part: See XRef.

10”-14”H, Single Post, Height Adjustable, ..............$75 ea.Removable, Heavy Duty (Sold as pair) Part: See XRef.

Set Left Height at:______ Set Right Height at:______ 8” HPTOINDV3535

9” HPTOINDV3536

10” HPTOINDV3537

11” HPTOINDV3538

12” HPTOINDV3539

13” HPTOINDV3540

14” HPTOINDV3541

15” HPTOINDV3542

16” HPTOINDV3543

8” HPTOINDV3450

9” HPTOINDV3451

10” HPTOINDV3452

11” HPTOINDV3453

12” HPTOINDV3454

13” HPTOINDV3455

14” HPTOINDV3456

15” HPTOINDV3457

16” HPTOINDV3458

No Armpad Selection and/or See Positioning Components Page or Order Form ..................................................No ChargePart: Configuration selection

Straight, Armpad .......................................StandardPart: See XRef

Waterfall, Armpad .................................... No ChargePart: See XRef

Foam Armpads

TRU-BALANCE 3 ARMPADSREQUIRED. Select to omit an armpad selection or select a left and right armpad type. Please note that waterfall and gel armpads may cause interference with the seat back.



TRU-BALANCE 3 HEADRESTSOptional. Select a headrest pad and bracket.

Headrest Pads

Headrest BracketStealth’s Worlds Best Removable .......... $220.50Headrest Bracket (TWB485-1) (C)Part: FRMASMB15999. HCPCS: E1028

Stealth Multi-Axis Removable Headrest ..$160.50Bracket (HMO475P) (D)Part: HDWASMB1084. HCPCS: E1028

Stealth 8” Comfort Plus (CP450) ........... $151.94Part: POS148484. HCPCS: E0955

Stealth 10” Comfort Plus (CP250)(A) ...... $151.94Part: SETHEAD1057. HCPCS: E0955

Stealth 14” Comfort Plus (CP150) .......... $151.94Part: INDPART2327. HCPCS: E0955

Pediatric Comfort Plus (6”Wx4.5”H) ...... $151.94(CPN350)Part: SETHEAD1069. HCPCS: E0955

Stealth Small Contoured (9.75”Wx3”H) .... $64.20(STL-OTSM250)Part: SETHEAD1052. HCPCS: E0955

Stealth Large Contoured (11”Wx6”H) (B) ... $80.25(STL-OTLG150)Part: SETHEAD1053. HCPCS: E0955

Headrests

LAP BELTSREQUIRED. Select a lap belt below.

38” Lap BeltPart: ACCBELT1006






Standard Lap Belts

TRU-BALANCE 3 JOYSTICK BRACKET RECEIVERREQUIRED.

Height AdjustableReceiver (Track Arm)

Height AdjustableReceiver (Tube Arm)

Standard Fixed Receiver ..................................StandardPart: ACC123525

Stealth Height Adjustable Receiver .......................... $214Tube Arm Part: ST-ARM250C-Q. HCPCS: K0108Track Arm Part: ST-ARM250T-Q. HCPCS: K0108

Falcon Gel Armpads for TRU-Balance 3 Armrests

Falcon Gel Armpads for Tube Style Arms

Falcon Gel, Full Length Left and Right ...................... $185Part: ARM136417

Falcon Gel, Full Length Left, Desk Length Right ...... $162.50Part: ARM136426

Falcon Gel, Desk Length Left, Full Length Right ...... $162.50Part: ARM136418

Falcon Gel, Desk Length Left and Right .................... $140Part: ARM136416

Falcon Gel, Full Length Left and Right ..................$296.40Part: ARM136438

Falcon Gel, Full Length Left, Desk Length Right ...... $274.22Part: ARM136442

Falcon Gel, Desk Length Left, Full Length Right ...... $274.22Part: ARM136439

Falcon Gel, Desk Length Left and Right ................$252.40Part: ARM136437

Gel ArmpadsSold only in pairs. Armpads are 3” wide. Manufacturer part number for full length is 314G and desk length is 310G.

TRU-BALANCE 3 ARMPADS continued

i-Fit 60” Single Pull, Push Button, Medium ..................$86(7.5”) Padded, 1.5” Belt (IFPB5213)Part: ST-IFPB5213-Q

i-Fit 60” Single Pull, Push Button, Large .....................$86Padded (9.5”), 2” Belt (IFPB5314)Part: ST-IFPB5314-Q

i-Fit 60” Single Pull, Push Button, Extra Large .............$86Padded (11.5”), 2” Belt (IFPB5315)Part: ST-IFPB5315-Q



TRU-BALANCE 3 POWER POSITIONING ELECTRONICSREQUIRED. Select the desired control type for the seating system. Please note the available actuator controls.

TRU-BALANCE 3 POWER LEGREST CONTROLOptional. Specific power legrest options are selected later in this form. Select the control type here, if power legrests are desired, to assist the selection of the power positioning electronics.

Independent Legrests (Requires 2 actuator controls)Part: Configuration selection

Combined Legrests (Requires 1 actuator control)Part: Configuration selection

Articulating Foot Platform (Requires 1 Actuator Control)Part: Configuration selection

TRU-BALANCE 3 MANUFACTURER INSTALLED ACCESSORIESOptional.

Trilogy Vent Tray ................................. $400Part: ACC136791. HCPCS: E1029

Push Handles (pair) ...............................$175Part: ACC147772Not available with oxygen holder, back cane option, or vent tray. Required with attendant manual recline.

Compact Vent Tray ............................. $1,395Part: ACC133889. HCPCS: E1029

Accessory Bar ......................................$100Part: MEC125098Standard with the Trilogy vent tray, and oxygen holder. May be added to mount additional accessory to back of unit. Not available with back cane option.

Switch Controls

iAccessFlat Button

iAccessToggle Button

Compact and Trilogy

Left Side iAccess Right Side iAccessPart PTOINDV3678 Part: PTOINDV3679

iAccess Mount

TRU-BALANCE 3 ATTENDANT CONTROLOptional. *Attendant control will be at no charge when ordered with Tilt and Recline, alternative drive controls, and a Q-Logic Display or SCIM module. Mounting bracket is included.

Attendant Control ................................................................................................................................... $500*Part: ELE167862. HCPCS: E2331

Single Actuator Control Through Flat Button ............$3,295iAccess and Q-Logic 3 AAM Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through Flat Button .........$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2311

Single Actuator Control Through Toggle Button ........$3,295iAccess and Q-Logic 3 AAM Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through Toggle Button ......$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2311

Single Actuator Through Q-Logic 3 ........................$1,895Controller and Interface Part: See XRef. HCPCS: E2310

Multiple Actuator Through Q-Logic 3 .....................$2,895Controller and Interface Part: See XRef. HCPCS: E2311

Single Actuator Control, Through Toggle (Power Tilt Only) .............................................No ChargePart: See XRefOnly available with Power Tilt only. Select toggle side. Will require extended lead time when selected with Fender Lights.

