16
PAGE 1 For the most current pricing information visit www.invacare.ca Note: All specifications and dimensions are approximate. Form:18-393C INVACARE POWER BASES TDXSP2 TDX SP2 Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,575 Select STF (1) : SLOW 16.75” (2) $250 LOW 17.25” MED 18.25” TALL 19.25” NOTE: 1. Seat-to-floor height is measured at the front of the seat pan based on a standard seat size. Seat-to-floor height may vary +/-.25” dependent on conditions of the power base and seat depth greater than 18”. 2. Available on wide base (25.5”) only. Minimum 18” seat depth. Call Customer Service for other options. USER WEIGHT LIMITS U300 Weight Capacity up to 300 lbs . . . . . . . . . . . . . . . . . . . STD TRANSPORT TIE DOWN TRBKTS Wheelchair Transport Brackets (1) . . . . . . . . . . . . . . . . . . . . STD NOTE: 1. For unoccupied use only TIRE OPTIONS B1431-3 14” x 3” Black Tires w/Gel Foam Inserts . . . . . . . . . . . . . STD B1430-3 14” x 3” Black Tire - Pneumatic . . . . . . . . . . . . . . . . . . N/C FORK OPTIONS DSFK Double-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . . STD FKPKG Single-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . . . $375 BATTERY TRAY TYPE 22TRY 22NF Style Tray - Narrow Base 24” . . . . . . . . . . . . . . . . . . N/C 24TRY 24 Group Style Tray - Standard Base 25.5” . . . . . . . . . . N/C INSTALLATION OF BATTERIES 22NFBATTERY 22 NF Battery (On Chair). . . . . . . . . . . . . . . . . . . . . . . . . . . $700 24BATTERY 24 Gel Battery (On Chair) . . . . . . . . . . . . . . . . . . . . . . . . . . $840 BATTERY CHARGER OPTION 110CHARGER 110 Volt Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C OMIT Omit Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C FRAME FINISH 163P Black Ice Glossy* . . . . . . . . . . . . . . . . . . . . . . . . N/C 162P Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C 160P Invacare Blue* . . . . . . . . . . . . . . . . . . . . . . . N/C 158P Lights Out Black Matte. . . . . . . . . . . . . . . . . . . . N/C 154P Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . N/C 155P Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C 161P Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C 157P Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C 156P Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C 159P White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C *Quick Ship colours will ship in 5 days RIM INSERT COLORS - MUST PICK ONE 163PR Black Ice Glossy . . . . . . . . . . . . . . . . . . . . . . . N/C 162PR Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C 160PR Invacare Blue . . . . . . . . . . . . . . . . . . . . . . . N/C 158PR Lights Out Black Matte. . . . . . . . . . . . . . . . . . . . N/C 154PR Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . . N/C 155PR Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C 161PR Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C 157PR Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C 156PR Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C 159PR White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C Client Height: Client Weight (lbs): A. Seat to Shoulder: B. Trunk Depth: C. Chest Width: D. Knee to Back: E. Seat to Top of Head: F. Elbow to Hand: G. Seat to Elbow: H. Hip Width: I. Knee to Heel: Cushion Thickness: To ensure system is accurately configured please fill in all required Quote Order Date of Order: ________ Dealer Account #: ____________________ Dealer Name: ________________________________________________ PO #: ____________________________ Tag _______________________ Purchasing Contact: __________________________________________ Phone: __________________________ Fax: _______________________ E-mail: ______________________________________________________ RTS/Therapist: _______________________________________________ Ship to Address: _____________________________________________ City: ____________________________ Province: __________________ Postal Code: _____________________ Client Gender: M F Special Client Conditions: ____________________________________ REQUIRED MEASUREMENTS REQUIRED INFORMATION TDX-SP2 Power Base with Modular Maxx CG Power Positioning System CDN PRICE LIST AND ORDER FORM FOR AADL CAT#W801 Price Effective February 1, 2018 Customer Service: 1.800.668.5324 I Fax: 1.800.668.5478 I www.invacare.ca RIM INSERTS Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt © 2018 Government of Alberta

Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

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Page 1: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 1 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

INVACARE POWER BASESTDXSP2 TDX SP2 Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,575

Select STF(1): SLOW 16.75”(2) $250

LOW 17.25” MED 18.25” TALL 19.25”NOTE: 1. Seat-to-floor height is measured at the front of the seat pan based on a standard seat size. Seat-to-floor height may vary +/-.25” dependent on conditions of the power base and seat depth greater than 18”. 2. Available on wide base (25.5”) only. Minimum 18” seat depth. Call Customer Service for other options.

USER WEIGHT LIMITSU300 Weight Capacity up to 300 lbs . . . . . . . . . . . . . . . . . . . STD

TRANSPORT TIE DOWNTRBKTS Wheelchair Transport Brackets(1) . . . . . . . . . . . . . . . . . . . . STD

NOTE: 1. For unoccupied use only

TIRE OPTIONSB1431-3 14” x 3” Black Tires w/Gel Foam Inserts . . . . . . . . . . . . .STD

B1430-3 14” x 3” Black Tire - Pneumatic . . . . . . . . . . . . . . . . . . N/CFORK OPTIONS

DSFK Double-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . .STD

FKPKG Single-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . . .$375

BATTERY TRAY TYPE22TRY 22NF Style Tray - Narrow Base 24” . . . . . . . . . . . . . . . . . . N/C

24TRY 24 Group Style Tray - Standard Base 25.5” . . . . . . . . . . N/C

INSTALLATION OF BATTERIES22NFBATTERY 22 NF Battery (On Chair) . . . . . . . . . . . . . . . . . . . . . . . . . . . $700

24BATTERY 24 Gel Battery (On Chair) . . . . . . . . . . . . . . . . . . . . . . . . . . $840

BATTERY CHARGER OPTION110CHARGER 110 Volt Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C

OMIT Omit Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C

FRAME FINISH163P Black Ice Glossy* . . . . . . . . . . . . . . . . . . . . . . . . N/C

162P Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C160P Invacare Blue* . . . . . . . . . . . . . . . . . . . . . . . N/C

158P Lights Out Black Matte . . . . . . . . . . . . . . . . . . . . N/C

154P Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . N/C

155P Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C

161P Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C

157P Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C

156P Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C

159P White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C

*Quick Ship colours will ship in 5 days

RIM INSERT COLORS - MUST PICK ONE163PR Black Ice Glossy . . . . . . . . . . . . . . . . . . . . . . . N/C

162PR Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C160PR Invacare Blue . . . . . . . . . . . . . . . . . . . . . . . N/C

158PR Lights Out Black Matte . . . . . . . . . . . . . . . . . . . . N/C

154PR Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . . N/C

155PR Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C

161PR Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C

157PR Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C

156PR Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C

159PR White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C

Client Height:

Client Weight (lbs):

A. Seat to Shoulder:

B. Trunk Depth:

C. Chest Width:

D. Knee to Back:

E. Seat to Top of Head:

F. Elbow to Hand:

G. Seat to Elbow:

H. Hip Width:

I. Knee to Heel:

Cushion Thickness:

To ensure system is accurately configured please fill in all required

Quote Order Date of Order: ________ Dealer Account #: ____________________

Dealer Name: ________________________________________________

PO #: ____________________________ Tag _______________________

Purchasing Contact: __________________________________________

Phone: __________________________ Fax: _______________________

E-mail: ______________________________________________________

RTS/Therapist: _______________________________________________

Ship to Address: _____________________________________________

City: ____________________________ Province: __________________

Postal Code: _____________________ Client Gender: M F

Special Client Conditions: ____________________________________

REQUIRED MEASUREMENTSREQUIRED INFORMATION

TDX-SP2 Power Base with Modular Maxx CG Power Positioning System CDN PRICE LIST AND ORDER FORM FOR AADL CAT#W801

Price Effective February 1, 2018

Customer Service: 1.800.668.5324 I Fax: 1.800.668.5478 I www.invacare.ca

RIM INSERTS

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 2: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 2 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

LIGHTS AND INDICATORS

LIGHTSLED Lights and Indicators(1) . . . . . . . . . . . . . . . . . . . . . . . . .$995

NOTE: 1. Must order REM216, REM400 or REM500

CONTROLLERS

PM120AL Expandable Controller . . . . . . . . . . . . . . .STD

GTRAC-LX LiNX G-TRAC Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,200

STANDARD AND MULTIPLE DRIVE CONTROL

REM210 LED Non-Expandable Remote/Joystick (1) . . . . . . . . . . . STD

REM216 LED Expandable Remote/Joystick with Lights (1) . . . $875

NOTE: 1. Lights are not available with non-expandable remote. 2. Will accept lighting package.

