alberta aids to daily living - power wheelchair ... · 3gtqspbase-mm storm torque sp base with mk6i...

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Invacare® Storm® Torque™SP Base with Motion Concepts Modular Maxx Power Positioning System Suggested Canadian Price List Effective October 1, 2018 BASE STORM TORQUE SP BASE FOR MODULAR MAXX POWER POSITIONING Torque SP comes standard with 300 lb. user weight capacity, 6.5 MPH top speed, performance 4-pole motor package, MK6i SPJAPM joystick, MK690ACC Controller, Rubber Element rear wheel suspension. Must order through Invacare Canada Customer Service. For base-only orders, please refer to Invacare Canada order forms found on www.invacare.ca or call Invacare Canada Customer Service. o 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the front of the seat pan based on a standard seat size. o 3GTQSPSLOW 16.75" $250 o 3GTQSPLOW 18.25" No Charge o 3GTQSPMED 19" No Charge o 3GTQSPTALL 20" No Charge TRANSPORT TIE DOWN For unoccupied use only. Not available with Vent tray. Not available with 9213-8, 8” shock forks o TRBKTS Wheelchair Transport Brackets Standard USER WEIGHT LIMITS n U300 User Weight under 300 lbs. Standard DRIVE TYPE OPTION n PERF Performance 4-Pole Motor Standard FRAME TYPE o SFS Short Base Standard o LFS Long Base $432 CASTER OPTIONS o 1228-3 8'' X 2 1/4'' Semi Pneumatic Casters Light Grey Standard o 1251-3 8'' X 2'' Pneumatic Casters $432 CASTER SUSPENSION Not available with Short Base TBKTS. o 9213-8 Shock Fork For 8'' Casters $209 WHEEL OPTION (PAIR) o 1430-3T 14'' X 3'' Pneumatic Tire Standard o 1431-3T 14'' X 3'' Tire w/Foam Filled Inserts No Charge WHEEL OPTION (PAIR) o RWS Rear Wheel Standard Standard FENDER OPTION o FDR Fender No Charge DEALER : __________________________ ACCOUNT#:_______________ DEALER CONTACT:______________________PHONE #:_____________ P.O. #: ___________________________ DATE: ______________________ ADDRESS: ____________________________________________________ ______________________________________________________________ RFQ REFERENCE # (IF APPLICABLE): ____________________________ NOTES: _______________________________________________________ ______________________________________________________________ ______________________________________________________________ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ To ensure system is accurately configured, please fill in all required measurements Client Height: Client Weight (lbs.): A. Seat to Shoulder: B. Trunk Depth: C. Chest Width: D. Knee to Back: E. Seat to Top of Head: F. Elbow to Hand G. Seat to Elbow H. Hip Width I. Knee to Heel Cushion Thickness: ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ Requires special battery tray modification and is not available with post elevating seat. This STF is not available when using a vent tray due to battery terminal clearance. Standard with seat depths 14" - 18". Not available on seat depths of 19” to 21”. Standard with seat depths 19" - 21". For AADL Only AADL Cat. #W558 / W990 Form No 16-961C, rev 10/01/2018 NOTE: All specifications and dimensions are approximate For the most current pricing information visit www.invacare.ca Page 1 / 25 Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP © 2018 Government of Alberta

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Page 1: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP Base

with Motion Concepts Modular Maxx

Power Positioning System

Suggested Canadian Price List

Effective October 1, 2018

BASESTORM TORQUE SP BASE FOR MODULAR MAXX POWER POSITIONINGTorque SP comes standard with 300 lb. user weight capacity, 6.5 MPH top speed, performance 4-pole motor package, MK6i SPJAPM joystick, MK690ACC Controller, Rubber Element rear wheel suspension.

Must order through Invacare Canada Customer Service. For base-only orders, please refer to Invacare Canada order forms found on www.invacare.ca or call Invacare Canada Customer Service.

o 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500

SEAT TO FLOOR HEIGHTSSeat-to-floor height is measured at the front of the seat pan based on a standard seat size.

o 3GTQSPSLOW 16.75" $250

o 3GTQSPLOW 18.25" No Charge

o 3GTQSPMED 19" No Charge

o 3GTQSPTALL 20" No Charge

TRANSPORT TIE DOWNFor unoccupied use only. Not available with Vent tray. Not available with 9213-8, 8” shock forks

o TRBKTS Wheelchair Transport Brackets Standard

USER WEIGHT LIMITSn U300 User Weight under 300 lbs. Standard

DRIVE TYPE OPTION

n PERF Performance 4-Pole Motor Standard

FRAME TYPE

o SFS Short Base Standard

o LFS Long Base $432

CASTER OPTIONS

o 1228-3 8'' X 2 1/4'' Semi Pneumatic Casters Light Grey Standard

o 1251-3 8'' X 2'' Pneumatic Casters $432

CASTER SUSPENSIONNot available with Short Base TBKTS.

o 9213-8 Shock Fork For 8'' Casters $209

WHEEL OPTION (PAIR)

o 1430-3T 14'' X 3'' Pneumatic Tire Standard

o 1431-3T 14'' X 3'' Tire w/Foam Filled Inserts No Charge

WHEEL OPTION (PAIR)

o RWS Rear Wheel Standard Standard

FENDER OPTION

o FDR Fender No Charge

DEALER : __________________________ ACCOUNT#:_______________

DEALER CONTACT:______________________PHONE #:_____________

P.O. #: ___________________________ DATE: ______________________

ADDRESS: ____________________________________________________

______________________________________________________________

RFQ REFERENCE # (IF APPLICABLE): ____________________________

NOTES: _______________________________________________________

______________________________________________________________

______________________________________________________________

____________________________________________

To ensure system is accurately configured, please fill in all required measurements

Client Height:

Client Weight (lbs.):

A. Seat to Shoulder:

B. Trunk Depth:

C. Chest Width:

D. Knee to Back:

E. Seat to Top of Head:

F. Elbow to Hand

G. Seat to Elbow

H. Hip Width

I. Knee to Heel

Cushion Thickness:

____________________________________________

Requires special battery tray modification and is not available with post elevating seat. This STF is not available when using a vent tray due to battery terminal clearance.

Standard with seat depths 14" - 18". Not available on seat depths of 19” to 21”.

Standard with seat depths 19" - 21".

For AADL OnlyAADL Cat. #W558 / W990

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 1 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 2: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP with Modular Maxx Power Positioning SystemFRAME FINISH

o 24P Wet Black No Charge

o 105P Midnight Blue No Charge

ELECTRONICSMK6i™ CONTROLLERS

o MK690ACC 90 Amp Controller with Actuator Control Standard

o GTRAC G-TracTM

Electronic Gyroscope Module $988

STANDARD DRIVER CONTROL

o SPJAPM SPJ Plus with Mode Switch for Joystick Actuator Operation Standard

MULTIPLE DRIVE CONTROL OPTIONS

o PWH Harness required for Expandable Electronics No Charge

o CMPJM6U MPJ+ Multiple Drive Joystick with Colour Display $875

o ASLRDYM6 MK6 Display Only (No Driver Control) $242

ALTERNATIVE PROPORTIONAL CONTROL SYSTEMS

o 1558MM6 Compact Joystick with Display $1,097

ALTERNATIVE DIGITAL CONTROL SYSTEMSMust also use either a Multiple Drive Joystick or MK6i Display.

o SNPM6 Sip-N-Puff Digital Interface Box $2,135

SIP N PUFF KIT

o PKG32666 Therafin Sip-N-Puff Breath Tube Kit $440

ADDITIONAL CONTROL CHOICES

o 1558M6 Compact Joystick - Less Standard Mount $937

o PACM6 Proportional Attendant Control w/Quick Release Mount $1,024

JOYSTICK MOUNTING HARDWARE

o QLAM6 Quad Link Retract Joystick Mount CMPJ+ $358

o QLA Quad Link Retract Joystick Mount SPJPLUS $358

o LEFT Left Hand Mounted Joystick No Charge

ELECTRONIC ACCESSORIES

o 1813M6 MK6i Programmer with Professional Memory Card $685

o 1813SD Professional Memory Card $112

o AUX12M6 Auxiliary Module For 1 & 2 $706

o AUX34M6 Auxiliary Module For 3 & 4 $706

MISCELLANEOUS BATTERY TRAY TYPE

o GP24 Group 24 Battery Boxes No Charge

INSTALLATION OF BATTERIES

o 24BATTERY 24 Gel Battery (On Chair) $840

BATTERY CHARGER OPTIONS

o 110CHARGER 110 Volt Battery Charger No Charge

o OMIT Omit Charger No Charge

MISCELLANEOUS ACCESSORIES

o 1303 Wheel Locks $90

o 9205-3 Upgraded Monroe Suspension Shocks $150

G-Trac provides improved tracking capabilities and enhanced traction. Does not require special motors. Recommended for use with MPJ+ joysticks.

Allows actuator operation through the driver control. Includes port for attendant switch.

Harness is required to interface joystick or MK6i display w/expandable controllers.

