quickie q7 adjustable august 2015 · j3 back to order a j3 back please select omit back upholstery....
TRANSCRIPT
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ST: ZIP:
( ) Fax: ( )
ST: ZIP:
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For sizes 14" or less please use HCPCS E1235 See FIGURE 1 Measure from front frame to floor.
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See FIGURE 3 Measurement for set up.
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See FIGURE 4
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Transit
186TO45 K0108 Transit $320.00
Dealer Address:
Dealer Phone: Address:
Compact Wheel Lock
Ultra Lightweight Wheel
Attention:
Dealer City:
186FA2
Address:
Frame Angle
186FA1
NC
$140.00
85°
80°
NC
Retail Value
Schwalbe Speed Run Tire $125.00
$250.00
Package Price $525.00
Figure 2
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186QD01
$615.00
Ultra Lite Package (No substitutions, discount given on separate line)
186QD02
Package Price
Confirmation Email:
The HCPCS CODES herein are based on PDAC verification or interpretation of Medicare definitions and guidelines. Non-Medicare payers may accept alternative
HCPCS CODES , including misc. codes to ensure access for their enrollees. The use of HCPCS CODES does not ensure coverage or payment.
Figure 1
186FA8
Setting 1 Suggested for 3" & 4" casters.
For 2" Inset N/A w/ setting 1NC
Definition
2" (N/A with 12" & 13" wide)
Standard
75°
Compact Wheel Lock $140.00
NC0"
Option #
Ship To City:
$125.00
PriceDefinition
* Standard Frame - Seat Sling to front frame bend angle is 1.5" shorter than the
classic position. Classic Frame - Traditional seat sling to front frame bend angle
dimensions. Front of back cane post to front edge of seat sling will remain the
same for both Standard and Classic.
186LH01
186FS34
Option #
$2,995.00
Ultra Lite Seat Sling $100.00
Single Sided Fork
186WM60
$550.00
Quickie Q7 Adjustable
January 2020
EIR4
Schwalbe Marathon Plus Evolution $125.00
Base Model
Performance Package (No substitutions, discount given on separate line)
Mark For: Quote OrderSubmitting for:
Date: PO#:
Ship To:
186FS9
Ship To Phone:
NC
NC186FF2
186FF1
Confirm Via:
Caster Housing Position
1" (N/A w/ 12" wide)
$640.00
Fax
Retail Value
Frame Style
NC
Dealer Acct #:
Dealer: ADDITIONAL SHIPPING INFORMATION
Dealer Contact:
Figure 4
Ultra Lightweight Wheel $250.00
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K0005
HCPCS
186FF3
Frame Inset Per Side
Quickie Q7 - AdjustableWeight capacity 265 lbs
Price
See FIGURE 2 Frame Inset is the distance from the outside of the seat tube to
the outside of the footrest.
HCPCS
NC
1. FRAME STYLE & SETUP
Classic NC
186LH02 Setting 2 Suggested for 5" & 6" casters.
Figure 3
NC
186LH03 Setting 3 N/A w/ 6" casters NC
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
© 1/2020 MK-100021 Rev K
Page 1
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o o To order any JAY cushions on-chair, please see the JAY price list.
o o Cushion name or part number must be filled out with desired width and depth
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186SH24
Frog Legs 191 lbs. weight to 265 lbs. $435.00186CF55
Frog Legs 0 weight to 100 lbs. $435.00
E1015 Frog Legs 101 lbs. weight to 190 lbs. $435.00
186CF53 E1015
Multiple Position Single Sided Fork
186CF65
6" x 1.5" Aluminum Soft Roll
$75.00
186CW35 E2219 6" x 1.5" Semi Pneumatic
13"
Depth:
NC
5" Micro Lighted
NC
$550.00
Figure 7
14"
NC
186CF54
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Multiple Position NC
6" Pneumatic
186CW68
186CW34
186CW33
$100.00
$85.00
$90.005" Soft Roll (Grey) -N/A w/Frog Legs
$205.00
Caster Forks and Suspension
$85.00
$195.00186CW66
186CW44
18.0"
Figure 8
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JAY Cushions (Optional)
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13"
Ultra Seat Sling Available 14" to 18"
Width and Depth. Ultra Seat Sling will be
~1/4" less than requested seat height
value.
