STEALTH PRODUCTS SEATING & POSITIONING ORDER FORM … · 800-965-9229 • • 104 John Kelly DR....

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52 800-965-9229 www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1 STEALTH PRODUCTS SEATING & POSITIONING ORDER FORM Date: / / Customer: Location: Contact: Fax: Phone: PO# Email: Seating and Positioning Systems Packages Includes the Following: Planar Seat and Back Insert, 1”1/2 Standard Profile Seat to Back Bracket and a belt. 21” wide or smaller/pressure relief material standard 1” QTY P/N DESCRIPTION PRICE SSS100 All Purpose Seating Package $1,022 SSS102 Adjustable J-hook $780 SSS104 All Purpose & T/F Mount Package $1,036 QTY P/N DESCRIPTION PRICE SSS101 Gap Saver Seat Package $1,022 SSS103 Adjustable Flush Hook/J-hook Seating Pkg. $744 SSS105 Complete T/F Mount Seating System $966 Adult System Packages Includes the Following: Planar Seat and Back Insert, adjustable offset back to seat hinged and a belt. 10” Comfort and TWBL Laterals. 21” wide or smaller/pressure relief material standard 1” QTY P/N DESCRIPTION PRICE SCS150 All Purpose Seating System $1,864 SCS152 Adjustable J-hook System $1,622 SCS154 All Purpose & T/F Mount System $1,878 QTY P/N DESCRIPTION PRICE SCS151 Space Saver Seat System $1,864 SCS153 Adjustable Flush Hook/J-hook Seating Sys. $1,586 SCS155 Complete T/F Mount Seating System $1,808 Back Inserts 21” wide or smaller/pressure relief material standard 1” Anything above 22” Please Call For Quote QTY P/N DESCRIPTION PRICE SB250 Solid Back Insert* $182 SB251 I-Style Back Insert* $273 SB252 T Style Back Insert* $273 SB253 Bi-Angular Back Insert* $439 SB254 Curved Back Insert* $261 SSS105 Complete T/F Mount Seating System $966 *Hardware not included Solid Seat Inserts 21” wide or smaller/pressure relief material standard 1” Anything above 22” Please Call For Quote QTY P/N DESCRIPTION PRICE SS350 Solid Seat Insert Hardware* $182 SS351 Offset Solid Seat Insert* $266 SS352 T Style Seat Insert* $271 SS353 Anti Thrust Seat Insert * $310 SS354 I Style Seat Insert* $273 SS355 Contour Seat Insert* $439 SS356 Built-in Medial Thigh Support Seat Insert* $316 *Hardware not included Back Modifications QTY P/N DESCRIPTION PRICE BMD200 1/2” Pudgee Foam $128 BMD205 1/2” SunMate Foam $32 BMD206 1”SunMate Foam $64 BMD220 I Style Back $91 BMD221 T Style Back $91 BMD222 Cubed Back 2x2x2”cubes $250 Seat Modifications QTY P/N DESCRIPTION PRICE SMD300 1/2” Pudgee Foam $128 SMD305 1/2” SunMate Foam $32 SMD306 1” SunMate Foam $64 SMD310 1/2” Action Gel overlay $171 SMD320 Anti-thrust shelf Specify: Height x Dimension $128 SMD321 Contour Seat $250 Back Insert Packages 21” wide or smaller/pressure relief material standard 1” Anything above 22” Please see Modification Section for Pricing QTY P/N DESCRIPTION PRICE SBP200 Solid Back Insert Package with All Purpose Hardware $658 SBP201 Solid Back Insert Package with drop down hooks & fixed hold downs $278 SBP202 All Purpose Back Hardware PKG $586 SBP203 Solid Back J Hook Package** $348 SBP204 Solid Back J Hook Package* $346 SBP205 Solid Back J Hook Package Between Rails** $348 SBP206 Solid Back J Hook Package Between Rails* $346 SBP207 Solid Back Package Forward Of Back Uprights with Mounting Hooks and Fixed Hold Downs $330 SBP208 Solid Back Package T/F Hardware T/F Mount Hardware and Rotating Hold Downs $518 SBP900 Solid Back Package Custom CALL *with adjustable J Hook and Fixed Hold downs ** with adjustable J Hook & Fixed Rotating Hold downs Solid Seat Insert Packages 21” wide or smaller/pressure relief material standard 1” Anything above 22” Please see Modification Section for Pricing QTY P/N DESCRIPTION PRICE SSP300 Seat Package With Front All Purpose Clamps & Back T/F Seat Hardware $554 SSP301 Seat Package With Front All Purpose Clamps & Seat Tabs $436 SSP302 Seat Package with Adjustable J-hook* $348 SSP303 Full Width Solid Seat Package with Adjustable J Hook* $348 SSP304 Solid Seat Package w/ T/F Mount Hardware $554 SSP305 Solid Seat Package With Drop Hook* $280 SSP306 Seat Package with Flush Hooks* $324 SSP900 Solid Seat Package Custom ** *and Rotating Hold Downs **Call for a Quote Stealth Products, LLC 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009 Page 1 of 6

