Account #: _______________________ Purchase Order No.: ___________________ Date: ____________Contact: _______________________________________ Mark For:______________________________

Bill To: Ship To:Address: Address:City/State/Zip:Phone: City/State/Zip:Email Phone:

● Hip Side Supports, Front and Back with Cover ● Adduction Support with Cover● Abduction Support with Cover ● Spacers for Seat Growth● Dynamic Backrest ● Lumbar Support - X:Panda sz 4 Only

Required, Must Select One Seat and One Back Size Price HCPCS Part No.X:Panda Back, Small 1 $600 E2291 X8910111-01X:Panda Seat, Small (W: 6½") 1 $615 E2292 X8910111-02X:Panda Back, Medium 1 $600 E2291 X8910112-01X:Panda Seat, Medium (W: 7¼") 1 $615 E2292 X8910112-02X:Panda Back, Large 1 $600 E2291 X8910113-01X:Panda Seat, Large (W: 9¼") 1 $615 E2292 X8910113-02

X:Panda Back, Small 2 $600 E2291 X8910121-01X:Panda Seat, Small (W: 7¼") 2 $615 E2292 X8910121-02X:Panda Back, Medium 2 $600 E2291 X8910122-01X:Panda Seat, Medium (W: 9¼") 2 $615 E2292 X8910122-02X:Panda Back, Large 2 $600 E2291 X8910123-01X:Panda Seat, Large (W: 11") 2 $615 E2292 X8910123-02

X:Panda Back, Small 3 $600 E2291 X8910131-01X:Panda Seat, Small (W: 10¼") 3 $615 E2292 X8910131-02X:Panda Back, Medium 3 $600 E2291 X8910132-01X:Panda Seat, Medium (W: 12") 3 $615 E2292 X8910132-02X:Panda Back, Large 3 $600 E2291 X8910133-01X:Panda Seat, Large (W: 14") 3 $615 E2292 X8910133-02

X:Panda Back, Small 4 $600 E2291 X8910141-01X:Panda Seat, Small (W: 14") 4 $615 E2292 X8910141-02X:Panda Back, Medium 4 $600 E2291 X8910142-01X:Panda Seat, Medium (W: 15¼") 4 $615 E2292 X8910142-02X:Panda Back, Large 4 $600 E2291 X8910143-01X:Panda Seat, Large (W: 18") 4 $615 E2292 X8910143-02

Dynamic Gas Spring Required, Must Select One Size Price HCPCS Part No.Dynamic Gas Spring Kit, 100N 1, 2 $200 K0108 8911100Dynamic Gas Spring Kit, 150N 3 $200 K0108 8911150Dynamic Gas Spring Kit, 350N 4 $200 K0108 8911350-4Recline, '-5° to 30° (Required) One Size $480 E1014 X66-8911

R82 X:PandaRetail Price List/ Order Form

X:Panda Standard Features:

X:Panda Seat and Back

X:Panda Required Items

Page 1 of 13

Required; Must Select a Back Cushion and Must Select a Color (xx = Color)Black = 60 Pink = 64 (n/a on sz 4) Red = 65Blue = 66 Lime Green = 67

Size Price HCPCS Part No.(A) Back Cushion, Small (W: 6¼") (A) 1 $0 8912311-xx

Back Cushion, Medium (W: 7¼") (A) 1 $0 8912312-xxBack Cushion, Large (W: 9¼") (A) 1 $0 8912313-xx

Back Cushion, Small (W: 7¼") (A) 2 $0 8912321-xxBack Cushion, Medium (W: 9¼") (A) 2 $0 8912322-xxBack Cushion, Large (W: 11") (A) 2 $0 8912323-xx

Back Cushion, Small (W: 10¼") (A) 3 $0 8912331-xxBack Cushion, Medium (W: 12") (A) 3 $0 8912332-xxBack Cushion, Large (W: 14") (A) 3 $0 8912333-xx