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186CW5
NC
Figure 5
186S5
186CW1
186SH17
18.5"
NCo 186SD13
JAY Bundled Cushion
15"
Cushion Name or Part #
Standard Seat Sling
NC
Figure 6
186SD8
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-2 Setting Backrest -2" offset, field
adjustable to flush or -1"
186S9
186JC20
NC
$500.00Width:
NC
NC
$165.00
16"
Price List
$55.00
6" Poly
$85.00
5" x 1.5" Aluminum Soft Roll
$170.00
E2219
4" x 1" Aluminum Poly
186OP04
186CW64
5" x 1.5" Semi Pneumatic
Caster Wheels
2. FRONT SEAT HEIGHT SET UP
E2219
186CW65
186CW31
186SD6
20"(E2203)
Depth Adjustable Backrest (Optional)
186OP02
186SD9
186SD7
NC
NC
186DP04
14"
See Figure 5 Depth Adjust Backrest extends the frame rear of the seat sling,
select a factory setting.
5" Low Profile Polyurethane
186CW51
186CW6
$110.00
E2214
E2215
5" x 1" Aluminum Poly
186CW7
4" Micro Lighted
NC4" Low Profile Polyurethane
4" x 1.5" Aluminum Soft Roll
0 Setting Backrest at standard position,
field adjustable to -1" or -2"$165.00
186WH13
NCOmit Seat Sling
Front Seat Height
See FIGURE 8 Measure from the front of the seat rail to the floor.
186SH16 186SH23 $110.00
186CW3
$70.0019.0"
4" x 1.25 Semi Pneumatic
NC
17.5"
16.0"
3" Micro
20"(E2201)
186CW72
186SH20
186SH18
186SH14
186SH15 16.5"
19.5"
20.0"
20.5"
186SH21
17.0"
E2219
186SH26
21.0"
186CF69
E1015
186SD10
Seat Width
See FIGURE 6 Measure from outside of seat tube to the outside of opposite seat tube.
186S3 12"
o 186DP02
NC
186S4
186S8 17"
186DP03
$165.00
-1 Setting Backrest -1" offset, field
adjustable to flush or -2"
186S7 16"
15"
18"
186S10
NC
186S48NC186S6
19"
19"
NC
NC12"
NC 186SD11
NC
186SD12
186OP01
Seating Systems
Direct Mount Wheel Lock
No mounting clamp hardware. Only available with Compact Wheel Lock and 0 °
Camber. Not available with mountain tires or rear suspension. Traditional wheel
locks available, see page 5. N/A with rear suspension system. 17"
18"
Seat Depth
1. FRAME STYLE & SETUP (CONT.)
NC
$185.00
186SH27
Frame - Direct Mount Wheel Lock (Optional)
See FIGURE 7 Measure from front of back post to front edge of seat sling. Seat sling is 1"
shorter than depth ordered, but actual seat depth will remain the same as ordered.
186SD5
NC
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
© 1/2020 MK-100021 Rev K
Page 2
Angle Adjustable Flip Back N/A w/ 19-20 wide w/ 0” inset. Some Flip back
configurations won't allow 2 " ground clearance and will need to raise up.
Flip back not available Caster setting 1" & 2" inset. o
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o Only available on tension adjustable upholstery and Jay 3 Back
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JAY J3 Back
186VU13
186VU11
o 186A195Telescoping Push Handles - Tall
(25" from seat to push handle)
Purple Heart with Marines Patch
Narrow Backrest Inset Backcanes 1"
narrower than selected seat width. N/A with
12" Wide. N/A w/ Aluminum or Carbon
Side Guards
Telescoping Push Handles Range of
13-19" from sling to handle
Purple Heart with Coast Guard Patch
Backrest Options
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$80.00
186VU8
186BU14 Omit Back Upholstery -$15.00o
$215.00
$215.00
186VU10
186VU9
186VU5
186VU12
186DI05
186A192
186OD5
$155.00
$155.00
$100.00
Purple Heart with Navy Patch $155.00
Purple Heart with Air Force Patch
Coast Guard Patch
Purple Heart Patch $100.00
Purple Heart with Army Patch
186VU4 US Air Force Patch $100.00
US Marines Patch
Backrest Tension Adj Ballistic Nylon $315.00
Backrest Tension Adj 3DX Vented $330.00
Telescoping Push Handlles have Double "D" tubing to eliminate rotation.
