aadl quantum rival - alberta · 2019-06-26 · revised: october 1, 2018 page 1 of 7 aadl quantum®...
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Revised: October 1, 2018 Page 1 of 7
AADL Quantum® RivalWith TB3 Power Positioning
Order Form300 lbs. weight capacity
* While every effort will be taken to ensure dimensions will be preset to your specifications prior to shipping variations in options may effect final settings.
Quantum Rehab® A Division of Pride Mobility Products Corporation®
5096 South Service Rd., Beamsville, Ontario, L0R 1B3Sales: Phone: (888) 570-1113 - Fax (866) 514-1303
* Please always use www.pridemobility.comto access the most current version of this form
NOTES:
ACCOUNT INFO
SET-TO-SPEC*
Account Number: Provider Name: Contact Name: Phone #: Fax #: E-mail Address: Date: PO#: Marked For: Ship To:
Address: City:______________________Province: Postal Code: Tail Gate Needed: o Yes o No
Taken By:
Please Supply Client Information:Client Height:
Client Weight:
Mount Hip/Thigh Supports: o Yes o NoMount Lateral Thoracic Supports: o Yes o No
Seat to Floor Height (check one):
Seating System Seat-To-Floor HeightsTRU-Balance®3 Tilt or Tilt & Recline 18” 18.8” 19.6”
TRU-Balance®3 Recline 16.5” 17.3” 18.1”
TRU-Balance®3 Tilt or Tilt & Recline with Lift 18.5” 19.3” 20.1”
TRU-Balance®3 Recline with Lift 18.5” 19.3” 20.1”
Seat to floor height are +/- 1/8” with 18”W x 18”D with solid tires (add 3/8” for pneumatic tires). Increased widths may increase lowest seat to floor heights.
AADL #W663
Quantum® Rival TB3 Power Positioning Order Form
Revised: October 1, 2018 Page 2 of 7
All Pricing is MSRP.
COLORS
BASE MODEL Description Price
MOTOR OPTIONS
FRONT CASTER WHEELS
DRIVE WHEELS
TRANSIT KIT
NON-EXPANDABLE CONTROLS
EXPANDABLE CONTROLS
o Quantum Rival $7,240
Metallic Colors:
o Back in Black
o Midnight Blue
o 9’’ Pneumatic Std
o 8’’ Flat Free $210
o 9’’ Flat Free $210
o 10’’ Pneumatic $210
o 14” Solid (pair) Std
o 4”W Solid, Knobby, $400 Extended Traction Tires1 (pair)
o 14” Pneumatic (pair) NC
o 4”W Pneumatic, Knobby, $400 Extended Traction Tires1 (pair) Rim Colour Option:
o Silver Std
1. Increases overall base width by 1.5”
o 8 Amp Off-board Charger Std
o Unoccupied Transit Kit Std
o 75 Amp NE Std
o 75 Amp NE+ 6-Key NC (For up to 2 Actuators Thru Joystick)
o Standard Motor Package StdProgrammable Speed Up To 6 MPH
o High Speed Motor Package Not covered by AADL $160Programmable Speed Up to 7.5 MPH
HS Motors decrease per-charge range
o Accu-Trac Motor Package $630Programmable Speed Up to 6 MPH
Enhanced Traction and Tracking, especially with switched Drive ControlsRequires Q-Logic 3 EX
LED LIGHT PACKAGE o Through Q-Logic 2 EX w/ Lights $770 Not covered by AADL
SUSPENSION OPTION o Standard Suspension Std
o Heavy Suspension NCRecommended for use with power positioning and vent options
o Pediatric Suspension NC
Available SOF, for user weights less than 125 lbs
o Q-Logic 3 EX Joystick $900
o Q-Logic 3 EX Joystick w/ Lights $900 Required For Use With LED Light Package
o Q-Logic 3 EX Stand Alone Joystick $850
oQ-Logic 3 EX Enhanced Display Kit $2,045 Includes: - Q-Logic EX Enhanced Display - Flexible Gooseneck - Enhanced Display Mounting Bracket
All mounting hardware is included in kit.See Specialty Electronics order form for additional mounting options and secondary controls. Bluetooth mouse emulator requires a run plug harness for either static or power seating. Additional fees will apply.
