R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form...

5
Account #: ______________________ Purchase Order No.: ___________________ Date: ___________________ Contact: _______________________________________ Mark For: _________________________________ Bill To: Ship To: Address: Address: City/State/Zip: Phone: City/State/Zip: Email Phone: US Configuration Rabbit A (Total Height) Footplate/Extra Foot Adj. B (Shoulder Height) Knee Support C (Chest Height) Hip/Side Support D (Buttock Height) Back Support E (Chest Width) Chest Support F (Shoulder Width) Tray Age Head Support Weight Features, incl. in standard price Stander Frame Frame Centre Bar Centre Bar Brake on Castors Driving Wheels Angling Spindle Angling Spindle Closed Pushrim 0˚ Camber std. Angle Spoke protectors Central brake Size 1 Size 2 Size 3 Size 4 Measurements as a stander inches inches inches inches Overall width (G) 20¼" 21¾" 23¾" 23¾" Length (H) 27¾" 31¼" 31¼" 36½" Total mass 19.8 lbs. 23.1 lbs. 24.2 lbs. 29.3 lbs. Measurements as a mobile stander w/26" wheels w/32" wheels w/32" wheels w/36" wheels Overall width (G) 25" 26¾" 28¾" 28¼" Length (H) 24½" 29½" 29½" 35½" Total mass 29.75 lbs. 34.1 lbs. 35.25 lbs. 40.75 lbs. Overall measurements Width, inside (G1) 12¾" 14¾" 16¾" 16¾" Overall height (I) * 26 ¼" – 39 ¼" 33 ¾" – 46 ¾" 39" – 51 ½" 47 ¼" – 60 ¼" Height from foot plate (I1) * 21 ¾" – 29 ¼" 29 ½ " – 42 ½" 32 ½" – 46 ¾" 37 ¾" – 56" Center bar angle (a1) 0 to +30º 0 to +30º 0 to +30º 0 to +30º Foot plate angle (a2) +15º to -10º +15º to -10º +15º to -10º +15º to -10º Camber Center bar length 19¾" 27½" 31½" 39¼" Recommended user height 34" - 39" 39" - 54" 43" - 58" 48" - 71" Max load 88.1 lbs. 110.2 lbs. 132.2 lbs. 154.3 lbs. Recommended user age 1 - 3 yr./old 4 - 10 yr./old 5 - 12 yr./old 7 - 18 yr./old * Measured in upright position and with the foot plate in the lowest position. For smaller children it is possible to raise the foot plate. R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form Effective: 05.01.19 - Rev 4 Mobile Stander Measurements

Transcript of R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form...

Page 1: R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form Effective: 05.01.19 - Rev 4 Mobile Stander Measurements. Description Size. Part No.

Account #: ______________________Purchase Order No.: ___________________ Date: ___________________Contact: _______________________________________ Mark For: _________________________________

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

US Configuration

Rabbit A (Total Height)Footplate/Extra Foot Adj. B (Shoulder Height)Knee Support C (Chest Height)Hip/Side Support D (Buttock Height)Back Support E (Chest Width)Chest Support F (Shoulder Width)Tray AgeHead Support Weight

Features, incl. in standard price

Stander Frame FrameCentre Bar Centre BarBrake on Castors Driving WheelsAngling Spindle Angling Spindle

Closed Pushrim0˚ Camber std. AngleSpoke protectorsCentral brake

Size 1 Size 2 Size 3 Size 4Measurements as a stander inches inches inches inchesOverall width (G) 20¼" 21¾" 23¾" 23¾"Length (H) 27¾" 31¼" 31¼" 36½"Total mass 19.8 lbs. 23.1 lbs. 24.2 lbs. 29.3 lbs.Measurements as a mobile stander w/26" wheels w/32" wheels w/32" wheels w/36" wheelsOverall width (G) 25" 26¾" 28¾" 28¼"Length (H) 24½" 29½" 29½" 35½"Total mass 29.75 lbs. 34.1 lbs. 35.25 lbs. 40.75 lbs.Overall measurementsWidth, inside (G1) 12¾" 14¾" 16¾" 16¾"Overall height (I) * 26 ¼" – 39 ¼" 33 ¾" – 46 ¾" 39" – 51 ½" 47 ¼" – 60 ¼"Height from foot plate (I1) * 21 ¾" – 29 ¼" 29 ½ " – 42 ½" 32 ½" – 46 ¾" 37 ¾" – 56"Center bar angle (a1) 0 to +30º 0 to +30º 0 to +30º 0 to +30ºFoot plate angle (a2) +15º to -10º +15º to -10º +15º to -10º +15º to -10ºCamber 8º 6º 6º 4ºCenter bar length 19¾" 27½" 31½" 39¼"Recommended user height 34" - 39" 39" - 54" 43" - 58" 48" - 71"Max load 88.1 lbs. 110.2 lbs. 132.2 lbs. 154.3 lbs.Recommended user age 1 - 3 yr./old 4 - 10 yr./old 5 - 12 yr./old 7 - 18 yr./old* Measured in upright position and with the foot plate in the lowest position. For smaller children it is possible to raise the foot plate.

