warranty / catalogue item body part/rationale …...item body part/rationale photo brand description...
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Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
BackBelt/Lumbar SupportPower belts Comfortform Small: waist 25-30" 79-89353 n/a
Comfortform Medium: 30-34" 79-89355 n/aComfortform Large: waist 34-38" 79-89357 n/aComfortform XL: waist 38-42" 79-89358 n/aComfortform XXL: waist 42-56" 79-89359 n/aComfortform XXXL: waist 56-62" 79-89359-10 n/a
Chattanooga Lo Pro Small : waist 24-30" 79-89143 n/a www.djoglobal.com
Lo Pro Medium: waist 30-36" 79-89145 n/aLo Pro Large: waist 36-42" 79-89147 n/aLo Pro X-Large: waist 42-50" 79-89148 n/aLo Pro XX-Large: waist 50-56" 79-89149 n/aLo Pro XXX-Large: waist 56-64" 79-89149L n/a
www.djoglobal.comDJ Ortho Low back injuries for back support &/or symptom control
Page 1 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Backrest Support Cushions
Back rests, supports, cushions Low back injuries for back support &/or symptom control
Obus Forme Obus Forme Low Back Rest: curved back cushion with an adjustable lumbar pillow. Seat not included unless requested.
LB-BLK 1 year www.obusforme.ca
Low back/mid back injuries for back support
&/or symptom control
Innotech Embrace Air King Back: taller and wider than the embrace air king but does not provide support up to the neck.Air pump to adjust lumbar support.
200-11BLK 1 year www.embraceairbackrests.com
Low back/mid back injuries for back support &/or symptom control. Slightly larger than the
regular.
Innotech Embrace Air Plus curved back cushion with air pump to adjust lumbar support
100-11BLK 1 year www.embraceairbackrests.com
Upper back or neck injuries for back/neck support &/or symptom control
Obus Forme Obus Forme High Back Rest: curved back rest providing support for the low back up the neck with an adjustable pillow for the low back or neck
HB-BLK 1 year www.obusforme.ca
Lower/upper back injuries for back support
&/or symptom control
Obus Forme Obus Ultra Forme Back S-M-L Provided upon specific request.
UF-BLK 1 year www.obusforme.ca
Seat specifically requested with back
rest. Rational as above.
Obus Forme Obus Forme Low Back Rest with Seat LB-BLK-CA 1 year www.obusforme.ca
Seat specifically requested with back
rest. Rational as above.
Obus Forme Obus Forme High Back Rest with Seat HB-BLK-CA 1 year www.obusforme.ca
Previously provided with a back rest and now
require seat.
Obus Forme Obus Forme Seat ST-BLK 1 year www.obusforme.ca
Mobile lumbar support which allows a
customized degree of support
Innotech Adjustable Back Cushion 330-11BLK n/a www.embraceairbackrests.com
Bathtub Safety Mat
Page 2 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Multiple injuries resulting in instability, poor
balance, weakness, etc. who might be at increased risk of
slipping.
Drive Medical 38" x 15" 12950 1 year www.drivemedical.com
Bathtub LiftStandard Indicated when other
bathing aids such tub & bath seats not suitable and there is a medical
necessity to submerse in the tub vs shower.
Delis Weight capacity 309 lbs. Battery powered with separate hand control.
0815-83-566 1 year www.pattersonmedical.com
Bariatric Indicated when other bathing aids such tub & bath seats not suitable and there is a medical
necessity to submerse in the tub vs shower.
Aquatec Weight capacity 400 lbs. Battery powered with separate hand control.
0815-13-06p 1 year www.pattersonmedical.com
Page 3 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Bed Assist SuperpoleDrive Medical Transfer Pole 15500/1230 1 year www.drivemedical.com
Drive Medical Transfer Pole with swing grip 15500/1231/ 1232
1 year www.drivemedical.com
Positioned between the box spring and mattress
on a bed and used to assist with bed mobility
Drive Medical Bed rail securable to mattress or bedframe
RTL15073 1 year www.drivemedical.com
Cold PacksVitaCare Small 4x6 with cover (small body parts
e.g. wrist) 8610 + 8616 3 mos www.drivemedical.com
VitaCare Medium 5x10 with cover (backs, knees,etc.)
8611 + 8617 3 mos www.drivemedical.com
VitaCAre Large 10x11 with cover 8612 + 8618 3 mos www.drivemedical.com
VitaCare Medium 5x10 with cover & velcro strap (neck)
8613 + 8617 3 mos www.drivemedical.com
Can also be microwaved
Transfer poles which is positioned between the
floor and ceiling to assist with transfering. This
item should be recommended by an OT
or PT and would be benefical for a variety of injuries that impacts on the abiltiy to transfer.
