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of 15INFINFB3916/RevA/01MAY2018

Rival® 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. 300 lb. weight capacity with standard 6 mph programmable motors and 8 amp off board charger. Dimensions of base without legrests: 25”Wx36”L.

Quantum Rival 3S-SS ...................................................$6,608Part: QRIVAL 3S-SS. HCPCS: K0848Solid seat pan standard with no power option.

Quantum Rival 3SP-SS ..................................................$6,808Part: QRIVAL 3SP-SS. HCPCS: K0856Single power option.

Quantum Rival 3MP-SS .................................................$6,608Part: QRIVAL 3MP-SS. HCPCS: K0861Multiple power option.

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http://www.quantumrehab.com/resources/downloadorderforms.php?f=seating/us_physical_assessment_form.pdf


Account Number: ___________ Date: ________________ Marked for: _____________________________________2. BASE COLORREQUIRED. Select one shroud color. Colors shown here may differ from actual product depending on monitor/printer calibration used.

Red CorvettePart: DGN153201-PRD1

Electric BluePart: DGN153201-PBU9

Back in BlackPart: DGN153201-PBK1

White SatinPart: DGN153201-PWT2

Pretty in PinkPart: DGN153201-PPK3

Deep PurplePart: DGN153201-PPR5

Lime LightPart: DGN153201-PGN7

Grey Street Part: DGN153201-PSL3

Silver BulletPart: DGN153201-PSL7

Midnight BluePart: DGN153201-PBU10

Orange CrushPart: DGN153201-POR6

Yellow BlazePart: DGN153201-PYL3

To Be DeterminedPart: N/A

9" Pneumatic ....................... StandardPart: FRMASMB17634

9" Flat Free .............................. $105Part: FRMASMB17635

8" Flat Free .............................. $105Part: MEC141453

3”x14” Flat Free Black Tires ...................................... StandardPart: WHLASMB2246 x2

4”x14” Knobby, Flat Free Black Tires ....................... $275.50 ea.Extended Traction TiresPart: WHL122174 x2

3”x14” Pneumatic Black Tires .................................. No ChargePart: WHLASMB2247 x2

4”x14” Knobby, Pneumatic Black Tires ..................... $275.50 ea.Extended Traction TiresPart: WHL122175 x2

6 mph Drive Motors ................................................. StandardPart: MOT132462

6 mph, Accu-Trac Motor ............................................... $1,295Part: MOT134093. HCPCS: K0108Requires Q-Logic 2 electronics. Delivers enhanced traction and track-ing, especially with switched drive controls.

8 mph Song Motors ..................................................... $1,574Part: MOT132468Not available with NE 4 Key joystick.

Community Use Package .............................................. $2,125Part: PTOINDV3262Package Includes 8 mph Song Motors and 4"x14" Knobby Flat Free or Pneumatic tires. Increases overall base width by 1.5".

3. DRIVE MOTORSREQUIRED.

5. FRONT CASTER WHEELSREQUIRED. For optimal ride quality, pneumatic casters are recommended.




White SatinPart: DGN164245-PWH2




Grey StreetPart: DGN164245-PSL3





To Be DeterminedFollow-up required.

4. DRIVE WHEELSREQUIRED. Select a type of drive wheels. Knobby tires increase overall base width by 1.5”.

Match to Base Color ............................................... $24.98 ea.Part: Configuration selection, see specific part below

Non-matching Color ............................................... $24.98 ea.Part: Configuration selection, see specific part below

Drive Wheel Accent Color Optional. Not available with knobby tires. Select with WHL1703421 above. Sold in Pairs (parts below will be quantity of 2).

NE+ 6 Key Joystick

NE 4-Key Joystick ....................................StandardPart: CTLDC1554Only available with Rival 3SP-SS, Tilt through toggle.

NE+ 6-Key Joystick .......................................$200Part: CTLDC1560Control up to 2 actuators through joystick.

NE+ 8-Key Joystick (2 Actuators) ......................$400Part: CTLDC1561Control up to 2 actuators and Full Light Package through joystick.

No Joystick, Setup for NE+ Joystick ...........No ChargePart: Configuration selection

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 Forms.

7.1a. Non-Expandable ControlsSelect a joystick below or omit selection if another controller type is desired. Non-expandable does not allow supplementary drive controllers.

Electronics section continued on following page.

6. FULL LIGHT PACKAGEOptional. Requires NE+ 8 Key or Q-Logic 2 Joystick for Full Light Package.

Base Mounted, LED, Light Package...................................................................................................$995Part ELEASMB7431

Seat Mounted, LED, Light Package ...................................................................................................$995Part: ELE131477

Seat Mounted LEDLights (One Shown)


3. Q-Logic 2 Joystick ShroudREQUIRED with Q-Logic 2 EX Joystick selection above. Reference colors shown on page 2.

2. Q-Logic 2 Joystick

1. Q-Logic 2 Required ComponentsQ-Logic 2 expandable controls require the controller module and expandable harness below. If a Q-Logic joystick or specialty control is selected later in this form, Customer Service will quote the order with these items.