For your ASL Drive System needs, please refer to the ASL Alternative Driver Controls and Accessories listed on pages 3, 4 and 5 of this order form.

QLAM6 and QLA includes Adjustable Height Joystick Mount.

QLAM6 and QLA includes Adjustable Height Joystick Mount.

Not available with pneumatic tires.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 2 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 3: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

ASL ALTERNATIVE DRIVER CONTROLS AND ACCESSORIESSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

HEAD ARRAY ASSEMBLIES

o

$6,200

o

$7,100

o

$7,400

o PASL109 $6,400

HEAD ARRAY ASSEMBLY OPTIONAL ACCESSORIESSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL611 Adjustable Switch Mounting Bracket $325

o CASL930B Headrest Swing Away, Adjustable Switch Mount Assembly - Both Sides $990

o ASL914 Adjustable Flexible Swing Away Mechanism $630

SWITCH DIGITAL DRIVING OPTIONSRequires CASL151M6 Interface & Optional Mount Selection (not included)

SUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL106 4-Switch Proximity Array $4,650

o CASL107 2-Switch Fiber Optic Array for MK6i $4,100

o CASL108 4-Switch Fiber Optic Array for MK6i $4,600

INTERFACE FOR MK6i ELECTRONICSSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL151M6 Multi-Switch Interface For M6Ki Electronics $2,300

SWITCHES AND SWITCH MOUNTSSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o ASL300-RED Egg Switch - Red $200

o ASL300R Egg Switch Finger Mount Bracket $78

o CASL312 Micro Light Switch $230

o CASL314 Ultra Light Mechanical Switch $230

o CASL504BM6 Remote Emergency Stop Switch for MK6i $1,506

Sip and Puff/Head Array, ASL301 Lip Switch = Reset/Mode Change Switch. Includes CASL154M6

for Invacare electronics.

ASL 104 ATOM Electronic (Straight wings, 2” x 3” laterals) Head Array with swingaway right or left side-mounted CASL312 Micro

Light switch for reset/mode change. MK6i digital interface, CASL606 Multi-Axis Adjustable Headrest Mounting Hardware and

CASL930L or R (Headrest swing-away, adjustable switch mounting assembly left or right) included.

Specify wing pads and switch mount location below.

ASL 104 PROTON (Elite) Electronic Head Array with swingaway right or left side mounted CASL312 Micro Light switch for

reset/mode change. MK6i digital interface & CASL606 Multi-Axis Adjustable Headrest Mounting Hardware included.

Select switch mount location below.

ASL 104 ELEMENT (Ultra) Electronic Head Array, Sub Occipital, with swingaway right or left side mounted CASL312 Micro Light

switch for reset/mode change. MK6i digital interface included. Specify switch mount location below.

o CASL104ATOMSR-MK6 - Straight wing pads. Switch mounted on right side.

o CASL104ATOMCR-MK6 - Curved wing pads. Switch mounted on right side.

o CASL104ATOMSL-MK6 - Straight wing pads. Switch mounted on left side.

o CASL104ATOMCL-MK6 - Curved wing pads. Switch mounted on left side.

o CASL104ATOMPR-MK6 - Switch mounted on right side.

o CASL104ATOMPL-MK6 - Switch mounted on left side.

o CASL104ER-MK6 - Switch mounted on right side.

o CASL104EL-MK6 - Switch mounted on left side.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 3 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 4: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

ASL ALTERNATIVE DRIVER CONTROLS AND ACCESSORIESPROPORTIONAL DRIVER CONTROLSSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL129-660 $4,130

o CASL130-660 $4,130

o CASL132-660 $1,780

o CASL133-660 $1,880

o CASL134-660 $1,880

o ASL136 $3,600

o CASL138-624-14 $1,890

o CASL138-624-12 $1,890

o PASL112-IVC $3,300

SWITCH PACKAGE OPTIONSSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CPASL101IVCM6 ASL Single Switch Scanner, ASL 300/ASL 611 (Egg Switch) = Drive Switch, Fixed Mounting Hardware $4,900

o CPASL106IVCM6-16 4-Sensor Proximity Sensor Array, ASL Egg Switch, 16” Driving Platform for MK6i $5,820

o CPASL106IVCM6-18 4-Sensor Proximity Sensor Array, ASL Egg Switch, 18” Driving Platform for MK6i $5,820

o CPASL106IVCM6-20 4-Sensor Proximity Sensor Array, ASL Egg Switch, 20” Driving Platform for MK6i $5,820

o CPASL106EIVC-16 4-Sensor Proximity Sensor Array, ASL Egg Switch, 16” Eclipse Tray for MK6i $6,900

o CPASL106EIVC-18 4-Sensor Proximity Sensor Array, ASL Egg Switch, 18” Eclipse Tray for MK6i $6,900

o CPASL106EIVC-20 4-Sensor Proximity Sensor Array, ASL Egg Switch, 20” Eclipse Tray for MK6i $6,900

JOYSTICK COMPONENTSSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CPMJ-CHINCUP MEC/PMJ Chin Cup (3/pk) $84

o CPMJ-CORKBALL MEC/PMJ Chin Cork (3/pk) $84

COMMUNICATION DEVICESSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL545 Tecla Shield Bluetooth Device DOS with D9 Cable & Charger $985

o CASL557-2 ATOM wireless dual switch receiver $390

o CASL557-3 ATOM wireless triple switch receiver $455

o ASL558 Wireless Mouse Emulator $1,075

ASL Micro Extremity Light Touch Control with ASL 660-644 Nucleus Mount Includes Joystick Mount for Nucleus Midline Mount

ASL Micro Extremity Control with ASL 660-644 Nucleus Mount Includes Joystick Mount for Nucleus Midline Mount

ASL Paediatric Compact Joystick with ASL 660-646 Nucleus Mount Includes Joystick Mount for Nucleus Midline Mount

Compact Joystick - Single Button Switch with ASL 660-646 Nucleus Mount Includes Joystick Mount for Nucleus Midline Mount

Compact Joystick - Dual Button Switch with ASL 660-646 Nucleus Mount Includes Joystick Mount for Nucleus Midline Mount

Micro Mini Joystick

ASL 138 Extremity Control with ASL 624 for 1/4" Rod

Proportional Rim Control for IVC

ASL 138 Extremity Control with ASL 624 for 1/2" Rod

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 4 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 5: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 5 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 6: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

ASL ALTERNATIVE DRIVER CONTROLS AND ACCESSORIESMOUNTING OPTIONSSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL603C $875

o ASL603HAM $875

o ASL603M $875

o CASL617 $250

o CASL624 $340

o CASL627 $1,330

o ASL628 $890

o ASL660 $890

oASL660-643 $230

oASL660-644 $230

oASL660-646 $230

oASL660-647 $340

INTERFACE CABLESSUBJECT TO STANDARD ASL DISCOUNTS ONLY - WILL SHIP SEPARATELY FROM THE CHAIR

o CASL802/2 Auxiliary Interface Cable - 2 Mono Outputs, Wired Right & Left $230

o CASL802/4 Auxiliary Interface Cable - 4 Mono Outputs, Wired Right, Left, Forward & Reverse $270

RAM ACCESSORY MOUNTSSUBJECT TO SERVICE PART DISCOUNTS ONLY. RECEIVE A SECONDARY 10% DISCOUNT WITH THE PURCHASE OF ONE HOLDER, ONE ARM AND ONE MOUNT/SUCTION CUP.

MOUNTS WILL SHIP SEPARATELY FROM CHAIRS.

HOLDER OPTIONS

o TAGHPHNC Phone Holder Clamp $89

o TAGHPHNB Phone Holder with 1" Ball $65

o TAGHTAB7 Tablet Holder for Small Tablets $89

o TAGHTAB10 Tablet Holder for Larger Tablets $119

o TAGHCUP Cup Holder with Clamp $59

o TAGHCUP1B Cup Holder with 1" Ball $35

ARM OPTIONS

o TAGMA3 Adjustable Mounting Arm 3" $39

o TAGMA6 Adjustable Mounting Arm 6" $49

o TAGMBC Mounting Arm Connector $33

MOUNT OPTIONS

o TAGMCLAMP Universal Mounting Clamp with 1" Ball $49

o TAGMSC Accessory Mount Suction Cup with 1" Ball $29

o TAGMUB Accessory Mount U-Bolt with 1" Bal $27

Swivel Joystick Mount -Must specify for MEC or Extremity Joystick and 1/2" or 1/4" Rod

Foot Control Mounting Platform

Swing Away Adjustable Height Chin Mount - Specify Headrest & Joystick Type. Works with CASL131 ,ASL130 or CASL132

Nucleus Midline Mount Requires Joystick Mount (Below)

Adjustable Height Driving Platform Joystick Mount for Compact Joystick

Adjustable Height Driving Platform for Micro Mini Joystick

Adjustable Height Driving Platform Joystick Mount for Micro Extremity Control

Flip-Down Headrest Mounting Bracket

Mount for Invacare 1812 Joystick

Mount for ASL130 MEC

Mount for Invacare MPJ+ Joystick

Mount for ASL132 Pediatric Compact Joystick for 1/2" Bar

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 6 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 7: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

