canada - ki mobility · 2020-02-11 · phone (800) 981-1540 | fax (715) 254-0996...

Frame

Liberty FT ________________________________________________________________________________________ $3995250 lb weight capacity. Tilt range: 0º - 20º.

Phone (800) 981-1540 | Fax (715) [email protected] | www.kimobility.com

DCN0317.7 Pricing and specifications subject to change without notice of 6

Transit Option

q Transit System __________________________________________________________________________________ $320

Select Seat Depth within desired Seat Depth Range

Seat Depth Range Seat Depth

Short14” - 16”

q 14 q 15 q 16

N/C N/C N/C

Medium16” - 18”

q 16 q 17 q 18

N/C N/C N/C

Long18” - 20”

q 18 q 19 q 20

N/C N/C N/C

Seat Depth Range / Seat DepthSelect Seat Width within desired Seat Width Range

Seat WidthRange

Seat Width

Small14” - 18”

q 14 q 15 q 16 q 17 q 18

N/C N/C N/C N/C N/C

Medium16” - 20”

q 16 q 17 q 18 q 19 q 20

N/C N/C N/C N/C N/C

Large18” - 22”

q 18 q 19 q 20 q 21 q 22

N/C N/C N/C N/C N/C

Seat Width Range / Seat Width

Seat Option

q Standard Seat Sling ___________________________________________________________________________ Stdq Omit Seat _____________________________________________________________________________________________ N/C

Assistive Gas Strut Set-UpClient Weight Setting Spring Type (Newtons)

q > 200 lbs 1 450 N

q 176 - 200 lbs 2 450 N

q 151 - 175 lbs 1 3 450 N

q 151 - 175 lbs 2 1 300 N

q 125 - 150 lbs 2 300 N

q < 125 lbs 3 300 N1 Standard on chairs less than 16” deep2 Standard on chairs 16” deep or larger

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Effective 02/17/2020

Select if chair quote has: q Additional Ki Products with Different Quote/Order Number Quote/Order Number: ____________________

Canada

ADP Code: WM0001569 (WANA Code)

Company: ________________________________________________

Account Number: __________________ Date: _________________

q Quote q PO Number: ___________________________________

RTS: _____________________________________________________

Marked For: _______________________________________________

Ship To: __________________________________________________

Address: _________________________________________________

City: ______________________________ Province: _____________

Postal Code: _____________ Phone:__________________________

Email/Fax: ________________________________________________

Phone (800) 981-1540 | Fax (715) 254-0996

[email protected] | www.kimobility.com


Footrest

Hanger

q 60º ___________________________________________________________________________________________________________ StdAvailable only with Extension Tube Hangers

q 70º __________________________________________________________________________________________________________ N/Cq 80º __________________________________________________________________________________________________________ N/C

Not available with 8” casters

q 90º __________________________________________________________________________________________________________ N/CAvailable only with Front Mount Hangers. Not available with 8” Casters combined with 3” Extension

q Pro Elevating Leg Rests (PRO ELR) ___________________________________________ $369q Omit Hangers ___________________________________________________________________________________ - $25

Footplate

q Composite _____________________________________________________________________________________________ StdNot available with Front Mount Hanger or PRO ELR

q Composite Angle Adjustable ________________________________________________________ $195Not available with Front Mount Hanger or 14” Seat Width

q Aluminum Angle Adjustable __________________________________________________________ $165q Aluminum Locking Multi-Angle Adjustable ______________________________ $408

Available only with Front Mount Hanger

q One Piece Flip Up Angle Adjustable __________________________________________ $238Not available with Front Mount Hanger or PRO ELR

Back UpholsteryIf selecting both upholstery and Axiom Back, the upholstery will be installed

q Standard ________________________________________________________________________________________________ Stdq Tension Adjustable ___________________________________________________________________________ $295

Not available on Seat Widths less than 16” combined with 21” and 22” Backrest Heights

q Omit Back Upholstery ___________________________________________________________________ - $20

Backrest

Stroller Handle Back Post OptionAvailable only with Stroller Handle Back Post

q Removable Stroller Handle Extension _______________________________________ $140