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Stand Alone Joystick

Q-Logic 2 EX Joystickwith Lime Light

Q-Logic 2 EXController Module

7. ELECTRONICS continued7.1b. Expandable Controls - Quantum Intelligent Systems™Select expandable controls or omit selection if another controller type is desired. Expandable controls allow multiple or specialized controllers. This sections allows a selection of common configurations.

7.2. SCIM ModuleOptional.

SCIM Module Kit for Q-Logic 2......................................................................................................... $525Part: CTL168055Available with Q-Logic 2 EX Joystick selection above. Allows use of joystick display for specialty devices and offers 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

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

Non-matching Joystick Shroud.......................... $50Part: PTOINDV3422Select color below

Match Joystick Shroud to Base Color .................. $50Part: PTOINDV3421













Q-Logic 2 EX Controller Module .......................$695Part: See XRef. HCPCS: E2377

Q-Logic 2 Expandable Controller Harness ...........$425Part: DWR1111H065. HCPCS: E2313

Q-Logic 2 EX Joystick ....................................$700Part: CTL123217

Q-Logic 2 EX Joystick for Full Lights .................$700Part: CTL124653

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

Stand Alone Joystick with ..............................$700External Charger PortPart: ELEASMB5205Up to 3 drive profiles and 1 seating profile when used alone. Use in conjunction with Enhanced Display for up to 5 profiles and auxiliary functions such as Bluetooth Mouse and IR. Includes charger port mounting bracket and multiplier box harness.

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

Chin Cup (C) ................................................. $85Part: ACCASMB1861.HCPCS: E2323. (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

Joystick Handles

9.1a. Fixed, In-line Joystick Bracket

8. JOYSTICK HANDLESREQUIRED. The NE Plus and Q-Logic 2 EX Joysticks are standard with a carrot handle (See A in image). The optional handle will be mounted to the joystick and the standard handle will be shipped with the unit.

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

Omit Joystick Mounting Bracket

Fixed, In-line, Bracket .............................................. StandardQ-Logic Part: FRMASMB10617. NE/NE+ Part: FRMASMB12744

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

Joystick mounting brackets section continued on following page.

Swing-Away (Retractable) (right side)

InlineStyle

OffsetStyle


11.4. Seat Dimension - WidthREQUIRED with seat selection. 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.

11.5. Seat Dimension - Width PackageREQUIRED with seat selection. Width and depth package part: See XRef: TB3SPACK

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


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

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

Q-Logic PC Programming Disk with Cable ........................... $750Part: ELEASMB5216

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. JOYSTICK MOUNTING BRACKETS continued

Swing-away, Inline, Left Side Mount ..................$245NE/NE+ Part: ACC142526. Q-Logic: ACC142524. HCPCS: E1028

Swing-away, Inline, Right Side Mount ................$245NE/NE+ Part: ACC142527. Q-Logic: ACC142525. HCPCS: E1028

Swing-away, 1” Offset, Left Side Mount .............$245NE/NE+ Part: ACC142747. Q-Logic: ACC142742. HCPCS: E1028

Swing-away, 1” Offset, Right Side Mount ............$245NE/NE+ Part: ACC142748. Q-Logic: ACC142743. HCPCS: E1028

Multi-Axis JoystickMount

Retract4

Swing-Away/Flip DownBracket (Stand Alone

Hardware Shown)

10. ELECTRONICS ACCESSORIESOptional.

11.1. TRU-Balance 3 ConfigurationTRU-Balance 3 Static Seat ............................................$2,295Part: PTOINDV344220° of limited recline adjustment (-5/ +15) via gas strut within back cover.

TRU-Balance 3 Power Tilt Only ......................................$6,995Part: PTOINDV3443. HCPCS: E100250° Center of Gravity (CG) power tilt seating system.

TRU-Balance 3 Power Recline Only ................................. $7,595Part: PTOINDV3444. HCPCS: E1004175° of power recline.

TRU-Balance 3 Power Tilt & Recline ...............................$11,895Part: PTOINDV3446. HCPCS: E100750° CG power tilt with 175° of power recline. Full drive lockout at 20°.

TRU-Balance 3, 10” Power Lift ......................................$2,295Part: PTOINDV3773. HCPCS: E230010” of scissor lift. 22”W x 22”D maximum seat size.

Attendant Manual Recline .............................................. $500Part: PTOINDV3501. HCPCS: E1226

11.2. 10" Power Lift or Manual ReclineOptional. Select one option below.

