lift - proactiv-gmbh.com · lift with mechanical seat height adjustment by the simple manual...
TRANSCRIPT
- 1 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail [email protected] www.proactiv-gmbh.de
Quotation date: ___________
Order date: ____________
according to GTC PRO ACTIV GmbH
Medical suppliers / Company address:
Cust. no.:
Name:
Street:
Postcode, city:
Phone:
Fax:
E-mail:
Contact:
Shipping address: same as company address
other (see below)
Name:
Street:
Postcode, city:
Customer name / commission:
Name:
Street:
Postcode, city:
Phone:
Fax:
E-mail:
Date of birth:
Paying
organisation:
Indication:
Invoice address: same as company address
Invoice address: other (see below)
Cust. no.:
Name:
Street:
Postcode, city:
Phone:
Fax:
E-mail:
Contact:
LIFT with mechanical seat height adjustment By the simple manual adjustment of the seat height, the desired
working height can be achieved with the help of gas springs. With
just a little muscle power the seat lifts up to 30 cm.
Approved up to 120 kg user load capacity
9060100000 € 6,190.00
- 2 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Basic size
Body size:
Body size: __________ cm
Weight: __________ kg
Lower leg length: __________ cm
(anatomic dimension: hollow of the knee to the foot sole)
Wheel chair dimensions:
Seat width SB 35 36 37 38 39 40
41 42 43 44 45 46
Seat depth ST: Frame size 1
35 36
37 38
Frame size 2
39 40 41
42 43
Frame size 3
44 45 46
47 48
Back height RH 20 21 22 23 24 25 26 27 28 29
30 31 32 33 34 35 36 37 38 39
40 41 42 43 44 45 46 47 48
Lower leg length USL 30 31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
Please cross on the appropriate dimension (all dimensions are specified in cm).
Underlined values are standard settings.
The values SHh and SHv may deviate from the specified values depending on the
wheel size and wheel camber! Special dimensions possible upon request.
UL
(front side rear tube to axis middle drive wheel)
- 3 - 2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected
Colours Lift Rev. 02
Frame colour - One-colour design Rahmenfarbe - Einfarbdesign Information on current colour designs and example images under: www.proactiv-gmbh.de/farben.php
White RAL 9016
gloss 9000100170-023 matt 9000100170-123 € 33.30
Brilliant Silver
glanz 9000100170-011
Anthracite RAL 7016
gloss 9000100170-001 matt 9000100170-101 € 33.30
Black RAL 9005
gloss 9000100170-003 matt 9000100170-019 € 33.30
Deep black, silver effect
gloss 9000100170-007
Pure orange RAL 2004
glanz 9000100170-022
Fire Red
gloss 9000100170-018 matt 9000100170-118 € 33.30
Pink magenta RAL 4010
gloss 9000100170-037 matt 9000100170-137 € 33.30
Sky blue
gloss 9000100170-017
Pastel blue RAL 5024
gloss 9000100170-036 matt 9000100170-136 € 33.30
Navy blue
gloss 9000100170-045 matt 9000100170-145 € 33.30
Apple green
gloss 9000100170-014 matt 9000100170-114 € 33.30
Lemon green
gloss 9000100170-005 matt 9000100170-105 € 33.30
Purple
gloss 9000100170-044
Yellow RAL 1023
gloss 9000100170-046 matt 9000100170-146 € 33.30
Red RAL 3001
gloss 9000100170-047 matt 9000100170-147 € 33.30
Colour - Attachment parts Farbe - Anbauteile
Drive wheel1
Aluminium rim and hub
Caster fork and
bearing block
black 9000100171-003 9000100173-003
The attachment parts are always mounted in black.
