Prescription Total. Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
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1 Effective 15/05/2018 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Focus CR lb weight capacity. Tilt range: -5º anterior to 50º posterior. Frame Width Address: 19C Ballinderry Road, Lisburn BT28 2SA Phone: info@vidamobility.co.uk Prescription Total Frame Width Range / Frame Width Select Frame Width in desired Frame Width Range Frame Width Frame Width Range Small Medium Large Seating Setup q 14 q 15 q 16 q 17 q 18 N/C N/C N/C N/C N/C q 16 q 17 q 18 q 19 q 20 N/C N/C N/C N/C 354 q 18 q 19 q 20 q 21 q 22 N/C N/C Make one selection from either Option 1 at right or Option 2 below based on desired seating setup OPTION 2: Setup By Frame Depth Select Frame Depth in desired Frame Depth Range Frame Depth Frame Depth Range q 14 q 15 q 16 q 17 q 18 Short N/C N/C N/C N/C N/C OPTION 1: Setup By KI Mobility Select Seat Depth corresponding to desired Frame Depth Range row and Backrest Offset cloumn. Note: All Seat Depths in a column and in the same frame depth range are achievable future adjustment. Backrest Offset A Frame Depth Range Seat Depth q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14 q 20 q 19 q 18 q 17 q 16 q 15 q 14 q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14 Medium q 20 q 19 q 18 q 17 q 16 q 15 q 14 q 21 q 20 q 19 q 18 q 17 q 16 q 15 q 22 q 21 q 20 q 19 q 18 q 17 q 16 q 20 q 19 q 18 q 17 q 16 q 15 q 14 q 21 q 20 q 19 q 18 q 17 q 16 q 15 Long q 22 q 21 q 20 q 19 q 18 q 17 q 16 q 22 q 21 q 20 q 19 q 18 q 17 q 22 q 21 q 20 q 19 q 18 A Medium q 16 q 17 q 18 q 19 q 20 N/C N/C N/C N/C 455 Back Canes 2 Rearward Flush Long q 18 q 19 q 20 q 21 q 22 N/C N/C Forward 4 Forward Front of Chair
2 Frame Options Transit Option q Transit System N/C Heavy Duty Option q 400 lb Weight Capacity 376 Available only Long Frame Depth Range and 8 x 2 or 6 x 2 Casters Tilt Mechanism Hand q Hand Tilt - Right N/C q Hand Tilt - Left N/C q Hand Tilt - Dual N/C Foot Offset Hanger Option q Offset Hanger 23 Tilt Stop included. No anterior tilt. Vent and Battery Tray Not available on 14 or 15 Frame Widths or Foot Tilt Mechanism or Attendant Foot Lock. Requires minimum 16 Seat Height. q Vent Tray 188 Requires Anti-Tip q Battery Box Holder 188 Power Tilt Not available Vent Tray, Battery Box Holder or Heavy Duty Option. Includes anterior and posterior tilt stops. q Power Tilt - Right 1552 q Power Tilt - Left 1552 q Interface for Adaptive Switching New! 214 Sent as accessory, replaces Toggle Switch q Foot Tilt - Right N/C q Foot Tilt - Left N/C Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post and Height Range Back Post Price Height Back Height Range Stroller Handle Short q 20 Back Post N/C (Folding) Tall q 24 Fixed Height Adjustable Handle 2 (Folding) Adjustable Height Adjustable Handle (Folding) N/C 19 Short q 22 Tall q 26 Short 1, 2 q 18 q 19 q 20 q 21 q 22 q 23 q 24 q 25 Tall q 20 2 q 21 2 q 22 2 q 23 q 24 q 25 q 26 q 27 Reclining Back Short q 22 Adjustable Handle 1, (Non-folding) Tall q 26 1 Not available O2 Holder 2 Not available Seating Dynamics Rocker Back Stroller Handle Back Post Option Available only Stroller Handle Back Post q Removable Stroller Handle Extension 56 Reclining Backrest Options Select options below if Reclining Back is selected on chart above Recline Angle: q 0º - 65º q 10º - 75º q 20º - 85º Gas Spring: q Standard Spring q Heavy Duty Spring Other Backrest Options q Non Folding Back N/C Standard Reclining Back and Seating Dynamics Rocker Back q Seating Dynamics Rocker Back 1501 Not available Angle Adjustable Locking Extendable Flip Up Armrests. Available only Non Folding Back. Not available Reclining Backrest. q Adjustable Height Rigidizer Bar 58
