|
Since these pages were converted from PDF, some of the content may appear garbled. To the best of our knowledge, the information contained herein is accurate. However, neither Binson's, or any of its subsidiaries assumes any liability whatsoever for the accuracy or completeness of the information contained herein. This manufacturer information is for educational purposes only.
This is the html version of this file..
Page 1
Price List and Order Form
Effective October 9, 2006Revised October 1, 2007
For ease of ordering, contact Customer Service Toll Free at:
800-333-6900 Fax: 800-678-4682
To order Literature: 800-828-6282
www.invacare.com
Invacare
®
Formula
™
CG Elevating Seat for
Storm Series
®
Bases
Company Name _____________________________________________________________ Account # ______________________
Phone # _______________________________________ P.O.# ______________________________Date ___________________
Ship To Name & Address ______________________________________________________________________________________
Special Note
Ordering a single power seating system on a multiple power option wheelchair base may require an affirmative determination through
Advanced Determination of Medicare Coverage (ADMC). Please consult an attorney or other advisor to discuss this situation and any other
specific billing situation in further detail. Providers are responsible for determining the appropriate billing codes when submitting claims to
the Medicare Program. This price list is for information purposes only and is not billing or legal advice.
*
3GAR-CG Arrow for Formula CG with MK6i
*
300 lb Weight Capacity
*
TrueTrack Gearless Brushless GB
™
Motors.............Standard
*
1228-3 8" X 2.25" Tires w/Foam Filled Inserts........$250.00
*
Flip Back Adjustable Height Arm.................................Standard
*
MK6TT TrueTrack Controller......................................Standard
*
70NHD 70
°
Swingaway Footrests.............................Standard
*
8 Amp Off Board Battery Charger.............................Standard
*
1515 Push Button Style Seat Positioning Strap......Standard
Seat Option
*
CGE Elevate (E2300)....................................................$1,895.00
Group 4 - K0884
Basic Package
POWERED SEATING BASE
3GAR-CG
Arrow for Formula CG w/MK6i
™
.....................9,325.00
3GTQ-CG
Torque SP for Formula CG w/MK6i..................6,450.00
3GTQ3-CG Torque 3 for Formula CG w/MK6i....................5,600.00
*
3GTQ-CG Torque SP for Formula CG with MK6i
*
300 lb Weight Capacity
*
Performance 4-Pole Motors.........................................Standard
*
1228-3 8" X 2.25" Tires w/Foam Filled Inserts........$250.00
*
Flip Back Adjustable Height Arm.................................Standard
*
MK690ACC Controller w/Actuator Control..........Standard
*
70NHD 70
°
Swingaway Footrests.............................Standard
*
8 Amp Off Board Battery Charger.............................Standard
*
1515 Push Button Style Seat Positioning Strap......Standard
Seat Option
*
CGE Elevate (E2300)....................................................$1,895.00
Group 4- K0884
Basic Package
For the most current pricing information go to www.invacare.com.
