frame - ki mobility · 2021. 3. 10. · q tall q 18 q 19 q 20 q stroller handle back post (depth...
TRANSCRIPT
Company: ________________________________________________
Account Number: __________________ Date: _________________
q Quote q PO Number: ___________________________________
RTS: _____________________________________________________
Marked For: _______________________________________________
Ship To: __________________________________________________
Address: _________________________________________________
City: ________________________________ State: _____________
Zip: ________________ Phone: _____________________________
Email/Fax: ________________________________________________
Catalyst 5TTL K0005 _________________________________________________________________ $2495300 lb weight capacity
Phone (800) 981-1540 | Fax (715) [email protected] | www.kimobility.com
Transit
q Transit System __________________________________________________________________________________ $320Not available with Removable Seat Pan or 350 lb Weight Capacity
q Omit Transit __________________________________________________________________________________________ N/C
Weight Capacity
q 300 lb ______________________________________________________________________________________________________ Stdq 350 lb (Heavy Duty) _________________________________________________________________________ $500
Requires minimum 6” caster height
Titanium Option
q Titanium Frame K0108 _________________________________________________________________ $1775Includes hangers and base frame. Does not include Cross Braces.
Frame
Cross Brace
q Standard Cross Braces _____________________________________________________________________ Stdq Seating System Cross Braces _______________________________________________________ N/C
Allows for easy attachment of seating system mounting hardware. Not available with Seat Sling.
q Titanium Cross Braces ______________________________________ $700Not available with 21” and 22” Seat Widths. 250 lb maximum weight capacity.
Rear Frame Type
DCN0021.34 Pricing and specifications subject to change without notice Page 1 of 8
Wheelchair Drive ReadyChair will ship from Ki Mobility with adaption kit installed for selected Alber system. Order system separately from Alber USA. Select Rear Seat Height (full profile selections only) in drive wheel size on Rear Seat Height chart (page 5). Requires Rear Anti-Tips. Not available with Spinergy wheels or Height Adjustable Flip Back T-Arm.
q e-motion Ready __________________________________________________________________________________ N/Cq twion Ready _________________________________________________________________________________________ N/C
No selection needed with Titanium Frame
q Curved ____________________________________________________________________________________________________ StdSelect from Standard or Angle Adjustable Back Posts on chart on the next page
q Depth Adjustable K0108 _________________________________________________________________ $105Select from depth adjustable back posts in chart on next page. Provides 2” forward and 2” rearward adjustment with minimum Seat Depth of 14” and maximum Seat Depth of 22”. Available only with T-Arm or Flip Up Armrests.
q Reclining __________________________________________________________________________________________ $1095Select from Reclining Back Post in chart on the next page. Not available with Seating Dynamics Rocker Back, O2 Holder, Transit Option, 350 lb Weight Capacity, Swing Away Armrests, Flip Back Armrests, Height Adjustable Flip Back Armrests, Back Upholstery or IV Pole.
HCPCS codes provided are based on code verification by the PDAC or our interpretation of the code definitions.
Proper use of HCPCS codes does not ensure coverage or payment. For coverage information, verify the appropriate payer’s coverage policy.
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Seat Pan
q Removable Aluminum Seat Pan E2231 _____________________________________ $275Not available with Transit System. Pan depth 1/2” shorter than Seat Depth.
Effective 02/08/2021
Select if chair quote has: q Additional Ki Products with Different Quote/Order Number Quote/Order Number: ____________________
Seat Width
Seat Depth
q 14” __________________________________________________________________________________________________________ N/Cq 15” __________________________________________________________________________________________________________ N/Cq 16” __________________________________________________________________________________________________________ N/Cq 17” __________________________________________________________________________________________________________ N/Cq 18” __________________________________________________________________________________________________________ N/Cq 19” __________________________________________________________________________________________________________ N/Cq 20” E2201 ____________________________________________________________________________________________ $495q 21” E2201 _____________________________________________________________________________________________ $495q 22” E2201 _____________________________________________________________________________________________ $495
q 14” __________________________________________________________________________________________________________ N/Cq 15” __________________________________________________________________________________________________________ N/Cq 16” __________________________________________________________________________________________________________ N/Cq 17” __________________________________________________________________________________________________________ N/Cq 18” __________________________________________________________________________________________________________ N/Cq 19” __________________________________________________________________________________________________________ N/Cq 20” E2203 ____________________________________________________________________________________________ $500
Reclining Back Post Option
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0021.34 Pricing and specifications subject to change without notice Page 2 of 8
Standard Back PostSelect option below only if a Standard Back Post option is selected on chart above
q Straight with Push Handle ________________________________________________________________ Stdq Straight without Push Handle ________________________________________________________ N/Cq 8º Bend with Push Handle ______________________________________________________________ N/C
Not available with Short Back Height Range
q Straight with Fold Down Push Handle ______________________________________ $125Not available with 350 lb Weight Capacity
Depth Adjustable Back Post OptionsOptions below may be selected only if a Depth Adjustable back post option is selected on the chart above
q Removable Stroller Handle Extension _________________________________________ $85Not available with Height Adjustable Straight with Push Handle Back Post
q Seating Dynamics Rocker Back K0108 __________________________________ $1995Available only with T-Arms
Backrest
Back Post / Height Range / Back Height
Military Patch
Back Upholstery
Push Handle OptionsNot available with Stroller Handle Back Post, Straight Back Post with Fold Down Push Handle, Reclining Back Post or 350 Weight Capacity
q Low Profile Push Handle _________________________________________________________________ $852” shorter than standard push handles
Depth Adjustable not available with Titanium Frame.