EXPANDABLE DRIVE CONTROL

REM400 Color 3.5” Touch Screen Remote/Joystick . . . . . . . . $1,100

REM500 LiNX Color 3.5” Touch Screen

Display Only - No Driver Control(1) . . . . . . . . . . . . . . . . . $1,100

PWH Harness Required for Expandable System . . . . . . . . . . N/C

NOTE:

1. For ASL Alternative Driver Controls and Accessories, please use order Form 19-395C TDX-SP2 Modular Maxx ASL CDN Price List and Order form.

ATTENDANT DRIVE CONTROL CHOICES

ACU Proportional Attendant Control . . . . . . . . . . . . . . . . .$1,024Select Seating Style for Mounting type

TAM - Tilt & Elevate Mount RAM - Receline Mount

Select mounting position

MR - Right ML -Left

SPECIALTY PROPORTIONAL CONTROLS REQUIRES REM400 OR REM500

CREM LiNX Compact Remote. . . . . . . . . . . . . . . . . . . . . . . . . . . $1,097

CREM-LF LiNX Compact Remote Low Force . . . . . . . . . . . . . . . $1,097

LINX* DIGITAL CONTROLS SIP-N-PUFFPKG32666 Therafin Sip-N-Puff Breath Tube Kit . . . . . $440

INPUT LiNX Input Module & Sip-N-Puff Interface(1)(2) . . . . . . . . . . . . . . . . . . . . . . . . $1,800 (9 Pin Connection)

NOTE: 1. Only one input module per chair.2. This is required with ASL Drive Controls.O

MOUNTING FOR DRIVER CONTROLS

Motion Height Adjustable Swing-Away Quad Link . . . . . . .$344

Select Mounting Position:Left Part # SAQL Right Part # SAQR

LINX ELECTRONIC ACCESSORIES

LAK LiNX Access Key(1) . . . . . . . . . . . . . . . . .$50NOTE: 1. Required for programming

JOYSTICK TOPS PC101A Bodypoint U Shaped Handle 3” . . . . . $120

PC102A Bodypoint U Shaped Handle 4” . . . . . $120

PC107A Bodypoint Rubber Dome . . . . . . . . $120

1560 T Handle Flexible Joystick Extension . . . . . . . . . . . . . . . . . . . . . . . $120

1561 Straight Hangle Flexible Joystick Extension . . . . . . . . . . . . . . . . . . . . . . . $120

1826 Chin Cup . . . . . . . . . . . . . . . . . . . . . . . $120

NOTE:

1. To remove/disengage the joystick knob from the REM400 Remote pull straight up on the joystick (DO NOT TWIST) otherwise damage may occur and may void the warranty.

For ASL Alternative Driver Controls and Accessories on chair,

please refer Form 18-395C TDX-SP2 Modular Maxx CDN ASL

Price List and Order form.

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 3: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 3 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

SPECIALTY CONTROLS TO BE USED ON CHAIR PLEASE SPECIFY*

Type: __________________________________________________

Specialty Control Mount: Right Left Specify _________________________

Display Mount: Right Left Specify _________________________

Mode Switch Mount: Right Left Specify _________________________

On/Off Mount: Right Left Specify _________________________

List Other: ________________________________________ Specify Mounting Location: ______________________________

*Please order on form 18-395C ASL or specify drive controls to be used if not ordered with chair.

SYSTEMS MUST SELECT ONE SYSTEM

Modular Maxx CG Tilt (50°) Only System . . . . . . . . . $6,969 Part # MDCGT-50 Part # MDCGT-45(1)

Modular Maxx CG Tilt (50°) and Power Recline (170°) System w/Extended Shear Reduction (ESR) . . . . . . $11,569 Part # MDCGTRESR-50 Part # MDCGTRESR-45(1)

Modular Maxx CG Tilt (50°) and Power Recline (170°) System w/Synchronized Power Sliding Back (PSB) . . . $12,069 Requires 2-6 function Enhanced Electronics Part # MDCGTRPSB-50 Part # MDCGTRPSB-45(1)

NOTE: 1. Tilt will be reduced to 45° if adding an Elevating Lift Seat Module

Modular Maxx Recline Only System (170°) with Extended Shear Reduction (ESR) Part # MDRESR . . . $10,350

Modular Maxx Recline Only System (170°) with Synchronizes Power Sliding Back (PSB)(1) . . . . . $10,850 Part # MDRPSB

NOTE: 1. Only available on seat sizes 17” wide and greater.

Modular Maxx Elevate Lift Seat Only System(1)

12” Elevation - up to 250lbs Part # MDES12 . . . . . . . . . . . . $4,995

NOTE: 1. Not available on seat sizes greater than 20” wide by 20” deep,

call Customer Service for options.

ELEVATING LIFT MODULE FOR TILT & TILT RECLINE

12” Elevating Lift Module(1)(2)(3) (Scissor Mechanism) Elevation - up to 250lbs max. Part # ESM12 . . . . . . . . . . . . $2,495NOTES: 1. Uses an integrated Tilt/Lift mechanism, tilt is 45° and the seat to

floor height is not affected by the Elevating Lift Seat. 2. Not available on seat sizes greater than 20” wide by 20” deep,

call Customer Service for options. 3. For weights greater than 175lbs tilt while elevated is not

available. Call Customer Service for details.

MODULES MUST SELECT SYSTEM-TO ADD MODULES

Recline Body Fit (Minimum finished back widths of 16”) . . . . . . . . . .$995 (This option allows the seat back to be narrower than the seat pan. For example an 18” back pan width with a 20” seat width is accomplished by selecting “2” Narrower” option.)

2” Narrower Part # BFS2 4” Narrower Part # BFS4

10° Fixed Anterior Assist(1) Part # FA10 . . . . . . . . . . . $750

5° Fixed Anterior Assist(1) Part # FA5 . . . . . . . . . . . . . N/C

5° Fixed Pre-Tilt(2) Part # PRETILT . . . . . . . . . . . . . . . . . N/C

8° Precline Module(3) only available with Recline . . . . . . . N/C Part # PRM8

30° Precline Module(3) only available with Recline . . . . . .$500 Part # PRM30

Single Post Angle Adjustable Fold Down Back(4)(5)(6)

(Folds to 25° forward) . . . . . . . . . . . . . . . . . . . . . . . . . . .$750 Matrx Interface Part # SPBMI (Select Matrx back from upgradeable section page 6)

NOTES: 1. This module may limit front rigging options. The 10° Fixed Anterior Assist option adds approximately 3.6” to the seat to floor height at zero degrees(level). The 5° Fixed Anterior Assist adds approximately 2” to the seat to floor height at zero degrees(level). 2. This Fixed Pre-tilt option adds approximately 2” to the front seat to floor height. 3. Total degrees of recline is 170° ie: if 30° degrees of precline is used, then 140° degrees of recline will be available 4. Single Post Back is an angle adjustable back between 73° and 109° in 6° increments from 17° forward to 19° back. The back folds down and is only available for 16”-20” seat widths & 21”-24” back height. A minimum 4” gap from bottom of back to seat pan is required. 5. This option is not available with a vent tray and has a 250lb weight capacity. 6. Cane mounted armrests are not available with this option

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

NOTE: Systems Include Seat Pan, Back Pan, and Standard Armrests. They are designed for use with a 2”- 3” cushion

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 4: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 4 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

SEAT SPECIFICATIONS

Select Seat Width and Ultra Rail Width Adjustment

16” 17” 18” 19” 20” (Adjustable from 16”- 20”)Part # SW116 SW117 SW118 SW119 SW120

19” 20” 21” 22” (Adjustable from 19” - 22” )Part # SW219 SW220 SW221 SW222

Select Seat Depth and Ultra Rail Depth Adjustment 16” 17” 18” 19” 20” 21” (Adjustable from 16” - 21”)

Part # SD116 SD117 SD118 SD119 SD120 SD121

19” 20” 21” 22” 23”(Adjustable from 19” - 23”)Part # SD219 SD220 SD221 SD222 SD223

Small Adult Sizes: Select Seat Width(2)

14”(1) 15”(1) (Adjustable from 14” - 17”)Part # SW314 SW315

Select Seat Depth

14”(1) 15”(1) 16” 17”18” (Adjustable from 14” - 18”)Part # SD314 SD315 SD316 SD317 SD318

NOTES:

1. Small Adult Seat Size - Weight limit is 175lbs on these seat sizes and if Recline is selected it may be limited to 165° of recline. If one of these widths/depths are selected, you can only select one of smaller depths/widths. 2. Other widths available, please call Customer Service.

LAP BELTS AND CHEST STRAPS Chest Strap 5” W x 24” L (1) Part # CS . . . . . . . . . . . . . . .$210

Padded Lap Belt 2 point(1)

Part # PLB2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$170 Padded Lap Belt 4 point(1)

Part # PLB4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$215

Push Button Style Seat Belt . . . . . . . . . . . . . . . . . . . . STDPart # 48” BELT48 60” BELT60 71” BELT71

NOTE: 1. 67” length only option.