Transcript of STEALTH PRODUCTS SEATING & POSITIONING ORDER FORM … · 800-965-9229 • • 104 John Kelly DR....

Page 1: STEALTH PRODUCTS SEATING & POSITIONING ORDER FORM … · 800-965-9229 • • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1 53 STEALTH PRODUCTS

52 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611Stealth Products • Dimension Specifications v.1

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:

Seating and Positioning Systems PackagesIncludes the Following: Planar Seat and Back Insert, 1”1/2 Standard Profile Seat to Back Bracket and a belt.

21” wide or smaller/pressure relief material standard 1”QTY P/N DESCRIPTION PRICE

SSS100 All Purpose Seating Package $1,022

SSS102 Adjustable J-hook $780

SSS104 All Purpose & T/F Mount Package $1,036

QTY P/N DESCRIPTION PRICE

SSS101 Gap Saver Seat Package $1,022

SSS103 Adjustable Flush Hook/J-hook Seating Pkg. $744

SSS105 Complete T/F Mount Seating System $966

Adult System PackagesIncludes the Following: Planar Seat and Back Insert, adjustable offset back to seat hinged and a belt. 10” Comfort

and TWBL Laterals. 21” wide or smaller/pressure relief material standard 1”QTY P/N DESCRIPTION PRICE

SCS150 All Purpose Seating System $1,864

SCS152 Adjustable J-hook System $1,622

SCS154 All Purpose & T/F Mount System $1,878

QTY P/N DESCRIPTION PRICE

SCS151 Space Saver Seat System $1,864

SCS153 Adjustable Flush Hook/J-hook Seating Sys. $1,586

SCS155 Complete T/F Mount Seating System $1,808

Back Inserts21” wide or smaller/pressure relief material standard 1”

Anything above 22” Please Call For Quote

QTY P/N DESCRIPTION PRICE

SB250 Solid Back Insert* $182

SB251 I-Style Back Insert* $273

SB252 T Style Back Insert* $273

SB253 Bi-Angular Back Insert* $439

SB254 Curved Back Insert* $261

SSS105 Complete T/F Mount Seating System $966

*Hardware not included

Solid Seat Inserts21” wide or smaller/pressure relief material standard 1”