Back Post Price Height Range Back Height
q Standard N/C
q Short 3,4 q 8.5 q 9.5 q10.5 q 11.5
q Medium 4 q 12.5 6 q 13.5 q 14.5 q 15.5
q Tall q 16.5 q 17.5 q 18.5 q 19.5
q Angle Adjustable withPush Handle
$185
q Short 4 q 14 q 15 q 16
q Medium 4 q 16 q 17 q 18
q Tall q 18 q 19 q 20
q Stroller HandleBack Post(Depth Adjustable)
N/Cq Short q 20
q Tall q 24
q Height Adjustable 2,9
Straight with Push Handle(Depth Adjustable)
$85
q Short 1 q 13 q 14 q 15 q 16 q 17
q Medium q 16 q 17 q 18 q 19 q 20
q Tall q 20 8 q 21 5 q 22 5 q 23 5 q 24 5
q Reclining with 1,7
Adjustable Handle E1226
(Removable)N/C
q Short q 22
q Tall q 261 Not available with Seating Dynamics Rocker Back2 Not available with Standard Back Upholstery3 Not available with Tension Adjustable Back Upholstery4 Not available with Standard Back Upholstery in combination with 21”-22” Seat Widths5 Not available with Tension Adjustable Back Upholstery in combination with 14” and 15” Seat Widths6 Not available with Tension Adjustable Back Upholstery in combination with 22” Seat Width7 Not available with O2 Holder, Transit Option, 350 lb Weight Capacity, Swing Away Armrests, Flip Back Armrest, Height Adjustable Flip Back T-Arm or IV Pole8 Not available with Angle Adjustable Locking Extendable Flip Up Armrest9 Not available with Tension Adjustable Back Upholstery in combination with Angle Adjustable Locking Extendable Flip Up Armrests
Not available with Reclining or Stroller Handle back post. If selecting both upholstery and Axiom Back, the upholstery will be installed.
q Standard ________________________________________________________________________________________________ Std
Tension Adjustable E2611
q Standard Cover _____________________________ $315 q Air Mesh Breathable Cover ____________________ $390
q Omit Back Upholstery ___________________________________________________________________ - $10
Select options below if Reclining Back is selected on chart above. Recline angle range is 0º - 65º.
Gas Spring: q Standard Spring q Heavy Duty Spring
Attached only if ordered with Tension Adjustable Back Upholstery
US Military Service Patch _______________________________________________________________________ $90 q Army q Navy q Marines q Air Force q Coast Guard
q US Purple Heart Patch _____________________________________________________________________ $90
Purple Heart with Military Service Patch Combo __________________________ $145 q Army q Navy q Marines q Air Force q Coast Guard
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Footrest / Extension / Seat to Footrest Length
3” ExtensionAvailable only with Front Mount Hangers
q 3” Extension ________________________________________________________________________________________ N/Cq 3” Extension (Provided as Parts) ___________________________________________________ N/C
DCN0021.34 Pricing and specifications subject to change without notice Page 3 of 8
Hanger ReleaseIf no selection is made Classic Hanger Release will be used
q Classic ____________________________________________________________________________________________________ Stdq 4-Way - In line _____________________________________________________________________________________ N/C
See reference A below. Not available with PRO ELR.
q 4-Way - Out _________________________________________________________________________________________ N/CSee reference B below. Not available with PRO ELR.
A B
Frame Type / Footrest
Footplate
q Composite ____________________________________________________________________________________________ N/CNot available with Front Mount Hanger or PRO ELR
q Composite Angle Adjustable K0040 ___________________________________________ $190Not available with Front Mount Hanger or 14” Seat Width
q Aluminum Angle Adjustable K0040 _____________________________________________ $190q Aluminum Locking Multi-Angle Adjustable K0108 __________________ $300
Available only with Front Mount Hanger
q One Piece Flip Up Angle Adjustable K0040 ______________________________ $190Not available with Front Mount Hanger or PRO ELR
Select Extension and Seat to Footrest Length in row corresponding to desired Footrest. Footrest Length of at least 2.5” shorter than Front Seat Height recommended. Extension Tube Hangers and Fixed Front Frame measurements are based on 70º Hanger / Front Frame Bend.
Footrest Extension Seat to Footrest Length
Extension TubeHangers(60º1, 70º, 80º)
q Short q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15
q Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17
q Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5
Front Mount Hangers 1
Standard Selections Requires 3” Extension
q Short(70º, 80º, 90º)
q 5 q 5.5 q 6 q 6.5 q 7 q 10 q 10.5 q 11
q 7.5 q 8 q 8.5 q 9 q 9.5 q 11.5 q 12 q 12.5
q Medium(70º, 80º, 90º)
q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 12 q 12.5 q 13
q 8.5 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 13.5 q 14 q 14.5
q Long(70º, 80º)
q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 9 q 14 q 14.5 q 15
q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 15.5 q 16 q 16.5
PRO ELR Low Pivot Setting
q Short 12 - 17.5
q Long 15 - 21
PRO ELR High Pivot Setting
q Short 10.5 - 15.5
q Long 13 - 19
Fixed Front Frame(70º, 80º)
q Short q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15
q Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17
q Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.51 Not available with Titanium Frame. See Minimum Front Seat Height chart above.