Left Side Toggle Right Side TogglePart PTOINDV1838 Part: PTOINDV1839

Q-Logic 3 Controls with iAccess Switch ControliAccess control is not available with combined or independent power legrests.

Tilt Only through Toggle

Q-Logic 3 Controls through Joystick



LEGRESTSOptional. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guide-lines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference.

Small Calf Pad (pair) 6”Wx6”H ................................ $150*Part: RIGASMB7120018

Large Calf Pad (pair) 8” taper to 6”Wx8”H ................ $150*Part: RIGASMB7120019

Small Calf Panel 18”Wx8”H ................................... $150Part: FRMASMB7110012

Large Calf Panel 24”Wx8”H ...................................$200Part: RIG123824Only available on widths of 20” or greater.

Reversed Dartex Calf Pad Cover (pair) ...................... $150Small part: RIG133717. Large part: RIG133719

Reversed Dartex Panel Cover (pair) ......................... $150Small part: RIG134673. Large part: RIG134744

Wheel Bumpers (pair) ...................................$12.50 ea.Part: WHLASMB1578

Footplate Connector ..............................................$15Part: RIGASMB7120023

Center Mount Calf Support*Calf pads are standard with a power articulating foot platform. Select calf pads covers for additional charge. Calf pad and panel covers include 1/2” of soft visco foam.

Modular Footplate Extension ComponentsOptional. Assembly required. May require seating configuration adjustments to avoid front caster interference.

Additional Accessories

Center Mount Foot PlatformsIf power articulating foot platform is selected, be sure power legrest control has been selected in previous section. Select legrest length in following section.

This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.

Center Mount Foot Platform Compatibility Matrixfor TRU-Balance® 3

Power Reclineor Static Seat

Low Med. High Low Med. High Low Med. High

Power Tilt Power Lift

10”-16” Length Extension

13”-19” Length Extension

8"-12" Extension, 5"x6" FootplatesPart: RIG152577Not available with power articulating platform.

8"-12" Extension, 5"x8" FootplatesPart: RIG152578Not available with power articulating platform.

10"-16" Extension, 5"x6" FootplatesPart: RIG150206






Power Articulating Foot Platform ........... $2,995Part: PTOINDV3754Please verify the appropriate billing code to be used for this item with all third-party payors.

Manually Adjustable Center Mount ........... $250Foot PlatformPart: RIG163640

Lower Extension and Footplates

Power ArticulatingFoot Platform

Width Extension for 8”D Footplates ........................ $50*Part: RIG152517*No charge and automatically included with articulating foot platform and 8"D footplates selections.

Width Extension for 11”D Footplates ....................... $50*Part: RIG152518*No change and automatically included with articulating foot platform and 11"D footplates selections.

2” Bell-Shaped Length Extension ..............................$50Part: RIG152519Not compatible with width extensions. Can be used with 6” outside edge with 11” footplates.

4” Outside Edge ...................................................$50Part: RIG152510Only available with 6”D footplates and 8”D footplate extension.

6” Outside Edge ....................................................$50Part: RIG152516Available with 8”D and 11”D footplates and 11”D footplate extension.


LEGRESTS continued

70° Articulating, Swing-Away ............. $1,197.50 ea.Legrest with 14.5"-18" ExtensionPair part: FRMASMB9073. Pair HCPCS: E1010.Left part: FRMASMB9074. Right part: FRMASMB9075

70° Articulating, Swing-Away ............. $1,197.50 ea.Legrest with 11"-13" ExtensionPair part: FRMASMB11444. Pair HCPCS: E1010 Left part: FRMASMB11366. Right part: FRMASMB11367

Power Articulating, Swing Away Legrest

Left and Right Legrests will Match

Left and Right Legrests will not match

One Legrest (Left or Right as Marked)

Configuration Verification

70° Power Articulating, Swing Away Legrests4” of articulating range. Be sure power legrest control has been selected in previous section. Select an upper extension type and footplate. Pair (P), Left (L), and right (R) configurations are selected by checking the appropriate boxes. Select legrest length in following section.


70° Power Articulating,Swing-Away Legrest Compatibility Matrix




Angle Adjustable, 11”-13”

Angle Adjustable, 14.5”-18”

Calf Pad (pair) 6”Wx6”H ................................ No ChargePart: MEC153735

Falcon Gel Padded Knee Adductor Buttons (KBE)(pair) ... $125Part: INDPART2242. HCPCS: K0108

Accessories

4”Wx6”DPair part: FRMASMB7448. Left part: RIG133543. Right part: RIG133566



6”Wx8”D1Pair part: FRMASMB7451. Left part: RIG133547. Right part: RIG133569



Angle Adjustable Footplate with Heel Loop and Wheel Bumper¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.


60°-90° Swing-Away Legrest Compatibility Matrix




Extruded, 11”-16.5”

11”-13” extension causes no interference at all seat-to-floor heights.

Extruded, 13”-16.5”

Angle Adjustable, 15.5”-19.5”Multi-Axis, 11”-16.5”

Multi-Axis, 15.5”-19.5”

Extruded, 15.5”-19.5”Angle Adjustable, 13”-16.5”60°-90° Swing-Away Legrest .............$81 ea. or N/C*

Pair part: RIG120062. Left part: FRMASMB17558. Right part: FRMASMB17559*No charge with Power Positioning. Not available with 11"-13" extensions.

60°-90° Swing-Away Legrest, Short ....$81 ea. or N/C*Pair part: RIG136481. Left part: RIG132607. Right part: RIG132609*No charge with Power Positioning. For use only with 11"-13" lower extensions.

60°-90° Swing-Away LegrestsAdjustable in 5° increments. Select a configuration, a legrest upper, a legrest extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes. Select legrest length in following section.

Swing-Away Legrest Upper

Left and Right Legrests will match






LEGRESTS continued

Extruded Footplate(s)7.25”Wx6”D Extruded Footplate ...............StandardPart pair: FRMASMB7847. Left: FRMASMB7861. Right: FRMASMB7862

8.5”Wx6”D Extruded Footplate .................StandardPart pair: FRMASMB7848. Left: FRMASMB7863. Right: FRMASMB7864May cause interference on seat widths less than 18.”

4”Wx6”D ...............................................$85 ea.Pair part: FRMASMB10564. Left: RIG133537. Right: RIG133560.HCPCS: K0040



6”Wx8”D1 ..............................................$85 ea.Pair part: FRMASMB10567. Left: RIG133540. Right: RIG133563.HCPCS: K0040

6”Wx11”D1 .............................................$85 ea.Pair part: FRMASMB10568. Left: RIG133541. Right: RIG133564.HCPCS: K0040

8”Wx11”D2 .............................................$85 ea.Pair part: FRMASMB10569. Left: RIG133542. Right: RIG133565.HCPCS: K0040

Angle Adjustable Footplates with Heel Loops¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.