page 1
*
3GTQ3-CG Torque 3 for Formula CG with MK6i
*
300 lb Weight Capacity
*
4-Pole Motors..................................................................Standard
*
1228-3 8" X 2.25" Tires w/Foam Filled Inserts........$250.00
*
Flip Back Adjustable Height Arm.................................Standard
*
MK690ACC Controller with Actuator......................Standard
*
70NHD 70
°
Swingaway Footrests.............................Standard
*
8 Amp Off Board Battery Charger.............................Standard
*
1515 Push Button Style Seat Positioning Strap......Standard
Seat Option
*
CGE Elevate (E2300)....................................................$1,895.00
Group 3 - K0856
Basic Package
Page 2
Base
TRANSPORT TIE DOWN
TRBKTS
Wheelchair Transport Brackets ................................250.00
USER WEIGHT LIMITS
ARROW
U300
User Weight <300 lbs..........................................No Charge
TORQUE SP/TORQUE 3
U300
User Weight <300 lbs..........................................No Charge
DRIVE TYPE OPTION
TRUTK
True Track Package....................................................1,899.00
PERF
Performance 4 Pole Motor.................................No Charge
FRAME TYPE
SFS
Short Base ..............................................................No Charge
LFS
Long Base................................................................No Charge
CASTER OPTIONS
1259
6'' X 2'' Semi Pneumatic Casters......................No Charge
1228-3
8'' X 2.25'' Semi Pneumatic Casters Lt. Grey..Standard
1251-3
8'' X 2'' Pneumatic Casters ................................No Charge
1220-3
9'' X 2.75'' Pneumatic Casters...........................No Charge
1465-3
9'' X 2.75'' Foam Filled Casters.........................No Charge
CASTER SUSPENSION
9213-6
Shock Fork for 6" Casters (E1016).........................119.00
9213-8
Shock Fork for 8" Casters (E1016).........................119.00
WHEEL OPTIONS
1430-3
14'' X 3'' Pneumatic Tires.....................................Standard
1431-3
14'' X 3'' Tires w/Foam Filled Inserts............................250.00
1440
14'' X 4'' Pneumatic Tires............................................200.00
1441
14'' X 4'' Tires w/Foam Filled Inserts)......................320.00
FREE WHEEL HUB
FHUB
Free Wheel Hub............................................................125.00
*
Transport Tie Down
TRBKTS includes four factory-installed wheelchair transport brackets.
TRBKTS has not been crash-tested in accordance with WC19. Use these
transport brackets only to secure an unoccupied wheelchair during transport.
As of this date, the Department of Transportation has not approved any
tie-down systems for transportation of a user while in a wheelchair, in a
moving vehicle of any type. It is Invacare’s position that users of wheelchairs
should be transferred into appropriate seating in vehicles for transportation
and use be made of the restraints made available by the auto industry.
Invacare cannot and does not recommend any wheelchair transportation
systems.
*Transport Tie Down option is not retrofittable to existing models and
is not field serviceable.
FOOTNOTES
1. Only Available with MED or TALL Seat to Floor Height.
2. TrueTrack includes Gearless Brushless GB
™
motors which
reaches 7 mph and has a 300 lb. weight capacity and Monroe
®
spring shock
suspension. Must upgrade to MK6TT Controller. Available on Torque SP.
When selecting TrueTrack Motors, the top speed of the chair
increases to 7 MPH and therefore no longer performs to the
Group 3 code specifications.
3. Standard on Torque SP. 6.5 MPH.
4. Not available with seat depths 19"-22". Must pick long base.
5. Not available with short base.
6. Not available with 9" casters.
7. 14" x 4" wheels increase the overall width of the base by 2.5". Does not
include Storm Series design wheel or fender. Not available with (TRUTK) True
Track Pkg.
8. Will add .75" to overall width. Not available with TrueTrack. Does not
include Storm Series design wheel or fender.
NOTE: All specifications and dimensions are approximate.
Invacare
®
Formula
™
CG Elevating Seat
Accessories and Options
FRAME FINISH
CONTEMPORARY
24P
Wet Black ...............................................................No Charge
60P
Silver Metallic.........................................................No Charge
71P
Silver Vein................................................................No Charge
105P
Midnight Blue.........................................................No Charge
115P
Black Prism.............................................................No Charge
TOO HOT
30P
Sunny Yellow...........................................................No Charge
61P
Electric Red............................................................No Charge
119P
Bubblegum Pink.....................................................No Charge
120P
Grape Madness......................................................No Charge
WAY COOL
62P
Electric Blue ...........................................................No Charge
104P
Electric Teal.............................................................No Charge
121P
Lolly Pop Blue........................................................No Charge
122P
Cosmic Blue...........................................................No Charge
125P
Emerald Green ......................................................No Charge
127P
Grasshopper Green .............................................No Charge
1
2
3
4
5
5
6
5
7
7
8
For the most current pricing information go to www.invacare.com.
page 2
Page 3
FOOTNOTES
1. Push handles included with BPO.
2. Contoura only available in even widths. Selected seat depth on Contoura
assumes 1" of back cushion compression. For example: When choosing 18"
depth the measurement from the front of the back cushion to the front of
the seat pan equals 17".
