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PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 Prices subject to change www.invacare.com FORM NO. 17-187 v2.16 - 9/23/19 PAGE 1 of 11 Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. Adobe Acrobat Reader DC Interactive functions of our new forms work best with the latest version of Adobe Acrobat Reader DC visit https://get.adobe.com/reader/ to download and install on your PC or Mac or visit Google Play/ iTunes to download the Adobe Acrobat Reader DC app for your device. * Thank you for using Invacare eForms. For additional information please visit www.invacare.com/eForms Submit Print Save Invacare ® TDX SP2 Power Wheelchair with Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics If you do not have access to Adobe Acrobat Reader DC simply print this form and complete it by hand and fax it to our Customer Service Department at: 800-678-4682 Adobe Acrobat Reader DC allows you to save this form with your content - to complete later or use as a starting point for your next form. Please note that content must be added and saved in Acrobat - saving content from completed forms in the browser may not be possible. Adobe Acrobat Reader DC allows you to submit this form electronically via your email client. Simply click the submit button below and step through the simple process.

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Page 1: Thank you for using Invacare eForms. Adobe Acrobat Reader DC … TDX SP2 2-16 9-23.pdf · 2019. 9. 25. · Adobe Acrobat Reader DC simply print this form and complete it by hand and

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682Prices subject to change www.invacare.com FORM NO. 17-187 v2.16 - 9/23/19 PAGE 1 of 11

Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions.

Adobe Acrobat Reader DCInteractive functions of our new forms work best with the latest version of Adobe Acrobat Reader DC visit https://get.adobe.com/reader/ to download and install on your PC or Mac or visit Google Play/ iTunes to download the Adobe Acrobat Reader DC app for your device.

*

Thank you for using Invacare eForms.

For additional information please visit www.invacare.com/eForms

Submit PrintSave

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

If you do not have access toAdobe Acrobat Reader DC simply print this form and

complete it by hand and fax it to our Customer Service Department

at:

800-678-4682

Adobe Acrobat Reader DC allows you to save this form with your

content - to complete later or use as a starting point for your next form. Please note that content must be added and saved in Acrobat - saving content from

completed forms in the browser may not be possible.

Adobe Acrobat Reader DC allows you to submit this form electronically via your email

client.

Simply click the submit button below and step through the

simple process.

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 2 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

Date: PO:

Account #:

Contact:

RTS/Therapist:

Tag:

Phone: Fax:

Email:

SHIP TO

Client Height:

Comments:

Request Type: Quote Order

BASE OPTIONSBase Models

TDXSP2

Name:

Address: Apt:

City: State: Zip:

TDX SP2 Base for Rehab Seating with ASBA-2and Sling Back K0848 $7,595

User Weight Limits

U300 User Weight under 300 lbs Standard

Transport Options

TRBKTS Wheelchair Transport Brackets Standard

TRRO Transport Ready Option(1)(3) $50

TRRO-E Transport Ready Option for Elevate(1)(2)(3) $300

1. TRRO Meets ISO-7176 Part 192. Required for Elevate Systems to Meet ISO-7176 Part 19, Includes 2

Additional Brackets on Seat Rail3. Must include headrest or head array

Tire Options

B1431-3 14” x 3” Black Tires w/ Gel Foam Inserts NC

B1430-3 14” x 3” Black Tires - Pneumatic NC

Client Weight: Knee to Heel:

TDXSP2-CGTDX SP2 Base for Single Actuator System withUltra Low Maxx K0856 $7,595

TDXSP2-MCGTDX SP2 Base for Multiple Actuator Systemwith Ultra Low Maxx K0861 $7,595

Fork Options

DSFK Double-Sided Fork Package Standard

FKPKG Single-Sided Fork Package $250

Performance Motors

HSMTR Performance Motors – 7.5 mph(1) $1,400

1. Must order 24TRY

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 3 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

Shroud Color (Must pick one)

Battery Tray Type22TRY 22NF Style Tray (Narrow Base 24”) NC

24TRY 24 Group Style Tray (Wide Base 25.5”) NC

Lights & IndicatorsLIGHTS LED lights and indicators(1)(2) $700

Rim Insert Color (Must pick one)