4”Wx6”D ......................................... $247.50 ea.Pair part: FRMASMB9456. Left: RIG133531. Right: RIG133552HCPCS: K0040

5”Wx6”D ......................................... $247.50 ea.Pair part: FRMASMB9457. Left: RIG133532. Right: RIG133553.HCPCS: K0040

5”Wx8”D ......................................... $247.50 ea.Pair part: FRMASMB9458. Left: RIG133533. Right: RIG133554.HCPCS: K0040

6”Wx8”D1 ........................................ $247.50 ea.Pair part: FRMASMB9459. Left: RIG133534. Right: RIG133555.HCPCS: K0040

6”Wx11”D1 ....................................... $247.50 ea.Pair part: FRMASMB9460. Left: RIG133535. Right: RIG133558.HCPCS: K0040

8”Wx11”D2 ....................................... $247.50 ea.Pair part: FRMASMB9461. Left: RIG133536. Right: RIG133559.HCPCS: K0040

Multi-Axis Footplates¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.

Heel Loops (pair) ..................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable and multi-axis footplates.

Wheel Bumper ............................................$12.50 ea.Part: See XRef

Gel Neoprene Footrest Sleeve (pair) ..........................$80Part: INDPART2243. HCPCS: K0108

60°-90° Swing-Away Legrest Accessories

Amputee Supports with Swing-Away UpperEnter a quantity for the amputee supports and covers. A 60°-90° legrest upper must be selected with the amputee support. The support will be configured with the legrest upper side that does not have a lower extension and footplate selected with it.

11”-13” LengthPart: See XRefN/A with Multi-axis.

11”-16.5” LengthPart: See XRefN/A with Angle Adjustable.

13”-16.5” LengthPart: See XRefN/A with Multi-Axis.

15.5”-19.5” LengthPart: See XRef

Lower Extension


Therafin 31515 Multi-Axis Amputee Support ..... $230 ea.Part: INDPART2822. HCPCS: E1020

Therafin 32387 Amputee Support Gel Cover ..... $155 ea.Part: INDPART2823. HCPCS: K0108


Reinforced Cast Footplate(s)7.25”Wx6”D Reinforced Footplate .............StandardPair part: FRMASMB4748. Left: RIG138055. Right: RIG138056

8.5”Wx6”D Reinforced Footplate ...............StandardPair part: FRMASMB4747. Left: RIG138060. Right: RIG138062May cause interference on seat widths less than 18.”

4”Wx6”D ...............................................$85 ea.Pair part: FRMASMB8812 x2. HCPCS: K0040

5”Wx6”D ...............................................$85 ea.Pair part: FRMASMB8811 x2. HCPCS: K0040


6”Wx8”D1 ..............................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795HCPCS: K0040

6”Wx11”D1 .............................................$85 ea.Pair part: FRMASMB4741. Left: RIG137796. Right: RIG137797HCPCS: K0040

8”Wx11”D2 .............................................$85 ea.Pair part: FRMASMB4744. Left: RIG137798. Right: RIG137799HCPCS: K0040

Angle Adjustable Footplates with Heel Loops¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”. 4"x6" and 5"x6" footplates are only available in pairs.

LEGRESTS continued

Elevating Legrest AccessoriesHeel Loops (pair) ..................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable footplates.

Falcon Gel Padded Knee Adductor Buttons (KBE)(pair) ... $125Part: INDPART2242. HCPCS: K0108

Wheel Bumper ............................................$12.50 ea.Part: See XRef.Available on angle adjustable footplates.

11”-14” LengthPair: FRMASMB4755Left: RIG138026Right: RIG138030For reinforced only

12”-14.5” LengthPart: See XRefFor angle adjustable only

14”-17” LengthPair: FRMASMB4756Left: RIG138033Right: RIG138035For reinforced only

14.5”-18” LengthPart: See XRefFor angle adjustable only

Lower Extension



Elevating Legrest Compatibility Matrix




Reinforced, 11”-14”

Angle Adjustable, 14.5”-18”

Reinforced, 14”-17”Angle Adjustable, 12”-14.5”

Elevating Legrest Assembly .................. $162.50 ea.Pair part: FRMASMB6483. Left: RIG138012Right: RIG138013. HCPCS: E0990Select lower extension and footplates

Elevating LegrestsSelect a configuration, a legrest upper, a legrest extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes. Select legrest length in following section.

Elevating Legrest

Left and Right Legrests will match




SET LEGREST LENGTHREQUIRED with matching left and right legrest configuration. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guidelines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference. Non-matching or individual legrest configurations lengths are not set by the manufacturer.

Set Legrest Length at:______ Part: PTOINDV#, see below

7” L(#3470)

7.5” L(#3471)

8” L(#3472)

8.5” L(#3473)

9” L(#3474)

9.5” L(#3475)

10” L(#3476)

10.5” L(#3477)

11” L(#3478)

11.5” L(#3479)

12” L(#3480)

12.5” L(#3481)

13” L(#3482)

13.5” L(#3483)

14” L(#3484)

14.5” L(#3485)

15” L(#3486)

15.5” L(#3487)

16” L(#3488)

16.5” L(#3489)

17” L(#3490)

17.5” L(#3491)

18” L(#3492)

18.5” L(#3493)

19” L(#3494)

19.5” L(#3495)

20” L(#3496)

20.5” L(#3497)

21” L(#3498)

21.5” L(#3600)

22” L(#3669)

22.5” L(#3670)


PROVIDER INSTALLED TRU-BALANCE 3 ACCESSORIESOptional. Multiple accessories can be mounted along the various tracks but some interference may occur.

Cup Holder .................................. No ChargePart: ACC125003For use with TRU-Balance 3 (track style) armrests.

Cup Holder (Tube-style Armrest) ...... No ChargePart: ACCASMB2634For use with tube-style armrests.

Backpack Holder (Pair) (A) ........................ $50Part: ACC147774Not available with back cane option.

Hydration System (B) ............................ $200Part: ACC125010

Glove Box (C) .......................................$125Part: ACC125011

Transfer Bar, Quick Release (Pair) (D) ....... $200Part: ACC147773. HCPCS: E0705

Front Mounted Cell Phone/Media Holder (E) ....$50Part: ACC155835

Large, Black, Weather Cover ....................$168Part: ACCCOVR1021

Reflector Kit ......................................... $50Part: ACC124670

Personal Item Hook ................................ $50Part: ACC125008Not available with back cane option.

Rear View Mirror .................................... $50Part: ACC155833

Oxygen Holder .................................... $200Part: ACC125006. HCPCS: E2208

Clothing Guard (Pair)............................. $200Part: ACC125007

Quantum Backpack ................................. $75Part: ACCINDV1102

TRU-Balance 3Accessories

CUSHION QUICK PICKOptional. General size selections are shown below. Refer to the specific cushion order form for detailed pricing, sizes, codes, and part numbers. Check the non-matching box and attached a cushion order form for a size other than the previously selected seat width and depth, or for a cushion not shown here.