Anything above 22” Please Call For Quote

QTY P/N DESCRIPTION PRICE

SS350 Solid Seat Insert Hardware* $182

SS351 Offset Solid Seat Insert* $266

SS352 T Style Seat Insert* $271

SS353 Anti Thrust Seat Insert * $310

SS354 I Style Seat Insert* $273

SS355 Contour Seat Insert* $439

SS356 Built-in Medial Thigh Support Seat Insert* $316

*Hardware not included

Back ModificationsQTY P/N DESCRIPTION PRICE

BMD200 1/2” Pudgee Foam $128

BMD205 1/2” SunMate Foam $32

BMD206 1”SunMate Foam $64

BMD220 I Style Back $91

BMD221 T Style Back $91

BMD222 Cubed Back 2x2x2”cubes $250

Seat ModificationsQTY P/N DESCRIPTION PRICE

SMD300 1/2” Pudgee Foam $128

SMD305 1/2” SunMate Foam $32

SMD306 1” SunMate Foam $64

SMD310 1/2” Action Gel overlay $171

SMD320 Anti-thrust shelf Specify: Height x Dimension $128

SMD321 Contour Seat $250

Back Insert Packages21” wide or smaller/pressure relief material standard 1”

Anything above 22” Please see Modification Section for Pricing

QTY P/N DESCRIPTION PRICE

SBP200 Solid Back Insert Packagewith All Purpose Hardware

$658

SBP201 Solid Back Insert Packagewith drop down hooks & fixed hold downs

$278

SBP202 All Purpose Back Hardware PKG $586

SBP203 Solid Back J Hook Package** $348

SBP204 Solid Back J Hook Package* $346

SBP205 Solid Back J Hook Package Between Rails** $348

SBP206 Solid Back J Hook Package Between Rails* $346

SBP207 Solid Back Package Forward Of Back Uprightswith Mounting Hooks and Fixed Hold Downs

$330

SBP208 Solid Back Package T/F HardwareT/F Mount Hardware and Rotating Hold Downs

$518

SBP900 Solid Back Package Custom CALL

*with adjustable J Hook and Fixed Hold downs** with adjustable J Hook & Fixed Rotating Hold downs

Solid Seat Insert Packages21” wide or smaller/pressure relief material standard 1”

Anything above 22” Please see Modification Section for PricingQTY P/N DESCRIPTION PRICE

SSP300 Seat Package With Front All PurposeClamps & Back T/F Seat Hardware

$554

SSP301 Seat Package With Front All PurposeClamps & Seat Tabs

$436

SSP302 Seat Package with Adjustable J-hook* $348

SSP303 Full Width Solid Seat Packagewith Adjustable J Hook*

$348

SSP304 Solid Seat Package w/ T/F Mount Hardware $554

SSP305 Solid Seat Package With Drop Hook* $280

SSP306 Seat Package with Flush Hooks* $324

SSP900 Solid Seat Package Custom **

*and Rotating Hold Downs**Call for a Quote

Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

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53 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:

Medial Thigh Support PackagesQty P/N DESCRIPTION Price

TWBABD Flip Down Swing-Away Bracket + Pad $275

TWBABD-FSC Flip Down Swing-Away Bracket + Pad* $375

TWBABDC Flip Down Swing-Away Bracket + Pad1 **

TWBABDC-FSC Flip Down Swing-Away Bracket + Pad*1 **

*with Full Surface Contact Technology **Quote1Custom Pad

Medial Thigh Support ModificationsQty P/N DESCRIPTION Price

LTMD430 1/2” Gel in Medial support $50

LTMD433 1/2” T-Foam in Medial Support $25

LTMD432 1/2” Pudgee in Medial Support $90

Swing-Away Mechanism For Facial Pad AccessoriesQty P/N DESCRIPTION Price

SUS9-B Swing-Away Assembly For The Ultra& Combo Series Headrest both L/R

$410

SUS9-L Swing-Away Assembly Left Side Only $325

SUS9-R Swing-Away Assembly Right Side Only $325

Switches - Mount IncludedQty DESCRIPTION Price

Egg Switches $77

□ Red • □ Black • □ Blue • □ Yellow • □ Green

Dynamic Butterfly BeltQty P/N DESCRIPTION Price

SPDBFM Dynamice Butterfly Belt Medium $154

SPDBFL Dynamice Butterfly Belt Large $154

Padded Hip Belt Center PullQty P/N DESCRIPTION Price

SPPHBM-CP Padded Hip Belt Center Pull Medium $71

SPPHBL-CP Padded Hip Belt Center Pull Large $71

Double Leg Foot BoxesQty P/N DESCRIPTION Price

SPFB-DLL Double Leg Foot Box Large15” wide x 12” deep x 11” high

$434

SPFB-DLC Double Leg Foot Box Custom____” wide x ____” deep x ____” high

$434

Single Leg Foot BoxesQty P/N DESCRIPTION Price

SPFB-SLL Single Leg Foot Box Large7” wide x 12” deep x 11” high

$475 pair

SPFB-SLC Single Leg Foot Box Custom____” wide x ____” deep x ____” high

$525 pair

Head Positioning & Support Quick PicksQty P/N DESCRIPTION Price

CP480 Comfort Plus 8” Back Padw/ (TWB480) Hardware

$362

CP180 Comfort Plus 14” Back Padw/ (TWB480) Hardware

$362

CB300 Stealth Combo Largew/ (HMO474) Multi-Axis Hardware

$425

SU100 The Stealth Ultra - Occipital/QCRSub-Occipital come with HMS450 Hardware

$570

i2i580 Medium Eye-To-Eye Head Positioningand Control System

$699

i2i680 Large Eye-To-Eye Head Positioningand Control System

$699

Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

Thoracic Support PackagesQTY P/N DESCRIPTION PRICE

LT500 Fixed Lateral Brackets* $260 pair

TWBL-PLN Lateral with Planar Bracket* $550 pair

TWBL-TUB Lateral with Cane Mount Bracket* $550 pair

TWBL-TRK Lateral with Track Mount Bracket* $550 pair

ASTWBL All Season Bracket for the TWBL Lateral*Add $100.00 if purchase separately

$50 ea.

*Includes Pad choose from the following below

Pad Sizes: □ 3x5 □ 4x6 □ Other Height:_______ x Width:_______Pad Shapes: □ Flat (Standard) □ Curved

□ Contoured □ Tear □ D□ Gel [Add $50.00 for Gel each]

Thoracic Support PackagesQTY P/N DESCRIPTION PRICE

LP410 Series Lateral Pelvic/Thigh Packagesw/ standard bracket & pad

$124 ea.

LP411 Series Lateral Pelvic/Thigh Packagesw/ modular bracket & pad

$237 ea.

LP412 Series Lateral Pelvic/Thigh Packages* $130 ea.

LP413 Series Lateral Pelvic/Thigh Packagesw/ high profile bracket & pad

$272 ea.

LP414 Series Lateral Pelvic/Thigh Packagesw/ removable bracket & pad

$197 ea.

LP415 Series Lateral Pelvic/Thigh Packagesw/ 1” reverse offset bracket & pad

$132 ea.

LP416 Series Lateral Pelvic/Thigh Packages* $208 ea.

TWBADD TWB Adductor (Lateral Thigh Support)Pad Included w/ Track Nut

$275 ea.

*with 20° Adjustable/Fixed bracket and pad

H BeltsQty P/N DESCRIPTION Price

SPHBM Padded H-Belt Medium $120

SPHBL Padded H-Belt Large $120

Butterfly Chest BeltQty P/N DESCRIPTION Price

SPBFM Butterfly Chest Belt Medium $132

SPBFL Butterfly Chest Belt Large $132

Choose Pad AccessoriesPads Included: □ 910 □ 900 □ 920 □ 930

□ Gel [Add $50.00 for Gel each]

For Additional Items See Advanced Order Forms

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54 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611Stealth Products • Dimension Specifications v.1

Mobility Base Information:Model Type:Color:Frame Width: Depth:Push Handle Height:□ Power □ Manual

Seat & Back Insert Information:□ Full Width Mount □ Seat □ Back□ Between Rails Mount □ Seat □ Back

Embroidery: (Reference Guide on pg 60)Name:Color Thread:Contact Surface Material: □ Lycra □ NeopreneSpecify Color:Non-Contact Surface Material