Frame Type
q Swing Away _________________________________________________________________________________________ N/Cq Super Low - Swing Away ________________________________________________________________ N/Cq Fixed Front ___________________________________________________________________________________________ N/C
Minimum Front Seat Height with Front Mount Hangers
Hanger Length Short Medium Long
Hanger Bend 70º 80/90º 70º 80/90º 70º 80º
Minimum Front Seat Height with Standard Selection
13.5” 13.5” 14” 15” 16” 17”
Minimum Front Seat Height with 3” Extension
14.5” 16” 16.5” 18” 18.5” 20”
Frame Hanger 60º 70º 80º 90º Retail
Swing Away
Extension Tube Mount q2 q q1 Std
Front Mount q q1 q1 N/CPro Elevating Leg Rests (PRO ELR) E0990 q $295
Omit Hangers q N/C
Fixed Extension Tube Mount q q1 N/C1 Not available with 7” or 8” casters2 Not available with Titanium Frame
Hanger / Front Frame Bend
PRO ELR CoverAvailable only on PRO ELR
q Gel Pad Cover New! ________________________________________________________________ $340
Front Seat Height and Casters
Caster Size / Front Frame Type / Front Seat Height
Fork Options
Fork Stem
q Best Fit ___________________________________________________________________________________________________ StdKi Mobility will pick Fork and Stem combination to optimize performance based on Caster Size and Front Seat Height
q Standard Fork Stem __________________________________________________________________________ N/Cq 3/4” Longer Fork Stem ____________________________________________________________________ N/Cq 1 1/2” Longer Fork Stem _________________________________________________________________ N/C
q Frog Legs Suspension Fork __________________________________________________________ $450Available only with 4”, 5” or 6” Caster Sizes. Not available with Caster Pin Locks, 350 lb Weight Capacity, 2” Poly caster or 2” Pneumatic w/ Foam Insert caster.
q User Weight Under 80 lbs q User Weight 80 - 120 lbs q User Weight 120 - 160 lbs q User Weight 160 - 220 lbs q User Weight 220 - 260 lbs q User Weight 260 - 300 lbs
q Frog Legs II Suspension System ________________________________________________ $450Lightweight shock absorbing fork. Available only with 4”, 5” or 6” Caster Sizes. Not available with Caster Pin Locks, 350 lb Weight Capacity, 2” Poly caster or 2” Pneumatic w/ Foam Insert caster.
q Caster Pin Locks K0073 _________________________________________________________________ $195Not available with Performance Caster Housing, 1 1/2” Longer Fork Stem or Frog Legs Fork
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Caster Housing
q Standard _______________________________________________________________________________________________ N/Cq Performance ________________________________________________________________________________________ $35
Not available with 350 lb Weight Capacity
Maximum Seat Dump Reference(Front Seat Height minus Rear Seat Height)
Seat Depth 14” 15” 16” 17” 18” 19” 20”Maximum Dump Standard Caster Housing 1.5” 2” 2” 2” 2.5” 2.5” 2.5”Maximum Dump Performance Caster Housing 3” 3” 3” 3.5” 3.5” 4” 4”
Depending on configuration, chairs with Fixed Front Frame Type may achieve up to an additional .75”
Select Front Seat Height in row corresponding to desired caster size.Note: Selections in first three Front Seat Height columns use Super Low Front Frame. Super Low Front Frame not available with Titanium Frame or Fixed Front Frame.
Caster Size
Front Seat HeightUses Super Low Front Frame
4” q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20
5” q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
6” q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21
7” q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21
8” q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21
Residual Limb SupportHeel Loop
Calf Strap
q Velcro Adjustable K0038 ___________________________________________________________________ $40q Padded Velcro Adjustable K0038 __________________________________________________ $68q Bodypoint Padded AeroMesh K0038 _________________________________________ $115
Not available with One Piece Flip Up Angle Adjustable Footplate
q Heel Loops E0951 ______________________________________________________________________________ $35q Adjustable Heel Loops E0951 _______________________________________________________ $50q Omit Heel Loops ________________________________________________________________________________ N/C
Frame Type / Footrest continued
Residual Limb Support E1020
q Right and Left ______________________________________________________________________ $790 q Left _____________ $395 q Right ____________ $395 q Omit Left Hanger __ N/C q Omit Right Hanger _ N/C
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
Caster SizePrice 4” 5” 6” 7” 8”
Cas
ter
Typ
e
.75” Rollerblade N/C q
.75” Lighted Rollerblade $25 q1” Poly N/C q q q q q1” Poly Aluminum $110 q q1” Pneumatic $85 q q1.5” Poly N/C q q q1.5” Soft Roll Aluminum $65 q q q2” Poly N/C q2” Pneumatic w/ Foam Insert $125 q
Caster
DCN0021.34 Pricing and specifications subject to change without notice Page 4 of 8
Dual - Drum Brake New! _______________________________________________________________ $660Available only with 20”, 22” and 24” MAXX Performance Spoke wheels. Not available with Reclining Backrest, Straight without Push Handle or Straight with Fold Down Push Handle Back Posts, or Low Profile Push Handle. Axle is Quick Release.
q Push to Lock q Pull to Lock
q Omit Wheel Locks _____________________________________________________________________________ N/C
Rear Seat Height and Wheels
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Axle Plate
Wheel Size / Tire Profile / Rear Seat Height
Wheel Locks
Wheel Lock
Wheel Lock Options
q Push to Lock ________________________________________________________________________________________ Stdq Push to Lock Flush Mount ______________________________________________________________ N/Cq Pull to Lock __________________________________________________________________________________________ N/Cq Low Profile Scissor Lock _________________________________________________________________ N/C
Not available with Low Poly, Full Poly or Sentinel Solid tires
q Short Thro Scissor Lock ________________________________________________________________ $110q Drum Brake New! _____________________________________________________________________ $560
Available only with 20”, 22” and 24” MAXX Performance Spoke wheels. Not available with Reclining Backrest, Straight without Push Handle or Straight with Fold Down Push Handle Back Posts, or Low Profile Push Handle. Axle is Quick Release.