Cushion SelectionSee cushion order form for detailed sizing and pricing.

Match seat selection width and depthPart: Configuration selection

Non-matching cushion size, see cushion order form orcushion part number:

Simplicity Cushion (General Use) ................................$98HCPCS: E2601

Solution® Cushion (Skin Protection and Positioning) ......$430-$480HCPCS: E2607-E2608

Solution® 1 Cushion (Skin Protection) ..................$430-$480HCPCS: E2603-E2604

Spectrum® Gel Cushion (Positioning) ...................$530-$580HCPCS: E2605-E2606

Spectrum® Foam Cushion ..............................$530-$580(Skin Protection and Positioning)HCPCS: E2607-E2608

TRU-Comfort 2 Cushion (Skin Protection) ............ $400-$500HCPCS: E2603-E2604

TRU-Comfort Sport Seat CoverAvailable as an additional cover option for TRU-Comfort seat cushions. Only available in sizes below.

16”Wx16”D ........................................................ $100Part: CUS133843

18”Wx18”D ....................................................... $100Part: CUS133848

20”Wx20”D ....................................................... $100Part: CUS133849


http://www.quantumrehab.com/resources/quantum-order-forms.asp

http://www.quantumrehab.com/resources/quantum-order-forms.asp


Flip Down Bracket (TWBTLADD-HW) ........... $236.25 ea.Part: INDPART2804. HCPCS: E1028

Flip Down with LEFT Full Surface Contact ........ $236.25 ea.Feature (TWBADD-L & LPHW407)Part: POS140428. HCPCS: E1028

Flip Down with RIGHT Full Surface Contact ...... $236.25 ea.Feature (TWBADD-R & LPHW407)Part: POS140429. HCPCS: E1028

Removable Bracket (LP430) ...................... $262.50 ea.Part: INDPART2805. HCPCS: E1028

Removable Bracket with 1” Offset .................$400 ea. (LP430 & LHW-121)

Part: INDPART2854. HCPCS: E1028

Stealth Pelvic/Thigh GuidesPelvic/thigh guides may interfere with the joystick receiver block and down posts. Please provide quantity next to check box.

Bracket


BATTERIESREQUIRED. Select a type of battery below, or to omit the batteries. The powerchair requires 2 batteries.

Install Batteries ........................................... No ChargePart: PTOINDV1675

Do Not Install Batteries .................................. No ChargePart: PTOINDV2008

Battery InstallationPlease choose if batteries will be installed, if selected above.

Group 24, 75 Ah AGM Cell Battery ...................... $385 ea.Part: BAT121347. HCPCS: E2363

Group 34, 60 Ah Gel Cell Battery ....................... $395 ea.Part: BATGEL1006. HCPCS: E2359Not available with Power Lift.

No batteries. Provider will assume responsibility of batteries.Part: Configuration selection

Swing-away, Rail Mounts, pair (TWBSTL) .......... $472.50 pr.Part: INDPART2896. HCPCS: E1028

Curved Pads, 3”x5”, pair (TWBL-3X5) ....................... $210Part: INDPART2663. HCPCS: E0956

Curved Pads, 4”x6”, pair (TWBL-4X6) ....................... $210Part: INDPART2664. HCPCS: E0956

Install LateralsPart: PTOINDV3499

Do Not InstallPart: PTOINDV3500

Pads

Installation

TRU-BALANCE 3 MANUFACTURER INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.

Stealth Thoracic LateralsSwing-away laterals may interfere with TB3 and 2-post, flip up armrests. These laterals are not available with the back cane option.

Bracket

Air Force Patch .....................................................$20Part: ACC140240

Army Patch ..........................................................$20Part: ACC140241

Coast Guard Patch .................................................$20Part: ACC140239

Marines Patch ......................................................$20Part: ACC140243

Navy Patch ..........................................................$20Part: ACC140244

Purple Heart Patch ................................................$20Part: ACC140239

BRANCH PATCHESOptional.

Air Force Army Coast Guard Marines Navy Purple Heart

http://www.quantumrehab.com/resources/downloadorderforms.php?f=seating/us_positioning_components_order_form.pdf


Upper Classic, Medium (IFPS1103) ........................... $142Part: ST-IFPS1103-Q. HCPCS: E0960

Upper Classic, Large (IFPS1104) .............................. $142Part: ST-IFPS1104-Q. HCPCS: E0960

Upper Contour, Medium (IFPS2103) ......................... $142Part: ST-IFPS2103-Q. HCPCS: E0960

Upper Contour, Large (IFPS2104) ............................ $142Part: ST-IFPS2104-Q. HCPCS: E0960

Chest Strap, Medium, Belt Anchor (IFCS4113) ...............$90Part: ST-IFCS4113-Q. HCPCS: E0960

Chest Strap, Large, Belt Anchor (IFCS4114) ..................$90Part: ST-IFCS4114-Q. HCPCS: E0960

Stealth i-Fit Dynamic Chest Straps


TRU-BALANCE 3 NON-INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.

Stealth Small Foot Boxes, 5"Wx8"Dx7"H ................ $498.75(SPLE107) (pair)Part: INDPART2786. HCPCS: K0108

Stealth Medium Foot Boxes, 6"Wx10"Dx9"H ........... $498.75(SPLE108) (pair)Part: INDPART2787. HCPCS: K0108

Stealth Large Foot Boxes, 7"Wx12"Dx11"H ............. $498.75(SPLE109) (pair)Part: INDPART2788. HCPCS: K0108

Stealth Small Padded Shoe Holder 3.75"Wx6.25"D ....... $266(SPLE111) (pair)Part: INDPART2783. HCPCS: K0108

Stealth Medium Padded Shoe Holder, 4"Wx8.25"D ....... $266(SPLE112) (pair)Part: INDPART2784. HCPCS: K0108

Stealth X-Large Padded Shoe Holder, 5"Wx10.75"D ...... $266(SPLE114) (pair)Part: INDPART2785. HCPCS: K0108

Stealth Foot Boxes

Stealth Padded Shoe Holder

Pad

Stealth Elbow SupportLeft,Swing-Away, Elbow Support Bracket ..... $183.75 ea.

Tube Style Arms (ARMS-ES-L)Part: POS124064. HCPCS: E1028

Left, Fixed Elbow Support Bracket ............. $183.75 ea. TRU-Balance 3 Arms (ARMS-ESFTB3-L)

Part: POS133465

Right, Swing-Away, Elbow Support Bracket ... $183.75 ea. Tube Style Arms (ARMS-ES-R)

Part: POS124066. HCPCS: E1028

Right, Fixed Elbow Support Bracket ........... $183.75 ea. TRU-Balance 3 Arms (ARMS-ESFTB3-R)

Part: POS133466

3"Wx3"H Elbow Pad (ARMS-ES-3X3) ..............$52.50 ea.Part: POS124065. HCPCS: K0108

4"Wx4"H Elbow Pad (ARMS-ES-4X4) ..............$52.50 ea.Part: POS124067. HCPCS: K0108

2” Height Adapter Plate (LHW-122) ........................$26.25 Part: INDPART2821. HCPCS: K0108Height adapter is needed with TRU-Comfort seat cushions. Not avail-able with the flip down bracket.