Select Back Height in row corresponding to desired Back Post and Height Range

Back Post Price Height Range Back Height

Stroller Handle Back Post 1 StdShort q 20

Tall q 24

Height Adjustable Straight with Push Handle

$36

Short q 14 q 15 q 16 q 17 q 18

Medium q 16 q 17 q 18 q 19 q 20

Tall q 18 q 19 q 20 q 21 q 22

Height Adjustable 8º Bend with Push Handle 2

$36

Short q 14 q 15 q 16 q 17 q 18

Medium q 16 q 17 q 18 q 19 q 20

Tall q 18 q 19 q 20 q 21 q 221 Not available with Back Upholstery2 Not available with IV Pole

Back Post / Height Range / Back Height

Backrest Options

q Fixed (Non-Folding) ____________________________________________________________________________ Std

q Angle Adjustable (Folding) _______________________________________________________________ $95

Phone (800) 981-1540 | Fax (715) 254-0996


Heel LoopNot available with One Piece Flip Up Angle Adjustable Footplate

q Heel Loops ___________________________________________________________________________________________ $45q Omit Heel Loops ________________________________________________________________________________ N/C

Calf Strap

q Velcro Adjustable _______________________________________________________________________________ $44q Padded Velcro Adjustable _______________________________________________________________ $85q Bodypoint Padded AeroMesh _____________________________________________________ $123

Footrest continued

Residual Limb Support


Footrest / Extension / Seat to Footrest LengthSelect Seat to Footrest Length in row corresponding to desired Footrest and Extension. Footrest Length of at least 2.5” shorter than Seat Height recommended. Extension Tube Hanger measurements based on 70º Hanger Bend.

Footrest Extension Seat to Footrest Length

Extension TubeHangers(60º, 70º, 80º)

Short q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5

Medium q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 q 15.5

Long q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18

FrontMountHangers 1

Standard Selections Requires 3” Extension

Short(70º, 80º, 90º)

q 5 q 5.5 q 6 q 6.5 q 8.5 q 9 q 9.5

q 7 q 7.5 q 8 q 10 q 10.5 q 11

Medium(70º, 80º, 90º)

q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 10.5 q 11 q 11.5

q 8 q 8.5 q 9 q 9.5 q 10 q 12 q 12.5 q 13

Long(70º, 80º)

q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 12.5 q 13 q 13.5

q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 14 q 14.5 q 15

PRO ELR Low Pivot Setting

Short q 10.5 - 15.5

Long q 13 - 19

PRO ELR High Pivot Setting

Short q 8.5 - 17

Long q 11.5 - 17.51 See Minimum Seat Height chart below

Minimum Seat Height with Front Mount Hangers

Hanger Length Short Medium Long

Hanger Bend 70º 80/90º 70º 80/90º 70º 80º

Minimum Seat Height with Standard Selection

13” 13” 13” 13.5” 14.5” 15.5”

Minimum Seat Height with 3” Extension

13.5” 14“ 15.5” 16” 17” 18”

3” ExtensionAvailable only with Front Mount Hangers. Provided as parts.

q 3” Extension for Front Mount Hanger __________________________________________ N/C

Residual Limb Support q Left _____________ $450 q Right ____________ $450 q Omit Left Hanger _ -$12 q Omit Right Hanger _ -$12

Cover ______________________________________________ q Smooth q Air Mesh q Smooth q Air Mesh

Pad Size ___________________________________________ q 5 x 8 q 9 x 14 q 5 x 8 q 9 x 14 q 7 x 10 q 11 x 10 q 7 x 10 q 11 x 10 q 9 x 10 q 11 x 14 q 9 x 10 q 11 x 14

Seat Height, Casters and Rear Wheels

Seat Height / Caster Size / Rear Wheel SizeSelect Seat Height corresponding to desired Rear Wheel and Caster Size

Phone (800) 981-1540 | Fax (715) 254-0996



Hanger Release

q 4-Way - In line ______________________________________________________________________________________ StdSee reference A to the right. Not available with PRO ELR.

