Page 1 of 11INFINFB3950/RevB/01AUG2018
J6 with TRU-Balance 3 Positioning Order Form
Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]
Account Number: ___________ Date: ________________
Provider Name: __________________________________
Contact: ________________________________________
Phone: ___________________ Fax: _________________
Email: __________________________________________
PO Number: _____________________________________
Marked for: _____________________________________
Ship to Address: _________________________________
City: _____________________ State: ______ Zip: ______
Weight:________ Height:________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
A. Shoulder Width: _______B. Chest Width: _________C. Hip Width: ___________
D. Max Sitting Height: ____E. Shoulder Height: ______F. Axilla Height: _________
G. Thigh Depth: _________H. Lower Leg Length: ____I. Elbow Height: ________
This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. Com-plete the form by placing checks in the desired boxes and provide information in the interactive fields. Buttons shown at the bottom of the form may be utilized to print or submit the order form through a desktop email application. To email via a web-based application, please ‘Save As’ and attach the PDF to your email. This order form contains a large variety of options to fulfill various patient needs. Descriptions and section notes, such as optional or required, are included to help you complete your order. Please contact Quantum Sales at 866-800-2002 if assistance is needed. Send the completed order form by fax (866-707-3422) or email ([email protected]). Incomplete forms may delay the quote or order. Customer service will contact you if the order is incomplete or if there are compatibility issues. If special order requests are needed, be sure that the Patient Information section is completed or include a completed physical assessment form with this order form. HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for deter-mining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power chair. Please contact technical service for accurate parts ordering. Options noted with "XRef" have multiple possible part numbers based on system configuration. Please see cross-reference spreadsheet for the XRef part numbers.
Thank you for choosing Quantum!
INTRODUCTION
PATIENT INFORMATION
1. BASE MODELREQUIRED. Select a group 2 power base. 300 lb. weight capacity. Includes 5 amp off board charger. Dimensions of base without legrests: 23.19”W x 34.74”L.
J6 2S-SS ................................................................... $5,971Part: J6 2S-SS. HCPCS: K0822Solid seat pan standard.
J6 2SP-SS .................................................................$6,250Part: J6 2SP-SS. HCPCS: K0835Single power option.
2. BASE COLORREQUIRED. Select one shroud color. Colors shown here may differ from actual product depending on monitor/printer calibration used.
Candy Apple RedPart: SHDASMB4630
Viper BluePart: SHDASMB4631
Onyx BlackPart: SHDASMB4632
Pearl PinkPart: SHDASMB4958
Sunburst OrangePart: SHDASMB4634
Page 2 of 11INFINFB3950/RevB/01AUG2018
Base Mounted Foot Platform ...................................... StandardPart: FRMASMB16077
Bell Shaped, Base Mounted Foot Platform .......................... $235Part: RIGASMB7120041
Omit Base Mounted Foot Platform ............................. No ChargePart: PTOINDV3674
10" Flat Free Black Tires ........................................... StandardPart: WHL140393 x2 qty
10" Pneumatic Black Tires ....................................... No ChargePart: WHL140390 x2 qty
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Swing-away, Inline, Left Side Mount ..................$245NE/NE+ Part: ACC142526. HCPCS: E1028
Swing-away, Inline, Right Side Mount ................$245NE/NE+ Part: ACC142527. HCPCS: E1028
Swing-away, 1” Offset, Left Side Mount .............$245NE/NE+ Part: ACC142747. HCPCS: E1028
Swing-away, 1” Offset, Right Side Mount ............$245NE/NE+ Part: ACC142748. HCPCS: E1028
Seat Mounted, LED, Full Light Package ...............................................................................................................................$995Part: ELE131477
3. DRIVE WHEELSREQUIRED. Select a type of drive wheels.
5. FULL LIGHT PACKAGEOptional. Requires NE+ 8 Key Joystick.
4. BASE MOUNTED FOOT PLATFORMREQUIRED. May interfere with seat mounted legrests. Not available with center mount foot platforms.
NE 4-Key Joystick ....................................StandardPart: CTLDC1554Available with Tilt Only through Toggle.