2 1/4” Adapter Plate (LHW-129) ............................$53.50Part: POS140430. HCPCS: K0108Only available with the flip down full surface bracket.

Short Pad, 4”x4” (TWBADD-4X4) .....................$75 ea.Part: INDPART2801. HCPCS: E0956

Medium Pad, 4”x8” (TWBADD-4X8) ..................$75 ea.Part: INDPART2802. HCPCS: E0956

Long Pad, 4”x12” (TWBADD-4X12) ...................$75 ea.Part: INDPART2803. HCPCS: E0956

Install on LeftPart: PTOINDV3585

Install on RightPart: PTOINDV3586

Do Not InstallPart: PTOINDV3719

Pelvic/Thigh Guide Pad

Pelvic/Thigh Guide Adapter

Pelvic/Thigh Guide Installation

TRU-BALANCE 3 MFR INSTALLED POSITIONING COMPONENTS continued



Q-Logic 3 SAJQ-Logic 3 EX SAJ ........................................................................................................$700Part: CTL143980Must be used in conjunction with Enhanced Display or Q-Logic 3 Joystick..


TRU-BALANCE 3 SPECIALTY CONTROLSOptional. Select a type of specialty controls below. More options are available on the Alternative Controls and Electronics order form.

Enhanced Display





White SatinPart: DGN137729-PWH2









Black, Soft Touch ............................ Standard

Non-matching Joystick Shroud .................. $50Select color below

Match Joystick Shroud to Base Color ........... $50Part: See color below

Q-Logic 3 Enhanced Display ShroudRequired with Q-Logic 3 Enhanced Display selection above. Reference colors shown on page 2.

Q-Logic 3 Enhanced Display Kit ................................................................................... $1,720Part: CTL167726Select a color option below. Includes enhanced display, flexible gooseneck and mounting bracket. Features: 3.5” LCD display; up to 5 profiles to control drive, seat, and auxiliary functions; Bluetooth connectivity for mobile devices and mouse emulation; integrated single switch scanner; IR controls.

Enhanced Display

NON-INSTALLED POSITIONING COMPONENTS continued

Facial Lateral, 4.5"x2" Pad, Right Side, ................ $347.75for Comfort Series (CPS9-R-HW & 900-Q)Part: INDPART2647

Facial Lateral, 4.5"x2" Pad, Left Side ................... $347.75for Comfort Series (CPS9-L-HW & 900-Q)Part: INDPART2648

Facial Lateral, 4.5"x2" Pads, Left and Right Side ..... $453.75for Comfort Series (CPS9-B-HW & 900-Q)Part: INDPART2649

Egg Switch Mount (ESM) (A) ......... $52.50 ea.Part: INDPART2815

Figure 8 Bracket with 13" Rod and............ $220Egg Switch Mount (B)Part: ST-F8678-13-Q

Facial Pad, 6"x2" (920-Q) ..................... $53.50Part: ST-920-Q. HCPCS: K0108

Swing-Away Joystick Mount, 18" Rod (C) ......$250Part: ST-SUS18-QAllows mounting of facial pads and attaches to the head-rest

Stealth Swing Away Headrest MountsThese Swing-Away headrest mounts are only available with the Stealth Comfort Series Headrests.

Other Accessories

Stealth HeadrestMounts

Adult, i-Drive Tri-Array Series, 3-Switch .. $4,414Head Array (IDHBT200-1)Part: ST-IDHBT200-1-Q. HCPCS: E2330Features bluetooth, head support, 3 non-proportional proximity sensors for drive control, an egg switch for re-set mode change, and i-Drive smart box.

Adult, i-Drive Pro Series Head Array ....... $4,461(IDHBT300-1)Part: ST-IDHBT300-1-Q. HCPCS: E2330Features bluetooth, head support with occipital pad and 2 swing-away spot pads for left and right side, 3 non-pro-portional proximity sensors, an egg switch for reset mode change, and i-Drive smart box.

Adult Pro-Series

Head Array

EX SAJ

http://www.quantumrehab.com/resources/downloadorderforms.php?f=electronics/us_alternative_controls_order_form.pdf


Egg Switches

Egg Switch

Red Egg Switch (ESRED) ...................$80.85Part: SWTMCRO1077

Blue Egg Switch (ESBLU) ..................$80.85Part: SWTMCRO1079

Black Egg Switch (ESBLK) .................$80.85Part: SWTMCRO1081

Green Egg Switch (ESGRN) ................$80.85Part: SWTMCRO1078

Yellow Egg Switch (ESYEL) ................$80.85Part: SWTMCRO1080

©2017 Quantum Rehab - A Pride Mobility Products Corporation company. All rights reserved.

Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]

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TRU-BALANCE 3 SPECIALTY CONTROLS continued

Alternative Controls & Electronics Order Form Positioning Components Order Form

No Additional Multiplier (NA) .......................... No ChargePart: Configuration selection

Secondary Multiplier (SM) ................................. $221.21Part: HAR144004

Special Order Configuration (SOF)Part: Configuration selection

TRU-BALANCE 3 MULTIPLIER HARNESSREQUIRED. Multiple controllers or power accessories may require an additional multiplier harness or special order. Reference the chart be-low to determine the appropriate selection. The rows refer to the to-tal amount of arm mounted devices and the columns refer to the total amount of back mounted devices. The online order configurator will automatically make this selection under specialty controls.

REFERENCE ORDER FORMSOptional. Select below to note that additional order forms will accompany this order form. This will also be a link in interactive forms.

1 Arm 2 Arm 3 Arm 4+ Arm

1 Back0 Back

2 Back3+ Back

NANASMSOF

SMSMSMSOF

SMSMSMSOF

SOFSOFSOFSOF

Power Positioning Chart

1 Arm 2 Arm 3 Arm 4+ Arm

1 Back0 Back

2 Back3+ Back

NA

NA No additional MultiplierSecondary MultiplierSpecial Order Required

NASM

SM SOFSOF

SMSMSMSOF

SOFSOFSOFSOF

SOFSOFSOFSOF

Static Seat Chart

Q-Logic 3 Multiplier Charts

Arm

Mou

nts Joystick (Hand Control)

Enhanced DisplayiAccessUSB ChargerSAJ

Back

Mou

nts

Attendant ControlSCIMSip n PuffECU

Stealth Sip and Puff for Comfort Series, ...$294.25Left Mount(SP625-CL)Part: ST-SP625-CL-Q Includes straw and mounting hardware. Use with Stealth Comfort Plus headrests.

Stealth Sip and Puff for Comfort Series, ...$294.25Right Mount (SP622-CR)Part: ST-SP625-CR-QIncludes straw and mounting hardware. Use with Stealth Comfort Plus headrests.