CUSHION COVER REFERENCE GUIDE

MATRX SEAT CUSHION OPTIONS*

Matrx Libra Seat Cushion 14”w-20”w . . . . . . . . . . . . .$745 LC1414 LC1416 LC1516 LC1518 LC1520 LC1616 LC1618 LC1620 LC1716 LC1718 LC1720 LC1816 LC1818 LC1820 LC1916 LC1918 LC1920 LC2016 LC2018 LC2020

Matrx Libra Seat Cushion 21”w - 22”w . . . . . . . . . $1,025 LC1622 LC1722 LC1822 LC1922 LC2022 LC2118 LC2120 LC2122 LC2218 LC2220

Matrx PS Seat Cushion 16”w - 20”w . . . . . . . . . . . . . .$569 PS1616 PS618 PS1620 PS1816 PS1818 PS1820 PS2016 PS2018 PS2020

Matrx PSVF Seat Cushion 16”w - 20”w . . . . . . . . . . . .$589 PSVF1616 PSVF1618 PSVF1620 PSVF1816

PSVF1818 PSVF1820 PSVF2016 PSVF2018 PSVF2020

Matrx Vi Seat Cushion 16”w - 20”w . . . . . . . . . . . . .$624 MA1616-VI MA1618-VI MA1620-VI MA1816-VI

MA1818-VI MA1820-VI

Matrx Vi Seat Cushion 21”w - 22”w . . . . . . . . . . . . . .$681 MA2016-VI MA2018-VI MA2020-VI MA2218-VI

MA2220-VI

FABRIC OPTIONS FOR CUSHIONS

Spacetex Fabric Option for Libra Cushion Part # SFLF . . . . N/C Infection Control Fabric Option for Libra Cushion Part # ICFL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 Fusion Fabric Upgrade for Matrx Vi Cushion Part # FFV . . $150 Onyx Fabric Upgrade for Matrx Vi Cushion Part # OCUMA . . $100

Startex Fabric Upgrade for Matrx Vi Cushion Smooth Side up Part # SFVS . . . . . . . . . . . . . . . . . . . . . . . . . . $50

Fabric Side up Part # SFVF . . . . . . . . . . . . . . . . . . . . . . . . . . . $50

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

Infection Control

Onyx

StartexMeshtex

FusionSpacetex

Cushion Meshtex Startex Infection Spacetex Fusion Onyx

Libra N/A STD $50 N/C N/A N/A

PS N/A STD -Reversible

STD -Reversible

N/A N/A N/A

Vi STD $50 $50 N/A $150 $100

*SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX DISCOUNTS

FOR MATRX SEATING AND POSITIONING AND ACCESSORIES

ORDERED ON-CHAIR*

*SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX DISCOUNTS

FOR MATRX SEATING AND POSITIONING AND ACCESSORIES

ORDERED ON-CHAIR*

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 5: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 5 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

MATRX ELAN HEADREST PAD *

Matrx Elan Standard Pad . . . . . . . . . . . . . . . . . . . . . . .$310 Part # 6” Pad ESP6 10” Pad ESP10 14” Pad ESP14

Matrx Elan Standard Pad with Infection Control . . .$335 Part #6” Pad ESP6-IC 10” Pad ESP10-IC 14” Pad ESP14-IC

Matrx Elan Occipital Pad . . . . . . . . . . . . . . . . . . . . . . .$341Part #9” Pad EOP9 12” Pad EOP12

Matrx Elan Occipital Pad with Infection Control . . . .$366Part #9” Pad EOP9-IC 12” Pad EOP12-IC

Matrx Elan 4-Point Pad (11”W x 10”H”) Part #Standard Cover E4POINT . . . . . . . . . . . . . . . . . .$448 Infection Control E4POINT-IC . . . . . . . . . . . . . . . .$473

MOTION CONCEPTS HEADREST PAD

Motion Concepts Standard Part # MCSH . . . . . . . . . . . . N/CMotion Concepts Auto Style(1) Part # MCOH . . . . . . . . . .$350NOTE: 1. Comes STD with Fixed Mounting hardware; for use on Matrx PB

or Elite Backs you must select removable hardware upgrade on P6. HEADRESTS HCPCS code E0955

HEADREST MOUNTING HARDWARE OPTIONS

Fixed Mounting (non-removable)(1)(2)

Part # FM . . . . . . N/C Matrx Elan Headrest Hardware- Multi-Axis Removable Part # MEHW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$266Motion Concepts Multi - Axis Removable Mounting Part # MAHU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$225OMIT: Headrest Part # OHR . . . . . . . . . . . . . . . . . . . . . . . . . . .N/C NOTE: 1. Unless selecting a “Removable” hdwr option, the headrest

will come standard w/ Fixed Straight Mounting Hardware (non-removable)

FINISHED BACK HEIGHTS

Finished Back heights for Tilt Only Systems(1)(2)

18” 19” 20” 21” 22” 23” 24” 25”Part # FBT18 FBT19 FBT20 FBT21 FBT22 FBT23 FBT24 FBT25

Finished Back heights for Tilt/Recline Systems(3)

20” 21” 22” 23” 24” 25” 26” 27”

Part # FBR20 FBR21 FBR22 FBR23 FBR24 FBR25 FBR26 FBR27

NOTES: 1. Comes with standard cane height. 2. 4” gap is recommended for Tilt systems to allow for the seat cushion. 3. 6” gap is recommended for systems with Recline/ESR.

STANDARD TILT BACK CANESMeasured from Seat pan to top of back cane

18” 20” 22” 24” . . . . . . . . . . . . . . . . . N/CPart # SBC18 SBC20 SBC22 SBC24

Select Cane Angle 75° 79° 85° 90° 95° 101° 106° 112° 116°Part # BA75 BA79 BA85 BA90 BA95 BA101 BA106 BA112 BA116

Angled (5°)Tilt Back Canes 20” 22” 24” . . . . . . N/CPart # ABC20 ABC22 ABC24

Select Cane Angle 81°84° 91° 96° 101° 106° 111° 117°121°Part # BA81 BA84 BA91 BA96 BA101 BA106 BA111 BA117 BA121

Endomorph Back Canes(1)(2) 22” Part # EBC22 24” Part # EBC24

Select: 1” 2” 4” Narrower . . . . . . . . . .$250 Part # EBCN1 EBCN2 EBCN4

10° Mid-Angle Tilt Back Canes(1)(2) . . . . . . . . . . . . . . . . .$250

18” 20” 22” 24” Part # TBC18 TBC20 TBC22 TBC24

NOTES:1. Comes standard with Cantilever Armrests Cane mounted. 2. Quick Height Adjustment on Backrest not available.

BACK OPTIONSStandard Rehab Back and Back cushion . . . . . . . . . . N/CSRB16 - 16” wide SRB17 - 17” wide SRB18 - 18” wideSRB19 - 19” wide SRB20 - 20” wide SRB21 - 21” wideSRB22 - 22” wide

Additional Super Soft/HR Foam(1) Part # SS . . . . . . . . . . . . . . .$100 Matrx Fabric Upcharge Part # MFU . . . . . . . . . . . $100

Planar interface plate(3) . . . . . . . . . . . . . . . . . . . . . . . . . N/CRPIF16 - 16” wide RPIF17 - 17” wide RPIF - 18” wideRPIF19 - 19” wide RPIF20 - 20” wide RPIF21 - 21” wideRPIF22 - 22” wide

OMIT: Rigid Back Pan & Cushion(4) Part # ORBC . . . . . . N/COMIT: Back Cushion Only Part # OBC . . . . . . . . . . . . . N/C

NOTES: 1. Additional foam added may impact seat depth. 2. Included with all Recline Systems when no back is selected.

May also be used as an interface for after market backs. 3. Not available on tilt only or tilt/elevate systems, for use with

recline module. 4. Not available with Recline/ESR or Recline/PSB.

