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Page 1
For the most current pricing information go to www.invacare.com.


CHAIR TYPE/POWERED SEATING BASE


3GAR-CG Arrow for Formula


CG


with MK6i





(K0884) ..........8,586.00
3GRX-CG Ranger X for Formula


CG


with MK6i (K0862).........6,829.00
3GTQ-CG Torque SP for Formula


CG


with MK6i (K0884).......5,408.00


TRANSPORT TIE DOWN


TRBKTS
Wheelchair Transport Brackets .................................250.00


USER WEIGHT LIMITS


ARROW
U300
User Weight <300 lbs...................................................No Charge
U400
User Weight <400 lbs...................................................No Charge
RANGER X
U400
User Weight <400 lbs...................................................No Charge
TORQUE SP
U300
User Weight <300 lbs...................................................No Charge


TRUETRACK UPGRADE


TRUTK
True Track Upgrade...................................................1,899.00


VENT TRAYS


VENT
Articulating Vent Tray (E1030) ...............................1,750.00


FRAME TYPE


SFS
Short Base ..............................................................No Charge
LFS
Long Base................................................................No Charge


FOOTNOTES


1. Only Available with MED or TALL Seat to Floor Height.
2. With 300 lb. weight capacity, maximum range of tilt is 55 degrees.
3. With 400 lb. weight capacity, maximum range of tilt is 45 degrees.
4. TrueTrack driving technology, which enables driver to track straighter
regardless of the terrain, inlcues Monroe


®


spring shock suspension. and
7 MPH top speed. Must also select MK6TT Controller.
5 Vent tray on chair reduces chair weight capacity by approximately 50 lbs.
Not available with TRBKTS.
6. Not available with seat depths 19”-22”. Must pick long base.
7. Not available with short base.
8. Not available with 9" casters.
9. 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 Upgrade.
10. Will add .75" overall width. Not available with TrueTrack Upgrade (TRUTK).
Does not include Storm Series design wheel or fender.
NOTE: All specifications and dimensions are approximate.


page 1


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


Price List and Order Form


Effective October 9, 2006 Revised April 9, 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 Tilt/Recline for Storm Series


®


Bases


Company Name _____________________________________________________________ Account # ______________________
Phone # _______________________________________ P.O.# ______________________________Date ___________________
Ship To Name & Address ______________________________________________________________________________________
Special Note


HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the
appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific
situtations in further detail.


*


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.


Base


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Page 2
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


SYSTEM TYPE


CGTR
Tilt & Recl.w/Mechanical Shear Reduction (E1007)....9,595.00


SEAT-TO-FLOOR HEIGHT


LOW
17.75".......................................................................No Charge
MED
18.75".......................................................................No Charge
TALL
19.75".......................................................................No Charge


SEAT SELECTION


CTS
Contoura





Seating........................................................395.00
CNB
Conventional Back................................................No Charge
OMCU
Omit Cushion........................................................Less 20.00


PUSH HANDLES


PCNB
Push Handles for Conventional.........................No Charge


SEAT WIDTH RANGE


1620W
16" to 20" Width (Adjustable)...........................No Charge
2024W
20" to 24" 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
W23
23" Seat Width (not available w/Contoura)...No Charge
W24
24" Seat Width ......................................................No Charge


Invacare


®


Formula





CG Tilt/Recline


Accessories and Options


page 2


ADJUSTABLE SEAT DEPTH RANGE


CONVENTIONAL/CONTOURA


1619D
16" to 19" Deep (Adjustable)............................No Charge
1922D
19" to 22" Deep (Adjustable)............................No Charge


CONVENTIONAL & CONTOURA
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
5SA
5º...............................................................................No Charge


FOOTNOTES


1. Not available with Transport Tie Down option.
2.
Selected Seat Depth on Contoura assumes 1" of back cushion
compression. For example: When choosing an 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. Push handles will add an additional 3.5” to back cane height.
4. Available only with 400 lb. package.
NOTE: All specifications and dimensions are approximate.


Base
Seat


FRAME FINISH


(CONTINUED)
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


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For the most current pricing information go to www.invacare.com.