□ Standard Vinyl□ Other Specify Color & Material

Information Required

Insert Dimensions

Customer Measurements

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G

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JK

L

A. Shoulder Width

B. Chest Width

C. Hip Width

D. Width at Knee

E. Seat to Top of Head

F. Seat to Top of Shoulder

G. Seat to Axilla

H. Seat to PSIS

I. Chest Depth

J. Back to ITs Anterior

K. Seat Depth

L Seat to Foot Plate

A. Seat Width

B. Back Width

C. Distance Between Laterals

D. Distance Between Pelvic Laterals

E. Set Seat Depth

F. Total Seat Depth

G. Back Height

H. Seat to Top of Lateral

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Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:Page 3 of 6

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55 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:

A

BC

AB

CD

AB

DE

F

C

A

B

C

A

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C

D

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A

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Spec

ify S

ide

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Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

G

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Solid Seat Insert

“I” Style Seat Insert

“T” Style Seat Insert

Built-In Medial Thigh Seat Insert Anti-Thrust Seat Insert

Contour Seat

Offset Seat Insert

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BC

D

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A

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56 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611Stealth Products • Dimension Specifications v.1

Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:

A

B

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D

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“T” Back Insert

Curved Back Insert

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Biangular Back

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Page 6: STEALTH PRODUCTS SEATING & POSITIONING ORDER FORM … · 800-965-9229 • • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1 53 STEALTH PRODUCTS

57 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:

Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

Custom Sketch PageBack

Seat

Front View Back

Top View Back

Front View Seat

Side View Seat

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58 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611Stealth Products • Dimension Specifications v.1

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

Fax:Phone:

PO#

Email:

Niño Series Seating and Positioning Systems PackagesQTY P/N DESCRIPTION PRICE

SSSN110 Niño Series Planar Seating PackageIncludes the following Planar Seat and Back Insert, Adjustable offset back to seat hinged, Rails, All Purpose Seat & Back Mounting Hardware, 3” Growth Notches and a Niño style belt.

$1,259

SSSN111 Niño Independent Seat to Back PackageIncludes the following Planar Seat and Back Insert, Rails, Fixed Back Mounts, All Purpose Seat & Back Mounting Hardware and a Niño style belt.

$1,449

QTY P/N DESCRIPTION PRICE

SNCS160 Niño Series Seating PackageIncludes the following Planar Seat and Back Insert, Adjustable offset back to seat hinged, Rails, Niño Series All Purpose Seat & Back Mounting Hardware, 3” Growth Notches, a Niño style belt, 6” Niño Comfort and Niño Laterals.

$2,101

SNCS161 Niño Independent Seating PackageIncludes the following Planar Seat and Back Insert, Rails, Fixed Back to Seat hinged, Niño Series Adjustable Seat & Back Mounting Hardware, a Niño style belt, 6” Niño Comfort and Niño Laterals.

$2,291

Niño Series System PackagesInclude Headrest & Laterals

Niño Back Inserts14” wide or smaller/pressure relief material standard 1”

QTY P/N DESCRIPTION PRICE

SBN260 Niño Back Insert* $245

SBN261 Niño “I” Style Back Insert* $334

SBN262 Niño “T” Style Back Insert* $336

SBN263 Niño Bi-Angular Back Insert* $502

SBN264 Niño Curved Back Insert* $324

*Niño hardware not included

Niño Seat Inserts14” wide or smaller/pressure relief material standard 1”