q 4-Way - Out _________________________________________________________________________________________ N/CSee reference B to the right

A B

Footrest continued

RearWheelSize

Caster Size

4” 5” 6” 8”Seat Height

12”

q 13 q 14 q 15 q 16.5 4

q 13.5 q 14.5 q 15.5 q 17

q 14 q 15 q 16 q 17.5

q 14.5 q 15.5 q 16.5 q 18

q 15 q 16 q 17 q 18.5

q 15.5 q 16.5 q 17.5 q 19 2

q 16 q 17 q 18

q 17.5 q 18.5

q 18 q 19 2

q 18.5

q 19 2

16”

q 13.5 1 q 14 q 15 q 16.5 4

q 14 1 q 14.5 q 15.5 q 17

q 14.5 q 15 q 16 q 17.5

q 15 q 15.5 q 16.5 q 18

q 15.5 q 16 q 17 q 18.5

q 16 q 16.5 q 17.5 q 19

q 17 q 18 q 19.5

q 17.5 q 18.5 q 20

q 18 q 19

q 18.5

q 19

20”

q 13 q 14 q 15 q 16.5 4

q 13.5 q 14.5 q 15.5 q 17

q 14 q 15 q 16 q 17.5

q 14.5 q 15.5 q 16.5 q 18

q 15 q 16 q 17 q 18.5

q 15.5 q 16.5 q 17.5 q 19

q 16 q 17 q 18 q 19.5

q 17.5 q 18.5 q 20

q 18 q 19

q 18.5

q 191 Available only with Low Profile tires2 Not available with Full Poly tire3 Not available with Low Profile tires in combination with Mag wheel4 Available only with 1.5” Poly casters

RearWheelSize

Caster Size

4” 5” 6” 8”Seat Height

22” 3

q 13.5 1 q 14 q 15 q 16.5 4

q 14 q 14.5 q 15.5 q 17

q 14.5 q 15 q 16 q 17.5

q 15 q 15.5 q 16.5 q 18

q 15.5 q 16 q 17 q 18.5

q 16 q 16.5 q 17.5 q 19

q 17 q 18 q 19.5

q 17.5 q 18.5 q 20

q 18 q 19

q 18.5

q 19

24” 3

q 14.5 1 q 14.5 1 q 15 q 16.5 4

q 15 q 15 q 15.5 q 17

q 15.5 q 15.5 q 16 q 17.5

q 16 q 16 q 16.5 q 18

q 16.5 q 17 q 18.5

q 17 q 17.5 q 19

q 17.5 q 18 q 19.5

q 18 q 18.5 q 20

q 18.5 q 19

q 19

Phone (800) 981-1540 | Fax (715) 254-0996


Rear Wheel Type

q 24” MAXX Performance Spoke _____________________________________________________ N/Cq MAXX Performance Spoke (20” or 22”) ____________________________________ $180q Mag _________________________________________________________________________________________________________ Std

Rear Tire Type

q Street Pneumatic ________________________________________________________________________________ Stdq Full Poly _________________________________________________________________________________________________ N/Cq Pneumatic with Airless Insert _________________________________________________________ $80q Euro Trek Knobby ____________________________________________________________________________ $119

Available only on 24” wheel size

q Low Poly _______________________________________________________________________________________________ N/CAvailable only with 16” wheel size

q Sentinel Solid Tire ____________________________________________________________________________ $120Not available on 12” or 16” wheel sizes or with 20” and 22” Mag wheels

q Schwalbe Marathon Plus Evolution ____________________________________________ $125Available only on 24” MAXX Performance wheel

Full Profile

Low Profile

Caster Type

q 1” Poly ____________________________________________________________________________________________________ Stdq 1” Poly Aluminum _____________________________________________________________________________ $138

Available only with 4” and 5” Caster Sizes

q 1” Pneumatic E2214, E2215 _____________________________________________________________ $200Available only with 6” and 8” Caster Sizes

q 1.5” Poly _______________________________________________________________________________________________ $90q 1.5” Soft Roll Aluminum _________________________________________________________________ $175