o SCIM Module $850 Specialty Control Interface Module Allows use of joystick display for specialty controls. Up to 5 profiles to control drive, seat and auxiliary functions. Excludes sip-n-puff and single switch functions. A switch is required to operate the input device attached to the SCIM module. Includes Accessory bar.
oUSB Mobile Device Charger1 Not covered by AADL $185 Please use and attach the Specialty Electronics order form
for additional controls and mounting options.Armor Color Options:
o Black Soft Touch (Standard color option) Std.
o Matching $75
1. Available with NE, NE+ and Q-Logic 2 EX controllers. Can only charge 1 device at a time.
JOYSTICK HANDLES
JOYSTICK MOUNTING BRACKETSComes Standard with a Quick Release, Adjustable-Height Joystick Block
o Fixed, Inline1 Std
o Left
o Right
o New Style Swing-Away $265
o Inline, Left
o Inline, Right
o Offset, Left
o Offset, Right
o Retract4 Swing-Away $450
o Multi-Axis, Fixed $100
o Left
o Right
o No Joystick Mount1. Not available with Q-Logic 2 EX Stand Alone Joystick.
BATTERY CHARGER
o Standard Carrot Handle Std
o Mushroom Handle $120
o T-Bar $160
o Chin Cup $90
o Extended I-Handle $140
o Soft Ball Handle $120
o Medium Ball Handle $70
o 3” Goal Post $180
o 4” Goal Post Handle $180
Quantum® Rival TB3 Power Positioning Order Form
Revised: October 1, 2018 Page 3 of 7
TRU-BALANCE® 3 POWER POSITIONING
SEATING SPECIFICATIONS
SEAT TO FLOOR HEIGHT
TRU-BALANCE® 3 MANUAL POSITIONING OPTION
Option # Description Price
TB3TILT o Tru Balance®3 Power Tilt $7,555 55 degree center of gravity (CG) power tilt seating system
TB3RECL o Tru Balance®3 Power Recline $7,875 175 degrees of power recline, Full drive lock-out at 20 degrees
TB3TRECL o Tru Balance®3 Power $13,125 Tilt & Recline 55 degree center of gravity (CG) power tilt seating system with 175 degrees of
power recline, Full drive lock-out at 20 degrees Power Lift Option:
TB3LIFT o Tru Balance®3 10” Lift1 Not covered by AADL $3,250Must be selected in conjunction with TB3 Tilt or TB3 Recline
1. 10” of scissor lift, 1/4 speed inhibit. Requires Q-logic 2 EX. Not available with manual recline back.
TB3MRECL o Attendant Manual Recline1 $790
1. Available w/ tilt only. Push handles are required. Articulating Foot Platform N/A w/ this option.
Seat Width: Seat Depth:
12W o 12”W1 12D o 12”D1
13W o 13”W2 13D o 13”D
14W o 14”W 14D o 14”D
15W o 15”W2 15D o 15”D
16W o 16”W 16D o 16”D
17W o 17”W 17D o 17”D
18W o 18”W 18D o 18”D
19W o 19”W 19D o 19”D
20W o 20”W 20D o 20”D
21W o 21”W
22W o 22”W Seat Width Package: Seat Depth Package:
1216W o 12”W-16”W 1216D o 12”D-16”D
1620W o 16”W-20”W 1620D o 15”D-20”D
2022W o 20”W-22”W
1. N/A with tilt only.2. Only available with non-matching back width.
Tilt or Recline: Lift: Tilt/Recline:
STF18 o 18” STF165 o 16.5” STF185 o 18.5”
STF188 o 18.8 STF173 o 17.3” STF193 o 19.3”
STF196 o 19.6 STF181 o 18.1” STF201 o 20.1”
BACK OPTIONS
o Fixed/Static Back Std
o Quick Release/Flip Forward Back1 $30
oBack Canes1,2 (-$735) Back Cane Type:
o Angle Adjustable o Flip Forward o 1’’ Endo o 2’’ Endo Back Cane Height:
o 16”H o 17”H o 20”H o 21”H o 24”H o 25”H
1. Only available w/ Tilt only and 2-post, flip back armrests. 2. Sport backs, Tru Comfort backs, TB3 Armrests and TB3 Recline are N/A with Back canes
TILT BACK SPECIFICATIONSTo be picked in conjunction with Static or Flip Forward back type aboveN/A with Back Cane Selection above
o Aftermarket Back Interface (16-20’”W) NC
o Aftermarket Back Interface (20-24’”W) NC
o Sport Back NC
Width: o 12”W o 14”W
Height1:o 14”H o 15”H o 16”H o 17”H
Width: o 16”W o 17”W o 18”W o 19”W o 20”W
o 21”W o 22”W o 24”W
Height2:o 16”H o 17”H o 18”H o 19”H o 20”H
o 21”H o 22”H o 23”H o 24”H o 25”H Back Width Package:
o 10”W”-14”W o 20”W”-24”W
o 16”W”-20”W
1. Odd heights = 4” gap, Even heights = 3” gap.
RECLINE BACK SPECIFICATIONSTB3 Recline is N/A with Back Canes
o Aftermarket Back Interface (16-20’”W) NC
o Aftermarket Back Interface (20-24’”W) NC
o Recline Sport Back NC
Width: o 12”W o 14”W
Height1:o 19”H o 20”H
Width: o 16”W o 17”W o 18”W o 19”W o 20”W
o 21”W o 22”W o 24”W
Height2:o 19”H o 20”H o 21”H o 22”H o 23”H
o 24”H o 25”H o 26”H o 27”H o 28”H Back Width Package:
o 10”W”-14”W o 20”W”-24”W
o 16”W”-20”W
1. Odd heights = 6” gap, Even heights = 7” gap.
ADDITIONAL BACK OPTIONS Color Shroud Option:
o Standard Black NC
MSH o Matching $105
Quantum® Rival TB3 Power Positioning Order Form
Revised: October 1, 2018 Page 4 of 7
o TB3 Armrests1 NCChoose a height package, length and armrest height, then
Combine all abbreviated option #’s for the full option #
Left Armrest: Right Armrest: Height Package: Height Package:
ARM812 o 8”H-12”H ARM812 o 8”H-12”H
ARM1216 o 12”-16”H ARM1216 o 12”-16”H Length: Length:
FL o Full Length FR o Full Length
DL o Desk Length DR o Desk Length Set Armrest Height: Set Armrest Height:
AH8 o 8”H AH8 o 8”H
AH9 o 9”H AH9 o 9”H
AH10 o 10”H AH10 o 10”H
AH11 o 11”H AH11 o 11”H
AH12 o 12”H AH12 o 12”H
AH13 o 13”H AH13 o 13”H
AH14 o 14”H AH14 o 14”H
AH15 o 15”H AH15 o 15”H
AH16 o 16”H AH16 o 16”H Armpads:
Choose an armpad style and length, then combine the Abbreviated option #’s for the full option #
Style: Style:
S o Straight S o Straight
W o Waterfall W o Waterfall Length: Length:
FL o Full Length FR o Full Length
DL o Desk Length DR o Desk Length
TB3314G o Falcon, Gel, Full Length $170 pr.
o Armpad Mounting Plate, $60 ea. Full Length2
TB3310G o Falcon, Gel, Desk Length $135 pr.
o Armpad Mounting Plate, $60 ea. Arm Downpost:
o For use with any TB3 Seating combination that includes Recline NCo For use with TB3 Tilt or TB3 Lift & Tilt $95
1. May interfere with swing away laterals.2. Required only with 2-post, flip back, height adjustable, removable armrests.
TB3 armrest with straight armpad TB3 waterfall armpadDesk length armpad 3’’W x 10.25’’L Desk length armpad 2 5/8’’T x 7 1/8’’LFull length armpad 3’’W x 14’’L Full length armpad 2 5/8’’T x 11 1/8’’L
ARMRESTS Option # Description Price
PREMIUM INSTALLED ACCESSORIES Not covered by AADL Option # Description Price
TVENT o Trilogy Vent Tray1 $420
TB3PUSH o Push Handles (pair)2 $140
1. For use with Trilogy 100 or 200 ventilators. The vent tray dimensions are approximately 7.0” long x 11.5” wide x 9.75” high -- less the mounting brackets. Not available with back cane option.