q Extension Handles E0961 ________________________________________________________________ $75Available only with Push to Lock or Pull to Lock Wheel Locks
q Grade Aids E0974 _____________________________________________________________________________ $150Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert tires
Select Rear Seat Height in row corresponding to Wheel Size and Tire Profile. 14” Seat Depth not available with 24”, 25” or 26” wheel sizes. m Requires Universal Axle Plate q Any axle plate can be used (Universal, Amputee, One Arm Drive)
Wheel Size
Tire Profile Rear Seat Height
20”Low m 11.5 q 121 m 12.5 q 131 m 13.5 q 14 m 14.5 q 15 m 15.5 m 16
Full m 12 q 12.51 m 13 q 13.51 m 14 q 14.5 m 15 q 15.5 m 16 m 16.5
22”Low m 12.5 q 131 m 13.5 q 141 m 14.5 q 15 m 15.5 q 16 m 16.5 m 17
Full m 13 q 13.51 m 14 q 14.51 m 15 q 15.5 m 16 q 16.5 m 17 m 17.5
24”Low m 13.5 q 141 m 14.5 q 151 m 15.5 q 16 m 16.5 q 17 m 17.5 m 18
Full m 14 q 14.51 m 15 q 15.51 m 16 q 16.5 m 17 q 17.5 m 18 m 18.5
25” Low m 14 q 14.51 m 15 q 15.51 m 16 q 16.5 m 17 q 17.5 m 18 m 18.5
26”Low q 151,2 m 15.5 q 161 m 16.5 q 17 m 17.5 q 18 m 18.5 m 19
Full m 15 2 q15.51,2 m 16 q 16.51 m 17 q 17.5 m 18 q 18.5 m 19 m 19.51 Not available with Amputee Axle Plate2 Not available with Height Adjustable Flip Back T-Arm3 Not available with Depth Adjustable Rear Frame Type, Reclining Rear Frame or Height Adjustable Flip Back T-Arms
No selection needed with One Arm Drive
m Universal ________________________________________________________________________________________________ Stdq Amputee _____________________________________________________________________________________________ $175
Not available with Swing Away Armrests or Wheelchair Drive Ready Option. Required with Reclining Backrest.
Rear Wheel
Rear Wheel SizePrice 20” 22” 24” 25” 26”
Rea
r W
heel
Ty
pe
MAXX Performance Spoke N/C q q q q qMag N/C q q qSuperlight Spoke 1 $295 q q2
Spinergy Spox $845 q q q qSpinergy LX $1050 q q q q
1 Not available with 350 lb Weight Capacity2 Available only with Superlight and Plastic Coated Handrims
Spinergy OptionsSelect Spoke Color and Handrim Tab for Spinergy wheelsSpoke Color: q Black q Red q White q Blue q Yellow q Pink 1 q Green 1 q Purple 1 q Orange 1
1Available only with Spingergy LX
Handrim Tab: Available only with Aluminum Anodized and Plastic Coated Handrims
q Short Tab ____________________________________________________________________________________ $25 q Long Tab ____________________________________________________________________________________ N/C
One Arm Drive
q One Arm Drive E0958 New! _________________________________________________ $1095Available only with 20”, 22” and 24” spoke wheels and Quick Release Axles. Spoke wheel style is exclusive to OAD. Not available with 4 degrees of camber.Standard handrim will be Aluminum Anodized.
Rear Wheel Size: q 20” q 22” q 24”
Drive Handrim Side: q Left q Right
Drive Handrim Type: q Aluminum _______________________________________ N/C q Poly Coated _________________________________ $200
No selection needed with One Arm Drive
DCN0021.34 Pricing and specifications subject to change without notice Page 5 of 8
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Rear Seat Height and Wheels continued
Armrests
AxleNo selection needed with One Arm Drive
q Quick Release ______________________________________________________________________________________ Stdq Quad Quick Release _______________________________________________________________________ $125
Not available with Mag or Spinergy wheels
Axle Position
Rear Wheel Camber: q 0º q 2º q 4º
Center of Gravity: q Rear q Center q ForwardNo selection needed with Amputee Axle Plate
Rear Tire Type
q Street Pneumatic 1 3/8” E2211, E2212 ___________________________________________ StdNot available on 25” wheel size
q Full Poly 1 3/8” E2218 _______________________________________________________________________ N/CNot available on Superlight wheel or 25” or 26” wheel sizes
q Pneumatic with Airless Insert 1 3/8” E2211, E2213 ____________________ $80Not available on Superlight wheel or 25” wheel size
q Schwalbe HS-127 1 3/8” E2211, E2212 ______________________________________ $125Available only on 24” wheel size. Not available on Mag wheel.
q Euro Trek Knobby 1 3/8” E2211, E2212 _________________________________________ $95Available only on 24” wheel size
q Low Poly 1” E2218 _____________________________________________________________________________ N/CNot available on Superlight wheel, 25” or 26” wheel sizes or 350 lb Weight Cap.
