quantum 4front order form - tru-balance 3 positioning · part: dgn124336-ppk3 deep purple part:...
TRANSCRIPT
Page 1 of 19INFINFB3757/RevB/02OCT2017
Quantum 4Front™ Order Form - Group 3, 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:________
PATIENT INFORMATION
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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: ________
INTRODUCTION This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applica-tions other than Acrobat. Complete 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 determining 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!
Page 2 of 19INFINFB3757/RevB/02OCT2017
Red CorvettePart: DGN1700109-PRD1
Electric BluePart: DGN1700109-PBU9
Back in BlackPart: DGN1700109-PBK1
Night TrainPart: DGN1700109-PBK3
White SatinPart: DGN1700109-PWT2
Pretty in PinkPart: DGN1700109-PPK3
Deep PurplePart: DGN1700109-PPR5
Lime LightPart: DGN1700109-PGN7
Grey StreetPart: DGN1700109-PSL3
Silver BulletPart: DGN1700109-PSL7
Midnight BluePart: DGN1700109-PBU10
Orange CrushPart: DGN1700109-POR6
Yellow BlazePart: DGN1700109-PYL3
Military GreenPart: DGN1700109-PGN8
To Be DeterminedPart: N/A
Quantum 4Front 3MP-SS .....................................$7,895Part: 4FRONT 3MP-SS. HCPCS: K0861Multiple actuator power option.
Quantum 4Front 3SP-SS ......................................$7,895Part: 4FRONT 3SP-SS. HCPCS: K0856Single power option.
Quantum 4Front 3S-SS ........................................$7,895Part: 4FRONT 3S-SS. HCPCS: K0848Solid seat pan standard with no power option.
DRIVE WHEELSREQUIRED. Select a type of drive wheels and accent color.
3”x14” Flat Free Black Tires with Accent .............StandardPart: PTOINDV3525
3”x14” Pneumatic Black Tires with Accent ......... No ChargePart: WHL1704059
BASE COLORREQUIRED. Select one shroud color. Colors shown here may differ from actual product depending on monitor/printer calibration used.
Back in Black ....................StandardPart: DGN164245-PBK1
Red Corvette .................. No ChargePart: DGN164245-PRD1
Electric Blue ................... No ChargePart: DGN164245-PBU9
White Satin ..................... No ChargePart: DGN164245-PWH2
Pretty in Pink .................. No ChargePart: DGN164245-PPK3
Night Train ..................... No ChargePart: DGN164245-PBK3
Deep Purple ................... No ChargePart: DGN164245-PPR5
Lime Light ...................... No ChargePart: DGN164245-PGN7
Grey Street ..................... No ChargePart: DGN164245-PSL3
Silver Bullet .................... No ChargePart: DGN164245-PSL7
Midnight Blue .................. No ChargePart: DGN164245-PBU10
Orange Crush .................. No ChargePart: DGN164245-POR6
Yellow Blaze ................... No ChargePart: DGN164245-PYL3
Military Green ................. No ChargePart: DGN164245-PGN8
To Be DeterminedFollow-up required.
BASE MODELREQUIRED. Select a power base. 300 lb. weight capacity with standard 6mph programmable motors and 8 amp off board charger. Dimensions of base without legrests: 24.2”Wx45.7”L
PATIENT'S WEIGHTREQUIRED. The patient's weight is required to quote and order the power chair.
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Drive Wheel Accent Color REQUIRED.
Patient's Weight:________
FENDER LIGHTSREQUIRED. Fender lights are standard and will be automatically included unless omitted or if base mounted lights are selected.
FULL LIGHT PACKAGESOptional. Requires Q-Logic 3 Joystick for Full Light Package. Select one available package below.
Switch Operated Fender Lights..........................StandardPart: DGN1700033
Omit Fender Lights ....................................... No ChargePart: DGN1700032
Base Mounted, LED, Full Light Package .............................................................................$995Part: ELE1700035Fender lights will be omited with Base Mounted, LED, Full Light Package.
Seat Mounted, LED, Full Light Package .............................................................................$995Part: ELE131477
Seat Mounted LEDLights (One Shown)
Page 3 of 19INFINFB3757/RevB/02OCT2017
Account Number: ___________ Date: ________________ Marked for: _____________________________________
JOYSTICK/SCIM ELECTRONICSREQUIRED. Select a type of drive control from the following sections. The No Joystick option is used to omit the joystick and utilize another control, such as a specialty control at the end of this form or found on the Alternative Controls and Electronics Order Form.
Q-Logic 3 Expandable Capacity Controller Module ...... $695Part: See XRef. HCPCS: E2377
Q-Logic 3 Expandable Capacity Controller Harness ...... $425Part: HAR144005. HCPCS: E2313
Q-Logic 3 Non-Expandable Capacity ...................StandardController ModulePart: See XRefControls up to one actuator.
Q-Logic 3 Non-Expandable Capacity ...................StandardController HarnessPart: HAR144005-NE
Q-Logic 3 Non-Expandable Capacity Joystick ........StandardPart: CTL167724-NE
Q-Logic 3 Non-Expandable Capacity Joystick ...... No Chargefor Full Light PackagePart: CTL167725-NE
Q-Logic 3 Expandable Capacity Joystick .... $700Part: CTL167724Allows use of specialty controls and multiple actuators.
Q-Logic 3 Expandable Capacity Joystick .... $700for Full Light PackagePart: CTL167725Allows use of specialty controls, multiple actuators, and light packages.
No Joystick, Setup for Q-Logic 3 ElectronicsPart: Configuration selection.
Q-Logic 3 Non-Expandable CapacityControls one actuator.
Q-Logic 3 Expandable Capacity
Q-Logic 3 Joystick ShroudREQUIRED with Q-Logic 3 Joystick selection above. Reference colors shown on page 2.
Q-Logic 3 Expandable Capacity Required ComponentsQ-Logic 3 expandable capacity controls require the controller module and expandable harness below. If a specialty control is selected later in this form, Customer Service may quote the order with these items.
Q-Logic 3 Non-Expandable Capacity Required ComponentsQ-Logic 3 non-expandable capacity joystick requires a controller module and harness below.
Black, Soft Touch ...........................................StandardPart: DGN124307
Non-matching Joystick Shroud .................................$50Part: PTOINDV3422Select color below
Match Joystick Shroud to Base Color ..........................$50Part: PTOINDV3421
Red CorvettePart: DGN124336-PRD1
Electric BluePart: DGN124336-PBU9
Back in BlackPart: DGN124336-PBK1
Night TrainPart: DGN124336-PBK3
White SatinPart: DGN124336-PWH2
Pretty in PinkPart: DGN124336-PPK3
Deep PurplePart: DGN124336-PPR5
Lime LightPart: DGN124336-PGN7
Grey StreetPart: DGN124336-PSL3
Silver BulletPart: DGN124336-PSL7
Midnight BluePart: DGN124336-PBU10
Orange CrushPart: DGN124336-POR6
Yellow BlazePart: DGN124336-PYL3
Military GreenPart: DGN124336-PGN8
Q-Logic 3 SCIM ModuleOptional.
SCIM Module Kit for Q-Logic 3 ........................................................................................$525Part: CTL168055Allows use of joystick display for specialty devices. Available with Q-Logic 3 Expandable Capacity Joystick selection above. Up to 5 profiles to control drive, seat, and auxiliary functions, excluding sip-n-puff and single switch functions. A switch is required to operate the input device attached to the SCIM module.
SCIM Module
Q-Logic 3 Joystick
Page 4 of 19INFINFB3757/RevB/02OCT2017
JOYSTICK MOUNTING BRACKETSREQUIRED. Select a mount to be used with a joystick selected in previous section.
