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2020 U.S.A. Retail Price List

Effective March 1, 2020

DRAFT

Dynamic Health Care Solutions – U.S.A. Retail Price List

Updated - 06-23-2020-jw All prices are quoted in US dollars. Prices are subject to change without notice. 2

TABLE OF CONTENTS NXT™ BACK SUPPORTS XTEND™ – Height Adjustable Thoracic Back Support 4

4 XTEND™ Deep – Height Adjustable Thoracic Back Support 4

XTEND™ Low – Height Adjustable Thoracic Back Support 4

XTEND™ Low Deep -– Height Adjustable Back Support 5

XTEND™ Kids – Height Adjustable Back Support 5

CLASSIC™ – Pelvic Back Support 5

CLASSIC™ Deep – Pelvic Back Support 5

üFit™ – Customizable Pelvic Back Support 6

üFit™ Deep – Customizable Pelvic Back Support 6

üFit II™ – Customizable Thoracic Back Support 7

üFit II™ Deep -– Customizable Thoracic Back Support 7

üFit™ – Back Support Options 7

OPTIMA™ – Thoracic Back Support 8

OPTIMA™ Deep – Thoracic Back Support 9

OPTIMA™ Carbon – Thoracic Back Support 10

OPTIMA™ Deep Carbon – Thoracic Back Support 10

Optional 2 Point Fixed Hardware for OPTIMA™ – Carbon Back Supports 10

Armadillo™ – Back Support 11

Armadillo™ – Additional Lateral Contour Add-On 11

Back Support Hardware Options 11

Back Support Options and Accessories 11

NXT LATERAL AND TRUNK SUPPORTS

Lateral Trunk Supports for Fixed Height and Height Adjustable Back Supports

12

Lateral Trunk/Pelvic Supports for Armadillo™ Back Supports (MAPS) 12

Lateral Trunk Supports for Height Adjustable Kids Contour Back Supports (HA KC) 12

Lateral Trunk Supports – Compatability Matrix 12

10

NXT MultiFit ™ HEAD SUPPORTS MultiFit™ Head Supports Pads 13

MultiFit™ Head Supports Hardware Options and Accessories 13

MultiFit™ Replacement Parts 13

NXT CUSHIONS BioFit™ Seat Cushions 14

NüFit™ Seat Cushions 14

BioFit™ & NüFit™ Additinal Inner Covers 15

BioFit™ & NüFit™ Cushion Customization 15

Seating/Cushion Accessories 15



NXT Product Offering – At a Glance

Standard Contour Deep Contour

Low Standard Contour

Low Deep Contour

Kids Contour

XTEND™ – XTEND™ LOW CLASSIC™

Standard Contour

Deep Contour

üFit™

OPTIMA™

Carbon Fiber Standard Contour

Carbon Fiber Deep Contour Foam

Cushion

Armadillo™ BACK ACCESSORIES

Lumbar/Pelvic Pads Privacy Flap

Standard Contour

Deep

Contour

Standard Contour

Deep

Contour

Short Fixed Arm, Small Pad

Short Fixed Arm, Large Pad

Short Swing Away Arm, Small Pad

Short Swing Away Arm, Large Pad

Extendable Swing Away Arm

with Large Pad

Extendable Swing Away Arm with Dual Small Pads

Fixed Arm, Small Pad

Fixed Arm, Dual Contoured Pad

LATERAL TRUNK/PELVIC SUPPORTS – Armadillo™

Fixed Arm, Large Pad

Swing Away Arm, Large Pad

Fixed Arm, Contoured Pad

Fixed Arm, Dual Contoured Pad

LATERAL TRUNK SUPPORTS XTEND KIDS

Fixed Arm, Small Pad

MultiFit™ HEAD SUPPORTS

BioFit™ CUSHION ACCESSORIES

Solid Seat Insert

Fixed Arm, Large Pad

NüFit™

Pelvic Build-Up Wedges CU

SHIO

NS

Swing Away Arm, Small Pad

Swing Away Arm, Large Pad

Standard Flip Back Extra Large Pad

Contoured Pad

Large Pad

LATERAL TRUNK SUPPORTS – XTEND™ – OPTIMA™ – CLASSIC™

BACK

SU

PPO

RTS

LATE

RAL

& M

ULT

IFIT

™ H

EAD

SU

PPO

RTS

Receiver Bracket

XTEND™ – KIDS

OPTIMA™ CARBON üFit ll™

Standard Contour

Deep

Contour



NXT Back Supports

_______________________________________________________________________________________________________________________________________ NOTE: Unless otherwise stated, all nxt backs come complete with removable Quickfit mounting hardware. This hardware fits cane diameters of 3/4”, 7/8” and 1” (1.9, 2.2, and 2.5 cm) without shims. It has height adjustment, rotation, 5” (12.7 cm) of depth adjustment, and 25 degrees of posterior & anterior angle adjustment. _______________________________________________________________________________________________________________________________________

Xtend™ – Height Adjustable Thoracic Back Support Stepless height adjustable range from 16”-20” (40.6-50.8 cm) with a mild, 3.5” (8.9 cm) thoracic lateral contour. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Incontinent/ Infection control Cover & Foam

Model # | Price

Replacement Cover & Foam Model # | Price

NHAACB1616/20 16”-18” (40.6-45.7 cm) 16”-20” (40.6-50.8 cm) E2620 $660 *NIB-1588 | $125 N3HAACC1616/20 | $125



NHAACB2216/20 22”-24” (55.9-61 cm) 16”-20” (40.6-50.8 cm) E2621 $710 *NIB-1591 | $125 N3HAACC2216/20 | $125

NHAACB2416/20 24”-26” (61-66 cm) 16”-20” (40.6-50.8 cm) E2621 $710 *NIB-1592 | $125 N3HAACC2416/20 | $125

HCPCS NOTES: for replacement covers use HCPCS Code E2619. *Optional Incontinent / Infection control cover is a no charge option when ordered with a back support. Specify model number when ordering.

Xtend™ Deep – Height Adjustable Thoracic Back support Stepless height adjustable range from 16”-20” (40.6-50.8 cm) with a 5.5”-7” (14-17.8 cm) depth adjustable thoracic lateral contour. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).


Model # | Price


NHAPCB1616/20 16”-18” (40.6-45.7 cm) 16”-20” (40.6-50.8 cm) E2620 $660 *NIB-1593 | $125 N3HAPCC1616/20 | $125



NHAPCB2216/20 22”-24” (55.9-61 cm) 16”-20” (40.6-50.8 cm) E2621 $710 *NIB-1596 | $125 N3HAPCC2216/20 | $125

NHAPCB2416/20 24”-26” (61-66 cm) 16”-20” (40.6-50.8 cm) E2621 $710 *NIB-1597 | $125 N3HAPCC2416/20 | $125

HCPCS NOTES: for replacement covers use HCPCS Code E2619. *Optional Incontinent / Infection control cover is a no charge option when ordered with a back support. Specify model number when ordering.

Xtend™ Low – Height Adjustable Thoracic Back Support Stepless height adjustable range from 13”-17” (33-43.2 cm) with a mild, 3.5” (8.9 cm) thoracic lateral contour. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).


Model # | Price


**NHAACB (L)1213/17 12”-14” (30.5-35.6 cm) 13”-17” (33-43.2 cm) E2620 $660 *NIB-1598 | $125 N3LHAACC1213/17 | $125

NHAACB (L)1413/17 14”-16” (35.6-40.6 cm) 13”-17” (33-43.2 cm) E2620 $660 *NIB-1599 | $125 N3LHAACC1413/17 | $125




NHAACB (L)2213/17 22”-24” (55.9-61 cm) 13”-17” (33-43.2 cm) E2621 $710 *NIB-1603 | $125 N3LHAACC2213/17 | $125

** 12” Wide HA Low does not come with one hand release *Optional Incontinent / Infection control cover is a no charge option when ordered with a back support. Specify model number when ordering. HCPCS NOTES: for replacement covers use HCPCS Code E2619.



Xtend™ Low Deep – Height Adjustable Thoracic Back Support Stepless height adjustable range from 13”-17” (33-43.2 cm ) with a 5.5”-7” (14-17.8 cm) depth adjustable thoracic lateral contour. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).

