Upload
others
View
5
Download
0
Embed Size (px)
Citation preview
� �
�
�
�
K0861 / K0862 / K0884
Typical Chair Weight W/O Battery
Transit ISO Transit
Seat Type SEDEO Ergo
Seat size range Width 16"-22"
STFH range MPC 16.4" - 19.4"
Drive Wheel Position Midwheel Drive Drive Wheels 14" Drive Wheels w/ flat free insert (Black )
User weight Cap 300-350 lb Tires/Casters 6" Front / 6" rear (Black )
25" 36" 20" Charger 10A Dual Mode Charger (Compact) Power First
Drive Control R-Net PM120 (Expandable) Battery Size Group 24 / Group 34.
Driving Range Up to 13.5 miles Color Accents Matte Black with 6 color accents
Drive Motors 4-pole 6 mph, Optional 5mph and 8mph Ground Clearance 4"
Lights and Indicators
QUICKIE QM-710 ™ MPC for SEDEO Ergo (Group 3 K0861/K0011)
Quickie QM-710™ MPC Tilt/Recline For SEDEO Ergo
Base Package: Includes SEDEO Ergo seating, LED lights and indicators,
QUICKIE QM-715™ HD MPC for SEDEO Ergo (Group 3 K0862/K0011)
Quickie QM-715™ HD MPC Tilt/Recline For SEDEO Ergo
Base Package: Includes SEDEO Ergo seating, LED lights and indicators for user weight 300-350lbs,
QUICKIE QM-720 ™ MPD for SEDEO Ergo (Group 4 K0884/K0014)
Quickie QM-720™ MPD Tilt/Recline
Base Package: Includes SEDEO Ergo seating, LED lights and indicators, 8mph Max speed.
Width
Depth 17"-22"
W/battery
Length
$7,600.00
Base size
Power Seating
MPC Seating Specifications
410Lbs 330lbs
PO#:
K0861 / K0011
QUICKIE QM-7 Series Base Specifications
Buyer:
Marked For:
Turn Radius
50º CG tilt and Power recline w/ 7" Mechanical sheer
reduction / 12" Seat elevator
Quickie QM-7 Series SEDEO Ergo
(K0861, K0862, K0844, K0011, K0014)EIPW11, October 2017
Account: Ship To:
The HCPCS CODES provided are based on code verification through PDAC or our interpretation of the code definitions.
The use of HCPCS CODES does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy.
Option # HCPCS Definition Price Option #
172PC114
1. QUICKIE QM-7 Series Multi-Power Seating (Select One)
$7,600.00
HCPCS Definition Price
Date: Name:
Address:
Phone:
City,State,Zip:
$8,750.00
172PC116 K0884 / K0014 $8,750.00
$8,175.00
HCPC Code
1.1 QM-710™ MPC
172PC115 K0862 / K0011 $8,175.00
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 1
� �
� �
�
�
� � Wheel locks
�
�
� �
�
�
� �
�
� � Position "0"
� � +.5" STFH
� � +1" STFH
� 251-300lb �
� 301-350lb � +3" STFH
�
�
� N/C
Color Accents
*17.8" 18.3"MPC Power Recline and HD Tilt.
17.4" 17.9"
Battery Charger
172BJ28 - 10A Dual Mode (Compact) Power First
N/C172HT47
18.4" 19.4"
� N/C
Drive Wheel
STFH Matrix
172AG23 E2359GP34 Brightway AGM Flat Top Batts (Pair)
w/straps, Required for lower STFH.
0 +.5"
Batteries
3. BATTERIES and CHARGERS
MPC Power Recline and Tilt. *17.5"
172MI01
18"
* Seat Depth Limited to 19" with the STFH configuration
STFH measured with batteries but no user. Actual STFH may vary by .5"
N/C
$105.00
N/C
$310.00
O2 Bottle Option
172A702 E2208
Omit Transit
- Suretrac Module and Motor Encoders $1,395.00
$260.00
Suretrac Drive Tracking
17" 18"
172AG04
172EZ23
Pre-Set Seat Frame Angle
Matte Black Shroud w/ Apple Green Acc
172PF85 N/C
19"
$735.00
N/C
-
N/C
-
N/C
-
172EZ22
-
2. BASE CHAIR OPTIONS
172WL42
172PF91 -
172EZ20 N/C
Transit Option
Color Accents
172DW59
172LI06
172TO25
$465.00
-
Ventilator Option
Fixed Vent Tray (Pulmonetic LTV Models)
-
172TO40
-
Matte Black Shroud w/ Blue Accents
MPC Power Recline with Tilt and 12" Lift combo
-
16.9"
QM-710 5 mph High Torque motor pkg $575.00
- QM-715 HD Standard 5 mph motor pkg
QM-720 Standard 8 mph motor package N/C
-
-
ISO Transit Package (NA with QM-715)
Matte Black Shroud w/ Orange Accents
Matte Black Shroud w/ White Accents172EZ19
172WG13Requires Group 34
Batteries
--
16.5"
172HT46
N/C
172HT49 N/C
172HT44 -
(Measured in the front) - Obtain Quote to verify est. STFHUser weight
201-250lb
14" Cast Wheel Solid Dual Density Inserts
Black Knobby Tires and Black Caster-
172WG14
172WG06
18.4"16.4"
19.3"
19"
MPC Power Recline with Tilt and 12" Lift combo
Include LED lights and indicators
+2"
NC
Matte Black Shroud w/ Red Accents
172EZ21 -
Wheel locks
N/C
-
Less than 150lbs
-
-
0°
172EZ24
N/C172WG03
N/C
+1"
O2 Bottle mount to backrest D and E-style
172HT45
N/C
172VT10
-172WG15
+2" STFH
-
�
N/C
-
-
N/CN/C
MPC Power Recline and Tilt.