QTY P/N DESCRIPTION PRICE

SSN360 Niño Solid Seat Insert* $245

SSN361 Niño Offset Solid Seat Insert* $334

SSN362 Niño I Style Seat Insert* $336

SSN363 Niño T Style Seat Insert* $334

SSN364 Niño Anti Thrust Seat Insert* $373

SSN365 Niño Contour Seat Insert* $502

SSN366 Niño Built-in Medial Thigh Support Seat Insert*

$379

*Niño hardware not included

Niño Back ModificationsQTY P/N DESCRIPTION PRICE

BMD200 1/2” Pudgee Foam $128

BMD205 1/2” SunMate Foam $32

BMD206 1” SunMate Foam $64

BMD210 Curved Foam Addition $97

BMD220 “I” Style Back $91

BMD221 “T” Style Back $91

BMD222 Cubed Back 2x2x2”Cubes $250

BMD223 Adjustable Angle, Bi-Angular $257

Seat ModificationsQTY P/N DESCRIPTION PRICE

SMD300 1/2” Pudgee Foam $128

SMD305 1/2” SunMate Foam $32

SMD306 1” SunMate Foam $64

SMD310 1/2” Action Gel overlay $171

SMD320 Anti-thrust shelf Specify: Height x Dimension $128

SMD321 Contour Seat $250

Niño Back Insert Packages14” wide or smaller/pressure relief material standard 1”

QTY P/N DESCRIPTION PRICE

SBNP210 Niño Back Insert PackageNiño Back Insert, Adjustable Rails and Niño All Purpose Adjustable Mounting Brackets.

$726

SBPN211 Niño Back and Hardware Package Niño Series: Includes Top All Purpose Adjustable Clamps, Rails & Adjustable Seat To Back Bracket

$720

Niño Seat Insert Packages14” wide or smaller/pressure relief material standard 1”

QTY P/N DESCRIPTION PRICE

SSNP310 Niño Solid Seat Insert Package $629

SSNP311 Niño Seat and Hardware Package $479

Stealth Products, LLC • 104 John Kelly Dr Burnet TX, 78611 • Ph. 800-965-9229 • Fax. 800-806-1225 • [email protected] • www.stealthproducts.com Logo and Products name are trademarks of Stealth Products, LLC ® 2008-2009

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59 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1

Medial Thigh Support PackagesQty P/N DESCRIPTION Price

TWBABD Flip Down Swing-Away Bracket + Pad $275

TWBABD-FSC Flip Down Swing-Away Bracket + Pad* $375

TWBABDC Flip Down Swing-Away Bracket + Pad1 **

TWBABDC-FSC Flip Down Swing-Away Bracket + Pad*1 **

*with Full Surface Contact Technology **Quote1Custom Pad

Medial Thigh Support ModificationsQty P/N DESCRIPTION Price

LTMD430 1/2” Gel in Medial support $50

LTMD433 1/2” T-Foam in Medial Support $25

LTMD432 1/2” Pudgee in Medial Support $90

Swing-Away Mechanism For Facial Pad AccessoriesQty P/N DESCRIPTION Price

SUNS9-B Swing-Away Assembly For The Ultra& Combo Series Headrest both L/R

$410

SUNS9-L Swing-Away Assembly Left Side Only $325

SUNS9-R Swing-Away Assembly Right Side Only $325Switches - Mount IncludedQty DESCRIPTION Price

Egg Switches $77

□ Red • □ Black • □ Blue • □ Yellow • □ Green

Dynamic Butterfly BeltQty P/N DESCRIPTION Price

SPDBFXS Dynamic Butterfly Belt Extra Small $154

SPDBFS Dynamic Butterfly Belt Small $154

SPDBFM Dynamic Butterfly Belt Medium $154

Padded Hip Belt Center PullQty P/N DESCRIPTION Price

SPPHBS-CP Padded Hip Belt Center Pull Small $71

SPPHBM-CP Padded Hip Belt Center Pull Medium $71

Double Leg Foot BoxesQty P/N DESCRIPTION Price

SPFB-DLS Double Leg Foot Box Small11” wide x 8” deep x 7” high

$434

SPFB-DLM Double Leg Foot Box Medium13” wide x 10” deep x 9” high

$434

SPFB-DLC Double Leg Foot Box Custom____” wide x ____” deep x ____” high

$434

Single Leg Foot BoxesQty P/N DESCRIPTION Price

SPFB-SLS Single Leg Foot Box Small5” wide x 8” deep x 7” high

$475 pair

SPFB-SLM Single Leg Foot Box Medium6” wide x 10” deep x 9” high

$475 pair

SPFB-SLC Single Leg Foot Box Custom____” wide x ____” deep x ____” high

$525 pair

Niño Pelvic/Thigh Support PackageQty P/N DESCRIPTION Price

LAPN400 Niño Series Lateral Pelvic/Thigh/Armrest Pkg.w/standard fixed bracket and pad