Model # Fits Wheelchair Width

Back Height HCPCS Code Retail Replacement Incontinent/ Infection control Cover & Foam

Model # | Price


**NHAPCB (L)1213/17 12”-14” (30.5-35.6 cm) 13”-17” (33-43.2 cm) E2620 $660 *NIB-1604 | $125 N3LHAPCC1213/17 | $125

NHAPCB (L)1413/17 14”-16” (35.6-40.6 cm) 13”-17” (33-43.2 cm) E2620 $660 *NIB-1605 | $125 N3LHAPCC1413/17 | $125 NHAPCB (L)1613/17 16”-18” (40.6-45.7 cm) 13”-17” (33-43.2 cm) E2620 $660 *NIB-1606 | $125 N3LHAPCC1613/17 | $125 NHAPCB (L)1813/17 18”-20” (45.7-50.8 cm) 13”-17” (33-43.2 cm) E2620 $660 *NIB-1607 | $125 N3LHAPCC1813/17 | $125

NHAPCB (L)2013/17 20”-22” (50.8-55.9 cm) 13”-17” (33-43.2 cm) E2621 $660 *NIB-1608 | $125 N3LHAPCC2013/17 | $125 NHAPCB (L)2213/17 22”-24” (55.9-61 cm) 13”-17” (33-43.2 cm) E2621 $710 *NIB-1609 | $125 N3LHAPCC2213/17 | $125

** 12” Wide HA Low does not come with one hand release *Optional Incontinent / Infection control cover is a no charge option when ordered with a back support. Specify model number when ordering. HCPCS NOTES: for replacement covers use HCPCS Code E2619.

Xtend™ Kids – Height Adjustable Back Support Stepless height adjustable range with a gentle 1” (2.5 cm) lateral contour. The Height Adjustable feature allows for growth in height, and the Contour Lateral Pads provide additional postural support and potential for width growth. Weight capacity for all sizes is 300lbs. (136 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NHAKCB10/8-10.5 *10” (25.4 cm) 8”-10.5” (20.3-26.7) E2611 $625 NHAKCC10/8.5-10.5 | $125 NHAKCB12/9-11.5 *12” (30.5 cm) 9”-11.5” (22.9-29.9 cm) E2620 $625 NHAKCC12/9-11.5 | $125 NHAKCB14/10-12.5 14” (35.6 cm) 10”-12.5” (25.4-31.8 cm) E2620 $625 NHAKCC14/10-12.5 | $125

* Back widths smaller than 14” will not come with a one hand release as they cannot accomodate it. HCPCS NOTES: for replacement covers use HCPCS Code E2619.

Classic™ – Pelvic Back Support Has a 3” (7.6 cm) mild pelvic contour. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NACB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $660 NACC1616 | $125 NACB1618 16”-18” (40.6-45.7 cm) 18” (45.7 cm) E2620 $660 NACC1618 | $125 NACB1620 16”-18” (40.6-45.7 cm) 20” (50.8 cm) E2620 $660 NACC1620 | $125 NACB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) E2620 $660 NACC1816 | $125 NACB1818 18”-20” (45.7-50.8 cm) 18” (45.7 cm) E2620 $660 NACC1818 | $125 NACB1820 18”-20” (45.7-50.8 cm) 20” (50.8 cm) E2620 $660 NACC1820 | $125 NACB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) E2620 $660 NACC2016 | $125 NACB2018 20”-22” (50.8-55.9 cm) 18” (45.7 cm) E2620 $660 NACC2018 | $125 NACB2020 20”-22” (50.8-55.9 cm) 20” (50.8 cm) E2620 $660 NACC2020 | $125 NACB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) E2621 $710 NACC2216 | $125 NACB2218 22”-24” (55.9-61 cm) 18” (45.7 cm) E2621 $710 NACC2218 | $125 NACB2220 22”-24” (55.9-61 cm) 20” (50.8 cm) E2621 $710 NACC2220 | $125

HCPCS NOTES: for replacement covers use HCPCS Code E2619.

Classic ™ Deep – Pelvic Back Support Has a depth adjustable deep pelvic contour of 5.5”– 7” (14-17.8 cm). Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NPCB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $660 NPCC1616 | $125 NPCB1618 16”-18” (40.6-45.7 cm) 18” (45.7 cm) E2620 $660 NPCC1618 | $125 NPCB1620 16”-18” (40.6-45.7 cm) 20” (50.8 cm) E2620 $660 NPCC1620 | $125 NPCB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) E2620 $660 NPCC1816 | $125 NPCB1818 18”-20” (45.7-50.8 cm) 18” (45.7 cm) E2620 $660 NPCC1818 | $125 NPCB1820 18”-20” (45.7-50.8 cm) 20” (50.8 cm) E2620 $660 NPCC1820 | $125 NPCB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) E2620 $660 NPCC2016 | $125 NPCB2018 20”-22” (50.8-55.9 cm) 18” (45.7 cm) E2620 $660 NPCC2018 | $125 NPCB2020 20”-22” (50.8-55.9 cm) 20” (50.8 cm) E2620 $660 NPCC2020 | $125 NPCB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) E2621 $710 NPCC2216 | $125 NPCB2218 22”-24” (55.9-61 cm) 18” (45.7 cm) E2621 $710 NPCC2218 | $125 NPCB2220 22”-24” (55.9-61 cm) 20” (50.8 cm) E2621 $710 NPCC2220 | $125

.HCPCS NOTES: for replacement covers use HCPCS Code E2619.



üFit™ – Customizable Pelvic Back Support The üFit Back Support has a 6.25” (15.9 cm) mild contour (deduct 3.25” (8.3 cm) for foam cushioning). It is designed for users with positioning needs due to spinal deformities including kyphosis, scoliosis and lordosis. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Incontinent/ Infection control Cover

Model # | Price

Replacement Cover Model # | Price

NOUFACB1416 14”-16” (35.6-40.6 cm) 16” (40.6 cm) N/A $895 *NIB-1610 | $125 NIB-1468 | $125












NOUFACB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) N/A $995 *NIB-1622 | $125 NIB-1472 | $125



*Optional Incontinent / Infection control cover is a no charge option when ordered with a back support. Specify model number when ordering.

üFit™ Deep – Customizable Pelvic Back Support The üFit Deep Back Support has a 8.75” (22.2 cm) pelvic contour (deduct 3.25” (8.3 cm) for foam cushioning). It is designed for users with positioning needs due to spinal deformities including kyphosis, scoliosis and lordosis. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).


Model # | Price

Replacement Cover Model # | Price

NOUFPCB1416 14”-16” (35.6-40.6 cm) 16” (40.6 cm) N/A $995 *NIB-1625 | $125 NIB-1513 | $125












NOUFPCB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) N/A $1195 *NIB-1637 | $125 NIB-1517 | $125






üFit ll™ – Customizable Thoracic Back Support. The üFit ll Back Support has a 7.75” (19.6 cm) thoracic contour (deduct 3.25” (8.3 cm) for foam cushioning). It is designed for users with positioning needs due to spinal deformities including kyphosis, scoliosis and lordosis. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).


Model # | Price

Replacement Cover

Model # | Price NOUFXACB1416 14”-16” (35.6-40.6 cm) 16” (40.6 cm) N/A $945 *NIB-1744 | $125 NIB-1713 | $125 NOUFXACB1418 14”-16” (35.6-40.6 cm) 18” (45.7 cm) N/A $945 *NIB-1749 | $125 NIB-1718 | $125 NOUFXACB1420 14”-16” (35.6-40.6 cm) 20” (50.8 cm) N/A $945 *NIB-1754 | $125 NIB-1723 | $125 NOUFXACB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) N/A $945 *NIB-1745 | $125 NIB-1714 | $125 NOUFXACB1618 16”-18” (40.6-45.7 cm) 18” (45.7 cm) N/A $945 *NIB-1750 | $125 NIB-1719 | $125 NOUFXACB1620 16”-18” (40.6-45.7 cm) 20” (50.8 cm) N/A $945 *NIB-1755 | $125 NIB-1724 | $125 NOUFXACB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) N/A $945 *NIB-1746 | $125 NIB-1715 | $125 NOUFXACB1818 18”-20” (45.7-50.8 cm) 18” (45.7 cm) N/A $945 *NIB-1751 | $125 NIB-1720 | $125 NOUFXACB1820 18”-20” (45.7-50.8 cm) 20” (50.8 cm) N/A $945 *NIB-1756 | $125 NIB-1725 | $125 NOUFXACB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) N/A $945 *NIB-1747 | $125 NIB-1716 | $125 NOUFXACB2018 20”-22” (50.8-55.9 cm) 18” (45.7 cm) N/A $945 *NIB-1752 | $125 NIB-1721 | $125 NOUFXACB2020 20”-22” (50.8-55.9 cm) 20” (50.8 cm) N/A $945 *NIB-1757 | $125 NIB-1726 | $125 NOUFXACB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) N/A $995 *NIB-1748 | $125 NIB-1717 | $125 NOUFXACB2218 22”-24” (55.9-61 cm) 18” (45.7 cm) N/A $995 *NIB-1753 | $125 NIB-1722 | $125 NOUFXACB2220 22”-24” (55.9-61 cm) 20” (50.8 cm) N/A $995 *NIB-1758 | $125 NIB-1727 | $125


üFit ll™ Deep – Customizable Thoracic Back Support. The üFit ll Deep Back Support has a 9.55” (23.5 cm) thoracic contour (deduct 3.25” (8.3 cm) for foam cushioning). It is designed for users with positioning needs due to spinal deformities including kyphosis, scoliosis and lordosis. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg).