The Contoura back cushion is 2" thick includes leatherette seat cushion.
3. Not available with Contoura seat cushion on 22” wide.
4. Not available with Contoura seat cushion on 16” or 18” wide.
NOTE: All specifications and dimensions are approximate.
Invacare
®
Formula
™
CG Elevating Seat
Accessories and Options
Seat
SYSTEM TYPE
CGE
7” Elevating Seat - up to 300 lbs. (E2300)..............1,895.00
SEAT SELECTION
ADJASBA Adj. Rehab Seat w/Adj. Seat Tilt Back Angle ....Standard
BPO
Back Posts Only - Round Canes Only.............No Charge
CTS
Contoura
™
Seating........................................................395.00
CURVABS Curved ABS............................................................No Charge
OMCU
Omit Contura Seat Cushion..............................Less 20.00
SEAT WIDTH RANGE
1620W
16" to 20" Width (Adjustable)...........................No Charge
2022W
20" to 22" Width (Adjustable)...........................No Charge
SEAT WIDTH SETTING
W16
16" Seat Width ......................................................No Charge
W17
17" Seat Width (not available w/Contoura)...No Charge
W18
18" Seat Width ......................................................No Charge
W19
19" Seat Width (not available w/Contoura)...No Charge
W20
20" Seat Width ......................................................No Charge
W21
21" Seat Width (not available w/Contoura)...No Charge
W22
22" Seat Width ......................................................No Charge
SEAT DEPTH RANGE
1619D
16" to 19" Deep (Adjustable)............................No Charge
1922D
19" to 22" Deep (Adjustable) (Long Base)....No Charge
SEAT DEPTH SETTING
D16
16" Seat Depth......................................................No Charge
D17
17" Seat Depth......................................................No Charge
D18
18" Seat Depth......................................................No Charge
D19
19" Seat Depth......................................................No Charge
D20
20" Seat Depth......................................................No Charge
D21
21" Seat Depth......................................................No Charge
D22
22" Seat Depth......................................................No Charge
SEAT TILT
0SA
0º................................................................................Standard
ASBA SEAT BACK TYPE
SECT
Sectional Rear Uprights........................................Standard
SRUP
Straight Rear Uprights.........................................No Charge
9720P
No Push Handles (Straight Canes)..............................82.00
L8661
Omit Rear Uprights .............................................Less 20.00
BACK HEIGHT
CURVED ABS OR ADJUSTABLE ASBA
BH16
Back Height 16".....................................................No Charge
BH17
Back Height 17".....................................................No Charge
BH18
Back Height 18".....................................................No Charge
BH19
Back Height 19".....................................................No Charge
BH20
Back Height 20".....................................................No Charge
BH21
Back Height 21".....................................................No Charge
BH22
Back Height 22".....................................................No Charge
BH23
Back Height 23".....................................................No Charge
BH24
Back Height 24".....................................................No Charge
CONTOURA
TSBH25
Back Height 25".....................................................No Charge
TSBH295
Back Height 29.5" .................................................No Charge
ADJUSTABLE ARM TYPE (PAIR)
19F
Full Length Adj. Hgt..............................................No Charge
29F
Desk Length Adj. Hgt...........................................No Charge
MIXED ADJUSTABLE ARM TYPE (EACH)
19FR
Full Length Adj. Hgt. Right...................................No Charge
29FR
Desk Length Adj. Hgt. Right................................No Charge
19FL
Full Length Adj. Hgt. Left.....................................No Charge
29FL
Desk Length Adj. Hgt. Left..................................No Charge
SEAT POSITIONING STRAPS
1311BK
Airline Buckle Seat Pos. Strap.......................................50.00
1515
Push Button Style Seat Pos. Strap ......................Standard
CHEST POSITIONING STRAPS
7311BK
Airline Buckle Chest Pos. Strap (E0960)................100.00
9515
Push Button Style Chest Pos. Strap (E0960).........100.00
7321BK
Hook & Loop Chest Pos. Strap (E0960) ................100.00
1
2
2
3
3
4
4
For the most current pricing information go to www.invacare.com.
page 3
Page 4
Invacare
®
Formula
™
CG Elevating Seat
Accessories and Options
Electronics
For the most current pricing information go to www.invacare.com.