$246*

LAPN401 Niño Series Lateral Pelvic/Thigh/Armrest Pkg.w/removable T/F bracket and pad

$358*

LAPN402 Niño Series Lateral Pelvic/Thigh/Armrest Pkg.w/ removable and heigh Adjustable T/F bracket and pad

$436*

* Each

Head Positioning & Support Quick PicksQty P/N DESCRIPTION Price

CB310 Stealth Combo Smallw/ (HMO475) Multi-Axis Hardware

$425

SUN120 The Stealth Ultra Niño - Occipital/QCRSub-Occipital comes w/ (HMS450) Hardware

$570

i2i480 Small Eye-To-Eye head positioningand Control System

$699

i2i580 Medium Eye-To-Eye Head Positioningand Control System

$699

Niño Thoracic Support PackagesQTY P/N DESCRIPTION PRICE

NLT510 Niño Fixed Lateral Brackets* $260**

TWBNL-PLN Niño TWBNL Lateral with Planar Bracket* $550**

TWBNL-TUB Niño TWBNL Lateral w/ Cane Mount Bkt* $550**

TWBNL-TRK Niño TWBNL Lateral w/ Track Mount Bkt* $550**

ASTWBL All Season Bracket for the TWBL Lateral*Add $100.00 if purchase separately

$50 ea.

*Includes Pad choose from the following below • **Pair

Pad Sizes: □ 6x1 □ 3x2 □ 3x3 □ Other H:____ x W:____Pad Shapes: □ Flat (Standard) □ Curved

□ Contoured □ Tear □ D□ Gel [Add $50.00 for Gel each]

Niño Pelvic/Thigh Support PackagesQTY P/N DESCRIPTION PRICE

LPN420 Niño Series Lateral Pelvic/Thigh Pkg.w/ standard bracket & pad

$120 ea.

LPN421 Niño Series Lateral Pelvic/Thigh Pkg.w/ modular bracket & pad

$197 ea.

LPN422 Niño Series Lateral Pelvic/Thigh Pkg.* $272 ea.

LPN423 Niño Series Lateral Pelvic/Thigh Pkg.w/ high profile bracket & pad

$120 ea.

LPN424 Niño Series Lateral Pelvic/Thigh Pkg.w/ removable bracket & pad

$227 ea.

LPN425 Niño Series Lateral Pelvic/Thigh Pkgs w/20° Adjustable and Removable Bracket and Pad

$259 ea.

with 20° Adjustable/Fixed bracket and pad

H BeltsQty P/N DESCRIPTION Price

SPHBM Padded H-Belt Medium $120

SPHBS Padded H-Belt Small $120

Butterfly Chest BeltQty P/N DESCRIPTION Price

SPBFEX Butterfly Chest Belt Extra Small $132

SPBFM Butterfly Chest Belt Medium $132

SPBFS Butterfly Chest Belt Small $132

Choose Pad AccessoriesPads Included: □ 910 □ 900 □ 930

□ Gel [Add $50.00 for Gel each]

STEALTH PRODUCTS SEATING & POSITIONING ORDER FORMDate: / / Customer: Location: Contact:

PO#

Page 9: STEALTH PRODUCTS SEATING & POSITIONING ORDER FORM … · 800-965-9229 • • 104 John Kelly DR. Burnet, TX 78611 Stealth Products • Dimension Specifications v.1 53 STEALTH PRODUCTS