Attachment parts colour design according to customer desires:
Drive wheel1
Aluminium rim and hub 5" Aluminium rim
2
3 spoke design
Orange
RAL 2004 € 144.901
9000100171-022
€ 30.702 9000100174-022
white
RAL 9016 € 144.901
9000100171-023
€ 30.702 9000100174-023
in frame
colour € 176.101
9000100171-999
€ 51.502 9000100174-999
Selection
from single
colour
design
deviating
from the
frame colour
€ 206.201 9000100171-998
€ 60.802 9000100174-998
Please enter the last 3 digits of the desired colour
(single colour design):
9000100170-
9000100170-
Frame colour - Two colour designs
Information on current colour designs and example images under:
www.proactiv-gmbh.de/farben.php
Note: Frames with two clolour designs in gloss level of the design colour
Two-colour design
comprising one basic colour (on the back of the frame) and one design colour (on the front of the frame)
€ 205.90
Please select from the following colours:
Base colour (on the rear frame):
Design colour (on the front frame):
White 9000100170-200
Silver 9000100170-201
Anthracite 9000100170-202
Black 9000100170-203
Pastel blue 9000100170-206
Lemon green 9000100170-207
Yellow 9000100170-208
Yellow
gloss 9000100170-261
matt 9000100170-262
Lemon green
gloss 9000100170-250
matt 9000100170-251
Blue
gloss 9000100170-252
matt 9000100170-263
Chili
gloss 9000100170-253
matt 9000100170-254
Pure Orange
gloss 9000100170-255
matt 9000100170-256
Cappuccino
gloss 9000100170-257
matt 9000100170-258
Black
gloss 9000100170-259
matt 9000100170-260
Special colour requests (frame or attachment parts)
Frame colour single procurement
Frame from RAL range of colours
Surface coating: gloss matt
9000100170-100 € 317.20
Colour details with RAL number:
Note: Attachment parts not possible in design colours 1 Only in combination with aluminium rim drive wheel
9000203000-9000203300 2 Only in combination with caster wheel 5" Aluminium rim 3-spoke design easy running 9000501200 or 5" aluminium rim 3-spoke design good shock absorption 9000501210
- 4 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Frames Note: Footrest area with V-shape x =SB-(0,25 x USL + 6cm)
Straight Front End
9060100010
Knee angle 105°
Front end V-shape
9060100020
Knee angle 105°
Individual production On request and after checking
Seat width 30 - 34 cm
9060601001 € 956.80
with chassis width 35cm and/or Seat depth 25-34cm with backrest shift to the front
Seat width 47 - 50 cm
9060100050 € 942.00
Lenght of front frame USL 20 - 29 cm
9060601000 € 182.00
(only for continuous foot brackets)
Push handles
Back tubes with integrated handles
9016401051 € 99.90 € 92,40
Straight tubes, also possible with lordosis bend:
1cm
2cm
3cm
Aluminium push handles fixed in back tube
9060401050 € 99.90
min. back height RH 23cm
Safety push handles with continuous height adjustment
9060401060 € 166.00
Mount in the back tube from RH 30 cm with belt cover from RH 43 cm with back shell
Safety push handles back-positioned length 45 cm
9060401075 € 285.50
continuous height adjustment, Safety push handle holder mounted on the back cross bar Up to a SB of 42 cm or a body weight of 95 kg cannot be swung back in combination with the armrest!
Push handles, horizontally screwed in back tube
9060401076 € 185.10
Can be unscrewed
Backrest
Folding backrest
9060400010
7-way inclination adjustment with integrated plastic coated aluminium side parts
Back tubes with lordosis bend
9000400005 € 88.00 € 110,00
1cm
2cm
3cm
Back equipment
Adaptable back with back padding
9060802010
Colour: black Equipment with back cross bar
Raised back + 3 - 5 cm
9060802100 € 119.60
(for the nominal back height dimension) Only in combination with continuous height adjustable push handles Art no. 9061401060!
Equipment without back upholstery and back padding or back system
9000802011 € - 50.00
Equipment with back cross bar
Further back systems e.g. ergonomic back shell see separate dimension sheet: "PRO ACTIV seat and back systems"
Seat upholstery
Body Contour
9060801025
Open belt system
9060801010 € 58.80
- 5 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Equipment without seat upholstery
9000801050
Seat cushion
rectangluar contour radius contour
cover:
black, breathable, open fabric surface
black, closed fabric surface
If no specification is given, the cover material "black breathable, open surface" will be delivered.
Further seat cushions, e.g., "Anti-Decubitus" see separate dimension sheet: "PRO ACTIV "Seat and back systems"
Lift mechanism Mechanical seat height adjustment up to 30cm
9060100500
By 2 gas pressure springs up to 2x1200N (body weight < 100 kg)
Mechanical seat height adjustment up to 30cm
9060100510 € 754.00
By 4 gas pressure springs up to 4x900N (body weight > 100kg)
Armrests
Armrest with aluminium handle bar and release mechanism
release right 9060403040-001
release left 9060403040-002
Note: the release mechanism can be mounted only on the left OR on the right side!