JOYSTICK MOUNTING HARDWARE
QLAM6
Quad Link Retract. Joystick Mnt MPJ+ (E1028)....279.00
ARM250
Stealth Height Adjustable Joystick Mount (E1028)..210.00
LEFT
Left Handed Mounted Joystick......................No Charge
RIMHW
RIM Hardware For 1500 (E1028).........................219.00
PKG32669
Complete Bib Assembly (Tash/1558) ...................265.00
GATMPJ6
Gatlin Midline for MPJ (E1028)............................600.00
GAT1812
Gatlin Midline for 1812 (E1028)..........................600.00
RCM
Rear Cane Mount for Compact Joystick.............395.00
ELECTRONIC ACCESSORIES
1813M6
MK6i Programmer w/Pro Memory Card............475.00
1813SD
Pro Memory Card (USB Ready)..............................90.00
1560
“T’’ Handle Flexible Joystick Ext. (E2323).............77.00
1561
Straight Handle Flexible Joystick Ext. (E2323)......77.00
1826
Chin Cup (E2324).......................................................48.00
A24VPS
24V MK6 Auxiliary Power Source............................200.00
AUX12M6
Auxiliary Module For 1 & 2 ...................................795.00
AUX34M6
Auxiliary Module For 3 & 4 ...................................795.00
2PB
Dual Push Button ..........................................................147.00
2SW
Dual Toggle......................................................................172.00
POWER SEATING ACCESSORIES
SANODE
Single Actuator Operation thru
Driver Control (E2310)......................................1,300.00
ELECTRONIC ACCESSORIES
EGSBLK
Egg Switch - Black.......................................................65.00
ASL304
Light Wobble Switch w/611 Mount......................320.00
ASL202J
Fiber Optic Switch....................................................610.00
ASL208J
Adjustable Proximity Switch ..................................550.00
ASL504M6
Remote Emergency Stop Switch...........................535.00
ASL300A
Egg Switch w/611 Mount ........................................300.00
FOOTNOTES
1. Includes Monoport “Y” Cable to provide additional switch input port.
2. TOD-SS: Toggle On/Off Drive Select, Speed, Speed Potentiometer
Standard.
3. PSRM6 Only.
4. Drive Select through mode switch, or mode switch and Joystick
Commands.
5. Display Only, No Driver Control. Allows choice from order form.
6. Must also use either a Multiple Drive Joystick or MK6 Display.
7. Requires SNPM6 Sip-N-Puff Interface Box.
8. QLA includes ARM250 standard.
9. Option to replace Mono Port “Y” cable when requiring two switch
functions of the mode switch port on expandable controller systems.
Not compatible with SPJ+ Joystick options.
10. Required for Elevate Operation through Driver Control - Single
Actuator Systems. Not compatible with SPJ+ Joysticks. The Egg Switch
with the 611 Mount does not come standard when ordering a
SANODE.
11. Not available with SPJ+ Joystick. Must add MK6 Auxiliary Power
Source.
NOTE: All specifications and dimensions are approximate.