NE+ 6-Key Joystick (2 Actuators) ......................$200Part: CTLDC1560
NE+ 8-Key Joystick (2 Actuators & Lights) ..........$400Part: CTLDC1561
No Joystick, Setup for NE+ Joystick ...........No ChargePart: Configuration selection NE+ 6 Key Joystick
Omit Joystick Mounting Bracket
Swing Away JoystickInline Mount (Right)
Swing Away JoystickOffset Mount (Right)
Fixed, In-line, Bracket .............................................................................................................StandardNE/NE+ Part: FRMASMB12744.
Left Side MountPart: PTOINDV1225
Right Side MountPart: PTOINDV1226
Non-Expandable ControlsSelect a joystick below or omit selection if another controller type is desired. Non-expandable does not allow supplementary drive controllers.
7.1b. Swing-Away (Retractable) Joystick BracketAllows the joystick to retract to the side of the armrest while maintaining the same joystick orientation. "Inline bracket" is used with TRU-Balance 3 arms when the joystick is inline with armpad. "Inline bracket" will be offset 1" when used with tube style arms. Select "Offset Bracket" to have the joystick inline with armpad on tube style armrests.
7.1a. Fixed, In-line Joystick Bracket
Multi-Axis JoystickMount
Retract4
7.1c. Specialty Joystick MountsSelect a bracket and side to mount it. Not available with VSI Joystick.
Specialty Mount Side
Retract4 Mount ............................................$350NE/NE+ Part: MEC138876. HCPCS: E1028Full 180° of movement that translates into multi-position use, straight, right offset, left offset, or fold away. Joy-stick orientation varies as bracket is adjusted.
Multi-axis Mount ..........................................$100NE/NE+ Part: ACC142528. HCPCS: E1028Allows height adjustment of joystick.
Left Side MountPart: PTOINDV1225
Right Side MountPart: PTOINDV1226
6. ELECTRONICSREQUIRED. Other drive controls may be available by contacting customer service.
7. JOYSTICK MOUNTING BRACKETSREQUIRED. Select a mount to be used with a joystick selected in previous section.
8. JOYSTICK HANDLESOptional. The NE/NE Plus Joysticks are standard with a carrot handle (See A in image). The optional handle will be mounted to the joystick and the standard handle will be shipped with the unit.
Joystick Handles
Mushroom Handle (B) ..................................... $85Part: ACCASMB1860. HCPCS: E2323
Chin Cup (C) ................................................. $85Part: ACCASMB1861. HCPCS: E2323 (E2324 when chin control)
T-Bar (D) .................................................... $120Part: ACCASMB1858. HCPCS: E2323
Medium Ball Handle (E) ................................... $65Part: ACCASMB1859. HCPCS: E2323
Soft Ball Handle (F) ........................................ $65Part: ACCASMB1856. HCPCS: E2323
Extended I-Handle (G) .................................... $85Part: ACCASMB1857. HCPCS: E2323
Bodypoint 3” Goal Post Handle ......................... $99Part: PLSKNCP1057. HCPCS: E2323
Bodypoint 4” Goal Post Handle ......................... $99Part: PLSKNCP1058. HCPCS: E2323
Page 3 of 11INFINFB3950/RevB/01AUG2018
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Q-Logic EX/NE Programmer ............................................ $545Part: ELEASMB6976
TRU-Balance 3 Power Tilt Only ......................................$6,995Part: PTOINDV3443. HCPCS: E1002250 lb. maximum weight capacity. 50° Center of Gravity (CG) power tilt seating system.
TRU-Balance 3 Static Seat ............................................$2,295Part: PTOINDV3442Requires custom seating interface. 20° of limited recline adjustment (-5/ +15) via gas strut within back cover.
TRU-Balance 3 Power Recline Only ................................. $7,595Part: PTOINDV3444. HCPCS: E1004Requires custom seating interface. 175° of power recline.
Custom Seating Interface ................................................................................................................................................$250Part: SET1711139Custom seating interface will be automatically selected with TRU-Balance 3 Static Seat or Power Recline seating options.
Attendant Manual Recline ...............................................................................................................................................$500Part: PTOINDV3501. HCPCS: E1226Not available with NE joystick with Tilt through toggle. Available with Static Seat or Power Tilt. Will require extended lead time when selected with Articulating Foot Platform.