Stealth Sip and Puff for Stealth Ultra, .... $294.253-Switch Head Array (SP625-U)Part: ST-SP625-U-Q Includes straw and mounting hardware. Use with Stealth Ultra Head Array, CTLDC1192, found on Alternative Con-trols and Electronics order form. Stealth Sip & Puff

Straw and Mount

Sip and Puff Module for Q-Logic 3 .................................................................................$1,895Part: CTL168056 Includes module and mounting hardware.

Sip and Puff Drive

Module

Sip & Puff Module

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https://twitter.com/quantumrehab

http://www.quantumrehab.com/resources/downloadorderforms.php?f=electronics/us_qlogic_controls_order_form.pdf


Page 1 of 13

Section NameOption Name MSRP Part Number Manufacturer Extended DescriptionJOYSTICK/SCIM ELECTRONICSQ-Logic 3 Non-Expandable Capacity Controller Module Standard ELE1700136 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC

SEATING,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1703244 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC

SEATING,W/POWER,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1704379 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC

SEATING,(NON-EXPANDABLE CAPACITY) ELE1704381 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC

SEATING,W/POWER,(NON-EXPANDABLE CAPACITY) ELE1704206 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,TILT THRU

TOGGLE,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1704197 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,SINGLE

POWER,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1704382 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,SINGLE

POWER,(NON-EXPANDABLE CAPACITY)

Q-Logic 3 Expandable Capacity Controller Module $695 ELE1704206 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,TILT THRU TOGGLE,W/PTO,(NON-EXPANDABLE CAPACITY)

ELE1704197 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,SINGLE POWER,W/PTO,(NON-EXPANDABLE CAPACITY)

ELE1704383 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,MULTIPLE POWER,(EXPANDABLE CAPACITY)

ELE1700137 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,MULTIPLE POWER,W/PTO,(EXPANDABLE CAPACITY)

TRU-BALANCE 3 SEATING : Seat DimensionsTB3SPACK: Seat width package and depth package generate one part assembly.

N/A SET1703494 SEAT BASE,ASSY,14"W-16"W,14"D-16"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT

SET1703497 SEAT BASE,ASSY,14"W-16"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT

SET1705234 SEAT BASE,ASSY,14"W-16"W,16"D-20"D,TILT READY,REAC LIFT READY,20"D,TRU-BALANCE 3,Q4FRONT







SET160203 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5SET160205 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5SET160207 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5SET160209 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5SET160210 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5SET160211 SEAT BASE,ASSY,20"W-24"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5SET160406 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5SET160407 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5

Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning

Page 2 of 13

Section NameOption Name MSRP Part Number Manufacturer Extended Description


TRU-BALANCE 3 SEATING : Back Cushion ConfigurationSport Back No Charge SET130247 SEAT BACK,ASSY,14"W,10"W-14"W,11"H,SPORT BACK,TRU-BALANCE 3

SET130249 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130250 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130251 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,SPORT BACK,TRU-BALANCE 3SET130252 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130253 SEAT BACK,ASSY,16"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130255 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130257 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130258 SEAT BACK,ASSY,17"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130259 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130260 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130261 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,SPORT BACK,TRU-BALANCE 3SET130262 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130263 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130267 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130268 SEAT BACK,ASSY,19"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130269 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130270 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130271 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130272 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,SPORT BACK,TRU-BALANCE 3SET130275 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130276 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130277 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130278 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130292 SEAT BACK,ASSY,21"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130293 SEAT BACK,ASSY,21"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130294 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130297 SEAT BACK,ASSY,22"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130298 SEAT BACK,ASSY,22"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130299 SEAT BACK,ASSY,24"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130300 SEAT BACK,ASSY,24"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130303 SEAT BACK,ASSY,24"W,20"W-24"W,17"H,SPORT BACK,TRU-BALANCE 3SET130304 SEAT BACK,ASSY,24"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130305 SEAT BACK,ASSY,24"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130306 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130308 SEAT BACK,ASSY,24"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130309 SEAT BACK,ASSY,24"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130310 SEAT BACK,ASSY,26"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130312 SEAT BACK,ASSY,26"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130314 SEAT BACK,ASSY,26"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130315 SEAT BACK,ASSY,26"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130316 SEAT BACK,ASSY,28"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130317 SEAT BACK,ASSY,28"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130318 SEAT BACK,ASSY,28"W,24"W-28"W,15"H,SPORT BACK,TRU-BALANCE 3SET130319 SEAT BACK,ASSY,28"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130320 SEAT BACK,ASSY,28"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130321 SEAT BACK,ASSY,28"W,28"W-32"W,17"H,SPORT BACK,TRU-BALANCE 3SET130322 SEAT BACK,ASSY,28"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130324 SEAT BACK,ASSY,28"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130325 SEAT BACK,ASSY,28"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3

Page 3 of 13



SET130341 SEAT BACK,ASSY,28"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130326 SEAT BACK,ASSY,30"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130327 SEAT BACK,ASSY,30"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130329 SEAT BACK,ASSY,30"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130330 SEAT BACK,ASSY,30"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3SET130331 SEAT BACK,ASSY,32"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130332 SEAT BACK,ASSY,32"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130333 SEAT BACK,ASSY,32"W,28"W-32"W,17"H,SPORT BACK,TRU-BALANCE 3SET130335 SEAT BACK,ASSY,32"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130336 SEAT BACK,ASSY,32"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3

ADI Q-Back, Active Contour $525 ALBR16SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,16"W,16"H,(ADI)ALBR16TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,16"W,18"H,(ADI)ALBR18SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,18"W,16"H,(ADI)ALBR18TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,18"W,18"H,(ADI)ALBR20SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,20"W,16"H,(ADI)ALBR20TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,20"W,18"H,(ADI)

ADI Q-Back, Deep Contour $595 ALBR16SDQ Q-BACK,AL SERIES,DEEP CONTOUR,16"W,16"H,(ADI)ALBR16TDQ Q-BACK,AL SERIES,DEEP CONTOUR,16"W,18"H,(ADI)ALBR18SDQ Q-BACK,AL SERIES,DEEP CONTOUR,18"W,16"H,(ADI)ALBR18TDQ Q-BACK,AL SERIES,DEEP CONTOUR,18"W,18"H,(ADI)ALBR20SDQ Q-BACK,AL SERIES,DEEP CONTOUR,20"W,16"H,(ADI)ALBR20TDQ Q-BACK,AL SERIES,DEEP CONTOUR,20"W,18"H,(ADI)

ADI Q-Back, Extra Deep Contour $650 ALBR16S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,16"W,16"H,(ADI)ALBR16T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,16"W,18"H,(ADI)ALBR18S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,18"W,16"H,(ADI)ALBR18T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,18"W,18"H,(ADI)ALBR20S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,20"W,16"H,(ADI)ALBR20T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,20"W,18"H,(ADI)