Back Cushion, Small (W: 14¼") (A) 4 $0 8910341-xxBack Cushion, Medium (W: 16") (A) 4 $0 8910342-xxBack Cushion, Large (W: 18") (A) 4 $0 8910343-xx

Color selection required w/ Extended Back Cushion (A) (xx = Color)Black = 60 Pink = 64 (n/a on sz 4) Red = 65Blue = 66 Lime Green = 67

Size Price HCPCS Part No.(A) (B) Extended Back Cushion (W: 16¼") (A) 4 $0 8910344-xx

Extended Back Cushion (W: 18") (A) 4 $0 8910345-xxExtended Back Cushion (W: 20") (A) 4 $0 8910346-xxBackrest Width Extension, 2" (Required w/ (A)) 4 $225 8910409-45

Insert for Backrest, Foam (B) 1 $36 8910406-1(C) (D) Insert for Backrest, Foam (B) 2 $36 8910406-2

Insert for Backrest, Foam (B) 3 $36 8910406-3Insert for Backrest, Plywood (C) 4 $92 8910406-4

Backrest Extension (9" x 3.9" x 2") (D) Small $215 K0108 8910655-160Backrest Extension (11" x 3.9" x 2") (D) Medium $215 K0108 8910655-260Backrest Extension (13" x 3.9" x 2") (D) Large $215 K0108 8910655-360

Seat Cushion or Seat Cushion without Abduction Required, Must Select One.Color selection required w/ Seat Cushion (xx = Color)

Black = 60 Pink = 64 (n/a on sz 4) Red = 65Blue = 66 Lime Green = 67

Size Price HCPCS Part No.(A) Seat Cushion, Small (6¼") (A) 1 $0 8910211-xx

Seat Cushion, Medium (7¼") (A) 1 $0 8910212-xxSeat Cushion, Large (9¼") (A) 1 $0 8910213-xx

Seat Cushion, Small (7¼") (A) 2 $0 8910221-xxSeat Cushion, Medium (9¼") (A) 2 $0 8910222-xxSeat Cushion, Large (11") (A) 2 $0 8910223-xx

Seat Cushion Options

Back Options

Back Cushion

Page 2 of 13

Size Price HCPCS Part No.Seat Cushion, Small (10¼") (A) 3 $0 8910231-xxSeat Cushion, Medium (12") (A) 3 $0 8910232-xxSeat Cushion, Large (14") (A) 3 $0 8910233-xx

Seat Cushion, Small (14¼") (A) 4 $0 8910241-xxSeat Cushion, Medium (16") (A) 4 $0 8910242-xxSeat Cushion, Large (18") (A) 4 $0 8910243-xx

Seat Cushion w/o Abduction is Only Available in BLA Size Price HCPCS Part No.(B) Seat Cushion without Abduction, Small (6¼") (B) 1 $0 8910251-60

Seat Cushion without Abduction, Medium (7¼") (B) 1 $0 8910252-60Seat Cushion without Abduction, Large (9¼") (B) 1 $0 8910253-30

Seat Cushion without Abduction, Small (7¼") (B) 2 $0 8910261-60Seat Cushion without Abduction, Medium (9¼") (B) 2 $0 8910262-60Seat Cushion without Abduction, Large (11") (B) 2 $0 8910263-60

Seat Cushion without Abduction, Small (10¼") (B) 3 $0 8910271-60Seat Cushion without Abduction, Medium (12") (B) 3 $0 8910272-60Seat Cushion without Abduction, Large (14") (B) 3 $0 8910273-60

Seat Cushion without Abduction, Small (14¼") (B) 4 $0 8910281-60Seat Cushion without Abduction, Medium (16") (B) 4 $0 8910282-60Seat Cushion without Abduction, Large (18") (B) 4 $0 8910283-60

Size Price HCPCS Part No.(A) Seat Wedge, Set (4" x 6") (A) 1, 2, 3 $46 K0108 8910405-3

Seat Wedge, Set (6" x 6") (A) 3 $46 K0108 8910405-5Seat Wedge, Small, Set (A) 4 $46 K0108 8910405-11Seat Wedge, Medium, Set (A) 4 $46 K0108 8910405-12Seat Wedge, Large, Set (A) 4 $46 K0108 8910405-13