MODULAR MAXX SEATING SYSTEMS MUST SELECT ONE SYSTEMSystems Include Seat Pan, Back Pan, Standard Armrests and Front Rigging. They are designed for use with a 2"-3" cushion.

o MDCGT-50 Modular Maxx Tilt Only System 50° $6,969

o MDCGT-45 Modular Maxx Tilt Only System 45° $6,969

o MDCGTRESR-50 Modular Maxx CG Tilt 50° and Power Recline 170° System with Extended Shear Reduction (ESR) $11,569

o MDCGTRESR-45 Modular Maxx CG Tilt 45° and Power Recline 170° System with Extended Shear Reduction (ESR) $11,569

o MDCGTRPSB-50 Modular Maxx CG Tilt 50° & Power Recline (170°) System with Synchronized Power Sliding Back (PSB) $12,069

o MDCGTRPSB-45 Modular Maxx CG Tilt 45° & Power Recline (170°) System with Synchronized Power Sliding Back (PSB) $12,069

o MDRESR Modular Maxx Recline Only System (170°) with Extended Shear Reduction (ESR) $10,350

o MDRPSB Modular Maxx Recline Only System (170°) with Synchronized Power Sliding Back (PSB) $10,850

o MDRES12 Modular Maxx Elevate Lift Seat Only System 12” Scissor Mechanism Elevation - up to 250 lbs. $4,995

ELEVATING LIFT SEAT MODULE FOR ADDITION TO ABOVE SYSTEMSUses an integrated Tilt/Lift mechanism. Tilt is 45°. The seat to floor height is not affected by the Elevating Lift Seat. Not available on seat sizes greater than 20" wide by 20" deep, call Customer Service

for other options. For weights greater than 175 lbs., no tilt while elevated is available. Call Customer Service for details.

o ESM12 Elevating Lift Seat Module (Scissor Mechanism) $2,495

MODULES MUST SELECT MODULAR MAXX SEATING SYSTEM TO ADD MODULESUses an integrated Tilt/Lift mechanism. tilt is 45°. the seat to floor height is not affected by the Elevating Lift Seat. Not available on seat sizes greater than 20" wide by 20" deep, call customer service

service for other options. For weights greater than 175 lbs. no tilt while elevated is available. Call Customer Service for details.

o BFS2 $995

o BFS4 $995

o 10FAT 10° Fixed Anterior Assist $750

o 5FAT 5° Fixed Anterior Assist No Charge

o 5PT 5° Pre-Tilt No Charge

o 8PR 8° Precline Module - only available with Recline No Charge

o 30PR 30° Precline Module - only available with Recline $500

SEAT SPECIFICATIONSADJUSTABLE SEAT WIDTH RANGE

Select Adult Seat Width and Ultra Rail Width Adjustment

o WA1620 Seat Width Adjustable 16" - 20" No Charge

o WA1922 Seat Width Adjustable 19" - 22" No Charge

SEAT WIDTH SETTING

o W16 Seat Width 16" No Charge

o W17 Seat Width 17" No Charge

o W18 Seat Width 18" No Charge

o W19 Seat Width 19" No Charge

o W20 Seat Width 20" No Charge

o W21 Seat Width 21" No Charge

o W22 Seat Width 22" No Charge

ADJUSTABLE SEAT DEPTH RANGE

Select Adult Seat Depth and Ultra Rail Depth Adjustment

o DA1621 Seat Depth Adjustable 16" - 21" No Charge

SEAT DEPTH SETTING

o D16 Seat Depth 16'' No Charge

o D17 Seat Depth 17'' No Charge

o D18 Seat Depth 18'' No Charge

o D19 Seat Depth 19'' - Long Base No Charge

o D20 Seat Depth 20'' - Long Base No Charge

o D21 Seat Depth 21'' - Long Base No Charge

MEDIATRIC/SMALL ADULT SEAT SIZE SEAT WIDTH SETTING*Weight limit is 175 lbs. on these seat sizes and if Recline is selected it will be limited to 165° of recline. Growable from 14" to 17".

No Charge

MEDIATRIC/SMALL ADULT SEAT SIZE SEAT DEPTH SETTINGDepth adjustable from 14" - 18".

Recline Body Fit (Minimum finished back width of 16") - 2" Narrower

This option allows the seat back to be narrower than the seat pan. For example, an 18" back pan width with a 20"

seat width is accomplished by selecting 2" Narrower option.

Recline Body Fit (Minimum finished back width of 16") - 4" Narrower

This option allows the seat back to be narrower than the seat pan. For example, an 18" back pan width with a 20"

seat width is accomplished by selecting 2" Narrower option.

Tilt will be reduced to 45° if adding the Elevating Lift Seat Module below.

Tilt will be reduced to 45° if adding the Elevating Lift Seat Module below.

Required 2-6 function Enhanced Electronics.

Tilt will be reduced to 45° if adding the Elevating Lift Seat Module below. Requires 2-6 function Enhanced Electronics.

Only available on seat sizes 17” wide and greater.

Not available on seat sizes greater than 20” wide by 20” deep.

The 5° Fixed Anterior Assist adds approximately 2” to the seat-to-floor height at zero degrees (level).

This Fixed Pre-tilt option adds approximately 2” to the front seat-to-floor height.

Total degrees of recline is 170° i.e.: if 8° degrees of precline is used, then 162° degrees of recline will be available.

Total degrees of recline is 170° i.e.: if 30° degrees of precline is used, then 140° degrees of recline will be available.

oSW114 - 14" oSW115 - 15

o o o o o

This module may limit front rigging options. The 10o Fixed Anterior Assist option adds approximately 3.6" to the seat to floor height at zero degrees (level).

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 7 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 8: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

No ChargeoSD314- 14" oSD315- 15" oSD316- 16" oSD317- 17" oSD318- 18"

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 8 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

Page 9: Alberta Aids to Daily Living - Power Wheelchair ... · 3GTQSPBASE-MM Storm Torque SP Base with MK6i Electronics $7,500 SEAT TO FLOOR HEIGHTS Seat-to-floor height is measured at the

Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

SEAT CUSHION OPTIONSSAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

MATRX® LIBRA CUSHION 14”W - 20”W $745

MATRX LIBRA HD CUSHION $1,025

MATRX PS CUSHION 14”W - 20”W $569

MATRX PSVF CUSHION 16”W - 20”W $589

MATRX VI CUSHION 16”W - 18”W $624

MATRX VI CUSHION 20”W - 22”W $681

LAP BELTS AND CHEST STRAPS

o 1004310 48" Push Button Style Seat Belt Standard

o 1034625 61" Push Button Style Seat Belt Standard

o 1034622 69" Push Button Style Seat Belt Standard

o BP-PLB2 67" Padded Lap Belt 2-point $170

o BP-PLB4 67" Padded Lap Belt 4-point $215

o PNG 50193 Chest Strap 5” W x 24" L $210

BACK OPTIONSSTANDARD REHAB BACK AND BACK CUSHION No Charge

RECESSED PLANAR INTERFACE PLATE No ChargeIncluded with all Recline Systems when no back is selected. May also be used as an interface for after market backs.

OMIT: RIGID BACK PAN & CUSHIONNot available with Recline.

o OMITBACK Omit Back Pan and Cushion No Charge

UPGRADEABLE BACK OPTIONS4” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

MOTION HIGH BACK WIDTHS 16"-22” $595

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

oLC1620 oLC1716 oLC1718 oLC1720 oLC1816 oLC1818 oLC1820

oLC1916 oLC1918 oLC1920 oLC2016 oLC2018 oLC2020

oLC2118 oLC2120 oLC2122 oLC2220

oPS1414 oPS1416 oPS1616 oPS1618 oPS1620

oPSVF1616 oPSVF1618 oPSVF1620 oPSVF1816 oPSVF1818 oPSVF1820

oPSVF2016 oPSVF2018 oPSVF2020

oMA1415-VI oMA1417-VI oMA1616-VI oMA1618-VI

oMA2016-VI oMA2018-VI oMA2020-VI oMA2218-VI oMA2220-VI

oLC1622 oLC1722 oLC1822 oLC1922 oLC2022

oPS1816 oPS1818 oPS1820 oPS2016 oPS2018 oPS2020

Not available with 1034625 or 1034622.

Not available with 1004310 or 1034622.