Model # | Price

Replacement Cover

Model # | Price NOUFXPCB1416 14”-16” (35.6-40.6 cm) 16” (40.6 cm) N/A $1045 *NIB-1759 | $125 NIB-1728 | $125 NOUFXPCB1418 14”-16” (35.6-40.6 cm) 18” (45.7 cm) N/A $1045 *NIB-1764 | $125 NIB-1733 | $125 NOUFXPCB1420 14”-16” (35.6-40.6 cm) 20” (50.8 cm) N/A $1045 *NIB-1769 | $125 NIB-1738 | $125 NOUFXPCB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) N/A $1045 *NIB-1760 | $125 NIB-1729 | $125 NOUFXPCB1618 16”-18” (40.6-45.7 cm) 18” (45.7 cm) N/A $1045 *NIB-1765 | $125 NIB-1734 | $125 NOUFXPCB1620 16”-18” (40.6-45.7 cm) 20” (50.8 cm) N/A $1045 *NIB-1770 | $125 NIB-1739 | $125 NOUFXPCB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) N/A $1045 *NIB-1761 | $125 NIB-1730 | $125 NOUFXPCB1818 18”-20” (45.7-50.8 cm) 18” (45.7 cm) N/A $1045 *NIB-1766 | $125 NIB-1735 | $125 NOUFXPCB1820 18”-20” (45.7-50.8 cm) 20” (50.8 cm) N/A $1045 *NIB-1771 | $125 NIB-1740 | $125 NOUFXPCB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) N/A $1045 *NIB-1762 | $125 NIB-1731 | $125 NOUFXPCB2018 20”-22” (50.8-55.9 cm) 18” (45.7 cm) N/A $1045 *NIB-1767 | $125 NIB-1736 | $125 NOUFXPCB2020 20”-22” (50.8-55.9 cm) 20” (50.8 cm) N/A $1045 *NIB-1772 | $125 NIB-1741 | $125 NOUFXPCB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) N/A $1195 *NIB-1763 | $125 NIB-1732 | $125 NOUFXPCB2218 22”-24” (55.9-61 cm) 18” (45.7 cm) N/A $1195 *NIB-1768 | $125 NIB-1737 | $125 NOUFXPCB2220 22”-24” (55.9-61 cm) 20” (50.8 cm) N/A $1195 *NIB-1773 | $125 NIB-1742 | $125


üFit Back Support Options

Model No. Description Fits Back Support HCPCS Code Retail UF Custom-Visco Optional Visco gel mid section foam overlay Specify back Model # when ordering SEBNDOO20 | $116 $150

NIB-1935 Pack of Polyurethane replacement 1” üCubes™ (includes 10, 1”x2” dual üCube sets)

All ÜFit Back Supports N/A $65







Optima™ – Thoracic Back Support Has a 3” (7.6 cm) mild thoracic contour. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg). When using four point fixed mount hardware, 23” (58.4 cm) and larger have a weight capacity of 550Lbs.

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NOACB1307 13”-15” (33-38.1 cm) 7” (17.8 cm) E2620 $660 NOACC1307 | $125 NOACB1309 13”-15” (33-38.1 cm) 9” (22.9 cm) E2620 $660 NOACC1309 | $125 NOACB1313 13”-15” (33-38.1 cm) 13” (33 cm) E2620 $660 NOACC1313 | $125 NOACB1316 13”-15” (33-38.1 cm) 16” (40.6 cm) E2620 $660 NOACC1316 | $125 NOACB1407 14”-16” (35.6-40.6 cm) 7” (17.8 cm) E2620 $660 NOACC1407 | $125 NOACB1409 14”-16” (35.6-40.6 cm) 9” (22.9 cm) E2620 $660 NOACC1409 | $125 NOACB1413 14”-16” (35.6-40.6 cm) 13” (33 cm) E2620 $660 NOACC1413 | $125 NOACB1416 14”-16” (35.6-40.6 cm) 16” (40.6 cm) E2620 $660 NOACC1416 | $125 NOACB1507 15”-17” (38.1-43.2 cm) 7” (17.8 cm) E2620 $660 NOACC1507 | $125 NOACB1509 15”-17” (38.1-43.2 cm) 9” (22.9 cm) E2620 $660 NOACC1509 | $125 NOACB1513 15”-17” (38.1-43.2 cm) 13” (33 cm) E2620 $660 NOACC1513 | $125 NOACB1516 15”-17” (38.1-43.2 cm) 16” (40.6 cm) E2620 $660 NOACC1516 | $125 NOACB1607 16”-18” (40.6-45.7 cm) 7” (17.8 cm) E2620 $660 NOACC1607 | $125 NOACB1609 16”-18” (40.6-45.7 cm) 9” (22.9 cm) E2620 $660 NOACC1609 | $125 NOACB1613 16”-18” (40.6-45.7 cm) 13” (33 cm) E2620 $660 NOACC1613 | $125 NOACB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $660 NOACC1616 | $125 NOACB1619 16”-18” (40.6-45.7 cm) 19” (48.3 cm) E2620 $660 NOACC1619 | $125 NOACB1707 17”-19” (43.2-48.3 cm) 7” (17.8 cm) E2620 $660 NOACC1707 | $125 NOACB1709 17”-19” (43.2-48.3 cm) 9” (22.9 cm) E2620 $660 NOACC1709 | $125 NOACB1713 17”-19” (43.2-48.3 cm) 13” (33 cm) E2620 $660 NOACC1713 | $125 NOACB1716 17”-19” (43.2-48.3 cm) 16” (40.6 cm) E2620 $660 NOACC1716 | $125 NOACB1719 17”-19” (43.2-48.3 cm) 19” (48.3 cm) E2620 $660 NOACC1719 | $125 NOACB1807 18”-20” (45.7-50.8 cm) 7” (17.8 cm) E2620 $660 NOACC1807 | $125 NOACB1809 18”-20” (45.7-50.8 cm) 9” (22.9 cm) E2620 $660 NOACC1809 | $125 NOACB1813 18”-20” (45.7-50.8 cm) 13” (33 cm) E2620 $660 NOACC1813 | $125 NOACB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) E2620 $660 NOACC1816 | $125 NOACB1819 18”-20” (45.7-50.8 cm) 19” (48.3 cm) E2620 $660 NOACC1819 | $125 NOACB1916 19”-21” (48.3-53.3 cm) 16” (40.6 cm) E2620 $660 NOACC1916 | $125 NOACB1919 19”-21” (48.3-53.3 cm) 19” (48.3 cm) E2620 $660 NOACC1919 | $125 NOACB2007 20”-22” (50.8-55.9 cm) 7” (17.8 cm) E2620 $660 NOACC2007 | $125 NOACB2009 20”-22” (50.8-55.9 cm) 9” (22.9 cm) E2620 $660 NOACC2009 | $125 NOACB2013 20”-22” (50.8-55.9 cm) 13” (33 cm) E2620 $660 NOACC2013 | $125 NOACB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) E2620 $660 NOACC2016 | $125 NOACB2019 20”-22” (50.8-55.9 cm) 19” (48.3 cm) E2620 $660 NOACC2019 | $125 NOACB2116 21”-23” (53.3-58.4) 16” (40.6 cm) E2620 $660 NOACC2116 | $125 NOACB2119 21”-23” (53.3-58.4) 19” (48.3 cm) E2620 $660 NOACC2119 | $125 NOACB2213 22”-24” (55.9-61 cm) 13” (33 cm) E2621 $710 NOACC2213 | $125 NOACB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) E2621 $710 NOACC2216 | $125 NOACB2219 22”-24” (55.9-61 cm) 19” (48.3 cm) E2621 $710 NOACC2219 | $125 NOACB2316 23”-25” (58.4-63.5 cm) 16” (40.6 cm) E2621 $710 NOACC2316 | $125 NOACB2319 23”-25” (58.4-63.5 cm) 19” (48.3 cm) E2621 $710 NOACC2319 | $125 NOACB2416 24”-26” (61-66 cm) 16” (40.6 cm) E2621 $710 NOACC2416 | $125 NOACB2419 24”-26” (61-66 cm) 19” (48.3 cm) E2621 $710 NOACC2419 | $125 NOACB2516 25”-27” (63.5-68.6 cm) 16” (40.6 cm) E2621 $710 NOACC2516 | $125 NOACB2519 25”-27” (63.5-68.6 cm) 19” (48.3 cm) E2621 $710 NOACC2519 | $125 NOACB2616 26”-28” (66-71.1 cm) 16” (40.6 cm) E2621 $710 NOACC2616 | $125 NOACB2619 26”-28” (66-71.1 cm) 19” (48.3 cm) E2621 $710 NOACC2619 | $125 NOACB2716 27”-29” (68.6-73.7 cm) 16” (40.6 cm) E2621 $710 NOACC2716 | $125 NOACB2719 27”-29” (68.6-73.7 cm) 19” (48.3 cm) E2621 $710 NOACC2719 | $125 NOACB2816 28”-30” (71.1-76.2 cm) 16” (40.6 cm) E2621 $710 NOACC2816 | $125 NOACB2819 28”-30” (71.1-76.2 cm) 19” (48.3 cm) E2621 $710 NOACC2819 | $125 NOACB2916 29”-31” (73.7-78.7 cm) 16” (40.6 cm) E2621 $710 NOACC2916 | $125 NOACB2919 29”-31” (73.7-78.7 cm) 19” (48.3 cm) E2621 $710 NOACC2919 | $125