q Sentinel Solid Tire 1” E2218 ____________________________________________________________ $25Not available on Superlight wheels or 20” and 22” Mag wheels
q High Pressure 1” E2211, E2212 ________________________________________________________ N/CNot available on Mag wheel
q Schwalbe One 1” E2211, E2212 ____________________________________________________ $115Not available on Mag wheel, 20”, 22” or 26” wheel sizes
q Schwalbe Marathon Plus Evolution 1” E2211, E2212 ______________ $125Not available on Mag wheel, 20” or 22” wheel sizes
Full Profile Low Profile
ArmrestHeight Adjustable T-Arm (8.5” - 13.5”) E0973
q Desk _______________________________________ $285 q Full _________________________________________ $285Height Adjustable T-Arm Low (7.5” - 11.5”) E0973
If selection is not available with rear wheel and rear seat height configuration, standard Height Adjustable T-Arm armrests will be used
q Desk _______________________________________ $285 q Full ________________________________________ $285Height Adjustable Flip Back T-Arm (9.5”-13.5”) E0973
Available only with Standard Back Post
q Desk _______________________________________ $295 q Full ________________________________________ $295Flip Back (10.5”)
Not available with Seat Depths less than 16”. Available only with Standard Back Post.
q Desk _________________________________________________________________________________________ N/C q Full _____________________________________________________________________________________________ N/C
Angle Adjustable Locking Extendable Flip Up E0973 Available only with Depth Adjustable and Reclining Back Posts
q Desk _______________________________________________________________________________________ $265 q Full ___________________________________________________________________________________________ $265q Swing Away (10.5” - 12.5”) E0973 _____________________________________________________ $225
Not available with Angle Adjustable Back Posts or Arm Pads
q Swing Away with Side Guard (10.5” - 12.5”) E0973 _____________________ $295Not available with Angle Adjustable Back Posts or Arm Pads
q Omit Armrests _____________________________________________________________________________________ N/C
Arm PadNot available with Swing Away Armrests
q Standard Arm Pad _____________________________________________________________________________ N/Cq Waterfall Arm Pad ______________________________________________________________________________ $25
Available only with Height Adjustable T-Arm and Height Adjustable T-Arm Low
q Foam Grip ____________________________________________________________________________________________ N/CAvailable only with Angle Adjustable Locking Extendable Flip Up Armrest
DCN0021.34 Pricing and specifications subject to change without notice Page 6 of 8
Not available on 20” wheel size or 22” Mag wheel. Not recommended with Mag wheel.
q Natural Fit LT Regular Grip ____________________________________________________________ $465q 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
Handrim Option
q 3M Micro Grip _____________________________________________________________________________________ $25Not available on Plastic Coated or Projection Handrims
q Aluminum Anodized ___________________________________________________________________________ Stdq Superlight Aluminum Anodized _____________________________________________________ $50
Available only on 24” and 25” wheel sizes. Available only on MAXX Performance, Superlight or Spinergy wheels. Not available with 350 lb Weight Capacity.
q Plastic Coated _____________________________________________________________________________________ $50q Projection (8 Vertical Projections) ________________________________________________ $325
Available only with full profile tires in combination with 22”-26” MAXX Performance or 24” Mag wheel
q Spinergy Flex Rim ____________________________________________________________________________ $700Available only on 24” and 25” Spinergy LX wheels
q Omit Handrim ______________________________________________________________________________________ N/C
Standard Handrims No selection needed with One Arm Drive
Pelvic Positioning Belt
q 1 1/2” Auto Buckle E0978 ________________________________________________________________ $80q 1 1/2” Padded Auto Buckle E0978 _____________________________________________ $170q 2” Airline Buckle E0978 ___________________________________________________________________ $110
Bodypoint Evoflex - Pelvic Stabilizer E0978 ____________________________________ $183 Size: q Small (16-24”) q Medium (19-29”) q Large (25-37”)
Bodypoint Belt Mounting Kit _______________________________________________________________ $105 Style: q Bracket q Band Clamp 1”
Other Accessories
q Tool Kit ___________________________________________________________________________________________________ $45q Removable Underseat Pouch ________________________________________________________ $50q Pediatric Ki Mobility Backpack ______________________________________________________ $50q Ki Mobility Backpack ________________________________________________________________________ $65q Luggage Carrier _________________________________________________________________________________ $85
Not available with PRO ELR or Residual Limb Support
q Black Neoprene Impact Guards ____________________________________________________ $90q Clear Spoke Guards K0065 ___________________________________________________________ $115
Not available with Mag wheel
q Black Spoke Guards K0065 __________________________________________________________ $115Not available with 20” wheel size or Mag wheel
q Cane and Crutch Holder _______________________________________________________________ $195q IV Pole _________________________________________________________________________________________________ $275
Available only with Curved Rear Frame Type and Straight Back Posts
Color
Matte Frame Finish
Gloss Frame Finish
q Charcoal Gray _____________________________________________________________________________________ N/Cq Emerald Green ____________________________________________________________________________________ N/Cq Iridescent Burgundy __________________________________________________________________________ N/Cq Iridescent Navy ___________________________________________________________________________________ N/Cq Military Green ______________________________________________________________________________________ N/Cq Retro Red _____________________________________________________________________________________________ N/Cq Royal Blue ____________________________________________________________________________________________ N/Cq Shadow Black _____________________________________________________________________________________ N/Cq Smooth White _____________________________________________________________________________________ N/C
q Black ______________________________________________________________________________________________________ N/Cq Blue Skies ____________________________________________________________________________________________ N/Cq Bubblegum Pink _________________________________________________________________________________ N/Cq Candy Blue __________________________________________________________________________________________ N/Cq Candy Purple ______________________________________________________________________________________ N/Cq Candy Red ___________________________________________________________________________________________ N/Cq Copper __________________________________________________________________________________________________ N/Cq Granny Smith ______________________________________________________________________________________ N/Cq Metallic Orange __________________________________________________________________________________ N/Cq Yellow ____________________________________________________________________________________________________ N/C
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
O2 Holder
Frame Color not available with Titanium Frame Option
DCN0021.34 Pricing and specifications subject to change without notice Page 7 of 8
Colored Anodizing PackageSelect desired color. If no selection is made, black will be used.