2. Not available with O2 holder or vent tray. Required with attendant manual recline. Not available with Back Cane Option
ARMRESTS (CONT’D) Option # Description Price
o Pediatric, Removable, Height Adjustable NC
Left Armrest: Right Armrest: Length: Length:
2PARMDL o Desk Length 2PARMDR o Desk Length Set Armrest Height: Set Armrest Height:
AH9 o 7.75”H AH9 o 7.75”H
AH10 o 8.25”H AH10 o 8.25”H
AH11 o 8.75”H AH11 o 8.75”H
AH12 o 9.25”H AH12 o 9.25”H
AH13 o 9.75”H AH13 o 9.75”H
Armpads: Choose an armpad style and length Style: Style:
S o Straight S o Straight
W o Waterfall W o Waterfall Length: Length:
DL o Desk Length DR o Desk Length
TB3310G o Falcon, Gel, Desk Length $135 pr.
o Armpad Mounting Plate, $60 ea.
o 2-Post, Flip Back, Height Adjustable, Removable 1,2 NC
Left Armrest: Right Armrest: Length: Length:
2PARMFL o Full Length 2PARMFR o Full Length
2PARMDL o Desk Length 2PARMDR o Desk Length Set Armrest Height: Set Armrest Height:
AH9 o 9”H AH9 o 9”H
AH10 o 10”H AH10 o 10”H
AH11 o 11”H AH11 o 11”H
AH12 o 12”H AH12 o 12”H
AH13 o 13”H AH13 o 13”H Armpads: Choose an armpad style and length Style: Style:
S o Straight S o Straight
W o Waterfall W o Waterfall Length: Length:
FL o Full Length FR o Full Length
DL o Desk Length DR o Desk Length
TB3314G o Falcon, Gel, Full Length $170 pr.
o Armpad Mounting Plate, $60 ea. Full Length2
TB3310G o Falcon, Gel, Desk Length $135 pr.
o Armpad Mounting Plate, $60 ea.
1. Not available with a depth less than 16”. Required with flip forward back and laptrays. 2. Required only with 2-post, flip back, height adjustable, removable armrests.
Quantum® Rival TB3 Power Positioning Order Form
Revised: October 1, 2018 Page 5 of 7
POWER POSITIONING ELECTRONICS Option # Description Price
NON-POWERED LEGRESTS Option # Description Price
NON-POWERED LEGRESTS (CONT’D) Option # Description Price
o 60-90o Swing-Away Legrests NC (Adjustable in 5o Increments)
oFoam Cover NC
o Standard Extruded Footplates NC Extensions:
o 13”-16.5”
o 15.5”-19.5” Set Legrest Length:
LL13 o 13”H LL155 o 15.5”H LL18 o 18”H LL135 o 13.5”H LL16 o 16”H LL185 o 18.5”H LL14 o 14”H LL165 o 16.5”H LL19 o 19”H LL145 o 14.5”H LL17 o 17”H LL195 o 19.5”H LL15 o 15”H LL175 o 17.5”H
o Footplates
o 7.25”W x 6”D
o 8.5”W x 6”D
o
o Multi-Axis Footplates $520 Extensions:
o 15.5”-19.5” Set Legrest Length:
LL155 o 15.5”H LL17 o 17”H LL185 o 18.5”H LL16 o 16”H LL175 o 17.5”H LL19 o 19”H LL165 o 16.5”H LL18 o 18”H LL195 o 19.5”H
60-90o Swing-Away Legrest Compatability
Matrix
TRU
-Ba
lanc
e®3
Recl
ine
TRU
-Ba
lanc
e®3
Tilt
TRU
-Ba
lanc
e®3
Lift
Low
Med
ium
High
Low
Med
ium
High
Low
Med
ium
High
Standard, 13” - 16.5” ! ! ! ! aaaaa
Standard, 15.5” - 19.5” X ! ! ! ! ! ! ! !Angle-Adjustable, 13” - 16.5” ! ! ! ! aaaaa
Angle-Adjustable, 15.5” - 19.5” X ! ! ! ! ! ! ! !Multi-Axis, 15.5” - 19.5” X ! ! ! ! ! ! ! !