3 Footrest Hanger / Front Frame Bend q 60º N/C Available only Extension Tube Hangers q 70º N/C q 80º N/C Not available 7 or 8 Casters q 90º N/C Available only Front Mount Hangers q Elevating Leg Rests 222 q Omit Hangers - 15 q Pro Elevating Leg Rests (PRO ELR) 272 Footrest / Extension / Seat to Footrest Length Footplate Heel Loops not included q Composite N/C Not available Front Mount Hangers q Aluminum Angle Adjustable 143 q One Piece Flip Up Angle Adjustable 143 Not available Front Mount Hangers or Elevating Leg Rests q Composite Angle Adjustable 143 Not available Front Mount Hangers, ELR or 14 Seat Width out Offset Hangers Select Seat to Footrest Length in row corresponding to desired Footrest and Extension. Footrest Length of at least 2.5 shorter than Front Seat Height recommended. Measurements based on 70º Hanger Bend. Footrest Extension Seat to Footrest Length Extension Short q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 Tube Hangers Medium q 11.5 q 12 q 12.5 q 13 q 14 q 14.5 q 15 q 15.5 (60º, 70º, 80º) Long q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 Front Mount Hangers 1 Short (70º, 80º, 90º) Medium (70º, 80º, 90º) Long (70º, 80º) Standard Selections Requires 3 Extension q 5 q 5.5 q 6 q 6.5 q 8.5 q 9 q 9.5 q 7 q 7.5 q 8 q 10 q 10.5 q 11 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 10.5 q 11 q 11.5 q 8 q 8.5 q 9 q 9.5 q 10 q 12 q 12.5 q 13 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 12.5 q 13 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 14 q 14.5 q 15 Elevating Leg Rests (ELR) Extended Length ELR PRO ELR Low Pivot Short q 10.5 q 11.5 q 12.5 q 14.5 Long q 11.5 q 12.5 q 14.5 q 15.5 q 16.5 Short q 16.5 q 17.5 q 18.5 q 19.5 q 20.5 Long q 16.5 q 17.5 q 18.5 q 19.5 q 20.5 q 21.5 q 22.5 Short q Long q PRO ELR Short q High Pivot Long q Available only Aluminum Angle Adjustable Footplates. See Minimum Front Seat Height chart below. Minimum Front Seat Height Front Mount Hangers Hanger Length Short Medium Long Hanger Bend 70º 80/90º 70º 80/90º 70º 80º Minimum Front Seat Height Standard Selection Minimum Front Seat Height 3 Extension Extension Available only Front Mount Hangers. Provided as parts. q 3 Extension for Front Mount Hanger N/C
4 Heel Loop q Heel Loops 22 Not available Elevating Leg Rests or One Piece Flip Up Angle Adjustable Footplates q Adjustable Heel Loops New! 22 Not available One Piece Flip Up Angle Adjustable Footplate q Omit Heel Loops N/C Calf Strap Not available Elevating Leg Rests q Velcro Adjustable 27 q Padded Velcro Adjustable 51 q Padded AeroMesh 67 Wheel Locks Wheel Lock Select ONE option below q Push to Lock N/C q Pull to Lock N/C q Drum Brake 184 q Dual 306 Not available hand tilt mechanism or attendant foot lock. Available only 16 wheels Full Profile Poly or Pnuematic tyres. q Attendant Foot Lock 51 q Omit Wheel Locks N/C Wheel Lock Options q Extension Handles 53 Not available Attendant Foot Lock Footrest continued Hanger Release If no selection is made Classic Hanger Release will be used q Classic Std q 4-Way - In line N/C See reference A to the right. Not available ELR or PRO ELR. q 4-Way - Out N/C See reference B to the right A B