Omit Joystick Mounting Bracket
Swing-away, Inline, Left Side Mount .......... $245Part: ACC142524. HCPCS: E1028
Swing-away, Inline, Right Side Mount ........ $245Part: ACC142525. HCPCS: E1028
Swing-away, 1” Offset, Left Side Mount ..... $245Part: ACC142742. HCPCS: E1028
Swing-away, 1” Offset, Right Side Mount .... $245Part: ACC142743. HCPCS: E1028
Swing-Away (Retractable) BracketAllows the joystick to retract to the side of the armrest while maintaining the same joystick orientation. "Inline brack-et" 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.
Swing Away JoystickInline Mount (Right)
Swing Away JoystickOffset Mount (Right)
JOYSTICK HANDLESOptional. The standard Q-Logic 3 joystick knob can be seen in the image on the previous page. An optional handle selected below will be mount-ed to the joystick and the standard handle will be shipped with the unit.
Joystick Handles
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Fixed, In-line, Bracket .............................................................................................StandardPart: FRMASMB10617.
Left Side MountPart: PTOINDV1225
Right Side MountPart: PTOINDV1226
Fixed, In-line Joystick Bracket
Multi-Axis JoystickMount
Retract4
Swing-Away/Flip DownBracket (Stand Alone
Hardware Shown)
Retract4 Mount ................................... $350Q-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 ...................................$100Q-Logic Part: ACC131216. HCPCS: E1028Allows height adjustment of joystick.
Stealth Swing-Away/Flip Down Bracket ....$294.25QL3 SAJ: ST-TWBM480CJ-Q. HCPCS: E1028QL3 Joystick Part: ST-TWBM480QL-Q. HCPCS: E1028Allows the joystick to pivot to side of armrest, or flip-down if bracket is adjusted.
Specialty Joystick MountsSelect a bracket and side to mount it.
Left Side MountPart: PTOINDV1225
Right Side MountPart: PTOINDV1226
Specialty Mount Side
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
Q-Logic 3 Carrot Handle (A) ............. No ChargePart: DGN124308
Page 5 of 19INFINFB3757/RevB/02OCT2017
12”-16” Depth PackageMinimum depth is 14". Not avail-able with Power Lift.
14”-16” Depth PackageOnly available with Power Lift.
16”-20” Depth Package 20”-24” Depth PackageMaximum depth is 22".
TRU-Balance® 3 ConfigurationREQUIRED. Select one seating system. Be sure to complete the seat dimensions, seat to floor, and back selections.
TRU-BALANCE® 3 SEATING - Quantum Intelligent Systems™
Account Number: ___________ Date: ________________ Marked for: _____________________________________
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)
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)
Seat Width
Seat Depth
Static Seat Seat to Floor
Tilt, Recline, and Lift Seat to Floor
Seat DimensionsREQUIRED with seat selection. Select width and depth package and enter or check desired set width and depth in that package range, available in 1” increments. Configurations disallowed or not shown may be available through special order. 15” width is only available with non-matching back width. Minimum seat size is 14"W x 14"D. Maximum seat size is 22"W x 22"D. Parts: See XRef: TB3SPACK
Set Width at:______ Part: SETWDTH#, see below
Set Depth at:______ Part: SETDPTH#, see below
Seat to Floor HeightREQUIRED. Select a seat to floor height compatible with the seat functions previously selected. Seat to floor height stated below is based on unoccupied height. Actual height may vary depending on weight of patient.
17.75” Seat to FloorPart: PTOINDV3649
18.75” Seat to FloorPart: PTOINDV3650
19.75” Seat to FloorPart: PTOINDV3651
ELECTRONICS ACCESSORIESOptional.
USB Mobile Device Charger ......................$175Part: ELE124122Can charge 1 device. See multiplier harness section for secondary multiplier.
Q-Logic PC Programming Disk with Cable ... $750Part: ELEASMB5216
USB MobileDevice Charger
12”-16” Width PackageMimimum width is 14". Not available with Power Lift.
14”-16” Width PackageOnly available with Power Lift.
16”-20” Width Package 20”-24” Width PackageMaximum width is 22".
TRU-Balance 3 Static Seat ...................................$2,295Part: PTOINDV344220° of limited recline adjustment (-5/ +15) via gas strut within back cover.
TRU-Balance 3 Power Tilt ....................................$6,995Part: PTOINDV3443. HCPCS: E100250° Center of Gravity (CG) power tilt seating system.
TRU-Balance 3 Power Recline ..............................$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 Power 10” Lift ............................. $2,600Part: PTOINDV3775. HCPCS: E230010” of scissor lift. 22”W x 22”D maximum seat size.
Attendant Manual Recline .....................................$500Part: PTOINDV3501. HCPCS: E1226Available with Static Seat or Power Tilt. Not available with Power Lift. Will require extended lead time when selected with Articulating Foot Platform or Fender Lights.
10” Power Lift or Manual ReclineOptional. Select one option below.
15” Seat to FloorPart: PTOINDV3847
16” Seat to FloorPart: PTOINDV3848
17” Seat to FloorPart: PTOINDV3840
Page 6 of 19INFINFB3757/RevB/02OCT2017
TRU-BALANCE® 3 SEATING continued
Angle Adjustable .......................................... No ChargePart: MEC140266
Flip Forward ........................................................$25Part: MEC140272
1” Endo ..............................................................$35Part: MEC141455
2” Endo ..............................................................$35Part: MEC141456
Back CaneSelect with Back Cane Option selected above.
Back Cane HeightSelect with Back Cane Option selected above.
16”H CanePart: FRMASMB15834
17”H CanePart: FRMASMB15835
20”H CanePart: FRMASMB15838
21”H CanePart: FRMASMB15839
24”H CanePart: FRMASMB15842
25”H CanePart: FRMASMB15843
Back SelectionREQUIRED. Match choice in this section with the options in the back cushion configuration section.
TRU-Balance 3 Back Assembly (Static Back)Part: Configuration selectionSelect a back cushion configuration in the subsequent section.
Back Cane OptionPart: Configuration selectionAvailable only with Static Seat and Power Tilt selections. Not available with ADI Q-Backs. Select cane type, back cane height, and back cush-ion configuration below.
Flip Forward Back ............................................... $150Part without Lift: MEC131957, Part with Lift: MEC148117Available with Power Tilt and Lift. Only available with 2-post, flip back or pediatric armrests. Not available with 12”-15” width or with atten-dant manual recline. Select a back cushion type in the subsequent section.
Account Number: ___________ Date: ________________ Marked for: _____________________________________
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..................................... $595X Part: See Ref. HCPCS: E2615Complete following width package and size.
ADI Q-Back, Extra Deep Contour ............................. $650Part: See XRef. HCPCS: E2620Complete following width package and size. 20" Wide Extra Deep Contour is not compatible with Gel and Water-fall Armpads, Endo/Meso Downposts, 2 Post Arms, or Ottobock arm blocks unless wider arm bars are installed on the chair.
TRU-Comfort 2 Back, 20” Width or less .................... $675Part: See XRef. HCPCS: E2620Complete following width package and size.
TRU-Comfort 2 Back, 22” Width or greater ............... $775Part: See XRef. HCPCS: E2621Complete following width package and size.
Omit Back Pan/Cushion .................................. No ChargePart: PTOINDV1287Select a following width package.
After-market Back Interface ..................................$200Part 16"-20"W: SET131920. Part 20"-24"W: SET131921Enter the set width below, range of 16"-24". Overall seat depth may need to be adjusted to accommodate certain backs. May interfere with gel/waterfall armpads and arm through. Does not include brack-ets to mount after-market backs. A Special Order is required on back widths less than 16”.