Armrest pads, length 25cm
9060403340 € 126.90
Armrest pads, length 38 cm
9060403350 € 150.80
Handle extension for release mechanism with swing away handle
9060403440 € 134.20
Release mechanism, equipped with pressure plate
9060403450 € 244.40
power assist for the fingers (armrest pads not available)
Axle plates Standard equipment with 12mm Buchsen/Achsen
Standard Axle plate
9060201100
Sitzhöhe hinten ca. 45cm (bei 24" Rad)
Axle plate lowered
9060201120 € 199.70
Rear seat height approx. 42cm (for 24" wheel)
Extended axle plate
9060201110 € 223.60
Wheelbase extension by 7.5 cm
Wheel camber *Total width with tight-mounted handrim
1° drive wheel camber
9060202000
Total width = approx. SB + 20 cm
E-adoptions
Preparation for "e-motion" mounting
9060201200 € 275.60
Equipment: e-motion torque support, 1/2" axle and socket length 50.8 mm (2")
Preparation for "e-fix" mounting
9060201220 € 306.80
Equipment: 1/2" axle, socket length 50.8 mm (2") and e-fix torque support. According to the guide line of company Alber, the assembly of an additional safety switch is necessary. For that reason, we recommend the assembly of the e-fix by company Alber GmbH.
Wheelchair delivery to
Alber GmbH
specialist dealer
- 6 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Brake system
Brake system push to lock
9060701010
rear assembly position
Brake system push to lock low assembly position
9060701015 € 119.60
Brake holding rail mounted on the axle plate, straight brake lever version
NOTE: for the assembly of both brake systems a surcharge of 180.00 € will be levied!
Double brake system push to lock
9060701020 € 286.00
One brake in the rear assembly position and a 2nd brake in the low assembly position, fixed on the axle plate with a straight, long brake lever.
Footrest
Continuous footrest
9060601010
with tubular resting bracket height adjustable +/- 3 cm for KW 105° from USL 39 cm For equipment of the foot bracket with "Rubber coated footplate", please select under "Footrest accessories".
Footrest folding back to the rear with locking mechanism
9060602005 € 220.00
with tubular resting bracket minimum USL 40cm, only compatible for frame V-shape and only for frame size 3 . For equipment of the foot bracket with "Rubber coated footplate", please select under "Footrest accessories".
Footrest folding back to the rear
9060602010 € 235.80
for KW 105° from USL 42cm with V-shape from SB 38 cm For equipment of the foot bracket with "Rubber coated footplate", please select under "Footrest accessories".
Divided Footrest
9060603200 € 303.70
with rubber coated footplate, height adjustable +/- 3cm, angle adjustment, can be pivoted outwards and folded up to the side, including frame reinforcement with V-shape from SB 40cm
Divided Footrest with pivotable front end
9060618100 € 411.80
removable, height adjustable, with rubber plate (with straight front end only)
"Swing away" footrest
9060604100 € 366.10
with rubber coated footplate, separated in the middle, can be folded to the side, removable, can be folded up, height-adjustable, angle-adjustable including frame reinforcement from USL 34 cm
Footrest accessories Rubber coated footplate
9060610000 € 96.30
bolted, angle-adjustable Depth: 14cm In combination with tubular bracket Art.-no. 9061601010 or 9061602010!
Footplate side stop
9060610080 € 46.00
adjustable Only in combination with rubber coated footplate!
Adaptations
Anti-tipping support, removable
9060300100
adjustable with a quick-pin
Caster wheels Alle caster wheels (except pneumatic tyres) are puncture-proof!