Not available with 8” Caster Size

q 2” Poly ___________________________________________________________________________________________________ $63Available only with 6” Caster Size

q 2” Pneumatic w/ Foam Insert ______________________________________________________ $315Available only with 8” Caster Size

Handrim

q Aluminum Anodized ___________________________________________________________________________ Stdq Plastic Coated ___________________________________________________________________________________ $151q Projection (8 Vertical Projections) ________________________________________________ $299

Available only with full profile tires in combination with 22”-24” MAXX Performance or 24” Mag wheel

q Omit Handrims ____________________________________________________________________________________ N/C

Not available on 20” wheel size or 22” Mag wheel. Not recommended with Mag wheel.

q Natural Fit LT Regular Grip ____________________________________________________________ $475q Natural Fit Standard Regular Grip _______________________________________________ $445q Natural Fit LT Super Grip _______________________________________________________________ $515q Natural Fit Standard Super Grip __________________________________________________ $495q Natural Fit LT Omit Grip _________________________________________________________________ $395q Natural Fit Standard Omit Grip ____________________________________________________ $345

Natural Fit Handrims

Handrim Option

Seat Height, Casters and Rear Wheels continued

Axle

q Fixed ______________________________________________________________________________________________________ N/Cq Quick Release ______________________________________________________________________________________ Std

Wheel Locks

Wheel Lock Wheel Lock Options

q Push to Lock ________________________________________________________________________________________ Stdq Pull to Lock __________________________________________________________________________________________ N/C

Not available with 12” or 16” Full Poly tires

q Omit Wheel Locks _____________________________________________________________________________ N/C

q Extension Handles _____________________________________________________________________________ $84Available only with Push to Lock or Pull to Lock Wheel Locks

q Grade Aids _________________________________________________________________________________________ $187Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert tires

Handrims not available on 12” or 16” wheel sizesStandard Handrims

Not available on Plastic Coated or Projection Handrims

q 3M Micro Grip _____________________________________________________________________________________ $81


Phone (800) 981-1540 | Fax (715) 254-0996



Removable Side Guard

Accessories

Anti-Tip

q Rear Anti-Tips ___________________________________________________________________________________ $138

Positioning Belt

q 1 1/2” Auto Buckle ____________________________________________________________________________ $80q 1 1/2” Padded Auto Buckle __________________________________________________________ $170q 2” Airline Buckle _______________________________________________________________________________ $150

Bodypoint Evoflex - Pelvic Stabilizer ________________________________________________ $219 Size: q Small (16-24”) q Medium (19-29”) q Large (25-37”)

Other Accessories

q Tool Kit ___________________________________________________________________________________________________ $60q Removable Underseat Pouch ________________________________________________________ $75q Ki Mobility Backpack ________________________________________________________________________ $90q Black Neoprene Impact Guards __________________________________________________ $102q Clear Spoke Guards _______________________________________________________________________ $144

Not available with Mag wheel

q Black Spoke Guards _______________________________________________________________________ $144Not available with 20” wheel size or Mag wheel

q Cane and Crutch Holder _______________________________________________________________ $195

IV Pole ________________________________________________________________________________________________________ $188Not available with Transit Option or 8º Bend with Push Handle Back Post. Left side mount not available with O2 Holder.

q Right Side q Left Side

O2 Holder

q O2 Holder ____________________________________________________________________________________________ $365Mounted to the left side. Not available with Fold Down Back.

q Composite Side Guards ________________________________________________________________ $175Not available with T-Arms

Frame Color

Standard Colors

Belt Mounting Kit

q Seat Belt Mounting Hardware ________________________________________________________ $38q Bodypoint 1” Band Clamp Belt Mounting Kit _________________________ $126

Gloss Finish

q Black ______________________________________________________________________________________________________ N/Cq Candy Blue __________________________________________________________________________________________ N/Cq Candy Purple ______________________________________________________________________________________ N/Cq Candy Red ___________________________________________________________________________________________ N/Cq Copper __________________________________________________________________________________________________ N/Cq Silver ______________________________________________________________________________________________________ N/C