o Footplates
o 4”W x 6”D o 6”W x 8”D1
o 5”W x 6”D o 6”W x 11”D1
o 5”W x 8”D o 8”W x 11”D2
o Angle-Adjustable Footplates $175 Extensions:
o 11”-13” o 13”-16.5” o 15”-19.5” Set Legrest Length:
LL11 o 11”H LL145 o 14.5”H LL18 o 18”H
LL115 o 11.5”H LL15 o 15”H LL185 o 18.5”H
LL12 o 12”H LL155 o 15.5”H LL19 o 19”H LL125 o 12.5”H LL16 o 16”H LL195 o 19.5”H LL13 o 13”H LL165 o 16.5”H LL135 o 13.5”H LL17 o 17”H LL14 o 14”H LL175 o 17.5”H
o Footplates
o 4”W x 6”D o 6”W x 8”D1
o 5”W x 6”D o 6”W x 11”D2
o 5”W x 8”D o 8”W x 11”D2
Accessories:
o Heel Loop3 $35
o Quad Release Lever NC
o Wheel Bumper $30
o Gel Neoprene Footrest Sleeve $130
o 90o Pediatric Swing-Away NC Legrests oFoam Cover NC
o Angle-Adjustable Footplates $175 Extensions:
o 7”-10”” Set Legrest Length:
LL7 o 7”H LL9 o 9”H LL75 o 7.5”H LL95 o 9.5”H LL8 o 8”H LL10 o 10”H LL85 o 8.5”H
o Footplates
o 4”W x 6”D
o 5”W x 6”D
Accessories: o Heel Loop $35
o Wheel Bumper $301. May cause interference on seat widths less than 18”.2. May cause interference on seat widths less than 20”.3. Standard on Angle-Adjustable and Multi-Axis footplates.
o Through Toggle Control (Tilt Only) NC
Single Power Electronics (includes AM1):
o Through NE+ NC
o Through Q-Logic 3 Joystick NC
Single/Multiple Power Electronics (includes AAM):
o Through Q-Logic 3 Joystick $625
o Through Flat Button iAccess $1,525
o Through Toggle Button iAccess $1,525
Quantum® Rival TB3 Power Positioning Order Form
Revised: October 1, 2018 Page 6 of 7
NON-POWERED LEGRESTS (CONT’D)
POWERED LEGRESTS Option # Description Price
o 70o Articulating Swing-Away Not covered by AADL $2,865 Legrests (4” Articulation Range) Operational Method:
o Independent
o Combined
o Angle-Adjustable Footplates1 Extensions:
o 11”-13”
o 14.5”-18”
o 17.5”-21” Set Legrest Length:
LL11 o 11”H LL145 o 14.5”H LL18 o 18”H LL115 o 11.5”H LL15 o 15”H LL185 o 18.5”H LL12 o 12”H LL155 o 15.5”H LL19 o 19”H LL125 o 12.5”H LL16 o 16”H LL195 o 19.5”H LL13 o 13”H LL165 o 16.5”H LL20 o 20”H LL135 o 13.5”H LL17 o 17”H LL205 o 20.5”H LL14 o 14”H LL175 o 17.5”H LL21 o 21”H
o Footplates
o 4”W x 6”D o 6”W x 8”D2
o 5”W x 6”D o 6”W x 11”D2
o 5”W x 8”D o 8”W x 11”D3
Accessories:
o Calf Pads (6”W-6”H) NC
o Heel Loop $35
o Quad Release Lever NC
o Gel Padded Knee Adductor $130
1. Includes Heel Loops.2. May cause interference on seat widths less than 18”.3. May cause interference on seat widths less than 20”.
Pediatric Swing-Away Compatability Matrix TR
U-B
alan
ce®
Recl
ine
TRU
-Bal
ance
® Ti
lt
TRU
-Bal
ance
® Li
ft
Low
Med
ium
High
Low
Med
ium
High
Low
Med
ium
High
7”-10” Extension aaaaaaa aa
Power Elevating Legrest Compatability Matrix
TRU
-Ba
lanc
e®3
Recl
ine
TRU
-Ba
lanc
e®3
Tilt
TRU
-Ba
lanc
e®3
Lift
Low
Med
ium
High
Low
Med
ium
High
Low
Med
ium
High
Angle Adjustable, 11” - 13” aaaaaaa aa
Angle Adjustable, 14.5” - 18” ! ! ! ! ! ! ! ! aAngle Adjustable, 17.5” - 21” X X X X X ! X X !