(B) Hip Support, Right (B) 1, 2 $100 E0956 8910404-1RHip Support, Left (B) 1, 2 $100 E0956 8910404-1LHip Support, Right (B) 3 $100 E0956 8910404-2RHip Support, Left (B) 3 $100 E0956 8910404-2LHip Support, Right (B) 4 $100 E0956 8910404-4R

(C) Hip Support, Left (B) 4 $100 E0956 8910404-4LHip Support with PU Pad (7½" x 3.3" x 1.4") (C)* 4 $295 E0956 8910404-44Hip Support with PU Pad (7½" x 3.3" x 1.4") (C)** 4 $295 E0956 8910404-45(C)* for x:panda 4 dual rod arm rests (8910618) (C)** for x:panda 4 single rod arm rests (8910619)

Size Price HCPCS Part No.(A) (B) Armrest, Height, Depth & Angle Adjustable, Set (A) 1 $355 E0973 8910615

Armrest, Height, Depth & Angle Adjustable, Set (A) 2 $355 E0973 8910616Armrest, Height, Depth & Angle Adjustable, Set (A) 3 $355 E0973 8910617Armrest, Dual Rods, 13½", Set (B) 4 $355 E0973 8910618Armrest, Single Rods, 13½", Set (C) 4 $355 E0973 8910619

(C)

Seat Cushion Options Continued

Pelvic Positioning

Frame Options

Page 3 of 13

Size Price HCPCS Part No.(A) (B) Medial Thigh Support, Right (A) 1, 2 $145 E0957 8910402-1R

Medial Thigh Support, Left (A) 1, 2 $145 E0957 8910402-1LMedial Thigh Support, Right (A) 3 $145 E0957 8910402-2RMedial Thigh Support, Left (A) 3 $145 E0957 8910402-2LMedial Thigh Support, Right (A) 4 $145 E0957 8910402-4R

(C) Medial Thigh Support, Left (A) 4 $145 E0957 8910402-4LMedial Thigh System, Removable (3½" x 3½" x 3½") (B) 1 $340 E0957/E1028 8910408-1Medial Thigh System, Removable (4¾" x 3½" x 3½") (B) 2 $340 E0957/E1028 8910408-2Medial Thigh System, Removable (6" x 3½" x 3½") (B) 3 $340 E0957/E1028 8910408-3Medial Thigh System, Removable (7" x 3½" x 3½") (B) 4 $340 E0957/E1028 8910408-4

(D) Upholstered Ankle Strap with Velcro (C) 1 $185 K0108 85426-1Upholstered Ankle Strap with Velcro (C) 2 $185 K0108 85426-2Upholstered Ankle Strap with Velcro (C) 3 $185 K0108 85426-3Upholstered Ankle Strap with Velcro (C) 4 $185 K0108 85426-4Foot straps with Plastic Lock (D) One Size $36 E0951 85096Foot straps with Velcro (D) One Size $36 E0951 85102

Size Price HCPCS Part No.Fixed Laterals, with Pads, Type 1, Right (A)* 4" x 3¾" $100 E0956 8910401-1R

(A) (B) Fixed Laterals, with Pads, Type 1, Left (A)* 4" x 3¾" $100 E0956 8910401-1LFixed Laterals, with Pads, Type 2, Right (A)* 4" x 4" $100 E0956 8910401-2RFixed Laterals, with Pads, Type 2, Left (A)* 4" x 4" $100 E0956 8910401-2LFixed Laterals, with Pads, Type 3, Right (A)* 4½" x 5½ $100 E0956 8910401-3RFixed Laterals, with Pads, Type 3, Left (A)* 4½" x 5½ $100 E0956 8910401-3LFixed Laterals, with Pads, Type 4, Right (A)* 6½" x 3½" $100 E0956 8910401-4R

