bora · 2020-02-14 · • 318mm x 57mm (12.5" x 2.25") puncture proof solid inlay black...

Power WheelchairRetail Prescription Form

BORAMOD200219

Tel: 01656 776222 Fax: 01656 776220 APRIL 2019Email: [email protected] Spares available at: www.invacare.co.uk

Customer Ref : Account No :

Contact No : Order No :

Delivery Address : Order Qty :

Order Date :

X Please make your selection with a cross in the box Standard feature Free of Charge

Customer weight = Kg

Code Description Retail

ASM0064 Bora Basic Model £4,225

ASZ0064 Bora Special Basic Model PLEASE COMPLETE DETAILS AT THE END OF THE FORM POA

SEATING TYPE

ASM2100 X Modulite Seating Unit

SEAT FRAME AND SEAT PLATE

ASM2111 X

MODULITE SEAT SIZE SETTING CHART:

Telescopic seat frame with metal seat plate (with stepless adjustment on armrests, legrests and backrest)

Standard Features

• Modulite highly adjustable seating system• Telescopic adjustable Seat Widths from 330mm ‐ 530mm (13" ‐ 21") with an additional 50mm, (2") by arms

• Seat Depths 410mm ‐ 510mm Stepless Adjustment (16" ‐ 20")• Tension Adjustable backrest• Standard T‐Armrests, detachable with Short armpad• Manual settable seat Tilt (0° ‐ 20°)• Manual settable backrest Recline (0°‐ 30°, in 3.75°steps) • 80° hangers with fixed footplate• LiNX Control REM110 with standard bracket• Choice of 2 Chassis Colours, 7 Body Shroud Colours, 3 Rim colours • 200mm x 45mm (8" x 1.175") Puncture proof PU‐foam sealed, Black castors• 318mm x 57mm (12.5" x 2.25") Puncture proof solid inlay Black drive wheels• Rear suspension (3 options)• 6 km/h (4mph) 2 Pole Motors and 50 Ah Batteries• 8A (200 ‐ 250V) Charger• Bolt on or quick release anti tippers• 4 Point tie down system• Lapbelt with autolock (adjustable both sides)

Standard Base Price £4,225* Configurations may vary from the image shown

Bora® ®

330mm* (13")

ASM2121 380mm

(15")

ASM2122 430mm

(17")

ASM2123 480mm

(19")

ASM2124 530mm

(21")ASM2132

(16") 410mm

ASM2134 (18")

460mm

ASM2136 (20")

510mm

SEAT WIDTHS

SEAT D

EPTHS

Order No :

Customer Ref:

Bora Modulite

of 8Subject to Invacare's standard Terms and Conditions.

Invacare reserve the right to alter product specification without prior notice.

SEAT OPTION

ASMSWO "H" Frame Interface Kit £395

SEAT CUSHION (sizes according to seat frame settings)

ASM2142 Matrx Flo-tech Lite £99

ASM2143 Matrx Flo-tech Contour Visco Not available with seat width 380mm, 530mm, seat depth 510mm

£99

ASM2147Not available with seat width 530mm with 410mm seat depth

£345

ASM2144 Matrx VI (Mesh fabric)Not available with seat width 530mm with 410mm seat depth

£362

ASM2140 Without seat cushion

BACKREST SUPPORT

ASM2162 Must be selected for flex3 adjustable backrest

ASM2163 Backposts 480mm (Short) Not available with flex3 adjustable backrest

PUSH HANDLES FOR BACKPOSTS

ASM2107 Backposts WITH push handles

ASM2108Backposts WITHOUT push handlesPush handles will be cut down on the vertical section.

Not available with attendant controls, dual controls, matrx backrest's, headrest (1495), tension adjustable backrest (2171) in combination with a headrest.