Back Cushion ConfigurationREQUIRED. Select a configuration type and applicable dimensions. See the Sport, Q-Back, and TRU-Comfort 2 back availability chart for stock order back size ranges. Other size backs may be available with Special Order and extended lead time.
Page 7 of 19INFINFB3757/RevB/02OCT2017
TRU-BALANCE 3 SEATING continued
Back Overall 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.
Set Overall Height at:______ Part: SETHGHT#, see below
14” H(#1027)
15” H(#1028)
16” H(#1029)
17” H(#1030)
18” H(#1031)
19” H(#1032)
20” H(#1033)
21” H(#1034)
22” H(#1035)
23” H(#1036)
24” H(#1037)
25” H(#1038)
26” H(#1039)
27” H(#1040)
28” H(#1041)
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Match Seat Width SelectionsPart: PTOINDV3468
10”W-14”W PackagePart: Configuration selection, back cushions
16”W-20”W PackagePart: Configuration selection, back cushions
20”W-24”W PackagePart: Configuration selection, back cushions
Back Cushion WidthAvailable with +/-4” of seat width.
Tilt or Static Width Recline Width
Sport, Q-Back, and TRU-Comfort 2 Back Availability Chart
Ove
rall
Hei
ght
Sport or TRU-Comfort 2 BackSport BackSport, Q-Back, or TRU-Comfort 2 Back
Set Width at:______ Part: PTOINDV#, see below
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 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.
Additional TRU-Balance 3 Back OptionsOptional.
TRU-Comfort 2 Lateral Positioning Wedge, pair ............$30Part: SET123465Available with TRU-Comfort 2 backs. Not available on power tilt backs 16”-17”H with limited adjustability on 18” H. Not available on power recline back 19”-20”H with limited adjustability on 21”H.
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.
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
Military GreenPart: DGN148037
Page 8 of 19INFINFB3757/RevB/02OCT2017
Account Number: ___________ Date: ________________ Marked for: _____________________________________
TRU-Balance 3 Flip-Back, 8”-12”H ..................StandardPart: See XRef
TRU-Balance 3 Flip-Back, 12”-16”H ................StandardPart: See XRef
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.
2-Post, Flip Back, Height Adjustable, and Removable Armrests (9”-13” Height) .................................................No ChargePart: See XRefNot available with a depth less than 16”. Required with flip forward back and lap trays.
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.
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.
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.
14” Full LengthPart: Configuration selection
10” Desk LengthPart: Configuration selection
TRU-BALANCE 3 ARMREST SIZEREQUIRED. Select a Left (L) and Right (R) armrest size. This also affects the foam and waterfall armpad selection below.
TRU-BALANCE 3 ARMREST HEIGHTREQUIRED. Set left and right armrest height. Note the available height range in the option description.
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 configu-ration. Payer coding, coverage, and bundling guidelines may apply.
8”-12”H, Single Post, Height Adjustable, ...............$75 ea.Removable, Heavy Duty (Sold as pair) Part: See XRef.
10”-14”H, Single Post, Height Adjustable, ..............$75 ea.Removable, Heavy Duty (Sold as pair) Part: See XRef.
Set Left Height at:______ Set Right Height at:______ 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
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
Foam Armpads
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.
Page 9 of 19INFINFB3757/RevB/02OCT2017
Account Number: ___________ Date: ________________ Marked for: _____________________________________
TRU-BALANCE 3 HEADRESTSOptional. Select a headrest pad and bracket.
Headrest Pads
Headrest BracketStealth’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
Headrests
LAP BELTSREQUIRED. Select a lap belt below.
38” Lap BeltPart: ACCBELT1006
50” Lap BeltPart: ACCBELT1000
60” Lap BeltPart: ACCBELT1002
70” Lap BeltPart: ACCBELT1003
80” Lap BeltPart: ACCBELT1004
90” Lap BeltPart: ACCBELT1001
Standard Lap Belts
TRU-BALANCE 3 JOYSTICK BRACKET RECEIVERREQUIRED.
Height AdjustableReceiver (Track Arm)
Height AdjustableReceiver (Tube Arm)
Standard Fixed Receiver ..................................StandardPart: ACC123525
Stealth Height Adjustable Receiver .......................... $214Tube Arm Part: ST-ARM250C-Q. HCPCS: K0108Track Arm Part: ST-ARM250T-Q. HCPCS: K0108
Falcon Gel Armpads for TRU-Balance 3 Armrests
Falcon Gel Armpads for Tube Style Arms
Falcon Gel, Full Length Left and Right ...................... $185Part: ARM136417
Falcon Gel, Full Length Left, Desk Length Right ...... $162.50Part: ARM136426
Falcon Gel, Desk Length Left, Full Length Right ...... $162.50Part: ARM136418
Falcon Gel, Desk Length Left and Right .................... $140Part: ARM136416
Falcon Gel, Full Length Left and Right ..................$296.40Part: ARM136438
Falcon Gel, Full Length Left, Desk Length Right ...... $274.22Part: ARM136442
Falcon Gel, Desk Length Left, Full Length Right ...... $274.22Part: ARM136439
Falcon Gel, Desk Length Left and Right ................$252.40Part: ARM136437
Gel ArmpadsSold only in pairs. Armpads are 3” wide. Manufacturer part number for full length is 314G and desk length is 310G.
TRU-BALANCE 3 ARMPADS continued
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
Page 10 of 19INFINFB3757/RevB/02OCT2017
Account Number: ___________ Date: ________________ Marked for: _____________________________________
TRU-BALANCE 3 POWER POSITIONING ELECTRONICSREQUIRED. Select the desired control type for the seating system. Please note the available actuator controls.
TRU-BALANCE 3 POWER LEGREST CONTROLOptional. Specific power legrest options are selected later in this form. Select the control type here, if power legrests are desired, to assist the selection of the power positioning electronics.
Independent Legrests (Requires 2 actuator controls)Part: Configuration selection
Combined Legrests (Requires 1 actuator control)Part: Configuration selection
Articulating Foot Platform (Requires 1 Actuator Control)Part: Configuration selection
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.
Switch Controls
iAccessFlat Button
iAccessToggle Button
Compact and Trilogy
Left Side iAccess Right Side iAccessPart PTOINDV3678 Part: PTOINDV3679
iAccess Mount
TRU-BALANCE 3 ATTENDANT CONTROLOptional. *Attendant 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.
Attendant Control ................................................................................................................................... $500*Part: ELE167862. HCPCS: E2331
Single Actuator Control Through Flat Button ............$3,295iAccess and Q-Logic 3 AAM Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2310
Multiple Actuator Control Through Flat Button .........$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2311
Single Actuator Control Through Toggle Button ........$3,295iAccess and Q-Logic 3 AAM Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2310
Multiple Actuator Control Through Toggle Button ......$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TB3 armrests. Part: See XRef. HCPCS: E2311
Single Actuator Through Q-Logic 3 ........................$1,895Controller and Interface Part: See XRef. HCPCS: E2310
Multiple Actuator Through Q-Logic 3 .....................$2,895Controller and Interface Part: See XRef. HCPCS: E2311
Single Actuator Control, Through Toggle (Power Tilt Only) .............................................No ChargePart: See XRefOnly available with Power Tilt only. Select toggle side. Will require extended lead time when selected with Fender Lights.
Left Side Toggle Right Side TogglePart PTOINDV1838 Part: PTOINDV1839
Q-Logic 3 Controls with iAccess Switch ControliAccess control is not available with combined or independent power legrests.
Tilt Only through Toggle
Q-Logic 3 Controls through Joystick
Page 11 of 19INFINFB3757/RevB/02OCT2017
Account Number: ___________ Date: ________________ Marked for: _____________________________________
LEGRESTSOptional. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guide-lines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference.