(C) (D) Fixed Laterals, with Pads, Type 4, Left (A)* 6½" x 3½" $100 E0956 8910401-4LFixed Laterals, with Pads, Type 5, Right (A)* 6" x 6" $100 E0956 8910401-5RFixed Laterals, with Pads, Type 5, Left (A)* 6" x 6" $100 E0956 8910401-5LFixed Laterals, with Pads, Type 6, Right (A)* 4" x 5½" $100 E0956 8910401-6RFixed Laterals, with Pads, Type 6, Left (A)* 4" x 5½" $100 E0956 8910401-6L

(E) (F) Swing-Away Bracket, Right, Each (B) $225 E1028 83900-RSwing-Away Bracket, Left, Each (B) $225 E1028 83900-LBar, Straight (C)* (L: 4¾") $0 81932Bar, Straight, Stainless (C)* (L: 3¾") $0 82569Bar, Offset (D)* 1" (L: 4¾") $0 81968Bar, Offset (E)* 1¾" (L: 4¾") $0 82000

(G) (H) Bar, Offset (F)* 2½" (L: 4¾") $0 81969Curved Cushion, Black, Each (G) 3½" x 7½" $105 E0956 6175406Curved Cushion, Black, Each (G) 2½" x 6.7" $105 E0956 6175405Curved Cushion, Black, Each (G) 2½" x 6" $105 E0956 6175404Curved Cushion, Black, Each (G) 6.1" x 4.7" $105 E0956 6175403

(I) Curved Cushion, Black, Each (G) 3.9" x 3.9" $105 E0956 6175402Curved Cushion, Black, Each (G) 2.2" x 4½" $105 E0956 6175401Snap Locks for Side Supports (H) 1-4, 6 $97 8910702-30Snap Locks for Side Supports (H) 5 $97 8910702-40Fixed Upper Arm Supports, Type 1, w/ Covers, Set (I)* 5" x 4" $77 8910407-1

(J) Fixed Upper Arm Supports, Type 2, w/ Covers, Set (I)* 7½" x 4.7" $92 8910407-2Belt for Lateral Pads 10" $46 84120-25Belt for Lateral Pads 16" $46 84120-40Protective Cushion for Laterals, Black $92 89150Neoprene Vest (J) 1 $200 E0960 89113-1Neoprene Vest (J) 2 $200 E0960 89113-2(A)* Height & width adjustable(C)-(F)* Can only be used with Fixed Laterals(I)* Cannot be used with Swing-Away Laterals

Foot & Leg Positioning

Trunk Positioning

Page 4 of 13

p Size Price HCPCS Part No.Neoprene Vest (J) 3 $200 E0960 89113-3Cross Vest (B) 0 $190 E0960 89625-060

(B) (C) Cross Vest (B) 1 $190 E0960 89625-160Cross Vest (B) 2 $190 E0960 89625-260Cross Vest (B) 3 $190 E0960 89625-360Cross Vest (B) 4 $190 E0960 89625-460Vest (C) 0 $200 E0960 89111-060Vest (C) ¾ $200 E0960 89111-07560Vest (C) 1 $200 E0960 89111-160

(D) (E) Vest (C) 2 $200 E0960 89111-260Vest (C) 3 $200 E0960 89111-360Vest (C) 4 $200 E0960 89111-460Sternum Belt (D) 0 $120 E0960 85430-0Sternum Belt (D) 1 $120 E0960 85430-1Sternum Belt (D) 2 $120 E0960 85430-2Chest Belt, Upholstered (E) 1 $270 E0960 85428-1

(F) Chest Belt, Upholstered (E) 2 $270 E0960 85428-2Chest Belt, Upholstered (E) 3 $270 E0960 85428-3Chest Belt, Upholstered (E) 4 $270 E0960 85428-44-Point Padded Pelvic Positioner (F) 1 $135 E0978 85424-14-Point Padded Pelvic Positioner (F) 2 $135 E0978 85424-2

Turtle Bar size selection required with all Headrests (XX = Turtle Bar size)92 = Short Turtle Bar 93 = Long Turtle Bar