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

*SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX DISCOUNTS

FOR MATRX SEATING AND POSITIONING AND ACCESSORIES

ORDERED ON-CHAIR*

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 6: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 6 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

BACK COVER REFERENCE GUIDE

UPGRADABLE BACK OPTIONS

High Back 16”-22”wide . . . . . . . . . . . . . . . . . . . . . . . . .$595 MHB1616 MHB1618 MHB1620 MHB1716

MHB1718 MHB1720 MHB1816 MHB1818 MHB1820 MHB1916 MHB1918 MHB1920 MHB2016 MHB2018 MHB2020 MHB2116 MHB2118 MHB2120 MHB2216 MHB2218 MHB2220

Matrx Elite Back 14”-20” wide (3” Contour) . . . . . . . .$766 PBE1410 PBE1412 PBE1414 PBE1416

PBE1418 PBE1420 PBE1510 PBE1512 PBE1514 PBE1516 PBE1518 PBE1520 PBE1610 PBE1612 PBE1614 PBE1616 PBE1618 PBE1620 PBE1714 PBE1716 PBE1718 PBE1720 PBE1814 PBE1816 PBE1818 PBE1820 PBE1916 PBE1918 PBE1920 PBE2014 PBE2016 PBE2018 PBE2020

Matrx Elite HD Back 21”-22” wide (3” Contour) . . . $1,051 PBE2116-HD PBE2120-HD PBE2216-HD PBE2220-HD

Matrx Elite TR Back 15”-20” wide (3” Contour) ..........$866 PBE1516-TR PBE1518-TR PBE1520-TR PBE1616-TR PBE1618-TR PBE1620-TR PBE1716-TR PBE1718-TR PBE1720-TR PBE1816-TR PBE1818-TR PBE1820-TR PBE1916-TR PBE1918-TR PBE1920-TR PBE2016-TR PBE2018-TR PBE2020-TR

Matrx Elite TR HD Back 21”-22”wide (3” Contour) . $1066 PBE2120-TRHD PBE2220-TRHD

UPGRADABLE BACK OPTIONS - Cont

Matrx Elite Deep Back 14”-20” wide (6” Contour) . . .$918 EDB1412 EDB1416 EDB1418 EDB1420

EDB1510 EDB1512 EDB1514 EDB1516 EDB1518 EDB1520 EDB1610 EDB1612 EDB1614 EDB1616 EDB1618 EDB1620 EDB1710 EDB1712 EDB1714 EDB1716 EDB1718 EDB1720 EDB1810 EDB1812 EDB1814 EDB1816 EDB1818 EDB1820 EDB1910 EDB1912 EDB1914 EDB1916 EDB1918 EDB1920 EDB2010 EDB2012 EDB2014 EDB2016 EDB2018 EDB2020

Matrx Elite Deep HD Back 21”-22” wide (6” Contour) . $1,095EDB2120-HD EDB2220-HD

Matrx PB Back 14”-20” wide (5” Contour) . . . . . . . . . .$734 MPB1412 MPB1416 MPB1612 MPB1616

MPB1620 MPB1712 MPB1716 MPB1720 MPB1812 MPB1816 MPB1820 MPB2012 MPB2016 MPB2020

Matrx PB Deep Back 14”-20” (7” Contour) . . . . . . . . . .$892 PBD1412 PBD1416 PBD1612 PBD1616

PBD1620 PBD1712 PBD1716 PBD1720 PBD1812 PBD1816 PBD1820 PBD2012 PBD2016 PBD2020

Matrx PB HD Back(1) 20”-22”wide (5” Contour) . . . . . . $1,051 HDB2016 HDB2020 HDB2216 HDB2220

Matrx PB HD Deep Back(1) 21”-22”wide (7” Contour) . . . . . $1,209 DHD2016 DHD2020 DHD2216 DHD2220

NOTES: 1. The Heavy Duty PB Back and PB Deep Back are not available

on Recline systems with seat widths of 21” and 22”.

4-way Stretch PolyesterMeshtex Infection Control

Fusion Onyx

Back Meshtex Polyester Infection Fusion Onyx

Contour N/A STD N/A N/A $100

High STD N/A N/A $100 $100

Elite/ Elite HD/Elite Deep STD N/A $100 N/A N/A

Elite TR/ Elite TR HD STD N/A $100 N/A N/A

PB/PB HD/PB Deep/PB HD Deep

STD N/A $100 N/A N/A

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

*SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX DISCOUNTS

FOR MATRX SEATING AND POSITIONING AND ACCESSORIES

ORDERED ON-CHAIR*

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 7: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 7 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

TILT ARMRESTS

Adult Dual Post Adjustable Height With Quick HeightAdjustment Lever(pair) . . . . . . . . . . . . . . . . . . . . . . . . . STD

Select Size: (9.75”-12.75”)(12.75”-15.75”)(15.75”-18.75”) Part # DP1 DP2 DP3

Select : Flat pouch Glove Boxes Part # FP GB

Add: OutBack Arm Option(1) (each) Specify: Select: Right Part # OAR Left Part # OAL . . . . . . . . . . . . .$195 (Allows outward rotation while flipping back armrest)

Ultra Rail Mounted Flip Back Cantilever Maxx Tilt Arm(2)(3) (9”-12.5”) (pair) Part # RMCAN . . . . . . . . . . . . . .$488 Add Dual Post Module (pair) Part # DPM . . . . . . . . . . . . . .$250

Cantilever Arms for Endomorph Back Canes (see page 4)(pair) Part # CAFEBC . . . . . . . . . . . . . . . . . . . . STD

NOTES: 1. Only available with Dual Post and Recline Adjustable Armrests. 2. Mounts to Seat Rail. 3. Not available with Small Adult Sizes.

RECLINE ARMRESTS Reclining Adjustable Height (9.5”-13”) (13”-16”) . . . . STD Part # RC1 RC2

Add: OutBack Arm Option(1) (each) Specify:

Select: Right Part # OAR Left Part # OAL . . . . . . . . . . . .$195

(Allows outward rotation while flipping back armrest)

Maxx Style Cane Mounted Height & Width & Angle Adjustable Cantilever Flip Back Armrest for Recline(2) Systems (pair) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$488 Select Straight Arm Configuration - range (9.5”-13”) Part # MCAN1

Select Curved Arm Configuration - range (12.5”-16”) Part # MCAN2

Outback Cantilever Recline Armrest (2)(pair) . . . $350 Select Range: (9”-12”)(12”-15”) Part # OCRA1 OCRA2

Cane Mounted Height & Angle Adjustable Cantilever Flip Back Armrest with/Quick Lock Mechanism(2) for Recline Systems (pair) . . . . . . . . . . . . . . . . . . . . . . . $488 Select Range: (9.5”-12”)(10”-13”)(13”-16”) Part # CANQ1 CANQ2 CANQ3

NOTES: 1. Only available with Dual Post and Recline Adjustable Armrests. 2. Not available with small adult seat sizes.

ARMREST TUBE LENGTH - PLEASE SPECIFY

LEFT Armrest Tube Select: Full Part # ATFL Desk Part # ATDLRIGHT Armrest Tube Select: Full Part # ATFR Desk Part # ATDR

ARM PADS

Modular Arm Pads(1) (each) . . . . . . . . . . . . . . . . . . . . . . .$35 Left Full(14”) Part # MAPTFLDesk(10”) Part # MAPTDL

Must select Pad Insert:

Iskin - Integrated soft skin foam Part # ISSFL Startex Covered Visco foam Part # SCVFL

Right Full(14”) Part # MAPTFRDesk(10”) Part # MAPTDR

Must select Pad Insert:

Iskin - Integrated soft skin foam Part # ISSFR Startex Covered Visco foam Part # SCVFR

Standard Pads (each) . . . . . . . . . . . . . . . . . . . . . . . . . . . STDLeft Full(14”)Part # SAPFL Desk(10”) Part # SAPDL

Right Full(14”) Part # SAPFR Desk(10”) Part # SAPDR

Waterfall Arm Pads(2) (each) . . . . . . . . . . . . . . . . . . . . . N/C Left Full(14”)Part # WAPFL Desk(10”) Part # WAPDL

Right Full(14”) Part # WAPFR Desk(10”) Part # WAPDR

Flat Multi Position Pads (each) . . . . . . . . . . . . . . . . . . . .$80 Left Full(14”)Part # MPAFL Desk(10”) Part # MPADL

Right Full(14”) Part # MPAFR Desk(10”) Part # MPADR

Gel Pads (each) Narrow (2”x12”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$88 Left Part # GAPNL Right Part # GAPNR

Wide (3.5”x12”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$96 Left Part # GAPWL Right Part # GAPWR

Long (3.5”x14”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$103

Left Part # GAPLL Right Part # GAPLR

Ergonomic Arm Trough (4.5”x13”) Left Part # EATL . . . . . . . . . . . . . . . . . $121 Right Part # EATR . . . . . . . . . . . . . . . . . $121

Flat Hand Pad (4.5”x 5”) - Compatible Only w/Ergonomic Arm Trough

Left Part # FHPL . . . . . . . . . . . . . . . . . . . . . . . . . . .$85 Right Part # FHPR . . . . . . . . . . . . . . . . . . . . . . . . . . .$85

Arm Pad Storage/Cup Holder(3)

Left Part # APSL . . . . . . . . . . . . . . . . . . . . . . . . . . .$295 Right Part # APSR . . . . . . . . . . . . . . . . . . . . . . . . . .$295

OMIT: Armpads(4) (7/8” diameter tube) Part # OAP . . . . . . . . . . N/C

NOTES: 1. Requires interchangeable pad insert. 2. Full length pad not compatible with the desk length

armrest tube if using Ultra Rail mounted Tilt Arms. 3. Only available on Non-Joystick side.