60 800-965-9229 • www.stealthproducts.com • 104 John Kelly DR. Burnet, TX 78611Stealth Products • Dimension Specifications v.1

buff

sable

iced mauve

aqua green

sky

charcoal

black

silver

Brushed Aluminum

Neoprene

Dartex

Carbon Fiber

Naugahyde/Vinyl

Legend

classic black

navy blue

rally bright white

cruisercopper

buck

rouge seafoam

wedgewood

nocturnal

bone

port

fire red

teal

quicksilver

blackbeige

burgundy

tiger lily

navy

cool grey

breathable waterproof water resistant anti-bacterialstretch

sand tan

finish line white

dark gray

black

acceleration blue

burgundy

competitionorange

quicksilver

gray

gold

racy blue

red

cautionyellow

blue streak

sky blue

performancepurple

dartex black

overdrivecharcoal

royal blue

stop lightred

dartex reverseblack

chianti coral nordic

ash

C1 BlackC2 GoldC3 Silver

C17 Sky BlueC18 GrayC19 Royal BlueC20 BurgundyC21 Dark GreyC22 RedC23 Navy BlueC51 Black

C4 Classic BlackC5 Quick SilverC6 Stop Light RedC7 Caution YellowC8 Racy BlueC9 Overdrive CharcoalC10 Competition OrangeC11 Finish Line PearlC12 Blue StreakC13 Performance PurpleC14 Rally Bright WhiteC15 Cruiser CopperC16 Acceleration Blue

C24 Aqua GreenC25 AshC26 BeigeC27 BlackC28 BoneC29 BuckC30 BuffC31 BurgundyC32 Cool GreyC33 CharcoalC34 ChiantiC35 CoralC36 Fire RedC37 NavyC38 NordicC39 PortC40 QuicksilverC41 RougeC42 SableC43 SeafoamC44 SkyC45 Sand TanC46 TealC47 Tiger LilyC48 Wedge WoodC49 Iced MauveC50 Nocturnal

C52 BlackC53 Reverse Black

Foams1-1/2”, 2”, 3” HR FOAM1/2”,1-1/2”,2” Pudgee Foam1/2”,1”,2” T-Foam1/2”,1”,2” Sunmate Foam

Liquid Sunmate for Foam in Place Seating

Gel1/2” Action Gel

Neoprene or polychloroprene is a family of synthetic rubbers that are produced by polymerization of chlo-roprene. It is used in a wide variety of environments, such as in wetsuits, laptop sleeves, electrical insulation, and car fan belts. It provides excellent insulation against cold and guards against abrasions like few materials do.

Naugahyde is a well known and es-tablished brand of artificial leather, made from vinyl polymer coated plastic. Its name comes from the city of Naugatuck, Connecticut, where it was first produced.

Vinyl polymers are a group of poly-mers derived from vinyl monomers. In popular usage, “vinyl” refers only to PVC. Vinyl polymers are the most common type of plastic.

Carbon fiber or carbon fibre (also sometimes called graphite fiber) is a material consisting of long thin sheets of graphite-like carbon, packed to form a fiber. It is commonly used in composite materials such as carbon fiber reinforced plastic (which is often also called carbon fiber). It has the highest specific tensile strength of all the reinforced materials (composite materials), and it has a high strength to weight ratio and low coefficient of thermal expansion.

Pudgee (Visco Elastic Foam) was originally developed for NASA, and it has been used with great effective-ness for over 20 years in the medical industry. This revolutionary heat and pressure sensitive foam protects sensi-tive skin, absorbs moisture and vibra-tions, improves blood circulation, and relieves skin tension. Pudgee foam is usually used in orthopedic chairs and beds, and it can be sterilized with al-cohol or steam.

SunMate® is a viscoelastic “memory” foam with slow springback allowing it to contour to the body. Maximizes air-flow which help reduce heat buildup.

Liquid SunMate® is used in seating technology to help improve body functionality and slow progressive de-formity through posture control.

References: Wikipedia.com

• Dynamic System

s, Inc • The McG

raw-Hill C

ompanies, Inc.