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

TRU-Balance 3 Seating section continued on following pages.

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)

11.6. Seat Dimension - DepthREQUIRED with seat selection. 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)

10.1c. Specialty Joystick MountsSelect a bracket and side to mount it.

Specialty Mount SideLeft Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

Retract4 Mount ............................................$350NE/NE+ Part: MEC138876. HCPCS: E1028Q-Logic Part: 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 ..........................................$100NE/NE+ Part: ACC142528. HCPCS: E1028Q-Logic Part: ACC131216. HCPCS: E1028SAJ Part: ACC142740. HCPCS: E1028Allows height adjustment of joystick.

Stealth Swing-Away/Flip Down Bracket ..........$294.25NE/NE+ Part: ST-TWBM480QL-Q. HCPCS: E1028Q-Logic Part: ST-TWBM480QL-Q. HCPCS: E1028SAJ Part: ST-TWBM480CJ-Q. HCPCS: E1028Allows the joystick to pivot to side of armrest,or flip-down if bracket is adjusted.


11.11. 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.

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: SET131921Select a set width in following section, 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 in-clude brackets to mount after-market backs. A Special Order is re-quired on back widths less than 16”.


18.5” Seat to FloorPart: PTOINDV3463



18.” Seat to FloorPart: PTOINDV3461






(Maximum Depth is 22")

11.8. Seat to Floor HeightREQUIRED. Select a seat to floor height compatible with the seat functions previously selected.

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

11.7. Seat Dimension - Depth PackageREQUIRED with seat selection. Width and depth package part: See XRef: TB3SPACK

11. TRU-BALANCE 3 SEATING continued

1. Power Tilt or Power Tilt and Recline

2. Static Seat or Power Recline

3. Lower Lift

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

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

2. Back Cane Height

1. Back Cane TypeAngle Adjustable ................................................... No ChargePart: MEC140266

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

1” Endo........................................................................$70Part: MEC141455

2” Endo .......................................................................$70Part: MEC141456

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 actua-tor) selections. Select cane type, back cane height, and back cushion configuration below.

Flip Forward Back......................................................... $150Part without Lift: MEC131957, Part with Lift: MEC148117Available with Static Seat 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.

16”H CanePart: FRMASMB15834






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

Match Seat Width SelectionsPart: PTOINDV3468

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



11.13. 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.

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 page.



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

11. TRU-BALANCE 3 SEATING continued

14” HeightPart: SETHGHT1027















11.14. 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.

11.15. 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.

Red CorvettePart: DGN148034

Electric BluePart: DGN148076

Back in BlackPart: DGN148032

Night TrainPart: DGN1706558

White SatinPart: DGN148075

Pretty in PinkPart: DGN148045

Deep PurplePart: DGN148046

Lime LightPart: DGN148036

Grey StreetPart: DGN148074

Silver BulletPart: DGN148047

Midnight BluePart: DGN148035

Orange CrushPart: DGN148038

Yellow BlazePart: DGN148077

11.16. Additional TRU-Balance 3 Back OptionsOptional.

TRU-Comfort Lateral Positioning Wedge, pair ........................$30Part: SET123465Available with TRU-Comfort 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.

See Comfort Company Back order form

Privacy Flap, 9.75” .........................................................$35Part: DWR1044E456BStandard on recline seating systems.

Privacy Flap, 12.75” .......................................................$35Part: DWR1044E456AStandard on recline seating systems.

12. 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.

TRU-Balance 3 Flip-Back, 8”-12”H .......................... StandardPart: See XRef

TRU-Balance 3 Flip-Back, 12”-16”H ......................... StandardPart: See XRef

2-Post, Flip Back, Height Adjustable, and Removable Armrests (9”-13” Height) .................................................... $150 ea. or No Charge*Part: See XRef. HCPCS: E0973Not available with a depth less than 16”. Required with flip forward back and lap trays. *No charge with power seating.

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.

8”-12”H, Single Post, Height Adjustable, Removable, .........$75 ea.Heavy Duty (Sold in pairs)Part: See XRef. HCPCS w/ Static Seat: E0973

10”-14”H, Single Post, Height Adjustable, Removable,........$75 ea.Heavy Duty (Sold in pairs)Part: See XRef. HCPCS w/ Static Seat: E0973

12.1a. TRU-Balance 3 Flip-Back ArmrestsChoose a left and right TRU-Balance 3 armrest and set height in the following section. An optional downpost is also available. Different left (L) and right (R) armrest height packages are allowed. Not available with Back Cane Option.

12.1b. Two-Post ArmrestsSelect the armrest and set the left and right heights in the following section. These armrests may interfere with offset backs/ back canes.