Cold therapy
Page 4 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Crutches/CanesLower extremity or back
injury.Drive Medical Crutches Metal Light Weight
short 10400-8 1 year www.drivemedical.com
Drive Medical Crutches Metal Light Weight regular
10401-8 1 year www.drivemedical.com
Drive Medical Crutches Metal Light Weight tall
10402 1 year www.drivemedical.com
Lower extremity or back injury.
Drive Medical Cane Uni Point with ice pick included (adjustable from 30-39". Recommended for patients up to 6'6" tall)
10303 1 year www.drivemedical.com
Drive Medical Cane Uni Point Bariatric with ice pick included
10304HD 1 year www.drivemedical.com
1 for unipoint cane 2 for crutches
Drive Medical IcePick for Cane/Crutches 8504/8505 1 year www.drivemedical.com
Page 5 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Lower extremity or back injury.
Drive Medical Quad Cane 10300 1 year www.drivemedical.com
Lower extremity or back injury.
Drive Medical Quad Cane Bariatric 10317 1 year www.drivemedical.com
Page 6 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Elbow Clasps/Elbow braceAir Cast Lateral Epicondylitis Clasp
Elbow injuries Lateral epondylitis Tennis
elbow
Aircast Sizing: One size fits most. Forearm circumference just below elbow 8-14"
81-05 AB n/a www.djoglobal.com
Kidney Shaped Lateral Epicondylitis Clasp
Elbow injuries, Lateral epondylitis, Tennis
elbow
Orthoactive Sizing: Measure forearm 4-5cm below elbow
Health care provider XS: 8.5-9" 4692XS n/a www.orthoactive.com should confirm correct S: 9.5-9.75" 4692S n/a www.orthoactive.com
forearm M: 10.25-10.75" 4692M n/a www.orthoactive.com measurement L: 11-11.75" 4692L n/a www.orthoactive.com
XL: 12.25-13.5. 4692XL n/a www.orthoactive.com
Exercise Ballsno picture available Body Sport 45 cm BR45AB 1 year www.regionalmedicalproducts.com
Body Sport 55 cm BR55AB 1 year www.regionalmedicalproducts.com
Body Sport 65 cm BR65AB 1 year www.regionalmedicalproducts.com
Body Sport 75 cm BR75AB 1 year www.regionalmedicalproducts.com
no picture available Body Sport Exercise Ball Pump BDSPUMP 1 year www.regionalmedicalproducts.com
Foam RollersSammons Preston 3" x 36" round 929246 n/a www.pattersonmedical.com
4" x 36" round 929247 n/a www.pattersonmedical.com6" x 36" round 509103 n/a www.pattersonmedical.com6" x 12" round 567550 n/a www.pattersonmedical.com
6" x 36" half round 509104 n/a www.pattersonmedical.com
6" x 12" half round 509102 n/a www.pattersonmedical.com
3" x 24" half round
Page 7 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Foot SplintDorsal Night Splint:
treats Plantar Fasciitis Fits left or right
Specify shoe size
Procare Small (W ≤ 7, M ≤6) Medium (W 7.5 - 9.5, M 6.5 - 8.5) Large (W 10 -12.5, M 9 - 11.5) X-Large (W ≥13, M ≥12)
79-97753 79-97755 79-97757 79-97758
n/a www.djoglobal.com
Gel Insoles Size A (W 4-5, M 2-3) 295 n/a www.orthoactive.comSize B (W 5.5-6.5, M 3.5-4.5) 295 n/a www.orthoactive.comSize C (W 7-8, M 5-6) 295 n/a www.orthoactive.comSize D (W 8.5-9.5, M 6.5-7.5) 295 n/a www.orthoactive.comSize E (W 10-11, M 8-9) 295 n/a www.orthoactive.comSize F (W 11.5-12, M 9.5-10.5) 295 n/a www.orthoactive.comSize G (M 11-12) 295 n/a www.orthoactive.comSixe H (M 12.5-13.5) 295 n/a www.orthoactive.comSize I (M 14-15) 295 n/a www.orthoactive.comSize J (M 15.5-16.5) 295 n/a www.orthoactive.com
OrthoactiveLower extremity or back injuries
Improves shock absorbancy
Specify shoe size
Page 8 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Grab Bars Wall mounted - rotating flange 12" 12112RF n/a www.drivemedical.com
can be mounted at any angle 16" 12116RF n/a www.drivemedical.com
18" 12118RF n/a www.drivemedical.com
24" 12124RF n/a www.drivemedical.com32" 12132RF n/a www.drivemedical.com36" 12136RF n/a www.drivemedical.com48" 12148RF n/a www.drivemedical.comL-shaped 90 degree angle 16B136A-2 1 year www.parsonsadl.com
Floor mounted include floor support and hardware
Floor mounted adjustable 30" - 41 " (up to 176 lbs)
16B289A 1 year www.parsonsadl.com
Floor mounted 28" arm support (up to 330 lbs)
6311-28 & 6312
floor support
1 year www.pattersonmedical.com
Floor mounted 28" (up to 400 lbs)
PTWR28 +
PT-WRM
1 year www.healthcraftproducts.com
Floor mounted 30" (up to 279 lbs) AA2026 1 year www.pattersonmedica.com
Floor mounted 32" (up to 400 lbs)
PTWR32 +
PT-WRM
1 year www.healthcraftproducts.com
To assist with safe transfering to shower,
tub and toilet. Installation is required.