8
10
11
11
11
9
9
MK6i
™
CONTROLLER
TORQUE SP/TORQUE 3
MK690ACC MK690ACC Controller w/Actuator Control...Standard
MK6TT
True Track Controller..........................................No Charge
ARROW
MK6TT
True Track Controller..........................................No Charge
EXPANDABLE CONTROLLER SYSTEMS
MPJM6
MPJ+ Multiple Drive Joystick (E2377).....................750.00
PSFM6
Personal Joystick, Inductive on Front (E2399)...1,130.00
PSRM6
Personal Joystick, Inductive on Rear (E2399).....1,130.00
PBOD
Push Button On/Off w/PB Drive Select..........No Charge
PBSS
Push Button On/Off w/Speed Select................No Charge
OR
On/Off Mounted Right........................................No Charge
OL
On/Off Mounted Left...........................................No Charge
ASLRDYM6 MK6 Display Only
(No Driver Control)(E2377)..................................................750.00
ALTERNATIVE PROPORTIONAL CONTROL SYSTEMS
1500M6
Prop RIM Head Control w/Display (E2327) ......2,875.00
SMHD
Small Headrest..................................................No Charge
LGHD
Large Headrest..................................................No Charge
1558MM6 Compact Joystick w/Display (E2373)...................1,130.00
ALTERNATIVE DIGITAL CONTROL SYSTEMS
SNPM6
Sip-N-Puff/Digital Interface Box (E2325)..............1,500.00
5018M6
Wafer Board & Digital Interface Box (E2322)..............1,550.00
5020M6
Mini Tash Joystick & Digital Interface Box (E2321)..........1,750.00
SIP N PUFF KIT
PKG32666 Therafin
®
Sip-N-Puff Breath Tube Kit (E2326)........380.00
ADDITIONAL CONTROL CHOICES
1558M6
Compact Joystick - Less Std Mount.....................770.00
5018
Wafer Board ..............................................................310.00
5020
Mini Tash Joystick ......................................................405.00
PACM6
Proportional Attendant Control ..........................850.00
1552M
Digital Attendant Control.......................................850.00
FOR YOUR ASL DRIVE SYSTEM NEEDS
PLEASE REFER TOTHE FOLLOWING:
ASL SINGLE INVOICE PRICE LIST FORM # 02-097.
1
2
2
3
3,4
3
3
5
page 4
5
6
6
6
7
7
7
Page 5
Invacare
®
Formula
™
CG Elevating Seat
Accessories and Options
FRONT RIGGING
CENTER PIVOT STYLE (ASB) (PAIR)
60HD
60° Swingaway Footrests ....................................No Charge
70NHD
70° Swingaway Footrests......................................Standard
70STAPER 70° Tapered Footrests..........................................No Charge
AT5544
Manual Elevating Legrests (E0990)...........................255.00
PIN STYLE (PSB) (PAIR)
PW93
Swingaway Footrests 13.5" - 19 ........................No Charge
P904A
Swingaway Elevating Legrests 16" - 19.75" (E0990)......255.00
PAL4A
Smartleg Art. Legrests 17.25" - 21.5" (K0053).......320.00
FOOTPLATE OPTIONS (PAIR)
1651
Flip -Up Composite Footplates.........................No Charge
1350
Extra Large Aluminum Footplates.....................No Charge
AT5543
Adjustable Angle Flip-Up Footplates.............................165.00
FOOTREST/LEGREST ACCESSORIES
1337
Calf Strap (E0038)..........................................................27.00
1600BK
Heel Loops w/Ankle Straps (E0951) .........................56.00
LPT2
Longer Pivot Slide Tube For 1350................................83.00
IMPACTG Impact Guards..................................................................51.00
ALPT
Longer Pivot And Slide Tube .........................................84.00
ALPT4
Longer Pivot And Slide Tube 4"....................................84.00
Front Riggings
FOR YOUR SEATING NEEDS
PLEASE REFER TOTHE FOLLOWING
REHAB SEATING & POSITIONING PRODUCTS
SEE PRICE LIST FORM # 07-027.
BATTERY BOXES
GP24
Group 24 Battery Boxes ................................No Charge
22NF
22NF Battery Box............................................No Charge
BATTERIES
22NFBATTERY 22 NF Battery (On Chair) (E2361).....................300.00
24BATTERY 24 Gel Battery (On Chair) (E2363)....................410.00
MISCELLANEOUS ACCESSORIES
1303
Wheel Locks ................................................................45.00
9205-3
Suspension Shocks (E1016)...................................400.00
9205H-3
Suspension Shocks (Heavy Duty) (E1018) ........400.00
FDR
Fender..........................................................................320.00
EXTP
Extended Anti-Tippers.............................................250.00
Miscellaneous
Seating
FOOTNOTES
1. Option on Torque SP and Torque 3 (Standard on Arrow). Must select for
TRBKTS.