Seating Type and
Power Option Combinations
GP24 MK Gel Flat Top Batts Pair w/strap
Recommended for Max Daily Range$809.00
+3"
172LI02
LED lights
Seat-to-Floor Height at 0 tilt
19.4"
Ultra-Low STFH Seat Frame "A"
(Upcharge see Section 6)
Reduces STFH by 1" from standard.
Raises recline pivot point by 2"
Armrest and backrest also raised 2"
16.8" 19.3"MPC Power Recline and HD Tilt. 17.3" 18.3"
NA with 16" Seat depth and seat
elevator
17.4"
Omit LED lights and indicators
QM-710 Standard 6 mph motor package
-
172PF84
N/C
N/C
Speed Package (4-pole 300lb)
Matte Black Shroud w/ Black Accents
N/C
N/C
172PF89
QM-710 8 mph Community motor package-172PF90 $1,150.00
172FA10 -
Seat Height (Use STFH Matrix below)
E1029
151-200lb
-
Standard STFH Seat Frame "B"
Seat pan is in line with recline pivot for standard STFH
$710.00
� E2363
� 172AG22 E2363GP24 Brightway AGM Flat Top Batteries
Pair w/strap.
� 172AG11 E2359GP34 MK Gel Flat Top Batteries (Pair)
w/straps, Required for lower STFH. $781.00
�
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 2
�
�
� Include Memory Seating
� Omit Memory Seating
�
�
� Mounting Location: Left Back Cane
�
�
� �
�
�
� �
� �
�
�
� �
� �
� �
� �
�
�
�
M2: Supine M5: Transfer M6: C-MEM4: Feet above HeartM3: Pressure Relief
Default Memory Positions
172PR5 $415.00
172SW24
Height Adjustable.
Joystick Mount (Fixed, Retractable, Mid)
$1,025.00
172JM17
� 172J114 -
CJSM2: Joystick Advanced: 3.5" Color
Display, Paddle Switches, Programmable
Shortcut Keys, ICONs, Stereo Jack, IR and
dual (IOS/Android) Bluetooth control
R-net PC Programmer with Dongle
Dual toggle switch and bracket $375.00
Single Switch Mount Bracket
N/C
$460.00
-
172JM14
172J95 - Omit JS. For use with OMNI N/C
$1,025.00
Joystick Mount (Location)
(For expandable controls, choose all that apply)
�
E2351 Rnet Output Module (ECM)
N/C
172EX07 $580.00Harness for 120A Expandable Controller
Rnet OMNI Input Control Module and display
with built in Infrared and armrest mount.
Choose mount below. (required for Specialty
Input Devices.)
172ER08
$875.00
Memory Seating
R-net Joystick
Attendant Control for R-net
$655.00172ON6 -
E2313
172DN1
172OG02 - N/C
N/C
172DS04 E1028 Swing Away Left Side OMNI Mount $245.00
(If used with Joystick must be mounted opposite side)
$245.00
Buddy Button Switch $80.00
Foam Ball Handle
172HM1 -
172DS03
R-Net Expandable Drive Control (120A) $1,235.0
Attendant Control
172SW22 Stereo to 2 Mono Splitter
172ON9 - Rnet Bluetooth for Apple Devices
OMNI Mount
172OG01
Mounting location: Right Back Cane N/C
172DN2
$65.00
172JH6
- Fixed Mount for Ergo
$80.00
Expandable Controllers
$1,005.00
N/C
E1028 Mid Line Mount
172SW4 Micro Light Switch
R-net OMNI and Output Options
Right Side Mount
Attendant Mounting location
Switches can be used with "Assignable Button" feature to control Power, Horn, Mode,
Speeds, Profile, Seating, IR, Bluetooth, Lighting, Output Module, Memory Settings and
Pressure Relief Reminder Mute.
E1028 Retractable Joystick mount for Ergo
-
$200.00
172HM2
N/C
E2323172JH4
Left Side Mount
172JH2 E2323
172SW21$80.00
Switch Mount Bracket
$80.00
172SW37 Switch-it Mini 2 button on 1 Stereo plug $200.00
Egg Switch-Black
172SW36 Switch-it Mini 2 button on 2 Mono plugs
E2323
M1: Seated
Joystick Handle (Optional)
T-Handle
Electronic Programmers
Goalpost
$200.00
E2323 Ball Handle
172EM01
Switch inputs for Joysticks or OMNI
1720A04 E2331
�
"Memory Seating" feature allows for 6 custom seating positions that are accessed either
thru the joystick, Ctrl+5, Joystick Shortcut keys or programmable jacks on OMNI and
joystick. When enabled, chair will be pre-programmed with:
Seated, Supine, Pressure Relief, Feet Above Heart Transfer and C-ME.
Settings are dealer settable using mono switch (not included).
