quantum q6edge 2.0 x tru-balance 3 seating order form · please contact quantum sales at...

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Page 1 of 17 INFINFB3745/RevF/09DEC2019 Q6 Edge ® 2.0 X Order Form with TRU-Balance ® 3 Positioning Quantum ® Rehab 401 York Ave., Duryea, PA 18642 Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected] Account Number: ___________ Date: ________________ Provider Name: __________________________________ Contact: ________________________________________ Phone: ___________________ Fax: _________________ Email:__________________________________________ PO Number:_____________________________________ Marked for: _____________________________________ Ship to Address: _________________________________ City: _____________________ State: ______ Zip: ______ Weight:________ Height:________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ A. Shoulder Width:_______ B. Chest Width: _________ C. Hip Width: ___________ D. Max Sitting Height: ____ E. Shoulder Height: ______ F. Axilla Height: _________ G. Thigh Depth: _________ H. Lower Leg Length: ____ I. Elbow Height: ________ This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. Com- plete the form by placing checks in the desired boxes and provide information in the interactive fields. Buttons shown at the bottom of the form may be utilized to print or submit the order form through a desktop email application. To email via a web-based application, please ‘Save As’ and attach the PDF to your email. This order form contains a large variety of options to fulfill various patient needs. Descriptions and section notes, such as optional or required, are included to help you complete your order. Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax (866-707-3422) or email ([email protected]). Incomplete forms may delay the quote or order. Customer service will contact you if the order is incomplete or if there are compatibility issues. If special order requests are needed, be sure that the Patient Information section is completed or include a completed physical assessment form with this order form. HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for deter- mining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power chair. Please contact technical service for accurate parts ordering. Options noted with "XRef" have multiple possible part numbers based on system configuration. Please see cross-reference spreadsheet for the XRef part numbers. Thank you for choosing Quantum! INTRODUCTION PATIENT INFORMATION 1. BASE MODEL REQUIRED. Select a group 3 power base. This power base has a 300 lb. weight capacity, standard 6 mph programmable motors, 8 amp off board charger, fender lights, 2 multipliers, and USB mobile device charger. Power positioning includes an attendant control and iAccess interface. Dimensions of base without legrests: 24”W x 35.5”L. Quantum Q6 Edge 2.0 X 3S-SS ...................................... $10,195 Part: Q6EDGE 2.0X 3S-SS. HCPCS: K0848 Solid seat pan standard with no power option. Quantum Q6 Edge 2.0 X 3SP-SS ..................................... $10,195 Part: Q6EDGE 2.0X 3SP-SS. HCPCS: K0856 Single power option. Quantum Q6 Edge 2.0 X 3MP-SS .................................... $10,195 Part: Q6EDGE 2.0X 3MP-SS. HCPCS: K0861 Multiple actuator power option.

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Page 1: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Page 1 of 17INFINFB3745/RevF/09DEC2019

Q6 Edge® 2.0 X Order Form with TRU-Balance® 3 Positioning

Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

Weight:________ Height:________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

A. Shoulder Width: _______B. Chest Width: _________C. Hip Width: ___________

D. Max Sitting Height: ____E. Shoulder Height: ______F. Axilla Height: _________

G. Thigh Depth: _________H. Lower Leg Length: ____I. Elbow Height: ________

This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. Com-plete the form by placing checks in the desired boxes and provide information in the interactive fields. Buttons shown at the bottom of the form may be utilized to print or submit the order form through a desktop email application. To email via a web-based application, please ‘Save As’ and attach the PDF to your email. This order form contains a large variety of options to fulfill various patient needs. Descriptions and section notes, such as optional or required, are included to help you complete your order. Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax (866-707-3422) or email ([email protected]). Incomplete forms may delay the quote or order. Customer service will contact you if the order is incomplete or if there are compatibility issues. If special order requests are needed, be sure that the Patient Information section is completed or include a completed physical assessment form with this order form. HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for deter-mining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power chair. Please contact technical service for accurate parts ordering. Options noted with "XRef" have multiple possible part numbers based on system configuration. Please see cross-reference spreadsheet for the XRef part numbers.

Thank you for choosing Quantum!

INTRODUCTION

PATIENT INFORMATION

1. BASE MODELREQUIRED. Select a group 3 power base. This power base has a 300 lb. weight capacity, standard 6 mph programmable motors, 8 amp off board charger, fender lights, 2 multipliers, and USB mobile device charger. Power positioning includes an attendant control and iAccess interface. Dimensions of base without legrests: 24”W x 35.5”L.

Quantum Q6 Edge 2.0 X 3S-SS ......................................$10,195Part: Q6EDGE 2.0X 3S-SS. HCPCS: K0848Solid seat pan standard with no power option.

Quantum Q6 Edge 2.0 X 3SP-SS .....................................$10,195Part: Q6EDGE 2.0X 3SP-SS. HCPCS: K0856Single power option.

Quantum Q6 Edge 2.0 X 3MP-SS ....................................$10,195Part: Q6EDGE 2.0X 3MP-SS. HCPCS: K0861Multiple actuator power option.

Page 2: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Page 2 of 17INFINFB3745/RevF/09DEC2019

Base Mounted Foot Platform ...................................... StandardPart: FRMASMB16077

Bell Shaped, Base Mounted Foot Platform .......................... $235Part: RIGASMB7120041

Omit base mounted foot platform ............................. No ChargePart: PTOINDV3674

3”x14” Flat Free Black Tires ...................................... StandardPart: PTOINDV3525 (pair). Wheel accent part: WHL1611297 x qty 2

4”x14” Knobby, Flat Free Black Tires ......................... No ChargePart: WHL147601 x2

3”x14” Pneumatic Black Tires .................................. No ChargePart: WHL150034 x2. Wheel accent part: WHL1611296 x qty 2

4”x14” Knobby, Pneumatic Black Tires ....................... No ChargePart: WHL147599 x2

6 mph Drive Motors ................................................. StandardPart: MOT147433

Accu-Trac Motor Technology ......................................... $1,295Part: MOT147881. HCPCS: K0108Delivers enhanced traction and tracking, especially with switched drive controls.

Account Number: ___________ Date: ________________ Marked for: _____________________________________

3. DRIVE MOTORSREQUIRED.

4. BASE MOUNTED FOOT PLATFORMREQUIRED. May interfere with seat mounted legrests. Not available with center mount foot platforms.

6.2. Drive Wheel Accent ColorOptional. Sold in Pairs (parts below will be quantity of 2). Not available with knobby tires.

6.1. Drive Wheels

Match to Base ColorPart: Configuration selection, see specific part below

Non-matching ColorPart: Configuration selection, see specific part below

6. DRIVE WHEELSREQUIRED. Select a type of drive wheels and accent color. Knobby tires increase overall base width by 1.5”.

2.2. Standard Shrouds

Match All Color Options to Selection BelowPart: N/A. Any subsequent color selections, if available, will be matched to color chosen below when the order is placed. Please note that some color selections, such as joystick armor, may have a MSRP.

2.1. Match Colors

2. BASE COLORREQUIRED. Select one shroud color. Colors shown here may differ from actual product depending on monitor/printer calibration used.

5. BATTERIESREQUIRED. The powerchair requires 2 batteries and will be installed if ordered.

NF-22, Gel Cell, Interceptor Battery..............................$310 ea.Part: BAT1704613. HCPCS: E2361

No batteries. Provider will assume responsibility of batteries.Part: Configuration selection

NF-22, AGM, MK Battery ............................................ $395 ea.Part: BAT121346. HCPCS: E2361

NF-22, Gel Cell, MK Battery ....................................... $395 ea.Part: BATGEL1008. HCPCS: E2361

Red CorvettePart: DGN153201-PRD1

Electric BluePart: DGN153201-PBU9

Back in BlackPart: DGN153201-PBK1

Night TrainPart: DGN153201-PBK3

White SatinPart: DGN153201-PWT2

Pretty in PinkPart: DGN153201-PPK3

Evolution OrangePart: DGN1801101-POR7

Deep PurplePart: DGN153201-PPR5

Grey StreetPart: DGN153201-PSL3

Midnight BluePart: DGN153201-PBU10

Lemon CrushPart: DGN1801101-PYL4

Green MachinePart: DGN1801101-PGN11

Military GreenPart: DGN153201-PGN8

To Be DeterminedPart: N/A

Back in Black ........................ $24.98 ea.Part: DGN164245-PBK1 x2

Red Corvette ........................ $24.98 ea.Part: DGN164245-PRD1 x2

Electric Blue ........................ $24.98 ea.Part: DGN164245-PBU9 x2

White Satin .......................... $24.98 ea.Part: DGN164245-PWH2 x2

Pretty in Pink ....................... $24.98 ea.Part: DGN164245-PPK3 x2

Evolution Orange ................... $24.98 ea.Part: DGN164245-POR7 x2

Night Train ........................... $24.98 ea.Part: DGN164245-PBK3 x2

Deep Purple ......................... $24.98 ea.Part: DGN164245-PPR5 x2

Grey Street .......................... $24.98 ea.Part: DGN164245-PSL3 x2

Midnight Blue ....................... $24.98 ea.Part: DGN164245-PBU10 x2

Lemon Crush ........................ $24.98 ea.Part: DGN164245-PYL4 x2

Green Machine ..................... $24.98 ea.Part: DGN164245-PGN11 x2

Military Green ...................... $24.98 ea.Part: DGN164245-PGN8 x2

To Be DeterminedFollow-up required.

Page 3: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Page 3 of 17INFINFB3745/RevF/09DEC2019

Q-Logic 3 EX Controller Module ......................$695*Part: See XRef. HCPCS: E2377*Controller module will be standard with 3S-SS, K0848 base selection.

Q-Logic 3 Expandable Controller Harness ..........$425*Part: HAR144005. HCPCS: E2313*Expandable controller will be standard with 3S-SS, K0848 base selection.

Q-Logic 3 EX Joystick ............................................... StandardPart: CTL167724

No Joystick, Setup for Q-LogicPart: Configuration selection.

Q-Logic 3 EX Joystick

Account Number: ___________ Date: ________________ Marked for: _____________________________________

7.1. Expandable Controls - Quantum Intelligent Systems™Select expandable controls or omit selection if another controller type is desired. Expandable controls allow multiple or specialized controllers.

7.2. Q-Logic 3 Joystick ArmorREQUIRED with Q-Logic joystick selections above. Reference colors shown in section 2.

1. Q-Logic 3 Required ComponentsQ-Logic 3 expandable controls require the controller module and expandable harness below. If a Q-Logic joystick or specialty control is selected, Customer Service will quote the order with these items.

2. Q-Logic 3 Joystick

Black, Soft Touch ................. StandardPart: DGN124307

Non-matching Armor ....................$50Part: PTOINDV3422Select color below

Match Armor to Base Color ............$50Part: PTOINDV3421

8. JOYSTICK HANDLESOptional. The standard Q-Logic 3 joystick knob can be seen in the image on the previous page. The optional handle will be mounted to the joystick and the standard handle will be shipped with the unit.

Mushroom Handle (B) ..................................... $85Part: ACCASMB1860. HCPCS: E2323

Chin Cup (C) ................................................. $85Part: ACCASMB1861. HCPCS: E2323(HCPCS: E2324 when chin control)

T-Bar (D) .................................................... $120Part: ACCASMB1858. HCPCS: E2323

Medium Ball Handle (E) ................................... $65Part: ACCASMB1859. HCPCS: E2323

Soft Ball Handle (F) ........................................ $65Part: ACCASMB1856. HCPCS: E2323

Extended I-Handle (G) .................................... $85Part: ACCASMB1857. HCPCS: E2323

Bodypoint 3” Goal Post Handle ......................... $99Part: PLSKNCP1057. HCPCS: E2323

Bodypoint 4” Goal Post Handle ......................... $99Part: PLSKNCP1058. HCPCS: E2323

Q-Logic 3 Carrot Handle (A) .....................No ChargePart: DGN124308

Joystick Handles

Omit Joystick Mounting Bracket

Swing-away, Inline, Left Side Mount ..................$245Part: ACC142524. HCPCS: E1028

Swing-away, Inline, Right Side Mount ................$245Part: ACC142525. HCPCS: E1028

Swing-away, 1” Offset, Left Side Mount .............$245Part: ACC142525. HCPCS: E1028

Swing-away, 1” Offset, Right Side Mount ............$245Part: ACC142743. HCPCS: E1028

Swing Away JoystickInline Mount (Right)

Swing Away JoystickOffset Mount (Right)

Fixed, In-line, Bracket .............................................................................................................StandardQ-Logic Part: FRMASMB10617

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

9.1b. Swing-Away (Retractable) Joystick BracketAllows the joystick to retract to the side of the armrest while maintaining the same joystick orientation. "Inline bracket" is used with TRU-Balance 3 arms when the joystick is inline with armpad. "Inline bracket" will be offset 1" when used with tube style arms. Select "Offset Bracket" to have the joystick inline with armpad on tube style armrests.