Consult OT.
Page 9 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Hand Held ShowersHand Held Shower Used with bath seat, tub
transfer benches and shower chairs.
Clark Flexible hose with on/off switch & wall mount bracket Fits standard shower plumbing
2200 1 year www.clarkmedical.com
Hand Held Shower with Wall Mount Bar
Used with bath seat, tub transfer benches and
shower chairs.
Parsons Wall bar with flexible hose and push button trickle/full spray hand shower
16B008 1 year www.parsonsadl.com
Hand WeightsParsons 2 lb 15W402 1 year www.parsonsadl.com
3 lb 15W403 1 year www.parsonsadl.com
5 lb 15W405 1 year www.parsonsadl.com
To assist with the completion of a home
exercise program.
Page 10 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Heating PadsNeck, Elbow or Knee
injury Heat Therapy
Theratherm 14x14 (digital) 1031 1 year www.djoglobal.com
Back Injury Heat therapy
Theratherm 14X27 (digital) 1032 1 year www.djoglobal.com
Neck/shoulder injury Heat therapy
Theratherm 7x15 (digital) 1030 1 year www.djoglobal.com
Various body parts Heat therapy
Theratherm 23x20 (digital) 1033 1 year www.djoglobal.com
Knee Braces, Custom Fitted
Custom measured and fit Derotation Brace
DJ Ortho Needs to be measured and fit by trained vendor.
Defiance lifetime www.djoglobal.com
Custom measured and fit Offloader brace.
DJ Ortho Needs to be measured and fit by trained vendor.
Defiance OA lifetime www.djoglobal.com
Page 11 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Lift Chairs
Assists individuals transferring between sitting and standing.
Provides various degrees of reclined posture controlled
electronically. Height and weight are
considerations for choosing correct product
Pride Mobility CL-30 models - up to 375 lbs for 5'4" - 6'0" GL-358 models - up to 375 lbs - refer to website for sizing, - higher end foam LC-570 models - up to 375 lbs - refer to website for sizing, - higher end foam
CL-30 GL-358
GL-358 XL GL-358-XXL
LC-570
limited 3-4 year life
www.pridemobility.com
Page 12 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Long Handled/Reaching AidsReaching aids Decreased reach for
cleaning.Drive Medical Sponge-long handled RTL1020 n/a www.drivemedical.com
Decreased reach for cleaning.
Drive Medical Sponge-long handled, angled or curved 1443 www.drivemedical.com
Decreased reach to put on shoes.
Drive Medical Shoe Horn-long handled RTL2046 www.drivemedical.com
Decreased reach to hold dust pan to collect dirt
after sweeping.
Drive Medical Dust Pan-long handled 3072 www.drivemedical.com
Decreased reach for dusting.
Drive Medical Duster-long handled IN3066 www.drivemedical.com
Decreased reach for putting on socks.
Drive Medical Sock Aid RTL2012 www.drivemedical.com
Decreased reach for items to be picked up.
Parsons 22" Reacher 16H042 www.parsonsadl.com
Decreased reach for items to be picked up.
Parsons 26" Reacher 16H040 www.parsonsadl.com
Decreased reach for items to be picked up.