Small Calf Pad (pair) 6”Wx6”H ................................ $150*Part: RIGASMB7120018
Large Calf Pad (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.
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
Footplate Connector ..............................................$15Part: RIGASMB7120023
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.
Modular Footplate Extension ComponentsOptional. Assembly required. May require seating configuration adjustments to avoid front caster interference.
Additional Accessories
Center Mount Foot PlatformsIf power articulating foot platform is selected, be sure power legrest control has been selected in previous section. Select legrest length in following section.
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.
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
8"-12" Extension, 5"x6" FootplatesPart: RIG152577Not available with power articulating platform.
8"-12" Extension, 5"x8" FootplatesPart: RIG152578Not available with power articulating platform.
10"-16" Extension, 5"x6" FootplatesPart: RIG150206
10"-16" Extension, 5"x8" FootplatesPart: RIG150203
10"-16" Extension, 5"x11" FootplatesPart: RIG150212
13"-19" Extension, 5"x6" FootplatesPart: RIG151505
13"-19" Extension, 5"x8" FootplatesPart: RIG151506
13"-19" Extension, 5"x11" FootplatesPart: RIG151508
Power Articulating Foot Platform ........... $2,995Part: PTOINDV3754Please verify the appropriate billing code to be used for this item with all third-party payors.
Manually Adjustable Center Mount ........... $250Foot PlatformPart: RIG163640
Lower Extension and Footplates
Power ArticulatingFoot Platform
Width Extension for 8”D Footplates ........................ $50*Part: RIG152517*No charge and automatically included with articulating foot platform and 8"D footplates selections.
Width Extension for 11”D Footplates ....................... $50*Part: RIG152518*No change and automatically included with articulating foot platform and 11"D footplates selections.
2” Bell-Shaped Length Extension ..............................$50Part: RIG152519Not compatible with width extensions. Can be used with 6” outside edge with 11” footplates.
4” Outside Edge ...................................................$50Part: RIG152510Only available with 6”D footplates and 8”D footplate extension.
6” Outside Edge ....................................................$50Part: RIG152516Available with 8”D and 11”D footplates and 11”D footplate extension.
Page 12 of 19INFINFB3757/RevB/02OCT2017
LEGRESTS continued
70° Articulating, Swing-Away ............. $1,197.50 ea.Legrest with 14.5"-18" ExtensionPair part: FRMASMB9073. Pair HCPCS: E1010.Left part: FRMASMB9074. Right part: FRMASMB9075
70° Articulating, Swing-Away ............. $1,197.50 ea.Legrest with 11"-13" ExtensionPair part: FRMASMB11444. Pair HCPCS: E1010 Left part: FRMASMB11366. Right part: FRMASMB11367
Power Articulating, Swing Away Legrest
Left and Right Legrests will Match
Left and Right Legrests will not match
One Legrest (Left or Right as Marked)
Configuration Verification
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.
This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.
70° Power Articulating,Swing-Away Legrest Compatibility Matrix
Power Reclineor Static Seat
Low Med. High Low Med. High Low Med. High
Power Tilt Power Lift
Angle Adjustable, 11”-13”
Angle Adjustable, 14.5”-18”
Calf Pad (pair) 6”Wx6”H ................................ No ChargePart: MEC153735
Falcon Gel Padded Knee Adductor Buttons (KBE)(pair) ... $125Part: INDPART2242. HCPCS: K0108
Accessories
4”Wx6”DPair part: FRMASMB7448. Left part: RIG133543. Right part: RIG133566
5”Wx6”DPair part: FRMASMB7449. Left part: RIG133544. Right part: RIG133567
5”Wx8”DPair part: FRMASMB7450. Left part: RIG133545. Right part: RIG133568
6”Wx8”D1Pair part: FRMASMB7451. Left part: RIG133547. Right part: RIG133569
6”Wx11”D1Pair part: FRMASMB7452. Left part: RIG133548. Right part: RIG133570
8”Wx11”D2Pair part: FRMASMB7453. Left part: RIG133549. Right part: RIG133571
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”.
This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.
60°-90° Swing-Away Legrest Compatibility Matrix
Power Reclineor Static Seat
Low Med. High Low Med. High Low Med. High
Power Tilt Power Lift
Extruded, 11”-16.5”
11”-13” extension causes no interference at all seat-to-floor heights.
Extruded, 13”-16.5”
Angle Adjustable, 15.5”-19.5”Multi-Axis, 11”-16.5”
Multi-Axis, 15.5”-19.5”
Extruded, 15.5”-19.5”Angle Adjustable, 13”-16.5”60°-90° Swing-Away Legrest .............$81 ea. or N/C*
Pair part: RIG120062. Left part: FRMASMB17558. Right part: 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 part: RIG132607. Right part: RIG132609*No charge with Power Positioning. For use only with 11"-13" lower extensions.
60°-90° Swing-Away LegrestsAdjustable in 5° increments. Select a configuration, 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.
Swing-Away Legrest Upper
Left and Right Legrests will match
Left and Right Legrests will not match
One Legrest (Left or Right as Marked)
Configuration Verification
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Page 13 of 19INFINFB3757/RevB/02OCT2017
LEGRESTS continued
Extruded Footplate(s)7.25”Wx6”D Extruded Footplate ...............StandardPart pair: FRMASMB7847. Left: FRMASMB7861. Right: FRMASMB7862
8.5”Wx6”D Extruded Footplate .................StandardPart pair: FRMASMB7848. Left: FRMASMB7863. Right: FRMASMB7864May cause interference on seat widths less than 18.”
4”Wx6”D ...............................................$85 ea.Pair part: FRMASMB10564. Left: RIG133537. Right: RIG133560.HCPCS: K0040
5”Wx6”D ...............................................$85 ea.Pair part: FRMASMB10565. Left: RIG133538. Right: RIG133561.HCPCS: K0040
5”Wx8”D ...............................................$85 ea.Pair part: FRMASMB10566. Left: RIG133539. Right: RIG133562.HCPCS: K0040
6”Wx8”D1 ..............................................$85 ea.Pair part: FRMASMB10567. Left: RIG133540. Right: RIG133563.HCPCS: K0040
6”Wx11”D1 .............................................$85 ea.Pair part: FRMASMB10568. Left: RIG133541. Right: RIG133564.HCPCS: K0040
8”Wx11”D2 .............................................$85 ea.Pair part: FRMASMB10569. Left: RIG133542. Right: RIG133565.HCPCS: K0040
Angle Adjustable Footplates with Heel Loops¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.
4”Wx6”D ......................................... $247.50 ea.Pair part: FRMASMB9456. Left: RIG133531. Right: RIG133552HCPCS: K0040
5”Wx6”D ......................................... $247.50 ea.Pair part: FRMASMB9457. Left: RIG133532. Right: RIG133553.HCPCS: K0040
5”Wx8”D ......................................... $247.50 ea.Pair part: FRMASMB9458. Left: RIG133533. Right: RIG133554.HCPCS: K0040
6”Wx8”D1 ........................................ $247.50 ea.Pair part: FRMASMB9459. Left: RIG133534. Right: RIG133555.HCPCS: K0040
6”Wx11”D1 ....................................... $247.50 ea.Pair part: FRMASMB9460. Left: RIG133535. Right: RIG133558.HCPCS: K0040
8”Wx11”D2 ....................................... $247.50 ea.Pair part: FRMASMB9461. Left: RIG133536. Right: RIG133559.HCPCS: K0040
Multi-Axis Footplates¹The 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”.
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
60°-90° Swing-Away Legrest Accessories
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.