9.1a. Fixed, In-line Joystick Bracket

9. JOYSTICK MOUNTING BRACKETSREQUIRED. Select a mount to be used with a joystick selected in previous section.

Joystick mounting brackets section continued on following pages.

7. ELECTRONICSREQUIRED. Select a type of drive control from the following sections. The No Joystick option is used to omit the joystick and utilize another control, such as a specialty control at the end of this form or found on the Alternative Controls and Electronics Order Form.

Red CorvettePart: DGN124336-PRD1

Electric BluePart: DGN124336-PBU9

Back in BlackPart: DGN124336-PBK1

Night TrainSee Black, Soft Touch

White SatinPart: DGN124336-PWH2

Pretty in PinkPart: DGN124336-PPK3

Evolution OrangePart: DGN124336-POR7

Deep PurplePart: DGN124336-PPR5

Grey StreetPart: DGN124336-PSL3

Midnight BluePart: DGN124336-PBU10

Lemon CrushPart: DGN124336-PYL4

Green MachinePart: DGN124336-PGN11

Military GreenPart: DGN124336-PGN8

Page 4: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Page 4 of 17INFINFB3745/RevF/09DEC2019

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Multi-Axis JoystickMount

Retract4

Retract4 Mount ............................................$350Part: MEC138860. HCPCS: E1028Full 180° of movement that translates into multi-position use, straight, right offset, left offset, or fold away. Joy-stick orientation varies as bracket is adjusted.

Multi-axis Mount ..........................................$100Part: ACC131216. HCPCS: E1028Allows height adjustment of joystick.

Stealth Swing-Away/Flip Down Bracket ........... $294.25SAJ Part: ST-TWBM480CJ-Q. HCPCS: E1028Q-Logic Part: ST-TWBM480QL-Q. HCPCS: E1028Allows the joystick to pivot to side of armrest, or flip-down if bracket is adjusted.

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

9.1c. Specialty Joystick MountsSelect a bracket and side to mount it.

Specialty Mount Side

9. JOYSTICK MOUNTING BRACKETS continued

10.1. TRU-Balance 3 Configuration

10.2. 12" Power Lift or Manual ReclineOptional. Select one option below.

TRU-Balance 3 Static Seat ............................................$2,295Part: PTOINDV374720° of limited recline adjustment (-5/ +15) via gas strut within back cover.

TRU-Balance 3 Power Tilt .............................................$6,995Part: PTOINDV3748. HCPCS: E100250° Center of Gravity (CG) power tilt seating system.

TRU-Balance 3 Power Recline ........................................ $7,595Part: PTOINDV3749. HCPCS: E1004175° of power recline.

TRU-Balance 3 Power Tilt & Recline ...............................$11,895Part: PTOINDV3750. HCPCS: E100750° CG power tilt with 175° of power recline. Full drive lockout at 20°.

TRU-Balance 3, 12” Lift with iLevel® ............................................................................................. $2,600Part: PTOINDV3751. HCPCS: E230012” of scissor lift with iLevel® System. 22”W x 22”D maximum seat size.

Attendant Manual Recline .............................................................................................................$500Part: PTOINDV3501. HCPCS: E1226Not available with NE+ joystick with Tilt through toggle. Available with Static Seat or Power Tilt. Not available with Power Lift. Will require extended lead time when selected with Articulating Foot Platform or Fender Lights.

10.4. Seat Dimension - WidthREQUIRED. Maximum seat width is 22". Part number is SETWDTH plus number following # below. 12” Width is not available with 16” and 17” Depth. 13” and 15” widths are only available with non-matching back width.

10.5. Seat Dimension - Width PackageREQUIRED. Width and depth package part: See XRef: TB3SPACK

12” W(#1002)

13” W(#1003)

14” W(#1004)

15” W(#1005)

16” W(#1006)

17” W(#1007)

18” W(#1008)

19” W(#1009)

20” W(#1010)

21” W(#1011)

22” W(#1012)

12”-16” Width Package 14”-16” Width Package 16”-20” Width Package 20”-24” Width Package(Maximum Width is 22")

10.6. Seat Dimension - DepthREQUIRED. Maximum seat depth is 22". Part number is SETDPTH plus number following # below.

12” D(#1002)

13” D(#1003)

14” D(#1004)

15” D(#1005)

16” D(#1006)

17” D(#1007)

18” D(#1008)

19” D(#1009)

20” D(#1010)

21” D(#1011)

22” D(#1012)

12”-16” Depth Package 14”-16” Depth Package 16”-20” Depth Package 20”-24” Depth Package

10.7. Seat Dimension - Depth PackageREQUIRED. Width and depth package part: See XRef: TB3SPACK

TRU-Balance 3 Seating section continued on following pages.

10. TRU-BALANCE® 3 SEATING - Quantum Intelligent Systems™REQUIRED. Maximum seat size is 22"W x 22"D.

(Maximum Depth is 22")

WC-19 Occupied Transit Option .........................................................................................................................................$275Part: KIT152047

10.3. Occupied Transit KitOptional. The power base is standard with Unoccupied Transit Loops. 60” Sure-Lok Lap Belt is required with Occupied Transit Option. Only available with 16"-20" width and depth packages. To determine if your chair is WC-19 compliant (occupied), please refer to this website: http://wc-transportation-safety.umtri.umich.edu/crash-tested-product-lists/wheelchairs

10.8. Seat to Floor HeightREQUIRED. Refer to seat to floor height chart on page one.

LowPart: PTOINDV3558

MiddlePart: PTOINDV3559

HighPart: PTOINDV3560

Page 5: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Page 5 of 17INFINFB3745/RevF/09DEC2019

Account Number: ___________ Date: ________________ Marked for: _____________________________________

10.9. Seat CushionOptional. Specific cushion/component sizes available, part numbers, weight capacities, and special order cushions can be found on the respective complete Stealth Cushion Order Forms. This section allows a quick selection of a single cushion. The XXYY portion of the part number directly relates to the dimensions of the cushion, where XX represents the width and YY represents the depth. 1. Seat Cushion Model Selection

TRU-Comfort 2 SPP, 16"W to 20" W, E2607 .........$400TRU-Comfort 2 SPP, 22"W, E2608 .....................$500

Simplicity G, 12"W to 21" W, E2601 ................... $110Simplicity G, 22"W, E2602 .............................. $165

Solution SPP, 12"W to 20" W, E2607 ..................$375Solution SPP, 22"W, E2608 ..............................$430

Spectrum Gel SPP, 14"W to 20" W, E2607 ...........$460Spectrum Gel SPP, 22"W, E2608 .......................$530

Spectrum Foam SPP, 16"W to 20" W, E2607 ........$460Spectrum Foam SPP, 22"W, E2608 ....................$530

Stealth Simplicity G CushionGeneral use cushion with Stealth Tek 2, 2-way stretch, breathable cover.Part series: ST-SIMGXXYY

Stealth Solution SPP CushionSkin protection and positioning with Coolcore, 4-way stretch, breathable cover. Includes urethane liner.Part series: ST-SOLSPPXXYY

Stealth Spectrum Gel SPP CushionSkin protection and positioning with Coolcore, 4-way stretch, breathable cover. Includes urethane liner.Part series: ST-SPCGSPPXXYY

Stealth TRU-Comfort 2 SPP CushionSkin protection and positioning with Coolcore, 4-way stretch, breathable cover.Part series: ST-TC2SPPXXYY

Stealth Spectrum Foam SPP CushionSkin protection and positioning with Coolcore, 4-way stretch, breathable cover. Includes urethane liner.Part series: ST-SPCFSPPXXYY

Premiere P, 16"W to 20" W, E2605 ....................$325Premiere P, 22" W, E2606 ...............................$475

Stealth Premiere P CushionPositioning with Coolcore, 4-way stretch, breathable cover.Part series: ST-PREMPXXYY

Glacial SP, 12"W to 21"W, E2603 .......................$330Glacial SP, 22"W, E2604 .................................$440

Stealth Glacial SP CushionSkin protection with Coolcore, 4-way stretch, breathable cover.Part series: ST-GLSPXXYY

Match Seat Width and Depth

Cushion Width Cushion Depth

2. Seat Cushion DimensionsREQUIRED with cushion model selection. Select to match or pick non-matching dimensions. See respective cushion order form for available sizes.

Zen SP, 12"W to 21" W, E2603 .......................... $315Zen SP, 22"W, E2604 .....................................$425

Stealth Zen SP CushionSkin protection with Coolcore, 4-way stretch, breathable cover.Part series: ST-ZENSPXXYY

12” W14” W

15” W16" W

17" W18" W

19" W20" W

21" W22" W

12" D14” D

15” D16" D

17" D18" D

19" D20" D

21" D22" D

Stealth Tek 2 Cover ................................................ No ChargePart: *prefix-TBLKXXYYNot available with Simplicity, TRU-Comfort 2, Essence, or Premiere.

Mesh Cover .......................................................... No ChargePart: *prefix-MBLKXXYYNot available with Simplicity or TRU-Comfort 2.

4. Seat Cushion Substitute CoverThe standard cover may be substituted by checking an option below. The "*prefix" of the part number will be the part prefix of the cushion model selected above. For example, SPCGSPP-NBLK1816 will be an additional coolcore cover for a Spectrum Gel cushion.

Fluid Proof Urethane Liner ......................................... $50-$70Part: URL1709070-XXYYNot available with Simplicity, Essence, or TRU-Comfort 2.

Fluid Proof Polyurethane Liner .................................... $55-$75Essence/TC2 part: PUL1709080-XXYY. Others part: PUL1709030-XXYYNot available with Simplicity.

3. Seat Cushion Substitute/Add Fluid Proof Liners

10.10. Back Type SelectionREQUIRED. Match choice in this section with the options in the following back cushion configuration section.

TRU-Balance 3 Back Assembly (Static Back)Part: Configuration selectionSelect a back cushion configuration in the subsequent section.

Back Cane OptionPart: Configuration selectionAvailable only with TRU-Balance 3 Static Seat and Power Tilt (1 actu-ator) selections. Select back cane type, back cane height, and back cushion configuration.

Flip Forward Back......................................................... $150Part without Lift: MEC131957, Part with Lift: MEC148117Available with Static Tilt and Power Tilt (1 actuator). Only available with 2-post, flip back or pediatric armrests. Not available with 12”-14” width or with attendant manual recline. Select a back cushion type in the subsequent section.

TRU-Balance 3 Seating section continued on following pages.

10. TRU-BALANCE 3 SEATING continued

Stealth Essence SPP CushionSkin protection and positioning with Coolcore, 4-way stretch, breathable cover.Part series: ST-ESSSPPXXYY

Essence SPP, No Wedge, 16"-20" Wide, E2607 ........$400

Essence SPP, No Wedge, 22" Wide, E2608 ............ $500Essence SPP, Small Wedge, 16"-20" Wide, E2607 .... $435Essence SPP, Small Wedge, 22" Wide, E2608 ......... $535Essence SPP, Medium Wedge, 16"-20" Wide, E2607 . $465Essence SPP, Medium Wedge, 22" Wide, E2608 ...... $565Essence SPP, Large Wedge, 16"-20" Wide, E2607 .... $495Essence SPP, Large Wedge, 22" Wide, E2608 ......... $595

Page 6: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Page 6 of 17INFINFB3745/RevF/09DEC2019

Account Number: ___________ Date: ________________ Marked for: _____________________________________

10.11. Back Cane SelectionREQUIRED when Back Cane Option is selected above. Select type and height of back canes.

Angle Adjustable ................................................... No ChargePart: MEC140266

Flip Forward .................................................................$25Part: MEC140272

1” Endo........................................................................$35Part: MEC141455

2” Endo .......................................................................$35Part: MEC141456

16”H CanePart: FRMASMB15834

17”H CanePart: FRMASMB15835

20”H CanePart: FRMASMB15838

21”H CanePart: FRMASMB15839

24”H CanePart: FRMASMB15842

25”H CanePart: FRMASMB15843

2. Back Cane Height

1. Back Cane Type

10.12. Back Cushion Configuration - TypeREQUIRED. Select a configuration type and applicable dimensions. See the Sport, Q-Back, and TRU-Comfort back availability chart for stock order back size ranges. Other size backs may be available with special order and extended lead time.