Not available with 1004310 or 1034625.

oSRB16 - 16" Wide oSRB17 - 17" Wide oSRB18 - 18" Wide oSRB19 - 19" Wide

oSRB20 - 20" Wide oSRB21 - 21" Wide oSRB22 - 22" Wide

oRPIF16 - 16" Wide oRPIF17 - 17" Wide oRPIF18 - 18" Wide oRPIF19 - 19" Wide

oRPIF20 - 20" Wide oRPIF21 - 21" Wide oRPIF22 - 22" Wide

oMHB1616 oMHB1618 oMHB1620 oMHB1716 oMHB1718 oMHB1720

oMHB1816 oMHB1818 oMHB1820 oMHB1916 oMHB1918 oMHB1920

oMHB2016 oMHB2018 oMHB2020 oMHB2116 oMHB2118 oMHB2120

oMHB2216 oMHB2218 oMHB2220

oLC1414 oLC1416 oLC1516 oLC1518 oLC1520 oLC1616 oLC1618

oMA1620-VI oMA1816-VI oMA1818-VI oMA1820-VI

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 9 / 25

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

MATRX PB ELITE BACK 14”-20” WIDTHS (3” Contour) $7664” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

MATRX PB ELITE HEAVY-DUTY BACK 21”-22” WIDTHS $1,0514” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

MATRIX PB ELITE TR BACK 15”-20” WIDTHS $8254” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

$9184” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

MATRX PB BACK 14”-20” WIDE (5” CONTOUR) $7344” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

$892

4” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

MATRX PB HD BACK (5” CONTOUR) 20”-22” WIDTHS $1,051

4” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

MATRX PB HD BACK (5” CONTOUR) 20”-22” WIDTHS $1,2094” gap is recommended for Tilt systems to allow for the seat cushion. 6” gap is recommended for systems with Recline/ESR. PB Backs are not available with the Precline Module.

FINISHED BACK HEIGHT

FINISHED BACK HEIGHTS FOR TILT SYSTEMS No ChargeComes with standard cane height.

FINISHED BACK HEIGHTS FOR TILT/RECLINE SYSTEMS No ChargeComes with standard cane height.

MATRX PB DEEP BACK 14”-20” WIDTHS (7” CONTOUR)

MATRX PB ELITE DEEP BACK 14”-20” WIDE (6” contour)

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

The Heavy Duty PB and Heavy Duty PB Deep back are not available with Recline.

oPBE1618 oPBE1620 oPBE1710 oPBE1712 oPBE1714 oPBE1716 oPBE1718 oPBE1720

oPBE1810 oPBE1812 oPBE1814 oPBE1816 oPBE1818 oPBE1820 oPBE1910 oPBE1912

oPBE1916 oPBE1918 oPBE1920 oPBE2010 oPBE2012 oPBE2016 oPBE2018 oPBE2020

oPBE2116-HD oPBE2120-HD oPBE2216-HD oPBE2220-HD

oPBE1516-TR oPBE1518-TR oPBE1520-TR oPBE1616-TR oPBE1618-TR oPBE1620-TR

oPBE1716-TR oPBE1718-TR oPBE1720-TR oPBE1816-TR oPBE1818-TR oPBE1820-TR

oPBE1916-TR oPBE1918-TR oPBE1920-TR oPBE2016-TR oPBE2018-TR oPBE2020-TR

oEDB1710 oEDB1712 oEDB1714 oEDB1716 oEDB1718 oEDB1720 oEDB1810 oEDB1812

oEDB1814 oEDB1816 oEDB1818 oEDB1820 oEDB1910 oEDB1912 oEDB1914 oEDB1916

oMPB1412 oMPB1416 oMPB1612 oMPB1616 oMPB1620 oMPB1712 oMPB1716

oHDB2016 oHDB2020 oHDB2216 oHDB2220

oDHDB2016 oDHDB2020 oDHDB2216 oDHDB2220

oMPB1720 oMPB1812 oMPB1816 oMPB1820 oMPB2012 oMPB2016 oMPB2020

oTFB18 - 18" oTFB19 - 19" oTFB20 - 20" oTFB21 - 21"

oTFB22 - 22" oTFB23 - 23" oTFB24 - 24" oTFB25 - 25"

oMPBD1412 oMPBD1416 oMPBD1612 oMPBD1616 oMPBD1620 oMPBD1712 oMPBD1716

oPBE1410 oPBE1412 oPBE1414 oPBE1416 oPBE1418 oPBE1420 oPBE1510 oPBE1512

oPBE1514 oPBE1516 oPBE1518 oPBE1520 oPBE1610 oPBE1612 oPBE1614 oPBE1616

oEDB1518 oEDB1520 oEDB1610 oEDB1612 oEDB1614 oEDB1616 oEDB1618 oEDB1620

oEDB1412 oEDB1416 oEDB1418 oEDB1420 oEDB1510 oEDB1512 oEDB1514 oEDB1516

oEDB1918 oEDB1920 oEDB2010 oEDB2012 oEDB2014 oEDB2016 oEDB2018 oEDB2020

oMPBD1720 oMPBD1812 oMPBD1816 oMPBD1820 oMPBD2012 oMPBD2016 oMPBD2020

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 10 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

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oRFB20 - 20" oRFB22 - 21" oRFB22 - 22" oRFB23 - 23"

oRFB24 - 24" oRFB25 - 25" oRFB26 - 26" oRFB27 - 27"

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 11 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

TILT ONLY BACK CANE SPECIFICATIONSSTRAIGHT (90°) TILT BACK CANE HEIGHT No ChargeBack Cane Angle will be set at 96°. Tilt Canes are adjustable from 81° to 121° in 3° increments.

HEADRESTS & MOUNTING HARDWAREHEADREST WITH FIXED HEADREST HARDWAREHeadrest with Fixed Headrest Hardware. Multi-Axis Hardware is required for all Upgradable Back Options.

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o 127700 Concepts Standard Headrest No Charge

o ESP6 Elan Standard Headrest Pad 6" x 3.5" $310

o ESP10 Elan Standard Headrest Pad 10" x 5" $310

o ESP14 Elan Standard Headrest Pad 14" x 5" $310

o MCAUTO Concepts Auto-Style Headrest $350

o OMITHEAD OMIT Headrest No Charge

HEADREST SWING AWAYS AND REMOVABLE MOUNTS - PAD NOT INCLUDEDMulti-Axis Hardware is required for all Upgradable Back Options

o MEHW Elan Headrest Hardware - Multi-Axis Removable $266

o MAHU Concepts Multi-Axis Hardware $225

ARMRESTSADULT DUAL POST ADJUSTABLE HEIGHT (PAIR)9”-13” Adjustment with Quick Height Adjustment Lever and Flat pouch

o D0123-DLP Desk Length Pair No Charge

o D0123-DRFL Desk Right, Full Left No Charge

o D0123-FRDL Full Right, Desk Left No Charge

o D0123-FLP Full Length Pair No Charge

RECLINING ADJUSTABLE HEIGHT (PAIR)9”-13” Adjustment.

o D0127-DLP Desk Length Pair Standard

o D0127-DRFL Desk Right, Full Left Standard

o D0127-FRDL Full Right, Desk Left Standard

o D0127-FLP Full Length Pair Standard

MAXX RECLINE HEIGHT & ANGLE ADJUSTABLE CANTILEVER FLIP-BACK (PAIR)9”-13” Adjustment. Non-removable.

o D0128-DLP Desk Length Pair $488

o D0128-DRFL Desk Right, Full Left $488

o D0128-FRDL Full Right, Desk Left $488

o D0128-FLP Full Length Pair $488

ULTRA RAIL SEAT MOUNTED FLIP BACK CANTILEVER MAXX TILT ARM (PAIR) 9”-12.5” Adjustment. Non-removable.

o D0114-DLP Desk Length Pair $488

o D0114-DRFL Desk Right, Full Left $488

o D0114-FRDL Full Right, Desk Left $488

o D0114-FLP Full Length Pair $488

oRFB24 - 24" oRFB25 - 25" oRFB26 - 26" oRFB27 - 27"

o18SCANES - 18” o20SCANES - 20" o22SCANES - 22” o24SCANES - 24”

Standard with Startex - tailored, removable cover.

Standard with Startex - tailored, removable cover.

Standard with Startex - tailored, removable cover.

Required for all Upgradable Back Options.

Fixed Headrest is not available with Matrx PB Backs

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 12 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

ARMPADS (EACH)STANDARD PADS

o D0153-C25-R Standard Pad Desk Length Right (2.25" x 10") Standard

o D0153-C25-L Standard Pad Desk Length Left (2.25" x 10") Standard

o D0153-C26-R Standard Pad Full Length Right (2.25" x 14") Standard

o D0153-C26-L Standard Pad Full Length Left (2.25" x 14") Standard

WATERFALL PADS

o D0153-C27-R Waterfall Arm Pad Desk Length Right (2.25” x 10”) No Charge

o D0153-C27-L Waterfall Arm Pad Desk Length Left (2.25” x 10”) No Charge

o D0153-C28-R Waterfall Arm Pad Full Length Right (2.25” x 14”) No Charge

o D0153-C28-L Waterfall Arm Pad Full Length Left (2.25” x 14”) No Charge

MODULAR PADS

o D0153-DLRIS Modular Arm Pad Desk Length Integral Skin Right (4" x 10") $35

o D0153-DLLIS Modular Arm Pad Desk Length Integral Skin Left (4" x 10") $35

o D0153-FLRIS Modular Arm Pad Full Length Integral Skin Right (4" x 14") $35

o D0153-FLLIS Modular Arm Pad Full Length Integral Skin Left (4" x 14") $35

o D0153-C14 Modular Arm Pad Desk Length Startex Covered Visco-Elastic Right (4"x10") $35

o D0153-C16 Modular Arm Pad Desk Length Startex Covered Visco-Elastic Left (4"x10") $35

o D0153-C10 Modular Arm Pad Full Length Startex Covered Visco-Elastic Right (4"x14") $35

o D0153-C12 Modular Arm Pad Full Length Startex Covered Visco-Elastic Left (4"x14") $35