£32

BACKREST UPHOLSTERY / CUSHION

ASM2171Not available with laterals, headrest option 1496, chin control

ASM2179Not available with flip up, following armrests, chin remote, laterals with rigid pad

£122

ASM2172 £198

ASM2173 £321

ASM2174 Matrx Posture Back, height 400mm (Mesh fabric)Not available with laterals, 530mm seat width, headrest option 1496

£438

ASM2175 Matrx Posture Back, height 500mm (Mesh fabric)Not available with laterals, 530mm seat width, headrest option 1496

£438

ASM2176 Matrx Elite Back, height 500mm (Mesh fabric)Not available with laterals, 530mm seat width, headrest option 1496, seat width of 380mm 2121 in combination with flip up or following armrests

£438

ASM2177 Matrx Elite TR Back, height 500mm (Mesh fabric)Not available with laterals, 530mm seat width, headrest option 1496

£438

ASM2178 Matrx Elite Deep Back, height 500mm (Mesh fabric) Not available with laterals, headrest option 1496 £486

ASM2170 Not available with laterals, headrest option 1496

UPHOLSTERY TYPE

ASM2151 Black fabric

ASM2152 Black Dartex

ASM2155 Black Spacer fabric

ARMRESTS (Pair)

ASM2191

ASM2181T-Armrest Extended height Range of adjustment from seat plate 295mm to 365mm

£32

ASM2183 In-rigged Armrests (reduces seat width by 25mm each side)

ASM2193Flip-up Armrest (height and depth adjustable)(height adjustable from 230mm - 360mm)

Not available with laterals £51

ASM2192 Following Armrest (height adjustable from 230mm - 300mm) Not available with laterals £146

ASM2194 Following Armrest (height adjustable from 300mm - 360mm) Not available with laterals £146

ARMPAD (Pair)

ASM2195 Short Armpad (325mm)

ASM2196 Long Armpad (375mm) Not available with seat depth 410mm

ASM2197 Long Ergonomic Armpad (397mm) Not available with seat depth 410mm

ASM2199 Soft Armpad (REA Azalea Wide Pad) Not available with seat depth 410mm £76

Flex3 adjustable Backrest Plates (without Backrest Cushion)

Basic Tension Adjustable, (540mm or 480mm upholstery height)Straps easily accessible and adjustable from the rear, Black fabric only

Matrx Libra, 90mm thick

Backposts 540mm (Tall)

*330mm (13") seat width achieved on a 380mm seat frame (2121) with inrigged armrests (2183) 1. Seat depth 410mm: cannot combine T-Armrests (2191) with flexible lapbelt mount (2113) 2. Seat width 530mm (2124) not possible in combination with following armrests (2192/3) 3. Modulite Teen seating available, seat width and depth from 305mm (12") - See New form

Flex3 Tension Adjustable (540mm - 480mm)Black Dartex only

Flex3 adjustable Backrest Plates with Laguna Backrest cushion

Without Backrest Upholstery

T-Armrest StandardRange of adjustment from seat plate 245mm to 315mm

Order No :

Customer Ref:

Bora Modulite



HIP SUPPORTS, Multi adjustable LH (for flip up and following armrests only)

ASM2184 SMALL 140mm x 100mmNot available with 410mm seat depth and manual centre legrests

£200

ASM2186 MEDIUM 230mm x 100mmNot available with 410mm seat depth and manual centre legrests

£200

ASM2188 LARGE 330mm x 100mmNot available with 410mm seat depth and manual centre legrests

£200

HIP SUPPORTS, Multi adjustable RH (for flip up and following armrests only)

ASM2185 SMALL 140mm x 100mmNot available with 410mm seat depth and manual centre legrests

£200

ASM2187 MEDIUM 230mm x 100mmNot available with 410mm seat depth and manual centre legrests

£200

ASM2189 LARGE 330mm x 100mmNot available with 410mm seat depth and manual centre legrests

£200

EXTENDED HEIGHT (+2") MOUNTING HARDWARE FOR HIP SUPPORTS NEW!

ASM2165 Extended height mounting hardware for hip supports (8.1" / 206mm high)

SEAT ACCESSORIES

HEADREST / NECKREST (Dartex covered) - Adequate headrest option must be selected

ASM1350 Neckrest: height and depth adjustable £64

ASM1432 £179

ASM1427 £179

ASM2323Elan Standard Pad 150mm (6") wide with standard covercomplete with Elan Headrest Hardware

Not available with tension adjustable backrests, head controls

£260



£260



£260

ASM2325Not available with tension adjustable backrests, head controls

£260

ASM2326Not available with tension adjustable backrests, head controls

£260

ASM2327Elan 4 Point Headrest Pad 280mm x 255mm (11" x 10") with standard cover, complete with Elan Headrest Hardware


£350

ASM1496 All bracketry as option 1432 without headrest cushion Not available with chin control

ASM1495Push bar dia. 22mm in conjunction with telescopic seat frame / backposts, No Headrest - no mounting hardware.