10.15. Back Cushion Configuration - Back Width PackageREQUIRED except when Omit Back Pan/Cushion is selected. Available with +/-4” of seat width.

10.16. Back Cushion Configuration - Back WidthREQUIRED except when Omit Back Pan/Cushion is selected. Part number is PTOINDV plus number following # below. Available with +/-4” of seat width.

Sport Back ........................................................... No ChargePart: See XRefComplete following width package and size.

ADI Q-Back, Active Contour ............................................ $525Part: See XRef. HCPCS: E2613Complete following width package and size.

ADI Q-Back, Deep Contour .............................................. $595Part: See XRef. HCPCS: E2615Complete following width package and size.

ADI Q-Back, Extra Deep Contour ...................................... $650Part: See XRef. HCPCS: E2620Complete following width package and size. 20" Wide Extra Deep Contour is not compatible with Gel and Water-fall Armpads, Endo/Meso Downposts, 2 Post Arms, or Ottobock arm blocks unless wider arm bars are installed on the chair.

TRU-Comfort 2 Back, 20” Width or less ............................. $675Part: See XRef. HCPCS: E2620Complete following width package and size.

TRU-Comfort 2 Back, 22” Width or greater ......................... $775Part: See XRef. HCPCS: E2621Complete following width package and size.

Omit Back Pan/Cushion ........................................... No ChargePart: PTOINDV1287Select a following width package.

After-market Back Interface ........................................... $200Part 16"-20"W: SET131920. Part 20"-24"W: SET131921Enter the set width below, range of 16"-24". Overall seat depth may need to be adjusted to accommodate certain backs. May interfere with gel/waterfall armpads and arm through. Does not include brack-ets to mount after-market backs. A Special Order is required on back widths less than 16”.

Match Seat Width SelectionsPart: PTOINDV3468

10”W-14”W PackagePart: Configuration selection, back cushions

16”W-20”W PackagePart: Configuration selection, back cushions

20”W-24”W PackagePart: Configuration selection, back cushions

12” W(#3562)

14” W(#3563)

16” W(#3564)

17” W(#3565)

18” W(#3566)

19” W(#3567)

20” W(#3568)

21” W(#3569)

22” W(#3570)

24” W(#3571)

TRU-Balance 3 Seating section continued on following pages.

10.14. Lateral Positioning WedgeOptional.

Lateral Positioning Wedge, pair ......................................................................................................................................... $30Part: SET123465Available with Sport and TRU-Comfort 2 backs. Not available on power tilt backs 16”-17”H with limited adjustability on 18” H. Not available on power recline back 19”-20”H with limited adjustability on 21”H.

10. TRU-BALANCE 3 SEATING continued

Red CorvettePart: DGN148034

Electric BluePart: DGN148076

Back in BlackPart: DGN148032

Night TrainPart: DGN1706558

White SatinPart: DGN148075

Pretty in PinkPart: DGN148045

Evolution OrangePart: DGN1801259-POR7

Deep PurplePart: DGN148046

Grey StreetPart: DGN148074

Midnight BluePart: DGN148035

Lemon CrushPart: DGN1801259-PYL4

Green MachinePart: DGN1801259-PGN11

Military GreenPart: DGN148037

12.13. TRU-Balance 3 Back ShroudREQUIRED. The back shroud is a feature of the TRU-Balance 3 seating system and is available in matching shroud colors. The back shroud is not available when Omit Back Pan/Cushion is selected. Reference colors shown on page 2.

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Page 7 of 17INFINFB3745/RevF/09DEC2019

Account Number: ___________ Date: ________________ Marked for: _____________________________________

11.1d. Heavy Duty, Removable ArmrestsSelect a type of HD removable armrests, the set height, and armrest size in the following sections. Only one height package is selectable as a normal configuration. Payer coding, coverage, and bundling guidelines may apply.

8”-12”H, Single Post, Height Adjustable, ........................$75 ea.Removable, Heavy Duty (Sold as pair)Part: See XRef. HCPCS: E0973

10”-14”H, Single Post, Height Adjustable, .......................$75 ea.Removable, Heavy Duty (Sold as pair)Part: See XRef. HCPCS: E0973

TRU-Balance 3 Seating section continued on following pages.

TRU-Balance 3 Armrest for Downpost, 8”-12”H ........ No ChargePart: See XRefMust select downpost below.

TRU-Balance 3 Armrest for Downpost, 12”-16”H ...... No ChargePart: See XRefMust select downpost below.

Flip-Back, 8"-16"H Armrests .................................................................................................................................. StandardLeft part: ARM1806662. Right part: ARM1806663

TRU-Balance 3 Armrest Downpost (Pair) ...................................................................................................................... $87.50 ea.Part: See XRefAvailable up to 2” difference between seat and back width via endomorph or mesomorph configuration. Not available on 14” Width seat or back.

11.1b. TRU-Balance 3 Armrests with DownpostChoose a left and right flip-back armrest, downpost, and set height in the following section. Different left (L) and right (R) armrest height packages are allowed. Not available with Back Cane Option. Not available with 17" length arm size.

11.1a. Flip-Back, 8"-16" H ArmrestsChoose a left and right armrest and set height in the following section. Not available with waterfall armpads. Not available with Back Cane Option.

Flip-Back Armrest SupportRequired with TRU-Balance 3 Armrest for Downpost selection above.

11. TRU-BALANCE 3 ARMRESTSREQUIRED. Select the desired type of armrest below. Please read notes to ensure seating compatibility. Be sure to also select an armrest size and armpad type.

10. TRU-BALANCE 3 SEATING continued

14” HeightPart: SETHGHT1027

15” HeightPart: SETHGHT1028

16” HeightPart: SETHGHT1029

17” HeightPart: SETHGHT1030

18” HeightPart: SETHGHT1031

19” HeightPart: SETHGHT1032

20” HeightPart: SETHGHT1033

21” HeightPart: SETHGHT1034

22” HeightPart: SETHGHT1035

23” HeightPart: SETHGHT1036

24” HeightPart: SETHGHT1037

25” HeightPart: SETHGHT1038

26” HeightPart: SETHGHT1039

27” HeightPart: SETHGHT1040

28” HeightPart: SETHGHT1041

Tilt or Static Width Recline Width

Sport, Q-Back, and TRU-Comfort Back Availability Chart

Ove

rall

Hei

ght

Sport or TRU-Comfort BackSport BackSport, Q-Back, or TRU-Comfort Back

10.17. Back Cushion Configuration - Overall Back HeightStatic Seat and Power Tilt available height range: 14”-25”H. Odd heights include 4” gap and even heights include 3” gap between seat pan and bottom of back cushion. Power Recline available height range: 19”-28”H. Odd heights include 6” gap and even heights include 7” gap. See the Sport and TRU-Comfort back availability chart for stock order back size ranges.

10.18. Power Tilt Privacy FlapOptional. A privacy flap is standard with power recline systems. This selection is to add a flap for power tilt only systems.

Privacy Flap, 9.75” .........................................................$35Part: DWR1044E456B

Privacy Flap, 12.75” .......................................................$35Part: DWR1044E456A

11.1c. Two-Post, Flip-Back, Height Adjustable, Removable ArmrestsSelect a left and right armrest and set the left and right heights in the following section. These armrests may interfere with offset backs/ back canes. Not available with a depth less than 16”. Required with flip forward back and lap trays. *No charge with power seating.

Full Length, Two-Post Armrest .............$150 ea. or No Charge*Part: See XRef. HCPCS: E0973

Desk Length, Two-Post Armrest ...........$150 ea. or No Charge*Part: See XRef. HCPCS: E0973

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Page 8 of 17INFINFB3745/RevF/09DEC2019

12.1c. Gel ArmpadsSold only in pairs. Armpads are 3” wide. Manufacturer part number for full length is 314G and desk length is 310G.a. Falcon Gel Armpads for TRU-Balance 3 Armrests

b. Falcon Gel Armpads for Tube Style Armrests

Falcon Gel, Full Length Left and Right ............................... $185Part: ARM136417

Falcon Gel, Full Length Left, Desk Length Right ............... $162.50Part: ARM136426

Falcon Gel, Desk Length Left, Full Length Right ............... $162.50Part: ARM136418

Falcon Gel, Desk Length Left and Right ............................. $140Part: ARM136416

Falcon Gel, Full Length Left and Right ........................... $296.40Part: ARM136438

Falcon Gel, Full Length Left, Desk Length Right ............... $274.22Part: ARM136442

Falcon Gel, Desk Length Left, Full Length Right ............... $274.22Part: ARM136439

Falcon Gel, Desk Length Left and Right ......................... $252.40Part: ARM136437

Account Number: ___________ Date: ________________ Marked for: _____________________________________

11.2. Armrest HeightREQUIRED. Set left and right armrest height. Note the available height range in the option description.1. Left Armrest Height

8” HPTOINDV3535

9” HPTOINDV3536

10” HPTOINDV3537

11” HPTOINDV3538

12” HPTOINDV3539

13” HPTOINDV3540

14” HPTOINDV3541

15” HPTOINDV3542

16” HPTOINDV3543

8” HPTOINDV3450

9” HPTOINDV3451

10” HPTOINDV3452

11” HPTOINDV3453

12” HPTOINDV3454

13” HPTOINDV3455

14” HPTOINDV3456

15” HPTOINDV3457

16” HPTOINDV3458

11.3. Armrest SizeREQUIRED. Select a left (L) and right (R) armrest size. This also affects armpad selection.

2. Right Armrest Height

11. TRU-BALANCE 3 ARMRESTS continued

Straight, Armpad ................................................ StandardPart: See XRef

Waterfall, Armpad ............................................ No ChargePart: See XRefNot available with Flip-back, 8"-16" armrests.

10” LengthPart: Configuration selection

14” LengthPart: Configuration selection

17” LengthPart: Configuration selectionOnly available with Flip-Back, 8"-16" H Armrests and straight arm pads.

12.1b. Foam Armpads

12.1a. Omit ArmpadSelect one below if aftermarket armpads or handpads are required. See Positioning Components Order Form.

No Armpad Selection .............................................. No ChargePart: Configuration selectionNot available with Flip-back, 8"-16" H armrests.

Interface for Aftermarket Pad .................................. No ChargePart: ARM1806928Only available with Flip-back, 8"-16" armrests.

12. TRU-BALANCE 3 ARMPADSREQUIRED. Select to omit an armpad selection or select a left and right armpad type. Please note that waterfall and gel armpads may cause interference with the seat back.

13. TRU-BALANCE 3 ARMREST BRACKETS

Standard Fixed Receiver ...........................StandardPart: ACC123525. Flip-back, 8"-16" part: ACC1806853

Stealth Height Adjustable Receiver ................... $214Tube arm part: ST-ARM250C-Q. HCPCS: K0108TRU-Balance 3 arm part: ST-ARM250T-Q. HCPCS: K0108

Flip-Back Armrest, Side Track Accessory Bracket ..................................................................................$10Part: MEC1809178

Height AdjustableReceiver (Tube Style)

13.1. Joystick BracketREQUIRED.

13.2. Side Track Accessory Bracket for Flip-Back ArmrestsOptional. Only available with flip-back, 8"-16" H armrests. This adds a 47mm channel to the side of the armrest to allow mounting of accessories with t-nuts.