163PR Black Ice Glossy NC

162PR Space Station Silver NC

160PR Invacare® Blue NC

158PR Lights Out Black Matte NC

154PR Rockstar Red NC

155PR Tangy Orange NC

161PR Grape Jelly Bean NC

157PR Island Blue NC

156PR Monster Green NC

159PR White Out NC

1. Must order REM216, REM400 or REM500

Miscellaneous AccessoriesVENT Articulating Compact Vent Tray(1)(2) $1,350

1. No 3rd battery or step down converter available2. Available on tilt and recline only

163P Black Ice Glossy NC

162P Space Station Silver NC

160P Invacare® Blue NC

158P Lights Out Black Matte NC

154P Rockstar Red NC

155P Tangy Orange NC

161P Grape Jelly Bean NC

157P Island Blue NC

156P Monster Green NC

159P White Out NC

Tangy Orange Grape Jelly Bean Island Blue Monster Green White Out

Black Ice Glossy Space Station Silver Invacare® Blue Lights OutBlack Matte

Rockstar Red

Batteries22NFBATTERY 22NF Battery, Pair (On Chair) E2361 $400

24BATTERY Group 24 Battery, Pair (On Chair) E2363 $600

Battery Charger Option110CHARGER 110 Volt Battery Charger NC

L8900 Omit Battery Charger -$80

POSITIONING & SEATING

Power Positioning SystemULMT Motion Concepts Ultra Low

Maxx Tilt Only (50°) E1002 $6,595

ULMR Motion Concepts Ultra Low Maxx ReclineOnly (168°) w/ESR E1004 $5,450

ULMTR Motion Concepts Ultra Low Maxx Tilt (50º) &Recline System (168°) w/ESR E1007 $10,795

AELM Motion Concepts Add 12” Elevating Lift SeatModule to Tilt and/or Tilt & Recline System (tiltreduced to 45° with elevate option)(1) E2300 $2,495

1. Up to 250 lbs.

Modules (Must select T/R System to add Modules)

0SA 0 Degree Tilt Angle NC

5FAA 5 Degree Fixed Anterior Assist(1)(5) . NC

10FAA 10 Degree Fixed Anterior Assist(2)(5) $750

5SA 5 Degree Fixed Pre-Tilt(3) NC

8PCM 8 Degree Precline Module(4) NC

1. STF raised 2.2” (with chair tilted to level)2. STF raised 3.6” (with chair tilted to level); this module may limit

front rigging options3. STF raised 2” @ front of seat (chair at 5° tilt)4. Reduces maximum recline angle by 8°5. Chairs with anterior tilt assist will have black steel battery box door,

not a painted front shroud

Seat-To-Floor Height (Measured from front of seat, with chair level)

LOW Low Seat-To-Floor NC

MED Medium Seat-To-Floor NC

STF Heights(measured at 0° tilt)

Ultra Low MaxxPowered Positioning System

Adjustable RehabSeat non-powered

LOW 17.25” 16.5”

MED 18.25” 18.5”

TALL 19.25” 20.5”

TALL Tall Seat-To-Floor NC

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 4 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

Adjustable Seat Width Range1620W 16” - 20” Width Range NC

2022W 20” - 22” Width Range NC

Seat Width SettingsW16 16” Wide NC

W17 17” Wide NC

W18 18” Wide NC

W19 19” Wide NC

W20 20” Wide NC

W21 21” Wide K0108(1) $329

W22 22” Wide K0108(1) $329

Ultra Rail Seat Depth SettingD16 16” Deep NC

D17 17” Deep NC

D18 18” Deep NC

D19 19” Deep NC

D20 20” Deep NC

D21 21” Deep K0108(1) $529

D22 22” Deep K0108(1) $529

D23 23” Deep K0108(1) $529

Adjustable Seat Depth Range1620D 16” to 20” Seat Depth Range NC

2023D 20” to 23” Seat Depth Range K0108 NC

Seat Cushion Options

LC Matrx-Libra 16”w - 20”w E2624 $485

LC Matrx-Libra 21”w E2624 $525

LC Matrx-Libra 22”w E2625 $595

CCOC On Chair Cushion Credit -$90

PS-V Matrx PS 16”w – 20” w E2605 $345

PS-V Matrx PS 22”w E2606 $695

CCOC On Chair Cushion Credit -$90

MA-VI Matrx Vi 16”w – 21” w E2607 $425

MA-VI Matrx Vi 22”w E2608 $475

CCOC On Chair Cushion Credit -$90

1. No charge on K0856, K0861 - only billable on K0848

1. No charge on K0856, K0861 - only billable on K0848

Invacare Matrx Libra Cushion

Invacare Matrx PS Cushion

Invacare Matrx-Vi Cushion

Finished Back Height - Tilt Only (4” - 5” Gap)