172ON7
$100.00
172SW35 Switch-it Mini 1 button on Mono plug $200.00
$80.00
$245.00E1028 Swing Away Right Side OMNI Mount
4. ELECTRONICS
172EX08
172JH1
$80.00
� 172ON8 -Rnet Bluetooth Mouse-mover for Windows /
Android$875.00
172SW38 Switch-it Mini 4 button on DB9 connector
$200.00
N/C
Expandable 120A Controller - R-net
Includes Memory Seating Positions E2377
172SW1
172JM16
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 3
E2312 Micro Mini Joystick $2,995.00
172IJ07 E1028
K0108�
ASL Micro Mini Joystick w Hand Pad (ASL136)
Midline with Gatlin Package$3,240.00
�
E2312$245.00
$615.00
172IJ04 E1028
$3,646.00
SA Boom Mount with egg switch
S/A Mount off backrest $256.00
172IJ04 E1028 SA Boom Mount with egg switch $340.00
Micro Extremity Joystick
SA Boom Mount with egg switch $340.00
172IM06 K0108 Bib mount Large $615.00
172IJ04 E1028
172ID62 E2312 Micro-Pilot Proportional Joystick $2,995.00
$2,504.00
172ID60 E2312 Mushroom Joystick$3,950.00
SA Boom Mount with egg switch $340.00
Switch-It Micro-Pilot Bib Chin Control with Egg Switch
Package Large 8"
172IJ07
ASL Mushroom Joystick (ALS135)
Midline with Gatlin Package
172ID71
K0108
172IJ08 E1028
E1028 S/A Gatlin Mount
172ID71 E2373Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
172ID62 E2312 Micro-Pilot Proportional Joystick $2,995.00
E2373Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
�Switch-It Versa-Guide Bib Chin Control Compact Joystick with
Egg Switch Package Large 8"$2,605.00
SA Boom Mount with egg switch $340.00
$2,995.00
E1028
$615.00
172ID71K0108 Bib mount Small
E2373
�
172IJ04 E1028 SA Boom Mount with egg switch
172IJ04 E1028 SA Boom Mount with egg switch $340.00
$3,050.00
$245.00
172ID59 E2312 Micro Extremity Joystick
K0108 Bib mount Large
�
Switch-it Micro-Pilot Joystick with
Space Disc Package$3,610.00
172ID63 E2312 Micro-Guide Proportional Joystick
�ASL Proportional Micro Extremity Joystick (ASL130)
Midline with Gatlin Package$3,295.00 $3,950.00
�Switch-it Micro-Guide Joystick with
SpaceDisc Package$3,610.00
$340.00
172ID62 E2312 Micro-Pilot Proportional Joystick
�Switch-it Versa-Guide Compact Joystick Midline and prox flex
switches with Gatlin Package$2,420.00
S/A SpaceDisc mount $615.00
Bib mount Small $615.00172IM05
E1028 S/A Mount off backrest $256.00
�Switch-It Versa-Guide Bib Chin Control Compact Joystick with
Proximity Flex switches Package Std 6"$2,790.00
172IM05 K0108
�Switch-It Versa-Guide Bib Chin Control Compact Joystick with
Egg Switch Package Std 6"$2,605.00
172IM08 K0108Dual Flex Proximity Switches (requires no
force)$525.00
172ID71 E2373Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
E2373Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
$615.00
172IJ04
Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
$340.00SA Boom Mount with egg switch
$2,246.00
Dual Flex Proximity Switches (requires no
force)$525.00
Bib mount Small $615.00
K0108
172IJ04 E1028
172IJ04 S/A Mount off backrest$340.00
$5,195.00
Hand Control Proportional Joystick Packages
Switch-it Dual Pro Head Control w/Spot pads
172IM08 K0108Dual Flex Proximity Switches (requires no
force)$525.00
E1028
�Switch-it Versa-Guide Chin Control Compact Joystick and
Proximity Flex Switches Package$2,431.00
172ID70 E2328 $5,195.00
Switch-it Dual Pro Proportional Head Control with Spot Pads
Package
$5,195.00 172ID71 E2373Switch-it Versa-Guide Compact Proportional
Joystick
�Switch-it Versa-Guide Chin Control Compact Joystick
and Egg Switch Package
5a. Proportional Control Packages
Head Control Proportional Packages
$1,650.00
5. Specialty Driver Control Options
�
$615.00
172IM05
�
Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
172IJ04 E1028 SA Boom Mount with Egg Switch Control $340.00
Switch-it Dual Pro Head Control w/facial pad
172IM06
Switch-it Versa-Guide Compact Proportional
Joystick $1,650.00
$5,535.00
Chin Control Proportional Joystick Packages
�Switch-It Micro-Guide Bib Chin Control with Egg Switch
Package Large 8"S/A Gatlin Mount $245.00$3,950.00
172ID63 E2312 Micro-Guide Proportional Joystick $2,995.00
172IM06
172ID63
�Switch-It Micro-Pilot Bib Chin Control with Egg Switch Package
Std 6"$3,950.00
E2328
�
172IM08 K0108Dual Flex Proximity Switches (requires no
force)$525.00
172ID71 E2373
$1,895.00
172ID72172IM07
Switch-it Dual Pro Proportional Head Control with Spot Pads
and Gooseneck Mounted Proximity Switch Pkg
�
Requires expandable Rnet controls and OMNI unless otherwise noted.