FLAT PADSSAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o MPA-D-R Flat Pad Desk Length Right (3” x 10”) Matrx MPA-D $80

o MPA-D-L Flat Pad Desk Length Left (3” x 10”) Matrx MPA-D $80

o MPA-F-R Flat Pad Full Length Right (3” x 14”) Matrx MPA-F $80

o MPA-F-L Flat Pad Full Length Left (3” x 14”) Matrx MPA-F $80

GEL PADS SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o GAP-N-R Gel Pad Narrow Desk Length Right (2” x 12”) Matrx GAP-N $176

o GAP-N-L Gel Pad Narrow Desk Length Left (2” x 12”) Matrx GAP-N $176

o GAP-W-R Gel Pad Desk Length Right (3.5” x 12”) Matrx GAP-W $192

o GAP-W-L Gel Pad Desk Length Left (3.5” x 12”) Matrx GAP-W $192

o GAP-L-R Gel Pad Full Length Right (3.5” x 14”) Matrx GAP-L $206

o GAP-L-L Gel Pad Full Length Left (3.5” x 14”) Matrx GAP-L $206

ERGONOMIC ARM TROUGH SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o EAT-L Ergonomic Arm Trough Left (4.5” x 13”) $121

o EAT-R Ergonomic Arm Trough Right (4.5” x 13”) $121

FLAT HAND PADSAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o EHP-L Flat Hand Pad Left 4.5" x 5" $85

o EHP-R Flat Hand Pad Right 4.5" x 5" $85

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 13 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

ARMPADS - ACCESSORIESELBOW BLOCK RIGHT $195Prevents arm from slipping off

Select Size

Select Extension

Vertical

Horizontal

ELBOW BLOCK LEFT $195Prevents arm from slipping off

Select Size

Select Extension

Vertical

Horizontal

MULTI AXIS UPPER EXTREMITY SUPPORT (ARMPAD)Allows rotation of the arm pad. Quick Adjustment Lever.

o MACES-EA-R For use with Ergonomic Arm Pad - Right $257

o MACES-EA-L For use with Ergonomic Arm Pad - Left $257

o MACES-GA-R For use with Gap Arm pad - Right $257

o MACES-GA-L For use with Gap Arm pad - Left $257

o D0123-E01 1”Offset Armrest Spacer For Dual Post Armrests, Pair $250

o D0127-D01 1”Offset Armrest Spacer For Recline Armrests, Pair $250

o D0123-E02 1/2”Offset Armrest Spacer For Dual Post Armrests, Pair $250

o D0127-D02 1/2”Offset Armrest Spacer For Recline Armrests, Pair $250

LATERALSThese laterals are not available with Matrx PB Elite Deep and PB Deep Backs.

LATERAL TRUNK SUPPORT WITH FIXED MOUNTING HARDWARE (PAIR)

o D0135-C25 X-Small (3.25” x 4.25”) $295

o D0135-C26 Small (3.5” x 5.25”) $295

o D0135-C27 Medium (3.75” x 5.75”) $295

o D0135-C28 Large (4.25” x 6.5”) $295

MAXX STYLE SWINGAWAY MULTI-ADJUSTABLE MOUNTING HARDWARE (LEFT)

o D0135-C13 X-Small (3.25” x 4.25”) $395

o D0135-C14 Small (3.5” x 5.25”) $395

o D0135-C15 Medium (3.75” x 5.75”) $395

o D0135-C16 Large (4.25” x 6.5”) $395

MAXX STYLE SWINGAWAY MULTI-ADJUSTABLE MOUNTING HARDWARE (RIGHT)

o D0135-C09 X-Small (3.25” x 4.25”) $395

o D0135-C10 Small (3.5” x 5.25”) $395

o D0135-C11 Medium (3.75” x 5.75”) $395

o D0135-C12 Large (4.25” x 6.5”) $395

ADDITIONAL TELESCOPING LINK (EACH) Adding an additional 1” telescoping link gives up to 5.5” medial offset. Standard with 1” telescoping link gives 0-2.75” medial offset.

The amount of offset available may be impacted by back thickness.

o D0135-A01-R Right - SPECIFY QUANTITY______ $75

o D0135-A01-L Left - SPECIFY QUANTITY______ $75

oEBXS-R (3.25” x 4.25”) oEBS-R (3.5” x 5.25”) oEBM-R (3.75” x 5.75”) oEBL-R (4.25” x 6.5”)

oEBVES-R (3”) oEBVEL-R (5”)

oEBHES-R (5”) oEBHEL-R (7”)

oEBXS-L (3.25” x 4.25”) oEBS-L (3.5” x 5.25”) oEBM-L (3.75” x 5.75”) oEBL-L (4.25” x 6.5”)

oEBVES-L (3”) oEBVEL-L (5”)

oEBHES-L (5”) oEBHEL-L (7”)

Allows rotation of the arm pad, only compatible with Modular Arm Pads or Ergonomic Arm Troughs.SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

Allows seat width to increase by 2”

Allows seat width to increase by 2”

Allows seat width to increase by 1”

Allows seat width to increase by 1”

Allows rotation of the arm pad, only compatible with Modular Arm Pads or Ergonomic Arm Troughs.SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

Allows rotation of the arm pad, only compatible with Modular Arm Pads or Ergonomic Arm Troughs.SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

Allows rotation of the arm pad, only compatible with Modular Arm Pads or Ergonomic Arm Troughs.SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 14 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

MATRX LATERALSFor PB Elite, Elite “Full” and Elite-TR Full Backs

SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

MATRX FIXED LATERAL WITH PAD LEFT

o PBLS-L Standard Left Pad (7.5” x 5”) $116

o PBSS-L Standard Small Left Pad (5.5” x 3”) $113

o PBOL-L Offset Left $125

MATRX STANDARD FIXED LATERAL WITH PAD RIGHT

o PBLS-R Standard Right Pad (7.5” x 5”) $116

o PBSS-R Small Right Pad (5.5” x 3”) $113

o PBOL-R Offset Right $125

MATRX SWING AWAY LATERALSFor PB Elite, Elite “Full” and Elite-TR Full Backs. Select Hardware Below.

MATRX LATERAL TRUNK SUPPORT LEFT PAD (EACH)SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o EPAD-XS-L X-Small (3.25” x 4.25”) $108

o EPAD-S-L Small (3.5” x 5.25”) $108

o EPAD-M-L Medium (3.75” x 5.75”) $108

o EPAD-L-L Large (4.25” x 6.5”) $108

MATRX LATERAL TRUNK SUPPORT RIGHT PAD (EACH)SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o EPAD-XS-R X-Small (3.25” x 4.25”) $108

o EPAD-S-R Small (3.5” x 5.25”) $108

o EPAD-M-R Medium (3.75” x 5.75”) $108

o EPAD-L-R Large (4.25” x 6.5”) $108

MATRX ELITE BACK SWING AWAY HARDWARESAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX® DISCOUNTS FOR MATRX SEATING AND POSITIONING AND ACCESSORIES ORDERED ON-CHAIR.

o SAHEB-L Standard Matrx Elite Back Swing Away Hardware - Left $195

o SAHEB-R Standard Matrx Elite Back Swing Away Hardware - Right $195

o OSAH-L Offset Matrx Elite Back Swing Away Hardware - Left $195

o OSAH-R Offset Matrx Elite Back Swing Away Hardware - Right $195

HIP SUPPORTSLATERAL HIP SUPPORT PAD WITH FIXED MOUNTING HARDWARE

o D0144-C13-L X-Small (5.5” x 4”) Lateral Hip Support Pad, Fixed - Left $120

o D0144-C14-L Small (7” x 6”) Lateral Hip Support Pad, Fixed - Left $120

o D0144-C15-L Medium (9” x 4”) Lateral Hip Support Pad, Fixed - Left $120

o D0144-C16-L Large (13” x 4”) Lateral Hip Support Pad, Fixed - Left $120

o D0144-C09-R X-Small (5.5” x 4”) Lateral Hip Support Pad, Fixed - Right $120

o D0144-C10-R Small (7” x 6”) Lateral Hip Support Pad, Fixed - Right $120

o D0144-C11-R Medium (9” x 4”) Lateral Hip Support Pad, Fixed - Right $120

o D0144-C12-R Large (13” x 4”) Lateral Hip Support Pad, Fixed - Right $120

LIFT OFF REMOVABLE HARDWARE FOR HIP SUPPORT Hip position only

o D0144-LORH-L Lift Off Removable Hardware for Hip Support - Left $195

o D0144-LORH-R Lift Off Removable Hardware for Hip Support - Right $195

MAXX-STYLE QUICK RELEASE, REMOVABLE, MULTI-AXIS MOUNTING HARDWARE FOR HIP SUPPORTS

o D0144-MQRH-L Maxx Style Quick Release, Removable, Multi-Axis Hardware - Left $215

o D0144-MQRH-R Maxx Style Quick Release, Removable, Multi-Axis Hardware - Right $215