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
Lower Extension
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Therafin 31515 Multi-Axis Amputee Support ..... $230 ea.Part: INDPART2822. HCPCS: E1020
Therafin 32387 Amputee Support Gel Cover ..... $155 ea.Part: INDPART2823. HCPCS: K0108
Page 14 of 19INFINFB3757/RevB/02OCT2017
Reinforced Cast Footplate(s)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 part: FRMASMB8812 x2. HCPCS: K0040
5”Wx6”D ...............................................$85 ea.Pair part: FRMASMB8811 x2. HCPCS: K0040
5”Wx8”D ...............................................$85 ea.Pair part: FRMASMB4735. Left: RIG137791. Right: RIG137792.HCPCS: K0040
6”Wx8”D1 ..............................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795HCPCS: K0040
6”Wx11”D1 .............................................$85 ea.Pair part: FRMASMB4741. Left: RIG137796. Right: RIG137797HCPCS: K0040
8”Wx11”D2 .............................................$85 ea.Pair part: FRMASMB4744. Left: RIG137798. Right: RIG137799HCPCS: K0040
Angle Adjustable Footplates 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.
LEGRESTS continued
Elevating Legrest AccessoriesHeel Loops (pair) ..................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable footplates.
Falcon Gel Padded Knee Adductor Buttons (KBE)(pair) ... $125Part: INDPART2242. HCPCS: K0108
Wheel Bumper ............................................$12.50 ea.Part: See XRef.Available on angle adjustable footplates.
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
Lower Extension
Account Number: ___________ Date: ________________ Marked for: _____________________________________
This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.
Elevating Legrest Compatibility Matrix
Power Reclineor Static Seat
Low Med. High Low Med. High Low Med. High
Power Tilt Power Lift
Reinforced, 11”-14”
Angle Adjustable, 14.5”-18”
Reinforced, 14”-17”Angle Adjustable, 12”-14.5”
Elevating Legrest Assembly .................. $162.50 ea.Pair part: FRMASMB6483. Left: RIG138012Right: RIG138013. HCPCS: E0990Select lower extension and footplates
Elevating LegrestsSelect a configuration, 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.
Elevating Legrest
Left and Right Legrests will match
Left and Right Legrests will not match
One Legrest (Left or Right as Marked)
Configuration Verification
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.
Set Legrest Length at:______ Part: PTOINDV#, see below
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)
Page 15 of 19INFINFB3757/RevB/02OCT2017
PROVIDER INSTALLED TRU-BALANCE 3 ACCESSORIESOptional. Multiple accessories can be mounted along the various tracks but some interference may occur.
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.
Backpack Holder (Pair) (A) ........................ $50Part: ACC147774Not available with back cane option.
Hydration System (B) ............................ $200Part: ACC125010
Glove Box (C) .......................................$125Part: ACC125011
Transfer Bar, Quick Release (Pair) (D) ....... $200Part: ACC147773. HCPCS: E0705
Front Mounted Cell Phone/Media Holder (E) ....$50Part: ACC155835
Large, Black, Weather Cover ....................$168Part: ACCCOVR1021
Reflector Kit ......................................... $50Part: ACC124670
Personal Item Hook ................................ $50Part: ACC125008Not available with back cane option.
Rear View Mirror .................................... $50Part: ACC155833
Oxygen Holder .................................... $200Part: ACC125006. HCPCS: E2208
Clothing Guard (Pair)............................. $200Part: ACC125007
Quantum Backpack ................................. $75Part: ACCINDV1102
TRU-Balance 3Accessories
CUSHION QUICK PICKOptional. General size selections are shown below. Refer to the specific cushion order form for detailed pricing, sizes, codes, and part numbers. Check the non-matching box and attached a cushion order form for a size other than the previously selected seat width and depth, or for a cushion not shown here.
Cushion SelectionSee cushion order form for detailed sizing and pricing.
Match seat selection width and depthPart: Configuration selection
Non-matching cushion size, see cushion order form orcushion part number:
Simplicity Cushion (General Use) ................................$98HCPCS: E2601
Solution® Cushion (Skin Protection and Positioning) ......$430-$480HCPCS: E2607-E2608
Solution® 1 Cushion (Skin Protection) ..................$430-$480HCPCS: E2603-E2604
Spectrum® Gel Cushion (Positioning) ...................$530-$580HCPCS: E2605-E2606
Spectrum® Foam Cushion ..............................$530-$580(Skin Protection and Positioning)HCPCS: E2607-E2608
TRU-Comfort 2 Cushion (Skin Protection) ............ $400-$500HCPCS: E2603-E2604
TRU-Comfort Sport Seat CoverAvailable as an additional cover option for TRU-Comfort seat cushions. Only available in sizes below.
16”Wx16”D ........................................................ $100Part: CUS133843
18”Wx18”D ....................................................... $100Part: CUS133848
20”Wx20”D ....................................................... $100Part: CUS133849
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Page 16 of 19INFINFB3757/RevB/02OCT2017
Flip Down Bracket (TWBTLADD-HW) ........... $236.25 ea.Part: INDPART2804. 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
Removable Bracket (LP430) ...................... $262.50 ea.Part: INDPART2805. HCPCS: E1028
Removable Bracket with 1” Offset .................$400 ea. (LP430 & LHW-121)
Part: INDPART2854. HCPCS: E1028
Stealth Pelvic/Thigh GuidesPelvic/thigh guides may interfere with the joystick receiver block and down posts. Please provide quantity next to check box.
Bracket
Account Number: ___________ Date: ________________ Marked for: _____________________________________
BATTERIESREQUIRED. Select a type of battery below, or to omit the batteries. The powerchair requires 2 batteries.
Install Batteries ........................................... No ChargePart: PTOINDV1675
Do Not Install Batteries .................................. No ChargePart: PTOINDV2008
Battery InstallationPlease choose if batteries will be installed, if selected above.
Group 24, 75 Ah AGM Cell Battery ...................... $385 ea.Part: BAT121347. HCPCS: E2363
Group 34, 60 Ah Gel Cell Battery ....................... $395 ea.Part: BATGEL1006. HCPCS: E2359Not available with Power Lift.
No batteries. Provider will assume responsibility of batteries.Part: Configuration selection
Swing-away, Rail Mounts, pair (TWBSTL) .......... $472.50 pr.Part: INDPART2896. 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
Pads
Installation
TRU-BALANCE 3 MANUFACTURER INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.
Stealth Thoracic LateralsSwing-away laterals may interfere with TB3 and 2-post, flip up armrests. These laterals are not available with the back cane option.
Bracket
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: ACC140239
BRANCH PATCHESOptional.
Air Force Army Coast Guard Marines Navy Purple Heart
Page 17 of 19INFINFB3757/RevB/02OCT2017
Upper Classic, Medium (IFPS1103) ........................... $142Part: ST-IFPS1103-Q. HCPCS: E0960
Upper Classic, Large (IFPS1104) .............................. $142Part: ST-IFPS1104-Q. HCPCS: E0960
Upper Contour, Medium (IFPS2103) ......................... $142Part: ST-IFPS2103-Q. HCPCS: E0960
Upper Contour, Large (IFPS2104) ............................ $142Part: ST-IFPS2104-Q. HCPCS: E0960
Chest Strap, Medium, Belt Anchor (IFCS4113) ...............$90Part: ST-IFCS4113-Q. HCPCS: E0960
Chest Strap, Large, Belt Anchor (IFCS4114) ..................$90Part: ST-IFCS4114-Q. HCPCS: E0960
Stealth i-Fit Dynamic Chest Straps
Account Number: ___________ Date: ________________ Marked for: _____________________________________
TRU-BALANCE 3 NON-INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.