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Page 9 of 17INFINFB3745/RevF/09DEC2019

Left Side iAccess Right Side iAccessPart PTOINDV3678 Part: PTOINDV3679

Single Actuator Control, Through Flat Button ....................$3,295iAccess and Q-Logic 3 Controller and Interface (AAM)Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through Flat Button ..................$3,295iAccess and Q-Logic 3 Controller and Interface (AAM)Part: See XRef. HCPCS: E2311

Single Actuator Control, Through Toggle Button ................$3,295iAccess and Q-Logic 3 Controller and Interface (AAM)Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through Toggle Button ...............$3,295iAccess and Q-Logic 3 Controller and Interface (AAM)Part: See XRef. HCPCS: E2311

17.1a. Q-Logic 3 Controls with iAccess Switch ControliAccess control is not available with combined or independent power legrests.

iAccess Mount Location

Account Number: ___________ Date: ________________ Marked for: _____________________________________

14. TRU-BALANCE 3 HEADRESTSOptional. Select a headrest pad and bracket.

14.1. Headrest PadsStealth 8” Comfort Plus (CP450) ................... $151.94Part: POS148484. HCPCS: E0955

Stealth 10” Comfort Plus (CP250)(A) ............. $151.94Part: SETHEAD1057. HCPCS: E0955

Stealth 14” Comfort Plus (CP150) ................. $151.94Part: INDPART2327. HCPCS: E0955

Pediatric Comfort Plus (6”Wx4.5”H) ............. $151.94(CPN350)Part: SETHEAD1069. HCPCS: E0955

Stealth Small Contoured (9.75”Wx3”H) .............$64.20(STL-OTSM250)Part: SETHEAD1052. HCPCS: E0955

Stealth Large Contoured (11”Wx6”H) (B) ........... $80.25(STL-OTLG150)Part: SETHEAD1053. HCPCS: E0955

Headrests

38” Lap BeltPart: ACCBELT1006

50” Lap BeltPart: ACCBELT1000

60” Lap BeltPart: ACCBELT1002

70” Lap BeltPart: ACCBELT1003

80” Lap BeltPart: ACCBELT1004

90” Lap BeltPart: ACCBELT1001

i-Fit 60” Single Pull, Push Button, Medium ...........................$86(7.5”) Padded, 1.5” Belt (IFPB5213)Part: ST-IFPB5213-Q

i-Fit 60” Single Pull, Push Button, Large ..............................$86Padded (9.5”), 2” Belt (IFPB5314)Part: ST-IFPB5314-Q

i-Fit 60” Single Pull, Push Button, Extra Large ......................$86Padded (11.5”), 2” Belt (IFPB5315)Part: ST-IFPB5315-Q

60” Sure-Lok Lap Belt (Non-retractable) ............................ $120Part: ACCBELT1016 Required with ISO 7176-19 Compliant Transit Option.

15. LAP BELTSREQUIRED. Select a lap belt below.15.1a. Standard Lap Belts

15.1b. Optional Lap Belts

16. TRU-BALANCE 3 LEGREST CONTROLSOptional. Specific power legrest options are selected later in this form. Select the control type here, if power legrests are desired, to assist the selection of the power positioning electronics.

Independent Legrests (Requires 2 actuator controls)Part: Configuration selection

Combined Legrests (Requires 1 actuator control)Part: Configuration selection

Articulating Foot Platform (Requires 1 Actuator Control)Part: Configuration selection

17. TRU-BALANCE 3 POWER POSITIONING ELECTRONICSREQUIRED with power seating or legrest options.

14.2. Stealth Headrest BracketsTWB Removable Headrest Bracket (TWB485-1) (C) ........... $220.50Part: FRMASMB15999. HCPCS: E1028

Multi-Axis Removable Headrest Bracket (HMO475P) (D) ...... $160.50Part: HDWASMB1084. HCPCS: E1028

Single Actuator Through Q-Logic 3 Controller and .............. $1,895Interface (AM1)Part: See XRef. HCPCS: E2310

Single Actuator Through Q-Logic 3 Controller and ..............$2,895Interface (AAM)Part: See XRef. HCPCS: E2310

Multiple Actuator Through Q-Logic 3 Controller and ...........$2,895Interface (AAM)Part: See XRef. HCPCS: E2311

17.1c. Q-Logic 3 Controls through Joystick

4 Way Toggle 4 Way Button TogglePart: ELEASMB5925 Part: ELEASMB5926

Optional Switch ControlNot available with AM1 electronics. Switch will be mounted to same side of joystick.

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Page 10 of 17INFINFB3745/RevF/09DEC2019

5"x8" Tapered Gel Footplate Covers .................................. $205Part: ST-FPG5008T-Q. HCPCS: K0108

5"x11" Tapered Gel Footplate Covers ................................. $225Part: ST-FPG5011T-Q. HCPCS: K0108

6.5"x8" Tapered Gel Footplate Covers for Width Extension ..... $225Part: ST-FPG6508T-Q. HCPCS: K0108

7"x11" Tapered Gel Footplate Cover for Width Extension ....... $250Part: ST-FPG7011T-Q. HCPCS: K0108

6. Stealth Gel Footplate Covers

Account Number: ___________ Date: ________________ Marked for: _____________________________________

18. TRU-BALANCE 3 ATTENDANT CONTROLOptional. *The attendant control is standard with power positioning configurations. This selection is for the Static Seat configuration.

Attendant Control ....................................................................................................................................................... $500*Static Back part: ELE167862. Back Canes part: ELE168031. HCPCS: E2331

Small Calf Pads (pair) 6”Wx6”H ....................................... $150*Part: RIGASMB7120018

Large Calf Pads (pair) 8” taper to 6”Wx8”H ....................... $150*Part: RIGASMB7120019

Small Calf Panel 18”Wx8”H ............................................. $150Part: FRMASMB7110012

Large Calf Panel 24”Wx8”H ............................................ $200Part: RIG123824Only available on widths of 20” or greater.

Width Extension for 8”D Footplates ...................................$50Part: RIG152517

Width Extension for 11”D Footplates ..................................$50Part: RIG152518

2” Bell-Shaped Length Extension .......................................$50Part: RIG152519Not compatible with width extensions. Can be used with 6” outside edge with 11” footplates.

4” Outside Edge (pair) .....................................................$50Part: RIG152510Only available with 6”D footplates and 8”D footplate extension.

6” Outside Edge (pair) .....................................................$50Part: RIG152516Available with 8”D and 11”D footplates and 11”D footplate extension.

Reversed Dartex Calf Pad Cover (pair) ............................... $150Small part: RIG133717. Large part: RIG133719

Reversed Dartex Panel Cover (pair) .................................. $150Small part: RIG134673. Large part: RIG134744

Wheel Bumpers (pair) ............................................. $12.50 ea.Part: WHLASMB1578 x2

Footplate Connector ....................................................... $15Part: RIGASMB7120023

8"-12" Extension, 5"x6" FootplatesPart: RIG152577Not available with power articulating platform.

8"-12" Extension, 5"x8" FootplatesPart: RIG152578Not available with power articulating platform.

10"-16" Extension, 5"x6" FootplatesPart: RIG150206

10"-16" Extension, 5"x8" FootplatesPart: RIG150203

10"-16" Extension, 5"x11" FootplatesPart: RIG150212

13"-19" Extension, 5"x6" FootplatesPart: RIG151505

13"-19" Extension, 5"x8" FootplatesPart: RIG151506

13"-19" Extension, 5"x11" FootplatesPart: RIG151508

Power Articulating Foot Platform ...................................$2,995Part: PTOINDV3754. HCPCS: E1012+K0040

Manually Adjustable Center Mount Foot Platform ................. $2508"-12" extension part: RIG1802138. Other extensions: RIG1710345. HCPCS: K0040*Standard/no charge with Power Positioning.

19.1. Center Mount Foot PlatformIf power articulating foot platform is selected, be sure power legrest control has been selected in earlier section. Select legrest length in following section.

2. Lower Extension and Angle Adjustable Footplates

1. Foot Platform Assembly

3. Center Mount Calf Support*Calf pads are standard with a power articulating foot platform. Select calf pads covers for additional charge. Calf pad and panel covers include 1/2” of soft visco foam.

4. Modular Footplate Extension ComponentsOptional. Assembly required. May require seating configuration adjustments to avoid front caster interference.

5. Additional Accessories

No interference issues at this seat-to-floor height.

May have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.

Center Mount Foot Platform Compatibility Matrixfor TRU-Balance® 3

Power Reclineor Static Seat

Low Med. High Low Med. High Low Med. High

Power Tilt Power Lift

10”-16” Length Extension

13”-19” Length Extension Power ArticulatingFoot Platform

Legrests section continued on following pages.

19. LEGRESTSOptional. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guidelines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference.

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Account Number: ___________ Date: ________________ Marked for: _____________________________________

Legrests section continued on following page.

This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.

60°-90° Swing-Away Legrest Compatibility Matrix

Power Reclineor Static Seat

Low Med. High Low Med. High Low Med. High

Power Tilt Power Lift

Extruded, 11”-16.5”

11”-13” extension causes no interference at all seat-to-floor heights.

Extruded, 13”-16.5”

Angle Adjustable, 15.5”-19.5”Multi-Axis, 11”-16.5”

Multi-Axis, 15.5”-19.5”

Extruded, 15.5”-19.5”Angle Adjustable, 13”-16.5”

60°-90° Swing-Away Legrest ........................... No ChargePair part: RIG120062. Left: FRMASMB17558. Right: FRMASMB17559Not available with 11"-13" extensions.

60°-90° Swing-Away Legrest, Short .................. No ChargePair part: RIG136481. Left: RIG132607. Right: RIG132609.For use only with 11"-13" lower extensions.

19.2. Swing-Away LegrestsSelect a legrest upper, a legrest extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes.1a. 60°-90° Swing-Away Legrest UpperAdjustable in 5° increments.

11”-13” LengthPart: See XRefN/A with Multi-axis.

11”-16.5” LengthPart: See XRefN/A with Angle Adjustable.

13”-16.5” LengthPart: See XRefN/A with Multi-Axis.

15.5”-19.5” LengthPart: See XRef

2. Lower Extension

3b. Angle Adjustable Footplate(s) with Heel Loops¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.

3a. Extruded Footplate(s)7.25”Wx6”D Extruded Footplate ........................ StandardPart pair: FRMASMB7847. Left: FRMASMB7861 Right: FRMASMB7862

8.5”Wx6”D Extruded Footplate ......................... StandardPart pair: FRMASMB7848. Left: FRMASMB7863 Right: FRMASMB7864May cause interference on seat widths less than 18.”

4”Wx6”D .......................................................$85 ea.Pair part: FRMASMB10564. Left: RIG133537. Right: RIG133560 HCPCS: K0040+E0951

5”Wx6”D........................................................$85 ea.Pair part: FRMASMB10565. Left: RIG133538. Right: RIG133561HCPCS: K0040+E0951

5”Wx8”D .......................................................$85 ea.Pair part: FRMASMB10566. Left: RIG133539. Right: RIG133562HCPCS: K0040+E0951

6”Wx8”D1 ......................................................$85 ea.Pair part: FRMASMB10567. Left: RIG133540. Right: RIG133563HCPCS: K0040+E0951

6”Wx11”D1 .....................................................$85 ea.Pair part: FRMASMB10568. Left: RIG133541. Right: RIG133564HCPCS: K0040+E0951

8”Wx11”D2 .....................................................$85 ea.Pair part: FRMASMB10569. Left: RIG133542. Right: RIG133565HCPCS: K0040+E0951

1b. 70° Swing-Away Legrest UpperOnly available with occupied transit WC-19 selections. Sold only in pairs. Select lower extension and footplates as pairs.

70° Swing-Away Legrest (pair) ..........................................$162Pair part: FRMASMB7841Not available with 11"-13" extensions.

70° Tapered, Swing-Away Legrest (pair) .............................$162Pair part: FRMASMB8052Not available with 11"-13" extensions.

70° Tapered, Swing-Away Legrest, Short (pair) .....................$162Pair part: FRMASMB7843For use only with 11"-13" lower extensions.

3c. Multi-Axis Footplate(s) with Heel Loops¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.

4”Wx6”D ................................................. $247.50 ea.Pair part: FRMASMB9456. Left: RIG133531. Right: RIG133552HCPCS: K0040+E0951

5”Wx6”D.................................................. $247.50 ea.Pair part: FRMASMB9457. Left: RIG133532. Right: RIG133553HCPCS: K0040+E0951

5”Wx8”D ................................................. $247.50 ea.Pair part: FRMASMB9458. Left: RIG133533. Right: RIG133554HCPCS: K0040+E0951

6”Wx8”D1 ................................................ $247.50 ea.Pair part: FRMASMB9459. Left: RIG133534. Right: RIG133555HCPCS: K0040+E0951

6”Wx11”D1 ............................................... $247.50 ea.Pair part: FRMASMB9460. Left: RIG133535. Right: RIG133558HCPCS: K0040+E0951

8”Wx11”D2 ............................................... $247.50 ea.Pair part: FRMASMB9461. Left: RIG133536. Right: RIG133559HCPCS: K0040+E0951

4. Swing-Away Legrest Accessories

5. Amputee Supports with Swing-Away UpperEnter a quantity for the amputee supports and covers. A 60°-90° legrest upper must be selected with the amputee support. The support will be configured with the legrest upper side that does not have a lower extension and footplate selected with it.