18”TH18

19”TH19

20”TH20

21”TH21

22”TH22

23”TH23

24”TH24

25”TH25

1. 4-5” Gap from bottom of back pan to seat pan2. Finished back height measured from seat pan to top of back rest

Finished Back Height - Tilt/Recline (6” - 7” Gap)

20”TRH20

21”TRH21

22”TRH22

23”TRH23

24”TRH24

25”TRH25

26”TRH26

27”TRH27

1. 6”-7” Gap from bottom back pan to seat pan2. Finished back height measured from seat pan to top of back rest

Straight Tilt Only & ASBA-2 Back Canes(1)

18”BCH18

NC

20”BCH20

22”BCH22

24”BCH24

Straight Back Cane Angle Setting

75°75BA

79°79BA

85°85BA

90°90BA

101°101BA

106°106BA

112°112BA

116°116BA

5° Angled Tilt Only & ASBA-2 Back Canes(1)

20”BCHA20

NC

22”BCHA22

24”BCHA24

Angled Back Cane Angle Setting

81°81BA

84°84BA

91°91BA

96°96BA

106°106BA

110°110BA

117°117BA

121°121BA

Straight Back Cane Height

Backrest Angle

95°95BA

Angled Back Cane Height

Backrest Angle

101°101BA

NCFinished Back Height (1)(2)

NC

NC

Finished Back Height(1)(2) NC

1. ASBA-2 back cane height = finished back height with sling

1. ASBA-2 back cane height = finished back height with sling

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 5 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

Back OptionsRHBK Standard Rehab Back & Cushion(4)(5) NC

RPIP Recessed Planar Interface Plate(2)(3) $125

1. Back post only, only available with tilt system2. Included with all recline systems when no back is selected. May also be use

as an interface as after market back.3. Not available on tilt only or tilt/elevate systems, for use with recline module4. ASBA-2 comes with sling, back and seat pan5. Not available with ASBA-26. Not available when ordering Matrx or high Back

OMB Omit Standard Rehab Back & Cushion(1)(6) -$75

Upgradable Back Options

HB16 High Back 16” high $595

HB18 High Back 18” high $595

HB20 High Back 20” high $595

BCOC On Chair Matrx Back Credit -$125

High Back E2620

PBE14 Matrx Elite 14” high(1) $625

PBE16 Matrx Elite 16” high $625

PBE18 Matrx Elite 18” high $625

PBE20 Matrx Elite 20” high $625

Matrx Elite Back 16”– 20”w (3” contour) E2620

BCOC On Chair Matrx Back Credit -$125

PBEH16 Matrx Elite HD 16” high $795

PBEH20 Matrx Elite HD 20” high $795

BCOC On Chair Matrx Back Credit -$125

Matrx Elite HD Back 21”w E2620 22”w E2621(1)

EDB14 Matrx Elite Deep 14” high $760

EDB16 Matrx Elite Deep 16” high $760

EDB18 Matrx Elite Deep 18” high $760

EDB20 Matrx Elite Deep 20” high x 24” wide $760

Matrx Elite Deep Back (6” contour) 16”-20”w E2620

BCOC On Chair Matrx Back Credit -$125

MPB-V16 Matrx PB (Posture Back) 16” high $625

MPB-V20 Matrx PB (Posture Back) 20” high $625

Matrx PB (Posture Back) 16” – 20”w (5” contour) E2620

Upgradable Back Options (continued)

MPB-D16 Matrx Posture Back Deep 16” high $645

MPB-D20 Matrx Posture Back Deep 20” high $645

BCOC On Chair Matrx Back Credit -$125

Matrx PB Deep 16” – 20”w (7” contour) E2615

MEMAH Elan Multi-Axis Removable HDW E1028 $220

CMAH Motion Concepts Multi-Axis Removable HDW E1028 $195

Headrest Mounting Hardware

Recline Arm Rests(1)(2)

1. Height measured from seat pan to top of tube2. Not available with ASBA-2

PBETR16 Matrx Elite TR 16” high $650

PBETR18 Matrx Elite TR 18” high $650

PBETR20 Matrx Elite TR 20” high $650

BCOC On Chair Matrx Back Credit -$125

Matrx Elite TR 16” – 20”w E2620

EDBHD16 Matrx Elite Deep HD 16” high $795

EDBHD18 Matrx Elite Deep HD 18” high $795

EDBHD20 Matrx Elite Deep HD 20” high $795

BCOC On Chair Matrx Back Credit -$125

Matrx Elite Deep HD Back 21”w E2620 22”w E2621(1)