Option Standard Caster Housing 2 Caster Fork 3 Axle Plate 4
Retail $75 $75 $75
Co
lor
Black 1 q q qBlue q q qBright Green q q qGold q q qOrange q q qPewter q q qPink q q qPurple q q qRed q q q
1 Black is no charge2 Available only if corresponding option selection was made3 Not available with 2” wide casters, Frog Legs Suspension Fork or Frog Legs II Suspension System4 Color Anodized not available with amputee axle plate
Not available with Depth Adjustable Rear Frame
O2 Holder E2208 ______________________________________________________________________________________ $295 q Right Side q Left Side
Hydrographics
Hydrographics _________________________________________________________________________________________ $695 q AOR1 (Desert Digital Camo) q Pink Camo q Muddy Girl q NEXT Camo q Carbon Fiber1
q Zebra1
1Select Hydrographics Base Color. Zebra not available in Black.
Hydrographics Base Color ____________________________________________________________________ N/C q Black q Blue q Granny Smith q Pink q Purple q Red
Removable Side GuardNot available with T-Arms, Flip Back or Swing Away with Side Guard Armrests
q Composite Side Guards K0108 ____________________________________________________ $140Aluminum Straight K0108 q Black Matte _________________________________ $195 q Match Frame Color __________________________ $245
Not available with Hydrographics or Titanium Frame
Aluminum Adjustable Fender with Foam Pad K0108
q Black Matte _________________________________ $275 q Match Frame Color __________________________ $325
Not available with Hydrographics or Titanium Frame
q Carbon Fiber Adjustable Fender K0108 ____________________________________ $485
Accessories
Anti-Tip
q Rear Anti-Tips E0971 _______________________________________________________________________ $140Swing-In Anti-Tip E0971
Not available with 350 lb Weight Capacity or Reclining Back Post
q Single - Left _________________________________ $150Not available with left side O2 Holder
q Single - Right _______________________________ $150Not available with right side O2 Holder
q Pair ________________________________________ $300Not available with Cane and Crutch Holder or O2 Holder
q Omit Rear Anti-Tips ___________________________________________________________________________ N/C
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0021.34 Pricing and specifications subject to change without notice Page 8 of 8
Catalyst Front Seat Height Matrix
4” Caster 5” Caster 6” Caster 7” Caster 8” Caster
FSHSuper Low
Stem Fork FSHSuper Low
Stem Fork FSHSuper Low
Stem Fork FSHSuper Low
Stem Fork FSHSuper Low
Stem Fork
15 13.5Std
4”
16 14.5 Std
4”
17 15.5 Std
5”
18 16.5Std
6”
19 17.5 Std
6”15.5 14 16.5 15.5 3/4 17.5 16.5 3/4 18.5 17 19.5 18.5 3/4
15.51 141
3/417.5 16 1 1/2 18.5 17 1 1/2 18.5 17.5
3/420.5 n/a 1 1/2
16 14.5 16 14.5Std
5”
17 15.5
Std
6”
19 18 19 17.5
Std
7”
16.51 151
1 1/216.5 15 17.5 16 19.5 18
1 1/219.5 18
17 15.5 16.5 15.53/4
18 16.5 20 18.5 20 18.5
15.5 14Std
5”
17 16 17.5 16.5
3/4
18.5 17
Std
7”
20.5 19
16 14.5 17.5 161 1/2
18 17 19 17.5 19.5 18.5
3/416 15
3/418 16.5 18.5 17.5 19.5 18 20 19
16.5 15.5 16.5 15
Std
6”
18.5 17
1 1/2
20 18.5 20.5 n/a
17 15.51 1/2
17 15.5 19 17.5 19 18
3/4
21 n/a
17.5 16 17.5 16 19.5 18 19.5 18.5 20.5 191 1/2
16.5 15Std
6”
17.5 16
3/4
18 16.5
Std
7”
20 19 21 n/a
17 15.5 18 16.5 18.5 17 20.5 n/a
17 163/4
18.5 17 19 17.5 20 18.5
1 1/217.5 16.5 18 16.5
1 1/2
19.5 18 20.5 19
18 16.51 1/2
18.5 17 18.5 17.5
3/4
21 n/a
18.5 17 19 17.5 19 18
18 16.5Std
7”
18 16.5
Std
7”
19.5 18.5
18.5 17 18.5 17 20 19
18.5 17.53/4
19 17.5 19.5 18
1 1/219 18 18.5 17.5
3/4
20 18.5
19.5 18.51 1/2
19 18 20.5 19
20 19 19.5 18.5 21 n/a
19.5 18
1 1/2
6” x 2” caster not available with 5” fork
20 18.5
20.5 19
1 Not available with 4 x 1.5” Soft Roll Aluminum
Seat heights with “FSH” heading available with Standard Front Frame. Seat heights with “Super Low” heading available with Super Low Front Frame. Actual seat height may vary depending upon configuration.