SWINGAWAY REMOVABLE HARDWARE FOR HIP SUPPORTS

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 15 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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o D0144-SARH-L Swingaway Removable Hardware for Hip Supports - Left $195

o D0144-SARH-R Swingaway Removable Hardware for Hip Supports - Right $195

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 16 / 25

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© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

FRONT RIGGINGSTANDARD FRONT RIGGING RECEIVERS

o D0158-C05 Invacare 70NHD Receivers Only (Pair) No Charge

SWING AWAY FRONT RIGGING OPTIONS

o 70HDC $325

Heavy duty durable construction (4.5 lbs. each). Includes Invacare 70NHD/1651/1600BK.

o 70HDAIH $457

Heavy duty durable construction (4.5 lbs. each). Includes Invacare 70NHD/AT5543/IMPACTG/1600BK.

o 70TAPAIH $497

Heavy duty durable construction (4.5 lbs. each). Includes Invacare 70TAPER/AT5543/IMPACTG/1600BK.

o ALPT Longer Pivot and Slide Tube for 70° Swingaway Front Rigging (Pair) $132

o D0130-C81-A09 Heavy Duty 70° Swingaway Footrests (Pair) - Straight Receivers $495

o D0130-C81-A12 Heavy Duty 70° Swingaway Footrests (Pair) - Flared Outward 1" Receivers $495

o AMPS-L Amputee Support (6.75”W x 9.75”L x 2"H) - Left $495

o AMPS-R Amputee Support (6.75”W x 9.75”L x 2"H) - Right $495

MANUAL ELEVATING LEGRESTS

o D0182-C31-D03 Maxx Style Swing-Away Manual Elevating Pivot Legrests - Straight Receivers $720

o D0182-C43-D06 Maxx Style Swing-Away Manual Elevating Pivot Legrests - Flared outward 1” Receivers $720

POWER FRONT RIGGING OPTIONS

o D0182-C03-D03 Maxx Style Swing Away Power Elevating Pivot Legrests - Straight Receivers $2,490

o D0182-C03-D06 Maxx Style Swing Away Power Elevating Pivot Legrests - Flared outward 1" Receivers $2,490

Select Legrest Function

o INDLG Individual

o CMBLG Combined

o SYNLG Synchronized W/Recline

FOOT PLATE OPTIONS FOR ELEVATING AND SWING-AWAY FRONT RIGGING

o AAFP-ML Adjustable Angle Foot Plates (Each) - Medium (5.25”W x 8”D) - Left $165

o AAFP-LL Adjustable Angle Foot Plates (Each) - Large (6.25”W x 8”D) - Left $165

o AAFP-MR Adjustable Angle Foot Plates (Each) - Medium (5.25”W x 8”D) - Right $165

o AAFP-LR Adjustable Angle Foot Plates (Each) - Large (6.25”W x 8”D) - Right $165

o MAFP-ML Multi-Axis Adjustable Angle Foot Plates (Each) - Medium (5.25”W x 8”D) - Left $225

o MAFP-LL Multi-Axis Adjustable Angle Foot Plates (Each) - Large (6.25”W x 8”D) - Left $225

o MAFP-MR Multi-Axis Adjustable Angle Foot Plates (Each) - Medium (5.25”W x 8”D) - Right $225

o MAFP-LR Multi-Axis Adjustable Angle Foot Plates (Each) - Large (6.25”W x 8”D) - Right $225

DUAL FRONT RIGGING ADAPTOROrder legs separately above and on next page.

o DFRA1 $595

o DFRA2 $595

o DFRA3 LNX Power Centre Mount with 70o Swing Away Footrests $595

o DFRA4 $595

MANUAL CENTER MOUNT FRONT RIGGING

o D0157-BFCM $250

2.5” of ground clearance is required. Comes with Basic Footplate 12” x 10.75” steel 1/8” thick with built-in heel wells.

Platform is set at 70 degrees to accommodate front casters.

o D0157-UFCM $795

2.5” of ground clearance is required. Comes with Basic Footplate 12” x 10.75” steel 1/8” thick with

built-in heel wells. Platform is set at 70 degrees to accommodate front casters.

Upgraded Center Mount Foot Platform with Individual Calf pads, 12” x 9” cast footplate

and rubber foot mat.

Seat pan to footplate 13"-21". Set At _________

Invacare 70° Non-Tapered HD Swingaway Footrests with Flip-Up Composite Footplates

and Heel Loops (Pair)

Basic Center Mount Platform

Seat pan to footplate 13" - 17". Set At _________

LNX Power Centre Mount with Manual Maxx Swing Away Legrests

For Maxx Style Fixed with 70o Swing Away Footrests

For Maxx Style Fixed with Power Maxx Swing Away or Manual Maxx Swing Away

Legrests

Invacare 70° Non-Tapered HD Swingaway Footrests with AT5543

Adjustable Angle Footplates, Heel Loops and Impact Guards (Pair)

Invacare 70° Swingaway Footrests with AT5543 Adjustable Angle

Footplates, Heel Loops and Impact Guards (Pair)

Not covered by Motion Concepts Lifetime warranty.

Swing away, removable, 50° of angle adjustment, 3.5” height adjustment and 2” of fore/aft adjustment.

Swing away, removable, 50° of angle adjustment, 3.5” height adjustment and 2” of fore/aft adjustment.

Seat pan to footplate 13”-17”

Seat pan to footplate 13”-17”

Seat pan to footplate 13”-17”

Seat pan to footplate 13”-17”

Includes Swing Away receivers, Pivot Plus Legrests and actuators. Legs swing away manually. Seat pan to footplate 13”-17”

Individual legs count as two functions for electronics.

Includes Swing Away receivers, Pivot Plus Legrests and actuators. Legs swing away manually. Seat pan to footplate 13”-17”

Medium Large

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 17 / 25

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

POWER CENTER MOUNT FOOT PLATFORM OPTIONS

o D0101-LNXLNX Power Center Mount Foot Platform with Individual Calf

Pads, 12” x 9” Cast Footplate and A Rubber Foot Mat.$3,200

2.5” of ground clearance is required. 13”-19” unlimited adjustability. 8” of anti-shear extension.

The front rigging will be set at approximately 80°.

o FCSB Flared Front Casters for Storm Base $950

o OPCP Optional One-Piece Malleable Calf Panel $250

INDIVIDUAL FOOT PLATES FOR LNX AND UPGRADED FIXED CENTER MOUNT FOOT PLATFORMCast aluminum with built in heel cups and rubber mat

o CMIFP-S Small (5” W x 7.5” D) $330

o CMIFP-M Medium (5.5” W x 9.5” D) $330

o CMIFP-L Large (6” W x 11.5” D) $330

CENTER MOUNT FOOT PLATFORM OPTIONS FOR UPGRADED FIXED CENTER MOUNT AND LNXMay cause interference with certain seat widths call to confirm configuration

o TRC1024-C01 Medium Flip-Up Foot Platform (12” W x 10.75” D) $180

o TRC1024-C05 Large Flip-Up Foot Platform (14.5” W x 13” D) $250

o TRC1024-C07 Large Flip-Up Foot Platform (17” W x 13” D) $250

o TRC1024-C09 Extra Large Flip-Up Foot Platform (21” W x 13” D) $250

CUSTOMIZED FOOT PLATFORM Available for Maxx/LNX Center Mount.

o CFP Custom Foot Platform $550

*Specify Measurement 1: ________"

*Specify Measurement 2: ________"

*Specify Measurement 3: ________"

o OCUFP Onyx Pad for any Foot Platform $450

CALF PAD AND STRAP OPTIONS

o BP-CP-MD Airmesh Calf Panel for Chairs 15” - 18” Wide - 35.5” W x 9” H Pad $170

o BP-CP-LG Airmesh Calf Panel for Chairs 18” - 22” Wide - 38.5” W x 9” H Pad $185

ADDITIONAL OPTIONS AND ACCESSORIES

o D0176-C03 Transfer Handles - Height Adjustable 4" - 6.5" $350

o D0176-C04 Transfer Handles - Height Adjustable 9” - 11.5” $350

ELECTRONICS SWITCH MOUNTING

o ESWM-L Electronics Switch Mounting - Left No Charge

o ESWM-R Electronics Switch Mounting - Right No Charge

o ESDNM Electronics Switch Mounting - Do Not Mount No Charge

o SPCTRL Specialty Controls* No Charge

o TRC1273 12-Piece Switch Mounting Hardware Kit (additional kits) $39

SINGLE-DUAL FUNCTION ELECTRONICS

o SFCB Standard

Comes standard with Dual Push Button.

o SFCB-J $750

Switch Options for MPJ Joystick - Select one switch at no charge

o SPB Single Push Button

o STS Single Toggle

o DPB Dual Push Button

o OSW Omit Switch

Additional Switch options for SFCB or SFCB-J (Each)

o SPB-A Single Push Button $97

o STS-A Single Toggle $97

o DPB-A Dual Push Button $97

Enhanced Single-Dual Function Control Box for use with MPJ Joystick, MK6i Display and

Specialty Controls.Allows through the driver control and switch operation. Includes attendant control, drive lock-out, tilt limit and

actuator speed control and switch configuration. Fill out Specialty Control Configurations sheet on page 15.