Heel Loops (pair) ............................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable and multi-axis footplates.

Wheel Bumper ...................................................... $12.50 ea.Part: See XRef

Gel Neoprene Footrest Sleeve (pair) ...................................$80Part: INDPART2243. HCPCS: K0108

Therafin 31515 Multi-Axis Amputee Support ............. $230 ea.Part: INDPART2822. HCPCS: E1020

Therafin 32387 Amputee Support Gel Cover ..............$155 ea.Part: INDPART2823. HCPCS: K0108

19. LEGRESTS continued

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Page 12 of 17INFINFB3745/RevF/09DEC2019

Account Number: ___________ Date: ________________ Marked for: _____________________________________

1. Elevating Legrests Upper

2. Lower Extension11”-14” LengthPair: FRMASMB4755Left: RIG138026Right: RIG138030For reinforced only

12”-14.5” LengthPart: See XRefFor angle adjustable only

14”-17” LengthPair: FRMASMB4756Left: RIG138033Right: RIG138035For reinforced only

14.5”-18” LengthPart: See XRefFor angle adjustable only

This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.

Elevating Legrest Compatibility Matrix

Power Reclineor Static Seat

Low Med. High Low Med. High Low Med. High

Power Tilt Power Lift

Reinforced, 11”-14”

Angle Adjustable, 14.5”-18”

Reinforced, 14”-17”Angle Adjustable, 12”-14.5”

Elevating Legrest Assembly .......................... $162.50 ea.Pair part: FRMASMB6483. Left: RIG138012Right: RIG138013. HCPCS: E0990Select lower extension and footplates

19.4. Elevating LegrestsSelect a legrest upper, a legrest extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes. Select legrest length in following section.

4. Elevating Legrest Accessories

3a. Reinforced Cast Footplate(s)

3b. Angle Adjustable Footplate(s)¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”. 4"x6" and 5"x6" footplates are only available in pairs.

7.25”Wx6”D Reinforced Footplate ...................... StandardPair part: FRMASMB4748. Left: RIG138055. Right: RIG138056

8.5”Wx6”D Reinforced Footplate ....................... StandardPair part: FRMASMB4747. Left: RIG138060. Right: RIG138062May cause interference on seat widths less than 18.”

4”Wx6”D .......................................................$85 ea.Pair parts: FRMASMB8812 x2.HCPCS: K0040

5”Wx6”D........................................................$85 ea.Pair parts: FRMASMB8811 x2.HCPCS: K0040

5”Wx8”D with Heel Loops ..................................$85 ea.Pair part: FRMASMB4735. Left: RIG137791. Right: RIG137792HCPCS: K0040+E0951

6”Wx8”D1 with Heel Loops .................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795HCPCS: K0040+E0951

6”Wx11”D1 with Heel Loops ................................$85 ea.Pair part: FRMASMB4741. Left: RIG137796. Right: RIG137797HCPCS: K0040+E0951

8”Wx11”D2 with Heel Loops ................................$85 ea.Pair part: FRMASMB4744. Left: RIG137798. Right: RIG137799HCPCS: K0040+E0951

Heel Loops (pair) ............................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable footplates.

Wheel Bumper ...................................................... $12.50 ea.Part: See XRefAvailable on angle adjustable footplates.

Falcon Gel Padded Knee Adductor Buttons (KBE) (pair) ..........$125Part: INDPART2242. HCPCS: E0953^^Please verify the appropriate billing code to be used for this item with all third-party payors.

19. LEGRESTS continued

1. Articulating Legrest Upper Assembly

19.3. 70° Power Articulating, Swing Away Legrests4” of articulating range. Be sure power legrest control has been selected in previous section. Select an upper extension type and footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes. Select legrest length in following section.

70° Articulating, Swing-Away .......................$1,197.50 ea.Legrest with 14.5"-18" ExtensionPair Part: FRMASMB9073. Left Part: FRMASMB9074. Right Part: FRMASMB9075. HCPCS: E1010+K0040+E0951

70° Articulating, Swing-Away .......................$1,197.50 ea.Legrest with 11"-13" ExtensionPair Part: FRMASMB11444. Left Part: FRMASMB11366. Right Part: FRMASMB11367. HCPCS: E1010+K0040+E0951

This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.

70° Power Articulating,Swing-Away Legrest Compatibility Matrix

Power Reclineor Static Seat

Low Med. High Low Med. High Low Med. High

Power Tilt Power Lift

Angle Adjustable, 11”-13”

Angle Adjustable, 14.5”-18”

3. Power Articulating, Swing-Away Legrest AccessoriesCalf Pad (pair) 6”Wx6”H .......................................... No ChargePart: MEC153735

Falcon Gel Padded Knee Adductor Buttons (KBE)(pair) ...........$125Part: INDPART2242. HCPCS: E0953^^Please verify the appropriate billing code with all third-party payors.

4”Wx6”DPair part: FRMASMB7448. Left part: RIG133543. Right part: RIG133566.

5”Wx6”DPair part: FRMASMB7449. Left part: RIG133544. Right part: RIG133567.

5”Wx8”DPair part: FRMASMB7450. Left part: RIG133545. Right part: RIG133568.

6”Wx8”D1Pair part: FRMASMB7451. Left part: RIG133547. Right part: RIG133569.

6”Wx11”D1Pair part: FRMASMB7452. Left part: RIG133548. Right part: RIG133570.

8”Wx11”D2Pair part: FRMASMB7453. Left part: RIG133549. Right part: RIG133571.

2. Angle Adjustable Footplate with Heel Loop and Wheel Bumper¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.

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20. SET LEGREST LENGTHREQUIRED with matching left and right legrest configuration. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guidelines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference. Non-matching or individual legrest configurations lengths are not set by the manufacturer.

7” L(#3470)

7.5” L(#3471)

8” L(#3472)

8.5” L(#3473)

9” L(#3474)

9.5” L(#3475)

10” L(#3476)

10.5” L(#3477)

11” L(#3478)

11.5” L(#3479)

12” L(#3480)

12.5” L(#3481)

13” L(#3482)

13.5” L(#3483)

14” L(#3484)

14.5” L(#3485)

15” L(#3486)

15.5” L(#3487)

16” L(#3488)

16.5” L(#3489)

17” L(#3490)

17.5” L(#3491)

18” L(#3492)

18.5” L(#3493)

19” L(#3494)

19.5” L(#3495)

20” L(#3496)

20.5” L(#3497)

21” L(#3498)

21.5” L(#3600)

22” L(#3669)

22.5” L(#3670)

TRU-Balance 3Accessories

TRU-Balance 3 Cane/Crutch Holder ..................$100Part: ACC152515. HCPCS: E2207

Quantum Backpack ....................................... $150Part: ACC1905853

Grip Lap Board (20005)............................... $38.95Part: ACC152992

Grip Drink Holder (20085) ........................... $15.50Part: ACC152993

TRU-Balance 3 Hydration System (B) .................$200Part: ACC125010

TRU-Balance 3 Transfer Bar (Pair) (D) ................$200Part: ACC147773. HCPCS: E0705Not available with Heavy Duty armrests.

TRU-Balance 3 Cup Holder .......................No ChargePart: ACC125003For use with TRU-Balance 3 (track style) armrests.

Cup Holder (Tube-style Armrest) ...............No ChargePart: ACCASMB2634For use with tube-style armrests.

TRU-Balance 3 Personal Item Hook .................... $50Part: ACC125008Not available with back cane option.

TRU-Balance 3 Reflector Kit ............................. $50Part: ACC124670

TRU-Balance 3 Backpack Holder (Pair) (A) ........... $50Part: ACC147774Not available with back cane option.

TRU-Balance 3 Front Mounted .......................... $50Cell Phone/ Media Holder, X-Grip (E)Part: ACC155835Not available with Heavy Duty armrests.

TRU-Balance 3 Rear View Mirror ....................... $50Part: ACC155833Not available with Heavy Duty armrests.

TRU-Balance 3 Oxygen Holder .........................$200Part: ACC125006. HCPCS: E2208

TRU-Balance 3 Clothing Guard (Pair) .................$200Part: ACC125007Not available with Heavy Duty armrests.

TRU-Balance 3 Glove Box (C) ........................... $125Part: ACC125011

Stealth Large Tablet Holder ............................$375Part: ACC141818Not available with Heavy Duty armrests.

Trilogy Vent Tray ..........................................$400Part: ACC136791. HCPCS: E1029Contact custom for models other than 100 and 200.

Compact Vent Tray .....................................$1,395Part: ACC133889. HCPCS: E1029

Push Handles (pair) ....................................... $175Part: ACC147772Not available with oxygen holder, back cane option, or vent tray. Required with attendant manual recline.

Accessory Bar ..............................................$100Part: MEC125098Horizontal rail attached to rear of seat. Standard with the Trilogy vent tray and oxygen holder. Not available with back cane option.

Large, Black, Weather Cover ...........................$202Part: ACCCOVR1021

Q-Logic EX/NE Programmer ............................$545Part: ELEASMB6976

Compact and Trilogy

21. ACCESSORIESOptional. Multiple accessories can be mounted along the various tracks but some interference may occur.

22. BRANCH PATCHESOptional.

Air Force Patch .................. $20Part: ACC140240

Army Patch ....................... $20Part: ACC140241

Coast Guard Patch .............. $20Part: ACC140239

Marines Patch .................... $20Part: ACC140243

Navy Patch ....................... $20Part: ACC140244

Purple Heart Patch ............. $20Part: ACC140238

Military Patches

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Stealth Sip and Puff for Comfort Series, .........$294.25Left Mount(SP625-CL)Part: ST-SP625-CL-Q. HCPCS: E2326 Includes straw and mounting hardware. Use with Stealth Comfort Plus headrests.

Stealth Sip and Puff for Comfort Series, .........$294.25Right Mount (SP622-CR)Part: ST-SP625-CR-Q. HCPCS: E2326Includes straw and mounting hardware. Use with Stealth Comfort Plus headrests.

Stealth Sip and Puff for Stealth i-Drive, .........$294.25Head Array (SP625-U)Part: ST-SP625-U-Q. HCPCS: E2326 Includes straw and mounting hardware. Use with Stealth i-Drive Head Arrays.

Stealth Sip & Puff

Sip and Puff Module for Q-Logic 3 ..................................................................................................$1,895Part: CTL168056. HCPCS: E2325 Includes module and mounting hardware.

Sip & Puff Module

23.5. Sip and Puff Drive1. Sip and Puff Module

2. Sip and Puff Straw and Mount

Q-Logic 3 Enhanced Display ShroudRequired with Q-Logic 3 Enhanced Display selection above. Reference colors shown on page 2.

Enhanced Display

23.1. Enhanced Display

Black, Soft Touch ...........StandardPart: DGN137728

Non-matching Shroud ............ $50Select color below

Match Shroud to Base Color .... $50Part: See color below

Q-Logic 3 Enhanced Display Kit .....................................................................................................$1,720Part: CTL167726Select a color option below. Includes enhanced display, flexible gooseneck and mounting bracket. Features: 3.5” LCD display; up to 5 profiles to control drive, seat, and auxiliary functions; Bluetooth connectivity for mobile devices and mouse emulation; integrated single switch scanner; IR controls.

23.3. Q-Logic 3 SAJQ-Logic 3 EX SAJ .........................................................................................................................$700Part: CTL143980Must be used in conjunction with Enhanced Display or Q-Logic 3 Joystick.

EX SAJ23.4. Head Array

Adult, i-Drive Tri-Array Series, 3-Switch ......... $4,414Head Array (IDHBT200-1)Part: ST-IDHBT200-1-Q. HCPCS: E2330Features bluetooth, head support, 3 non-proportional proximity sensors for drive control, an egg switch for re-set mode change, and i-Drive smart box.

Adult, i-Drive Pro Series Head Array .............. $4,461(IDHBT300-1)Part: ST-IDHBT300-1-Q. HCPCS: E2330Features bluetooth, head support with occipital pad and 2 swing-away spot pads for left and right side, 3 non-pro-portional proximity sensors, an egg switch for reset mode change, and i-Drive smart box.