172IM07 E1028
172ID72
S/A SpaceDisc mount
172ID68
S/A Gatlin Mount $245.00
SA Boom Mount with Egg Switch Control
$2,259.00
E2328 Switch-it Dual Pro Head Control w/facial pad $5,195.00
�
172IJ07 E1028
ASL Compact JoystickE2312
�Switch-It Micro-Guide Bib Chin Control with Egg Switch
Package Std 6"
172IM07 K0108
172ID59 E2312
$5,620.00
172ID70 E2328
Bib mount Large
Switch-It Versa-Guide Bib Chin Control Compact Joystick with
Proximity Flex Switches Package Large 8"$2,790.00
172IJ07 E1028 S/A Gatlin Mount $245.00
E1028 S/A Gatlin Mount $245.00
172IM08
172ID71
172IM05 K0108 Bib mount Small $615.00
�
$3,050.00
172IJ07
$2,995.00
ASL Compact Joystick w Integrated buttons (ASL134) Midline
with Gatlin Package$1,525.00
$256.00
K0108 Bib mount Large
172ID71 E2373
K0108
$340.00
$5,535.00
172ID61
E1028
�ASL Proportional Micro Extremity Joystick
Chin / Lip with Egg Switch Control Package
172IJ04
�Switch-it Dual Pro Proportional Head Control with Facial Pads
and Gooseneck Mounted Proximity Switch Pkg$5,620.00
$1,280.00
Switch-it Dual Pro Head Control w/Spot pads
Micro-Guide Proportional Joystick
Switch-it Dual Pro Proportional Head Control with Whitmyer
and Facial Pads (Adult)
$615.00
SA Gooseneck Mount with Proximity Switch
ControlE1028172IJ11
172IJ11 E1028SA Gooseneck Mount with Proximity Switch
Control$425.00
$425.00
E1028 S/A Gatlin Mount
Switch-it Versa-Guide Compact Joystick Midline with Gatlin
Package
172IJ08
172IJ07
$2,995.00
172IM06
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 4
� ASL Proximity Head Array Package (Adult)
� ASL Proximity Head Array Package (Ped)
�
�
� Switch-It Head Array Package 3 Switch Curved (Long) �
� Adjusta-A-Plush Headrest Pad Narrow
� Adjusta-A-Plush Headrest Pad Standard
� Switch-It Head Array Package 3 switch curved (Stubby)
�
�
� 172II04
�
�
� Quickie Sip n' Puff System �
�Sip N' Puff Kit
172IJ06
Headrest Mount for Specialty Controls
172II13 E2330 Switch-it Proximity Head Array Long
Whitmyer Linx Headrest Mount, Quick
Release
172HE91
172IB06 Egg Switch-Black $100.00
$200.00
Single Switches
$80.00
Extra Swing Away Head Boom Egg Switch and Mount
Switch-it Mini 1 button on Mono plug
$80.00172IB05
172IB07
172HE79 E0955
Extra SA Boom Mount with egg switch #2 $340.00
$230.00
172IJ05 E1028 Extra SA Boom Mount with egg switch #1 $340.00
Micro Light Switch
E1028
172ID34
$405.00
$4,535.00
$340.00
172MH23 E1028
172IB02
Plush Pad 14" for Specialty controls
Buddy Button Switch
E0955
$230.00
172HE81 $230.00
$230.00
172IJ10
172IJ09 E1028 SA Boom Mount with Egg Switch Control $340.00
172IH1 E2326 Sip n' Puff Tubing and SA Hardware
E2325
$4,535.00
E1028 SA Boom Mount with Egg Switch Control
172IJ09 E1028 SA Boom Mount with Egg Switch Control $340.00
Sip N Puff Package Choose headrest and HR mount below
E1028 SA Boom Mount with Egg Switch Control $340.00
5 Switch Proximity Head Array (No Egg Switch Needed) Choose
"Headrest Mount for Special Controls"
$4,295.00E2330 Switch-It Head Array 5 switch flat
E1028 SA Boom Mount with egg switch $340.00
172IJ09
$4,535.00
172II14 E2330 Switch-it Proximity Head Array Stubby $4,195.00
Whitmyer Headrest Pad for Specialty controls
172IJ09
$4,195.00 172HE90 E0955
E0955172HE80
E0955
Plush Pad 8" for Specialty controls $230.00
5. Specialty Driver Control Options (cont.)
5b. Switch Control
Requires Headrest and/or Headrest Mount
3 Switch Proximity Head Arrays Choose headrest mount below
172II03 E2330 ASL Proximity Head Array (Ped) $4,195.00
�
Plush Pad 10" for Specialty controls
$1,465.00
$4,195.00172II02 ASL Proximity Head Array (Adult)E2330
$375.00
$2,180.00
$4,535.00
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 5
�
�
� 172R5 16" � 172RF6 17" Seat depth
� 172R6 17" � 172RF7 18" Seat depth
� 172R7 18" � 172RF8 19" Seat depth
� 172R8 19" � 172RF24 20" Seat depth
� 172R9 20" � 172RF26 21" Seat depth
� 172R52 21" � 172RF25 22" Seat depth
� 172R25 22"
�
�
�
� � 172JU22
� 172JU23
� 172JU24
� 172JU25
� 172JU26
� 172JU27
� 172JU01 JAY Fusion 16" x 16" � 172JU15 JAY UNION 16" x 16"
� 172JU02 JAY Fusion 16" x 18" � 172JU16 JAY UNION 16" x 18"
� 172JU03 JAY Fusion 18" x 16" � 172JU17 JAY UNION 18" x 16"
� 172JU04 JAY Fusion 18" x 18" � 172JU18 JAY UNION 18" x 18"
� 172JU05 JAY Fusion 18" x 20" � 172JU19 JAY UNION 18" x 20"
� 172JU06 JAY Fusion 20" x 18" � 172JU20 JAY UNION 20" x 18"
� 172JU07 JAY Fusion 20" x 20" � 172JU21 JAY UNION 20" x 20"
�
172CU47
Some No-go's, see
STFH Matrix
$445.00
E2622 JFUSION1816 $440.00
E2622 JX21816
JAY X2 18" x 18"
$445.00
JAY X2 18" x 16"
$445.00
E2607
JAY X2 20" x 20"
JAY Union Cushion
$425.00
172CU46
JFUSION1818
E2607
JAY ION cushion w/ Premium leatherette cover $445.00
JAY ION cushion with 3DX coverE2607
C: ERGO Thigh Support (Bolster - Section 9) Width:
ERGO thigh supports measure 3.5" wide each, plus they sit on top of
the outer track rails and consume 2" of effective seat width. ERGO
thigh supports and track rail unlatch, swing away and lift off for lateral
transfers.