9. ELECTRONICS ACCESSORIESOptional.
10.1. TRU-Balance 3 Configuration
2. Manual Recline OptionOptional.
1. System SelectionREQUIRED.
10.2. Seat Dimension - WidthREQUIRED with seat selection. Part number is SETWDTH plus number following # below. 15” widths are only available with non-matching back width.
10.3. Seat Dimension - Width PackageREQUIRED with seat selection. Minimum seat with is 14". Width and depth package part: See XRef: TB3SPACK
10.5. Seat Dimension - Depth PackageREQUIRED with seat selection. Width and depth package part: See XRef: TB3SPACK
10.4. Seat Dimension - DepthREQUIRED with seat selection. Minimum seat depth is 14". Part number is SETDPTH plus number following # below.
14” D(#1004)
15” D(#1005)
16” D(#1006)
17” D(#1007)
18” D(#1008)
19” D(#1009)
20” D(#1010)
14” W(#1004)
15” W(#1005)
16” W(#1006)
17” W(#1007)
18” W(#1008)
19” W(#1009)
20” W(#1010)
12”-16” Width Package 14”-16” Width Package 16”-20” Width Package
12”-16” Depth Package 14”-16” Depth Package 16”-20” Depth Package
10.6. Back Type SelectionREQUIRED. Match choice in this section with the options in the following back cushion configuration section.
10.7. Back Cane SelectionREQUIRED when Back Cane Option is selected above. Select type and height of back canes.
TRU-Balance 3 Back Assembly (Static Back)Part: Configuration selectionSelect a back cushion configuration in the subsequent section.
Back Cane OptionPart: Configuration selectionAvailable only with TRU-Balance 3 Static Seat and Power Tilt (1 actua-tor) selections. Select cane type, back cane height, and back cushion configuration below.
Flip Forward Back......................................................... $150Part without Lift: MEC131957Available with Static Seat and Power Tilt (1 actuator). Only available with 2-post, flip back or pediatric armrests. Not available with 12”-14” width or with attendant manual recline. Select a back cushion type in the subsequent section.
Angle Adjustable ................................................... No ChargePart: MEC140266
Flip Forward .................................................................$25Part: MEC140272
1” Endo........................................................................$70Part: MEC141455
2” Endo .......................................................................$70Part: MEC141456
2. Back Cane Height
1. Back Cane Type
16”H CanePart: FRMASMB15834
17”H CanePart: FRMASMB15835
20”H CanePart: FRMASMB15838
21”H CanePart: FRMASMB15839
24”H CanePart: FRMASMB15842
25”H CanePart: FRMASMB15843
10. TRU-BALANCE® 3 SEATING - Quantum Intelligent Systems™REQUIRED. Maximum seat size is 20"W x 20"D. Seat to floor is only available at 16.75".
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Account Number: ___________ Date: ________________ Marked for: _____________________________________
10.8. Back Cushion Configuration - TypeREQUIRED. Select a configuration type and applicable dimensions. See the Sport, Q-Back, and TRU-Comfort back availability chart for stock order back size ranges. Other size backs may be available with special order and extended lead time.
10.9. Back Cushion Configuration - Back Width PackageREQUIRED except when Omit Back Pan/Cushion is selected. Available with +/-4” of seat width.
Sport Back ........................................................... No ChargePart: See XRefComplete following width package and size.
ADI Q-Back, Active Contour ............................................ $525Part: See XRef. HCPCS: E2613Complete following width package and size.
ADI Q-Back, Deep Contour .............................................. $595Part: See XRef. HCPCS: E2615Complete following width package and size.
ADI Q-Back, Extra Deep Contour ...................................... $650Part: See XRef. HCPCS: E2620Complete following width package and size. 20" Wide Extra Deep Contour is not compatible with Gel and Water-fall Armpads, Endo/Meso Downposts, 2 Post Arms, or Ottobock arm blocks unless wider arm bars are installed on the chair.
TRU-Comfort 2 Back, 20” Width or less ............................. $675Part: See XRef. HCPCS: E2620Complete following width package and size.
TRU-Comfort 2 Back, 22” Width or greater ......................... $775Part: See XRef. HCPCS: E2621Complete following width package and size.