CENTER MOUNT FOOT PLATFORM Option # Description Price
o Center Mount Articulating Foot Platform $3,145 Not covered by AADL o 12”W-20’’W Adjustable Center Mount Foot Platform $265 o 20’’W-22’’W Adjustable Center Mount Foot Platform $475 Extensions:
o 8-12”L Pediatric
o 10-16”L
o 13-19”L Footplates:
o 5’’W x 6’’D
o 5’’W x 8’’D
o 5’’W x 11’’D1
Set Legrest Length:
LL85 o 8.5”H LL9 o 9”H LL95 o 9.5”H
LL10 o 10”H LL135 o 13.5”H LL165 o 16.5”H LL105 o 10.5”H LL14 o 14”H LL17 o 17”H LL11 o 11”H LL145 o 14.5”H LL175 o 17.5”H LL115 o 11.5”H LL15 o 15”H LL18 o 18”H LL12 o 12”H LL155 o 15.5”H LL185 o 18.5”H LL125 o 12.5”H LL16 o 16”H LL19 o 19”H LL13 o 13”H Calf Supports:
o Calf Pads (pair)2
o Small (6”H x 6”W) $210 o Large (8”H x 8”W, tapered to 6”W) $210
o Calf Panel (ea.) o Small (8”H x 18”W) $210 o Large (8”H x 24”W)3 $265 Calf Support Covers (1/2’’ Soft Visco Foam):
o Air Mesh $150
o Reversed Dartex $150 Optional Extensions & Accessories:
o 4” Width Extension Kit4 $55
o 2” Bell Shaped, Length Extension Kit5 $55
o Footplate Outside Edge Side Guards $55 o4’’D6 o6’’D4
o Footplate Connector $55
o Wheel Bumpers $30
1. Not available with 8-12’’L Pediatric lower extension2. Standard with Articulating Foot Platform3. Only available on 20”W or greater.4. Not available with 5’’W x 6’’D Footplates 5. Not available with 4’’ Wdith Extension Kit6. Not available with 5’’W x 11’’D Footplates
Center Mount Articulating Foot
Platform Compatability Matrix
TRU
-Bal
ance
®3
Recl
ine
TRU
-Bal
ance
®3
Tilt
TRU
-Bal
ance
®3
Lift
Low
Med
ium
High
Low
Med
ium
High
Low
Med
ium
High
10”-16” Extension ! ! aaaaa aa
13”-19” Extension ! ! ! ! ! ! ! ! !
a This rigging configuration causes no interference issues at this seat-to-floor height.
! This rigging configuration may interfere with the ground (less than 1.75” clearance when fully extended) and will reduce obstacle climbing ability.
X This rigging configuration does not work with this seat-to-floor height.
Quantum® Rival TB3 Power Positioning Order Form
Revised: October 1, 2018 Page 7 of 7
STEALTH HEADRESTS (Standard Stealth Pricing Applies) Option # Description Price
Headrest Pads:
CP250 o Stealth 10” Comfort Plus $190
CP150 o Stealth 14” Comfort Plus $190
OTSM250 o Stealth Small Contoured $80 (9.75”W x 3”H)
OTLG150 o Stealth Large Contoured $100 (11”W x 6”H)
o Omit Headrest Headrest Mounts: HMO475 o Multi-Axis Hardware $200
TWB485 o Linking Hardware $255
o No bracket
LAPBELTS
o 60” Std
o 38’’ o 50’’ o 70’’ o 80’’ o 90’’ NC
BATTERIES o Group 24, 70 Amp Batteries $460 ea. Installation: o Batteries Installed
o Do Not Install
ACCESSORIES Not covered by AADL Option # Description Price
CUP o Cup Holder $35 Not available w/ 2-post flip back armrests
PIH o Personal Item Hook $35 Not available w/ back cane option
GBOX o Glove Box $40
RKIT o Reflector Kit $35
CELL o Cell Phone/Media Holder1 $95 Not available w/ 2-post flip back armrests
BPH o Backpack Holder, Pair $45 Not available w/ back cane option
The following accessories will be shipped with the unit, not installedMultiple accessories can be mounted along the various tracks, some interference may occur
OXYGEN o Oxygen Holder $90
CGUAR o Clothing Guard, Pair $275
QRTB o Transfer Bar, Pair $305 (Quick-Release)
o Accessory Bracket1 $90
o Quantum Backpack $65
o Tablet Holder Call for Pricing
1. Comes standard with Trilogy vent tray and oxygen holder. May be added to mount additional acces-sories to back of unit.