B: Seat Cushion Width (Section 8):
When ordered with ERGO thigh supports, the seat cushion will be 2"
narrower than selected seat width as ERGO thigh supports consume
2" of effective seat width. JAY Bundled cushion will be shipped
actual selected size so be sure to order appropriately if combined
with ERGO thigh supports.
JU1616
$425.00E2622 JX21818
JAY X2 Cushion
E2622
E2607
(N/C)
E2607
(N/C)(N/C)
(N/C)
7. SEAT SIZE
N/C
SEDEO Ergo Recline N/C
$445.00E2622
172FU31 -
172ST63 -
(N/C)
(N/C)
(N/C)
JU1816
E2622
D: Seat Depth (Section 7):
Measured from back shell surface to front of seat pan.
Most backs cushions consume 1" of effective seat depth.
Seat Pan has Infinite adjustable from 16"-22" deep.
(N/C)
Standard Seat Frame "B"
$445.00
6. SEAT TYPE
Seat width
JX22020
(N/C)
JX21618 JAY X2 16" x 18"
$425.00
JAY X2 18" x 20" $425.00
(N/C)
(N/C)
Seat width
E2607
(N/C)
E2622 JFUSION1618 JU1618
JU1820
Width:
JU2018
JAY Cushion Bundling
$445.00
$440.00 E2607
E2622 JX21820
Note: see measurement "B" and "C" above. When ordered with
ERGO thigh guide, order bundled cushion 2" narrower than
effective seat width.
JAY Cushion On Chair Order -
$440.00 JU1818
JAY Fusion Cushion
Seat width
Seat width (N/C)
JAY X2 16" x 16"
E2622
Ultra-Low STFH Seat Frame "A"-172FU30� $625.00
Seat Width (Pan Width)
E2607
E2622
E2622
$425.00
$425.00
JAY Bundled Cushion
JFUSION2020 $440.00
E2607
E2607
Cushion Name or Part #
E2622
172JC20
$445.00
JFUSION1820 $440.00
Depth: Price List
JU2020
8. SEAT CUSHIONS
JFUSION2018 $440.00
$445.00
172JC14 NC JX21616
JAY Ion Cushion for SEDEO ERGO
Seat width
JAY ION cushion with 3DX and Black Stretch $445.00
Seat Depth (Section 7)
Seat width
Seat width
172CU45
A: Seat Pan Width (Section 7):
Measured on the seat pan from inside track rail to inside track rail,
Infinite adjustable from 16"-22" wide.
Critical Measurements
E2622
JFUSION1616 $440.00
JAY Custom Cushion
To order any JAY cushions not listed above , please see the JAY price list. Cushion name or part number must be filled out w/ desired width and depth
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 6
�
�
�
�
�
�
�
�
�
�
�
�
� �
�
�
�
�
�
�
�
�
�
�
� 172OG05 Include C-ME with Seat elevator (NA with QM-720 or QM-715HD)
� 172OG06 Omit C-ME with Seat elevator
E2300
Swing Away Long - Right
172XX04
$335.00
E1028
$545.00
E1028
Long Thigh Support w/Removable Mount
172TV1
LATERAL SWING AWAY MOUNT - PAIR $545.00
$11,550.00
12" Power Seat Elevate (Optional C-ME) $3,025.00
Biometric Repositioning Recline
Omit Biometric Reposition recline.
$230.00
172ZR03
Ergo Long Thigh Support - Right
Include Biometric Reposition recline. (Requires Memory positions.)
172OG04
Swing Away Short - Right
172ZV15
-
LATERAL SWING AWAY MOUNT - PAIR
LAT 6X6 S/A MOUNTS W/ 1" OFFSET - PR
172OG03
- N/C
Ergo Thigh Supports
(Upholstered in 3DX unless back is ordered in Leatherette).