Parsons 32" Reacher 16H041 www.parsonsadl.com
Page 13 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Lumbar Roll
Not the replacement pad or "lump" for the Obusforme backrest support cushions
ObusForme Obusforme Supporting Roll SR-BLK-01 1 year www.obusforme.com
Ortho Canada McKenzie Bakrol 4" OC-2002 1 year www.orthocanada.com
Ortho Canada McKenzie Bakrol 5" OC-2001 1 year www.orthocanada.com
Ortho Canada McKenzie Bakrol 36" Night Roll OC-2006 6 mos www.orthocanada.com
Ortho Canada Contour Bakrol OC-2010 1 year www.orthocanada.com
Page 14 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Mattress Toppers
Ventilated Twin n/a 6 mos www.drivemedical.com
Ventilated Double n/a 6 mos www.drivemedical.com
Ventilated Queen n/a 6 mos www.drivemedical.com
Ventilated King n/a 6 mos www.drivemedical.com
Memory Foam Twin 2" n/a 6 mos www.drivemedical.com
Memory Foam Double 2" n/a 6 mos www.drivemedical.com
Memory Foam Queen 2" n/a 6 mos www.drivemedical.com
Memory Foam King 2" n/a 6 mos www.drivemedical.com
3" memory foam no picture available Memory Foam Twin 3" n/a 6 mos www.drivemedical.com
Rationale required in Memory Foam Double 3" n/a 6 mos www.drivemedical.com
addition to "increased Memory Foam Queen 3" n/a 6 mos www.drivemedical.com
cushioning" - as above Memory Foam King 3" n/a 6 mos www.drivemedical.com
Over Door Pulley System
Helps restore shoulder, arm or
upper torso mobility
MedPro Exercise Pulley Set 740720 1 year www.amgmedical.com
2" memory foam Rationale required in addition to "increased cushioning" e.g. post operative, frail, etc.
no picture available
2" thick foam. Provides additional cushioning on top of
mattress
no picture available
Page 15 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
PillowsNeck injury. Requests
for water pillow. No brand specified.
Innotech Solitude Water Pillow 66000 1 year www.embraceairbackrests.com
Neck injury. Chiroflow specifically
requested.
Chiroflow Chiroflow Waterbase Pillow (Interchangable with Mediflow)
pil-chiro 1 year www.chiroflow.com
Neck injury. Mediflow specifically
requested.
Mediflow Mediflow Waterbase Pillow (Interchangable with Chiroflow)
2006 02 1 year www.mediflow.com
Sizing on website health care provider should confirm correct size
Neck injury. Therapeutica specifically
requested.
Therapeutica Therapeutica Sleeping Pillow Petite Average Large Extra Large
C102 C103 C104 C104
1 year www.therapeutica.com
Neck injury. Contoured pillow.
Obus Forme Obus Forme Contoured Cervical Pillow PL-STD-01 1 year www.obusforme.com
Neck injury. Contoured pillow.
Obus Forme Obus Forme Neck & Neck 4 in 1 Pillow PL-NEC-01 1 year www.obusforme.com
Neck injury. Normalizer specifically
requested.
Omega Omega Normalizer Pillow NORM-STD 1 year www.omegaposture.com
Various injuries. Obus Forme Obus Forme Body Pillow PL-BDY-01 1 year www.obusforme.com
Various injuries. Briggs L-Shaped Pillow 554-7915-1900 n/a www.mabisdmi.com
Page 16 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Raised Toilet Seats (RTS)Various injuries that
would impact abiltiy to sit and stand from low surfaces. Provide with
specifications as requested
Invacare Basic Raised Toilet Seat 1300RTS 2 years www.invacare.ca
Various injuries that would impact abiltiy to sit and stand from low surfaces. Provide with
specifications as requested.
Invacare Basic Raised Toilet Seat with Arms & Safety Clamp
1302RTS 2 years www.invacare.ca
Various injuries that would impact abiltiy to sit and stand from low surfaces. Provide with
specifications as requested.
Invacare Raised Toilet Seat with armrests, lid and adjustable height
A9000 2 years www.invacare.ca
Various injuries that would impact abiltiy to sit and stand from low surfaces. Provide with
specifications as requested.
Invacare Toilet Safety Frame 1392 2 years www.invacare.ca
Shoulder Immobilizer
Maintains arm in neutral position for arm,
shoulder, wrist or hand injuries or cast support
Coreflex Shoulder Immobilizer XS S M L XL
23-1870 23-1871 23-1872 23-1873 23-1874
6 mos www.coreflex.com
Resistive BandsLatex-free - 2 yards Hygenic Yellow (light) THR20320 n/a http://www.hygenic.com/
Corporation Red (medium) THR20330 n/a http://www.hygenic.com/
If > 2 yards required, Green (heavy) THR20340 n/a http://www.hygenic.com/
contact vendor about length, Blue (extra heavy) THR20350 n/a http://www.hygenic.com/
colour and price Black(special heavy) THR20360 n/a http://www.hygenic.com/
To assist with home exercise program.