TRU-Comfort 2 Back, 20" Width or less $675 SET123622 SEAT BACK,ASSY,12"W,10"W-14"W,11"H,TRU-COMFORT 2,4 WAY STRETCHSET123623 SEAT BACK,ASSY,14"W,10"W-14"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123631 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123633 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123635 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123637 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123639 SEAT BACK,ASSY,17"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123641 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123651 SEAT BACK,ASSY,17"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123653 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123655 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124576 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124578 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124597 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124599 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124601 SEAT BACK,ASSY,19"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124602 SEAT BACK,ASSY,19"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124603 SEAT BACK,ASSY,19"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124605 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124606 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124607 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124609 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124610 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCH

Page 4 of 13



SET124611 SEAT BACK,ASSY,20"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124612 SEAT BACK,ASSY,20"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124613 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124618 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124619 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124623 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,TRU-COMFORT 2,4 WAY STRETCH

TRU-Comfort 2 Back, 22" Width or greater $775 SET124624 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124625 SEAT BACK,ASSY,22"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124626 SEAT BACK,ASSY,22"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124627 SEAT BACK,ASSY,22"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124628 SEAT BACK,ASSY,24"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET130059 SEAT BACK,ASSY,24"W,24"W-28"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124629 SEAT BACK,ASSY,24"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET130060 SEAT BACK,ASSY,24"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124630 SEAT BACK,ASSY,24"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET130061 SEAT BACK,ASSY,24"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124631 SEAT BACK,ASSY,24"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET130062 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124633 SEAT BACK,ASSY,26"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124634 SEAT BACK,ASSY,26"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124642 SEAT BACK,ASSY,28"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124646 SEAT BACK,ASSY,28"W,28"W-32"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124647 SEAT BACK,ASSY,28"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124648 SEAT BACK,ASSY,28"W,28"W-32"W,17"H,TRU-COMFORT 2,4 WAY STRETCH

ARMRESTS : TRU-Balance 3 Flip-Back ArmrestsTRU-Balance 3 Flip-Back, 8"-12"H, Left Standard ARM147696 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

ARM147744 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147810 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147811 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147820 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147840 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147844 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147863 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

TRU-Balance 3 Flip-Back, 8"-12"H, Right Standard ARM147738 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147746 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147743 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147812 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147822 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147841 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147846 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147864 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

TRU-Balance 3 Flip-Back, 12"-16"H, Left Standard ARM147740 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147748 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147747 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147813 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147838 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147842 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147850 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147865 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

TRU-Balance 3 Flip-Back, 12"-16"H, Right Standard ARM147742 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147797 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

Page 5 of 13



ARM147749 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147817 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147839 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147843 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147855 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147867 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

TRU-Balance 3 Armrest Downpost $87.50 MEC140975 DOWN POST,ASSY,8"H-11"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140977 DOWN POST,ASSY,12"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140979 DOWN POST,ASSY,13"H-14"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140981 DOWN POST,ASSY,15"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140983 DOWN POST,ASSY,16"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140976 DOWN POST,ASSY,8"H-11"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140978 DOWN POST,ASSY,12"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140980 DOWN POST,ASSY,13"H-14"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140982 DOWN POST,ASSY,15"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140984 DOWN POST,ASSY,16"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140410 DOWN POST,ASSY,8"H-11"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140416 DOWN POST,ASSY,12"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140417 DOWN POST,ASSY,13"H-14"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140418 DOWN POST,ASSY,15"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140419 DOWN POST,ASSY,16"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140990 DOWN POST,ASSY,8"H-11"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140991 DOWN POST,ASSY,12"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140992 DOWN POST,ASSY,13"H-14"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140993 DOWN POST,ASSY,15"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140994 DOWN POST,ASSY,16"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC166424 DOWN POST,ASSY,8"H-11"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166429 DOWN POST,ASSY,12"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166430 DOWN POST,ASSY,13"H-14"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166431 DOWN POST,ASSY,15"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166432 DOWN POST,ASSY,16"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166433 DOWN POST,ASSY,8"H-11"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166435 DOWN POST,ASSY,12"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166436 DOWN POST,ASSY,13"H-14"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166437 DOWN POST,ASSY,15"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166438 DOWN POST,ASSY,16"H,MESOMORPH,RIGHT,TRU-BALANCE 3

ARMRESTS : Two-Post Armrests2-Post, Flip Back, Height Adjustable, removable Armrests (9"-13" Height)

No Charge($150 with Static seat)

FRMASMB7062 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED

FRMASMB7063 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED

FRMASMB7060 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED

FRMASMB7061 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED

ARMRESTS : Heavy Duty, Removable Armrests8"-12"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138631 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138632 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

ARM138629 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

Page 6 of 13



ARM138630 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

10"-14"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138627 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138628 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

ARM138625 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138626 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

ARMPADSStraight, Armpad Standard ARM130236 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130237 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130289 ARMPAD,ASSY,STRAIGHT,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130288 ARMPAD,ASSY,STRAIGHT,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM134254 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TUBE STYLE ARMRESTARM134275 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TUBE STYLE ARMRESTARM134280 ARMPAD,ASSY,STRAIGHT,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TUBE STYLE

ARMRESTARM134281 ARMPAD,ASSY,STRAIGHT,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE

ARMRESTWaterfall, Armpad No Charge ARM130287 ARMPAD,ASSY,WATERFALL,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130238 ARMPAD,ASSY,WATERFALL,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130291 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130290 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130706 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130705 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130710 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130709 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130704 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130349 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130708 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130707 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM134282 ARMPAD,ASSY,WATERFALL,DESK LENGTH/DESK LENGTH COMBO,TUBE STYLE ARMREST

ARM134285 ARMPAD,ASSY,WATERFALL,FULL LENGTH/FULL LENGTH COMBO,TUBE STYLE ARMRESTARM134288 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TUBE STYLE

ARMREST

Page 7 of 13



ARM134289 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134290 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134291 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134292 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134293 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134294 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134295 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134296 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134297 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST

Single Actuator Control, Through Toggle (Power Tilt Only) No Charge ELE130022 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,TRU-BALANCE 3

ELE1611928 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,W/MANUAL RECLINE,TRU-BALANCE 3

ELE130022 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,TRU-BALANCE 3

ELE1611928 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,W/MANUAL RECLINE,TRU-BALANCE 3

Single Actuator Control through Q-Logic 3 Controller and Interface $1,895 ELE167826 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167845 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)

ELE167846 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE1705937 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 4),Q4FRONT

ELE167828 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167831 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,INDEPENDENT LEGS,THRU JOYSTICK,(CONFIGURATION # 21)

ELE167832 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,THRU JOYSTICK,(CONFIGURATION # 22)

ELE167834 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,THRU JOYSTICK,(CONFIGURATION # 23)

ELE167830 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,THRU JOYSTICK W/MANUAL RECLINE,(CONFIGURATION # 20)

ELE167847 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)

ELE167849 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 09)

ELE167851 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,(CONFIGURATION # 10)