5 Seat Height, Casters and Rear Wheels Seat Height / Caster Size / Rear Wheel Size Select Seat Height corresponding to desired Rear Wheel and Caster Size Rear Wheel Size 12 5 Pneumatic or Pneumatic Airless Insert 12 5 Full Poly 16 6 Pneumatic, Pneumatic Airless Insert or Full Poly 16 6 Low Poly Caster Size x x 2 Seat Height q 14 q 14.5 q 14.5 q 14.5 q 17 q 16.5 q 16.5 q 16.5 q 19 q 19 q 19 q 19 q 13 q 14 q 14 q 14 q 14.5 q 14.5 q 14.5 q 15.5 q 15.5 q 15.5 q 15.5 q 16 q 16 q 16 q 16 q 16 q 16 q q 16.5 q q q q 19 q 19 q 19 q 19 2 q 19 q 19 q 20 q 20 q 20 q 20 q 20 q 20 q 20.5 q 20.5 q 20.5 q 20.5 q 20.5 q 20.5 q 13 q 14 q 14 q 14 q 14.5 q 14.5 q 14.5 q 18.5 q 18.5 q 18.5 q 18.5 q 18.5 q 18.5 q 20 q 20 q 20 q 20 q 20 q 20 q 20.5 q 20.5 q 20.5 Rear Wheel Size 16 6 Drum Brake Caster Size x x 2 Seat Height q 14 q 14 q 14 q 14.5 q 14.5 q 14.5 q 15.5 q 15.5 q 15.5 q 15.5 q 16 q 16 q 16 q 16 q 18.5 q q 18.5 q 18.5 q q 20 q 20 q 20 q 20 q 20 q 20 q 20.5 q 20.5 q 20.5 q 20.5 q 20.5 q 20.5 q 15.5 q 15.5 q 15.5 q 15.5 q 16 q 16 q 16 q 16 q 16 q 16 q 16.5 q 16.5 q 16.5 q 16.5 q 16.5 q 16.5 q 18.5 q 18.5 q 18.5 q 18.5 q 16 q 16 q 16 q 16 q 16 q 16.5 q 16.5 q 16.5 q 16.5 q 16.5 q 16.5 q 19.5 q 19.5 q 19.5 q 19.5 q 19.5 q q q q q 20 q 20 4 q 20 q 20 q 20 q Available only Full Poly tire 2 Not available Full Poly tire 3 Available only spoke wheel and Full Poly tire combination 4 Not available spoke wheel and Full Poly tire combination 5 Not available Vent and Battery Tray combination 6 Seat heights higher than rear wheel are not available Vent and Battery Tray combination 7 Not available Heavy Duty Option
6 Caster Type q 1 Poly N/C q 1 Poly Aluminum 83 Available only 5 Caster Sizes q 1 Pneumatic 83 Available only 6 and 8 Caster Sizes q 1.5 Poly 38 Available only 5 and 6 Caster Sizes q 1.5 Soft Roll Aluminum 132 Available only 5 and 6 Caster Sizes q 2 Poly 38 Available only 6 Caster Size q 2 Pneumatic w/ Foam Insert 169 Available only 8 Caster Size One Arm Drive q One Arm Drive 1092 Available only 24 Mag wheels. Not available Vent Tray, Battery Box Holder or Self Propel Axle Plate. Standard Handrim will be Aluminum Anodized. Axle not quick release. Drive Handrim Side: q Left q Right Drive Handrim Type: q Aluminum N/C q Poly Coated 146 Axle No selection needed One Arm Drive or Drum Brake q Fixed N/C q Quick Release N/C Rear Wheel Type q Mag N/C q 24 Spoke 151 Rear Type q Full Profile Poly N/C q Low Poly N/C Available only 16 rear wheel q Pneumatic N/C q Pneumatic Airless Insert 64 Handrim Handrims not available on 12 or 16 rear wheels. No selection needed One Arm Drive q Aluminum Anodized Std q Plastic Coated 71 q Projection (8 Vertical Projections) 222 Available on 24 wheels q Omit Handrims N/C Handrim Option Not available on Plastic Coated or Projection Handrims q 3M Micro Grip 49 Self Propel Axle Plate q Self Propel Axle Plate 74 Not available Vent Tray or 12 or 16 rear wheels
7 Armrests Armrest Please select Arm Pad option q Height Adjustable T-Arm (8-13 ) 200 Not available Side Guards q Height Adj. Dual Post Flip Back ( ) 207 Not available Side Guards q Angle Adjustable Locking Extendable Flip Up 200 Not available Seating Dynamics Rocker Back q Omit Armrests N/C Arm Pad q Desk q Full Accessories Removable Side Guard q Composite Side Guards 105 Not available T-Arm or Dual Post Flip Back Armrests Anti-Tip q Rear Anti-Tips 105 Positioning Belt q 1 1/2 Auto Buckle 53 q 1 1/2 Padded Auto Buckle 116 q 2 Airline Buckle 83 q Bodypoint Evoflex - Pelvic Stabilizer 119 Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-37 ) Belt Mounting Kit q Ki Mobility Belt Mounting Brackets 38 q Bodypoint 1 Band Clamp Belt Mounting Kit 75 Seat Pan q Growing Adjustable Aluminum Seat Pan 185 O 2 Holder q O 2 Holder 128 Not available Transit Option, Reclining Backrest or Rocker Back Other Accessories q Tool Kit 42 q Underseat Pouch 38 q Ki Mobility Backpack 49 q Black Neoprene Impact Guards 