1. Only available in 21” or 22” width

MEHSP-6 Matrx Elan Standard Pad 6” E0955 $235

MEHSP-10 Matrx Elan Standard Pad 10” E0955 $235

MEHSP-14 Matrx Elan Standard Pad 14” E0955 $235

MEHOP-9 Matrx Elan Occipital Pad 9” E0955 $235

MEHOP-12 Matrx Elan Occipital Pad 12” E0955 $235

MEH-4P Matrx Elan 4-Point Pad 11”W x 10”H $325

CAH Concepts Auto Style Headrest E0955 $350

1. Not compatible with sling back (ASBA-2) 2. If mounting on PB Elite must order removable hardware

Matrx Headrest Pads with Standard Cover(1)(2)

ULMFB

Horizontal Arm Tube Extension Left NCHTE-L

Ultra Rail Seat Mnt Flip Back Cantilever MAXX Tilt Arm (9-12.5”) $250

Tilt Arm Rests(1)

Horizontal Arm Tube Extension Right NCHTE-R

1. Height measured from seat pan to top of tube

ADPAH-T Adult Dual Post Adj. Height 15.75”-18.75” w/ flat pouch Standard

ADPAH-M Adult Dual Post Adj. Height 12.75”-15.75” w/ flat pouch Standard

ADPAH-S Adult Dual Post Adj. 9.75”-12.75”w/ flat pouch Standard

REFB-L Reclining Two Point Adjustable Height9.5”-13” Standard

REFB-T Reclining Two Point Adjustable Height13”-16” Standard

1. Not compatable with 19” or 20” wide seats

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 6 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

Straight 9.5”-13” MXFB-SMXFB-S $250

MXFB-C $250

Recline Arm Rests(1)(2) (continued)

1. Height measured from seat pan to top of tube2. Not available with ASBA-2

Maxx Style Cane Mounted Height, Width & Angle Adjustable Cantilever Flip Back Arm Rest

Curved 12.5”-16” MXFB-C

HTE-L NC

HTE-R NC

Horizontal Arm Tube Extension Left

Horizontal Arm Tube Extension Right

Modular Integral Soft Skin Foam

Arm Pads(1)

STAP-LF Left Full (2.25” x 14”) Standard

STAP-LD Left Desk (2.25” x 10”) Standard

STAP-RF Right Full (2.25” x 14”) Standard

STAP-RD Right Desk (2.25” x 10”) Standard

Standard

WFALL-LF Left Full (14”) $20

WFALL-LD Left Desk (10”) $20

WFALL-RF Right Full (14”) $20

WFALL-RD Right Desk (10”) $20

Waterfall Arm Pads

MISK-LF Left Full (14”) $32

MISK-LD Left Desk (10”) $32

MISK-RF Right Full (14”) $32

MISK-RD Right Desk (10”) $32

1. Full length pads ship with full length arm tubes (w/ extension); ergo trough ships with desk length tubes (w/o extension)

2. Must order ergo trough

Modular Startex Covered Visco Foam

MSTEX-LF Left Full (14”) $32

MSTEX-LD Left Desk (10”) $32

MSTEX-RF Right Full (14”) $32

MSTEX-RD Right Desk (10”) $32

ERGOL Ergonomic Arm Trough – Left E2209 $85

ERGOR Ergonomic Arm Trough – Right E2209 $85

FHL-LT Flat Hand Pad – Left(2) $55

FHP-RT Flat Hand Pad – Right(2) $55

Arm Troughs

OAP Omit Arm Pads -$25

Arm Rest Accessories

EBLT-XS Size XS (3.25x4.25”) K0108 $195

EBLT-S Size S (3.5x5.25”) K0108 $195

EBLT-M Size M (3.75x5.75”) K0108 $195

EBLT-L Size L (4.25x6.5“) K0108 $195

Elbow Block Pad Left

VEXSHEXS-L Mounting HDW Extension Vertical 3” - Horizontal 5” NC

Elbow Block Hardware Left (1)

VEXSHEXL-L Mounting HDW Extension Vertical 3” - Horizontal 7” NC

VEXLHEXS-L Mounting HDW Extension Vertical 5” - Horizontal 5” NC

VEXLHEXL-L Mounting HDW Extension Vertical 5” - Horizontal 7” NC

EBRT-XS Size XS (3.25x4.25”) K0108 $195

EBRT-S Size S (3.5x5.25”) K0108 $195

EBRT-M Size M (3.75x5.75”) K0108 $195

EBRT-L Size L (4.25x6.5“) K0108 $195

Elbow Block Pad Right

VEXSHEXS-R Mounting HDW Extension Vertical 3” - Horizontal 5” NC

Elbow Block Hardware Right (1)