R82 Rabbit Up - E0638 / E0642USD Retail Price List/ Order Form

Effective: 05.01.19 - Rev 4

Mobile Stander

Measurements

Page 2: R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form Effective: 05.01.19 - Rev 4 Mobile Stander Measurements. Description Size. Part No.

Description Size Part No. USD Price HCPCSStander - with brake on castors

Rabbit-up, Stander, Yellow 1 8621220-00 $1,372 E0638Rabbit-up, Stander, Blue 2 8622220-00 $1,407 E0638Rabbit-up, Stander, Grey 3 8623220-00 $1,442 E0638Rabbit-up, Stander, Silver 4 8624220-00 $1,547 E0638

Description Size Part No. USD Price HCPCS

Rabbit, 22" Wheels, Yellow 1 8621222-21 $2,632 E0642Rabbit, 24" Wheels, Yellow •• 1 8621223-21 $2,632 E0642Rabbit, 26" Wheels, Yellow 1 8621224-21 $2,632 E0642Rabbit, 26" Wheels, Blue 2 8622224-21 $2,667 E0642Rabbit, 29" Wheels, Blue 2 8622225-21 $3,297 E0642Rabbit, 32" Wheels, Blue •• 2 8622226-21 $3,297 E0642Rabbit, 26" Wheels, Grey •• 3 8623224-21 $2,702 E0642Rabbit, 29" Wheels, Grey •• 3 8623225-21 $3,332 E0642Rabbit, 32" Wheels, Grey 3 8623226-21 $3,332 E0642Rabbit, 32" Wheels, Silver •• 4 8624226-21 $3,437 E0642Rabbit, 36" Wheels, Silver 4 8624227-21 $3,542 E0642(Includes central brake, spoke protectors, & 0˚ Camber)••Custom Order; Approx. lead time: 6-8 weeks. Non-returnable item

Page 3: R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form Effective: 05.01.19 - Rev 4 Mobile Stander Measurements. Description Size. Part No.

Accessories Description Measurements Size Part No. USD Price

Chest Support 11" x 15½" x 7½” 1 861704 $205Chest Support ♦ 11" x 20-27" x 7½” 2, 3 861702 $205Chest Support ♦ 16" x 25-32" x 10½” 4 861703 $225♦Height and width adjustable

Chest Support (Pony Style) ♦•• 5½" x 8¾" x 4¾” 1 861801 $295Chest Support (Pony Style) ♦ 5½" x 10¾" x 4¾” 2, 3 861802 $295Chest Support (Pony Style) ♦ 5½" x 12¾" x 4¾” 4 861803 $295♦••Thicker Pad, Custom Order; Approx. lead time: 6-8 weeks

Chest Support (Mustang Style) ♦ 15½"-25¼" Small 861810 $490Chest Support (Mustang Style) ♦ 26¼"-30¾" Medium 861820 $510Chest Support (Mustang Style) ♦•• 34¼"-44¾" Large 861830 $540♦Surrounding Pad Style••Custom Order; Approx. lead time: 6-8 weeks

Extra Pad ♦ H:4¾ x W:2¼” One Size 869225 $61♦For Mustang Style Chest Support

Cover for Chest Support Small 869810-160 $115Cover for Chest Support Medium 869820-260 $140Cover for Chest Support •• Large 869830-360 $150••Custom Order; Approx. lead time: 6-8 weeks

Filler Pad 4¼” Small 861421 $82Adds 1" expansion to chest or hip pads

Filler Pad 6¼” Large 861422 $82Adds 2" expansion to chest or hip pads

Extension for Center Bar 3" One Size 861480 $82Note: Allows chest support to be mounted in a higher position