Omit Back Pan/Cushion ........................................... No ChargePart: PTOINDV1287Select a following width package.
After-market Back Interface ........................................... $200Part 16"W to 20"W: SET131920. Part 20"W: SET131921Enter the set width below, range of 16"-24". Overall seat depth may need to be adjusted to accommodate certain backs. May interfere with gel/waterfall armpads and arm through. Does not include brack-ets to mount after-market backs. A Special Order is required on back widths less than 16”.
10.11. Back Cushion Configuration - Overall Back HeightStatic Seat and Power Tilt available height range: 14”-25”H. Odd heights include 4” gap and even heights include 3” gap between seat pan and bottom of back cushion. Power Recline available height range: 19”-28”H. Odd heights include 6” gap and even heights include 7” gap. See the Sport and TRU-Comfort back availability chart for stock order back size ranges.
10.10. Back Cushion Configuration - Back WidthREQUIRED except when Omit Back Pan/Cushion is selected. Part number is PTOINDV plus number following # below. Available with +/-4” of seat width.
Match Seat Width SelectionsPart: PTOINDV3468
10”W-14”W PackagePart: Configuration selection, back cushions
16”W-20”W PackagePart: Configuration selection, back cushions
20”W-24”W PackagePart: Configuration selection, back cushions
Tilt or Static Width Recline Width
Sport, Q-Back, and TRU-Comfort 2 Back Availability Chart
Ove
rall
Hei
ght
Sport or TRU-Comfort 2 BackSport BackSport, Q-Back, or TRU-Comfort 2 Back
12” W(#3562)
14” W(#3563)
16” W(#3564)
17” W(#3565)
18” W(#3566)
19” W(#3567)
20” W(#3568)
21” W(#3569)
22” W(#3570)
24” W(#3571)
14” HeightPart: SETHGHT1027
15” HeightPart: SETHGHT1028
16” HeightPart: SETHGHT1029
17” HeightPart: SETHGHT1030
18” HeightPart: SETHGHT1031
19” HeightPart: SETHGHT1032
20” HeightPart: SETHGHT1033
21” HeightPart: SETHGHT1034
22” HeightPart: SETHGHT1035
23” HeightPart: SETHGHT1036
24” HeightPart: SETHGHT1037
25” HeightPart: SETHGHT1038
26” HeightPart: SETHGHT1039
27” HeightPart: SETHGHT1040
28” HeightPart: SETHGHT1041
10.12. TRU-Balance 3 Back ShroudREQUIRED. The back shroud is a feature of the TRU-Balance 3 seating system and is available in matching shroud colors. The back shroud is not available when Omit Back Pan/Cushion is selected. Reference colors shown in section 2.
Candy Apple RedPart: DGN130026
Viper BluePart: DGN130025
Onyx BlackPart: DGN130024
Pearl PinkPart: DGN130032
Sunburst OrangePart: DGN130028
TRU-Comfort Lateral Positioning Wedge, pair ........................$30Part: SET123465Available with TRU-Comfort backs. Not available on power tilt backs 16”-17”H with limited adjustability on 18” H. Not available on power recline back 19”-20”H with limited adjustability on 21”H.
Privacy Flap, 9.75” .........................................................$35Part: DWR1044E456BStandard on recline seating systems.
Privacy Flap, 12.75” .......................................................$35Part: DWR1044E456AStandard on recline seating systems.
10.13. Additional TRU-Balance 3 Back OptionsOptional.
10. TRU-BALANCE 3 SEATING continued
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Account Number: ___________ Date: ________________ Marked for: _____________________________________
11.1a. TRU-Balance 3 Flip-Back ArmrestsChoose a left and right TRU-Balance 3 armrest and set height in the following section. An optional downpost is also available. Different left (L) and right (R) armrest height packages are allowed. Not available with Back Cane Option.
TRU-Balance 3 Flip-Back, 8”-12”H .......................... StandardPart: See XRef
TRU-Balance 3 Flip-Back, 12”-16”H ......................... StandardPart: See XRef
2-Post, Flip Back, Height Adjustable, and Removable Armrests (9”-13” Height) .................................................... $150 ea. or No Charge*Part: See XRef. HCPCS: E0973*No charge with Power Seating. Not available with a depth less than 16”. Required with flip forward back and lap trays.