Size Price HCPCS Part No.(A) (B) Anatomic Head Support (5½" x 5½" x 9½") (A) Small $255 E0955 5099001

Decutex Cover, Black (Required) Small $0 E0955 9923-83Anatomic Head Support (6" x 5½" x 10") (A) Medium $255 E0955 5099002

Decutex Cover, Black (Required) Medium $0 E0955 9945-83Anatomic Head Support (6½" x 5½" x 12½") (A) Large $255 E0955 5099003

Decutex Cover, Black (Required) Large $0 E0955 9967-83Required, must select one:

(C) (D) Turtle Bar System, Short (B)* 5.1" $230 E1028 98619-25Turtle Bar System, Long (B)* 9.8" $230 E1028 98619-26

Adj. Width Headrest, Large Laterals, Black Cover (C) One Size $305 E0955 99737XX-85Adj. Width Headrest, Large Laterals, w/ Speakers One Size $405 E0955 99717XX-85

(E) Adj. Width Headrest, Two Laterals, Black Cover (D) One Size $305 E0955 99777XX-85Adj. Width Headrest, Four Laterals, Black Cover (E) One Size $305 E0955 99757XX-85Required, must select one:

Turtle Bar System, Short (B)* 5.1" $230 E1028 X98619-25Turtle Bar System, Long (B)* 9.8" $230 E1028 X98619-26

Adj. Width Headrest, Large Laterals, Black Cover (C) One Size $385 E0955 99736XX-85Adj. Width Headrest, Large Laterals, w/ Speakers One Size $480 E0955 99716XX-85Adj. Width Headrest, Two Laterals, Black Cover (D) One Size $385 E0955 99776XX-85Adj. Width Headrest, Four Laterals, Black Cover (E) One Size $385 E0955 99756XX-85Required, must select one:

Turtle Bar System, Short (B) 5.1" $230 E1028 X98619-25Turtle Bar System, Long (B) 9.8" $230 E1028 X98619-26

Universal Headrest Mount (for Non-R82 Products) $61 E1028 87590Headband System *** $230 E0955 99500Extra Headband Strap *** $56 E0955 99400-5*** Only available with Anatomic Head Support. Not to be used while unit is in Transit

Dynamic Adjustable Head Support

Trunk Positioning Cont.

Head Support

Non-Dynamic Adjustable Head Support

Page 5 of 13

Size Price HCPCS Part No.(A) (B) Swing-Away Tray, Grey for X:Panda (A) 1, 2 $305 E0950 8910720-1

Swing-Away Tray, Grey for X:Panda (A) 3, 4 $305 E0950 8910720-2Two-Rod-System Tray, Grey for X:Panda (B) 1, 2 $250 E0950 8910725-1Two-Rod-System Tray, Grey for X:Panda (B) 2, 3 $250 E0950 8910725-2

(C) (D) Two-Rod-System Tray, Grey for X:Panda (B) 4 $250 E0950 8910725-3Tray Plast, Grey (C) 1, 2 $255 E0950 8976350Armrest, Mount on Tray (Required w/Tray) (D) 1,2,3 $290 8910730Toy Bar for Tray (E) Canopy (F)

(E) (F) Holder for Canopy(A)(B)(C)* Armrest required

Accessories

Page 6 of 13

Size Price HCPCS Part No.(A) X:Panda on Stingray

Stingray Tilt-In-Space (A) 1, 2 $2,955 8702212-XPTransit 1, 2 $200 8720902

Vent Tray 1, 2 $460 8776290

X:Panda on Multi Frame (B)

● 3 Sizes ● Built-in Tilt-in-Space 0° to 30°● Change of Seat to Floor Height ● Wheel Locks● Angle Adjustable Push Brace ● Anti-Tips, Swing-Away

HCPCS(B) Size 1 E1233 1

Size 2 E1233 2Size 3 E1161 3

Silver 1

12½" Pneumatic Rear, Black 122" Pneumatic Rear, Grey 212½" Solid Rear Wheels, Black 422" Solid Rear Wheels, Grey 5