12.1c. Heavy Duty, Removable ArmrestsSelect a type of HD removable armrests and the set height in the following section. Only one height package is selectable as a normal configuration. Payer coding, coverage, and bundling guidelines may apply.

Flip-Back Armrest Support

TRU-Balance 3 armrests section continued on following page.



12.2. Armrest HeightREQUIRED. Set left and right armrest height. Note the available height range in the option description.

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

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

1. Left Armrest Height

2. Right Armrest Height

14” Full LengthPart: Configuration selection

10” Desk LengthPart: Configuration selection

13. 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.

13.1. Foam Armpads

No Armpad Selection and/or See Positioning Components Page or Order Form .....................................................................No ChargePart: Configuration selection

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

Waterfall, Armpad ............................................ No ChargePart: See XRef

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

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

13.1b. 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

Height AdjustableReceiver (Track Arm)

Height AdjustableReceiver (Tube Arm)

Standard Fixed Receiver ........................................... StandardPart: ACC123525

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

14. TRU-BALANCE 3 JOYSTICK BRACKET RECEIVERREQUIRED.

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

15.1. Headrest Pads

15.2. Headrest Brackets

Headrests

Stealth’s Worlds Best Removable ..................$220.50Headrest Bracket (TWB485-1) (C)Part: FRMASMB15999. HCPCS: E1028

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

Stealth 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

12. TRU-BALANCE 3 ARMRESTS continued


4 Function Push Button Mount Location

Optional Switch ControlOptional. Switch will be mounted to same side of joystick.


38” Lap BeltPart: ACCBELT1006






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) ............................ $120Required with ISO 7176-19 Compliant Transit Option.Part: ACCBELT1016

16. LAP BELTSREQUIRED. Select a lap belt below.16.1a. Standard Lap Belts

16.1b. Optional Lap Belts

17. TRU-BALANCE 3 MANUFACTURER INSTALLED ACCESSORIESOptional.

Trilogy Vent Tray ..........................................$400Part: ACC136791. HCPCS: E1029

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

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

Accessory Bar ..............................................$100Part: MEC125098Standard with the Trilogy vent tray, and oxygen holder. May be added to mount additional accessory to back of unit. Not available with back cane option. Compact and Trilogy

18. 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 (adds 2 actuator control requirement)Part: Configuration selection

Combined Legrests (adds 1 actuator control requirement)Part: Configuration selection

Articulating Foot Platform (adds 1 actuator control requirement)Part: Configuration selection

Switch Controls

4 Way Toggle

4 Way ButtonToggle

4 FunctionPush Button

19. POWER POSITIONING ELECTRONICSREQUIRED, except with Static Seat without power options. Select the desired control type for the seating system. Please note the available actuator controls.

19.1a. Tilt Only through Toggle

19.1b. NE+ 6 Key Controls through Joystick

19.1c. Q-Logic 2 Controls through Joystick

19.1d. Q-Logic 2 with 4 Function Push ButtonSingle Actuator Control Through 4 Function .....................$2,895Push Button and Q-Logic 2 Controller and Interface (AAM)Only available with TB3 armrests. Select a side to mount. Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through 4 Function ...................$2,895Push Button and Q-Logic 2 Controller and Interface (AAM)Only available with TB3 armrests. Select a side to mount. Part: See XRef. HCPCS: E2311

Single Actuator Through Q-Logic 2 Controller and Interface ...$1,895Part: See XRef. HCPCS: E2310

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

Single Actuator Control Through NE+ ..............$1,895JoystickPart: See XRef. HCPCS: E2310

Two Actuator Control Through NE+ ................ $2,895JoystickPart: See XRef. HCPCS: E2311

Single Actuator Control, Through Toggle (Power Tilt Only) .............................................................No ChargePart: See XRefOnly available with Power Tilt only. Manual recline is not available with NE Tilt through toggle. Fender lights are not available with tilt through toggle. Select toggle side.

Left Side Mount Right Side MountPart: PTOINDV3678 Part: PTOINDV3679

Left Side Toggle Right Side TogglePart: PTOINDV1838 Part: PTOINDV1839

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

Toggle Mount Location

20. ATTENDANT CONTROLOptional.

Attendant Control ....................................................................................................................................................... $500*Part: ELE125264. HCPCS: E2331Attendant control will be at no charge when ordered with Tilt and Recline, alternative drive controls, and a Q-Logic Display or SCIM module. Mounting bracket is included.



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






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

Manually Adjustable Center Mount Foot Platform ... $250Part: RIG163640

21.1. 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 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

1. Articulating Legrest Upper Assembly

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

21.2. 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

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

Power ArticulatingFoot Platform

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




Angle Adjustable, 11”-13”

Angle Adjustable, 14.5”-18”

Legrests section continued on following pages.

21. 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.


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”.


3. Power Articulating, Swing-Away Legrest Accessories

3a. Extruded Footplate(s)

3c. Multi-Axis 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”.