POWER POSITIONING ELECTRONICS : Tilt Only through Toggle (Power Tilt Only)

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls through Joystick

Page 8 of 13



ELE167853 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,(CONFIGURATION # 11)

ELE167848 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE167850 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 09)

ELE167852 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 10)

ELE167854 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 11)

ELE1705938 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 4),Q4FRONT

ELE1705939 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,INDEPENDENT LEGS,(CONFIGURATION # 5),Q4FRONT

ELE1705940 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,(CONFIGURATION # 6),Q4FRONT

ELE1705941 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 7),Q4FRONT

Multiple Actuator Control through Q-Logic 3 Controller and Interface $2,895 ELE167887 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,(CONFIGURATION # 28)

ELE167889 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 29)

ELE167891 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 30)

ELE167893 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,POWER AFP,(CONFIGURATION # 31)

ELE167888 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 28)

ELE167890 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 29)

ELE167892 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 30)

ELE167894 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 31)

ELE1705946 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,(CONFIGURATION # 24),Q4FRONT

ELE1705947 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,INDEPENDENT LEGS,(CONFIGURATION # 25),Q4FRONT

ELE1705948 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,(CONFIGURATION # 26),Q4FRONT

ELE1705949 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 27),Q4FRONT

ELE1705946 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,(CONFIGURATION # 24),Q4FRONT

ELE1705947 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,INDEPENDENT LEGS,(CONFIGURATION # 25),Q4FRONT

ELE1705948 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,(CONFIGURATION # 26),Q4FRONT

ELE1705949 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 27),Q4FRONT

ELE1705954 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,(CONFIGURATION # 14),Q4FRONT

ELE1705956 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 15),Q4FRONT

Page 9 of 13



ELE1705959 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,(CONFIGURATION # 16),Q4FRONT

ELE1705961 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,(CONFIGURATION # 17),Q4FRONT

ELE1705955 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 14),Q4FRONT

ELE1705957 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 15),Q4FRONT

ELE1705960 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 16),Q4FRONT

ELE1705962 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 17),Q4FRONT

ELE1705971 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,(CONFIGURATION # 34),Q4FRONT

ELE1705975 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 35),Q4FRONT

ELE1705977 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 36),Q4FRONT

ELE1705979 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,(CONFIGURATION # 37),Q4FRONT

ELE1705973 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 34),Q4FRONT

ELE1705976 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 35),Q4FRONT

ELE1705978 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 36),Q4FRONT

ELE1705980 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 37),Q4FRONT

Single Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168645 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 03)

ELE168659 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 20)

ELE168662 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 23)

ELE168660 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS FLAT BUTTON,(CONFIGURATION # 20)

ELE168682 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 08)

ELE168686 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 11)

ELE168683 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 08)

ELE168687 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 11)

ELE1705942 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 4),Q4FRONT

ELE1705943 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 7),Q4FRONT

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls with iAccess Switch Control

Page 10 of 13



ELE168644 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 02)

ELE168700 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 28)

ELE168704 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE168701 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 28)

ELE168705 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 31)

Single Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168647 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 03)

ELE168664 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)

ELE168672 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 23)

ELE168665 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)

ELE168688 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)

ELE168692 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)

ELE168689 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)

ELE168693 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)

ELE1705944 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 4),Q4FRONT

ELE1705945 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 7),Q4FRONT

ELE168646 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 02)

Multiple Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168700 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 28)

ELE168704 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE168701 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 28)

ELE168705 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE1705950 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 24),Q4FRONT

ELE1705951 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 27),Q4FRONT

ELE1705950 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 24),Q4FRONT

ELE1705951 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 27),Q4FRONT

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls with iAccess Switch Control

Page 11 of 13



ELE1705963 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 14),Q4FRONT

ELE1705965 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 17),Q4FRONT

ELE1705964 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 14),Q4FRONT

ELE1705966 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 17),Q4FRONT

ELE1705981 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 34),Q4FRONT

ELE1705983 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 37),Q4FRONT

ELE1705982 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 34),Q4FRONT

ELE1705984 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 37),Q4FRONT

Multiple Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168706 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)

ELE168710 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)

ELE168707 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)

ELE168711 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)

ELE1705952 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 24),Q4FRONT

ELE1705953 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 27),Q4FRONT

ELE1705952 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 24),Q4FRONT

ELE1705953 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 27),Q4FRONT

ELE1705967 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 14),Q4FRONT

ELE1705969 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 17),Q4FRONT

ELE1705968 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 14),Q4FRONT

ELE1705970 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 17),Q4FRONT

ELE1705985 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 34.1)

ELE1705987 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 37),Q4FRONT

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ELE1705986 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 34),Q4FRONT

ELE1705988 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 37),Q4FRONT

LEGRESTS : 60-90 Swing-Away LegrestsP: 11"-13" Length No Charge FRMASMB8053 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",C-1010-179P: 11"-13" Length FRMASMB10557 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,PAIR

P: 11"-13" Length FRMASMB10558 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,PAIR

L: 11"-13" Length RIG136570 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",LEFTL: 11"-13" Length FRMASMB10014 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-655L: 11"-13" Length FRMASMB10016 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-656

R: 11"-13" Length RIG136571 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",RIGHTR: 11"-13" Length FRMASMB10015 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-657

R: 11"-13" Length FRMASMB10017 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-658

P: 11"-16.5" Length FRMASMB9159 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,PAIRP: 11"-16.5" Length FRMASMB9168 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,PAIRL: 11"-16.5" Length FRMASMB9160 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,LEFT,E-1010-641L: 11"-16.5" Length FRMASMB9169 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,LEFT,E-1010-642R: 11"-16.5" Length FRMASMB9161 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,RIGHT,E-1010-643R: 11"-16.5" Length FRMASMB9170 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,RIGHT,E-1010-644P: 13"-16" Length FRMASMB7844 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",E-1010-415P: 13"-16" Length FRMASMB10559 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,PAIR

P: 13"-16" Length FRMASMB10560 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,PAIR

L: 13"-16" Length RIG133473 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",LEFTL: 13"-16" Length FRMASMB10018 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-659

L: 13"-16" Length FRMASMB10020 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-660

R: 13"-16" Length RIG133476 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",RIGHTR: 13"-16" Length FRMASMB10019 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-661

R: 13"-16" Length FRMASMB10021 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-662

P: 15.5"-19.5" Length FRMASMB7845 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",E-1010-381P: 15.5"-19.5" Length FRMASMB10561 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,PAIRP: 15.5"-19.5" Length FRMASMB10562 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,PAIRP: 15.5"-19.5" Length FRMASMB9162 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,PAIRP: 15.5"-19.5" Length FRMASMB9171 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,PAIR

WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE

LEGRESTS : Elevating Legrest Accessories

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Wheel Bumper $12.50 ea WHL133585 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,LEFT WHL133586 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,RIGHT WHLASMB1578 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE

Date post:	03-Oct-2020
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