Adult Pro-Series

23. ALTERNATIVE CONTROLS AND ELECTRONICSOptional. Select a type of specialty controls below. More options are available on the Alternative Controls and Electronics order form.

Alternative controls and electronics section continued on following page.

SCIM Module for Q-Logic 3 ............................................................................................................. $525Part: CTL168055Allows use of joystick display for specialty devices. Available with Q-Logic 3 EX Joystick selection above. Up to 5 profiles to control drive, seat, and auxiliary functions, excluding sip-n-puff and single switch functions. A switch is required to operate the input device attached to the SCIM module.

SCIM Module

23.2. SCIM ModuleOptional.

Red CorvettePart: DGN137729-PRD1

Electric BluePart: DGN137729-PBU9

Back in BlackPart: DGN137729-PBK1

Night TrainPart: DGN137729-PBK3

White SatinPart: DGN137729-PWH2

Pretty in PinkPart: DGN137729-PPK3

Evolution OrangePart: DGN137729-POR7

Deep PurplePart: DGN137729-PPR5

Grey StreetPart: DGN137729-PSL3

Midnight BluePart: DGN137729-PBU10

Lemon CrushPart: DGN137729-PYL4

Green MachinePart: DGN137729-PGN11

Military GreenPart: DGN137729-PGN8

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1. Bracket

2. Pads

3. Installation

Swing-away, Rail Mounts, pair (TWBTLTC) ...................................................................................................................... $472.50Part: INDPART2677. HCPCS: E1028

Curved Pads, 3”x5”, pair (TWBL-3X5) ................................ $210Part: INDPART2663. HCPCS: E0956

Curved Pads, 4”x6”, pair (TWBL-4X6) ................................ $210Part: INDPART2664. HCPCS: E0956

Install LateralsPart: PTOINDV3499

Do Not InstallPart: PTOINDV3500

24.1. Stealth Thoracic LateralsSwing-away laterals may interfere with TRU-Balance 3 armrests and 2-post, flip up armrests. These laterals are not available with the back cane option.

4. UniLink Pelvic/Thigh Guide InstallationInstall on LeftPart: PTOINDV3585

Install on RightPart: PTOINDV3586

Do Not InstallPart: PTOINDV3719

1. UniLink Pelvic/Thigh Hardware

2. UniLink Pelvic/Thigh Pads^Please verify the appropriate billing code to be used for this item with all third-party payors.

3. UniLink Pelvic/Thigh Additional Links

24.2. Stealth UniLink Pelvic/Thigh Guide

UniLink, 5" Height Adjustable & Removable Hardware ... $245 ea.Part: ST-UTTP5-Q

UniLink, 7" Height Adjustable & Removable Hardware... $255 ea.Part: ST-UTTP7-Q

UniLink, 4" x 4" Pad ..............................$95 ea.Part: ST-UTP544056100-Q

UniLink, 4" x 8" Pad ............................. $105 ea.Part: ST-UTP548056100-Q

UniLink, 4" x 12" Pad ........................... $125 ea.Part: ST-UTP54D056100-Q

UniLink, 1.5" Link ............................... $75 ea.Part: ST-UIL00I150A000-Q

UniLink, 2" Link ................................... $75 ea.Part: ST-UIL00I200A00-Q

UniLink Pad & Hardware

Manufacturer installed positioning components section continued on following page.

24. POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.

Egg Switch

Red Egg Switch (ESRED) .......................... $80.85Part: SWTMCRO1077

Blue Egg Switch (ESBLU) ......................... $80.85Part: SWTMCRO1079

Black Egg Switch (ESBLK) ........................ $80.85Part: SWTMCRO1081

Green Egg Switch (ESGRN) ...................... $80.85Part: SWTMCRO1078

Yellow Egg Switch (ESYEL) ...................... $80.85Part: SWTMCRO1080

23.6. Egg Switches

23.7. Switch Adapter2 to 1 Switch Adapter .................................................................................................................................................. $13.39Part: DWR1361H037Connects 2 single switches to a stereo jack to act as a dual switch.

USB Mobile Device Charger ............................................................................................................ $175Part: ELE168069Can charge 1 device. A multiplier harness is required and must be added when a Static Seat or Power Tilt Only seating system is chosen. The selection of more than 3 modules requires an additional multiplier. USB Mobile

Device Charger

23.9. USB Mobile Device Charger

23.8. Environmental ControlsQ-Logic 3 ECU Module Kit .............................................................................................................................................$2,400Part: CTL168057

23. ALTERNATIVE CONTROLS AND ELECTRONICS continued

Flip Down Bracket (TWBTLADD-HW) ................... $236.25 ea.Part: INDPART2804. HCPCS: E1028

Removable Bracket (LP430) ............................... $262.50 ea.Part: INDPART2805. HCPCS: E1028

Removable Bracket with 1” Offset (LP430 & LHW-121) ...$400 ea. Part: INDPART2854. HCPCS: E1028

Flip Down with LEFT Full Surface Contact ................. $236.25 ea.Feature (TWBADD-L & LPHW407)Part: POS140428. HCPCS: E1028

Flip Down with RIGHT Full Surface Contact ................ $236.25 ea.Feature (TWBADD-R & LPHW407)Part: POS140429. HCPCS: E1028

1. Pelvic/Thigh Guide Bracket

24.3. Stealth Pelvic/Thigh GuidesPelvic/thigh guides may interfere with the joystick receiver block and down posts. Please provide quantity next to check box.

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Provider installed positioning components section continued on following page.

2. Pelvic/Thigh Guide Adapter2” Height Adapter Plate (LHW-122) .................................$26.25Part: INDPART2821. HCPCS: K0108Height adapter is needed with TRU-Comfort seat cushions. Not avail-able with the flip down bracket.

2 1/4” Adapter Plate (LHW-129) .....................................$53.50Part: POS140430. HCPCS: K0108Only available with the flip down full surface bracket.

3. Pelvic/Thigh Guide Pad^Please verify the appropriate billing code to be used for this item with all third-party payors.

4. Pelvic/Thigh Guide Installation

Short Pad, 4”x4” (TWBADD-4X4) ..............................$75 ea.Part: INDPART2801. HCPCS: E0953^/E0956

Medium Pad, 4”x8” (TWBADD-4X8) ...........................$75 ea.Part: INDPART2802. HCPCS: E0953^/E0956

Long Pad, 4”x12” (TWBADD-4X12) ............................$75 ea.Part: INDPART2803. HCPCS: E0953^/E0956

Install on LeftPart: PTOINDV3585

Install on RightPart: PTOINDV3586

Do Not InstallPart: PTOINDV3719

24.4. Stealth i-Fit Chest HarnessUpper Classic, Medium (IFPS1103) ............... $142 ea.Part: ST-IFPS1103-Q. HCPCS: E0960

Upper Classic, Large (IFPS1104) .................. $142 ea.Part: ST-IFPS1104-Q. HCPCS: E0960

Upper Contour, Medium (IFPS2103) .............. $142 ea.Part: ST-IFPS2103-Q. HCPCS: E0960

Upper Contour, Large (IFPS2104) ................ $142 ea.Part: ST-IFPS2104-Q. HCPCS: E0960

Contoured and ClassicChest Harness

24.5. Stealth i-Fit Chest StrapsChest Strap, Medium w/ Belt Anchor ............. $90 ea.(IFCS4113)Part: ST-IFCS4113-Q. HCPCS: E0960

Chest Strap, Large w/ Belt Anchor ................ $90 ea.(IFCS4114)Part: ST-IFCS4114-Q. HCPCS: E0960

Chest Strap

1" Ball Kit for Facial Laterals (TWB-1BK) (D) ..... $80.25Part: POS150532Required with facial laterals to mount to comfort head-rest brackets.

Egg Switch Mount (ESM) (A) ................ $52.50 ea.Part: INDPART2815

Figure 8 Bracket with 13" Rod ............ $267.50 ea. and Egg Switch Mount (B)

Part: ST-F8675-13-Q

Facial Pad, 4"x2" (900-Q)................... $53.50 ea.Part: ST-900-Q. HCPCS: K0108

Facial Pad, 6"x2" (920-Q) ................... $53.50 ea.Part: ST-920-Q. HCPCS: K0108

Swing-Away Joystick Mount, 18" Rod (C) .... $250 ea.Part: ST-SUS18-Q Allows mounting of facial pads and attaches to the headrest

24.6. Stealth Swing-Away Headrest MountsThese swing-away headrest mounts are only available with the Stealth Comfort Series headrests. The 1" ball kit must be selected to mount the facial lateral to the headrest bracket. Also select a facial pad(s) with the facial lateral(s).

Facial Lateral for Comfort Series .............$294.25 ea.Right Side (CPS9-R-HW)Part: INDPART2647. HCPCS: E1028

Facial Lateral for Comfort Series .............$294.25 ea.Left Side (CPS9-L-HW)Part: INDPART2648. HCPCS: E1028

Facial Laterals for Comfort Series ........... $347.75 ea.Left and Right Side (CPS9-B-HW)Part: INDPART2649. HCPCS: E1028

Left and Right FacialLateral with Pads

Headrest Accessories

2. Elbow Support Pad

1. Elbow Support Bracket24.7. Stealth Elbow Support

3"Wx3"H Elbow Pad (ARMS-ES-3X3) .......................$52.50 ea.Part: POS124065. HCPCS: K0108

4"Wx4"H Elbow Pad (ARMS-ES-4X4) .......................$52.50 ea.Part: POS124067. HCPCS: K0108

Elbow Supports

Left, Swing-Away, Elbow Support ............ $183.75 ea.Bracket Tube Style Arms (ARMS-ES-L)Part: POS124064. HCPCS: E1028

Left, Fixed, Elbow Support Bracket for ......$183.75 ea.Flip-Back Armrests with Downpost (ARMS-ESFTB3-L)Part: POS133465

Left, UniLink, Fixed, Elbow Support Bracket .......$195for Flip-Back, 8"-16"H Armrests (UETB4021FL-Q)Part: ST-UETB4021FL-Q

Right, Swing-Away, Elbow Support ........... $183.75 ea.Bracket Tube Style Arms (ARMS-ES-R)Part: POS124066. HCPCS: E1028

Right, Fixed, Elbow Support Bracket for ....$183.75 ea.Flip-Back Armrests with Downpost (ARMS-ESFTB3-R)Part: POS133466

Right, UniLink, Fixed, Elbow Support Bracket ......$195for Flip-Back, 8"-16"H Armrest (UETB4021FR-Q)Part: ST-UETB4021FR-Q

24. POSITIONING COMPONENTS continued

2. Facial Lateral Pads and Accessories

1. Facial Lateral Hardware

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25. TRU-BALANCE 3 MULTIPLIER HARNESSREQUIRED. Multiple controllers or power accessories may require an additional multiplier harness or special order. Reference the chart below to determine the appropriate selection. The rows refer to the total amount of arm mounted de-vices and the columns refer to the total amount of back mounted devices. The online order configurator will automatically make this selection under specialty controls.

26. REFERENCE ORDER FORMSOptional. Select below to note that additional order forms will accompany this order form. This will also be a link in interactive forms.

Alternative Controls & Electronics Order Form Positioning Components Order Form

No Additional Multiplier (NA) .................................... No ChargePart: Configuration selection

Secondary Multiplier (SM) ........................................... $221.21Part: HAR144004

Special Order Configuration (SOF)Part: Configuration selection

1 Arm 2 Arm 3 Arm 4+ Arm

1 Back0 Back

2 Back3+ Back

NANASMSOF

SMSMSMSOF

SMSMSMSOF

SOFSOFSOFSOF

Power Positioning Chart

1 Arm 2 Arm 3 Arm 4+ Arm

1 Back0 Back

2 Back3+ Back

NA

NA No additional MultiplierSecondary MultiplierSpecial Order Required

NASM

SM SOFSOF

SMSMSMSOF

SOFSOFSOFSOF

SOFSOFSOFSOF

Static Seat Chart

Q-Logic 3 Multiplier Charts

Arm

Mou

nts Joystick (Hand Control)

Enhanced DisplayiAccessUSB ChargerSAJ

Back

Mou

nts

Attendant ControlSCIMSip n PuffECU

©2019 Quantum Rehab - A Pride Mobility Products Corporation company. All rights reserved.

Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]

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24.9. Stealth Padded Shoe HolderStealth Small Padded Shoe Holder 3.75"Wx6.25"D ................ $266(SPLE111) (pair)Part: INDPART2783. HCPCS: E0951+E0952

Stealth Medium Padded Shoe Holder, 4"Wx8.25"D ................ $266(SPLE112) (pair)Part: INDPART2784. HCPCS: E0951+E0952

Stealth X-Large Padded Shoe Holder, 5"Wx10.75"D ............... $266(SPLE114) (pair)Part: INDPART2785. HCPCS: E0951+E0952

24.8. Stealth Foot Boxes^Please verify the appropriate billing code to be used for this item with all third-party payors.

Stealth Small Foot Boxes, 5"Wx8"Dx7"H ......................... $498.75(SPLE107) (pair)Part: INDPART2786. HCPCS: E0954^

Stealth Medium Foot Boxes, 6"Wx10"Dx9"H .................... $498.75(SPLE108) (pair)Part: INDPART2787. HCPCS: E0954^

Stealth Large Foot Boxes, 7"Wx12"Dx11"H ...................... $498.75(SPLE109) (pair)Part: INDPART2788. HCPCS: E0954^

24. POSITIONING COMPONENTS continued

Page 18: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended DescriptionELECTRONICSQ-Logic 3 EX Controller Module $695, $0 with K0848 ELE1702570 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,POWER POSITIONING

ELE1702571 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,STATIC SEATING,W/POWERELE1702572 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,STATIC SEATINGELE1702573 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,POWER ELEVATING SEATELE1702574 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,POWER POSITIONING,W/PTO

ELE1702575 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,STATIC SEATING,W/POWER,W/PTO

ELE1702576 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,STATIC SEATING,W/PTOELE1702577 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,Q6 EDGE 2.0,POWER ELEVATING SEAT,W/PTO

ELE1702578 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH ACCU-TRAC MOTORS,Q6 EDGE 2.0,POWER POSITIONING

ELE1702579 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH ACCU-TRAC MOTORS,Q6 EDGE 2.0,STATIC SEATING,W/POWER

ELE1702580 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH ACCU-TRAC MOTORS,Q6 EDGE 2.0,STATIC SEATING

ELE1702581 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH ACCU-TRAC MOTORS,Q6 EDGE 2.0,POWER ELEVATING SEAT

TRU-BALANCE 3 SEATING : Seat Dimensions Seat TypeTB3SPACK: Seat width package, depth package, and transit kit section generate one part assembly.

null SET130931 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,SEAT ONLY,TRU-BALANCE 3

SET130932 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET130933 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,SEAT ONLY,TRU-BALANCE 3 SET130934 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET155576 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,SEAT ONLY,OCCUPIED TRANSIT,TRU-BALANCE 3,WC19

SET130935 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,SEAT ONLY,TRU-BALANCE 3 SET130937 SEAT BASE,ASSY,20"W-24"W,12"D-16"D,SEAT ONLY,TRU-BALANCE 3 SET130938 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET130939 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,SEAT ONLY,TRU-BALANCE 3 SET160203 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5 SET160205 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160207 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5 SET160209 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160461 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,OCCUPIED TRANSIT,TRU-BALANCE 3.5,WC19

SET160210 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5 SET160211 SEAT BASE,ASSY,20"W-24"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5 SET160406 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160407 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5 SET167920 SEAT BASE,ASSY,12"W-14"W,12"D-16"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET155888 SEAT BASE,ASSY,14"W-16"W,14"D-16"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET155443 SEAT BASE,ASSY,14"W-16"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET148101 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET154030 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT READY,REAC LIFT READY,OCCUPIED TRANSIT,TRU-

BALANCE 3 SET148107 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET148111 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET148114 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3

TRU-BALANCE 3 SEATING : Back Cushion ConfigurationSport Back No Charge SET130247 SEAT BACK,ASSY,14"W,10"W-14"W,11"H,SPORT BACK,TRU-BALANCE 3

SET130249 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

Page 1 of 13

Page 19: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

SET130250 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130251 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,SPORT BACK,TRU-BALANCE 3SET130252 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130253 SEAT BACK,ASSY,16"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130255 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130257 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130258 SEAT BACK,ASSY,17"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130259 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130260 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130261 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,SPORT BACK,TRU-BALANCE 3SET130262 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130263 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130267 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130268 SEAT BACK,ASSY,19"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130269 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130270 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130271 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130272 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,SPORT BACK,TRU-BALANCE 3SET130275 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130276 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130277 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130278 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130292 SEAT BACK,ASSY,21"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130293 SEAT BACK,ASSY,21"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130294 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130297 SEAT BACK,ASSY,22"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130298 SEAT BACK,ASSY,22"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130299 SEAT BACK,ASSY,24"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130300 SEAT BACK,ASSY,24"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130303 SEAT BACK,ASSY,24"W,20"W-24"W,17"H,SPORT BACK,TRU-BALANCE 3SET130304 SEAT BACK,ASSY,24"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130305 SEAT BACK,ASSY,24"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130306 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130308 SEAT BACK,ASSY,24"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130309 SEAT BACK,ASSY,24"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130310 SEAT BACK,ASSY,26"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130312 SEAT BACK,ASSY,26"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130314 SEAT BACK,ASSY,26"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130315 SEAT BACK,ASSY,26"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130316 SEAT BACK,ASSY,28"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130317 SEAT BACK,ASSY,28"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130318 SEAT BACK,ASSY,28"W,24"W-28"W,15"H,SPORT BACK,TRU-BALANCE 3SET130319 SEAT BACK,ASSY,28"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130320 SEAT BACK,ASSY,28"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130321 SEAT BACK,ASSY,28"W,28"W-32"W,17"H,SPORT BACK,TRU-BALANCE 3SET130322 SEAT BACK,ASSY,28"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130324 SEAT BACK,ASSY,28"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130325 SEAT BACK,ASSY,28"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3SET130341 SEAT BACK,ASSY,28"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130326 SEAT BACK,ASSY,30"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130327 SEAT BACK,ASSY,30"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130329 SEAT BACK,ASSY,30"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130330 SEAT BACK,ASSY,30"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3SET130331 SEAT BACK,ASSY,32"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3

Page 2 of 13

Page 20: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

SET130332 SEAT BACK,ASSY,32"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130333 SEAT BACK,ASSY,32"W,28"W-32"W,17"H,SPORT BACK,TRU-BALANCE 3SET130335 SEAT BACK,ASSY,32"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130336 SEAT BACK,ASSY,32"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3

ADI Q-Back, Active Contour $525 ALBR16SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,16"W,16"H,(ADI)ALBR16TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,16"W,18"H,(ADI)ALBR18SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,18"W,16"H,(ADI)ALBR18TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,18"W,18"H,(ADI)ALBR20SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,20"W,16"H,(ADI)ALBR20TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,20"W,18"H,(ADI)

ADI Q-Back, Deep Contour $595 ALBR16SDQ Q-BACK,AL SERIES,DEEP CONTOUR,16"W,16"H,(ADI)ALBR16TDQ Q-BACK,AL SERIES,DEEP CONTOUR,16"W,18"H,(ADI)ALBR18SDQ Q-BACK,AL SERIES,DEEP CONTOUR,18"W,16"H,(ADI)ALBR18TDQ Q-BACK,AL SERIES,DEEP CONTOUR,18"W,18"H,(ADI)ALBR20SDQ Q-BACK,AL SERIES,DEEP CONTOUR,20"W,16"H,(ADI)ALBR20TDQ Q-BACK,AL SERIES,DEEP CONTOUR,20"W,18"H,(ADI)

ADI Q-Back, Extra Deep Contour $650 ALBR16S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,16"W,16"H,(ADI)ALBR16T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,16"W,18"H,(ADI)ALBR18S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,18"W,16"H,(ADI)ALBR18T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,18"W,18"H,(ADI)ALBR20S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,20"W,16"H,(ADI)ALBR20T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,20"W,18"H,(ADI)

TRU-Comfort 2 Back, 20" Width or less $675 SET123622 SEAT BACK,ASSY,12"W,10"W-14"W,11"H,TRU-COMFORT 2,4 WAY STRETCHSET123623 SEAT BACK,ASSY,14"W,10"W-14"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123631 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123633 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123635 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123637 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123639 SEAT BACK,ASSY,17"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123641 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123651 SEAT BACK,ASSY,17"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123653 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123655 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124576 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124578 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124597 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124599 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124601 SEAT BACK,ASSY,19"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124602 SEAT BACK,ASSY,19"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124603 SEAT BACK,ASSY,19"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124605 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124606 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124607 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124609 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124610 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124611 SEAT BACK,ASSY,20"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124612 SEAT BACK,ASSY,20"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124613 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124618 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124619 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124623 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,TRU-COMFORT 2,4 WAY STRETCH

TRU-Comfort 2 Back, 22" Width or greater $775 SET124624 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124625 SEAT BACK,ASSY,22"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124626 SEAT BACK,ASSY,22"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCH

Page 3 of 13

Page 21: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

SET124627 SEAT BACK,ASSY,22"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124628 SEAT BACK,ASSY,24"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET130059 SEAT BACK,ASSY,24"W,24"W-28"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124629 SEAT BACK,ASSY,24"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET130060 SEAT BACK,ASSY,24"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124630 SEAT BACK,ASSY,24"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET130061 SEAT BACK,ASSY,24"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124631 SEAT BACK,ASSY,24"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET130062 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124633 SEAT BACK,ASSY,26"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124634 SEAT BACK,ASSY,26"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124642 SEAT BACK,ASSY,28"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124646 SEAT BACK,ASSY,28"W,28"W-32"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124647 SEAT BACK,ASSY,28"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124648 SEAT BACK,ASSY,28"W,28"W-32"W,17"H,TRU-COMFORT 2,4 WAY STRETCH

ARMRESTS : TRU-Balance 3 Flip-Back ArmrestsTRU-Balance 3 Flip-Back, 8"-12"H, Left Standard ARM147696 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

ARM147744 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147810 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147811 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147820 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147840 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147844 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147863 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

TRU-Balance 3 Flip-Back, 8"-12"H, Right Standard ARM147738 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147746 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147743 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147812 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147822 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147841 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147846 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147864 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

TRU-Balance 3 Flip-Back, 12"-16"H, Left Standard ARM147740 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147748 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147747 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147813 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147838 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147842 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147850 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147865 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

TRU-Balance 3 Flip-Back, 12"-16"H, Right Standard ARM147742 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147797 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147749 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147817 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147839 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147843 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147855 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147867 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

TRU-Balance 3 Armrest Downpost $87.50 MEC140975 DOWN POST,ASSY,8"H-11"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140977 DOWN POST,ASSY,12"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140979 DOWN POST,ASSY,13"H-14"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140981 DOWN POST,ASSY,15"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140983 DOWN POST,ASSY,16"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140976 DOWN POST,ASSY,8"H-11"H,STRAIGHT,RIGHT,TRU-BALANCE 3

Page 4 of 13

Page 22: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

MEC140978 DOWN POST,ASSY,12"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140980 DOWN POST,ASSY,13"H-14"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140982 DOWN POST,ASSY,15"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140984 DOWN POST,ASSY,16"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140410 DOWN POST,ASSY,8"H-11"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140416 DOWN POST,ASSY,12"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140417 DOWN POST,ASSY,13"H-14"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140418 DOWN POST,ASSY,15"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140419 DOWN POST,ASSY,16"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140990 DOWN POST,ASSY,8"H-11"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140991 DOWN POST,ASSY,12"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140992 DOWN POST,ASSY,13"H-14"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140993 DOWN POST,ASSY,15"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140994 DOWN POST,ASSY,16"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC166424 DOWN POST,ASSY,8"H-11"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166429 DOWN POST,ASSY,12"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166430 DOWN POST,ASSY,13"H-14"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166431 DOWN POST,ASSY,15"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166432 DOWN POST,ASSY,16"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166433 DOWN POST,ASSY,8"H-11"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166435 DOWN POST,ASSY,12"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166436 DOWN POST,ASSY,13"H-14"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166437 DOWN POST,ASSY,15"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166438 DOWN POST,ASSY,16"H,MESOMORPH,RIGHT,TRU-BALANCE 3