2. Batteries will be installed by Invacare Corporation at no additional charge.
Chair will be shipped complete with batteries.
3. Not available with Arrow,GB, Ranger X, or TrueTrack systems.
4. Standard with Arrow or True Track Systems.
5. Comes standard with vent tray. Adds 2.5" to overall length.
6. Not available with 19" or 20" wide and 9" casters. Standard with impact
guards on the footrests.
7. Manual elevating legrest.
NOTE: All specifications and dimensions are approximate.
1
2
3
4
4
4
5
For the most current pricing information go to www.invacare.com.
7
7
6
7
page 5
Page 6
Invacare
®
Formula
™
CG Elevating Seat
Accessories and Options
Storm for Formula CG Elevating Seat Specifications
Arrow
Torque SP
Torque 3
Maximum Speed MPH
TrueTrack
7
7 (option)
7 (option)
4-pole
N/A
N/A
4.8
4-pole (Performance)
N/A
6.5
N/A
4-pole HD
N/A
N/A
N/A
Seat-To-Floor Height
17.75"
17.75"
17.75"
Weight Limits
<300 lb.
X
X
<300 lb.True Track
X
X
X
Formula CG Elevating Seat Features and Specifications
Up to 300 lb. weight capacity.
Traditional Rehab Seating (ASBA).
Seat-to-Floor height of 17.75" at 0° tilt.
Speed inhibit feature of 20% of maximum speed while elevated.
The following companies also have hardware to make
their backrests work with our new canes:
AEL - planar seating system
Freedom Designs
®
- planar seating system
Canyon - planar seating system
After Market Backrests
Battery Boxes
*Standard Battery Tray
Arrow
Group 24
Torque SP/Torque 3
22NF Standard
Group 24 (optional)
*Sealed Gel Cell Batteries Recommended
Batteries
22NFbatteries with terminal configuration (positive on the left and
negative on the right) MUST be used. 22NF batteries that have the
reverse terminal configuration MUST not be used. Terminals MUST
have a cross hole for proper battery connection.
D16
D17
D18
D19
D20
D21
D22
W16
X
X
X
X
X
*
*
W18
X
X
X
X
X
*
*
W20
X
X
X
X
X
X
X
W22
*
*
X
X
X
X
X
Contoura Seat Sizes
Seat Widths
16" - 22"
Seat Depths
16" - 22"
Back Heights
16" - 24"
Curved ABS or Adjustable ASBA
*Not available with Contoura Seat Cushion
Back Heights 25" or 29.5"
USA
One Invacare Way
Elyria, OH USA
44035-4190
800-333-6900
All rights reserved. Trademarks are identified by the symbols ™ and ®.
All trademarks are owned by or licensed to Invacare Corporation unless
otherwise noted. Therafin is a registered trademark of W/R Medical Electronics
Co. Freedom Designs is a registered trademark of Freedom Designs, Inc. Prod-
ucts designated by ASL are Manufactured by Adaptive Switch Labs, Inc.
Specifications and prices are subject to change without notification.
©2007 Invacare Corporation
Form No. 06-007 Rev 100107
Invacare Corporation
www.invacare.com
Memory Card - BASIC
Standard with ALL Expandable Control Systems (MPJ+, PSR+,
PSF+, MK6i Display).
Used to Back Up/Restore Programmed Settings for Only One Chair.
May be given to user or kept with provider's files for safe keeping.
Does not Contain Advanced Diagnostics/Help Screens/File
Structure.
Not compatible with SPJ+ Joysticks.
Memory Card - PROFESSIONAL
Standard with ALL MK6i Programmers.
Available also with USB Card Reader on Order Form.
Contains Advanced Diagnostics, Help Screens, Software Updates,
File Storage/Retrieval.
Used to back up multiple chairs and programming settings.
Intended for use by qualified providers only.
Not compatible with SPJ+ Joysticks.
|