Single-Dual Function Control Box - For use with SPJAPM Joystick Allows through the driver control and switch access. Includes drive lock-out in elevate.

Medium Large X-Large

Small Medium Large

*Please Fill out Specialty Control Configurations sheet on page 15.

Available for all Maxx/LNX Center Mount Foot Platform Options. Pad thickness is 1".

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 18 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System MULTI-FUNCTION ELECTRONICS

o MFC-M6S $1,950

These electronics include attendant control, reduced drive, drive lockout, tilt/recline limit and actuator speed control.

If using Specialty Controls, fill out Specialty Control Configuration Sheet below.

Select one switch at no charge

o QPB Quad Push Button

o 4WT Four-Way Toggle

Additional Switches (Each)

o QPB-A Quad Push Button $97

o 4WT-A Four-Way Toggle $97

o 8WR-A 8-Way Rocker $150

JOYSTICK HANDLES

o SA80941 “T” Handle for Joystick Knob $115

o SA72441 Ball Handle for Joystick Knob $115

o PC101B-20 Bodypoint Joystick Handle - 3” U-Shaped $120

o PC102B-20 Bodypoint Joystick Handle - 4” U-Shaped $120

o PC107B-20 Bodypoint Joystick Handle - Domed Rubber $120

SPECIALTY CONTROLS CONFIGURATION SHEET

ADDITIONAL NOTES:

Multi-Function 600 Series Control Box - For use with MPJ Joystick , MK6i Display and

Specialty Controls. Includes Reduced Drive for Elevating Seat.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 19 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System

Invacare Canada reserves the right to change prices and specifications without notice.HEAD OFFICE - 570 Matheson Blvd E., Unit #8, Mississauga, ON L4Z 4G4 Phone: (905) 890-8300 (800) 668-5324 (Canada) Fax: (905) 890-5244 (800) 668-5478 (Canada)

Invacare®, and Yes, you can., are trademarks of Invacare Corporation.WWW.INVACARE.CA

“RFQ” = Request For QuotationPlease call Motion Concepts Customer Service at

1-866-748-7943 and/or fax 905-695-0583or Invacare Canada Customer Service at 1-800-668-5324

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 20 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 21 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System Accessory Additions

LATERAL TILT MODULEWeight Capacity is 250 lbs. When ordering an lateral tilt module on a Storm short base frame, standard fixed casters must be ordered on the base. Only available on 16" to 20" seat widths

and 16" to 22" seat depths. Only available with Multi-Function electronics.

o LATM Power Lateral Tilt Module (up to 15°) $3,995

Reduced Drive while in Lateral Tilt?

o LATDY Reduced Drive while in Lateral Tilt

o LATDM No Reduced Drive while in Lateral Tilt

POWER ANTERIOR TILT MODULE 45°This module may limit front rigging options. Weight capacity 250 lbs. Only available on 16"-20" seat widths and 16"-22" seat depths. Only available with Multi-Function electronics. All front rigging

will be set a 70° unless using the Synchronized Center Mount option. Minimum 18" seat to floor height at zero degrees. Minimum finished knee to heel to touch floor is 13". This is an upgradeable option only.

o PAT45 Power Anterior Tilt Module up to 45° $3,995

o SOCM $1,350

o SOR $500

POWER SWING AWAY JOYSTICKS

o PSAJH-ML $2,995

o PSAJH-MR $2,995

o PSAJV-ML $2,995

o PSAJV-MR $2,995

o JPO Operate Power Joystick/Chin Boom with Joystick Power “off” option $750

POWER SWING AWAY CHIN BOOM

o PSACBL $2,995

o PSACBR $2,995

o JPO Operate Power Joystick/Chin Boom with Joystick Power “off” option $750

POWER COMMUNICATION DEVICEConsidered an additional electronic function and requires Multi-function electronics. May require additional electronics if system has more than 6 actuators

(functions). Minimum seat depth available is 16". Weight capacity 20 lbs. Comes with an egg switch.

o PCDSL $2,995

o PCDSR $2,995

o PCDDL $3,995

Considered an additional two functions.

o PCDDR $3,995

Considered an additional two functions.

o JPO Operate Power Joystick/Chin Boom with Joystick Power “off” option $750

o AE Additional Electronics $1,550

TRANSFER ARMSWeight capacity is 200 lbs. Only with Adult Dual Post Style Armrest arm for Tilt/Recline, arm height 9"-13". Requires Multi-Function electronics ordered on chair. Minimum seat depth is 16" . 16"-20" seat width.

Minimum seat to floor height 18". Transfer only available in the chair home position.

o PTAL $1,995

o PTAR $1,995

o PFBAL $1,995

o PFBAR $1,995

o MTAL $995

o MTAR $995

Synchronized Option Recline with Anterior Tilt

These Accessory Additions are only available with the purchase of a new power positioning system and must accompany a completed

TDXSP Modular Maxx_16-950C or Storm Torque Modular Maxx_16-961C order form with all Client Specifications noted. Subject to approval. For questions or to request

for quote, please call Motion Concepts Customer Service at 1-866-748-7943 or Invacare Canada Customer Service at 1-800-668-5324.

Synchronized Option for Center Mount Front Rigging with Anterior Tilt

Power Communication Device - Single Actuator (Joystick Power “on” operation)

Mounted on Left Side

Power Communication Device - Single Actuator (Joystick Power “on” operation)

Mounted on Right Side

Power Communication Device - Dual Actuator (Joystick Power “on” operation)

Mounted on Left Side

Power Communication Device - Dual Actuator (Joystick Power “on” operation)

Mounted on Right Side

Power Transfer Armrest - Mounted on Left Side

Power Transfer Armrest - Mounted on Right Side

Power Swing Away Chin Boom (Joystick Power “on” operation) Mounted on Left Side

Power Swing Away Chin Boom (Joystick Power “on” operation) Mounted on Right Side

Left-Side Mounted Power Swing Away Joystick (Joystick Power “on” operation)

Horizontal Movement - Quad Link Style

Left-Side Mounted Power Swing Away Joystick (Joystick Power “on” operation)

Vertical Flip Up - Mid Line Style

Right-Side Mounted Power Swing Away Joystick (Joystick Power “on” operation)

Horizontal Movement - Quad Link Style

Right -Side Mounted Power Swing Away Joystick (Joystick Power “on” operation)

Vertical Flip Up - Mid Line Style

Power Flip Back Armrest - Mounted on Left Side

Power Flip Back Armrest - Mounted on Right Side

Manual Transfer Armrest - Mounted on Left Side

Manual Transfer Armrest - Mounted on Right Side

All options must be selected on the system order form prior to selecting this option.

All options must be selected on the system order form prior to selecting this option.

For LNX, Maxx Style Fixed and Power Elevating Calf Panel

for use on Tilt/Recline Systems

Allows power joystick to operate when chair is turned off.

Comes with an egg switch. Counts as an additional electronic function.

Comes with an egg switch. Counts as an additional electronic function.

Allows Power Chin Boom to operate when chair is turned off.

Allows Power Communication Device to operate when chair is turned off.

May require additional electronics if system has more than 6 actuators (functions).

Comes with an egg switch. Counts as an additional electronic function.

Comes with an egg switch. Counts as an additional electronic function.

Comes with an egg switch. Counts as an additional electronic function.

Comes with an egg switch. Counts as an additional electronic function.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 22 / 25

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System Accessory Additions

POWER FOOT PLATFORM OPTIONS FOR LNX

o LNXPTF Power Telescoping Foot Platform for LNX - Powers lower leg length vertically up to a maximum of 4" extension $2,250

o LNXPFUF Power Flip up Foot Platform for LNX $1,995

POWER FOOT PLATFORM OPTIONSFixed Centre Mount foot platform is included

o FCMFPTF $2,845

o FCMFPFUF $2,590

STORM FLARED CASTER OPTION

o FFCS $950

LATITUDE STYLE FOOT PLATFORM

o LSFP $2,995

*Specify Finished Knee-to-Heel (including cushion immersion) _________

o LSPFP $250

Only available with Multi-Function electronics. Compatible with Motion HD 70° Swing Away footrest, Maxx Style Swing Away Legrest Power or Manual. Legrests are not removeable.

Minimum 16” seat width and minimum 16” seat depth.

o PALSAMS $1,995

o PALSAMJ $1,995

No footplate available. Calf panel measures up to 15" in length and measures 13" wide at the bottom and tapers up to within 2" narrower than the seat width. Minimum seat depth 16" deep.