Not available with chin control

LATERAL SUPPORT (Pair)

ASM1446 £133

ASM1445 Multi-adjustable pad (Azalea type, Dartex) £133

SEAT ADJUSTMENTS

SEAT LIFTER / SEAT TILT

BACKREST RECLINER

ASM0975 Manual Settable Recliner (0° - 30° in 3.75° steps) Foldable

ASM0977 Powered Recliner (0° - 30°) Foldable £400

Headrest with cheek support: height and depth adjustable

Elan Occipital Pad 230mm x 180mm (9" x 7") with standard covercomplete with Elan Headrest Hardware

Elan Occipital Pad 305mm x 200mm (12" x 8") with standard covercomplete with Elan Headrest Hardware

Headrest: height, depth and sideways adjustable

Rigid pad (Azalea type, Dartex)

Tilt Range Seat Height Selection

ASM1091 Manually settable 0° - 20° 450mm

ASM1092 Powered basic 0° - 20° 450mm

ASM1092 ASM2139

Powered Basic with increased seat height 0° - 20° 465mm

ASM1093 Powered centre of gravity shift 0° - 30° 450mm

ASM1094 Seat Lifter with centre of gravity shift (300mm rise) 0° - 30° 450mm - 480mm

Increase in seat height to facilitate rearward adjustment of the seating

£320

£320

£850

£1,500

Order No :

Customer Ref:

Bora Modulite



LEGREST / FOOTREST

FOOTREST HANGER TYPE (Pair)

ASM0526 Standard 80° hangers Only with fixed footplate, adapt footplate (0513)

ASM0529 Manually height adjustable, (Rea Style) Only with fixed footplate, adapt footplate (0513) £133

ASM0503VARI F Angle adjustable with tools 0° - 70°, length 290mm - 460mm

£95

ASM0533VARI A : Angle adjustable with hand wheel 0° - 70°, length 290mm - 460mm

Not available with fixed footplates £185

ASM0531 Not available with fixed footplate, footboard £530

ASM0501 Without Hanger

FOOTPLATE TYPE (Pair)

ASM0512 Fixed Footplate

ASM0504 Angle adjustable Footplate £25

ASM0513 Angle and depth adjustable Footplate (Adapt) £94

ASM0522 Angle adjustable Footboard £121

LiNX PRIMARY CONTROLS (SECTION 1)

LiNX PRIMARY REMOTE & BRACKET

ASM2201 Not available with lights

ASM2203 Not available with lights

ASM2204 £120

ASM2205 £270

ASM2270 £250

ASM1207 Standard Bracket RH

ASM1208 Standard Bracket LH

ASM1707 Swing Away RH £105

ASM1708 Swing Away LH £105

ASM2227 Bracket RH mounted for Attendant £50

ASM2228 Bracket LH mounted for Attendant £50

ASZ2239 POA

LiNX REM500 REMOTE & BRACKET (Secondary User input required 2231, 2232, 2229)

ASM2206 £615

ASM2209

ASM2210

ASM2213 Centre mount, swing away to RH, Nucleus Not available with a tray £395

ASM2214 Centre mount, swing away to LH, Nucleus Not available with a tray £395

ASZ2239 POA

REM400, touch-screen interface, Built in Bluetooth HID

Individual mounting option per request (Special) - Requires additional information / specification

REM110 Drive only

ADE Powered : Angle adjustable powered by joystick, 0° - 80°, length 290mm - 460mm

Swing away LH, multi-adjustable

REM500, without joystick for alternative access, Built in Bluetooth HID'

Swing away RH, multi-adjustable

REM211 Drive & Actuators

REM216 Drive, Actuators & Lights


Assignable Toggle Switch Module for REM400 (as default set to left ON / OFF, right speed dial)

Order No :

Customer Ref:

Bora Modulite



LiNX DUAL CONTROL & BRACKET: CAN ONLY BE SELECTED IN ADDITION TO LiNX USER CONTROL

ASM2220 Dual Control REM050 Drive only £313

ASM2219 Compact Dual Control (ACU200) Not available with REM110 drive only remote £313