Page 3
BACK HEIGHT


CONVENTIONAL BACK
TSBH20
Back Height 20".....................................................No Charge
TSBH21
Back Height 21".....................................................No Charge
TSBH22
Back Height 22".....................................................No Charge
TSBH23
Back Height 23".....................................................No Charge
TSBH24
Back Height 24".....................................................No Charge
TSBH25
Back Height 25".....................................................No Charge
TSBH26
Back Height 26".....................................................No Charge
CONTOURA
TSBH25
Back Height 25".....................................................No Charge
TSBH295
Back Height 29.5" .................................................No Charge


HEADREST TYPE (OPTIONAL)


TAR127700 Curved Headrest (E0955)..........................................210.00
TAR27700HW Removable & Adjustable Hardware (E1028)210.00
TAR128000 Two-Step Headrest (E0955)......................................210.00
TAR128000HW Removable & Adjustable Hardware (E1028)210.00
T0022400 Large Headrest (E0955) .............................................210.00
TAR22400HW Removable & Adjustable Hardware (E1028)210.00
T0022600 Small Headrest (E0955)..............................................210.00
TAR22600HW Removable & Adjustable Hardware (E1028)210.00


STEALTH HEADRESTS


CP175
14" Multi Axis Headrest (E0955) .............................225.00
CP175HW Removable & Adjustable Hardware (E1028) ....225.00
CP275
10" Multi Axis Headrest (E0955) .............................225.00
CP275HW Removable & Adjustable Hardware (E1028).....225.00
CP180
14" TWB Headrest (E0955) ......................................225.00
CP180HW Removable & Adjustable Hardware (E1028).....225.00
CP280
10" TWB Headrest (E0955) ......................................225.00
CP280HW Removable & Adjustable Hardware (E1028).....225.00


ARM TYPE (PAIR)


RA19FL
Reclining Full Length Adj. Hgt. - Left ................No Charge
RA19FR
Reclining Full Length Adj. Hgt. - Right..............No Charge
RA29FL
Reclining Desk Length Adj. Hgt. - Left .............No Charge
RA29FR
Reclining Desk Length Adj. Hgt. - Right...........No Charge


OTTO BOCK





ARM PADS (PAIR)


OB20400
One Piece Channel Armpads (E2209)....................230.00
OB20500
Large Forearm Pads......................................................235.00
OB20600
Medium Forearm Pads.................................................235.00
OB20700
Small Forearm Pads ......................................................104.00


OTTO BOCK HAND PADS (PAIR)


OB23000
Large Flat Hand Pads ..................................................100.00
OB23300
Medium Flat Hand Pads...............................................100.00


Invacare


®


Formula





CG Tilt/Recline


Accessories and Options


page 3


FOOTNOTES


1. Not compatible with quadlink retractable joystick mount.
2. For use with channel canes only.
3. For use with Contoura seating only.
NOTE: All specifications and dimensions are approximate.


LATERALS (PAIR)


CONVENTIONAL BACK


TMSLM
Swingaway Laterals Medium (E0956) ......................210.00
TMSLMHW Removable & Adjustable Hardware (E1028)...210.00
TMSLL
Swingaway Laterals Large (E0956)...........................210.00
TMSLLHW Removable & Adjustable Hardware (E1028)....210.00


STEALTH LATERALS FOR CONVENTIONAL BACK


TWB-TPR Adj. Swing Channel Lat. Med (E0956) .........................320.00
TPRHW Removable & Adjustable Hardware (E1028)......320.00
TWB-TPRL Adj. Swing Channel Lat. Lg (E0956) .............................320.00
TPRLHW Removable & Adjustable Hardware (E1028) ...320.00


CONTOURA SEATING


CSLM
Swingaway Contoura Lat. Med (E0956)......................210.00
CSLMHW Removable & Adjustable Hardware (E1028) ..210.00
CSLL
Swingaway Contoura Lat. Lg (E0956)......................210.00
CSLLHW Removable & Adjustable Hardware (E1028)....210.00


STEALTH LATERALS FOR CONTOURA


TWB-CPR Adj. Swing Contoura Lat. Med (E0956) ......................320.00
CPRHW Removable & Adjustable Hardware (E1028)......320.00
TWB-CPRL Adj. Swing Contoura Lat. Lg. (E0956)..........................320.00
CPRLHW Removable & Adjustable Hardware (E1028)....320.00


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


Seat


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For the most current pricing information go to www.invacare.com.