Matte Finish

q Charcoal Gray _____________________________________________________________________________________ N/Cq Iridescent Burgundy __________________________________________________________________________ N/Cq Iridescent Navy ___________________________________________________________________________________ N/Cq Military Green ______________________________________________________________________________________ N/Cq Shadow Black _____________________________________________________________________________________ N/C

Gloss Finish

q Blue Skies ____________________________________________________________________________________________ $90q Bubblegum Pink _________________________________________________________________________________ $90q Granny Smith ______________________________________________________________________________________ $90q Metallic Fuchsia __________________________________________________________________________________ $90q Metallic Orange ___________________________________________________________________________________ $90q Teal _________________________________________________________________________________________________________ $90q Yellow _____________________________________________________________________________________________________ $90

Matte Finish

q Emerald Green ____________________________________________________________________________________ $90q Retro Red _____________________________________________________________________________________________ $90q Royal Blue ____________________________________________________________________________________________ $90q Smooth White _____________________________________________________________________________________ $90

Optional ColorsExtended lead time

Armrest Please select Arm Pad option

Arm Pad

Armrests

q Height Adjustable T-Arm (8.5” - 13.5”) ____________________________________________ $285q Angle Adjustable Locking Extendable Flip Up ________________________ $295

Available only with 12” and 16” wheel sizes and Stroller Handle Back Post

q Omit Armrests _____________________________________________________________________________________ N/C

q Tubular Flip Up _____________________________________________________________________________________ StdAvailable only with Stroller Handle Back Post. Not available with Arm Pads.

Armrest Continued

Standard Arm Pad __________________________________ N/C q Desk q FullNot available with Angle Adjustable Locking Extendable Flip Up Armrests in combination with 20”-24” wheel sizes

Waterfall Arm Pad ____________________________________ $35 q Desk q FullNot available with Angle Adjustable Locking Extendable Flip Up Armrests

Foam Grip __________________________________________________ N/C q Desk q FullAvailable only with Angle Adjustable Locking Extendable Flip Up Armrests

DCN0543.0 Pricing and specifications subject to change without notice Page 1 of 2

Phone (800) 981-1540 | Fax (715) 254-0996


Axiom G, S and P Cushions

Cushions Under 22” Wide

q Axiom G SE0001389 __________________________________________________________________________ $195q Axiom S SE0001393 __________________________________________________________________________ $305q Axiom P SE0001391 __________________________________________________________________________ $605

q Axiom G SE0001390 __________________________________________________________________________ $275q Axiom S SE0001394 __________________________________________________________________________ $420q Axiom P SE0001392 __________________________________________________________________________ $730

q Axiom SP - Visco SE0001397 _________________________________________________________ $670q Axiom SP - Fluid SE0001395 __________________________________________________________ $730

q Axiom SP - Visco SE0001398 _________________________________________________________ $815q Axiom SP - Fluid SE0001396 __________________________________________________________ $870

22” Wide Cushions

Axiom SP Cushions

Cushions Under 21” Wide

21” and 22” Wide Cushions

Axiom SP Cushion Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Axiom G, S or P Cushion Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Select size in chart at right. Weight capacity: 350 lbs.

Select size in chart at right. Weight capacity: 350 lbs.

Cushions Under 22” Wide with Extra Outer Cover

q Axiom G Cushion with Extra Outer Cover SE0001389 ____________ $295q Axiom S Cushion with Extra Outer Cover SE0001393 ____________ $385q Axiom P Cushion with Extra Outer Cover SE0001391 ____________ $705

q Axiom G Cushion with Extra Outer Cover SE0001390 ____________ $375q Axiom S Cushion with Extra Outer Cover SE0001394 ____________ $520q Axiom P Cushion with Extra Outer Cover SE0001392 ____________ $830