4" Caster wheel "Standard" black
9000501011-004
(82A), puncture-proof
5" Caster wheel "Standard" grey
9000501010-005
(82A), puncture-proof
5" Caster wheel "Standard" black
9000501011-005
(82A), puncture-proof
5" Lenkrad "2 components"
9000501030 € 43.00 € 39,70
puncture-proof
3" Skate wheel (80 mm)
9000501110 € 54.20 € 50,10
puncture-proof
4" Skate wheel (100mm)
9000501120 € 54.20 € 50,10
puncture-proof
- 7 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Safety light-up wheel
4" (100mm) 9000501220
€ 92.10 € 85,20
puncture-proof Safety light-up wheel
5" (125mm) 9000501221
€ 92.10 € 85,20
puncture-proof
5" Aluminium rim 3-spoke design "easy running" with replaceable rubber race 3 mm, hard, puncture-proof
silver, anodised 9000501200 € 103.80 € 97,30
black 9000501201 € 103.80 € 97,30
5" Aluminium rim 3-spoke design "good shock absorption" with replaceable rubber race 6 mm, medium hard, puncture-proof
silver, anodised 9000501210 € 103.80 € 97,30
black 9000501211 € 103.80 € 97,30
Frog Legs-Caster wheel
4" (ø100x32) 9000501230
€ 137.30 € 122,00
5" (ø125x32) 9000501232
€ 137.30
with replaceable rubber race, black, puncture proof, 3-spokes, rim: silver
6“ Caster wheel on request after checking, only with V-shape front end
Caster fork Caster fork colours, see "Component colours"
Caster fork Standard
9000500100-001
with screwed axle
9000500100-002 € 130.40 € 120,90
with quick-release axle
Caster fork "Heavy duty" for high loads Extra weight approx. 100 - 150g
9000510111-001 € 43.40 € 40,10
with screwed axle
9000510111-002 € 176.00 € 161,00
with quick-release axle
Caster fork spare wheel
9000500300 € 228.30 € 209,20
with quick-release axle Article is without caster wheel. In case a caster wheel is requested, please put a cross on a second selection in the category Caster wheels
Track distance
Caster wheel track extension
13 mm per side 9060500400
€ 56.30
Drive wheels Information on further rim types, versions and availabilities under:
www.proactiv-gmbh.de
Drive wheel, 36 spoke aluminium rim
24“ (ETRTO 540) 9000203000
with aluminium front hub, spoked radially.
Drive wheel double rim 36 spokes
24“ (ETRTO 540) 9000203100
€ 126.90
25“ (ETRTO 559) 9000203200
€ 126.90
26“ (ETRTO 590) 9000203300
€ 126.90
with aluminium front hub, spoked radially Use with higher loads and body weight > 120 kg!
Spinergy running wheel "Spox Sport" with 24 PBO spokes; rim, hub and spokes in black
24“ (ETRTO 540) 9000203550
€ 561.40
25“ (ETRTO 559) 9000201559
€ 561.40
26“ (ETRTO 590) 9000203555
€ 561.40
Handrims
x = dimension handrim attachment!
Handrim : Curve Handrim attachment: attachment:
x = 11mm x = 10mm
x = 19mm x = 18mm
If no specification is given, the handrims will be mounted wide (19mm/18mm).
Ø 20 mm stainless steel handrims
for 24" and 25" wheel 9000205010-004
for 26" wheel 9000205010-006
Ø 19 mm aluminium handrims silver anodised
for 24" and 25" wheel 9000205019-004
- 8 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Ø 19 mm aluminium handrims powder coated in the frame colour (Basic colour in two-colour design)
= surface gloss
= surface matt
Please note: coating in matt is because of the minimal Grip not recommended.
for 24" and 25" wheel 9000205020-004
€ 51.90 € 48,00
for 26" wheel 9000205020-006
€ 51.90 € 48,00
Ø 19 mm aluminium handrims polished and hard-anodised
for 24" and 25" wheel 9000205030-004
€ 124.80
for 26" wheel 9000205030-006
€ 124.80
Ø 19 mm titanium handrims
for 24" and 25" wheel 9000205040-004
€ 257.90
for 26" wheel 9000205040-006
€ 257.90
Ultra-Grip handrims "very good grip"
for 24" and 25" wheel 9000205070-004
€ 316.40 € 292,20
for 26" wheel 9000205070-006
€ 316.40 € 292,20
Ergo-Grip handrims
for 24" and 25" wheel 9000205080-004
€ 316.40
for 26" wheel 9000205080-006
€ 316.40
Resting attachment to the rim!
Dual-Grip handrims
for 24" and 25" wheel 9000205110-004
€ 178.90
for 26" wheel 9000205110-006
€ 178.90
Silicone handrim covers
for 24" hand rim 9000205100-004
€ 187.10 € 173,00
for 26" hand rim 9000205100-006
€ 187.10 € 173,00
Surface without structure, compatible with handrim Ø 19mm or Ø 20mm.