4. Must specify the Arm Tube lengths.

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________ *SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX DISCOUNTS

FOR MATRX SEATING AND POSITIONING AND ACCESSORIES

ORDERED ON-CHAIR*

TDX-SP2 Base with Modular Maxx CG Power Positioning System

NEW

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 8: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 8 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

ARMPAD ACCESSORIES

Elbow Block LEFT(1) . . . . . . . . . . . . . . . . . . . . . . . . . . .$195Select Pad Size and Extensions:

XS(3.25”x4.25”) Part # EBXL S(3.5”x5.25”) Part # EBSL

M(3.75”x5.75”) Part # EBML L(4.25”x6.5”) Part # EBLL

Vertical Extension: S(3”) Part # V3 L(5”) Part # V5 Horizontal Extension: S(5”) Part # H5 L(7”) Part # H7

Elbow Block RIGHT(1) . . . . . . . . . . . . . . . . . . . . . . . . . .$195Select Pad Size and Extensions:

XS(3.25”x4.25”) Part # EBXR S(3.5”x5.25”) Part # EBSR

M(3.75”x5.75”) Part # EBMR L(4.25”x6.5”) Part # EBLR

Vertical Extension: S(3”) Part # V3 L(5”) Part # V5 Horizontal Extension: S(5”) Part # H5 L(7”) Part # H7

Matrx Multi-Axis Upper Extremity Support(2) (each) .$257 With Quick Adjustment Lever

Left Part # MACESL Right Part # MACESR CES - Cont

1” Offset Armrest Spacer (each) . . . . . . . . . . . . . . . . . . . .$125 (Allows seat width to increase by 2” with Dual Post or Recline Arms)

Left Part # OAS2L Right Part # OAS2R

1/2” Offset Armrest Spacer (each) . . . . . . . . . . . . . . . . . .$125 (Allows seat width to increase by 1” with Dual Post or Recline Arms)

Left Part # OAS1L Right Part # OAS1R

Multi Purpose Arm Pad Adapter Block(3) (each)

Quantity (___) Part # MPAPA . . . . . . . . . . . . . . . . . . . . . .$35

NOTES: 1. Prevents arm from slipping. 2. Allows rotation of the armpad, only compatible with Gel pad, Flat pad or Ergonomic Arm Troughs. 3. Not available with Standard Pads or Waterfall Pads.

MAXX LATERALS (1)

Fixed Mounted Lateral Trunk Support LEFT . . . . . . . .$100Select Pad Size:

XS(3.25”x4.25”) Part # LATXL S(3.5”x5.25”) Part # LATSL

M(3.75”x5.75”) Part # LATML L(4.25”x6.5”) Part # LATLL

Fixed Mounted Lateral Trunk Support RIGHT . . . . . .$100Select Pad Size:

XS(3.25”x4.25”) Part # LATXR S(3.5”x5.25”) Part # LATSR

M(3.75”x5.75”) Part # LATMR L(4.25”x6.5”) Part # LATLR

NOTE: 1. These laterals are not available with Matrx PB, PB Elite Deep

and PB Deep Backs.

SELECT SWING AWAY HARDWARE ON NEXT COLUMN TO CONVERT ABOVE SUPPORTS:

MAXX STYLE SWING-AWAY HARDWARE(1)

Maxx Style Swing-away Multi-Adjustable Mounting Hardware LEFT Part # SALATL . . . . . . . . . . . . . . . . . . . .$195

(Standard with 1” telescoping link gives 0-2.75” medial offset (2))

Maxx Style Swing-away Multi-Adjustable Mounting Hardware RIGHT Part # SALATR . . . . . . . . . . . . . . . . .$195

(Standard with 1” telescoping link gives 0-2.75” medial offset (2))

Additional Telescoping Link(each) Quantity ( ) . . . .$75 (Adding an additional 1” telescoping link gives up to 5.5” medial offset(2))

LEFT Part # ATLL RIGHT Part # ATLR

NOTES: 1. These laterals are not available with Matrx PB, PB Elite Deep

and PB Deep Backs.2. The amount of offset available may be impacted by back thickness.

MATRX FIXED LATERALS - FOR ELITE AND ELITE TR BACKS

Matrx Standard Fixed LEFT

Select pad: Standard (7.5” x 5”) Part # PBLSL . . . . . . $116 Small (5.5” x 3”) Part # PBSSL . . . . . . . . . $113

Matrx Standard Fixed RIGHT Select pad: Standard (7.5” x 5”) Part # PBLSR . . . . . . $116 Small (5.5” x 3”) Part # PBSSR . . . . . . . . . $113

Matrx Offset Fixed LEFT Part # PBOLL . . . . . . . . . . . . . . . $125

Matrx Offset Fixed RIGHT Part # PBOLR . . . . . . . . . . . . $125

MATRX SWING AWAY LATERALS - FOR ELITE AND ELITE TR BACKS

Matrx Lateral Trunk Support LEFT pad (each) . . . . .$108

Select Pad Size:

XS(3.25”x4.25”) Part # EPADXL S(3.5”x5.25”) Part # EPADSL

M(3.75”x5.75”) Part # EPADML L(4.25”x6.5”) Part # EPADLL

Matrx Lateral Trunk Support RIGHT pad (each) . . . .$108

Select Pad Size:

XS(3.25”x4.25”) Part # EPADXR S(3.5”x5.25”) Part # EPADSR

M(3.75”x5.75”) Part # EPADMR L(4.25”x6.5”) Part # EPADLR

SELECT SWING AWAY HARDWARE TO CONVERT ABOVE:

Matrx Elite Back Swing Away Hardware LEFT Part # SAHEBL . . . . . . . . . . . . . . . . . . . . . $195 RIGHT Part # SAHEBR . . . . . . . . . . . . . . . . . . . . $195

Matrx Offset Elite Swing Away Hardware LEFT Part # OSAHL . . . . . . . . . . . . . . . . . . . . . . $195 RIGHT Part # OSAHR . . . . . . . . . . . . . . . . . . . . . $195

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________ *SAVE AN ADDITIONAL 10% OFF OF STANDARD MATRX DISCOUNTS

FOR MATRX SEATING AND POSITIONING AND ACCESSORIES

ORDERED ON-CHAIR*

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 9: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 9 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

FIXED HIP/KNEE SUPPORTS

Lateral Hip Support Pad with Fixed Mounting LEFT .$120

Mounted at HIP Pad Size:XS(5.5”W x 4”H) Part # HSPXLH S(7”W x 6”H) Part # HSPSLH

M(9”W x 4”H) Part # HSPMLH L(13”W x 4”H) Part # HSPLLH

Mounted at KNEE Pad Size:XS(5.5”W x 4”H) Part # HSPXLK S(7”W x 6”H) Part # HSPSLK

M(9”W x 4”H) Part # HSPMLK L(13”W x 4”H) Part # HSPLLK

Lateral Hip Support Pad with Fixed Mounting RIGHT . . $120

Mounted at HIP Pad Size:XS(5.5”W x 4”H) Part # HSPXRH S(7”W x 6”H) Part # HSPSRH

M(9”W x 4”H) Part # HSPMRH L(13”W x 4”H) Part # HSPLRH

Mounted at KNEE Pad Size:XS(5.5”W x 4”H) Part # HSPXRK S(7”W x 6”H) Part # HSPSRK

M(9”W x 4”H) Part # HSPMRK L(13”W x 4”H) Part # HSPLRK

REMOVABLE & SWING AWAY HARDWARE UPGRADE

HARDWARE TO CONVERT ABOVE HIP SUPPORT TO UPGRADE TO REMOVEABLE/SWINGAWAY HIP OR KNEE SUPPORTS

Lift Off Removable Hardware for Hip Support (Hip position only)

LEFT Part # LOHL . . . . . . . . . . . . . . . . . . . . . .$195 RIGHT Part # LOHR . . . . . . . . . . . . . . . . . . . . . .$195

Swing Away Removable Hardware for Hip Supports

LEFT Mounted at Hip Part # SHSHLH . . . . . . . . .$215 RIGHT Mounted at Hip Part # SHSHRH . . . . . . . . .$215 LEFT Mounted at Knee Part # SHSHLK . . . . . . . .$215

RIGHT Mounted at Knee Part # SHSHRK . . . . . . . .$215

Maxx Style Quick Release, Removable, Multi-AxisMounting Hardware for Hip Supports

LEFT Mounted at Hip Part # MHSHLH . . . . . . . . .$215 RIGHT Mounted at Hip Part # MHSHRH . . . . . . . . .$215 LEFT Mounted at Knee Part # MHSHLK . . . . . . . .$215

RIGHT Mounted at Knee Part # MHSHRK . . . . . . . .$215

Extended Maxx Style Quick Release, Removable, Multi-AxisMounting Hardware for Hip Supports(1)

LEFT Mounted at Hip Part # EMQHLH . . . . . . . . .$215 RIGHT Mounted at Hip Part # EMQHRH . . . . . . . .$215 LEFT Mounted at Knee Part # EMQHLK . . . . . . . .$215

RIGHT Mounted at Knee Part # EMQHRK . . . . . . . .$215

NOTES: 1. Recomended when finished seat cushion thickness

will be greater then 3.5” high.