US Navy Patch $100.00
$155.00
186BB18
US Army Patch $100.00o 186QT02
Low Profile - 2" Offset Limited
w/Solid Backs, Not suggested with
19" & 20" wide 186VU3
K0038
Non-Folding Angle Adjustable
$75.00
$75.00
2. Ultra Lightweight Aluminum Fixed Backrest
186BB17
$75.00
8" $75.00
Leg Strap
186DI04
$55.00
3. FOOTPLATE OPTIONS
Ultra Lite Platform FootrestN/A w/ 14" wide and 2" inset, N/A w/ 19-20
wide w/ 0" inset
Backrest Handles
Military Service Patches
186VU1
NCAluminum Tubular
Platform Footrest
E2611
186F276 K0040 Angle Adjustable Flip Back
186BU71
186F111
Omit Push Handles
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Backrest Upholstery
186BU1 Standard Upholstery NC
186BU70 E2611
$100.00
186VU2
$90.00
NC
NC
Adaptive Platform 4" Spacer
186BB16
$185.00
$40.00
$100.00
NC
Fold Down Push Handles N/A w/ 10"-
14" adj height & 8"-10" fixed height
N/A w/ standard upholstery
186F51
$95.00
Standard Style - 4" Offset
$50.00
NC
Adaptive Platform Spacer
Integral Push Handles NC
Towel Bar
186QT01 NC
o 186PH5
186PH2
186PH6
Back Type
186BT3
186F229
Footrest Options
Gel Hanger Cover $105.00
Folding Angle Adj w/Double Lock Down
186DI02
186DI03
Footrest
Aluminum Tubular w/ Snap On Cover
K0040
K0040
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9"
Select back height. 8", 9", or 10" only available with omit push handles.
17", 18", or 19" only available with fold down push handles
NC
186AD1
NC
$95.00
Choose Option 1 or 2
1. Aluminum Height Adjustable Backrest
186F274
186B127
186AD3
4. BACKREST
NC
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10 "- 14" Back Height
$30.00
186DI08
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$75.00
19"
12"
14"
186BB11
186AD2
186BB21
15"
13"
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186BB20
186B110 Setting
186BT96
High Mount Ext Tubes (N/A w/
Tubular footrest)
$75.00
10"
$75.00
186BB15
16"
17"
$75.00
11"
186BB19
186BB10
o 186B137 Setting16 "- 20" Back Height
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186B111 Setting14 "- 18" Back Height
Setting12 "- 16" Back Height
$40.00
Wear Pads
$115.00
$75.00
$95.00
18"
$75.00
186DI06
186DI07 Neoprene Impact Guards
Position Plates (N/A for Tubular Footrest)
$75.00
J3 Back To order a J3 Back please
select Omit Back Upholstery. See J3 Back
Order Form for Part #'s.
Price List
$75.00
186JB01
Adaptive Platform 2" Spacer
$50.00
$50.00
Extra Leg Strap
N/A with Aluminum Tubular or Ultra Lite Platform. Now available with
Angle Adj. Flip Back.