Curve handrim, black anodised, ergonomic handrim profile
for 24" and 25" wheel H 24mm 9000205130-004
€ 309.90
for 24" and 25" wheel H 31mm Size L 9000205140-004
€ 309.90
for 26" wheel H 31mm Size L 9000205140-006
€ 309.90
Curve handrim powder coated, ergonomic handrim profile
= frame colour (surface gloss)
= black (surface gloss)
Please note: coating in matt is because of the minimal Grip not recommended.
for 24" and 25" wheel H 24mm 9000205135-004
€ 359.80
for 24" and 25" wheel H 31mm Size L 9000205145-004
€ 359.80
for 26" wheel H 31mm Size L 9000205145-006
€ 359.80
Curve Grip handrim, Tetra-Grip coated, ergonomic handrim profile
for 24" and 25" wheel H 31mm Size L 9000205150-004
€ 395.20
Quadro handrims, Tetra-Grip "very good grip"
for 24" and 25" wheel 9000205170-004
€ 395.20
for 26" wheel 9000205170-006
€ 395.20
Gekko handrims
for 24" and 25" wheel 9000205175-004
€ 395.20
for 26" wheel 9000205175-006
€ 395.20
black anodised with strong and exchangeable rubber completely integrated in the handrim profile
Equipment without handrims
9000205990
Spoke guard
Finger- and spoke guard "transparent"
for 24" wheel 9000206300-004
€ 158.60 € 146,40
for 26" wheel 9000206300-006
€ 158.60 € 146,40
Design and spoke protection film "basket"
9000206310-001 € 110.80 € 102,40
Only in combination with finger and spoke protection!
- 9 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Design and spoke protection film "silly-bubble"
9000206310-002 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Design and spoke protection film "blue-sky"
9000206310-003 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Design and spoke protection film "colour-stones"
9000206310-004 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Tyres
Schwalbe "RightRun" High-pressure tyre 7.5 bar
24x1“ (540-25) 9000204000-004
25x1“ (559-25) 9000204000-005
26x1“ (590-25) 9000204000-006
Schwalbe "DownTown" Tread tyre 7.5 bar
24x1“ (540-25) 9000204010-004
Schwalbe "MarathonPlus Evolution" with "smart guard" puncture protection
24x1“ (540-25) 9000204030-014 € 35.50
25x1“ (559-25) 9000204030-015 € 35.50
26x1“ (590-25) 9000204030-016
€ 35.50
Colour: black 10 bar
Schwalbe "MarathonPlus" with "smart guard" puncture protection
24x1“ (540-25) 9000204030-004
€ 35.50
Colour: grey, black wall, 10 bar
Schwalbe "Airborne"
24x1,2“ (540-20) 9000204122-004 € 70.70
Colour: black
Puncture-proof tyre "solid-rubber tyres"
24x1“ (540-25) 9000204201-004
€ 126.70 € 117,10
Not in combination with the 18 spoke drive wheel!
Puncture protection belt for pneumatic tyres
9000206100 € 42.80 € 39,40
Accessories
Lockable drive wheel axle clip "Tetra Clip"
9000206400 € 127.40 € 117,90
Not for Spinergy drive wheels!
Hand air compressor with pressure gauge up to 14 bar
9000901100 € 85.50 € 79,00
Adjustable safety belt with belt buckle
9000902100 € 61.90 € 57,00
Adjustable safety belt with hook and loop fastener
9000902110 € 49.30 € 45,40
Crutch holder with nylon cup
9000902310 € 110.40 € 101,10
flexibel
Light set
9000903270 € 82.70 € 76,50
with battery and charger
Transport bag for drive wheels
for 24" wheel 9000903530-004 Ø76cmx2cm
€ 59.50 € 54,60
for 26" wheel 9000903530-006 Ø83cmx2cm
€ 59.50 € 54,60
Accessory bag
9000903600 € 58.20 € 53,80
17cm x 13cm x 5cm
More accessories, see
www.proactiv-gmbh.de
- 10 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Lift Rev. 05
Your additional notes:
I herewith confirm the details listed above
____________________________________________________
Location, Date Signature (End customer)
____________________________________________________
Location, Date Signature (Dealer)