TRU-Balance 3 Armrest Downpost (Pair) .......................................................................................................................$87.50 ea.Part: See XRefAvailable up to 2” difference between seat and back width via endomorph or mesomorph configuration. Not available on 14” Width seat or back.
8”-12”H, Single Post, Height Adjustable, ........................$75 ea.Removable, Heavy Duty (Sold as pair) Part: See XRef. HCPCS: E0973
10”-14”H, Single Post, Height Adjustable, .......................$75 ea.Removable, Heavy Duty (Sold as pair) Part: See XRef. HCPCS: E0973
11.1b. Two-Post ArmrestsSelect the armrest and set the left and right heights in the following section. These armrests may interfere with offset backs/ back canes.
11.1c. Heavy Duty, Removable ArmrestsSelect a type of HD removable armrests and the set height in the following section. Only one height package is selectable as a normal configuration. Payer coding, coverage, and bundling guidelines may apply.
11.2. Armrest HeightREQUIRED. Set left and right armrest height. Note the available height range in the option description.
8” HPTOINDV3535
9” HPTOINDV3536
10” HPTOINDV3537
11” HPTOINDV3538
12” HPTOINDV3539
13” HPTOINDV3540
14” HPTOINDV3541
15” HPTOINDV3542
16” HPTOINDV3543
8” HPTOINDV3450
9” HPTOINDV3451
10” HPTOINDV3452
11” HPTOINDV3453
12” HPTOINDV3454
13” HPTOINDV3455
14” HPTOINDV3456
15” HPTOINDV3457
16” HPTOINDV3458
11.3. Armrest SizeREQUIRED. Select a left (L) and right (R) armrest size. This also affects armpad selection.
1. Left Armrest Height
2. Right Armrest Height
11. TRU-BALANCE 3 ARMRESTSREQUIRED. Select the desired type of armrest below. Please read notes to ensure seating compatibility. Be sure to also select an armrest size and armpad type.
14” Full LengthPart: Configuration selection
10” Desk LengthPart: Configuration selection
12.1b. Gel ArmpadsSold only in pairs. Armpads are 3” wide. Manufacturer part number for full length is 314G and desk length is 310G.a. Falcon Gel Armpads for TRU-Balance 3 Armrests
b. Falcon Gel Armpads for Tube Style Armrests
12.1a. Foam Armpads
12. TRU-BALANCE 3 ARMPADSREQUIRED. Select to omit an armpad selection or select a left and right armpad type. Please note that waterfall and gel armpads may cause interference with the seat back.
No Armpads ......................................................... No ChargePart: Configuration selection
Straight, Armpad ................................................ StandardPart: See XRef
Waterfall, Armpad ............................................ No ChargePart: See XRef
Falcon Gel, Full Length Left and Right ............................... $185Part: ARM136417
Falcon Gel, Full Length Left, Desk Length Right ............... $162.50Part: ARM136426
Falcon Gel, Desk Length Left, Full Length Right ............... $162.50Part: ARM136418
Falcon Gel, Desk Length Left and Right ............................. $140Part: ARM136416
Falcon Gel, Full Length Left and Right ........................... $296.40Part: ARM136438
Falcon Gel, Full Length Left, Desk Length Right ............... $274.22Part: ARM136442
Falcon Gel, Desk Length Left, Full Length Right ............... $274.22Part: ARM136439
Falcon Gel, Desk Length Left and Right ......................... $252.40Part: ARM136437
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Account Number: ___________ Date: ________________ Marked for: _____________________________________
Stealth’s Worlds Best Removable ..................$220.50Headrest Bracket (TWB485-1) (C)Part: FRMASMB15999. HCPCS: E1028
Stealth Multi-Axis Removable Headrest .......... $160.50Bracket (HMO475P) (D)Part: HDWASMB1084. HCPCS: E1028
Stealth 8” Comfort Plus (CP450) ................... $151.94Part: POS148484. HCPCS: E0955
Stealth 10” Comfort Plus (CP250)(A) ............. $151.94Part: SETHEAD1057. HCPCS: E0955
Stealth 14” Comfort Plus (CP150) ................. $151.94Part: INDPART2327. HCPCS: E0955
Pediatric Comfort Plus (6”Wx4.5”H) ............. $151.94(CPN350)Part: SETHEAD1069. HCPCS: E0955
Stealth Small Contoured (9.75”Wx3”H) .............$64.20(STL-OTSM250)Part: SETHEAD1052. HCPCS: E0955
Stealth Large Contoured (11”Wx6”H) (B) ........... $80.25(STL-OTLG150)Part: SETHEAD1053. HCPCS: E0955
Headrests
Height AdjustableReceiver (Track Arm)
Height AdjustableReceiver (Tube Arm)
Standard Fixed Receiver ........................................... StandardPart: ACC123525
Stealth Height Adjustable Receiver ................................... $214Tube Arm Part: ST-ARM250C-Q. HCPCS: K0108TRU-Balance 3 Arm Part: ST-ARM250T-Q. HCPCS: K0108