Stealth Small Foot Boxes, 5"Wx8"Dx7"H ................ $498.75(SPLE107) (pair)Part: INDPART2786. HCPCS: K0108
Stealth Medium Foot Boxes, 6"Wx10"Dx9"H ........... $498.75(SPLE108) (pair)Part: INDPART2787. HCPCS: K0108
Stealth Large Foot Boxes, 7"Wx12"Dx11"H ............. $498.75(SPLE109) (pair)Part: INDPART2788. HCPCS: K0108
Stealth Small Padded Shoe Holder 3.75"Wx6.25"D ....... $266(SPLE111) (pair)Part: INDPART2783. HCPCS: K0108
Stealth Medium Padded Shoe Holder, 4"Wx8.25"D ....... $266(SPLE112) (pair)Part: INDPART2784. HCPCS: K0108
Stealth X-Large Padded Shoe Holder, 5"Wx10.75"D ...... $266(SPLE114) (pair)Part: INDPART2785. HCPCS: K0108
Stealth Foot Boxes
Stealth Padded Shoe Holder
Pad
Stealth Elbow SupportLeft,Swing-Away, Elbow Support Bracket ..... $183.75 ea.
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 Bracket ... $183.75 ea. 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
2” Height Adapter Plate (LHW-122) ........................$26.25 Part: 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.
Short Pad, 4”x4” (TWBADD-4X4) .....................$75 ea.Part: INDPART2801. HCPCS: E0956
Medium Pad, 4”x8” (TWBADD-4X8) ..................$75 ea.Part: INDPART2802. HCPCS: E0956
Long Pad, 4”x12” (TWBADD-4X12) ...................$75 ea.Part: INDPART2803. HCPCS: E0956
Install on LeftPart: PTOINDV3585
Install on RightPart: PTOINDV3586
Do Not InstallPart: PTOINDV3719
Pelvic/Thigh Guide Pad
Pelvic/Thigh Guide Adapter
Pelvic/Thigh Guide Installation
TRU-BALANCE 3 MFR INSTALLED POSITIONING COMPONENTS continued
Page 18 of 19INFINFB3757/RevB/02OCT2017
Q-Logic 3 SAJQ-Logic 3 EX SAJ ........................................................................................................$700Part: CTL143980Must be used in conjunction with Enhanced Display or Q-Logic 3 Joystick..
Account Number: ___________ Date: ________________ Marked for: _____________________________________
TRU-BALANCE 3 SPECIALTY CONTROLSOptional. Select a type of specialty controls below. More options are available on the Alternative Controls and Electronics order form.
Enhanced Display
Red CorvettePart: DGN137729-PRD1
Electric BluePart: DGN137729-PBU9
Back in BlackPart: DGN137729-PBK1
Night TrainPart: DGN137729-PBK3
White SatinPart: DGN137729-PWH2
Pretty in PinkPart: DGN137729-PPK3
Deep PurplePart: DGN137729-PPR5
Lime LightPart: DGN137729-PGN7
Grey StreetPart: DGN137729-PSL3
Silver BulletPart: DGN137729-PSL7
Midnight BluePart: DGN137729-PBU10
Orange CrushPart: DGN137729-POR6
Yellow BlazePart: DGN137729-PYL3
Black, Soft Touch ............................ Standard
Non-matching Joystick Shroud .................. $50Select color below
Match Joystick Shroud to Base Color ........... $50Part: See color below
Q-Logic 3 Enhanced Display ShroudRequired with Q-Logic 3 Enhanced Display selection above. Reference colors shown on page 2.
Q-Logic 3 Enhanced Display Kit ................................................................................... $1,720Part: CTL167726Select a color option below. Includes enhanced display, flexible gooseneck and mounting bracket. Features: 3.5” LCD display; up to 5 profiles to control drive, seat, and auxiliary functions; Bluetooth connectivity for mobile devices and mouse emulation; integrated single switch scanner; IR controls.
Enhanced Display
NON-INSTALLED POSITIONING COMPONENTS continued
Facial Lateral, 4.5"x2" Pad, Right Side, ................ $347.75for Comfort Series (CPS9-R-HW & 900-Q)Part: INDPART2647
Facial Lateral, 4.5"x2" Pad, Left Side ................... $347.75for Comfort Series (CPS9-L-HW & 900-Q)Part: INDPART2648
Facial Lateral, 4.5"x2" Pads, Left and Right Side ..... $453.75for Comfort Series (CPS9-B-HW & 900-Q)Part: INDPART2649
Egg Switch Mount (ESM) (A) ......... $52.50 ea.Part: INDPART2815
Figure 8 Bracket with 13" Rod and............ $220Egg Switch Mount (B)Part: ST-F8678-13-Q
Facial Pad, 6"x2" (920-Q) ..................... $53.50Part: ST-920-Q. HCPCS: K0108
Swing-Away Joystick Mount, 18" Rod (C) ......$250Part: ST-SUS18-QAllows mounting of facial pads and attaches to the head-rest
Stealth Swing Away Headrest MountsThese Swing-Away headrest mounts are only available with the Stealth Comfort Series Headrests.
Other Accessories
Stealth HeadrestMounts
Adult, i-Drive Tri-Array Series, 3-Switch .. $4,414Head Array (IDHBT200-1)Part: ST-IDHBT200-1-Q. HCPCS: E2330Features bluetooth, head support, 3 non-proportional proximity sensors for drive control, an egg switch for re-set mode change, and i-Drive smart box.
Adult, i-Drive Pro Series Head Array ....... $4,461(IDHBT300-1)Part: ST-IDHBT300-1-Q. HCPCS: E2330Features bluetooth, head support with occipital pad and 2 swing-away spot pads for left and right side, 3 non-pro-portional proximity sensors, an egg switch for reset mode change, and i-Drive smart box.
Adult Pro-Series
Head Array
EX SAJ
Page 19 of 19INFINFB3757/RevB/02OCT2017
Egg Switches
Egg Switch
Red Egg Switch (ESRED) ...................$80.85Part: SWTMCRO1077
Blue Egg Switch (ESBLU) ..................$80.85Part: SWTMCRO1079
Black Egg Switch (ESBLK) .................$80.85Part: SWTMCRO1081
Green Egg Switch (ESGRN) ................$80.85Part: SWTMCRO1078
Yellow Egg Switch (ESYEL) ................$80.85Part: SWTMCRO1080
©2017 Quantum Rehab - A Pride Mobility Products Corporation company. All rights reserved.
Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]
facebook.com/QuantumRehab
youtube.com/QuantumRehab
instagram.com/quantum_rehab
twitter.com/quantumrehab
Account Number: ___________ Date: ________________ Marked for: _____________________________________
TRU-BALANCE 3 SPECIALTY CONTROLS continued
Alternative Controls & Electronics Order Form Positioning Components Order Form
No Additional Multiplier (NA) .......................... No ChargePart: Configuration selection
Secondary Multiplier (SM) ................................. $221.21Part: HAR144004
Special Order Configuration (SOF)Part: Configuration selection
TRU-BALANCE 3 MULTIPLIER HARNESSREQUIRED. Multiple controllers or power accessories may require an additional multiplier harness or special order. Reference the chart be-low to determine the appropriate selection. The rows refer to the to-tal amount of arm mounted devices and the columns refer to the total amount of back mounted devices. The online order configurator will automatically make this selection under specialty controls.
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.