64 q Clear Spoke Guards 87 Available only Spoke wheels q Black Spoke Guards 87 Available only Spoke wheels q Tilt Stop (Pair) 22 Included Offset Hangers q IV Pole 206 Frame Color Gloss Finish q Black N/C q Blue Skies N/C q Bubblegum Pink N/C q Candy Blue N/C q Candy Purple N/C q Candy Red N/C q Copper N/C q Fuchsia N/C q Granny Smith N/C q Metallic Orange New! N/C q Yellow N/C Matte Finish q Army Green N/C q Emerald Green N/C q Charcoal Gray N/C q Iridescent Burgundy N/C q Iridescent Navy N/C q Retro Red N/C q Royal Blue N/C q Shadow Black N/C q Smooth White N/C
Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Australian Importer: Paragon Mobility Phone 1300 652 382 Email orders@paragonmobility.com.au www.paragonmobility.com.au Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Focus CR E1161
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Frame Depth. Range. Short. Medium.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Frame Depth. Range. Short. Medium.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
q Icon TM Backs (Low, Mid, Tall, Deep ) $ q Evolution TM Backs (Regular, Tall, Deep ) $
Distributed in Canada by 49 Bespoke, Inc. 51 Caldari Road, Units 6-7B Concord, ON L4K 4G3 Phone: (866) 827-4548 Fax: (877) 731-7745 sales@kimobility.ca www.kimobilty.ca Company: Account Number: Date: q
q Standard Seat Sling Std q Omit Seat N/C
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number:
q Solid Seat Pan $265
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Company: Account Number: Date: q Quote q PO Number: RTS: Ship To: Address: City: State:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Effective 05/14/2018 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: q Catalyst
q Solid Seat Pan E2231 $265
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Ship To: Address: City: State: Zip: Phone:
q Solid Seat Pan E2231 $265
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Ship To: Address: City: State: Zip: Phone:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Cross Brace
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Cross Brace $250 WAMA $250 WAMA
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number:
Transit Option. Seat Option E2201 E2201. Cross Brace
Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Catalyst 5Vx K0005 $1895 300 lb weight capacity Ship To: Address: City: State: Zip: Phone: Email/Fax: Effective 08/06/2018 Frame Seat
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Transit Option. Seat Option.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Catalyst 5Vx K0005 $1895
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Transit Option.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Transit Option E2201 E2201.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
q Growing Seat Sling N/C q Growing Solid Seat Pan E2231 $245 q Omit Seat N/C q 1 N/C
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Little Wave - Clik XPe K0005,
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Rogue XPe K0005, E1235 $2415
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Rogue XP $3705 Rogue
q PG Controller $700 E2377 q Harness for Expandable Controller $350 E2313 q Remote Plus 3-Key $700 q1 Profile q Multiple Profile
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Visit any one of our 30 locations or visit us on line at
TYPE IA ALUMINUM 2886509079 2886501870 2886510013 2886510010 2886510014 2886504441 AS3002 2' TYPE IA AS3003 3' TYPE IA AS3004 4' TYPE IA AS3006 6' TYPE IA AS3008 8' TYPE IA AS3010 10' TYPE IA 34.99 57.99
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