$175.00
$230.00
$335.00
N/C
172PA30
$230.00
$260.00
E1028
172PA28
Biometric Repositioning
E1028172XX06
C-ME (3mph drive speed with full elevate)
172TV2
E0956
E0956 Long Thigh Support - Right
LATERAL 6X4 W/ 1" OFFSET - PAIR
E1028
172ZS07
$805.00
$230.00172XX07 E1028
Knee Adductor Pad LG- Left
Swing Away Long - Left
172ZV19
172KB5
Knee Adductor Supports - RIGHT (choose Pad and Arm)
LAT 4X5 S/A MOUNTS W/ 1" OFFSET - PR
E0956 Long Thigh Support - Left
E0956 $175.00
Swing Away Short - Left
Knee Adductor Pad SM- Left
50 Degree Tilt and Ergo Recline w/Shear Reduction and optional Biometric Repositioning (2 actuators)
10. POWERED SEATING
Power Seating Options
172KB8
E1007
172PA29 E1007
LATERAL 4X6 W/ 1" OFFSET - PAIRE0956
E0956 172ZV14
LATERAL SWING AWAY MOUNT - PAIR $545.00
172ZS07
Swing-away Mount - Right
Pad Size
Swing-away Mount - Left
Ergo Thigh Support - Right (Seat Bolster)
LATERAL 4X4 W/ 1" OFFSET - PAIR $260.00 E1028
172ZV18
172ZS07
$805.00LAT 4X6 S/A MOUNTS W/ 1" OFFSET - PR
Swing Away Knee Adductor Supports
Removable Mount - Right
$230.00
LAT 4X4 S/A MOUNTS W/ 1" OFFSET - PR
172ZS07
$12,550.00
Powered Seat Elevator (NA with QM-715 HD)
N/C
LATERAL 6X5 W/ 1" OFFSET - PAIR
$335.00
$105.00$545.00
S/A Arm Size
LATERAL SWING AWAY MOUNT - PAIR
$805.00
$175.00
LAT 6X4 S/A MOUNTS W/ 1" OFFSET - PR
$260.00 SPOT Long Thigh Support - Right
$405.00
$105.00
E1028
172ZV16
E0956
E0960
Ergo Long Thigh Support - Left
172TX4
CHEST STRAP
$805.00
Knee Adductor Supports - LEFT (choose Pad and Arm)
$230.00
N/C
Padded Chest Strap
LATERAL SWING AWAY MOUNT - PAIR
S/A Arm Size
E0956
E0956
LATERAL 6X6 W/ 1" OFFSET - PAIR
$805.00
Ergo Thigh Support - Left (Seat Bolster)
172ZS07
$405.00
LATERAL THORACIC SUPPORT (Swing Away)
$230.00
E0956
E1028
9. POSTURAL SUPPORTS
E1028 Removable Mount - Left
Knee Adductor Pad SM- Right
$260.00
172XX05
$175.00
$545.00
Pad Size
172KB6
Knee Adductor Pad LG- Right
LATERAL SWING AWAY MOUNT - PAIR
LAT 6X5 S/A MOUNTS W/ 1" OFFSET - PR
$105.00
-
172TX2
$230.00
E1028
E1028
E1028
E0956
-
$335.00
$260.00
172KB7
Available on all Solid Backs.
E1028
$105.00
172TX1
SPOT Long Thigh Support - Left
$260.00E0956 LATERAL 4X5 W/ 1" OFFSET - PAIR
$805.00
172TX3
172ZS07 $545.00
E0956
QM-715 HD 50 Degree Tilt and Ergo Recline w/Shear Reduction and optional Biometric Repositioning (350 weight limit) (2 actuators)
E0956
172TV6
172TV5
$230.00
172ZV17
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 7
� Ctrl+5 Switchbox mounted behind joystick
� Ctrl+5 Switchbox mounted opposite joystick
� Ctrl+5 Switchbox mounted on back cane
� Push buttons
� Toggle switches
� Enable Assignable buttons
� Disable Assignable buttons
� Ctrl+5 Switchbox mounted behind joystick
� Ctrl+5 Switchbox mounted opposite joystick
� Ctrl+5 Switchbox mounted on back cane
� Include PRAR
� Omit PRAR � Push buttons
� Toggle switches
� �
�
� � � 100° 172QK3
�
Back Upholstery Type
� 172BU47 - Ergo Back Cushion: choose options below N/C
-
$1,250.00
172BU14 -Omit Back.
Includes bracket for aftermarket backs N/C
Ctrl+5 Push Button option Ctrl+5 Toggle Switch option
Thru Drive 2+ Actuators: (For operating Tilt,
recline, lift, power legs) Includes Ctrl+5 and
optional PRAR
-
N/C
N/C
172EY04
90° 172QK1 95° 172QK2 default
172EY03
Power Recline Backrest Preset Home Angle N/C
PRAR Pressure Relief Alert and Record feature provides programmable alerts to be set
into the Rnet electronics that will prompt the user when it is time to perform a pressure
relief. The rnet system will record how often the pressure relief is completed or ignored.
Requires Memory Seating function.
172EY05
172BP56
- $250.00
172PM01
172OG07
N/C
PRAR Pressure Relief Alert and Recording
Joystick emits an Alert Tune
and / or
Icon on Ctrl+5 flashes Blue when it is time to do a pressure relief
$55.00
172QG08
172QG03
-
172BP55
172OG08
Height Adjustable Push Handles.
w/2 utility hooks
- N/C
172PM02
Jay J3 for Power Recline w/1.5" Foam
Choose type below.
-
172QG07
#2 Ctrl+5 Switch Type
N/C
-
N/C
172QG01
N/C
-
Power Recline (Power Recline Seat only)
�
172BT89
Push Handle Options
-
172EY06
�
-
N/C
- N/C
-
172JB03
$3,225.00
-
Power Seating Control
Ctrl+5 Switchbox Options
#1 Ctrl+5 Switch Type
Omit push handles172BP57
- N/C
Ctrl+5 allows direct control to 5 power seating functions (10 total switches).