Accessories Description Measurements Size Part No. USD Price

Tray with Storage Box ♦ One Size 862501 $395Height Adjustment of Tray One Size 862510 $225♦Can only be used with Chest Support

Tray, Plastic, Grey One Size 862515 $385

Description Measurements Size Part No. USD Price

Abdominal Support (Ea.) 5" x 7½" One Size 861411 $160

Pommel and Sacral Support (Ea.) 5" x 7½" One Size 861401 $435

Description Measurements Size Part No. USD Price

NOTE → The following items are required when ordering a Head Support:• Connecting System for Head Support• Headrest of Choice• Turtle Bar System• Hip Support w/ Pommel

Connecting System for Head Support ♦ 1, 2 861424-3 $258Connecting System for Head Support ♦ 3, 4 861424-4 $258♦Required with Head Support

Anatomic Head Support ♦ A:5½ x B:5½ x C:9½” Small 5099001 $255Head Support Cover (Required) Small 9923-83 N/C

Anatomic Head Support ♦ A:6 x B:5½ x C:10” Medium 5099002 $255Head Support Cover (Required) Medium 9945-83 N/C

Anatomic Head Support ♦ A:6½ x B:5½ x C:12½” Large 5099003 $255Head Support Cover (Required) Large 9967-83 N/C

♦Required: Turtle Bar System Short or Long , Connecting System for Head Support AND Hip Support.

Page 4: R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form Effective: 05.01.19 - Rev 4 Mobile Stander Measurements. Description Size. Part No.

Swing-away Mounting Brackets - Height, Depth, Angle and Lateral AdjustableTurtle Bar System ♦ A: 5”, B: 4-8½” Short 98619-25 $230Turtle Bar System ♦ A: 10”, B: 4-8½” Long 98619-26 $230♦Required with Anatomic Head Support; 5099001, 5099002 or 5099003

Other types of headrest available, please see Head Supports Order Form

Description Measurements Size Part No. USD PriceHip Support w/ Pommel • 4¼" x 6" x 3” 1 861501 $505Hip Support w/ Pommel • 4¼" x 8-10½" x 3” 2, 3 861502 $505Hip Support w/ Pommel • 6¼ x 10-11½" x 4” 4 861503 $560•Height and Width Adjustable, Required w/ Head Support

Hip Support, Front Mount ♦ 4¼" x 6" x 3” 1 861601 $235Hip Support, Front Mount • 4¼" x 8-10½" x 3” 2, 3 861602 $235Hip Support, Front Mount • 6¼" 10-11½" x 4” 4 861603 $265♦Height Adjustable•Height and Width Adjustable

Hip Support w/Rotation ♦ 4¼" x 6" x 3” 1 861611 $355Hip Support w/Rotation • 4¼" x 8-10½" x 3” 2, 3 861612 $355Hip Support w/Rotation •• 6¼" x 10-11½" x 4” 4 861613 $385♦Height Adjustable•Height and Width Adjustable••Height and Width Adjustable, Custom Order; Approx. lead time: 6-8 weeks.

Accessories Description Measurements Size Part No. USD Price

Hip Support, Surrounding •• 1 861610 $555Hip Support, Surrounding 2, 3 861620 $555Hip Support, Surrounding •• 4 861630 $565••Custom Order; Approx. lead time: 6-8 weeks

Description Measurements Size Part No. USD Price

Knee Supports (Pr.) ♦ 2½" x 2½" 1 861301 $280Knee Supports (Pr.) ♦ 2¾" x 3¼" 2, 3 861302 $355Knee Supports (Pr.) ♦ 2¾" x 4" 4 861303 $355♦Includes Straps

Hinged Knee Supports (Pr.) ♦ 3" 1 861311 $435Hinged Knee Supports (Pr.) ♦ 3¾" 2, 3 861312 $435Hinged Knee Supports (Pr.) ♦ 4½" 4 861313 $435♦Includes Straps

Description Measurements Size Part No. USD Price

Flip-up Footplate ♦ 12" x 12" 1,2 861211 $220Flip-up Footplate ♦ 17" x 14" 3, 4 861212 $220♦Required with all Footplate Accessories

Formed Footplates (Pr.) ♦ 6¾" 0 86149 $165Formed Footplates (Pr.) ♦ 4" x 8½" 1, 2 86147 $165Formed Footplates (Pr.) ♦ 4½" x 9½" 3 86148 $165♦Flip-Up Footplate Required; 861211 or 861212