Optima™ Deep – Thoracic Back Support Has a depth adjustable deep thoracic contour of 5.5”- 7” (14-17.8 cm). Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg). When using four point fixed mount hardware, 23” (58.4 cm) and larger have a weight capacity of 550Lbs.

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NOPCB1307 13”-15” (33-38.1 cm) 7” (17.8 cm) E2620 $660 NOPCC1307 | $125 NOPCB1309 13”-15” (33-38.1 cm) 9” (22.9 cm) E2620 $660 NOPCC1309 | $125 NOPCB1313 13”-15” (33-38.1 cm) 13” (33 cm) E2620 $660 NOPCC1313 | $125 NOPCB1316 13”-15” (33-38.1 cm) 16” (40.6 cm) E2620 $660 NOPCC1316 | $125 NOPCB1407 14”-16” (35.6-40.6 cm 7” (17.8 cm) E2620 $660 NOPCC1407 | $125 NOPCB1409 14”-16” (35.6-40.6 cm 9” (22.9 cm) E2620 $660 NOPCC1409 | $125 NOPCB1413 14”-16” (35.6-40.6 cm 13” (33 cm) E2620 $660 NOPCC1413 | $125 NOPCB1416 14”-16” (35.6-40.6 cm 16” (40.6 cm) E2620 $660 NOPCC1416 | $125 NOPCB1507 15”-17” (38.1-43.2 cm) 7” (17.8 cm) E2620 $660 NOPCC1507 | $125 NOPCB1509 15”-17” (38.1-43.2 cm) 9” (22.9 cm) E2620 $660 NOPCC1509 | $125 NOPCB1513 15”-17” (38.1-43.2 cm) 13” (33 cm) E2620 $660 NOPCC1513 | $125 NOPCB1516 15”-17” (38.1-43.2 cm) 16” (40.6 cm) E2620 $660 NOPCC1516 | $125 NOPCB1607 16”-18” (40.6-45.7 cm) 7” (17.8 cm) E2620 $660 NOPCC1607 | $125 NOPCB1609 16”-18” (40.6-45.7 cm) 9” (22.9 cm) E2620 $660 NOPCC1609 | $125 NOPCB1613 16”-18” (40.6-45.7 cm) 13” (33 cm) E2620 $660 NOPCC1613 | $125 NOPCB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $660 NOPCC1616 | $125 NOPCB1619 16”-18” (40.6-45.7 cm) 19” (48.3 cm) E2620 $660 NOPCC1619 | $125 NOPCB1707 17”-19” (43.2-48.3 cm) 7” (17.8 cm) E2620 $660 NOPCC1707 | $125 NOPCB1709 17”-19” (43.2-48.3 cm) 9” (22.9 cm) E2620 $660 NOPCC1709 | $125 NOPCB1713 17”-19” (43.2-48.3 cm) 13” (33 cm) E2620 $660 NOPCC1713 | $125 NOPCB1716 17”-19” (43.2-48.3 cm) 16” (40.6 cm) E2620 $660 NOPCC1716 | $125 NOPCB1719 17”-19” (43.2-48.3 cm) 19” (48.3 cm) E2620 $660 NOPCC1719 | $125 NOPCB1807 18”-20” (45.7-50.8 cm) 7” (17.8 cm) E2620 $660 NOPCC1807 | $125 NOPCB1809 18”-20” (45.7-50.8 cm) 9” (22.9 cm) E2620 $660 NOPCC1809 | $125 NOPCB1813 18”-20” (45.7-50.8 cm) 13” (33 cm) E2620 $660 NOPCC1813 | $125 NOPCB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) E2620 $660 NOPCC1816 | $125 NOPCB1819 18”-20” (45.7-50.8 cm) 19” (48.3 cm) E2620 $660 NOPCC1819 | $125 NOPCB1916 19”-21” (48.3-53.3 cm) 16” (40.6 cm) E2620 $660 NOPCC1916 | $125 NOPCB1919 19”-21” (48.3-53.3 cm) 19” (48.3 cm) E2620 $660 NOPCC1919 | $125 NOPCB2007 20”-22” (50.8-55.9 cm) 7” (17.8 cm) E2620 $660 NOPCC2007 | $125 NOPCB2009 20”-22” (50.8-55.9 cm) 9” (22.9 cm) E2620 $660 NOPCC2009 | $125 NOPCB2013 20”-22” (50.8-55.9 cm) 13” (33 cm) E2620 $660 NOPCC2013 | $125 NOPCB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) E2620 $660 NOPCC2016 | $125 NOPCB2019 20”-22” (50.8-55.9 cm) 19” (48.3 cm) E2620 $660 NOPCC2019 | $125 NOPCB2116 21”-23” (53.3-58.4 cm) 16” (40.6 cm) E2620 $660 NOPCC2116 | $125 NOPCB2119 21”-23” (53.3-58.4 cm) 19” (48.3 cm) E2620 $660 NOPCC2019 | $125 NOPCB2213 22”-24” (55.9-61 cm) 13” (33 cm) E2621 $710 NOPCC2213 | $125 NOPCB2216 22”-24” (55.9-61 cm) 16” (40.6 cm) E2621 $710 NOPCC2216 | $125 NOPCB2219 22”-24” (55.9-61 cm) 19” (48.3 cm) E2621 $710 NOPCC2219 | $125 NOPCB2316 23”-25” (58.4-63.5 cm) 16” (40.6 cm) E2621 $710 NOPCC2316 | $125 NOPCB2319 23”-25” (58.4-63.5 cm) 19” (48.3 cm) E2621 $710 NOPCC2319 | $125 NOPCB2416 24”-26” (61-66 cm) 16” (40.6 cm) E2621 $710 NOPCC2416 | $125 NOPCB2419 24”-26” (61-66 cm) 19” (48.3 cm) E2621 $710 NOPCC2419 | $125 NOPCB2516 25”-27” (63.5-68.6 cm) 16” (40.6 cm) E2621 $710 NOPCC2516 | $125 NOPCB2519 25”-27” (63.5-68.6 cm) 19” (48.3 cm) E2621 $710 NOPCC2519 | $125 NOPCB2616 26”-28” (66-71.1 cm) 16” (40.6 cm) E2621 $710 NOPCC2616 | $125 NOPCB2619 26”-28” (66-71.1 cm) 19” (48.3 cm) E2621 $710 NOPCC2619 | $125 NOPCB2716 27”-29” (68.6-73.7 cm) 16” (40.6 cm) E2621 $710 NOPCC2716 | $125 NOPCB2719 27”-29” (68.6-73.7 cm) 19” (48.3 cm) E2621 $710 NOPCC2719 | $125 NOPCB2816 28”-30” (71.1-76.2 cm) 16” (40.6 cm) E2621 $710 NOPCC2816 | $125 NOPCB2819 28”-30” (71.1-76.2 cm) 19” (48.3 cm) E2621 $710 NOPCC2819 | $125 NOPCB2916 29”-31” (73.7-78.7 cm) 16” (40.6 cm) E2621 $710 NOPCC2916 | $125 NOPCB2919 29”-31” (73.7-78.7 cm) 19” (48.3 cm) E2621 $710 NOPCC2919 | $125