Switches can also be used with assignable buttons and Memory seating for greater
flexibility. Box includes 3-Amp USB port for charging portable devices
-
N/C
Thru-Drive 2+ Actuator
Assignable Buttons
$1,250.00
#2 Ctrl+5 Switch Location
Powered Seating Thru-drive Control Method.
Fixed "Cane" Handles. NA with O2 holder
172EO31 E2311
172QG06
- N/C
172QG02
$250.00
N/C
A 2nd Ctrl+5 can be added to provide additional control for Memory seating or
environmental controls. It can also be mounted as an attendant control all functions of #1
are available.
Powered Seating Thru-drive Control Options
"Assignable Button" feature allows for customization of joystick buttons and/or Ctrl+5
Switches allowing access to various wheelchair and seating functions. When enabled,
chair will be pre-programmed with seating functions assigned to buttons on the joystick.
Assignments can be changed via PC Dongle.
�
-
-
#1 Ctrl+5 Switch Location
11. BACKREST AND BACK OPTIONS FOR ERGO RECLINE
Backrest Frame Type
-
$1,250.00
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 8
� - 16"
� - 18"
� - 20"
� - 22"
� - sf
� 22" NA with Ultra Low STFH Seat Frame
� 24"
� 26"
� 28" NA with Standard Seat Frame
min max min max
� 22"
� 24"
� 26"
� 27"
� 28" � 172JQ01 -
� 172JQ02 -
� 172JQ03 -
� 172JQ04 -
� -
�
JAY J3 Back Height Setting. Backs are height adjustable
Back width
11b. JAY J3 BACK for ERGO POWER RECLINE OPTIONS
�
N/C
Premium Leatherette Option3DX Option
172B153
�
J3 PA Back (2.2" of Contour Depth)
Available 16"-20" Wide (J3PAUTZYYXX)$535.00
Back width 20" N/C
SEDEO Ergo Back Width (YY)
Measured from pan to top of solid back.
172B42 - N/C
� 172JR03172JP05
172B44 - N/C
172B140 -
Back width 18" N/C
N/C
J3 PD Back (6.0" of Contour Depth)
Available 16"-20" Wide (J3PDUTZYYXX)
172B141 - N/C
172B142
172JP06
23" 26" 22" 24"
Back can be ordered a different width than seat pan.
Armrest will be adjusted to back width ordered.
Back width 14" N/C
N/C-Shoulder Height 18"
shell for 22" wide
-
N/C
172JQ05 Back width 22" (Use with 22" wide seat) N/C
� 172JR05
172JS01 K0108 SPINE-ALIGN MINI FIT KIT 2 $101.00
-
SEDEO Ergo Back Type SEDEO Ergo Back coding:
( xx=height, YY=width, zz=Upholstery)
Back cushion reduces effective seat depth by 1"
172JP01 E2613
Includes: 5 wedges, 2 lat shims, 2 post/lat pelvic, 1 lg lumbar, 1 flat shim,
and 1 curved
�
�
-
Upper Thoracic Tall
19.5" shell
� 172JR02 N/C
JAY J3 Back Width
172JP03 E2615
E2620
$745.00
�
172JP04
J3 PDC Back (6.0" of Contour Depth)
Available 16"-20" Wide (J3PDCUTZYYXX)
Shoulder Height 21"
shell
SPINE-ALIGN MINI FIT KIT 2
E2620
N/C
E2620
N/C
N/C172JR04�
SEDEO Ergo Back Height (xx)
(measured from seat pan to top of back shell)
�
Back width
Back can be ordered a different width than seat pan.
Armrest will be adjusted to back width ordered.
Ergo Back Cushion: ERGOxxYYzz
For 22" seat width$745.00
J3 PL Back (3.0" of Contour Depth)
Available 16"-20" Wide (J3PLUTZYYXX)
172OD22 E2621
$745.00
172OD21
- N/C
172B152
24"Mid Thoracic Short
15" shell
-
24" 25"
Upper Thoracic Short
16.5" shell
Upper Thoracic Med
18" shell
�
172JR06
-
22"
21"
172B158
N/C
172BN20
172BN19
11a. SEDEO ERGO BACK CUSHION AND OPTIONS
�
172ZD76 N/C
172ZD77�
$745.00
N/C
26"25" 28"
24" 27"
23"
21"
- 3DX™ spacer fabric and
Lycra® stretch outer layer (xs)
26"
22" 25"
Premium Leatherette with perforated inserts
(pl)
N/C
25"
N/CErgo Back Cushion ERGOxxYYzz:
For 16" to 20" seat width
19"
JAY J3 Back Shell Options and Height Ranges.
Jay Shells are infinitely height adjustable
N/C
172BN18
3DX™ spacer fabric (sf)
22" 24"
$620.00
N/C
$745.00
$795.00
Frame BFrame A
JAY J3 Shell Type
Choose Frame Type in Section 6
� 172JP02 E2614J3 PA Back (2.2" of Contour Depth)
Available 22" Wide (J3PAUTZ22FX)
E2620J3 PDL Back (6.0" of Contour Depth)
Available 16"-20" Wide (J3PDLUTZYYXX)
Back width
Back width
�
JAY J3 Back Contour.