VEXSHEXL-R Mounting HDW Extension Vertical 3” - Horizontal 7” NC

VEXLHEXS-R Mounting HDW Extension Vertical 5” - Horizontal 5” NC

VEXLHEXL-R Mounting HDW Extension Vertical 5” - Horizontal 7” NC

1. Recommend long horizontal except for seat mounted cantilever arm

Multi Axis Upper Extremity Support

MASL Multi Axis Arm Support - Left(1) $225

MASR Multi Axis Arm Support - Right(1) $225

Arm Rest Spacers

OAS1 1” Offset Armrest Spacer (pair)(2) $250

OAS12 ½” Offset Armrest Spacer (pair)(2) $250

1. Not available with standard pad2. Only compatible with recline arm, not Maxx Cantilever or dual post tilt arm

PBSSB-48 Push Button Style Lap Belt, Length 48” Standard

Lap Belts

PBSSB-60 Push Button Style Lap Belt, Length 60” NC

PBSSB-70 Push Button Style Lap Belt, Length 71” NC

PLB2 Bodypoint® Padded Lap Belt 2 Point(67” length) $170

PLB4 Bodypoint® Padded Lap Belt 4 Point(67” length) $215

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 7 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

FLATL Left Fixed Mount Lateral Trunk Support(1) E0956 $100

MAXX Lateral Trunk Supports

Select Left Trunk Support SizeL-XS Size XS (3.25x4.25”) NC

L-S Size S (3.25x5.25”) NC

L-M Size M (3.75x5.75”) NC

L-L Size L (4.25x6.5”) NC

FLATR Right Fixed Mount Lateral Trunk Support(1) E0956 $100

Select Right Trunk Support Pad Size

R-XS Size XS (3.25x4.25”) NC

R-S Size S (3.25x5.25”) NC

R-M Size M (3.75x5.75”) NC

R-L Size L (4.25x6.5”) NC

1. Not compatible with “deep” Matrx backs or sling back

Swing Away Trunk Support Hardware(4)

LMSA Left - MAXX Style Swing Away HDW(1)E1028 $195

1. Up to 2.75” medial offset2. Recommended for all backs except rehab back, PB and elite deep backs3. Medial offset depends on back thickness4. Must choose fixed mount and pads

RMSA Right - MAXX Style Swing Away HDW(1)E1028 $195

ATL2 Pair – Additional Telescoping Link(2)(3)