Page 17 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
RubberThreshold RampPVI Rubber Threshold 41" RAEZ0110 n/a www.pviramps.com
PVI Rubber Threshold 53" RAEZ1510 n/a www.pviramps.com
PVI Rubber Threshold 60" RAEZ2100 n/a www.pviramps.com
Shower/Tub ChairVarious injuries that
compromise mobility & strength. Provide no
back rest only when no back rest is requested. OT assessment may be
required.
Drive Medical Shower Chair with No Back RTL12203 Limited Life Time
www.drivemedical.com
Various injuries that compromise mobility &
strength. Provide unless no back rest was
specifically requested. OT assessment may be
required.
Drive Medical Shower Chair with Backrest RTL12202 Limited Life Time
www.drivemedical.com
Various injuries that compromise mobility &
strength. Specific request for a bath transfer bench. OT
assessment may be required.
Drive Medical Bath Transfer Bench 12011KD Limited Life Time
www.drivemedical.com
Serious injuries that result in use of poor
mobility or use of mobilty aids such as walker, wheelchair, etc. OT
Page 18 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
SI Beltfor SI joint problems OPTP Com-Pressor Belt X-Small/Small 677 n/a www.optp.com
OPTP Com-Pressor Belt Medium/Large 678 n/a www.optp.com
OPTP Com-Pressor Belt X-Large 679 n/a www.optp.com
OPTP SI LOC Belt Small 670S n/a www.optp.com
OPTP SI LOC Belt Medium 670M n/a www.optp.com
OPTP SI LOC Belt Large 671L n/a www.optp.com
OPTP SI LOC Belt X-Large 671XL n/a www.optp.com
Ortho Canada Active SI Belt Small OC-2321 n/a www.orthocanada.com
Ortho Canada Active SI Belt Medium OC-2323 n/a www.orthocanada.com
Ortho Canada Active SI Belt Large OC-2325 n/a www.orthocanada.com
Ortho Canada Active SI Belt X-Large OC-2327 n/a www.orthocanada.com
Spine Power Spine Power Belt Small PO286W-S n/a www.medicaltronik.ca
Spine Power Spine Power Belt Medium PO286W-M n/a www.medicaltronik.ca
Spine Power Spine Power Belt Large PO286W-L n/a www.medicaltronik.ca
Spine Power Spine Power Belt X-Large PO286W-XL n/a www.medicaltronik.ca
Should be recommended and fit by treating Health
Care Professional.
Page 19 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
WalkersVarious injuries that impact on mobility.
Folding Walker, Standard (dual release - folds on both sides)
10253 3 years www.drivemedical.com
Folding Walker, Bariatric (dual release - folds on both sides) weight capacity 500lbs
10220 3 years www.drivemedical.com
Injuries as above. Requests for wheeled
walker to include walker and wheels.
Wheels for Walker 3" 10111 1 year www.drivemedical.com
Wheels for Walker 5" 10128 1 year www.drivemedical.com
To carry transport items while using regular
walker.
Standard Walker Tray 10125 1 year www.drivemedical.com
Mobility restrictions Rollator Walker, Standard 6" wheels 275 lbs capacity
R-726 Limited Life Time
www.drivemedical.com
Rollator Walker, Bariatric 6" wheels 500 lbs capacity
10215BL-1 Limited Life Time
www.drivemedical.com
Page 20 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
WheelchairsVarious injuries which impact mobility. This
basic transport chair to be used for short
durations, not meant for individuals who use
wheelchair on regular basis.