22” Wide Cushions with Cover

Axiom G, S or P Cushion w/Extra Outer Cover Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Cushions Under 21” Wide with Extra Outer Cover

q Axiom SP - Visco Cushion w/Extra Outer Cover SE0001389 $815q Axiom SP - Fluid Cushion w/Extra Outer Cover SE0001393 $870

q Axiom SP - Visco Cushion w/Extra Outer Cover SE0001390 __ $955q Axiom SP - Fluid Cushion w/Extra Outer Cover SE0001394 _ $1015

21” and 22” Wide Cushions with Extra Outer Cover

Axiom SP Cushion w/Extra Outer Cover Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Cushions Under 21” Wide with Extra Inner Cover

q Axiom SP - Visco Cushion w/Extra Inner Cover SE0001389 $815q Axiom SP - Fluid Cushion w/Extra Inner Cover SE0001393 __ $870

q Axiom SP - Visco Cushion w/Extra Inner Cover SE0001390 $955q Axiom SP - Fluid Cushion w/Extra Inner Cover SE0001394 $1015

21” and 22” Wide Cushions with Extra Inner Cover

Axiom SP Cushion w/Extra Inner Cover Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Width

14” 15” 16” 17” 18” 19” 20” 21” 22”

Dep

th

14” q15” q q q16” q q q q q q q17” q q q q q q q18” q q q q q q q q19” q q q q q q q20” q q q q q q q21” q q q q q22” q q q q q

Width

14” 15” 16” 17” 18” 19” 20” 21” 22”

Dep

th

14” q q q15” q q q q q16” q q q q q q q q17” q q q q q q q q18” q q q q q q q q q19” q q q q q q q q q20” q q q q q q q q q21” q q q q q q q q22” q q q q q q q q


Outer Covers

q Axiom G Extra Outer Cover __________________________________________________________ $100q Axiom S Extra Outer Cover ___________________________________________________________ $100q Axiom P Extra Outer Cover ___________________________________________________________ $100q Axiom SP Extra Visco Outer Cover ____________________________________________ $140q Axiom SP Extra Fluid Outer Cover _____________________________________________ $140

q Axiom SP Extra Visco Inner Cover _____________________________________________ $140q Axiom SP Extra Fluid Inner Cover _______________________________________________ $140

Axiom Cushion Accessories

Select size in chart below. Weight capacity: 350 lbs.

Solid Seat Insert ________________________________________________________________________________________ $77

Solid Seat Insert

Inner Covers

Inner Cover Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Outer Cover Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Solid Seat Insert Quantity: q 1 q 2If no selection is made, quantity 1 will be selected

Width

14” 15” 16” 17” 18” 19” 20” 21” 22”

Dep

th

14” q q q15” q q q q16” q q q q q q q q17” q q q q q q q q18” q q q q q q q q q19” q q q q q q q q q20” q q q q q q q q q21” q q q q q q q q22” q q q q q q q q

Phone (800) 981-1540 | Fax (715) 254-0996



Axiom Back Select back that is the same or up to 2” narrower than the width of the frame. Hardware is included with back. Low Back selections are not available with headrests, modifications, or posture supports. Weight capacity: 300 lbs.

Axiom Posterior Back (PB)

Axiom Posterior Back - Low Axiom Posterior Back - Mid

Axiom Posterior Back Measurement Reference

Back Height A B Shell Contour Depth

Hei

gh

t Lo

w8” 10” 6.5”

2.25”

10” 12” 8.5”

12” 14” 10.5”

Mid

14” 16” 8.5”

16” 18” 9.5”

18” 20” 10.5”

A

4.1

BA

4.1

B

Width

12” 14” 16” 18” 20” 22”Retail $911 $911 $911 $911 $911 $1250

ADP Code SE0001624 SE0001624 SE0001624 SE0001624 SE0001624 SE0001625

Hei

gh

t Lo

w

8” q AXPB1208 q AXPB1408 q AXPB1608 q AXPB1808 q AXPB2008



Mid




Axiom Posterior Lateral Back (PL)

Axiom Posterior Lateral Back Measurement Reference

Back Height A B Shell Contour Depth

Hei

gh

t

Lo

w

8” 10” 6.5”

3.65”

10” 12” 8.5”

12” 14” 10.5”