(up to 5 ½” medial offset) $150

PBLS-L Matrx Standard LateralFixed - Left (7.5x5”)E0956 $100

PBOL-L Matrx Offset Lateral Fixed Left E0956 $110

PBLS-R Matrx Standard LateralFixed - Right (7.5x5”)E0956 $100

PBOL-R Matrx Offset Lateral Fixed Right E0956 $110

Left Trunk Support Pad

L-XS-SW Size XS (3.25x4.25”) E0956 $100

L-S-SW Size S (3.25x5.25”) E0956 $100

L-M-SW Size M (3.75x5.75”) E0956 $100

L-L-SW Size L (4.25x6.5”) E0956 $100

Right Trunk Support Pad

R-XS-SW Size XS (3.25x4.25”) E0956 $100

R-S-SW Size S (3.25x5.25”) E0956 $100

R-M-SW Size M (3.75x5.75”) E0956 $100

R-L-SW Size L (4.25x6.5”) E0956 $1001. Must choose swing away hardware below

Matrx Fixed Laterals for Elite & Elite T/R Backs

Matrx Swing Away Lateral Pads for Elite & Elite T/R Backs

SAEHBL Matrx Elite Swing Away HDW Left E1028 $195

OSAHL Matrx Offset Elite Swing Away HDW Left E1028 $195

SAHEBR Matrx Elite Swing Away HDW Right E1028 $195

OSAHR Matrx Offset Elite Swing Away HDW Right E1028 $195

Swing Away Hardware for Elite & Elite T/R Backs

Hip Support & Pad - Left

LHSFL Hip Support with fixed HDW Left E0956 $120

Hip Supports

LHS-XS Size XS (5.5”Wx4”H) NC

LHS-S Size S (7”Wx6”H) NC

LHS-M Size M (9”Wx4”H) NC

LHS-L Size L (13”Wx4”H) NC

Hip Support & Pad - Right

LHSFR Hip Support with fixed HDW Right E0956 $120

RHS-XS Size XS (5.5”Wx4”H) NC

RHS-S Size S (7”Wx6”H) NC

RHS-M Size M (9”Wx4”H) NC

RHS-L Size L (13”Wx4”H) NC

MAXX Style Quick Release, Removable, Multi-Axis Mounting HDW For Hip Supports

MQRHL MAXX Style Quick Release – Left E1028 $215

Removable Hip Support Hardware

Select Left Trunk Support Size

L-XS-SW Size XS (3.25x4.25”) E0956 $100

L-S-SW Size S (3.25x5.25”) E0956 $100

L-M-SW Size M (3.75x5.75”) E0956 $100

L-L-SW Size L (4.25x6.5”) E0956 $100

Select Right Trunk Support Pad Size

R-XS-SW Size XS (3.25x4.25”) E0956 $100

R-S-SW Size S (3.25x5.25”) E0956 $100

R-M-SW Size M (3.75x5.75”) E0956 $100

R-L-SW Size L (4.25x6.5”) E0956 $100

LHS-XS-SW Size XS (5.5”Wx4”H) E0956 $120

LHS-S-SW Size S (7”Wx6”H) E0956 $120

LHS-M-SW Size M (9”Wx4”H) E0956 $120

LHS-L-SW Size L (13”Wx4”H) E0956 $120

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 8 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

MAXX Style Quick Release, Removable, Multi-Axis Mounting HDW For Hip Supports (continued)

Removable Hip Support Hardware (continued)

MQRHR MAXX Style Quick Release – Right E1028 $215

RHS-XS-SW Size XS (5.5”Wx4”H) E0956 $120

RHS-S-SW Size S (7”Wx6”H) E0956 $120

RHS-M-SW Size M (9”Wx4”H) E0956 $120

RHS-L-SW Size L (13”Wx4”H) E0956 $120

M70HD 70º HD Swing Away (Length 13”-17”)(1) $495

Manual Swing Away

1. Must choose footplate

CPMD Medium Bodypoint® Aeromesh™ Calf Straps(1) (35.5”x9”) for chairs 15” to 18” wide) $115

Footrest/Legrest Accessories

1. Only compatible with HD Swing Away Foot Rest

CPLG Large Bodypoint® Aeromesh™ Calf Straps(1) (38.5”x9”) for chairs 18” to 22” wide) $115

PHL Heel Loop – Pair E0951 $40

MELR MAXX Swing-Away Manual Elevating - Straight E0990 $680

MAXX Style Elevating Side Mounted - Manual

MSKTHL-S Length: 10”-14” NC

MSKTHL-M Length: 13”-17” NC

MSKTHL-L Length: 16”-20” NC

CTMT-FJ IVC Center Foot Platform adjustable knee angle (9.25” – 12” STF)(1) E0990 $595

Manual Center Mount

CTMT-F IVC Center Foot Platform adjustable knee angle (12.25” – 15” STF)(1) E0990 $595

1. Not available with 16” seat depth

Foot Plate Options for Manual Center MountSML Small Foot Plates (5.25” x 8”) NC

MDM Medium Foot Plates (5.25” x 10”) NC

LRG Large Foot Plates (5.9” x 12”) NC

CTMTFB Center Mount Foot Board NC

LNX Power Elevating Center Mount FootPlatform(1)(2) E1012 $2,995

Power Center Mount

1. KTH range 13”-19”; comes standard with 12”x9” foot platform (no heel loops) and independent calf pads

2. Not available with 16” seat depth

Foot Plate Options for LNX Center MountIFPS Individual Footplates for LNX –

Small – (5” wide x 7.5” deep) $330

IFPM Individual Footplates for LNX –Medium – (5.5” wide x 9.5” deep) $330

IFPL Individual Footplates for LNX –Large – (6” wide x 11.5” deep)(1) $330

PHL Heel Loop – Pair E0951 $40

1. Foot plates may interfere with casters in certain configurations

Center Mount Foot Platform Options for LNXLNXSFP Small Foot platform (12”w x 8.5”d) $180

LNXMFP Medium Foot platform (12”w x 10.75”d) $180

LNXELFP Extra Large Foot platform(1) (17”w x 13”d) $250

1. May need to adjust leg position to avoid interference with front castors

LNXSFP LNXMFP LNXELFP

MPELR MAXX Swing-Away Power Elevating Legs E1010 $2,490

MAXX Style Elevating Side Mounted - Power

MSKTHL-S Length: 10”-14” NC

MSKTHL-M Length: 13”-17” NC

MSKTHL-L Length: 16”-20” NC

MAP Medium Footplate (5.25”W x 8”D) K0040 $330

Adjustable Angle Footplates (Sold as Pairs)