LEGREST RECEIVERS

Pride HD Drop-in Receivers Only Part # PHDR . . . . . . . . . . . STDPride Style #8 Swing Away Receivers Only Part # PSAR . . . . STDInvacare Action Receivers Only 70NHD Part # IAR . . . . . . . STDQuickie 70 Swing Away Receivers Only Part # Q70R . . . . . . STDQuickie 70HD Swing Away Receivers Only Part # Q70HDR . . . STDInvacare Hemi-Pin (PHW30) Receivers Only Part # IHPR . . . . STD

STANDARD FRONT RIGGINGFixed Center Mount Foot Platform(1) Part # FCMP N/C Comes standard with a rubber coated footplate 11½” W x 10” Part # IFP

Set at70° 90° 97° Part # SA70 SA90 SA97

Seat pan to footplate: 9”-13” Part # SPTF1 Seat pan to footplate: 13”-17” Part # SPTF2

NOTES: 1. 3” ground clearance required.

POWER CENTER MOUNT FOOT PLATFORM OPTIONS

LNX Power Center Mount Foot Platform(1)(2) (3)

Part # LNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,200 13”-19” unlimited adjustability . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C

Add: One Piece Malleable Calf Panel Part # OPCP . . . . . . . . .$250 Latitude Style Foot Platform Part # LSFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,995 For Finished Knee to heel measurements of 6.5”-12” Latitude Style Padded Foot Plate Part # LSPFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$250

NOTES: 1. Comes with individual calf pads and a 11½” W x 10” D rubber

coated footplate.There is 8” of anti-shear extension. 2. 3” of ground clearance required. 3. Minimum 18” seat depth when using 16.75” seat to floor height.

MUST BE COMPLETED Measurement in Inches

Knee to Heel:

Cushion Thickness: (Subtract)

Cushion Compression:(Add)

Seat Pan to Footplate:(Total)

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 10: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 10 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

MANUAL CENTER MOUNT FRONT RIGGING

Maxx Style Fixed Center Mount Foot Platform(1)(2) Part # MSFCMFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $395 Comes standard with a rubber coated footplate 11½” W x 10” Part # IFP

Comes standard with individual calf pads Part # ICP

Set at70° 90°97°

Part # SA70 SA90 SA97

Seat pan to footplate: 9”-13” Part # SPTF1 Seat pan to footplate: 13”-17” Part # SPTF2

Invacare Center Mount Adjustable Knee Angle Part # IAKACM (CTMT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $595

Seat pan to footboard: (9.25” - 12”) Part # SPTF3 (12.25” - 15”) Part # SPTF4 CALF - Invacare Calf Pads for use with IAKACM . . . . . . . . . . . . . . . $268

Invacare Individual Foot plates for CTMT SM (5.25”Wx7.5”D) MED (5.5”Wx9.5”D)LRG (5.9”Wx11.5”D)

NOTE: 1. Depth and height adjustable. Comes with individual calf pads

and a 11½” W x 10” D rubber coated footplate. 2. 3” ground clearance required.

FOOT PLATFORM OPTIONS FOR MAXX/LNX CMFP

Small Flip-up Foot Platform(1) . . . . . . . $180 (12”W x 8.5”D) Part # SFFP

Medium Flip-up Foot Platform(1) . . . . . $180 (12”W x 10.75”D) Part # MFFP

Large Flip-up Foot Platform(1) . . . . . . . $250 (14.5”W x 13”D) Part # LFFP

Extra Large Flip-up Foot Platform(1) . . $250 (17”W x 13”D) Part # XLFFP

Extra, Extra Large Flip-up Foot Platform(1) . $250 (21”W x 13”D) Part # XXLFFP

NOTE: 1. May cause interference with certain bases and seat widths call to confirm configuration.

INDIVIDUAL FOOT PLATE OPTIONS FOR MAXX/LNX CMFPIn cast aluminum with built in heel cups and rubber mat

Select:

Left: S(5”W x 7.5”D) M(5.5”Wx9.5”D)L(6”Wx11.5”D) $165

Part # IFSL IFML IFLL

Right: S(5”W x 7.5”D) M(5.5”Wx9.5”D)L(6”Wx11.5”D) $165Part # IFSR IFMR IFLR

POWER FRONT RIGGING OPTIONS (1)

Maxx Style Swing-Away Power Elevating Pivot Legrests(2) Part # MSPPL . . . . . . . . . . . . . . . . . . . . .$2,490 Select Receivers: Straight Flared outward 1” Part # RS Part # RF

Seat pan to footplate: S (10”-14”) M (13”-17”) L (16”-20”) Part # SPTF5 SPTF2 SPTF7

Select Function: Individual(3) Combined Synchronized W/Recline Part # INDA COMA SYNA

Calf pad options (Pair) . . . . . . . . . . . . . . . . . . . . . . . . .$275 Select: Flat Pads Part # FCPMS Curved Calf pads (inside width is 6”) Part # CCPMSNOTES: 1. Comes standard with moulded i-skin calf pads. 2. Includes Swing Away receivers, Pivot Plus Legrests and

actuators. Legs swing away manually. 3. Individual legs count as two functions. Select Footplates on page 11 under Foot plate options

MANUAL FRONT RIGGING OPTIONS (1)

Maxx Style Swing-Away Manual Elevating Pivot Legrests Part # MMPPSA . . . . . . . . . . . . . . . . . . . . . . $680

Select Receivers: Straight Flared outward 1” Part # RS Part # RF

Seat pan to footplate: S (10”-14”) M (13”-17”) L (16”-20”) Part # SPTF5 SPTF2 SPTF7

Calf pad options (Pair) . . . . . . . . . . . . . . . . . . . . . . . . .$275 Select: Flat Pads Part # FCPMS Curved Calf pads (inside width is 6”) Part # CCPMSNOTE: 1. Comes standard with moulded i-skin calf pads.

Select Footplates on page 11 under Foot plate options:

SWING AWAY FRONT RIGGING OPTIONSHeavy Duty 70° Swing away Footrests(1) (Pair) Part # HD70 . . .$495

Select Receivers: Straight Flared outward1” Part # RS Part # RF Seat pan to footplate:

XS (6”-11”) S (11”-15”) M (13”-17”)L (16”-20”) Part # SPTF11 SPTF8 SPTF2 SPTF7

Calf pads for HD Swing Away Footrests (Pair) . . . . . . . . $275 Select: Flat Pads Part # HD70FCP Curved Calf pads (inside width is 6”) Part # HD70CCPDynamic Coil Springs (Pair) for Heavy Duty 70° Swingaway Footrests Part # DCS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$190

Invacare 70° Swingaway Footrests (Pair)(2) Part # I70SAF . .$325 Comes with composite foot plates Part # I70-CF

Invacare 70° Non-Tapered HD Swingaway Footrests with AT5543 Adjustable Angle Foot plates, Heel Loops and Impact Guards(1) (Pair)Part # 70HDAIH . . . . . . . . . . . . . . . $457Invacare Tapered 70° Swingaway Footrests with AT5543 Adjustable Angle Footplates, Heel Loops and Impact Guards (Pair)(1) Part # 70HTAPAIH . . . . . . . . . . . . . . . . . . . . . . $497Longer Pivot and Slide Tube for 70° Swingaways (Pair) Part # 70HDC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $132

Residual Limb Support(2) (Each) (6.75”W x 9.75”L x 2”H) . . . . . . .$495 Select: Left Part # RLSL Right Part # RLSRNOTES: 1. Heavy duty durable construction (4.5lbs ea.). 2. Swing away and removable, 50° of angle adjustment,

3.5” height adjustment and 2” of for/aft adjustment. Select Footplates on page 11 under Foot plate options

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 11: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 11 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

FOOT PLATE OPTIONS FOR ELEVATING &SWING AWAY FRONT RIGGING (1)

Adjustable Angle Foot Plates (each) . . . . . . . . . . . . . . $165

LEFT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # AFSL AFML AFLL AFXL

RIGHT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # AFSR AFMR AFLR AFXR

Multi-Axis Adjustable Angle Foot Plates(each) . . . . . $225LEFT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # MFSL MFML MFLL MFXL

RIGHT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # MFSR MFMR MFLR MFXR

Adjustable Angle Foot Plates with Caster Cut (each) $165LEFT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D)

Part # AFCSL AFCML AFCLL

RIGHT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D) Part # AFCSR AFCMR AFCLR

Multi-Axis Adjustable Angle Foot Plates Caster Cut(each) $225LEFT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D)

Part # MFCSL MFCML MFCLL

RIGHT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D) Part # MFCSR MFCMR MFCLR

Heel Loops (each) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20 Left Part # HLLRight Part # HLRNOTE: 1. Certain footplate sizes may not fit all seat widths depending on

legrests selected. Call for confirmation if necessary.