13. TRU-BALANCE 3 JOYSTICK BRACKET RECEIVERREQUIRED.
14. TRU-BALANCE 3 HEADRESTSOptional. Select a headrest pad and bracket.
14.1. Headrest Pads
14.2. Headrest Brackets
15. LAP BELTSREQUIRED. Select a lap belt below.15.1a. Standard Lap Belts
15.1b. Optional Lap Beltsi-Fit 60” Single Pull, Push Button, Medium ...........................$86(7.5”) Padded, 1.5” Belt (IFPB5213)Part: ST-IFPB5213-Q
i-Fit 60” Single Pull, Push Button, Large ..............................$86Padded (9.5”), 2” Belt (IFPB5314)Part: ST-IFPB5314-Q
i-Fit 60” Single Pull, Push Button, Extra Large ......................$86Padded (11.5”), 2” Belt (IFPB5315)Part: ST-IFPB5315-Q
38” Lap BeltPart: ACCBELT1006
50” Lap BeltPart: ACCBELT1000
60” Lap BeltPart: ACCBELT1002
70” Lap BeltPart: ACCBELT1003
80” Lap BeltPart: ACCBELT1004
90” Lap BeltPart: ACCBELT1001
16. TRU-BALANCE 3 MANUFACTURER INSTALLED ACCESSORIESOptional.
Push Handles (pair) ........................................................$175Part: ACC147772Not available with oxygen holder or back cane option. Required with attendant manual recline.
Accessory Bar .............................................................. $100Part: MEC125098Standard with the oxygen holder. May be added to mount additional accessory to back of unit. Not available with back cane option.
17. TRU-BALANCE 3 POWER POSITIONING ELECTRONICSREQUIRED, except with Static Seat without power options.
17.1a. Tilt Only through Toggle
Single Actuator Control Through NE+ 6-Key Joystick ........... $1,895Part: See XRef. HCPCS: E2310
Two Actuator Control Through NE+ 6-Key Joystick .............$2,895Part: See XRef. HCPCS: E2311
Single Actuator Control, Through Toggle (Power Tilt Only) ...............................................................................................No ChargePart: See XRefOnly available with Power Tilt only. Manual recline is not available with NE Tilt through toggle. Select toggle side.
Left Side Toggle Right Side TogglePart PTOINDV1838 Part: PTOINDV1839
17.1b. NE+ 6 Key Controls through Joystick
Page 7 of 11INFINFB3950/RevB/01AUG2018
70° Drop-In Legrests, 12"-14.5" Length (pair) ...................... $420Part: FRMASMB4762
70° Drop-In Legrests, 14.5"-20" Length (pair) ...................... $420Part: FRMASMB4853
80° Drop-In Legrests, 12"-14.5" Length (pair) ...................... $420Part: FRMASMB4762
80° Drop-In Legrests, 14.5"-20" Length (pair) ...................... $420Part: FRMASMB4854
1. Heavy Duty, Drop-In Legrest Upper
18.2. Heavy Duty, Drop-In, LegrestsAvailable in pairs only. Select legrest uppers and footplates.
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Power Articulating Foot Platform .................. $2,995Part: PTOINDV3754. HCPCS: E1012
Manually Adjustable Center Mount Foot Platform ... $2508"-12" extension part: RIG1802138.Other extensions: RIG1710345
18.1. Center Mount Foot PlatformIf power articulating foot platform is selected, be sure power legrest control has been selected in earlier section. Select legrest length in following section.