LAP Large Footplate (6.25”W x 8”D) K0040 $330

PHL Heel Loop E0951 $40

FRONT RIGGING

FCMT70 Basic Fixed Center Mount Platform 70°(1)(2) NC

Standard Front Rigging

FCMT90 Basic Fixed Center Mount Platform 90º(1)(2) NC

FCMT97 Basic Fixed Center Mount Platform 97º(1)(2) NC

FCP Flat Calf Pads for Fixed Center MountFoot Platform $350

1. Comes standard with 12”x11” footplate (no heel loops)2. Seat pan to footplate 9”-17”

70NHD 70º Swing Away Footrests(1) NC

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 9 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

MMA Medium Multi Axis Footplate (5.25”W x 8”D) K0040 $450

Multi Axis Adjustable Angle Footplates (Sold as Pairs)

PHL Heel Loop E0951 $40

LMA Large Multi Axis Footplate (6.25”W x 8”D) K0040 $450

ELECTRONICS

REM110SS LiNX Drive Only Remote with egg switch andmounting hardware to operate single actuator(One Drive Function) NC

Non-Expandable

Non-Expandable Single Actuator Joystick(1)

REM210SS LED Non-Expandable Remote – Allows throughthe drive control operation of single actuator(requires STTDC), includes egg switch andmounting hardware (Three Drive Functions) NC

STTDC Function key for operation of single actuatorthrough the drive control(3) E2310 $1,795

REM110 LiNX Drive Only Remote(2)

(One Drive Function) NC

Non-Expandable Single Drive Joystick(1)

REM110MS LiNX Drive Only Remote with 4-way toggle or 4-way push button switch, with mounting hardware, to operate two actuators (One Drive Function) NC

REM210MS LED Non-Expandable Remote – Allows throughthe drive control operation of two actuators(requires MTTDC), includes 4-way toggle or 4-way push button switch with mounting hardware (Three Drive Functions) NC

MTTDC Function key for operation of two or moreactuators through the drive control(2) E2311 $2,995

1. Lights are not available with non expandable remote2. Standard with rehab seat. Not available on K0856 or K08613. Required with REM210SS4. Required with REM210MS5. Choose switch or toggle

Non-Expandable Dual Actuator Joystick(1)(5)

NEXC Non-expandable controller NC

EXPC Expandable Controller E2377 $700

Expandable

PWH Harness Req. for Exp. System E2313 $450

G-TRAC-LX LiNX G-TRAC Module K0108 $995

REM211 LED Expandable Remote(1)(2)(6) Standard

REM216 LED Expandable Remote with Lights(1)(3)(6) $350

REM400 Color 3.5” Touch Screen Remote(4)(5)(6) $1,000

REM500 LiNX Color 3.5” Touch Screen(4)(5)(6)

Display Only (No Driver Control) $1,500

STTDC Function Key Single Actuator Systems EnabledJoystick Operation of one Actuator E2310 $1,795

MTTDC Function Key Multiple Actuator Systems Enabled Joystick Operation of Multiple Actuators E2311 $2,995

1. Up to 6 actuators, 3 drive functions, not available with specialty drive controls2. Not available with lights & indicators3. Must pick lights & indicators4. Can control lights, must choose5. 6 Actuators and drive functions6. Must choose expandable and PWH7. Adds 2 toggle switches to REM400

Expandable (continued)

LEFT Left Handed Joystick Mount(1) NC

Mounting for Driver Controls

QUAD Quad Link swing-away, height adjustable E1028 $235

RIGHT-Q Right Handed Joystick Mount NC

LEFT-Q Left Handed Joystick Mount NC

1. Right handed joystick is standard

2PB Dual Push Button $150

Powered Seating Switches - Single Actuator Systems

PBMT Push Button Mounting Kit NC

ASL300A Egg Switch $156

1. Requires expandable electronics

2SW Dual Toggle $250

FWTM 4-way toggle Switch NC

Powered Seating Switches - Multiple Actuator Systems

QPBM Quad Push Button Toggle Switch NC

10WAY 10-Way Switch (5 actuator functions)(1) $255

LEFT-S Left Handed Mount NC

ASL611 Switch Mounting HDW $252

RIGHT-S Right Handed Mount NC

LEFT-S Left Handed Mount NC

Mounting Orientation for Multi Actuator Switches

RIGHT-S Right Handed Mount NC

AMSA Attendant mount on back shroud(1) NC

1. 10-Way Switch Only

SW400TGL Toggle Kit for REM400(7) $200

OUT500 Output Module $500

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 10 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