Wheel locks - No Charge 0Drum Brake for 12½" - Upcharge 1Drum brake for 22" - Upcharge 2

7" x 2" Pneumatic Caster Tires 17" x 2" Solid Caster Tires 2

PriceWheelchair Frame, 12½" Rear Wheels $2,650Wheelchair Frame, 22" Rear Wheels $2,950

Drum Brake, 12½" or 22" Rear Wheels $285

Multi Frame Standard Features:

X:Panda Frames

97 X 1 X X X 1 0

Page 7 of 13

(A) Size Price HCPCS Part No.Transit (A) One Size $200 970905

Size Price HCPCS Part No.(A) (B) Multi-Adjustable Foot Supports (6" to 10½") (A) $405 K0108 8910852-1

Multi-Adjustable Foot Supports (6" to 14½") (A) $405 K0108 8910852-2Multi-Adjustable Foot Supports (6" to 17") (A) $405 K0108 8910852-3Footplate, Angle & Height Adjustable (12") (B) 1 $115 K0040 95145-1Footplate, Angle & Height Adjustable (14") (B) 2 $115 K0040 85145-2Footplate, Angle & Height Adj. w/4" Mounting Fitting (C) 2 $115 K0040 95145-2

(C) (D) Footplate, Angle & Height Adj. w/4" Mounting Fitting (C) 3 $115 K0040 95145-3Footplate, Angle & Height Adj. w/4" Mounting Fitting (C) 4 $115 K0040 95145-4Footplate Mounting Bar (Required w/ Footplate) (D) 6" - 10½" $145 K0108 8910821-1Footplate Mounting Bar (Required w/ Footplate) (D) 6" - 14½" $145 K0108 8910821-2Footplate Mounting Bar (Required w/ Footplate) (D) 6" - 17" $145 K0108 8910821-3

Size Price HCPCS Part No.(A) Spoke Protectors (A) 22" $150 970922

Size Price HCPCS Part No.(A) (B) Anti-Tips (Required) One Size $145 E0971 X970957

Adapter for x:panda sz 1, 2, 3 (A)* $175 8911610-98Adapter for x:panda sz 4 (A)^ $175 8911610-99Vent Tray (12" x 12" x 2") (B) 2, 3 $450 970815(A)* Required with x:panda sz 1, 2, 3(A)^ Required with Multiframe sz 3

Transit Option

Foot & Leg Positioning

Frame Options

Accessories

Page 8 of 13

X:Panda on Multi Frame:X (C)

● Built-in Recline ● Built-in Tilt

(C) HCPCSSize 3 E1161 3

Metallic Grey 5

12½" Air 120" Air 222" Air 324" Air 412½" Solid 520" Solid 622" Solid 724" Solid 8NB: For x:panda 4 seats always choose 12½" wheels

Wheel Locks 1Drum Brake - Upcharge 2Wheel Locks and Drum Brake - Upcharge 3

Front Wheels 6", Solid 1Front Wheels 7", Solid 2Front Wheels 7", Air 3

No Leg Rests 0

Recline, Standard 30° 1

Frame Height, Standard (16" Above Floor)* 1Frame Height, + 1" (17" Above Floor) 2Frame Height, + 2" (18" Above Floor) 3* not possible for x:panda 4 seats

PriceMulti Frame:x, 12½" Rear Wheels $2,895Multi Frame:x, 20" 22" or 24" Rear Wheels $3,200Upcharge for Drum Brake $325Upcharge for Wheel Lock and Drum Brake $500

Size Price HCPCS Part No.(A) Transit (A) One Size $200 960905

Size Price HCPCS Part No.(A) (B) Parted Footrest for Multi Frame:x (A) One Size $480 K0108 9610420

Bar for Footrest System (B) One Size $130 K0040 9610421Single Rod for Footrests (C) 6" $50 K0040 8975260Single Rod for Footrests (C) 9½" $50 K0040 8975261Double Rod for Footrests (D) 7½" $85 K0040 8975285Double Rod for Footrests (D) 9¾" $85 K0040 8975287