Page 4
Invacare


®


Formula





CG Tilt/Recline


Accessories and Options


FOOTNOTES


1. Includes Monoport “Y” Cable to provide additional switch input port.
2. TOD-SS: Toggle On/Off Drive Select, Speed, Speed Potientiometer
Standard.
3. Drive Select through mode switch, or mode switch and Joystick
Commands.
4. PSRM6 Only.
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. QLAM6 includes ARM250 standard.
9. Required with all multiple actuator systems. Provides a D-9 port for the
4-way toggle or 4 push buttons.
10. Replaces the Four Way Switch Box and allows multiple actuator operation
through the driver control.
11. Must add MK6 Auxilliary Power Source.
NOTE: All specifications and dimensions are approximate.


MK6i





CONTROL


TORQUE SP, RANGER X


MK690ACC Controller with Actuator Control.....................Standard
MK6TT
True Track Controller..........................................No Charge


ARROW


MK6TT
True Track Controller ...........................................Standard


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
1500M6
Prop RIM Control 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


page 4


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 Auxilliary Power Source...........................200.00
AUX12M6
Auxillary Module For 1 & 2 ...................................795.00
AUX34M6
Auxillary Module For 3 & 4 ...................................795.00


POWER SEATING ACCESSORIES


4WSB
Four Way Switch Box......................................No Charge
S4WSB
Multiple Actuator Interface Box (E2311) .......2,600.00
FWT
4 Way Toggle......................................................No Charge
QPB
4 Push Buttons..................................................No Charge


ASL OPTIONAL 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


Electronics


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FOR YOUR ASL DRIVE SYSTEM NEEDS
PLEASE REFER TOTHE FOLLOWING:
ASL SINGLE INVOICE PRICE LIST FORM # 02-097.


1


For the most current pricing information go to www.invacare.com.


Page 5
Invacare


®


Formula





CG Tilt/Recline


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
POWER ELEVATING LEGRESTS-ARTICULATING
ELRPW
Power ELR w/Articulation (E1010)......................1,895.00


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. Only available on Torque SP (Standard on Arrow and Ranger X). 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 GB 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. Manually elevating legrests.
8. Independant powered elevating legrests include elevating and articulating
legrests with adjustable angle footplates. Extension range is 13-20".
Sold as pair.
NOTE: All specifications and dimensions are approximate.


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page 5


For the most current pricing information go to www.invacare.com.


8


Page 6
Invacare


®


Formula





CG Tilt/Recline


Accessories and Options


Storm for Formula


CG


Tilt/Recline Specifications


Arrow
Ranger X
Torque SP


Maximum Speed MPH
TrueTrack
7
7 (option)
7 (option)
4-pole
N/A
N/A
N/A
4-pole HD
N/A
N/A
6.5
Perf 4-pole
N/A
5
N/A
Seat-To-Floor
at 0°
Low
17.75"
17.75"
17.75"
High
19.75"
19.75"
19.75"
Weight Limits
<300 lb.
X
<400 lb.
X
<300 lb.True Track
X
X
<400 lb.True Track
X
X


Formula


CG


Tilt/Recline Features and Specifications


Weight capacity of 300 lb. or 400 lb. (with heavy-duty motors).
Recline range of 170°
Mechanical Shear reduction of 3".
Conventional or Contoura style seating.
Adjustable seat frame with Conventional style.
Seat-to-Floor height of 17.75" at 0° tilt.
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
Ranger X
Group 24
Torque SP
22 NF
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.
GP24batteries with terminal configuration (negative on the left and
positive on the right) MUST be used. GP24 batteries that have the
reverse terminal configuration MUST not be used. Terminals MUST
have a cross hole for proper battery connection. See Owner’s
Manual, part number 1114809. These recommendations MUST be
followed otherwise injury and damage may occur.


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
W24
*
*
X
X
X
X
X


Contoura Seat Sizes
Seat Widths
16" - 24"
Seat Depths
16" - 22"
Back Heights
20" - 26"
Conventional Seat Sizes


*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.
Otto Bock is a trademark of Otto Bock Orthopaedische Industries GMBH & Co.
Products designated by ASL are Manufactured by Adaptive Switch Labs, Inc.
Therafin is a registered trademark of W/R Medical Electronics Co.
Freedom Designs is a registered trademark of Freedom Designs, Inc.
Specifications and prices are subject to change without notification.
©2007 Invacare Corporation
Form No. 06-010 Rev 0407
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 Diagonstics, 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.