DUAL FRONT RIGGING ADAPTOR

Dual Front Rigging Receiver . . . . . . . . . . . . . . . . . . . .$295

Combinations Available please select one:

Maxx Style Fixed with 70° Swing Away Footrests Part # DFRA1Maxx Style Fixed with Power Maxx Swing-Away or Manual Maxx Swing-Away Legrests Part # DFRA2LNX Power Center Mount with 70° Swing Away Footrests Part # DFRA3LNX Power Center Mount with Manual Maxx Swing Away Legrests Part # DFRA4

NOTE: 1. Order legs separately on page 9 and 10.

CALF PANEL & STRAP OPTIONS(1)

Airmesh Calf Strap for chairs 15”-18”W - 3.5”H pad height Part # CSM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $115

Airmesh Calf Strap for chairs 18”-22”W - 3.5”H pad height Part # CSL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $115

Airmesh Calf Panel for chairs 15”-18”W;

35.5”W x 9”H pad Part # CPM . . . . . . . . . . . . . . . . . . . $170

Airmesh Calf Panel for chairs 18”-22”W;

38.5”W x 9”H pad Part # CPL . . . . . . . . . . . . . . . . . . . $185

NOTE: 1. Not available for Center Mounted Front Rigging.

SINGLE-FUNCTION ELECTRONICS

Select: LeftRightDo Not MountSpecialty Controls* Part # ESML ESMR ESMD ESMS

SINGLE-FUNCTION ELECTRONICS

Single/Dual Function Through Switch/Toggle(1)

Part # SFCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STD Please Select One: Single Push Button Part # SPB

Single Toggle Part # ST

Single Toggle/Bat extension Part #STB

Dual Push Button Part # DPB

Omit Switch Part # OS

Add: Reduced Drive for Elevating Seat (3) Part # RDE . . . . . $400

Single/Dual Function Drive Control(1)(2)Part # SFCBA . . . . . $750 Through Joystick Part # JOY

Through Specialty Control* Part # SC

Add: Reduced Drive for Elevating Seat (3) Part # RDE . . . . . $400

Additional Switch: Single Push Button Part # SPBSA . . . . . $97 Single Toggle Part # STA

Single Toggle/Bat extension Part # STBA

Dual Push Button Part # DPBA NOTE: 1. These electronics include drive lock-out and tilt limit. 2. Toggle action only. 3. If reduced drive is not selected system will be in drive lock-out

when elevated.

F

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 12: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 12 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

MULTI-FUNCTION ELECTRONICS

Multi Function Control Box - Switches/Toggles(1)

Part # MFCBS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,950 Select: Quad Push Button Part # QPB

Four-Way Toggle Part # FWT

8-Way Rocker(2) Part # EWR

Add: Reduced Drive for Elevating Seat (3) Part # RDE . . . . . . . . .$400

Multi Function Through Drive Control(1)

Part # MFCBD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,950

Through Joystick Part # JOY

Through Specialty Control* Part # SC

*Please contact Customer Service for a specialty control configuration sheet.

Includes:Reduced Drive for Elevating Seat Yes Part # RDY

No(3) Part # RDN Additional Switch: Quad Push Button Part # QPBA ..................$97 Four-Way Toggle Part # FWTA ...................$97 8-Way Rocker(2) Part # EWRA ..................$150NOTES: 1. These electronics include attendant control, drive lock-out, tilt/recline limit and actuator speed control. 2. Dual function is not available with 8-Way Rocker. 3. If reduced drive is not selected system will be in drive lock-out

when elevated.

ELECTRONICS OPTIONS

M616 Converter(1) Part # M616S . . . . . . . . . . . . . . . $125 (Allows for multiple switch options with phono plug connection)

Feather Touch Switch - Single function . . . . . . . . . . . . . . . . .$97 Dime Size Part # FTSD Quarter Size Part # FTSQ

Feather Touch Switch - Multi function . . . . . . . . . . . . . . .$135 Dual Dime Size Part # FTMD Quad Dime Size Part # FTMQ

Stealth Egg Switch - Single function . . . . . . . . . . . . . . .$77 Green Part # SESG Black Part # SESB

Power Shut Off Switch -Toggle Switch Only (1) Part # PSOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$175

Lazarus Jump Starter(1) Part # LJS . . . . . . . . . . . . . . .$150

Accessory Port Power Supply(1)(3 amp capacity) Part # APPS $195

12 Piece Switch Mounting Hardware Kit Part # TPSMH . .$39 (additional kits)

NOTE: 1. Not available with the Standard Electronics option.

VENT TRAYS(1)(2)(3)

Vent Tray - Articulating (Without battery tray) . $1,350

Horizontal (14W x 15D x 10H) Part # ARTVTH Vertical (14.625W x 10.125D x 13H) Part # ARTVTV

Vent Tray - Trilogy 100/200 (14W x 6D) Part # TRILVT $1,350NOTES: 1. The user weight limit is 225 lbs. 2. The maximum weight capacity of the vent tray is 35 lbs. 3. Vents are not standard configuration on Elevating or Precline Systems or with Single Post Backs.

COMPACT-LAPTOP VENT TRAYS(1)(2)(3)

Vent Tray Part # CVT . . . . . . . . . . . . . . . . . . . . . $1,350

Vent Bag Holder - Articulating Part # VBHA . . . . . . . . $990

Vent Bag Holder - Non-Articulating Part # VBHNA . . . $525NOTES: 1. The user weight limit is 225 lbs. 2. The maximum weight capacity of the vent tray is 35 lbs. 3. Vents are not standard configuration on Elevating or Precline Systems or with Single Post Backs.

ADDITIONAL BATTERY TRAY

TDX-SP Base - 3 x Group 22 Battery Tray(1)(2)

Part # TDX322 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$500

NOTE: 1. Comes with steel battery door cover.

2. Must be ordered with Wide TDX-SP2 base.

O2 HOLDERS(1)

Non-Articulating O2 Gas Holder Part # NAO2H . . . . . . . $395 (Cylinder Style)

Articulating O2 Gas Holder . . . . . . . . . . . . . . . . . $1,250

Select:

O2 Gas (Cylinder Style) Part # AOHGLiquid O2 (6.5” x 4.5”) Part # AOHL

Non-Articuating IV Pole . . . . . . . . . . . . . . . . . . . . . .$395

Users Left Part # NAIPL Users Right Part # NAIPR

Articuating IV Pole Part # AIVP . . . . . . . . . . . . . . . . . $1,250NOTE:

1. Articulating O2 holders are not standard configurations on Precline System, please call for quotation.

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________ For your ASL Drive Systems needs please refer to the

following order form 18-395C.

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 13: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 13 For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-393C

ADDITIONAL OPTIONS & ACCESSORIES

Concepts Back Pack Single Part # SBP . . . . . . . . . . . . . $125Double Part # DBP . . . . . . . . . . . . $195

Transfer Handles (Height Adjustable) . . . . . . . . . . . . . . . . . $350 Select: 4”-6.5” Part # THS 9”-11.5” Part # THL

Push Handles for Recline Systems (1) . . . . . . . . . . . . . . $350 Select: Straight Part # RPHS Angled Part # RPHA

D-Loops (set of 2)(2) Part # DL00P . . . . . . . . . . . . . . . . . . $250

Flip & Fold Away 1/2 Lap Tray(3) (14”W x 10”D) . . . . . . $795

Select Mounting:Left Part # FFLTL Right Part # FFLTR

NOTES: 1. 4” of total vertical mounting adjustment. 2. May increase seat to floor heights by approximately 3/8”. 3. Not available on joystick side and only available with a flat arm pad or modular arm pad.

INSTALLATION Installation by Motion Concepts(1) Part # MCI . . . . . . . . . N/C

NOTE: 1. Batteries may be required if items on Accessories order form are selected at time of installation, please call to confirm.

Total Retail Value $

NOTES:

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Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Modular Maxx CG Power Positioning System

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 14: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 1 of 3For the most current pricing information visit www.invacare.ca

Form: 18-395C

Note: All specifications and dimensions are approximate.