Adaptive Platform 6" Spacer
$95.00
186BB13
186BB14
186BB12
$155.00
K0038
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
© 1/2020 MK-100021 Rev K
Page 3
Extended COG N/A w/ Xtender Power Assist o
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Please select one of the following handrim options
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Measure from front of back post to the center of rear axle. Xtender 1" - 4"
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o 186XA4E2211
E2213SPARE 24" Lite Spoke Pneu Plastic $200.00
o 186XA9E2211
E2213$200.00
o 186XA2 SPARE 24" Lite Spoke Pneu Alum NC
186XA11 Spare Li-ion Power Pack - LITHIUM $1,795.00
Xtender Wheel Options
o 186XA8 SPARE 22" Lite Spoke Pneu Alum NC
186XH5 Plastic Coated NC
Xtender - Other Options
186XA10 Spare NiMH Power Pack - NICKEL $1,395.00
NC
E098624" Xtender Power Assist JWX-2
NICKEL$8,045.00
o 186XT5 E098624" Xtender Power Assist JWX-2
LITHIUM$8,845.00
o 186XT4
o 186XT7 E098622" Xtender Power Assist JWX-2
LITHIUM$8,845.00
RSH 16.5"-19" with 22" wheels, RSH 17.5"-20" with 24" wheels 0 camber, pneumatic tire. 22"
& 24" wheels only. Anti-Tips no charge. N/A w/ Transit and 4-link Suspension. Dual Drive
mode available with B4ME
NC
20" Mag Wheel 5 Spoke NC
186RW104 22" Mag Wheel 5 Spoke NC
186RW102
Schwalbe Speed Run 24,25 24,25
Pneumatic 20,22,24 20,22,24 20,22,24,26
Pneumatic
20,22,24 20,22,24 20,22,24,26w/Airless Insert
Knobby V-TRAK 24
High Press. Clincher 22,24,25,26 22,24,25 22,24,25,26
24" Mag Wheel 5 Spoke
19.0"
18.0"
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20,22,24 20,22,24
Spinergy186RW91
SPARE 22" Lite Spoke Pneu Plastic
186AX13
186RW92
NC
186AX1
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$200.00
25" Ultra Lightweight Spoke 2.0
25" Lite Spoke
22" Lite Spoke $200.00
Quick Release Steel
24" Mag
4.5" Max Front to Rear Seat Hgt.
26" Lite Spoke
22,24,26
24,25
Adjustable Extended COG (0"-3") NC
22" Mag
17.0"
Rear Seat Height
15.0" Only w/ 20" or 22" Rear
Wheel for Adjustable Axle. Only w/
20" Rear Wheel for Rear Suspension
186RW1
NC
15", 16" Seat Depth
13", 14" Seat Depth
NC
3.0" Max Front to Rear Seat Hgt.
NC
186CC2
Tire
Axle Plate
NC
186CC4
Center of Gravity Preset
186CC1
186RH14
186RH13
16.0" N/A w/ 24, 25 & 26" Rear
Wheels and Rear Suspension
12" Seat Depth
3°
13.5" Only w/ 20" Rear Wheel.
N/A w/ Rear Suspension
13.0" Only w/ 20" Rear Wheel.
N/A w/ Rear Suspension186RH11
186RH15
14.0" Only w/ 20" Rear Wheel.
14.5" Only w/ 20" Rear Wheel.
Front to Rear Seat Height Matrix
2.5" Max Front to Rear Seat Hgt.
3.5" Max Front to Rear Seat Hgt.
4.0" Max Front to Rear Seat Hgt.
26" Spinergy SPOX Black Spokes
NC
NC
186CC12
186RW06
186RW32 22" Spinergy LX Black Spokes
24" Mountain
NC
186RH16
186RH12
186RH20
17.5"
16.5" N/A w/ 24, 25 & 26" Rear
Wheels and Rear Suspension
NC
186RH37
Axle
NC24" Lite Spoke
20" Mag
186RW90
186RW103
186RH27
186RH26
NC
NC
NC
186RH22
$125.00
18.5"
NC
186RW3
15.5" Only w/ 20" or 22" or 24"
w/HP Clincher Rear Wheel. Only w/
20" Rear Wheel for Rear Suspension
NC
186RH19
186RH18
NC
NC
NC
Quad Quick Release Steel
Only available with Std Mag Whls
Weight from 176 lbs. to 265 lbs
22" Xtender Power Assist JWX-2
NICKEL$8,045.00
Ultra Lightweight only available w/ Aluminum Handrim. Contact Built 4 Me for
Spinergy color options or Topolino Carbon Wheels.