Not available for use with dual front rigging adaptor.

o PECP $3,995

Subject to clearance available. Startex fabric over polyurethane foam is standard.

o OPCP $750

Specify preferred size each - Height: _________ Width: _________

o LLSLNXS $650

o LLSLNXM $650

o LLSLNXL $650

o LLSLNXXL $650

o LLSPCPS $650

o LLSPCPM $650

o LLSPCPL $650

o LLSPCPXL $650

o OSICP $650

Specify preferred size each - Height: _________ Width: _________

o OSFAP $650

Specify preferred size each - Height: _________ Width: _________

o OSLPEB $650

Specify preferred size each - Height: _________ Width: _________

These Accessory Additions are only available with the purchase of a new power positioning system and must accompany a completed

TDXSP Modular Maxx_16-950C or Storm Torque Modular Maxx_16-961C order form with all Client Specifications noted. Subject to approval. For questions or to request

for quote, please call Motion Concepts Customer Service at 1-866-748-7943 or Invacare Canada Customer Service at 1-800-668-5324.

Power Telescoping Foot Platform with Fixed Center Mount - Powers lower leg length vertically up to

a maximum of 4” extension

POWER SWING AWAY FOOTREST MECHANISM

Lateral Leg Supports for Power Elevating Calf Panel - 13"W x 4"H Pad Size

Flared Front Casters for Storm Short Base

SPECIALTY PAD OPTIONS

Optional Sized Flat One Piece Calf Panel for LNX

Lateral Leg Supports for LNX One Piece Calf Panel - 5.5"W x 4"H Pad Size

POWER CALF PANEL

Power Elevating Calf Panel

Latitude Style Padded Foot Plate

Lateral Leg Supports for Power Elevating Calf Panel - 5.5"W x 4"H Pad Size

Optional Sized Lateral Pad or Elbow Block

Optional Sized Individual Calf Pads for Front Rigging

Optional Sized Flat Arm Pads

Lateral Leg Supports for Power Elevating Calf Panel - 7"W x 6"H Pad Size

Lateral Leg Supports for LNX One Piece Calf Panel - 7"W x 6"H Pad Size

Lateral Leg Supports for LNX One Piece Calf Panel - 9"W x 4"H Pad Size

Lateral Leg Supports for LNX One Piece Calf Panel - 13"W x 4"H Pad Size

Lateral Leg Supports for Power Elevating Calf Panel - 9"W x 4"H Pad Size

Power Assisted Legrest Swing Away Mechanism - Through Switch

Power Flip up Foot Platform with Fixed Center Mount

Latitude Style Foot Platform for Finished Knee to Heel Measurements of 6"-12"

Power Assisted Legrest Swing Away Mechanism - Through Joystick

Available with one piece calf panel only and not available with a finished knee-to-heel of 13” or less. Requires 2-6 function electronics. Not available with Split Footplates. The front rigging will be set at approximately 80° on the Storm 3G. Minimum finished knee to heel is 13". Minimum seat to floor height is 17".

Available with one piece calf panel only and not available with a finished knee-to-heel of 13” or less. Requires 2-6 function electronics. Not available with Split Footplates. Comes standard with a 12" x 10.75" footplate made of durable aluminum 1/4" thick with heel loops. The front rigging will be set at approximately 80° on the Storm 3G. Minimum finished knee to heel is 13". Minimum seat to floor height is 17".

Includes the Fixed Center Mount Foot platform which does not elevate. The front rigging will be set at approximately 80° on the Storm 3G. Minimum finished knee to heel is 13". Minimum seat to floor height is 17".

Includes the Fixed Center Mount Foot platform which does not elevate. Comes standard with a 12" x 10.75" footplate made of durable

Minimum seat width is 16" wide.

Maximum pad size is seat width less 2" and 10" in length. With minimum 13" finished knee to heel.

Subject to clearance available.

Available on Motion Concepts front rigging options.

Allows 90° (13" - 15" KTH) and 83° (16" - 17" KTH) front rigging on short Storm base. Comes with 10" x 10" footplate.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 23 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 24 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta

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Invacare® Storm® Torque™SP with Modular Maxx Power Positioning System Accessory Additions

Vents are not standard configuration on Elevating or Precline Systems or with Single Posts Backs. The maximum weight capacity on the vent trays is 35 lbs.

o ARTVTH Vent Tray - Articulating (Without Battery Tray) - Horizontal (14W X 15D X 10H ) $1,350.00

o ARTVTV Vent Tray - Articulating (Without Battery Tray) - Vertical (14.625W X 10.125D X 13H) $1,350.00

o TRILVT Vent Tray - Trilogy 100/200 (14W x 6D) - (14W X 15D X 10H) - (Without Battery Tray) $1,350.00

COMPACT-LAPTOP VENT TRAYSVents are not standard configuration on Elevating or Precline Systems or with Single Posts Backs.

o CVT Vent Tray (Without Battery Tray) $1,350.00

o VBHA Vent Bag Holder - Articulating (Without Battery Tray) $990.00

o VBHNA Vent Bag Holder - Non-Articulating (Without Battery Tray) $525.00

o SLBT40 Storm Long Base Additional Front Mounted Battery Tray Group 40 Battery $500.00

o SLBTU1 Storm Short Base Additional Front Mounted Battery Tray for U1 Battery $500.00

o S322 Storm Base - 3 x Group 22 Battery Tray Conversion $950.00

o SDC$500

o RPVPC $1,950

O2 HOLDERSArticulating O2 holders are not standard configurations on Precline Systems, please call for quotation.

o NAO2H Non-Articulating O2 Gas Holder Part (Cylinder Style) $395.00

o AOHG Articulating O2 Holder - O2 Gas (Cylinder Style) $1,250.00

o AOHL Articulating O2 Holder - Liquid O2 (6.5” x 4.5”) $1,250.00

o NAIPL Non-Articulating IV Pole - Users Left $395.00

o NAIPR Non-Articulating IV Pole - Users Right $395.00

o AIVP Articulating IV Pole $1,250.00

MEMORY SEATING OPTIONSDoes not operate elevation function, anterior tilt function or lateral tilt function. Comes with a quad button switch with LED indicator. Only available with Multi-Function electronics.

o SFMS Single Function Memory Seating $495

o MFMS Multiple Function Memory Seating $995

SAFETY LIGHTS

o FSLS Front Safety Lights (pair) - Operated through switches $495

o FSLJ Front Safety Lights (pair) - Operated through Joystick $845

o RSLS Rear Safety Lights (pair) - Operated through switches $495

o RSLJ Rear Safety Lights (pair) - Operated through Joystick $845

o LPC ($150)

o GEL $350

OTHER ACCESSORIESWeight limit 20 lbs.

o PBPHL Power Back Pack Holder with Single Back Pack - Mounted on Left Side $2,995.00

o PBPHR Power Back Pack Holder with Single Back Pack - Mounted on Right Side $2,995.00

o SBP Concepts Back Pack - Single $125.00

o DBP Concepts Back Pack - Double $195.00

Ground Effects Lighting

These Accessory Additions are only available with the purchase of a new power positioning system and must accompany a completed

TDXSP Modular Maxx_16-950C or Storm Torque Modular Maxx_16-961C order form with all Client Specifications noted. Subject to approval. For questions or to request

for quote, please call Motion Concepts Customer Service at 1-866-748-7943 or Invacare Canada Customer Service at 1-800-668-5324.

VENT TRAYS

Front & Rear Light Combo Package Credit - *Purchase both the front and rear sets and receive a credit

Step Down Convertor - Converts 24V to 12V

ADDITIONAL BATTERY TRAYS

Richardson Powertech Vent Power Center

ADDITIONAL ELECTRONIC OPTIONS

Does not include the Vent Bag.

Does not include the Vent Bag.

Should this product be used in life support applications Invacare Canada and Motion Concepts will not assume any risk and shall be held harmless against all damages.

Should this product be used in life support applications Invacare Canada and Motion Concepts will not assume any risk and shall be held harmless against all damages.

*Please call for specification sheet 1-888-433-6818

*Please call for specification sheet 1-888-433-6818

Operated through a separate power supply and single push button switch.

Only available with Multi-Function electronics.

Operated through a separate power supply and single push button switch.

Only available with Multi-Function electronics.

Only available with Multi-Function electronics.

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“RFQ” = Request For QuotationPlease call Motion Concepts Customer Service at

1-866-748-7943 and/or fax 905-695-0583or Invacare Canada Customer Service at 1-800-668-5324

Invacare Canada reserves the right to change prices and specifications without notice.HEAD OFFICE - 570 Matheson Blvd E., Unit #8, Mississauga, ON L4Z 4G4 Phone: (905) 890-8300 (800) 668-5324 (Canada) Fax: (905) 890-5244 (800) 668-5478 (Canada)

Regional Centre - 16769 Boul. Hymus, Kirkland, P.Q. H9H 3L4 Phones: (514) 630-6080 (800) 363-0137(P.Q.) Fax: (514) 630-6120Invacare®, and Yes, you can., are trademarks of Invacare Corporation.

WWW.INVACARE.CA

Deletes factory battery boxes.

Form No 16-961C, rev 10/01/2018NOTE: All specifications and dimensions are approximate

For the most current pricing information visit www.invacare.ca Page 25 / 25

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheechair Specifications - Invacare Storm Torque SP

© 2018 Government of Alberta