ARMRESTS : Two-Post Armrests2-Post, Flip Back, Height Adjustable, removable Armrests (9"-13" Height)

No Charge($150 with Static seat)

FRMASMB7062 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED

FRMASMB7063 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED

FRMASMB7060 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED

FRMASMB7061 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED

ARMRESTS : Heavy Duty, Removable Armrests8"-12"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138631 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138632 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

ARM138629 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138630 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

10"-14"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138627 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138628 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

ARM138625 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT

ARM138626 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT

ARMPADSStraight, Armpad Standard ARM130236 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130237 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST

Page 5 of 13

Page 23: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

ARM130289 ARMPAD,ASSY,STRAIGHT,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130288 ARMPAD,ASSY,STRAIGHT,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM134254 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TUBE STYLE ARMRESTARM134275 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TUBE STYLE ARMRESTARM134280 ARMPAD,ASSY,STRAIGHT,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TUBE STYLE

ARMRESTARM134281 ARMPAD,ASSY,STRAIGHT,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE

ARMRESTWaterfall, Armpad No Charge ARM130287 ARMPAD,ASSY,WATERFALL,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130238 ARMPAD,ASSY,WATERFALL,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST

ARM130291 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130290 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130706 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130705 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130710 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130709 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130704 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130349 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM130708 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST

ARM130707 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST

ARM134282 ARMPAD,ASSY,WATERFALL,DESK LENGTH/DESK LENGTH COMBO,TUBE STYLE ARMREST

ARM134285 ARMPAD,ASSY,WATERFALL,FULL LENGTH/FULL LENGTH COMBO,TUBE STYLE ARMRESTARM134288 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TUBE STYLE

ARMRESTARM134289 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE

ARMRESTARM134290 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE

STYLE ARMRESTARM134291 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE

STYLE ARMRESTARM134292 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE

STYLE ARMRESTARM134293 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE

STYLE ARMRESTARM134294 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE

STYLE ARMRESTARM134295 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE

STYLE ARMRESTARM134296 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE

STYLE ARMRESTARM134297 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE

STYLE ARMREST

Page 6 of 13

Page 24: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

Single Actuator Control through Q-Logic 3 Controller and Interface $1,895 ELE167826 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167826 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167828 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167830 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE,(CONFIGURATION # 20)

ELE167845 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)

ELE167846 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE167847 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)

ELE167848 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE167806 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 03)

ELE167805 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,(CONFIGURATION # 02)

ELE168161 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 04.1)

ELE167811 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 04.1)

ELE167813 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,(CONFIGURATION # 06.1)

ELE167814 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 07.1)

Multiple Actuator Control through Q-Logic 3 Controller and Interface $2,895 ELE167831 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,INDEPENDENT LEGS,(CONFIGURATION # 21)

ELE167832 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,(CONFIGURATION # 22)

ELE167834 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,(CONFIGURATION # 23)

ELE167835 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 20)

ELE167836 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 20)

ELE167837 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 22)

ELE167839 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 23)

ELE167849 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 09)

ELE167850 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 09)

ELE167851 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,(CONFIGURATION # 10)

ELE167852 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 10)

ELE167853 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,(CONFIGURATION # 11)

ELE167854 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 11)

ELE167887 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,(CONFIGURATION # 28)

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls through Joystick

Page 7 of 13

Page 25: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

ELE167888 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 28)

ELE167889 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 29)

ELE167890 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 29)

ELE167891 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 30)

ELE167892 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 30))

ELE167893 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,(CONFIGURATION # 31)

ELE167894 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 31)

ELE167804 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,INDEPENDENT LEGS,(CONFIGURATION # 01)

ELE167812 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,INDEPENDENT LEGS,(CONFIGURATION # 05.1)

ELE167877 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,(CONFIGURATION # 24.1)

ELE167879 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,(CONFIGURATION # 26.1)

ELE167880 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 27.1)

ELE167878 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,INDEPENDENT LEGS,(CONFIGURATION # 25.1)

ELE167984 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,(CONFIGURATION # 14.1)

ELE167985 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 14.1)

ELE167986 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 15.1)

ELE167988 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 15.1)

ELE167989 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,(CONFIGURATION # 16.1)

ELE167991 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 16.1)

ELE167992 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,(CONFIGURATION # 17.1)

ELE167993 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 17.1)

ELE168014 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,(CONFIGURATION # 34.1)

ELE168015 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 34.1)

ELE168016 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 35.1)

ELE168017 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 35.1)

ELE168018 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 36.1)

ELE168019 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 36.1)

ELE168020 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,(CONFIGURATION # 37.1)

Page 8 of 13

Page 26: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

ELE168021 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 37.1)

Single Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168659 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 20)

ELE168660 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS FLAT BUTTON,(CONFIGURATION # 20)

ELE168682 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 08)

ELE168683 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 08)

ELE168644 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 02)

ELE168645 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 03)

ELE168648 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 04.1)

ELE168649 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 06.1)

ELE168650 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 07.1)

Single Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168664 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)

ELE168665 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)

ELE168688 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)

ELE168689 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)

ELE168646 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 02)

ELE168647 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 03)

ELE168651 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 04.1)

ELE168652 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 06.1)

ELE168653 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 07.1)

Multiple Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168661 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 22)

ELE168662 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 23)

ELE168684 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,IACCESS FLAT BUTTON,(CONFIGURATION # 10)

ELE168685 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 10)

ELE168686 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 11)

ELE168687 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 11)

ELE168700 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 28)

ELE168701 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 28)

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls with iAccess Switch Control

Page 9 of 13

Page 27: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

ELE168702 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 30)

ELE168703 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 30)

ELE168704 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE168705 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE168694 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 24.1)

ELE168695 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 26.1)

ELE168696 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 27.1)

ELE168712 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 14.1)

ELE168713 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 14.1)

ELE168714 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 16.1)

ELE168715 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 16.1)

ELE168716 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 17.1)

ELE168717 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 17.1)

ELE168724 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 34.1)

ELE168725 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 34.1)

ELE168726 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 36.1)

ELE168727 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 36.1)

ELE168728 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 37.1)

ELE168729 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 37.1)

Multiple Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168666 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 22)

ELE168672 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 23)

ELE168690 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,IACCESS TOGGLE BUTTON,(CONFIGURATION # 10)

ELE168691 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 10)

ELE168692 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)

ELE168693 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)

Page 10 of 13

Page 28: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

ELE168706 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)

ELE168707 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)

ELE168708 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 30)

ELE168709 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 30)

ELE168710 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)

ELE168711 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)

ELE168697 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 24.1)

ELE168698 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 26.1)

ELE168699 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 27.1)

ELE168718 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 14.1)

ELE168719 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 14.1)

ELE168720 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 16.1)

ELE168721 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 16.1)

ELE168722 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 17.1)

ELE168723 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 17.1)

ELE168730 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 34.1)

ELE168731 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 34.1)

ELE168732 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 36.1)

ELE168733 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 36.1)

ELE168734 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 37.1)

ELE168736 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 37.1)

LEGRESTS : 60-90 Swing-Away LegrestsP: 11"-13" Length No Charge FRMASMB8053 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",C-1010-179P: 11"-13" Length FRMASMB10557 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,PAIR

Page 11 of 13

Page 29: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

P: 11"-13" Length FRMASMB10558 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,PAIR

L: 11"-13" Length RIG136570 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",LEFTL: 11"-13" Length FRMASMB10014 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-655L: 11"-13" Length FRMASMB10016 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-656

R: 11"-13" Length RIG136571 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",RIGHTR: 11"-13" Length FRMASMB10015 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-657

R: 11"-13" Length FRMASMB10017 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-658

P: 11"-16.5" Length FRMASMB9159 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,PAIRP: 11"-16.5" Length FRMASMB9168 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,PAIRL: 11"-16.5" Length FRMASMB9160 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,LEFT,E-1010-641L: 11"-16.5" Length FRMASMB9169 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,LEFT,E-1010-642R: 11"-16.5" Length FRMASMB9161 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,RIGHT,E-1010-643R: 11"-16.5" Length FRMASMB9170 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,RIGHT,E-1010-644P: 13"-16" Length FRMASMB7844 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",E-1010-415P: 13"-16" Length FRMASMB10559 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,PAIR

P: 13"-16" Length FRMASMB10560 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,PAIR

L: 13"-16" Length RIG133473 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",LEFTL: 13"-16" Length FRMASMB10018 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-659

L: 13"-16" Length FRMASMB10020 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-660

R: 13"-16" Length RIG133476 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",RIGHTR: 13"-16" Length FRMASMB10019 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-661

R: 13"-16" Length FRMASMB10021 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-662

P: 15.5"-19.5" Length FRMASMB7845 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",E-1010-381P: 15.5"-19.5" Length FRMASMB10561 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,PAIRP: 15.5"-19.5" Length FRMASMB10562 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,PAIRP: 15.5"-19.5" Length FRMASMB9162 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,PAIRP: 15.5"-19.5" Length FRMASMB9171 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,PAIRL: 15.5"-19.5" Length RIG133474 LEGREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",LEFTL: 15.5"-19.5" Length FRMASMB10022 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-663

L: 15.5"-19.5" Length FRMASMB10024 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-664

L: 15.5"-19.5" Length FRMASMB9163 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,LEFT,E-1010-487L: 15.5"-19.5" Length FRMASMB9172 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,LEFT,E-1010-645R: 15.5"-19.5" Length RIG133477 LEGREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",RIGHTR: 15.5"-19.5" Length FRMASMB10023 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-665

R: 15.5"-19.5" Length FRMASMB10025 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-666

R: 15.5"-19.5" Length FRMASMB9164 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,RIGHT,E-1010-488R: 15.5"-19.5" Length FRMASMB9173 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,RIGHT,E-1010-646LEGRESTS : Elevating LegrestsP: 12"-14.5" Length No Charge FRMASMB4752 LEGREST,ASSY,ANGLE ADJUSTABLE LOWER,12"-14.5" EXT,PAIR

Page 12 of 13

Page 30: Quantum Q6Edge 2.0 X TRU-Balance 3 Seating Order Form · Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax Send the completed

Section NameOption Name MSRP Part Number Manufacturer Extended Description

Q6 Edge 2.0 X Cross Reference Spreadsheet - TRU-Balance 3 Positioning

P: 12"-14.5" Length FRMASMB7922 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,FOR SHORT BLOCK,PAIRL: 12"-14.5" Length FRMASMB5391 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,LEFT,C-1000-340L: 12"-14.5" Length FRMASMB6279 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,FOR SHORT BLOCK,LEFT,C-1000-353

R: 12"-14.5" Length FRMASMB4723 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,RIGHT,C-1000-287R: 12"-14.5" Length FRMASMB5136 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,FOR SHORT BLOCK,RIGHT,C-1000-318

P: 14.5"-18" Length FRMASMB4753 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,PAIRP: 14.5"-18" Length FRMASMB7923 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,FOR SHORT BLOCK,PAIRL: 14.5"-18" Length FRMASMB4724 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,LEFT,C-1000-288L: 14.5"-18" Length FRMASMB6280 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,FOR SHORT BLOCK,LEFT,C-1000-354

R: 14.5" -18" Length FRMASMB5392 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,RIGHT,C-1000-341R: 14.5" -18" Length FRMASMB5137 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,FOR SHORT BLOCK,RIGHT,C-1000-319

LEGRESTS : 60-90 Swing-Away Legrest AccessoriesWheel Bumper $12.50 ea WHL133585 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,LEFT

WHL133587 WHEEL,ASSY,BUMPER,S/A #8 EXTRUDED FOOTPLATE,LEFT WHL169510 WHEEL,ASSY,BUMPER,PEDIATRIC ANGLE ADJUSTABLE FOOTPLATE,LEFTWHL133586 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,RIGHT WHL133589 WHEEL,ASSY,BUMPER,S/A #8 EXTRUDED FOOTPLATE,RIGHT WHL169511 WHEEL,ASSY,BUMPER,PEDIATRIC ANGLE ADJUSTABLE FOOTPLATE,RIGHTWHLASMB1578 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE WHLASMB1727 WHEEL,ASSY,BUMPER,S/A #8 EXTRUDED FOOTPLATE WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE

LEGRESTS : Elevating Legrest AccessoriesWheel Bumper $12.50 ea WHL133585 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,LEFT

WHL133586 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,RIGHT WHLASMB1578 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE

Page 13 of 13