DCN0537.2 Pricing and specifications subject to change without notice Page 1 of 2
Axiom Cushions
Axiom G Cushion and Extra Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 22”
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
Retail $120 $75 $120 $75 $120 $75 $120 $75 $120 $75 $120 $75 $120 $75 $199 $75HCPC E2601 E2601 E2601 E2601 E2601 E2601 E2601 E2602
Dep
th
14” q q15” q q q q q q16” q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q21” q q q q q q q q q q22” q q q q q q q q q q
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Axiom S Cushion and Extra Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 22”
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
Retail $210 $85 $210 $85 $210 $85 $210 $85 $210 $85 $210 $85 $210 $85 $315 $85HCPC E2603 E2603 E2603 E2603 E2603 E2603 E2603 E2604
Dep
th
14” q q15” q q q q q q16” q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q21” q q q q q q q q q q22” q q q q q q q q q q
Axiom P Cushion and Extra Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 22”
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
Retail $355 $95 $355 $95 $355 $95 $355 $95 $355 $95 $355 $95 $355 $95 $460 $95HCPC E2605 E2605 E2605 E2605 E2605 E2605 E2605 E2606
Dep
th
14” q q15” q q q q q q16” q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q21” q q q q q q q q q q22” q q q q q q q q q q
Weight capacity: 350 lbs
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0537.2 Pricing and specifications subject to change without notice Page 2 of 2
Axiom Cushions continued Weight capacity: 350 lbs
Axiom SP Visco Cushion and Extra Inner / Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 21” 22”
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer
Retail $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $525 $105 $525 $105HCPC E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2608
Dep
th
14” q q q q q q q q q15” q q q q q q q q q q q q q q q16” q q q q q q q q q q q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q q q q q q q q q q q q q q21” q q q q q q q q q q q q q q q q q q q q q q q q22” q q q q q q q q q q q q q q q q q q q q q q q q
Axiom SP Fluid Cushion and Extra Inner / Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 21” 22”
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer
Retail $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $575 $105 $575 $105HCPC E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2608
Dep
th
14” q q q q q q q q q15” q q q q q q q q q q q q q q q16” q q q q q q q q q q q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q q q q q q q q q q q q q q21” q q q q q q q q q q q q q q q q q q q q q q q q22” q q q q q q q q q q q q q q q q q q q q q q q q
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
Select size in chart below. Weight capacity: 350 lbs.
Solid Seat Insert ________________________________________________________________________________________ $60
Solid Seat Insert
DCN0538.4 Pricing and specifications subject to change without notice Page 1 of 5
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
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.
Width
12” 14” 16” 18” 20” 22”Retail $560 $560 $560 $560 $560 $795
HCPC E2613 E2613 E2613 E2613 E2613 E2614
Hei
gh
t Lo
w
8” q AXPB1208 q AXPB1408 q AXPB1608 q AXPB1808 q AXPB2008
10” q AXPB1410 q AXPB1610 q AXPB1810 q AXPB2010 q AXPB2210
12” q AXPB1212 q AXPB1412 q AXPB1612 q AXPB1812 q AXPB2012
Mid
14” q AXPB1414 q AXPB1614 q AXPB1814 q AXPB2014 q AXPB2214
16” q AXPB1216 q AXPB1416 q AXPB1616 q AXPB1816 q AXPB2016
18” q AXPB1418 q AXPB1618 q AXPB1818 q AXPB2018 q AXPB2218
Axiom Posterior Back (PB)
Width
12” 14” 16” 18” 20” 22”Retail $640 $640 $640 $640 $640 $870
HCPC E2615 E2615 E2615 E2615 E2615 E2616
Hei
gh
t
Lo
w
8” q AXPL1208 q AXPL1408 q AXPL1608 q AXPL1808 q AXPL2008
10” q AXPL1410 q AXPL1610 q AXPL1810 q AXPL2010 q AXPL2210
12” q AXPL1212 q AXPL1412 q AXPL1612 q AXPL1812 q AXPL2012
Mid
14” q AXPL1414 q AXPL1614 q AXPL1814 q AXPL2014 q AXPL2214
16” q AXPL1216 q AXPL1416 q AXPL1616 q AXPL1816 q AXPL2016
18” q AXPL1418 q AXPL1618 q AXPL1818 q AXPL2018 q AXPL2218
Tall 20” q AXPL1220 q AXPL1420 q AXPL1620 q AXPL1820 q AXPL2020
22” q AXPL1422 q AXPL1622 q AXPL1822 q AXPL2022 q AXPL2222
Axiom Posterior Lateral Back (PL)
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
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
DCN0538.4 Pricing and specifications subject to change without notice Page 2 of 5
Width
12” 14” 16” 18” 20” 22”Retail $740 $740 $740 $740 $740 $820
HCPC E2620 E2620 E2620 E2620 E2620 E2621
Hei
gh
t
Lo
w
8” q AXLB1208 q AXLB1408 q AXLB1608 q AXLB1808 q AXLB2008
10” q AXLB1410 q AXLB1610 q AXLB1810 q AXLB2010 q AXLB2210
12” q AXLB1212 q AXLB1412 q AXLB1612 q AXLB1812 q AXLB2012
Mid
14” q AXLB1414 q AXLB1614 q AXLB1814 q AXLB2014 q AXLB2214
16” q AXLB1216 q AXLB1416 q AXLB1616 q AXLB1816 q AXLB2016
18” q AXLB1418 q AXLB1618 q AXLB1818 q AXLB2018 q AXLB2218
Tall 20” q AXLB1220 q AXLB1420 q AXLB1620 q AXLB1820 q AXLB2020
22” q AXLB1422 q AXLB1622 q AXLB1822 q AXLB2022 q AXLB2222
Axiom Lateral Back (LB)
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. Low Back selections are not available with headrests, modifications, or posture supports. Weight capacity: 300 lbs.