Calf Pad (pair) 6”Wx6”H .......................................... No ChargePart: MEC153735

Falcon Gel Padded Knee Adductor Buttons (KBE)(pair) ...........$125Part: INDPART2242. HCPCS: E0953Please verify the appropriate billing code to be used for this item withall third-party payors.

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



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




60°-90° Swing-Away Legrest Compatibility Matrix




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 .....................$81 ea. or N/C*Pair part: RIG120062. Left: FRMASMB17558. Right: FRMASMB17559*No charge with Power Positioning. Not available with 11"-13" extensions.

60°-90° Swing-Away Legrest, Short ............$81 ea. or N/C*Pair part: RIG136481. Left: RIG132607. Right: RIG132609.*No charge with Power Positioning. For use only with 11"-13" lower extensions.

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

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

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

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

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


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

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

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

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

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

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

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

21.3. 60°-90° Swing-Away LegrestsAdjustable in 5° increments. Select 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.

2. Lower Extension

1. Swing-Away Legrest Upper

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”.

Legrests section continued on following page.

21. LEGRESTS continued



4. 60°-90° Swing-Away Legrest Accessories

4. Elevating Legrest Accessories

3a. Reinforced Cast Footplate(s)

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”. 4"x6" and 5"x6" footplates are only available in pairs.

1. Elevating Legrests Upper

2. Lower Extension

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

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 .......................................................$85 ea.Pair part: FRMASMB4735. Left: RIG137791. Right: RIG137792HCPCS: K0040

6”Wx8”D1 ......................................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795HCPCS: K0040



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.

11”-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


Elevating Legrest Compatibility Matrix




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

21.4. 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.

22. 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.

21. LEGRESTS continued

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)



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

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

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

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

TRU-Balance 3 Transfer Bar, ...........................$200Quick Release (Pair) (D)Part: ACC147773. HCPCS: E0705

TRU-Balance 3 Front Mounted .......................... $50Cell Phone/ Media Holder (E)Part: ACC155835

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

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

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

TRU-Balance 3 Rear View Mirror ....................... $50Part: ACC155833

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

TRU-Balance 3 Clothing Guard (Pair) .................$200Part: ACC125007

Quantum Backpack ........................................ $75Part: ACCINDV1102

Quantum iPad Mount .....................................$375Part: ACC141818

TRU-Balance 3Accessories

TRU-Comfort 2 SPP CushionSkin protection and positioning with 4-way stretch, breathable cover.

E2607, 16"W to 20" W ...........................$400E2608, 22"W ......................................$500

Part series: ST-TC2SPPXXYY

Simplicity G CushionGeneral use with 2-way stretch, breathable cover.

E2601, 16"W to 20" W ........................... $110E2602, 22"W ...................................... $165

Part series: ST-SIMGXXYY

23. QUICK STEALTH CUSHION CONFIGURATIONOptional. Specific cushion/component sizes available, part numbers, and special order cushions can be found on the complete Stealth Cushion Order Form. 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.

23.1. Cushion Dimensions

23.2. Cushion Model Selection

23.3. Additional Fluid Proof LinersFluid Proof Urethane Liner ......................................... $50-$70Part: URL1709070-XXYYNot available with Simplicity and TRU-Comfort 2.

Fluid Proof Polyurethane Liner .............................. Coming soonNot available with Simplicity.

Install Liner on Cushion

Solution SPP CushionSkin protection and positioning with 4-way stretch, breathable cover. Includes urethane liner.

E2607, 14"W to 20" W ........................... $375E2608, 22"W ...................................... $430

Part series: ST-SOLSPPXXYY

Spectrum Gel SPP CushionPositioning with 4-way stretch, breathable cover. Includes urethane liner.Part series: ST-SPCGSPPXXYY

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

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

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

14” W 16" W 17" W 18" W 19" W 20" W 22" W 14” D 16" D 17" D 18" D 19" D 20" D 22" D

Liner Installation

Cushion Width Cushion Depth

https://www.pridemobility.com/pdf/order-forms/seating/us_stealth_cushions_order_form.pdf



26. BRANCH PATCHESOptional.

Air Force Army Coast Guard Marines Navy Purple Heart

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

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

Group 24, Gel Cell (Interceptor) .................................. $365 ea. Part: BAT1704614. HCPCS: E2363

Group 24, Gel Cell (MK) ............................................. $410 ea. Part: BAT121347. HCPCS: E2363

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

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

27.1. 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.