Mid

14” 16” 8.5”

16” 18” 9.5”

18” 20” 10.5”

Tall 20” 22” 11.5”

22” 24” 12.5”Axiom Posterior Lateral

Back - LowAxiom Posterior Lateral

Back - MidAxiom Posterior Lateral

Back - Tall

A

5.5

B

5.5

AB

A

5.5

B

Width

12” 14” 16” 18” 20” 22”Retail $1045 $1045 $1045 $1045 $1045 $1395


Hei

gh

t

Lo

w

8” q AXPL1208 q AXPL1408 q AXPL1608 q AXPL1808 q AXPL2008



Mid




Tall 20” q AXPL1220 q AXPL1420 q AXPL1620 q AXPL1820 q AXPL2020


Phone (800) 981-1540 | Fax (715) 254-0996



Axiom Back continued Select back that is the same or up to 2” narrower than the width of the frame. Hardware is included with back.Weight capacity: 300 lbs.

Axiom Deep Lateral Back (DL)

Axiom Deep Lateral Back Measurement Reference

Back Height A

B1 Shell Contour Depth12” 14” 16” 18” 20” 22”

Hei

gh

t

Mid

14” 16” 8.25” 8.25” 8.25” 8.25” 8.25” 8.25”

6”

16” 18” 9.25” 9.25” 9.25” 9.25” 9.25” 9.25”

18” 20” 10.25” 10.25” 10.25” 10.25” 10.25” 10.25”Ta

ll 20” 22” 9.5” 9.75” 10” 10.25” 10.25” 10.5”

22” 24” 10.75” 11” 11.25” 11.5” 11.5” 11.75”1 Measurement based on back width

Axiom Deep Lateral Back - Mid Axiom Deep Lateral Back - Tall

AB

7.75

AB

7.75

Width

12” 14” 16” 18” 20” 22”Retail $1205 $1205 $1205 $1205 $1205 $1280


Hei

gh

t

Mid

14” q AXDL1214 q AXDL1414 q AXDL1614 q AXDL1814 q AXDL2014 q AXDL2214

16” q AXDL1416 q AXDL1616 q AXDL1816 q AXDL2016

18” q AXDL1218 q AXDL1418 q AXDL1618 q AXDL1818 q AXDL2018 q AXDL2218

Tall 20” q AXDL1220 q AXDL1420 q AXDL1620 q AXDL1820 q AXDL2020

22” q AXDL1422 q AXDL1622 q AXDL1822 q AXDL2022 q AXDL2222

Phone (800) 981-1540 | Fax (715) 254-0996


Description Item Code Retail (Each)

q Headrest Flip Down MountOnly available with HEDHMD401/HEDHMD417

HDR100 $243

q Universal Mounting PlateFor use with other manufacturer headrests

UMP $58


Axiom Back Accessories

Headrest and HardwareChoose headrest and hardware combination in chart below. Not available with Low Backs.

Phone (800) 981-1540 | Fax (715) 254-0996


HEDHDW101/HEDHDW117 HEDHDW201/HEDHDW217 HEDHDW401/HEDHDW417

HEDPAD408

HEDPAD410

HEDPAD414

HEDPAD201

HEDPAD202

HEDPAD203

HEDPAD502

HEDPAD503

Headrest Hardware Options

Hardware

Standard Straight Back Mount Hardware with Ball

Multi Axis Removable Hardware with Horizontal Bar

Headrest Hardware with Ball

HEDHDW101 / HEDHDW117 HEDHDW201 / HEDHDW217 HEDHDW401 / HEDHDW417

Description Item Code Kio Code Retail Kio Code Retail Kio Code Retail

Hea

dre

st P

ad

Comfort Plus Headrest 8” HEDPAD408 q HDR001 $397 q HDR009 $448 q HDR017 $556



Small All Positioning Headrest Pad and Ring Only HEDPAD201 q HDR004 $397 q HDR012 $448 q HDR020 $556

Medium All Positioning Headrest Pad and Ring Only HEDPAD202 q HDR005 $397 q HDR013 $448 q HDR021 $556