1 Arm 2 Arm 3 Arm 4+ Arm
1 Back0 Back
2 Back3+ Back
NANASMSOF
SMSMSMSOF
SMSMSMSOF
SOFSOFSOFSOF
Power Positioning Chart
1 Arm 2 Arm 3 Arm 4+ Arm
1 Back0 Back
2 Back3+ Back
NA
NA No additional MultiplierSecondary MultiplierSpecial Order Required
NASM
SM SOFSOF
SMSMSMSOF
SOFSOFSOFSOF
SOFSOFSOFSOF
Static Seat Chart
Q-Logic 3 Multiplier Charts
Arm
Mou
nts Joystick (Hand Control)
Enhanced DisplayiAccessUSB ChargerSAJ
Back
Mou
nts
Attendant ControlSCIMSip n PuffECU
Stealth Sip and Puff for Comfort Series, ...$294.25Left Mount(SP625-CL)Part: ST-SP625-CL-Q Includes straw and mounting hardware. Use with Stealth Comfort Plus headrests.
Stealth Sip and Puff for Comfort Series, ...$294.25Right Mount (SP622-CR)Part: ST-SP625-CR-QIncludes straw and mounting hardware. Use with Stealth Comfort Plus headrests.
Stealth Sip and Puff for Stealth Ultra, .... $294.253-Switch Head Array (SP625-U)Part: ST-SP625-U-Q Includes straw and mounting hardware. Use with Stealth Ultra Head Array, CTLDC1192, found on Alternative Con-trols and Electronics order form. Stealth Sip & Puff
Straw and Mount
Sip and Puff Module for Q-Logic 3 .................................................................................$1,895Part: CTL168056 Includes module and mounting hardware.
Sip and Puff Drive
Module
Sip & Puff Module
Page 1 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended DescriptionJOYSTICK/SCIM ELECTRONICSQ-Logic 3 Non-Expandable Capacity Controller Module Standard ELE1700136 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC
SEATING,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1703244 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC
SEATING,W/POWER,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1704379 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC
SEATING,(NON-EXPANDABLE CAPACITY) ELE1704381 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,STATIC
SEATING,W/POWER,(NON-EXPANDABLE CAPACITY) ELE1704206 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,TILT THRU
TOGGLE,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1704197 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,SINGLE
POWER,W/PTO,(NON-EXPANDABLE CAPACITY) ELE1704382 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,SINGLE
POWER,(NON-EXPANDABLE CAPACITY)
Q-Logic 3 Expandable Capacity Controller Module $695 ELE1704206 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,TILT THRU TOGGLE,W/PTO,(NON-EXPANDABLE CAPACITY)
ELE1704197 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,SINGLE POWER,W/PTO,(NON-EXPANDABLE CAPACITY)
ELE1704383 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,MULTIPLE POWER,(EXPANDABLE CAPACITY)
ELE1700137 ELECTRONIC,ASSY,Q-LOGIC 3,6 MPH MOTORS,CASTER SENSOR,QUANTUM 4FRONT,MULTIPLE POWER,W/PTO,(EXPANDABLE CAPACITY)
TRU-BALANCE 3 SEATING : Seat DimensionsTB3SPACK: Seat width package and depth package generate one part assembly.
N/A SET1703494 SEAT BASE,ASSY,14"W-16"W,14"D-16"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT
SET1703497 SEAT BASE,ASSY,14"W-16"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT
SET1705234 SEAT BASE,ASSY,14"W-16"W,16"D-20"D,TILT READY,REAC LIFT READY,20"D,TRU-BALANCE 3,Q4FRONT
SET1703498 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT
SET1705235 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT READY,REAC LIFT READY,20"D,TRU-BALANCE 3,Q4FRONT
SET1703499 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT
SET1703500 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT
SET1705236 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT READY,REAC LIFT READY,20"D,TRU-BALANCE 3,Q4FRONT
SET1703501 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3,Q4FRONT
SET160203 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5SET160205 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5SET160207 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5SET160209 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5SET160210 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5SET160211 SEAT BASE,ASSY,20"W-24"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5SET160406 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5SET160407 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
Page 2 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
TRU-BALANCE 3 SEATING : Back Cushion ConfigurationSport Back No Charge SET130247 SEAT BACK,ASSY,14"W,10"W-14"W,11"H,SPORT BACK,TRU-BALANCE 3
SET130249 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 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 3
Page 3 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
SET130341 SEAT BACK,ASSY,28"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130326 SEAT BACK,ASSY,30"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130327 SEAT BACK,ASSY,30"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130329 SEAT BACK,ASSY,30"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130330 SEAT BACK,ASSY,30"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3SET130331 SEAT BACK,ASSY,32"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 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 2 Back, 20" Width or less $675 SET123622 SEAT BACK,ASSY,12"W,10"W-14"W,11"H,TRU-COMFORT 2,4 WAY STRETCHSET123623 SEAT BACK,ASSY,14"W,10"W-14"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123631 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123633 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123635 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123637 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123639 SEAT BACK,ASSY,17"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123641 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123651 SEAT BACK,ASSY,17"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123653 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123655 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124576 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124578 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124597 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124599 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124601 SEAT BACK,ASSY,19"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124602 SEAT BACK,ASSY,19"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124603 SEAT BACK,ASSY,19"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124605 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124606 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124607 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124609 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124610 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCH
Page 4 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
SET124611 SEAT BACK,ASSY,20"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124612 SEAT BACK,ASSY,20"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124613 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124618 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124619 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124623 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,TRU-COMFORT 2,4 WAY STRETCH
TRU-Comfort 2 Back, 22" Width or greater $775 SET124624 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124625 SEAT BACK,ASSY,22"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124626 SEAT BACK,ASSY,22"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY 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
ARMRESTS : TRU-Balance 3 Flip-Back ArmrestsTRU-Balance 3 Flip-Back, 8"-12"H, Left Standard ARM147696 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFT
ARM147744 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147810 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147811 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147820 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147840 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147844 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147863 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT
TRU-Balance 3 Flip-Back, 8"-12"H, Right Standard ARM147738 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147746 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147743 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147812 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147822 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147841 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147846 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147864 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT
TRU-Balance 3 Flip-Back, 12"-16"H, Left Standard ARM147740 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147748 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147747 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147813 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147838 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147842 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147850 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147865 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT
TRU-Balance 3 Flip-Back, 12"-16"H, Right Standard ARM147742 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147797 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT
Page 5 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ARM147749 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147817 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147839 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147843 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147855 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147867 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT
TRU-Balance 3 Armrest Downpost $87.50 MEC140975 DOWN POST,ASSY,8"H-11"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140977 DOWN POST,ASSY,12"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140979 DOWN POST,ASSY,13"H-14"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140981 DOWN POST,ASSY,15"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140983 DOWN POST,ASSY,16"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140976 DOWN POST,ASSY,8"H-11"H,STRAIGHT,RIGHT,TRU-BALANCE 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
ARMRESTS : Two-Post Armrests2-Post, Flip Back, Height Adjustable, removable Armrests (9"-13" Height)
No Charge($150 with Static seat)
FRMASMB7062 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED
FRMASMB7063 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED
FRMASMB7060 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED
FRMASMB7061 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED
ARMRESTS : Heavy Duty, Removable Armrests8"-12"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138631 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138632 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
ARM138629 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
Page 6 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ARM138630 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
10"-14"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138627 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138628 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
ARM138625 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138626 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
ARMPADSStraight, Armpad Standard ARM130236 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST
ARM130237 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST
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
ARMREST
Page 7 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ARM134289 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST
ARM134290 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE STYLE ARMREST
ARM134291 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST
ARM134292 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE STYLE ARMREST
ARM134293 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE STYLE ARMREST
ARM134294 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE STYLE ARMREST
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 Toggle (Power Tilt Only) No Charge ELE130022 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,TRU-BALANCE 3
ELE1611928 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,W/MANUAL RECLINE,TRU-BALANCE 3
ELE130022 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,TRU-BALANCE 3
ELE1611928 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,W/MANUAL RECLINE,TRU-BALANCE 3