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186RH21
NC
Rear Wheel
NC
.5"
20,22,24 24
24" Ultra Lightweight Spoke 2.0
19", 20" Seat Depth
NC
186RH17
3.5"
186RW8
Wheel 5 Spoke
MagMag Lite Spoke
Ultra
Lt wt
SHOX Perform. Poly
186CC8
186CI2 NC
186CC7
Camber
186CC6
4.0"
$250.00
186RW16
17", 18" Seat Depth
2.5"
3.0"
NC186CI1
186CC5
1.5"186CC3
0°
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Weight from 0 lbs to 175 lbs186SV08
NC
0"
2.0"
4-Link Rear Suspension COG (0"-3") Single Post only available up to 2"
COG. Plastic Side Guards only available up to 2.5" COG. N/A w/ Xtender
NCAdjustable COG (1"-4")
Rear Suspension (Optional)
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$625.00
186SV09 $625.00
$200.00
22" Ultra Lightweight Spoke 2.0
186RW10 $250.00
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NC186RW93
22" Spinergy SPOX Black Spokes $845.00
NC
20" Lite Spoke
NC
186XT6
19.5"
20.0" N/A w/ Rear Suspension
E0986
186RW94
NC
1.0"
NC
186CI4
NC
24" Spinergy SPOX Black Spokes
5. REAR SEAT HEIGHT SET UP
Xtender Power Assist
$845.00
186RW28
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186RW99 25" Spinergy LX Black Spokes $1,060.00
186RW40 26" Spinergy LX Black Spokes $1,060.00
Full Poly Tire
$1,060.00
186RW98
20,22,24
22,24,26
24
24,25
$250.00186RW50
24,25
24" Spinergy LX Black Spokes $1,060.00
Schwalbe Marathon
22" = 489 mm 24" = 540 mm 25" = 559 26" = 590
24,25,26 22,24,25 24,25,26
$250.00
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186XH6
NC6º (N/A with Std Mag and 5 spk MAG
Wheels )
186RW95
NC
Stainless Steel
NC
$845.00
186RW96
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25" Spinergy SPOX Black Spokes $845.00
186RW97
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
© 1/2020 MK-100021 Rev K
Page 4
o Natural Fit Handrims only available in 22", 24", & 25".
Natural Fit w/ 5 spoke MAG only available in 24"
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Some limitations when used with the Angle Adjustable Back in the rear most setting o
Please select a setting, will default to 11" if no selection is made. o
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o 9" o 10" o 11" o 12" o 13" o 14" o
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Not all wheel locks available in all seat depths, wheel size, or COG Available with Aluminum or Aluminum with Fender.
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Ext. handles only available with high mount push or pull wheel locks Not available with 5 spoke MAG wheels. N/A w/ Xtender Power Assist
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NC
186A118
186AM22
SHOX Performance Poly
186AM23
$95.00
Anti Tips
$495.00
186A83
$70.00NC
186A203
186A141
Backpack - Adult
Quickie "Q" Clear $115.00
186A1
$700.00
Natural Fit LT - Super Grip
Rear Wheel Tire
Positioning Belt
186GE03 Matching Frame- Custom Color $50.00
$110.00
Belt 1.5" Auto Buckle Universal w/clamps
Matching Frame- Standard Colors
Single Post Height Adjustable - LowRange 6.5" - 10.5". Adjust in 1" increments
NC
E0978 Belt 2" Aircraft Buckle Padded w/clamps
Compact
186A23
E0978
NC
186A117
$195.00o
186A8 $50.00
K0108186SG33
Black Seat Pouch
E2207
Miscellaneous
186WL10
186WL1
E0978
E0971
$115.00
K0065
Side Guards
Increases overall width of chair. Some interferance may exist w/ padded SA arms
at lowest settings
$75.00
$55.00Tool Kit
o 186SG36
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$145.00
K0108 Aluminum w/ Fender N/A w/ Height
Adj. Arms, High Push or Pull Wheel Locks
o 186AA29 E0973
Extension Handle (Pair)186EH7
Wheel Lock Options
$75.00
7. KEY OPTIONS & ACCESSORIES
E0961
186AM21
o 186SG35
186WL45
186WL30
$245.00
Armrest Options
Black
Setting
Single Post Height Adjustable - StdRange 8" - 13". Adjust in 1" increments
Armrest - Padded Swing Away
$285.00