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 .......................... $400 ea. (LP430 & LHW-121)

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

2. Pelvic/Thigh Guide Adapter

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

2” 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^

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

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

Install on LeftPart: PTOINDV3585

Install on RightPart: PTOINDV3586

Do Not InstallPart: PTOINDV3719

27. MANUFACTURER INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.

http://www.quantumrehab.com/resources/downloadorderforms.php?f=seating/us_positioning_components_order_form.pdf



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

28.2. Stealth Padded Shoe Holder

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^

Stealth Small Padded Shoe Holder 3.75"Wx6.25"D ................ $266(SPLE111) (pair)Part: INDPART2783

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

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

2. Elbow Support Pad

1. Elbow Support Bracket28.3. Stealth Elbow Support

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

Part: POS124064. HCPCS: E1028

Left, Fixed Elbow Support Bracket ...... $183.75 ea. TRU-Balance 3 Arms (ARMS-ESFTB3-L)

Part: POS133465

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

Part: POS124066. HCPCS: E1028

Right, Fixed Elbow Support Bracket .... $183.75 ea. TRU-Balance 3 Arms (ARMS-ESFTB3-R)

Part: POS133466

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

28.4. 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

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

28.6. 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).

28.5. 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

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

Facial Lateral Pads and Accessories

28. PROVIDER INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.



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


29.4. Egg Switches

Egg Switch

Alternative Controls & Electronics Order Form Positioning Components Order Form

30. 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.

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

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

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

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

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

29.2. Head ArrayAdult, 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

29.3. Sip and Puff DriveSip and Puff Module for Q-Logic 2 ..................................................................................................$1,895Part: KITASMB1697 Includes module and bus cable.

Sip & Puff Module

Enhanced Display

29.1. Enhanced Display













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

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

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

Q-Logic 2 Enhanced Display Kit .....................................................................................................$1,720Part: KIT140039Select 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.

29. SPECIALTY CONTROLSOptional. Select a type of specialty controls below or to refer to the specialty controls order form.

29.5. Switch Adapter2 to 1 Switch Adapter .................................................................................................................................................. $13.39Part: DWR1361H037 Connects 2 single switches to a stereo jack to act as a dual switch.

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Option Name MSRP Part Number Manufacturer Extended DescriptionELECTRONICSQ-Logic 2 EX Controller Module $695 ELE132484 ELECTRONIC,ASSY,Q-LOGIC,G4,5 MPH,125 RPM MOTORS,R44

ELE132485 ELECTRONIC,ASSY,Q-LOGIC,G4,5 MPH,125 RPM MOTORS,R44,TILT THRU TOGGLEELE132486 ELECTRONIC,ASSY,Q-LOGIC,G4,5 MPH,125 RPM MOTORS,R44,QUANTUMELE132487 ELECTRONIC,ASSY,Q-LOGIC,G4,6 MPH,160 RPM MOTORS,R44ELE132488 ELECTRONIC,ASSY,Q-LOGIC,G4,6 MPH,160 RPM MOTORS,R44,TILT THRU TOGGLEELE132489 ELECTRONIC,ASSY,Q-LOGIC,G4,6 MPH,160 RPM MOTORS,R44,QUANTUMELE132490 ELECTRONIC,ASSY,Q-LOGIC,G4,6 MPH,160 RPM ACCU-TRAC MOTORS,R44,UNIVERSAL/TILT THRU

TOGGLEELE132491 ELECTRONIC,ASSY,Q-LOGIC,G4,6 MPH,160 RPM ACCU-TRAC MOTORS,R44,QUANTUMELE132492 ELECTRONIC,ASSY,Q-LOGIC,G4,8 MPH,190 RPM MOTORS,R44ELE132493 ELECTRONIC,ASSY,Q-LOGIC,G4,8 MPH,190 RPM MOTORS,R44,TILT THRU TOGGLEELE132494 ELECTRONIC,ASSY,Q-LOGIC,G4,8 MPH,190 RPM MOTORS,R44,QUANTUM

TB3SPACK: 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 SET130970 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130973 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130974 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130975 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130976 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130978 SEAT BASE,ASSY,20"W-24"W,12"D-16"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130979 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT ONLY,LIFT READY,TRU-BALANCE 3SET130980 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT ONLY,LIFT READY,TRU-BALANCE 3

Sport Back No Charge SET130247 SEAT BACK,ASSY,14"W,10"W-14"W,11"H,SPORT BACK,TRU-BALANCE 3

Section NameRival Cross Reference Spreadsheet - TRU-Balance 3 Postioning

TRU-BALANCE 3 SEATING : Seat Dimensions

TRU-BALANCE 3 SEATING : Back Cushion Configuration

Page 1 of 13

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Rival Cross Reference Spreadsheet - TRU-Balance 3 Postioning

SET130249 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130250 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 3

Page 2 of 13



SET130330 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 3SET130332 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 4-way Stretch, 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

Page 3 of 13



TRU-Comfort 4-way Stretch, 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 STRETCHSET124627 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