ASM1207 Standard Bracket RH

ASM1208 Standard Bracket LH

INVACARE LiNX IDC DUAL CONTROL & BRACKET

ASM2245 Invacare IDC Dual control Not available with REM110 drive only remote £595

ASM1221 IDC Dual control Detachable Bracket RH

ASM1222 IDC Dual control Detachable Bracket LH

LiNX SPECIALIST CONTROLS (SECTION 2)

LiNX - COMPACT REMOTES & BRACKET (Requires Primary Remote REM400 or REM500)

ASM2231 Proportional Compact Remote DLX-CR400 £655

ASM2232 Proportional Compact Remote Low Force DLX-CR-400LF £875

ASM2207 RH Mount

ASM2208 LH Mount

ASM2213 Centre Mount swing away to RH (Nucleus) Not available with a tray £395

ASM2214 Centre Mount swing away to LH (Nucleus) Not available with a tray £395

ASZ2215 POA

LiNX CHIN CONTROL & BRACKET (Requires Primary Remote REM400 or REM500)

ASM2229 Proportional Chin Joystick (ASL138) Not available with bag hooks £1,580

ASM1289

ASM1288

ASM1287Has to be mounted on opposite side of attendant bracket, cane holder, mirror, tray

£1,990

ASM1286Has to be mounted on opposite side of attendant bracket, cane holder, mirror, tray

£1,990

HEAD CONTROL (with ATOM technology) (Requires Primary Remote REM400 or REM500)

ASZ2230 £3,390

ASZ2247 £3,970

FOUR-SWITCH PROXIMITY ARRAY (with ATOM technology)

ASZ2257 Four-Switch Proximity Array (ASL106) Not available with bag hooks £5,250

ASZ2275 £395

ASZ2276 £395

ASZ2215 POA

WIRELESS ACCESSORIES FOR ATOM

ASZ2249 Wireless Triple Switch Receiver (ASL557-3) (Sub D plug) £270

ASZ2250 Wireless Mouse Emulator (ASL558) £648

MICRO EXTREMITY CONTROL (Requires Primary Remote REM400 or REM500)

ASZ2233 MEC Proportional Joystick (Micro Extremity Control) Not available with bag hooks £3,292

ASZ2235 Tray Mount RH (ASL603, 100mm x 150mm)

ASZ2236 Tray Mount LH (ASL603, 100mm x 150mm)

ASZ2213 Centre Mount, swing away to RH, Nucleus £395

ASZ2214 Centre Mount, swing away to LH, Nucleus £395

ASZ2241 £395

ASZ2242 £395

ASZ2215 Individual mounting option per request (Special) - REQUIRES ADDITIONAL INFORMATION / SPECIFICATION POA

Swing Away Bracket LH side manual (ASL628) (Requires ELAN Headrest)


Swing Away Bracket RH side manual (ASL628) (Requires ELAN Headrest)

Swing Away Bracket RH side powered

Centre Mount, swing away to RH, Nucleus (incl. Tray ASL603, 100mm x 150mm)


Centre Mount, swing-away to RH, Nucleus (includes Eclipse Tray ASL619, 360mm x 180mm)

Centre Mount, swing-away to LH, Nucleus (includes Eclipse Tray ASL619, 360mm x 180mm)

Centre Mount, swing away to LH, Nucleus (incl. Tray ASL603, 100mm x 150mm)

Head Control with ultrasonic proximity sensors (PROTON, ASL104P) with PROTON wings

*If no specialist controls are required please move to the frame colour section on page 7*

Swing Away Bracket LH side powered

Head Control with ultrasonic proximity sensors (ATOM, ASL104) with standard wings M3

Order No :

Customer Ref:

Bora Modulite



HEAVY DUTY REMOTE JOYSTICK (Requires Primary Remote REM400 or REM500)

ASZ2240 Proportional Heavy Duty Remote Joystick with mode switch (ASL133) Not available with bag hooks £1,835

ASZ2235 Tray Mount RH (ASL603, 100mm x 150mm)

ASZ2236 Tray Mount LH (ASL603, 100mm x 150mm)