Gel Swing Away Pad $150.00186NP01
NC
NC
Plastic Standard
N/A w/ Height Adjustable Arms
$460.00
NC
$150.00
$275.00
Black Spoke GuardK0065
Extension Handle
186GE01
Omit Wheel Lock
Crutch Holder
186A2
High Mount Push
E0973
186WL2 186GE02
Wheel Lock
Full Length (14") Contour
$225.00
186RT21E2211
E2212Schwalbe Marathon Plus Evolution $140.00
$110.00
186RT6E2211
E2212
186RT3
Pneumatic NC
Knobby V-TRAK by Kenda
o 186RT28E2211
E2212Schwalbe Speed Run Tire $140.00
Plastic Coated N/A w/ 25" & 26"
Lite Spoke Wheels
186RT2E2211
E2213Pneumatic Airless InsertN/A with Xtender
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$95.00
Handrim
oE2211
E2212
5. REAR SEAT HEIGHT SET UP (CONT)
E2211
E2212
o 186HR4
186HR22
$445.00
NCHigh-Pressure Clincher
186RT27o
Full Poly Tire NC
o186HR1
$95.00
$495.00
186RT38 E2218
Natural Fit - Standard Grip $445.00
o 186RT1
186HR23
186HR24
186RT12
o $85.00
186HR30$95.00
Natural Fit - Super Grip
Omit Handrim
N/A w/ Ultra Lightweight Wheels
Natural Fit LT - Standard Grip
Desk Length (10") Classic
oSpinergy Flex Rim Only available on
Spinergy LX wheels 24" & 25"
186HR7
6. ARMREST
NC
186HR31
186AM24
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Mountain Only available in 24"
$140.00
Desk Length (10") Contour NC
Belt 2" Aircraft Buckle w/clamps
NC
Full Length (14") Classic
NC
Side Guard - Color Option
Armrest - Height Adjustable
186AA18o
186SG29
High Mount Pull
186AA11
Ergo Scissor
K0108
186SG12Carbon Fiber N/A w/ Height Adj. Arms,
High Push or Pull Wheel LocksK0108
186AT37 Anti Tips (Pair)
K0108 Plastic Low N/A w/ Ht Adj Arms $145.00
Aluminum N/A w/Height Adj. Arms, High
Push or Pull Wheel Locks
Backpack - Kids $60.00
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Do Not Mount186WL12
186A302
$285.00
Spoke Guards
$120.00
NC
Padded Swing-Away STD (9" to 14")E0973
Additional Pack Accessories
Aluminum Anodized
Armpad - For Height Adjustable
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
© 1/2020 MK-100021 Rev K
Page 5
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o
o Commonly Requested Options Include:
o Swing Away Knee Adductors
o One Arm Drive
o Unilateral Wheel Locks
Seat Pan
Caster Pin Lock
Grade Aids
Spinergy Color Spokes
Double D Telescoping Push Handles
186C43
186C144 NC
Glow
186C142
NC
Candy Red
Evergreen NC
Built For Me
To inquire about any unique customization for Quickie products, contact:
Phone: (800) 333 - 4000, Option #3, Fax: (800) 333 9011
Green Apple
NC
Rootbeer
$395.00
NC Blue
Mossy Oak Camouflage
186C42
186EB08
186EB07
186C148
Hot Sparkle Pink
186C152 Matte Purple NC
Electric Blue
186C103
Mauve Pink
186C147
NC
Candy Purple186C14
186C35
186C10
186C143
186C141
186C126
186C38
186C36
$160.00186EB10
$395.00
Desert Camouflage
186EB09
$160.00
$160.00
Forks, Backcane Bracket, Rear Axle Clamp. N/A w/ Frog Legs. Anodized parts
can be ordered separately
$395.00
NC
NCBlack
$395.00Stars & StripesNC
NCBlack Cherry
186C2
Custom Frame Color
Blue Opal
o 186C108
NC
7. KEY OPTIONS & ACCESSORIES (CONT)
NC
Zebra (Choose above base color) Std with
White unless above base paint is chosen
N/A w/ Black
Bead Blast
Frame Color
186C112186C118
NC
186C140
Black (Not avail as base w/Zebra)
NC
Aztec Gold
Sunrise Orange
Black Opal
NC
186C151
Sparkle Silver
Yellow
Matte Black Cherry
Matte Frame Colors
186C116
NC
NC
NC
NC
NC
NC
Candy Blue
Titanium Color Paint
186C150
186C8
186C44
186C113
NC
186C149
186C114
186C145
NC
Matte Electric Blue
NC
Matte Evergreen
186EB12
Matte Black
Red
Glossy White - Limited Edition NC
NC
Green
Ti Grey $160.00
186EB11 $160.00
Anodized Color Package
Purple
Sunrise Medical (US) LLC
2842 Business Park Ave. · Fresno, CA 93727 · USA
Customer Service: 800-333-4000 Fax: 800-300-7502 Email: [email protected] www.sunrisemedical.com
© 1/2020 MK-100021 Rev K
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