Single Actuator Control through Q-Logic 3 Controller and Interface $1,895 ELE167826 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)
ELE167845 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)
ELE167846 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)
ELE1705937 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 4),Q4FRONT
ELE167828 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)
ELE167831 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,INDEPENDENT LEGS,THRU JOYSTICK,(CONFIGURATION # 21)
ELE167832 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,THRU JOYSTICK,(CONFIGURATION # 22)
ELE167834 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,THRU JOYSTICK,(CONFIGURATION # 23)
ELE167830 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,THRU JOYSTICK W/MANUAL RECLINE,(CONFIGURATION # 20)
ELE167847 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)
ELE167849 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 09)
ELE167851 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,(CONFIGURATION # 10)
POWER POSITIONING ELECTRONICS : Tilt Only through Toggle (Power Tilt Only)
POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls through Joystick
Page 8 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ELE167853 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,(CONFIGURATION # 11)
ELE167848 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)
ELE167850 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 09)
ELE167852 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 10)
ELE167854 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 11)
ELE1705938 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 4),Q4FRONT
ELE1705939 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,INDEPENDENT LEGS,(CONFIGURATION # 5),Q4FRONT
ELE1705940 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,(CONFIGURATION # 6),Q4FRONT
ELE1705941 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 7),Q4FRONT
Multiple Actuator Control through Q-Logic 3 Controller and Interface $2,895 ELE167887 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,(CONFIGURATION # 28)
ELE167889 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 29)
ELE167891 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 30)
ELE167893 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,POWER AFP,(CONFIGURATION # 31)
ELE167888 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 28)
ELE167890 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 29)
ELE167892 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 30)
ELE167894 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 31)
ELE1705946 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,(CONFIGURATION # 24),Q4FRONT
ELE1705947 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,INDEPENDENT LEGS,(CONFIGURATION # 25),Q4FRONT
ELE1705948 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,(CONFIGURATION # 26),Q4FRONT
ELE1705949 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 27),Q4FRONT
ELE1705946 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,(CONFIGURATION # 24),Q4FRONT
ELE1705947 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,INDEPENDENT LEGS,(CONFIGURATION # 25),Q4FRONT
ELE1705948 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,(CONFIGURATION # 26),Q4FRONT
ELE1705949 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 27),Q4FRONT
ELE1705954 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,(CONFIGURATION # 14),Q4FRONT
ELE1705956 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 15),Q4FRONT
Page 9 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ELE1705959 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,(CONFIGURATION # 16),Q4FRONT
ELE1705961 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,(CONFIGURATION # 17),Q4FRONT
ELE1705955 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 14),Q4FRONT
ELE1705957 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 15),Q4FRONT
ELE1705960 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 16),Q4FRONT
ELE1705962 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 17),Q4FRONT
ELE1705971 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,(CONFIGURATION # 34),Q4FRONT
ELE1705975 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 35),Q4FRONT
ELE1705977 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 36),Q4FRONT
ELE1705979 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,(CONFIGURATION # 37),Q4FRONT
ELE1705973 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 34),Q4FRONT
ELE1705976 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 35),Q4FRONT
ELE1705978 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 36),Q4FRONT
ELE1705980 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 37),Q4FRONT
Single Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface
$3,295 ELE168645 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 03)
ELE168659 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 20)
ELE168662 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 23)
ELE168660 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS FLAT BUTTON,(CONFIGURATION # 20)
ELE168682 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 08)
ELE168686 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 11)
ELE168683 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 08)
ELE168687 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 11)
ELE1705942 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 4),Q4FRONT
ELE1705943 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 7),Q4FRONT
POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls with iAccess Switch Control
Page 10 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ELE168644 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 02)
ELE168700 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 28)
ELE168704 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 31)
ELE168701 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 28)
ELE168705 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 31)
Single Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface
$3,295 ELE168647 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 03)
ELE168664 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)
ELE168672 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 23)
ELE168665 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)
ELE168688 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)
ELE168692 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)
ELE168689 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)
ELE168693 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)
ELE1705944 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 4),Q4FRONT
ELE1705945 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 7),Q4FRONT
ELE168646 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 02)
Multiple Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface
$3,295 ELE168700 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 28)
ELE168704 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 31)
ELE168701 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 28)
ELE168705 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 31)
ELE1705950 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 24),Q4FRONT
ELE1705951 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 27),Q4FRONT
ELE1705950 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 24),Q4FRONT
ELE1705951 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 27),Q4FRONT
POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls with iAccess Switch Control
Page 11 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ELE1705963 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 14),Q4FRONT
ELE1705965 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 17),Q4FRONT
ELE1705964 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 14),Q4FRONT
ELE1705966 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 17),Q4FRONT
ELE1705981 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 34),Q4FRONT
ELE1705983 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 37),Q4FRONT
ELE1705982 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 34),Q4FRONT
ELE1705984 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 37),Q4FRONT
Multiple Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface
$3,295 ELE168706 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)
ELE168710 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)
ELE168707 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)
ELE168711 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)
ELE1705952 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 24),Q4FRONT
ELE1705953 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 27),Q4FRONT
ELE1705952 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 24),Q4FRONT
ELE1705953 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 27),Q4FRONT
ELE1705967 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 14),Q4FRONT
ELE1705969 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 17),Q4FRONT
ELE1705968 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 14),Q4FRONT
ELE1705970 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 17),Q4FRONT
ELE1705985 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 34.1)
ELE1705987 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 37),Q4FRONT
Page 12 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ELE1705986 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 34),Q4FRONT
ELE1705988 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 37),Q4FRONT
LEGRESTS : 60-90 Swing-Away LegrestsP: 11"-13" Length No Charge FRMASMB8053 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",C-1010-179P: 11"-13" Length FRMASMB10557 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,PAIR
P: 11"-13" Length FRMASMB10558 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,PAIR
L: 11"-13" Length RIG136570 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",LEFTL: 11"-13" Length FRMASMB10014 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-655L: 11"-13" Length FRMASMB10016 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-656
R: 11"-13" Length RIG136571 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",RIGHTR: 11"-13" Length FRMASMB10015 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-657
R: 11"-13" Length FRMASMB10017 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-658
P: 11"-16.5" Length FRMASMB9159 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,PAIRP: 11"-16.5" Length FRMASMB9168 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,PAIRL: 11"-16.5" Length FRMASMB9160 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,LEFT,E-1010-641L: 11"-16.5" Length FRMASMB9169 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,LEFT,E-1010-642R: 11"-16.5" Length FRMASMB9161 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,RIGHT,E-1010-643R: 11"-16.5" Length FRMASMB9170 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,RIGHT,E-1010-644P: 13"-16" Length FRMASMB7844 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",E-1010-415P: 13"-16" Length FRMASMB10559 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,PAIR
P: 13"-16" Length FRMASMB10560 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,PAIR
L: 13"-16" Length RIG133473 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",LEFTL: 13"-16" Length FRMASMB10018 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-659
L: 13"-16" Length FRMASMB10020 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-660
R: 13"-16" Length RIG133476 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",RIGHTR: 13"-16" Length FRMASMB10019 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-661
R: 13"-16" Length FRMASMB10021 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-662
P: 15.5"-19.5" Length FRMASMB7845 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",E-1010-381P: 15.5"-19.5" Length FRMASMB10561 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,PAIRP: 15.5"-19.5" Length FRMASMB10562 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,PAIRP: 15.5"-19.5" Length FRMASMB9162 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,PAIRP: 15.5"-19.5" Length FRMASMB9171 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,PAIR
WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE
LEGRESTS : Elevating Legrest Accessories
Page 13 of 13
Section NameOption Name MSRP Part Number Manufacturer Extended Description
Quantum 4Front Cross Reference Spreadsheet - TRU-Balance 3 Postioning
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