ASZ2213 Centre Mount, swing away to RH, Nucleus £395

ASZ2214 Centre Mount, swing away to LH, Nucleus £395

ASZ2241 £395

ASZ2242 £395

ASZ2215 Individual mounting option per request (Special) - REQUIRES ADDITIONAL INFORMATION / SPECIFICATION POA

LiNX 10-WAY SWITCH & BRACKET

ASM225110-Way Switch DLX-SW10-A for direct Powered Seating Access(includes loom to connect + additional jack for mode switch)

£400

ASM2217 Bracket RH, mounted for User

ASM2218 Bracket LH, mounted for User

ASM2227 Bracket RH, mounted for Attendant £50

ASM2228 Bracket LH, mounted for Attendant £50

LiNX ACCESSORIES

ASM2252 Loom providing jack sockets for 10 way switch and buddy button (Mode) £80

LiNX USB CHARGER PORT & BRACKET

ASM2253 USB Charger Port DLX-USB02-A Not available with Bodypoint pelvic belts £126

ASM2207 RH Mount

ASM2208 LH Mount

FURTHER LiNX COMPONENTS / ACCESSORIES (SECTION 3)ASM2300 To be enclosed only - not mounted to the chair

ASZ2301 To be connected and programmed (Special) POA

BUDDY BUTTONS (Accessory loom 2252 required if no REM400 or REM500 is selected)

ASM1685 Red Buddy Button £70

ASM1686 Yellow Buddy Button £70

ASM1687 Green Buddy Button £70

ASM1690 Blue Buddy Button £70

EGG SWITCH (Accessory loom 2252 required if no REM400 or REM500 is selected)

ASM2254 Egg Switch, black £70

PIKO BUTTONS (Accessory loom 2252 required if no REM400 or REM500 is selected)

ASM1711 Red Piko Button £125

ASM1712 Yellow Piko Button £125

ASM1713 Green Piko Button £125

ASM1714 Orange Piko Button £125

ASM1715 Blue Piko Button £125

ASM1716 Black Piko Button £125

TOGGLES / BUTTONS

ASZ2261 Stereo Toggle - direct control for Tilt only £213

ASZ2262 Stereo Button - direct control for Tilt only £204

ASZ2263 Four-Way Toggle - direct control for Tilt & Recline £266

ASZ2264 Four-Way Button - direct control for Tilt & Recline £284

ASZ2207 RH Mount

ASZ2208 LH Mount

ASZ2225 Without Mounting

BODYPOINT JOYSTICK KNOBS NEW!

ASM2721 3" wide U-Shaped, Joystick Handle £57

ASM2722 4" wide U-Shaped, Joystick Handle £57

ASM2723 Wide Rubber Dome, Joystick Handle £57

ASM2724 £57

Centre Mount, swing away to LH, Nucleus (incl. Tray ASL603, 100mm x 150mm)

Centre Mount, swing away to RH, Nucleus (incl. Tray ASL603, 100mm x 150mm)

Grooved Mushroom Joystick Handle

Order No :

Customer Ref:

Bora Modulite



REMOTE STOP SWITCH

ASZ2258 Remote Stop Switch (ASL504) £832

DRIVE UNIT OPTIONS

FRAME COLOUR

ASM0228 Black

ASM0252 Arctic White

BODY SHROUD COLOURS

ASM0242 Pearl Night Blue

ASM0243 Metallic Silver

ASM0224 Black

ASM0204 Transparent Cherry Red

ASM0222 Arctic White

ASM0248 Grasshopper Green

ASM0279 Sunshine Yellow

RIM COLOUR

ASM0290 Rim colour White Not available with solid PU-foam castors

ASM0292 Rim colour Silver

ASM0291 Rim colour Black Not available with solid PU-foam castors

CASTORS

ASM0835 9" Castor, Pneumatic, Black (non-marking)

ASM0836 9" Castor, Puncture proof solid inlay, Black (non-marking)

ASM0828 8" Castor, Puncture proof solid PU-foam, Black (non-marking) Only available with Silver rim colour

DRIVE WHEELS

ASM0714 318mm x 57mm (12.5" x 2.25") Pneumatic, Black (non-marking)

ASM0715 318mm x 57mm (12.5" x 2.25") Puncture proof solid inlay, Black (non-marking)

PERFORMANCE OPTIONS

SUSPENSION

ASM1264 Rear suspension, standard (STANDARD Silver Spring)