HCPCS NOTES: for replacement covers use HCPCS Code E2619. .



Optima™ Carbon – Thoracic Back Support This Carbon Fiber Back Support has a mild thoracic contour. One hand release is a N/C option, specify when ordering (see accessories on Pg. 9). Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NOCFACB1409 14”-16” (35.6-40.6 cm) 9” (22.9 cm) E2620 $870 NOACC1409 | $125 NOCFACB1413 14”-16” (35.6-40.6 cm) 13” (33 cm) E2620 $900 NOACC1413 | $125 NOCFACB1416 14”-16” (35.6-40.6 cm) 16” (40.6 cm) E2620 $930 NOACC1416 | $125 NOCFACB1509 15”-17” (38.1-43.2 cm) 9” (22.9 cm) E2620 $870 NOACC1509 | $125 NOCFACB1513 15”-17” (38.1-43.2 cm) 13” (33 cm) E2620 $900 NOACC1513 | $125 NOCFACB1516 15”-17” (38.1-43.2 cm) 16” (40.6 cm) E2620 $930 NOACC1516 | $125 NOCFACB1609 16”-18” (40.6-45.7 cm) 9” (22.9 cm) E2620 $870 NOACC1609 | $125 NOCFACB1613 16”-18” (40.6-45.7 cm) 13” (33 cm) E2620 $900 NOACC1613 | $125 NOCFACB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $930 NOACC1616 | $125 NOCFACB1709 17”-19” (43.2-48.3 cm) 9” (22.9 cm) E2620 $870 NOACC1709 | $125 NOCFACB1713 17”-19” (43.2-48.3 cm) 13” (33 cm) E2620 $900 NOACC1713 | $125 NOCFACB1716 17”-19” (43.2-48.3 cm) 16” (40.6 cm) E2620 $930 NOACC1716 | $125 NOCFACB1809 18”-20” (45.7-50.8 cm) 9” (22.9 cm) E2620 $870 NOACC1809 | $125 NOCFACB1813 18”-20” (45.7-50.8 cm) 13” (33 cm) E2620 $900 NOACC1813 | $125 NOCFACB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) E2620 $930 NOACC1816 | $125 NOCFACB2009 20”-22” (50.8-55.9 cm) 9” (22.9 cm) E2620 $870 NOACC2009 | $125 NOCFACB2013 20”-22” (50.8-55.9 cm) 13” (33 cm) E2620 $900 NOACC2013 | $125 NOCFACB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) E2620 $930 NOACC2016 | $125


Optima™ Carbon Deep – Thoracic Back Support This Carbon Deep Fiber Back Support has a depth adjustable thoracic contour of 5.5”- 7” (14-17.8 cm). One hand release is a N/C option, specify when ordering (see accessories on Pg. 9). Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg).

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NOCFPCB1509 15”-17” (38.1-43.2 cm) 9” (22.9 cm) E2620 $965 NOPCC1509 | $125 NOCFPCB1513 15”-17” (38.1-43.2 cm) 13” (33 cm) E2620 $985 NOPCC1513 | $125 NOCFPCB1516 15”-17” (38.1-43.2 cm) 16” (40.6 cm) E2620 $1025 NOPCC1516 | $125 NOCFPCB1609 16”-18” (40.6-45.7 cm) 9” (22.9 cm) E2620 $965 NOPCC1609 | $125 NOCFPCB1613 16”-18” (40.6-45.7 cm) 13” (33 cm) E2620 $985 NOPCC1613 | $125 NOCFPCB1616 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $1025 NOPCC1616 | $125 NOCFPCB1709 17”-19” (43.2-48.3 cm) 9” (22.9 cm) E2620 $965 NOPCC1709 | $125 NOCFPCB1713 17”-19” (43.2-48.3 cm) 13” (33 cm) E2620 $985 NOPCC1713 | $125 NOCFPCB1716 17”-19” (43.2-48.3 cm) 16” (40.6 cm) E2620 $1025 NOPCC1716 | $125 NOCFPCB1809 18”-20” (45.7-50.8 cm) 9” (22.9 cm) E2620 $965 NOPCC1809 | $125 NOCFPCB1813 18”-20” (45.7-50.8 cm) 13” (33 cm) E2620 $985 NOPCC1813 | $125 NOCFPCB1816 18”-20” (45.7-50.8 cm) 16” (40.6 cm) E2620 $1025 NOPCC1816 | $125 NOCFPCB2009 20”-22” (50.8-55.9 cm) 9” (22.9 cm) E2620 $965 NOPCC2009 | $125 NOCFPCB2013 20”-22” (50.8-55.9 cm) 13” (33 cm) E2620 $985 NOPCC2013 | $125 NOCFPCB2016 20”-22” (50.8-55.9 cm) 16” (40.6 cm) E2620 $1025 NOPCC2016 | $125


Optional 2 Point Fixed Hardware for OPTIMA™– Carbon Back Support No charge option when ordered with a Back Support. Specify model number when ordering Back Support.

Model # Description Fits Wheelchair Width Back Height Retail NIB-1207 2 Point Mount hardware. Width expandable to fit 3 sizes of chair 15”-22” (38.1-55.9 cm) 9”, 13”, 16” (22.9-33-40.6 cm) $95 NIB-1642 Micro Mount 2 Point Hardware. NOT Width Expandable 15”-22” (38.1-55.9 cm) 9”, 13” (22.9-33 cm) $95



Armadillo™ – Back Support The Armadillo has a gentle contour and optional lateral and pelvic supports. It has a three section modular shell designed to adjust to fit the unique contour of the user’s spine. Designed for users with kyphosis or other spinal deformities. Weight capacity for backs up to 20” (50.8 cm) is 300lbs (136 kg), for 22” (55.9 cm) and larger is 400lbs (181.5 kg). Armadillo does not come with one hand release.

Model # Fits Wheelchair Width Back Height HCPCS Code Retail Replacement Cover & Foam Model # | Price NMAPSB14 14”-16” (35.6-40.6 cm) 16” (40.6 cm) E2620 $835 NMAPSBC14 | $125 NMAPSB16 16”-18” (40.6-45.7 cm) 16” (40.6 cm) E2620 $835 NMAPSBC16 | $125 NMAPSB18 18”-20” (45.7-50.8 cm) 18” (45.7 cm) E2620 $835 NMAPSBC18 | $125 NMAPSB18-TALL 18”-20” (45.7-50.8 cm) 20” (50.8 cm) E2620 $835 NMAPSBC18T | $125 NMAPSB20 20”-22” (50.8-55.9 cm) 18” (45.7 cm) E2620 $835 NMAPSBC20 | $125 NMAPSB20-TALL 20”-22” (50.8-55.9 cm) 20” (50.8 cm) E2620 $835 NMAPSBC20T | $125 NMAPSB22 22”-24” (55.9-61 cm) 18” (45.7 cm) E2621 $945 NMAPSBC22 | $125 NMAPSB22-TALL 22”-24” (55.9-61 cm) 20” (50.8 cm) E2621 $945 NMAPSBC22T | $125 NMAPSB24 24”-26” (55.9-63.5 cm) 18” (45.7 cm) E2621 $945 NMAPSBC24 | $125 NMAPSB24-TALL 24”-26” (55.9-63.5 cm) 20” (50.8 cm) E2621 $945 NMAPSBC24T | $125


Armadillo™ - Additional Lateral Contour Add-On Model No. Description HCPCS Code Retail NIB-1937 2” lateral contour add on, pair. Provides slight contour for lateral support. N/A $90

Back Support Hardware Options

All backs come standard with NIB-1004 right and NIB-1178 Left, quick release mounting hardware. The following are fixed hardware options available at no charge. Both the 2 points and 4-point fixed hardware have 1” depth adjustment. The 2-point fixed mount has 25 degrees of posterior & anterior angle adjustment, the 4 point hardware has an average of 15 degrees of posterior & anterior angle adjustment (varies, depending on spacing between the brackets).