Quote Order Date of Order: ________ Dealer Account #: ____________________

Dealer Name: ________________________________________________

PO #: ____________________________ Tag _______________________

Purchasing Contact: __________________________________________

Phone: __________________________ Fax: _______________________

E-mail: ______________________________________________________

RTS/Therapist: _______________________________________________

Ship to Address: _____________________________________________

City: ____________________________ Province: __________________

Postal Code: _____________________ Client Gender: M F

Special Client Conditions: ____________________________________

REQUIRED INFORMATION

TDX-SP2 Modular Maxx ASL CDN PRICE LIST AND ORDER FORM

Price Effective February 1, 2018

Customer Service: 1.800-668-5324 I Fax: 1.800.668.5478 I www.invacare.ca

NOTES:

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HEAD ARRAY ASSEMBLIES - ASL104 ATOM

ASL 104 ATOMASL 104 Atom Package . . . . . . . . . . . . $6,200

Includes Electronics (Straight wings, 2” x 3” laterals) Head Arrary with Swin-gaway right or left side-mounted CASL314 Ultra Light switch for resent/mode change, CASL606 Multi-Axis Adjustable Headrest Mounting Hardware and CASL930L or CASL930R (Headrest swing-away, adjustable switch mounting as-sembly left or right) included.

Must select wing pads and switch mount location below:

CASL104ATOMSR Straight wing pads. Switch mounted on right side. CASL104ATOMCR Curved wing pads. Switch mounted on right side. CASL104ATOMSL Straight wing pads. Switch mounted on left side. CASL104ATOMCR Curved wing pads. Switch mounted on right side.

HEAD ARRAY ASSEMBLIES - ASL104 PROTON

ASL 104 PROTONASL 104 Proton Package . . . . . . . . $6,200

Includes (Elite) Electronic Head Array with swingaway right or left side mounted CASL314 Ultra Light switch for reset/mode change. CASL606 Multi-Axis Adjust-able Headrest Mounting Hardware included. PASL913L-P/E and PASL 913R-P/E Swing away Adjustable Lateral Rods and PASL915LLP-P/E and PASLRLP-P/E Lateral Pads ifor ASL 913 included.

Must select switch mount location below:

CASL104ATOMPR - Switch mounted on right side

CASL104ATOMPL - Switch mounted on left side

HEAD ARRAY ASSEMBLIES - ASL104 ELEMENT

ASL 104 ELEMENTASL 104 Element Package . . . . . . $6,200

Includes (Ultra)Electronic Head Array Sub Occipital, with swingaway right or left side mounted CASL314 Ultra Light switch for reset/mode change. Included ASL908 Sub Occipital pad and ASL908QCR Sub-occipital mounting post with 1” ball kit adapter.

Must select witch mount location below:

CASL104ATOMER - Switch mounted on right side

CASL104ATOMEL - Switch mounted on left side

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 15: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 2 of 3For the most current pricing information visit www.invacare.ca

Form: 18-395C

Note: All specifications and dimensions are approximate.

SIP AND PUFF/HEAD ARRAYPASL109Sip and Puff/Head Array Package ................................................... $6,400

Sip and Puff/Head Array, ASL301 Lip Switch = Reset/Mode Change Switch.

HEAD ARRAY ASSEMBLY OPTION ACCESSORIES

CASL611Adjustable Switch Mounting Bracket . . $325

CASL930BHeadrest Swing Away, Adjustable Switch Mount Assembly - Both Sides . . $990

ASL914 Adjustable Flexible Swing Away Mechanism . . . . . . . . . . . . . . . . . . . . . . . . $630SWITCH DIGIAL DRIVING OPTIONS

CASL1064-Switch Proximity Array . . . . . . . . . . . $4,650

CASL1072-Switch Fiber Optic Array . . . . . . . . . . $4,100

ASL914 Adjustable Flexible Swing Away Mechanism . . . . . . . . . . . . . . . . . . . . . . . . $630INTERFACE FOR LINX ELECTRONICS

CASL104Multi-Switch Interface for LiNX . . . . . . $2,300SWITCHES AND SWITCH MOUNTS

ASL300-RED Egg Switch - Red . . . . . . . . . . . . . . . . . . . $200

ASL300R Egg Switch Finger Mount Bracket . . . . . . $78

CASL312 Micro Light Switch . . . . . . . . . . . . . . . . . . $230

CASL314 Ultra Light Mechanical Switch . . . . . . . . $230

CASL504B Remote Emergency Stop Switch . . . . . $1,506

PROPORTIONAL DRIVER CONTROLSCASL129-660 ASL Micro Extremity Light Touch Control with ASL 660-644 Nucleus Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,130 Includes Joystick Mount for Nucleus Midline Mount

CASL130-660 ASL Micro ExtremityControl with ASL 660-644 Nucleus Mount . . . . . . . . $4,130 ncludes Joystick Mount for Nucleus Midline Mount

CASL132-660 ASL Paediatric Compact Joystick with ASL 660-644 Nucleus Mount . . . . . . . . $1,780 Includes Joystick Mount for Nucleus Midline MountCASL133-660 Compact Joystick - Single Button Switch with ASL 660-644 Nucleus Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,880 Includes Joystick Mount for Nucleus Midline Mount

CASL134-660 Compact Joystick - Dual Button Switch with ASL 660-644 Nucleus Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,880 Includes Joystick Mount for Nucleus Midline Mount

SWITCH PACKAGE OPTIONS

CASL101 ASL Single Switch Scanner . . . . . . $4,900 ASL 300/ASL611 (Egg Switch) = Drive Switch, Fixed Mount

CASL106IVC-16 4-Sensor Proximity Sensor Array . . $5,820 ASL Egg Switch, 16” Driving Platform

CASL106IVC-18 4-Sensor Proximity Sensor Array . . $5,820 ASL Egg Switch, 18” Driving Platform

CASL106IVC-20 4-Sensor Proximity Sensor Array . . $5,820 ASL Egg Switch, 20” Driving Platform

CPASL106EIVC-16 4- Sensor Proximity Sensor Array . $6,900 ASL Egg Switch, 16” Eclipse Tray

CPASL106EIVC-18 4- Sensor Proximity Sensor Array . $6,900 ASL Egg Switch, 18” Eclipse Tray

CPASL106EIVC-20 4- Sensor Proximity Sensor Array . $6,900 ASL Egg Switch, 20” Eclipse Tray

JOYSTICK COMPONENTS

CPMJ-CHINCUP MEC/PMJ Chin Cup (3/pk) . . . . . . . . . .$84

CPMJ-CORKBALL MED/PMJ Chin Cork (3/pk). . . . . . . . . .$84

COMMUNICATION DEVICES

CASL545 Tecla Shield Bluetooth Device DOS with

D9 Cable and Charger . . . . . . . . . . . . .$985

CASL557-2 ATOM Wireless

Dual Switch Receiver . . . . . . . . . .$390

CASL557-3 ATOM Wireless

Triple Switch Receiver . . . . . . . . . .$455

ASL558 Wireless Mouse Emulator . . . . . . . . $1,075

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Modular Maxx ASL Order Form

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

© 2018 Government of Alberta

Page 16: Fax: 1.800.668.5478  · For the most current pricing information visit PAGE 3 Note: All specifications and dimensions are approximate. Form:18-393C SPECIALTY CONTROLS TO BE USED ON

PAGE 3 of 3For the most current pricing information visit www.invacare.ca

Form: 18-395C

Note: All specifications and dimensions are approximate.

COMMUNICATION DEVICES

CASL603C Adjustable Height Driving Platform Joystick Mount for Compact Joystick . . .$875

ASL603HAM Adjustable Height Driving Platform For Micro Mini Joystick . . . . . . . . . .$875

ASL603M Adjustable Height Driving Platform Joystick Mount for Micro Extremity Control . . . . . . . . . .$875

CASL617 Flip-Down Headrest Mounting Bracket . .$250

CASL624 Swivel Joystick Mount . . . . . . . . . .$340 Must specify for MEC or Extremity Joystick and 1/2” or 1/4 Rod.

CASL627 Foot Control Mounting Platform . . . . . $1,330

ASL628 Swing Away Adjustable Height Chin Mount . . . . . . . . . . . . . . . . . . . . . . . . .$890 Specify Headrest & joystick Type. Works with CASL131, ASL130 or CASL132

ASL660 Nucleus Midline Mount . . . . . . . . . .$890 Require Joystick Mount below:

ASL660-643 - Mount for Invacare 1812 Joystick .$230 ASL660-644 - Mount for ASL130 MEC . . . . . . .$230 ASL660-646 - Mount for ASL132 Paediatric Compact Joystick for 1/2” Bar . . . . . . . . . .$230 ASL660-647 - Mount for MPJ+ Joystick . . . . . .$340

INTERFACE CABLES

CASL802/2 Auxiliary Interface Cable . . . . . . . . . . . . .$230 2 Mono Outputs, Wired Right & Left

CASL802/4 Auxiliary Interface Cable . . . . . . . . . . . . .$230 4 Mono Outputs, Wired Right, Left, Forward and Reverse.

NOTES:

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Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Modular Maxx ASL Order Form

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specifications - Invacare TDX with Tilt

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