Invacare Standard Transport Wheelchair Flip up arm rests,swingaway footrests Seat depth 16", Seat height between 16" & 19", Back height 16" or 18" 16" seat width 18" seat width 20" seat width
TREX26RFP TREX28RFP TREX20RFP
Limited Life Time
www.invacare.ca
Wrist Brace All SizesWrist support or brace used for Fits 5½ - 8½ wrist Universal V-Strap Wrist Brace Left 223450 n/a www.medspec.com
injries to the wrist or forearm, 8" length Wrist Brace Right 223451 n/a www.medspec.com
strains, sprains, tendonitis, Wrist circumference Wrist Lacer Wrist Lacer X-Small Left 223921 n/a www.medspec.com
CTS, etc. X-Small 4¾ - 5½" Wrist Lacer Right X-Small 223931 n/a www.medspec.com
Small 5½ – 6¼" Wrist Lacer Small Left 223922 n/a www.medspec.com
Medium 6¼ – 7" Wrist Lacer Right Small 223932 n/a www.medspec.com
Large 7 - 7¾" Wrist Lacer Left Medium 223924 n/a www.medspec.com
X-Large 7¾ - 8½" Wrist Lacer Right Medium 223934 n/a www.medspec.com
Wrist Lacer Left Large 223925 n/a www.medspec.com
Wrist Lacer Right Large 223935 n/a www.medspec.com
Wrist Lacer Left X-Large 223926 n/a www.medspec.com
Wrist Lacer Right X-Large 223936 n/a www.medspec.com
One Size Benik W-200 Wrist Wrap Small 560943W200 n/a www.pattersonmedical.com
Fits left or right hand W-200 Wrist Wrap Medium 560943W200 n/a www.pattersonmedical.com
W-200 Wrist Wrap Large 560943W200 n/a www.pattersonmedical.com
W-200 Wrist Wrap X-Large 560943W200 n/a www.pattersonmedical.com
Walking Boot, Low Profile
For ankle sprains, soft tissue injuries, stress fractures of lower leg and ankle and stable
ankle fractures Shoe size required
Donjoy 2 (W <7, M4-6) 3 (W 7-11, M 6-10) 4 (W >11, M 10-14)
11-0461-2-13066 n/a www.djoglobal.com
Page 21 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
Homestyle adjustable beds Unable or extreme difficulty with bed
mobility & transfering. Other aids such as bed rails, transfer poles do not address problem. Also considered for
individuals with signifincant mobilty
restrictions & pain sxs that is assisted by varing
degrees of recline.
Invacare Invacare Deluxe Home Style Adjustable Bed. Angle adjustability in foot and head of bed. Bed height from the floor is not electric. Bed height can be modified with use of different height legs.
5 years on parts
20 years prorated on
structure
www.invcare.ca
TwinDoubleQueenSplit King
Mattresses for Home Style adjustable beds
For adjustable beds only Golden Technologies
Golden Techonologies Mattress. Specific design to accommodate ajustable bed. Has foam on both sides to permit flipping but can be special orderd to include extra foam, etc.
Life time www.goldentechnologies.ca
Twin (2 required for Split King)DoubleQueen
Headboards For adjustable beds only TwinDoubleQueenKing
Footboards For adjustable beds only TwinDoubleQueenKing
Side Rail for adjustable beds only Invacare www.invacare.caBed Helper 250 lbs maximum weight
To assist with bed mobilty and transfers
1 year
Page 22 of 23
Item Body Part/Rationale Photo Brand Description Catalogue Number
Warranty / Replacemt Schedule
Web Site
TENS:Basic Unit Apex CSWT-7SNL - includes case, TENS
battery charger, 2 Nimh batteries, lead wires, 3 mos supply of electrodes
Comfort-Stim 3 yrs www.apexbrand.com
Advanced Unit - requires agreement by physio consultant
Apex TS-1211 - includes case, TENS battery charger, 2 Nimh batteries, lead wires, 3
mos supply of electrodes
TS-1211 3 yrs www.apexbrand.com
Electrodes 2" x 2" Tyco unipatch 6 pkgs of 4 - (3 mos supply) RMP2X2 10-14 day lifespan
www.uni-patch.com
Electrodes 2" x 3.5" oval for current users only or those with conductivity issues or sensitive skin
Tyco unipatch 6 pkgs of 4 - (3 mos supply) RMP235 10-14 day lifespan
www.uni-patch.com
Electrodes 2" x 2" disposable Tyco unipatch 6 pkgs of 4 - (3 mos supply) RMP2X2 www.uni-patch.com
Electrodes 2" x 3.5" disposable
Tyco unipatch 6 pkgs of 4 - (3 mos supply) RMP235 www.uni-patch.com
Lead Wires Apex set of 2 universal lead wires ALEADS 1-3 yr lifespan
www.apexbrand.com
TENS 9V Battery Charger Global/Tyco battery charger NM1604-01 www.uni-patch.com
TENS Rechargeable NiMH Battery
Rayovac 1 NiMH 9V Rechargeable battery MB76090 500 charges www.rayovac.com
Page 23 of 23