Model No. Description XTEND™ XTEND™

Low XTEND™

Kids CLASSIC OPTIMA OPTIMA

Carbon Fiber ÜFit ARMADILLO NIB-1207 2-Point fixed hardware N/A N/A N/A Optional 1 Optional 1 Optional Optional 1 N/A NIB-1642 2-Point Micro Mount fixed hardware N/A N/A N/A N/A Optional 2 & 3 Optional 2 & 3 N/A N/A NIB-1307 4- Point fixed hardware Optional 3&4 Optional 3&4 N/A Optional 3 Optional 3 Optional 3 Optional 3 N/A

1 - Use only on back supports with 16" (40.6 cm) back height or lower. 2 - Use only on back supports with 13" (33 cm) back height or lower. 3 - NOT width adjustable – Fits one back/chair width. 4 - Limits Height Adjustment to 3”

Back Support Options and Accessories

Model # Description Fits Back Width Retail Custom-Visco Custom Visco gel foam option (Dual density 0.5” (1.3 cm) Polyurethane foam backing and 1” (2.5 cm) top layer of Visco

gel foam) Specify back model # when ordering $150

Custom– Cover Optional wipe down back support cover Specify back model # when ordering $195 NIB-0190 Pelvic-lumbar support pads (pair) All $30 NIB-XXXXXX Back support inner incontinent cover. PLEASE NOTE: Specify model and size in part number when ordering: IE. For a Classic Deep Back 1820 the part number is

– NIB-CD1820 $65

NIB-0191 Small lateral Support pads (pair) 14”-16” (35.6-40.6 cm) $30 NIB-0192 Large lateral Support pads (pair) 17”-22” (43.2-55.9 cm) $30 NIB-1004 Mounting hardware clamp kit, right for all Optima Series backs (April 2015 or later) N/A $95 NIB-1178 Mounting hardware clamp kit, left for all Optima Series backs (April 2015 or later) N/A $95 NIB-1207 Fixed mounting hardware kit for Carbon fiber backs, (left or right, April 2015 or later) N/A $95 NIB-1642 2-Point Micro mount fixed hardware, each. Use only on back supports with 13" (33 cm) back height or lower. 14”-20” (35.5-50.8 cm) $47 NIB-1307 4-Point mount fixed hardware N/A $95 NIB-1077 Mounting hardware clamp kit, right for all Optima Series Armadilo and HAKC backs (April 2015 or later) N/A $95 NIB-1189 Mounting hardware clamp kit, left for all Optima Series Armadilo and HAKC backs (April 2015 or later) N/A $95 NIB-1938 Extra Small privacy flap for 11" - 13" wide back supports 11" - 13" (27.9 - 33.0) $65 NIB-1078 Small privacy flap for 14”-16” wide back supports 14”-16” (35.6-40.6 cm) $65 NIB-1079 Medium flap for 17”-19” wide back supports 17”-19” (43.2-48.3 cm) $65 NIB-1080 Large privacy flap for 20”-22” wide back supports 20”-22” (50.8-55.9 cm) $65 NIB-1081 Extra Large privacy flap for 23" - 26" wide back supports 23" - 26" (58.4 - 66.0 cm) $65 NIB-1174 One hand release kit (N/C option on Carbon fiber back, at time of order) 14”-16” (35.6-40.6 cm) $41 NIB-1051 One hand release kit (N/C option on Carbon fiber back, at time of order) 16”-22” (40.6-55.9 cm) $45 NIB-1053 One hand release kit (N/C option on Carbon fiber back, at time of order) 22”-24” (55.9-61cm) $45



NXT LATERAL TRUNK SUPPORTS

Lateral Trunk Supports for Fixed Height and Height Adjustable Back Supports Model # Description HCPCS Code Retail Neoprene Cover

Model # | Price Replacement Pad

Model # | Price NLAFS-NLPHS Fixed short lateral support arm with small single pad E0956 $110 NIB-0572 | $39 NIB-0699 | $55 NLAFS-NLPHL Fixed short lateral support arm with large single pad E0956 $120 NIB-0572 | $39 NIB-0698 | $59 NLASS-NLPSS Swing away short lateral support arm with small pad E0956 $165 NIB-0572 | $39 NIB-0699 | $55 NLASS-NLPSL Swing away short lateral support arm with large pad E0956 $165 NIB-0572 | $39 NIB-0698 | $59 NLASA-NLPSL Swing away adjustable length lateral support arm with large pad E0956 $185 NIB-0572 | $39 NIB-0698 | $59 NLASA-NLPTSS Swing away adjustable length lateral support arm small dual adjustable pad E0956 $205 NIB-0572 | $39 *NIB-0699 | $55

NOTE: All Swing away lateral supports are set up as a right side. To change to a left side, see instructions in package. *This item uses 2 small pads, replacement pad code & price is only for a single pad only.

Lateral Trunk/Pelvic Supports for Armadillo™ Back Supports (MAPS) All Armadillo supports have a width adjustable range of 3.25” (8.3 cm). Unless otherwise stated they fit both left and right sides.

Model # Description HCPCS Code Retail Neoprene Cover Model # | Price

Replacement Pad Model # | Price

NMAPS-LCS-L Left fixed adjustable contour with dual pad side trunk support. E0956 $135 NIB-0573 | $39 NIB-0728 | $59 NMAPS-LCS-R Right fixed adjustable contour with dual pad side trunk support E0956 $135 NIB-0573 | $39 NIB-0728 | $59 NMAPS-DLTSF Deep lateral arm trunk support with X-large 7.5”H x 6.5”D (19 x 16.5 cm) pad E0956 $185 NIB-1413 | $39 NIB-1304 | $69 NMAPS-LPS Fixed lateral / pelvic support with small pad E0956 $135 NIB-0572 | $39 NIB-0699 | $55 NMAPS-DLTSS Swing away deep lateral arm trunk support with X-large 7.5”H x 6.5”D (19 -16.5 cm)

pad E0956 $295 NIB-1413 | $39 *NIB-1304 | $69

*This item uses 2 contour pads, replacement pad code & price is only for a single pad only.

Lateral Trunk Supports for Height Adjustable Kids Contour Back Supports (HA KC)

Model # Description HCPCS Code Retail Neoprene Cover Model # | Price

Replacement Pad Model # | Price

NKLAF-NLPCS Fixed contour single pad, contour depth adjustment of 3”-3.75” (7.6-9.5 cm) E0956 $110 NIB-0574 | $39 NIB-0728 | $59 NKLAF-NLPCD Fixed contour dual pad, contour depth adjustment of 5”-5.75” (12.7-14.6 cm) E0956 $110 NIB-0573 | $39 NIB-0728 | $59 NKLAF-NLPS Fixed kids lateral arm with small pad, pad is 3.5”W x 3.25”H (8.9 x 8.3 cm) E0956 $110 NIB-0572 | $39 NIB-0699 | $55 NKLAF-NLPL Fixed kids lateral arm with large pad, pad is 4”W x 3.5”H (10.2 x 8.3 cm) E0956 $110 NIB-0572 | $39 NIB-0698 | $59 NKLAS-NLPSS Swing away kids lateral arm with small pad, pad is 3.5”W x 3.25”H (8.9 x 8.3 cm) E0956 $165 NIB-0572 | $39 *NIB-0699 | $55 NKLAS-NLPSL Swing away kids lateral arm with large pad, pad is 4”W x 3.5”H (10.2 x 8.3 cm) E0956 $165 NIB-0572 | $39 *NIB-0698 | $59

NOTE: All Swing away lateral supports are set up as a right side. To change to a left side, see instructions in package. *This item uses 2 contour pads, replacement pad code & price is only for a single pad only.