ACU Proportional Attendant Control $950

Attendant Drive Control Choices

RIGHT-ACU Right Handed Mount NC

LEFT-ACU Left Handed Mount NC

CREM Compact Remote E2373 $1,500

Specialty Proportional Controls (Requires REM 400 or REM 500)

CREM-LF Compact Remote Low Force E2373 $1,500

ASL128 Molecule Ultra Light Touch Joystick K0108 $3,050

ASL132 Pediatric Compact Joystick E2373 $1,500

! Temporarily unavailable through Invacare, please call ASL at 1-800-626-8698 to order.

LEFT-AC Left Handed Mount NC

Proportional Specialty Control Mounting Hardware

RIGHT-AC Right Handed Mount NC

ASL603 Adjustable Driving Platform E1028 $690

ASL660 Nucleus Sw. Away Midline(1) E1028 $690

ASL Chin Control(1)

ASL920 ASL ZEN 10” Head Rest(2) $360

ASL606 Adj Rem Head Ctl Hdwr E1028 $252

ASL628 Adj Ht. Swing Away Chin Mount $690

PKG32666 Therafin® Sip-N-Puff Breath Tube Kit E2326 $380

LiNX® Digital Controls Sip-N-Puff

INPUT LiNX Input Module & Sip-N-Puff Interface(9 Pin Connection)(1) E2325 $1,500

1. Only One Input Module per Chair

ASL104A Atom Head Array E2330 $4,115

Head Controls ATOM Head Array (Standard Temporal Pads)

ASL606 Adj. Removable Head Array HDW E1028 $252

ATOM Temporal Pad Sizes

ASLSTD Mini Straight Sides Standard

ASLPDC Pedi Curved Sides NC

ASL104P Proton Head Array E2330 $4,115

Proton Head Array (Multi-Adjustable Temporal Pads)

ASL606 Adj. Removable Head Array HDW E1028 $252

PASL300A Egg Switch NC

Reset Switch for Head Array(1)

PASL304A Wobble Switch NC

PASL314 Ultralight Mechanical NC

1. Must Choose One

ASL611 Arm Rest Switch Mounting Bracket E1028 $252

Switch Mounting Hardware

PASL930L Swing Away Head Rest Mount w/ Egg Switch – Left E1028 $486

PASL930R Swing Away Head Rest Mount w/ Egg Switch – Right E1028 $486

PASL930B Left & Right Sw/Away Adj. Switch Mounton Head Rest E1028 $720

ASL558 Wireless Mouse Emulator for ATOM $846

ASL Wireless Accessories

ASL557-3 Wireless Triple Switch Receiver for ATOM $350

ASL300A Egg Switch $156

Additional Switches

ASL304A Wobble Switch $180

ASL314 Ultralight Mechanical $180

2PB Dual Push Button $150

2SW Dual Toggle $250

MPY Stereo / Mono Splitter $15

PBMT Push Button Mounting Kit NC

Additional Switch Mounting Hardware

ASL611 Arm Rest Switch Mounting Bracket $252

PASL930L Swing Away Head Rest Mount w/Egg Switch – Left E1028 $486

PASL930R Swing Away Head Rest Mount w/Egg Switch – Right E1028 $486

PASL930B Left & Right Sw/Away Adj. Switch Mounton Head Rest E1028 $720

1. Only available with ASL603

1. Must choose ASL128 Joystick2. Chin Control also available with any size of the Matrx Elan Standard Head-

rest Pad and Mounting Hardware.

!

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Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 11 of 11

Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics

PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682 www.invacare.com

LAK LiNX Access Key(1) $100

LiNX Electronic Accessories

USBCL USB Charger (Mounted in Left Rail NC

USBCR USB Charger (Mounted in Right Rail) NC

1. Required for programming

PC101A Bodypoint® U Shaped Handle 3”(1) E2323 $120

Joystick Tops

PC102A Bodypoint® U Shaped Handle 4”(1) E2323 $120

PC107A Bodypoint® Rubber Dome(1) E2323 $120

1. Only Available on REM400 Remote

PC110A Bodypoint® Grooved Mushroom Knob(1) E2323 $120

1560 T Handle Flexible Joystick Ext.(1) E2323 $120

1561 Straight Handle Flexible Joystick Ext.(1) E2323 $120

1826 Chin Cup E2324 $120