Back cushion reduces effective seat depth by 1"
172B154
N/C
N/C
N/C
172JR01
-
-
xs
-
-
pl
172BN21
N/C172ZD78
SEDEO Ergo Back Upholstery options (zz)
23"
� -
Back width 16"
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 9
�
�
�
�
�
� �
� �
� �
� �
� �
� �
� �
� �
�
�
�
�
�
�
�
�Gel Foot Pads for XL Single Centermount
Footplate. $350.00
172HL14 E0951 Padded and Adjustable Heel Block $50.00
Custom Centermount Options
� 172DI26K0040
K0108
Extra Large Single Footplate for
Centermount Footrest. Size 16"W x 14"D $250.00
N/C
Looking for more options? Contact our custom "built 4 me" department.
To Inquire about any unique customization for Quickie products, contact:
Phone: (800) 333-4000, Option #3 or Fax: (800) 333-9011
� 172EG29 -
Cantilever / Reclining Arm
Standard STFH 10"-14" Arm Height Range
Ultra-low STFH 12"-16" Arm Height Range
K0108
�
16. CUSTOM OPTIONS
172DI28E0995
K0108
Extra Large Pair Curved Calf Pads for
Center Mount Legrests. Fully adjustable $350.00
172DI27
Trough / Elbow Block Large (Gel)
(4" x 14.5") Reclining Arm Pad172AB28172AE28 -
172HE78
172HE66
172HE82 E0955 $230.00
AES Trough/Elbow Block Reclining Arm pads (Gel)
Left Gel Arm pad ($250.00) Right Gel Arm pad ($250.00)
172AE27
172AE29 -
Left Arm Pad (N/C) Right Arm pad (N/C)
Comfort 4" wide Reclining Arm Pad 172AB26
Whitmyer Adjusta-A-Plush Pad Narrow
172HE83 E0955
Trough / Elbow Block Medium (Gel)
(3.5" x 13") Reclining Arm Pad
172AE26
- 172AB27
172AB22
172AE23 - Comfort 4" wide Reclining Arm Pad 172AB23
Comfort Reclining Arm pad (Gel)
Left Gel Arm pad ($150.00) Right Gel Arm pad (150.00)
172AE25
Reclining Arm pad Options(Arm pad can be angled inward 15 degrees)
Comfort Reclining Arm pad (Foam)
Left Arm pad ($75.00) Right Arm pad (75.00)
172AE22 -
172AB25
Whitmyer Plush Pad 10"
Whitmyer Plush Pad 14" $230.00
$230.00
-
� $230.00172MH18 E1028
12. HEADREST OPTIONS
E0955
- Comfort 2" wide Reclining Arm Pad
13. ARMREST AND ARMPAD OPTIONS
Comfort 2" wide Reclining Arm Pad
Whitmyer Plush Pad 8"
� 172H128 -
Fixed Center Mount Power Recline (Choose
individual angle adjustable footplates and
custom options below) (F)
N/C
$230.00Swing-Away Tray 1727A06
$40.00
172EJ03
Positioning Belt - Select for any style seatWheelchair Tray Table
E0978
Auto Style Buckle
172EJ02
172A1 Black Utility
1728A09
172EJ01E0950 N/C
Power Centermount Footplate Extension Option
(For Thru-Drive Operation)
� 172IE01 K0108
Enable 7 .5" Powered footplate extension
for transfer assist. (Electronics programmed
to allow footplates to be extended with or
without legrest being raised)
$1,250.00
�
Switch-it Remote Stop Switch
1728A11 Ram Cup holder $50.00
Ram Tablet Mount
1728A12
1728A10
$895.00
Ram Phone Mount
$55.00
Backpack
$200.00
Belt 2" Aircraft Buckle Padded E0978 $70.00
$50.00
Accessories
Power Elevating Legrests
�
Fixed Center Mount Legrests
Armrest for Power Recline Seating.(Armrest width is adjustable from 16" to 22"
� 172MH22 E1028Whimyer Linx Headrest Mount, Quick
Release
Whitmyer Adjusta-A-Plush Pad Standard $230.00
E0955
$230.00172HE65
$405.00
172F315 K0040 CMT Angle Adjustable Footplates $170.00
E1012
Power Centermount ELR w/7.5" Power
Articulation (F) Centermount footplates
plus Custom Options Below
Footplates
172H127
14. Centermount Footrest options
$2,320.00 �
F - Centermount Dual Footplate and Heel Block
(Pair) (Individually Height (3"-19") and Angle
Adjustable)
172IE02 -
Disable Footplate extension for transfers.
(Electronics programmed to ONLY extend
footplates when legs are raised.)
N/C
Standard Waterfall Reclining Arm pad
(Upholstered in 3DX unless back is ordered in Leatherette).
$220.00
15. ACCESSORIES
Belt 2" Aircraft Buckle
St Reclining Arm Pad (16") 172AB29
Headrest Mount Whitmyer Headrest Pad
Ergo Multi-position headrest mount, Quick
release
E0955
� -
2-Point Reclining Locking Arm
Requires Ergo Bolsters to be Omitted,
Side Rail will be "Fixed" instead of Swing-
away. Call for Quote.
N/C
Sunrise Medical 2842 Business Park Ave. - Fresno, CA - USA (800) 333-4000 Canada (800) 263-3390 FAX: (800) 300-7502
www.sunrisemedical.com - Specifications are subject to change without notice. Copyright © 2017 MK-100337 REV G
Page 10