Multi Frame Standard Features:

Transit Option

Foot & Leg Positioning

96 X X X X X X X X

Page 9 of 13

(C) (D) Size Price HCPCS Part No.For Single RodWombat Footplate (7½" x 12¼") (E) 1 $120 95145-1Wombat Footplate (8¾" x 14") (E) 2 $120 85145-2Wombat Footplate w/4" Mounting Fittings (8¾" x 14") (F) 2 $120 95145-2Wombat Footplate w/4" Mounting Fittings (9¼" x 16") (F) 3 $120 95145-3

(E) (F) Wombat Footplate w/4" Mounting Fittings (9½ x 19") (F) 4 $120 95145-4For Double RodParted Foot Supports (4" x 6¼") (G) 1 $305 89146-1Parted Foot Supports (5" x 7¼") (G) 2 $305 89146-2Parted Foot Supports (5" x 8¼") (G) 3, 4 $305 89146-3

(G) (H) Individual Angle Adjustable Foot Supports (3" x 6.7") (H) 1 $400 89143-1Individual Angle Adjustable Foot Supports (3.7" x 8.3") (H 2 $400 89143-2Individual Angle Adjustable Foot Supports (4.3" x 9.3") (H 3 $400 89143-3Calf Support (6" x 11¾) For Single Rod (I) $290 85131

(I)

Size Price HCPCS Part No.(A) (B) Adaptor for Mounting x:panda size 4 (A) 4 $225 8911610-99L

Mudguard (B) 20" $335 960520Mudguard (B) 22" $335 960522Mudguard (B) 24" $335 960524

(C) Spoke Protectors, Each (C) 20" $150 970920Spoke Protectors, Each (C) 22" $150 970922Spoke Protectors, Each (C) 24" $150 970924

Size Price HCPCS Part No.(A) (B) Anti-Tips (Required) (A) One Size $235 960953

Vent Tray (B) One Size $450 95281-10

www.r82.com Effective: 10/16/2017 Rev 1

Accessories

For shipping rates, please call 1-844-876-6245

Prices in USD & is subject to change without noticePO Box 1739 Matthews, NC 28106 • 1-844-876-6245 • Fax: 704-882-0751

Foot & Leg Positioning Cont.

Frame Options

Page 10 of 13

X:Panda A (Back Height)Cushions B (Arm Height)Head Support C (Lower Leg Length)Side/Overarm Support D (Seat Depth)Armrest E (Chest Width)Wedges F (Seat Width)Vests & Belts G (Height-Seat to Top of Head)Tray H (Shoulder Width)Frame AgePush Brace WeightFoot Support

Size 1 Size 2 Size 3 Size 4Inches Inches Inches Inches

Seat Width (A) 6¼, 7¼, 9¼" 7¼, 9¼, 11" 10¼, 12, 14" 13¼, 15½, 18"Width, Thighs (A1) 2¾, 3½, 4¼" 4, 4¾, 5½" 4¾, 5¾, 6¾" 5, 7½, 9¾"Seat Depth (B) 6¼ - 10¼" 8½ - 12¾" 10¼ - 15¼" 14¾ - 20½"Back Height (C) 10½ - 14½" 12½ - 16½" 13½ - 18¼" 19 - 26½"Back Width, Top (F) 9" 11" 12¾" 13½ +2"Total Width with 2x15º Abduction (G) 12, 13½, 15¼ 14¾, 16¼, 18 18¼, 20¼, 22¼23, 25¼, 27½Back Angle (A) -5º - +30º -5º - +30º -5º - +30º -5º - +30ºAbduction Angle, Each Leg (A1) 0º - 8º, 15º, 150º - 15º, 15º, 15º0º - 15º, 15º, 150º - 15º, 15º, 15ºWeight 14½ lbs. 18½ lbs. 28½ lbs. 28½ lbs.Approx. Minimum User Height 25½" 33½" 39½" 55"Approx. Maximum User Height 41¼" 48½" 56" 72½"Max Load/User Weight 101 lbs. 110 lbs. 132 lbs. 176 lbs.Max Load/User Weight at Transportation 101 lbs. 110 lbs. 125½ lbs. 125½ lbs.