Foot Straps, Plastic Lock (Pr.) Max: 22", A: 13½-20½” One Size 85096 $36Foot Straps, Velcro (Pr.) One Size 85102 $51

Hinged Sandals w/Straps (Pr.) ♦ 3¾" x 8" 1 861221 $135Hinged Sandals w/Straps (Pr.) ♦ 4½" x 9½" 2, 3 861222 $135Hinged Sandals w/Straps (Pr.) ♦•• 6" x 12" 4 861223 $135♦Flip-Up Footplate Required; 861211 or 861212. ••Custom Order; Approx. lead time: 6-8 weeks

Individual Footrest w/Hinged Sandals (Pr.) ♦ 1 861201 $395Individual Footrest w/Hinged Sandals (Pr.) ♦ 2, 3 861202 $395♦Includes Straps

Heel Stop (Pr.) ♦ 1½" x 4" Small 861251 $56Heel Stop (Pr.) ♦ 4" x 5¾" Large 861252 $56♦Flip-Up Footplate Required; 861211 or 861212

Page 5: R82 Rabbit Up - E0638 / E0642 · R82 Rabbit Up - E0638 / E0642 USD Retail Price List/ Order Form Effective: 05.01.19 - Rev 4 Mobile Stander Measurements. Description Size. Part No.

Conversion Kits Description Measurements Size Part No. USD Price

For stander not prepared for driving wheels order driving wheels and central brake system*

Driving wheels, 22" closed pushrim 1 134209 $579Driving wheels, 24"closed pushrim 1 134210 $579Driving wheels, 26" closed pushrim 1, 2, 3 134211 $579Driving wheels, 29" closed pushrim 2, 3 134212 $892Driving wheels, 32" closed pushrim 2, 3, 4 134213 $892Driving wheels, 36" closed pushrim 4 134214 $892* with spoke protector

Central brake system 1 134215 $290Central brake system 2, 3 134216 $290Central brake system 4 134218 $290*for stander not prepared for driving wheels

Camber kit Rabbit Up 0˚ 134200 $52Camber kit Rabbit Up ∆ +3/-3˚ 134201 $52Camber kit Rabbit Up ∆ +6/-6˚ 134202 $52

Spare Parts Description Measurements Size Part No. USD Price QTY

Strap for Hip & Chest Support •• 1 861621 $61Strap for Hip & Chest Support •• 2, 3 861622 $61Strap for Hip & Chest Support •• 4 861623 $61••Custom Order; Approx. lead time: 6-8 weeks.

Kit for Center Bar •• 2 862902 $160Kit for Center Bar •• 3 862903 $180Kit for Center Bar •• 4 862904 $190••Custom order; Approx. lead time: 6-8 weeks

Spare Parts Description Measurements Size Part No. USD Price QTY

Mounting for Back Support 1, 2, 3, 4 861451 $133

Straps for Knee Supports (Pr.) 1 861341 $56Straps for Knee Supports (Pr.) 2, 3 861342 $56

Straps for Flip-Up Footplate (Pr.) 1 861241 $87Straps for Flip-Up Footplate (Pr.) 2, 3, 4 861242 $87

Spoke Protector for wheels w/closed push rim (Ea.) 22" 862622 $135Spoke Protector for wheels w/closed push rim (Ea.) 24" 862624 $135Spoke Protector for wheels w/closed push rim (Ea.) 26" 862626 $135Spoke Protector for wheels w/closed push rim (Ea.) 29" 862629 $190Spoke Protector for wheels w/closed push rim (Ea.) 32" 862632 $190Spoke Protector for wheels w/closed push rim (Ea.) 36" 862636 $190

**Open Pushrim available upon request ••Custom order; Approx. lead time: 6-8 weeks

For shipping rates, please call 1-844-876-624512801 E Independence Blvd, Matthews, NC 28105 • 1-844-876-6245 • Web: www.r82.com

Prices in CAD & is subject to change without noticeFor Quotes and Orders please send completed Order Form to: [email protected]

HCPCS codes are provided for your convenience and are NOT to be considered billing or legal advice. Providers are responsible for insuring that all appropriate billing codes are used when submitting claims. Proper use of HCPCS codes does not insure coverage or payment. Contact the appropriate payer for coverage information.