TRU-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,LEFTARM147744 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 3

ARMRESTS : TRU-Balance 3 Flip-Back Armrests

Page 4 of 13



MEC140979 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 3MEC140978 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

2-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

8"-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

ARMRESTS : Two-Post Armrests

ARMRESTS : Heavy Duty, Removable Armrests

Page 5 of 13



Straight, 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

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 ARMREST

ARMPADS

Page 6 of 13



ARM134295 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134296 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134297 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST

Single Actuator Control, Through NE+ Joystick $1,895 ELE130739 ELECTRONIC,ASSY,NE PLUS,INDEPENDENT LEGS,TRU-BALANCE 3 SEAT,(CONFIGURATION # 01)

ELE130740 ELECTRONIC,ASSY,NE PLUS,COMBINED LEGS,TRU-BALANCE 3 SEAT,(CONFIGURATION # 02)

ELE130741 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,POWER ARTICULATING FOOT PLATFORM,TRU-BALANCE 3 SEAT,(CONFIGURATION # 03)

ELE130742 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,TRU-BALANCE 3 LIFT,(CONFIGURATION # 04)

ELE151798 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 04)

ELE130744 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER TILT(CONFIGURATION # 20)

ELE130746 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT THRU JSTK W/MANUAL RECLINE,(CONFIGURATION # 20)

ELE130010 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,(CONFIGURATION # 08)

Two Actuator Control, Through NE+ Joystick $2,895 ELE130743 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 LIFT/POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 07)

ELE151800 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT/POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 07)

ELE130747 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT,AFP,THRU JOYSTICK,(CONFIGURATION # 23)

ELE130011 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER RECLINE,RECLINE/POWER AFP,W/INDEPENDENTLY CONTROLLED POWER AFP,(CONFIGURATION # 11)

ELE130023 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 LIFT & TILT,THRU JOYSTICK,(CONFIGURATION # 24)

ELE151802 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,THRU JOYSTICK,(CONFIGURATION # 24)

ELE130012 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 LIFT & RECLINE,(CONFIGURATION # 14)ELE151804 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT &

RECLINE,(CONFIGURATION # 14)ELE130008 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT &

RECLINE,TILT/RECLINE,(CONFIGURATION # 28)

Single Actuator Control through Q-Logic 2 Controller and Interface $1,895 ELE130760 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER TILT,(CONFIGURATION # 20)

ELE130762 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,(CONFIGURATION # 20) ELE130764 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,THRU JOYSTICK W/MANUAL

RECLINE,(CONFIGURATION # 20) ELE130813 ELECTRONIC,ASSY,Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER RECLINE,RECLINE

ONLY,(CONFIGURATION # 08) ELE130816 ELECTRONIC,ASSY,Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER RECLINE,RECLINE

ONLY,W/ATTENDANT CONTROL,(CONFIGURATION # 08) ELE130817 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,RECLINE

ONLY,(CONFIGURATION # 08) ELE130819 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,W/ATTENDANT

CONTROL,(CONFIGURATION # 08) ELE148166 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT

LIFT,(CONFIGURATION # 04)

POWER POSITIONING ELECTRONICS

POWER POSITIONING ELECTRONICS : Q-Logic 2 Controls through Joystick

Page 7 of 13



Multiple Actuator Control through Q-Logic 2 Controller and Interface $2,895 ELE130766 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,INDEPENDENT OR COMBINED LEGS,THRU JOYSTICK,(CONFIGURATION # 21)

ELE130768 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,COMBINED LEGS,THRU JOYSTICK,(CONFIGURATION # 22)

ELE130770 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,AFP,THRU JOYSTICK,(CONFIGURATION # 23)

ELE130821 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,(CONFIGURATION # 09)

ELE130823 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 09)

ELE130825 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,(CONFIGURATION # 10)

ELE130827 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 10)

ELE130829 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,(CONFIGURATION # 11)

ELE130831 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 11)

ELE148225 ELECTRONIC,ASSY,CURTIS/AAM,INDEPENDENT LEGS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 05)

ELE148227 ELECTRONIC,ASSY,CURTIS/AAM,COMBINED LEGS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 06)

ELE148229 ELECTRONIC,ASSY,CURTIS/AAM,POWER ARTICULATING FOOT PLATFORM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 07)

ELE130789 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,(CONFIGURATION # 28)

ELE130791 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 28)

ELE130793 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,(CONFIGURATION # 29)

ELE130795 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 29)

ELE130797 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,(CONFIGURATION # 30)

ELE130799 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 30)

ELE130801 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,(CONFIGURATION # 31)

ELE130803 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 31)

ELE148235 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT THRU JOYSTICK,(CONFIGURATION # 24)