Lateral Trunk Supports – Compatability Matrix

Xtend Classic ÜFit Optima Optima Carbon Armadillo

Xtend Xtend deep

Xtend Low

Xtend Low deep

Xtend KIDS

VC back Classic Classic

deep ÜFit Üfit deep

Optima Optima deep

Optima Carbon

Optima Carbon

deep Foam Vicair

NLAFS-NLPHS NLAFS-NLPHL NLASS-NLPSS NLASS-NLPSL NLASA-NLPSL NLASA-NLPTSS NMAPS-LCS-L NMAPS-LCS-R ` NMAPS-LPS NMAPS-DLTSF NMAPS-DLTSS NKLAF-NLPCS NKLAF-NLPCD NKLAF-NLPS NKLAF-NLPL NKLAS-NLPSS NKLAS-NLPSL



NXT MultiFit™ HEAD SUPPORTS, PADS, & HARDWARE

NXT MultiFit™ Head Support Pad Selection All pad styles can be formed to fit individual needs, has a removable washable cover and extra wipe down cover.

Model No. Description ADP Code | ADP Price Retail NIB-0785 Small contoured head support pad, 9" x 5" (22.9 x 12.7cm) SE0001131 | $155 $195 NIB-0784 Large rectangular head support pad, 10" x 5" (25.4 x 12.7cm) SE0001131 | $155 $195 NIB-0818 Extra-large rectangular head support pad, 14" x 5" (35.6 x 12.7cm) SE0001131 | $155 $195

NXT MultiFit™ Head Support Hardware and accessories The multi-axis head support hardware accommodates a wide range of positioning needs.

Model No. Description ADP Code | ADP Price Retail NIB-0747 Multi-axis hardware, Adjustable and removable, Incl. 2 additional levers for quick-release adjustment SEHND0010 | $138 $145 NIB-0823 Head support receiver bracket – Mounts head support assy. to seating system SEHND0020 | $86 $55 NIB-1200 Universal head support adapter bracket (fits all nxt backs except 9" (22.9cm) heights SEHND0020 | $86 $65 NIB-1306 Flip-back, multi-axis hardware, Adjustable and removable, Incl. 2 additional levers for quick-release adjustment SEHND0015 | $259 $250 NIB-1210 Head support flip back kit. Can be attached to NIB-0747 to flip back the head support pad N/A $105 NIB-0725 Head support replacement quick-release lever, each N/A $12 NIB-0824 Head support replacement collar, each N/A $12

NXT MultiFit™ Replacement Parts Model No. Description Retail NIB-1874 Head support ball and collar replacement kit $55 NIB-1875 Head support pivot link replacement kit $45 NIB-1876 Head support pivot link screw kit $8.95 NIB-1870 Wipe Down cover for NIB-0785 contoured head support $45 NIB-1871 Wipe Down cover for NIB-0784 large head support $45 NIB-1872 Wipe Down cover for NIB-0818 XL head support $45 NIB-1866 Cover for NIB-0785 contoured head support $45 NIB-1867 Cover for NIB-0784 large head support $45 NIB-1868 Cover for NIB-0818 XL head support $45



NXT SEAT CUSHIONS

BioFit™ Seat Cushions BioFit cushions are multi-layer cushions that utilize the latest in Visco elastic GEL foam technology. The BioFit multi-layer design provides deep immersion and support for medium to high skin protection. BioFit is designed for comfort and positioning for users who are at moderate to high risk of skin break down. Includes Airmesh outer cover and fluid proof inner cover. Weight capacity for 10”-20 ” (25.4-50.8 cm) cushions is 300lbs (136 kg), 22”-26” (55.9-61 cm) cushions is 400lbs (181.5 kg).

Model # Fits Wheelchair Width Fits Wheelchair Depth HCPCS Code Retail Replacement Incontinent/ Infection control Cover

Model # | Price

Replacement Airmesh Cover Model # | Price

NXCABF1010 10” (25.4 cm) 10” (25.4 cm) E2607 $425 N/A NXCCBF1010 | $125 NXCABF1012 10” (25.4 cm) 12” (30.4 cm) E2607 $425 N/A NXCCBF1012 | $125 NXCABF1014 10” (25.4 cm) 14” (35.5 cm) E2607 $425 N/A NXCCBF1014 | $125 NXCABF1210 11”, 12” (27.9, 30.4 cm) 10” (25.4 cm) E2607 $425 N/A NXCCBF1210 | $125 NXCABF1212 11”, 12” (27.9, 30.4 cm) 12” (30.4 cm) E2607 $425 N/A NXCCBF1212 | $125 NXCABF1214 11”, 12” (27.9, 30.4 cm) 14” (35.5 cm) E2607 $425 N/A NXCCBF1214 | $125 NXCABF1412 13”, 14” (33, 35.5 cm) 12” (30.4 cm) E2607 $425 N/A NXCCBF1412 | $125 NXCABF1414 13”, 14” (33, 35.5 cm) 14” (35.5 cm) E2607 $425 N/A NXCCBF1414 | $125 NXCABF1416 13”, 14” (33, 35.5 cm) 16” (40.6 cm) E2607 $425 N/A NXCCBF1416 | $125 NXCABF1616 15”, 16” (38.1, 40.6 cm) 16” (40.6 cm) E2607 $425 *NXCCAF1616 | $125 NXCCBF1616 | $125 NXCABF1618 15”, 16” (38.1, 40.6 cm) 18” (45.7 cm) E2607 $425 *NXCCAF1618 | $125 NXCCBF1618 | $125 NXCABF1620 15”, 16” (38.1, 40.6 cm) 20” (50.8 cm) E2607 $425 *NXCCAF1620 | $125 NXCCBF1620 | $125 NXCABF1816 17”, 18” (43, 45.7 cm) 16” (40.6 cm) E2607 $425 *NXCCAF1816 | $125 NXCCBF1816 | $125 NXCABF1818 17”, 18” (43, 45.7 cm) 18” (45.7 cm) E2607 $425 *NXCCAF1818 | $125 NXCCBF1818 | $125 NXCABF1820 17”, 18” (43, 45.7 cm) 20” (50.8 cm) E2607 $425 *NXCCAF1820 | $125 NXCCBF1820 | $125 NXCABF1822 17”, 18” (43, 45.7 cm) 22” (55.9 cm) E2607 $425 *NXCCAF1822 | $125 NXCCBF1822 | $125 NXCABF2016 19”, 20” (48.3, 50.8 cm) 16” (40.6 cm) E2607 $425 *NXCCAF2016 | $125 NXCCBF2016 | $125 NXCABF2018 19”, 20” (48.3, 50.8 cm) 18” (45.7 cm) E2607 $425 *NXCCAF2018 | $125 NXCCBF2018 | $125 NXCABF2020 19”, 20” (48.3, 50.8 cm) 20” (50.8 cm) E2607 $425 *NXCCAF2020 | $125 NXCCBF2020 | $125 NXCABF2022 19”, 20” (48.3, 50.8 cm) 22” (55.9 cm) E2607 $425 *NXCCAF2022 | $125 NXCCBF2022 | $125 NXCABF2216 21”, 22” (53.3, 55.9 cm) 16” (40.6 cm) E2608 $455 *NXCCAF2216 | $125 NXCCBF2216 | $135 NXCABF2218 21”, 22” (53.3, 55.9 cm) 18” (45.7 cm) E2608 $455 *NXCCAF2218 | $125 NXCCBF2218 | $135 NXCABF2220 21”, 22” (53.3, 55.9 cm) 20” (50.8 cm) E2608 $455 *NXCCAF2220 | $125 NXCCBF2220 | $135 NXCABF2222 21”, 22” (53.3, 55.9 cm) 22” (55.9 cm) E2608 $455 *NXCCAF2222 | $125 NXCCBF2222 | $135 NXCABF2416 23”, 24” (58.4, 61 cm) 16” (40.6 cm) E2608 $455 *NXCCAF2416 | $125 NXCCBF2416 | $135 NXCABF2418 23”, 24” (58.4, 61 cm) 18” (45.7 cm) E2608 $455 *NXCCAF2418 | $125 NXCCBF2418 | $135 NXCABF2420 23”, 24” (58.4, 61 cm) 20” (50.8 cm) E2608 $455 *NXCCAF2420 | $125 NXCCBF2420 | $135 NXCABF2422 23”, 24” (58.4, 61 cm) 22” (55.9 cm) E2608 $455 *NXCCAF2422 | $125 NXCCBF2422 | $135 NXCABF2616 25”, 26” (63.5, 66 cm) 16” (40.6 cm) E2608 $495 *NXCCAF2616 | $125 NXCCBF2616 | $135 NXCABF2618 25”, 26” (63.5, 66 cm) 18” (45.7 cm) E2608 $495 *NXCCAF2618 | $125 NXCCBF2618 | $135 NXCABF2620 25”, 26” (63.5, 66 cm) 20” (50.8 cm) E2608 $495 *NXCCAF2620 | $125 NXCCBF2620 | $135 NXCABF2622 25”, 26” (63.5, 66 cm) 22” (55.9 cm) E2608 $495 *NXCCAF2622 | $125 NXCCBF2622 | $135

HCPCS NOTES: for replacement covers use HCPCS Code E2619. *Optional Incontinent / Infection control cover is a no charge option when ordered with a cushion Specify model number when ordering.