Axiom 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 Lateral
Back - LowAxiom Lateral
Back - MidAxiom Lateral
Back - Tall
A
5.5
B
5.5
AB
A
5.5
B
Axiom Deep Lateral Back (DL)
Width
12” 14” 16” 18” 20” 22”Retail $740 $740 $740 $740 $740 $820
HCPC E2620 E2620 E2620 E2620 E2620 E2621
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
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”
Tall 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
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Description Item Code HCPC Retail (Each)
q Headrest Flip Down MountOnly available with HEDHMD401/HEDHMD417
HDR100 E1028 $170
q Universal Mounting PlateFor use with other manufacturer headrests
UMP K0108 $40
DCN0538.4 Pricing and specifications subject to change without notice Page 3 of 5
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
[email protected] | www.kimobility.com
HEDHDW101/HEDHDW117 HEDHDW201/HEDHDW217 HEDHDW401/HEDHDW417
HEDPAD408
HEDPAD410
HEDPAD414
HEDPAD201
HEDPAD202
HEDPAD203
HEDPAD502
HEDPAD503
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 HCPC Kio Code Retail Kio Code Retail Kio Code Retail
Hea
dre
st P
ad
Comfort Plus Headrest 8” HEDPAD408 E0955E1028 q HDR001 $277 q HDR009 $313 q HDR017 $388
Comfort Plus Headrest 10” HEDPAD410 E0955E1028 q HDR002 $277 q HDR010 $313 q HDR018 $388
Comfort Plus Headrest 14” HEDPAD414 E0955E1028 q HDR003 $277 q HDR011 $313 q HDR019 $388
Small All Positioning Headrest Pad and Ring Only HEDPAD201 E0955
E1028 q HDR004 $277 q HDR012 $313 q HDR020 $388
Medium All Positioning Headrest Pad and Ring Only
HEDPAD202 E0955E1028 q HDR005 $277 q HDR013 $313 q HDR021 $388
Large All Positioning Headrest Pad and Ring Only HEDPAD203 E0955
E1028 q HDR006 $277 q HDR014 $313 q HDR022 $388
Tri-Comfort Plus Headrest 14”
HEDPAD502 E0955E1028 q HDR007 $288 q HDR015 $324 q HDR023 $399
Tri-Comfort Plus Headrest 19”
HEDPAD503 E0955E1028 q HDR008 $288 q HDR016 $324 q HDR024 $399
Headrest Hardware Options
DCN0538.4 Pricing and specifications subject to change without notice Page 4 of 5
Axiom Back Accessories continued
Available only with Axiom Lateral Back and Axiom Deep Lateral back
Description HCPC Retail
q Lumbar Pad K0108 $48
Lumbar Pads
Description HCPC Retail
q Privacy Flap K0108 $45
Privacy Flap
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Lateral Support
Laterals for Posterior BackPair Left Right Description Item Code HCPC Pair Each
q q q 3 x 4 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Back LF3x4P E0956 $305 $153
q q q 4 x 5 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Back LF4x5P E0956 $305 $153
q q q 3 x 4 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Back LS3x4P E0956, E1028 $650 $325
q q q 4 x 5 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Back LS4x5P E0956, E1028 $650 $325Laterals for Posterior Lateral BackPair Left Right Description Item Code HCPC Pair Each
q q q 3 x 4 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Lateral Back LF3x4L E0956 $305 $153
q q q 4 x 5 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Lateral Back LF4x5L E0956 $305 $153
q q q3 x 4 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Lateral Back
LS3x4L E0956, E1028 $650 $325
q q q4 x 5 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Lateral Back
LS4x5L E0956, E1028 $650 $325
Axiom Lateral Support Modifications
Extended lead times will apply. Modified Lateral Supports are not eligible for refund.
Description Item Code HCPC Retail
q Modification for Chest Strap attached to Lateral Supports AXMLATMT K0108 N/C
Description Item Code HCPC Retail
qShoulder Strap Guides and Mount
Selection of a modification from the Axiom Back Modifications required in order to mount Shoulder Guides. Not available with Low Backs.
AXBSG K0108 $75
Shoulder Guides
DCN0538.4 Pricing and specifications subject to change without notice Page 5 of 5
Axiom Back Accessories continued
Selection of a modification from the Axiom Back Modifications section required in order to mount posture supports. Not available with Low Backs.
Description Item Code HCPC Retail
q Small Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60153T E0960 $144
q Medium Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60154T E0960 $144
q Large Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60155T E0960 $144
q Small Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60110T E0960 $113
q Medium Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60111T E0960 $113
q Large Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60112T E0960 $113
q Small Dynamic Therafit Comfortfit Full Vest 30589T E0960 $167
q Medum Dynamic Therafit Comfortfit Full Vest 30590T E0960 $167
q Large Dynamic Therafit Comfortfit Full Vest 30591T E0960 $167
q XLarge Dynamic Therafit Comfortfit Full Vest 30592T E0960 $167
q XXLarge Dynamic Therafit Comfortfit Full Vest 30593T E0960 $167
q Small Dynamic Therafit Comfortfit Trim Vest 30618T E0960 $169
q Medum Dynamic Therafit Comfortfit Trim Vest 30619T E0960 $169
q Large Dynamic Therafit Comfortfit Trim Vest 30620T E0960 $169
q XLarge Dynamic Therafit Comfortfit Trim Vest 30621T E0960 $169
q XXLarge Dynamic Therafit Comfortfit Trim Vest 30622T E0960 $169
Therafin Posture Support
Choose modification to add holes to the back shell in order to mount posture supports. Not available with Low Backs.
Description Item Code HCPC Retail
q Modification for 4 Point Harness AXM4PT K0108 N/C
q Modification for 2 Point Chest Strap AXM2PT K0108 N/C
q Modification for Shoulder Guides AXMSG K0108 N/C
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 Orange AXMMOR N/C
q Silver AXMSIL N/C
q Teal AXMTEA N/C
q Yellow AXMYLW N/C
Painted Back Shell ModificationIf 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. Makes back non-refundable.
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
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