Page 8 of 13



ELE148237 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT THRU JOYSTICK W/ATTENDANT CONTROL,(CONFIGURATION # 24)

ELE148238 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,INDEPENDENT LEGS,THRU JOYSTICK,(CONFIGURATION # 25)

ELE148240 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,INDEPENDENT LEGS,THRU JOYSTICK W/ATTENDANT CONTROL,(CONFIGURATION # 25)

ELE148241 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,COMBINED LEGS,THRU JOYSTICK,(CONFIGURATION # 26)

ELE148243 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,COMBINED LEGS,THRU JOYSTICK W/ATTENDANT CONTROL,(CONFIGURATION # 26)

ELE148244 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,THRU JOYSTICK,(CONFIGURATION # 27)

ELE148246 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,THRU JOYSTICK W/ATTENDANT CONTROL,(CONFIGURATION # 27)

ELE148255 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,(CONFIGURATION # 14)

ELE148257 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 14)

ELE148258 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,(CONFIGURATION # 15)

ELE148260 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 15)

ELE148262 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,(CONFIGURATION # 16)

ELE148264 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 16)

ELE148265 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,(CONFIGURATION # 17)

ELE148271 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 17)

ELE148279 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,(CONFIGURATION # 34)

ELE148281 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 34)

ELE148282 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,(CONFIGURATION # 35)

ELE148284 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,INDEPENDENT LEGS,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 35)

ELE148285 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED COMBINED LEGS,(CONFIGURATION # 36)

ELE148287 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 36)

Page 9 of 13



ELE148288 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED AFP,(CONFIGURATION # 37)

ELE148290 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 37)

Single Actuator Control Through 4 Function Push Button and Q-Logic 2 Controller and Interface

$2,895 ELE135169 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 20)

ELE130813 ELECTRONIC,ASSY,Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,(CONFIGURATION # 08)

ELE130816 ELECTRONIC,ASSY,Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE130817 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,(CONFIGURATION # 08)

ELE130819 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE148166 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 04)

Multiple Actuator Control Through 4 Function Push Button and Q-Logic 2 Controller and Interface

$2,895 ELE135170 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,THRU JOYSTICK W/MANUAL RECLINE & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 20)

ELE135171 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,COMBINED LEGS,THRU JOYSTICK,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 22)

ELE135172 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT,AFP,THRU JOYSTICK,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 23)

ELE135175 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 10)

ELE135176 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 10)

ELE135177 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 11)

ELE135178 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 11)

ELE148231 ELECTRONIC,ASSY,CURTIS/AAM,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 04)

ELE148233 ELECTRONIC,ASSY,CURTIS/AAM,COMBINED LEGS,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 06)

ELE148234 ELECTRONIC,ASSY,CURTIS/AAM,POWER ARTICULATING FOOT PLATFORM,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 07)

ELE135191 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 28)

ELE135195 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 28)

POWER POSITIONING ELECTRONICS : Q-Logic 2 Controls with 4 Function Push Button

Page 10 of 13



ELE135197 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 30)

ELE135203 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 30)

ELE135204 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 31)

ELE135205 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 31)

ELE148247 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT THRU JOYSTICK,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 24)

ELE148250 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT THRU JOYSTICK W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 24)

ELE148251 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,COMBINED LEGS,THRU JOYSTICK,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 26)

ELE148252 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,COMBINED LEGS,THRU JOYSTICK W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 26)

ELE148253 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,POWER AFP,THRU JOYSTICK,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 27)

ELE148254 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,POWER AFP,THRU JOYSTICK W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 27)

ELE148272 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 14)

ELE148273 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 14)

ELE148274 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 16)

ELE148275 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 16)

ELE148277 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 17)

ELE148278 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & RECLINE,AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 17)

ELE148291 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 34)

ELE148292 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 34)

Page 11 of 13



ELE148293 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED COMBINED LEGS,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 36)

ELE148294 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,COMBINED LEGS,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED COMBINED LEGS,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 3

ELE148295 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/ INDEPENDENTLY CONTROLLED AFP,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 37)

ELE148296 ELECTRONIC,ASSY,CURTIS/AAM,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT TILT & RECLINE,POWER AFP,SYNCHRONIZED RECLINE W/INDEPENDENTLY CONTROLLED AFP,W/ATTENDANT CONTROL & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 37)

P: 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

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

LEGRESTS : 60-90 Swing-Away Legrests

Page 12 of 13



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-1010-646

P: 12"-14.5" Length No Charge FRMASMB4752 LEGREST,ASSY,ANGLE ADJUSTABLE LOWER,12"-14.5" EXT,PAIRP: 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

Wheel 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

Wheel 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

LEGRESTS : 60-90 Swing-Away Legrest Accessories

LEGRESTS : Elevating Legrest Accessories

LEGRESTS : Elevating Legrests

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