NüFit™ Seat Cushions NüFit cushions are multi-layer contoured cushions designed for users who need a comfortable cushion with good positioning and are at low to medium risk of skin breakdown. Includes Airmesh outer cover and fluid proof inner cover. Weight capacity 300lbs (136 kg).

Model # Fits Wheelchair Width Fits Wheelchair Depth HCPCS Code Retail Optional Incontinent Cover Model # | Price

Replacement Airmesh Cover Model # | Price

NXCANF1616 15”, 16” (38.1, 40.6 cm) 16” (40.6 cm) E2607 $395 *NXCCAF1616 | $125 NXCCNF1616 | $125 NXCANF1618 15”, 16” (38.1, 40.6 cm) 18” (45.7 cm) E2607 $395 *NXCCAF1618 | $125 NXCCNF1618 | $125 NXCANF1620 15”, 16” (38.1, 40.6 cm) 20” (50.8 cm) E2607 $395 *NXCCAF1620 | $125 NXCCNF1620 | $125 NXCANF1816 17”, 18” (43, 45.7 cm) 16” (40.6 cm) E2607 $395 *NXCCAF1816 | $125 NXCCNF1816 | $125 NXCANF1818 17”, 18” (43, 45.7 cm) 18” (45.7 cm) E2607 $395 *NXCCAF1818 | $125 NXCCNF1818 | $125 NXCANF1820 17”, 18” (43, 45.7 cm) 20” (50.8 cm) E2607 $395 *NXCCAF1820 | $125 NXCCNF1820 | $125 NXCANF2016 19”, 20” (48.3, 50.8 cm) 16” (40.6 cm) E2607 $395 *NXCCAF2016 | $125 NXCCNF2016 | $125 NXCANF2018 19”, 20” (48.3, 50.8 cm) 18” (45.7 cm) E2607 $395 *NXCCAF2018 | $125 NXCCNF2018 | $125 NXCANF2020 19”, 20” (48.3, 50.8 cm) 20” (50.8 cm) E2607 $395 *NXCCAF2020 | $125 NXCCNF2020 | $125 NXCANF2216 21”, 22” (53.3, 55.9 cm) 16” (40.6 cm) E2608 $425 *NXCCAF2216 | $125 NXCCNF2216 | $135 NXCANF2218 21”, 22” (53.3, 55.9 cm) 18” (45.7 cm) E2608 $425 *NXCCAF2218 | $125 NXCCNF2218 | $135 NXCANF2220 21”, 22” (53.3, 55.9 cm) 20” (50.8 cm) E2608 $425 *NXCCAF2220 | $125 NXCCNF2220 | $135

HCPCS NOTES: for replacement covers use HCPCS Code E2619. *Optional Incontinent / Infection control cover is a no charge option when ordered with a cushion Specify model number when ordering.



BioFit™ & NüFit™ Additional Inner Covers Model No. Fit Cushion Size Retail NXCCIF1010 10” x 10” (25.4 x 25.4 cm) $65 NXCCIF1012 10” x 12” (25.4 x 30.4 cm) $65 NXCCIF1014 10” x 14” (25.4 x 35.5 cm) $65 NXCCIF1210 12” x 10” (30.4 x 25.4 cm) $65 NXCCIF1212 12” x 12” (30.4 x 30.4 cm) $65 NXCCIF1214 12” x 14” (30.4 x 35.5 cm) $65 NXCCIF1412 14” x 12” (35.5 x 30.4 cm) $65 NXCCIF1414 14” x 14” (35.5 x 35.5 cm) $65 NXCCIF1416 14” x 16” (36.5 x 40.6 cm) $65 NXCCIF1616 16” x 16” (40.6 x 40.6 cm) $65 NXCCIF1618 16” x 18” (40.6 x 45.7 cm) $65 NXCCIF1620 16” x 20” (40.6 x 50.8 cm) $65 NXCCIF1816 18” x 16” (45.7 x 40.6 cm) $65 NXCCIF1818 18” x 18” (45.7 x 45.7 cm) $65 NXCCIF1820 18” x 20” (45.7 x 50.8 cm) $65 NXCCIF1822 18” x 22” (45.7 x 55.9 cm) $65 NXCCIF2016 20” x 16” (50.8 x 40.6 cm) $65 NXCCIF2018 20” x 18” (50.8 x 45.7 cm) $65 NXCCIF2020 20” x 20” (50.8 x 50.8 cm) $65 NXCCIF2022 20” x 22” (50.8 x 55.9 cm) $65 NXCCIF2216 22” x 16” (55.9 x 40.6 cm) $65 NXCCIF2218 22” x 18” (55.9 x 45.7 cm) $65 NXCCIF2220 22” x 20” (55.9 x 50.8 cm) $65 NXCCIF2222 22” x 22” (55.9 x 55.9 cm) $65 NXCCIF2416 24” x 16” (61 x 40.6 cm) $65 NXCCIF2418 24” x 18” (61 x 45.7 cm) $65 NXCCIF2420 24” x 20” (61 x 50.8 cm) $65 NXCCIF2422 24” x 22” (61 x 55.9 cm) $65 NXCCIF2616 26” x 16” (66 x 40.6 cm) $65 NXCCIF2618 26” x 18” (66 x 45.7 cm) $65 NXCCIF2620 26” x 20” (66 x 50.8 cm) $65 NXCCIF2622 26” x 22” (66 x 55.9 cm) $65

BioFit™ & NüFit™ Seat Cushion Customization

When Ordering Custom Cushions: Please specify which cushion model you wish to purchase and then the modification. Note the modification will be made to the specific cushion size selected. i.e. “NXCABF1818 with NSDR2.”

Model No. Description Dimensions of Change Retail NSDR1 Seat depth reduction Cushion depth less 1” $150 NSDR2 Seat depth reduction Cushion depth less 2” $150 NSDR3 Seat depth reduction Cushion depth less 3” $150 NLLDR1 Right leg length discrepancy Cushion depth users right less 1” $150 NLLDR2 Right leg length discrepancy Cushion depth users right less 2” $150 NLLDL1 Left leg length discrepancy Cushion depth users left less 1” $150 NLLDL2 Left leg length discrepancy Cushion depth users left less 2” $150 NCWR Cushion width reduction Special request – requires approval $150

Seating/Cushion Accessories Model No. Description Fits Cushion Width Retail NIB-0711 Pair of 0.5” (1.2 cm) pelvic build up wedges All Sizes $75 RSSI 1600 Solid seat insert Fits cushions 16" & 17" wide (40.6 & 43.2 cm) and 14"-18" deep (35.6-45.7 cm) $75 RSSI 1800 Solid seat insert Fits cushions 18" & 19" wide (45.7 & 48.3 cm) and 14"-18" deep (35.6-45.7 cm) $75 RSSI 2000 Solid seat insert Fits cushions 20"-22" wide (50.8-55.9 cm) and 18"-20" deep (45.7-50.8 cm) $75

Documents

2020 U.S.A. Retail Price List€¦ · Updated - 06-23-2020-jw All prices are quoted in US dollars. Prices are subject to change without notice. 4 NXT Back Supports _____ NOTE: Unless