Large All Positioning Headrest Pad and Ring Only HEDPAD203 q HDR006 $397 q HDR014 $448 q HDR022 $556

Tri-Comfort Plus Headrest 14” HEDPAD502 q HDR007 $412 q HDR015 $463 q HDR023 $571

Tri-Comfort Plus Headrest 19” HEDPAD503 q HDR008 $412 q HDR016 $463 q HDR024 $571


Axiom Back Accessories continued

Description Item Code Retail

q Privacy Flap 12” PF12 $65






Privacy Flap

Lateral Support

Selection of a modification from the Axiom Back Modifications section required in order to mount posture supports. Not available with Low Backs.


q Small Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60153T $206

q Medium Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60154T $206

q Large Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60155T $206

q Small Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60110T $162

q Medium Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60111T $162

q Large Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60112T $162

q Small Dynamic Therafit Comfortfit Full Vest 30589T $239

q Medum Dynamic Therafit Comfortfit Full Vest 30590T $239

q Large Dynamic Therafit Comfortfit Full Vest 30591T $239

q XLarge Dynamic Therafit Comfortfit Full Vest 30592T $239

q XXLarge Dynamic Therafit Comfortfit Full Vest 30593T $239

q Small Dynamic Therafit Comfortfit Trim Vest 30618T $242

q Medum Dynamic Therafit Comfortfit Trim Vest 30619T $242

q Large Dynamic Therafit Comfortfit Trim Vest 30620T $242

q XLarge Dynamic Therafit Comfortfit Trim Vest 30621T $242

q XXLarge Dynamic Therafit Comfortfit Trim Vest 30622T $242

Therafin Posture Support

Phone (800) 981-1540 | Fax (715) 254-0996


Lateral Support

Laterals for Posterior BackPair Left Right Description Item Code Pair Each

q q q 3 x 4 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Back LF3x4P $436 $218

q q q 4 x 5 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Back LF4x5P $436 $218

q q q 3 x 4 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Back LS3x4P $929 $465

q q q 4 x 5 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Back LS4x5P $929 $465Laterals for Posterior Lateral BackPair Left Right Description Item Code Pair Each

q q q 3 x 4 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Lateral Back LF3x4L $436 $218

q q q 4 x 5 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Lateral Back LF4x5L $436 $218

q q q 3 x 4 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Lateral Back LS3x4L $929 $465

q q q 4 x 5 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Lateral Back LS4x5L $929 $465


Choose modification to add holes to the back shell in order to mount posture supports. Not available with Low Backs.


q Modification for 4 Point Harness AXM4PT N/C

q Modification for 2 Point Chest Strap AXM2PT N/C

q Modification for Shoulder GuidesIncludes shoulder guides

AXMSG $72

Axiom Back Modifications

Gloss Finish Item Code Retail

q Black AXMBLK N/C

q Blue Skies AXMSKY N/C

q Bubblegum Pink AXMPNK N/C

q Candy Blue AXMCBL N/C

q Candy Purple AXMPUR N/C

q Candy Red AXMRED N/C

q Copper AXMCOP N/C

q Granny Smith AXMGSM N/C

q Metallic Fuchsia AXMMTF N/C

q Metallic Orange AXMMOR N/C

q Silver AXMSIL N/C

q Teal AXMTEA N/C

q Yellow AXMYLW N/C

Painted Back Shell Modification

Matte Finish Item Code Retail

q Charcoal Gray AXMCGM N/C

q Emerald Green AXMEGM N/C

q Iridescent Burgundy AXMIBM N/C

q Iridescent Navy AXMINM N/C

q Military Green AXMAGM N/C

q Retro Red AXMRRM N/C

q Royal Blue AXMRBM N/C

q Smooth White AXMSWM N/C

If no selection is made, standard Shadow Black will be used with no additional lead time

Axiom Back Modifications Extended lead times will apply for all modifications

Phone (800) 981-1540 | Fax (715) 254-0996


canada - ki mobility · 2020-02-11 · phone (800) 981-1540 | fax (715) 254-0996...

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