ASM1265Rear suspension, strong (STRONG Black Spring)(must be chosen with the riser)

Required with lifter option (1094) and with 30° tilt

ASM1220 Rear suspension, extra strong (Extra STRONG Spring Black with dampeners )

MOTOR TYPE

ASM1294 3 km/h (2mph)

ASM1282 6 km/h (4mph)

ASM1283 £410

BATTERY

ASM1257 X 50 Ah (Gel)

PERFORMANCE ACCESSORIES

G-TRAC

ASM1215 £653

CHARGER

ASM1343 OptiCharge Charger 8A

ASM1313 OptiCharge Charger 10A (200 - 250V) Charging time will be 20% faster £120

SAFETY OPTIONS

ANTI-TIPPERS

ASM1234 Bolted on Anti Tippers

ASM1201 Quick release Not available with seat riser

LIGHTS

ASM1437 LED light system with Indicators (included with 10km/h motor) £380

ASM1254 Without Light system

SAFETY ACCESSORIES

KERB RIDER

ASM1244 Central Kerb Rider (with parking position) Not available with a footboard £168

TRANSPORTATION KIT

ASM1494 X

10 km/h (6mph) (includes LED light system with indicators and rear wheel fender)

4-Point tie-down (Tested version for using wheelchair as a vehicle seat according to ISO 7176-19:2001)(Adequate headrest is compulsory)

Q-Straint : Compatible with Q -Straint QLK-150 drive from system (occupied) no modifications required and can be fitted at a later date

G-trac ensures the powerchair takes the intended direction as indicated by the user control, without the need for continual correction by the client on uneven or sloping terrain.

Order No :

Customer Ref:

Bora Modulite



LAP BELT

ASM1329 Lapbelt (adjustable both sides) fitted to base of backrest

ASM2113 Lapbelt (adjustable both sides) adjustable mounting on seat rail extrusionNot available in combination with 410mm seat depth (2132) and T-armrest (2191)

BODYPOINT PELVIC BELTS (Includes mounting kit)

ASM2701Evoflex Pelvic Stabilizer, Rehab Latch size L(padded length 620mm)

Not available with seat width 380mm, 430mm, seat depth 410mm, hip supports

£75

ASM2702Evoflex Pelvic Stabilizer, Rehab Latch size M(padded length 460mm)

Not available seat width 480mm, 530mm, seat depth 410mm, hip supports

£75

ASM27032-Point Hip Belt, Centre pull - push button, Cinch mount size L(padded length 620mm)


£69

ASM27042-Point Hip Belt, Centre pull - push button, Cinch mount size M(padded length 460mm)


£69

ASM27052-Point Hip Belt, Dual pull, Side release button, Cinch mount size L (padded length 620mm)


£69

ASM27062-Point Hip Belt, Dual pull, Side release button, Cinch mount size M(padded length 460mm)


£69

REAR VIEW MIRROR - Must be selected with 10 km/h Motors

ASM1415 Rear view Mirror RH £33

ASM1339 Rear view Mirror LH £33

ACCESSORIES

BAG HOOKS

ASM2128 Bag Hooks (Max load up to 6 kg = impact on max user weight)Not available with flex3 backrest 2172 / 2173, attendant brackets, dual control

£61

LUGGAGE RACK

ASM1438 Luggage rack Only available with manual tilt £261

ASM1312 Cane Holder RH £33

ASM1363 Cane Holder LH £33

FENDER

ASM1417 Fender for rear wheels (mandatory for Lighting system) £83

TRAY - mounted opposite side to controller

ASM1404 Swing Away RH £132

ASM1405 Swing Away LH £132

Total Price:

Need a different option not on the form?

Take a look at our Powerchair Alternative Options form, available as standard

Powerchair Alternative Option required:

CANE HOLDER (in combination with attendant bracket or dual control the cane holder has to be mounted on the opposite side of the remote)

Special Instructions - Please supply the following information:

Name: Email:

Phone: Fax:

Description of special request (please include relevant option code or part number):

For a more complex customer requirement, please refer to our Invacare Unique special order form.email [email protected] or Fax: 01656 776220

Order No :

Customer Ref:

Bora Modulite



bora · 2020-02-14 · • 318mm x 57mm (12.5" x 2.25") puncture proof solid inlay black...

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