X:Panda Measurements

Configuration

Page 11 of 13

Multi Frame A (Back Height)Foot Support B (Arm Height)Adapter C (Lower Leg Length)Transport Fittings D (Seat Depth)

E (Chest Width)F (Seat Width)G (Height-Seat to Top of Head)H (Shoulder Width)AgeWeight

Multi Frame Size 1 Size 2 Size 3Inches Inches Inches

Width, Inside (A) 13¼" 15¼" 17¼"Height Floor to Basic Plate (E) (Top/Mid/Bottom Pos.) 15½"/16½"/17¾" 15½"/16½"/17¾" 15½"/16½"/17¾"Back Width, Inside (F) 9½" 11½" 13½"Total Width 12½" (G) 23" 25" 27"Total Width 22" (G) 23" 25" 27"Distance Between Wheels with Drum Brake (G1) 16¾" 18¾" 20½"Distance Between Wheels without Drum Brake (G1) 17¼" 19" 21"Length of Frame 12½" (H) 25" 25" 27"Length of Frame 22" (H1) 29¼" 29¼" 31¼"Height Push Brace (I) 34¼" - 38¼" 34¼" - 38¼" 34¼" - 38¼"Height Push Brace 30° (I1) 33½" 33½" 33½"Push Brace Length (12) 8¾" 8¾" 8¾"Seat Angling 0 - 30°/35°/40° 0 - 30°/35°/40° 0 - 30°/35°/40°Height Folded, without Back Wheels (Mid Position) 15½' 15½' 15½'Height Folded, with 12½" Back Wheels (Mid Position) 18¼" 18¼" 18¼"Height Folded, with 22" Back Wheel (Mid Position) 22" 22" 22"Length Folded, without Back Wheel 27¼" 27¼" 29¼"Length Folded, with 12½" Back Wheels 28½" 28½" 30½"Length Folded, with 22" Back Wheels 33¼" 33¼" 35"Max Load (User/Seat/Accessories) 220 lbs. 220 lbs. 220 lbs.Max Load at Transportation (User/Seat/Accessories) 220 lbs. 220 lbs. 220 lbs.Weight (12½" Air Wheels, Solid Front Wheels) 28.6 lbs. 28.6 lbs. 28.6 lbs.Weight (22" Air Wheels, Air Front Wheels 30.8 lbs. 30.8 lbs. 30.8 lbs.

Multi Frame Configuration

Measurements

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Multi Frame:x A (Back Height)Foot Support B (Arm Height)Adaptor C (Lower Leg Length)Transport Fittings D (Seat Depth)

E (Chest Width)F (Seat Width)G (Height-Seat to Top of Head)H (Shoulder Width)AgeWeight

Multi Frame:X Size 3Inches

Width, Base Plate 8½"Depth, Base Plate 16"Back Height (C) 22¼"Seat Height Above Floor (E) (Depending on Configuration) 16", 17", 18"Width, with 22" Wheels (G) 26"Length, Without Foot Supports (H) 33"Height, to the Top of Push Brace Fitting (I) 38½"Width between Wheels (G1) 21"

Folded without Foot Supports:Width, with 22" Wheels and Drum Brake 26½"Height, to the Top of the Back 21¾"Length, without Foot Supports 37½"Weight, without Foot Supports 44 lbs.Max Load (User, Seat, Accessories) 220 lbs.Max Load as Transportation (User, Seat, Accessories) 220 lbs.Angling Back: 30°

Tilt: -5° to 25°

Measurements:The Multi Frame:x is measured with 22" rear wheels without drum brakes and 6" front wheelsIt is measured with the seat in horizontal and back in vertical position. Other Settings may result in different measurements

Measurements

Multi Frame:X Configuration

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