2. Lower Extension and Footplates
1. Foot Platform Assembly
Power ArticulatingFoot Platform
8"-12" Extension, 5"x6" FootplatesPart: RIG152577Not available with power AFP.
8"-12" Extension, 5"x8" FootplatesPart: RIG152578Not available with power AFP.
10"-16" Extension, 5"x6" FootplatesPart: RIG150206
10"-16" Extension, 5"x8" FootplatesPart: RIG150203
10"-16" Extension, 5"x11" FootplatesPart: RIG150212
Small Calf Pads (pair) 6”Wx6”H ........................................ $150*Part: RIGASMB7120018
Large Calf Pads (pair) 8” taper to 6”Wx8”H ........................ $150*Part: RIGASMB7120019
Small Calf Panel 18”Wx8”H ............................................. $150Part: FRMASMB7110012
Large Calf Panel 24”Wx8”H ............................................ $200Part: RIG123824Only available on widths of 20” or greater.
3. Center Mount Calf Support*Calf pads are standard with a power articulating foot platform. Select calf pads covers for additional charge. Calf pad and panel covers include 1/2” of soft visco foam.
4. Modular Footplate Extension ComponentsOptional. Assembly required. May require seating configuration adjustments to avoid front caster interference.
5. Additional Accessories
Width Extension for 8”D Footplates ...................................$50Part: RIG152517
Width Extension for 11”D Footplates ..................................$50Part: RIG152518
2” Bell-Shaped Length Extension .......................................$50Part: RIG152519Not compatible with width extensions. Can be used with 6” outside edge with 11” footplates.
4” Outside Edge (pair) .....................................................$50Part: RIG152510Only available with 6”D footplates and 8”D footplate extension.
6” Outside Edge (pair) .....................................................$50Part: RIG152516Available with 8”D and 11”D footplates and 11”D footplate extension.
Reversed Dartex Calf Pad Cover (pair) ............................... $150Small part: RIG133717. Large part: RIG133719
Reversed Dartex Panel Cover (pair) .................................. $150Small part: RIG134673. Large part: RIG134744
Wheel Bumpers (pair) ............................................. $12.50 ea.Part: WHLASMB1578
Footplate Connector ....................................................... $15Part: RIGASMB7120023
Legrests section continued on following page.
Wheel Bumper .......................................................................................................................................................$12.50 ea.Part: WHLASMB1578
5"Wx8"D Angle Adjustable (pair) .......................................$170Part: FRMASMB4735
6"Wx8"D Angle Adjustable (pair) .......................................$170Part: FRMASMB4738
6"Wx11"D Angle Adjustable (pair) ......................................$170Part: FRMASMB4741
8"Wx11"D Angle Adjustable (pair) ......................................$170Part: FRMASMB4744
2. Angle Adjustable Footplate(s) with Heel Loops¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.
3. Heavy Duty Drop-In Legrest Accessories
1. Pediatric Legrests Upper
2. Angle Adjustable Footplate(s) with Heel Loops
3. Accessories
90°, Pediatric, Swing-Away Legrest (7"-10" Length Extension) ...................................................................................$81 ea.Pair part: FRMASMB8808. Left: FRMASMB8809. Right: FRMASMB8810
18.3. 90° Pediatric, Swing-Away LegrestsPair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes.
4”Wx6”D Angle Adjustable .................................$85 ea.Pair part: FRMASMB8812. Left: RIG133537. Right: RIG133560
5”Wx6”D Angle Adjustable .................................$85 ea.Pair part: FRMASMB8811. Left: RIG133538. Right: RIG133561
Wheel Bumper(s) .........................................................................................................................................$12.50 ea.Pair part: WHL169508. Left: WHL169510. Right: WHL169511
18. LEGRESTSOptional. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guidelines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference.
Page 8 of 11INFINFB3950/RevB/01AUG2018
Account Number: ___________ Date: ________________ Marked for: _____________________________________
18.4. 60°-90° Swing-Away LegrestsSelect a legrest upper, a lower extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes.1. 60°-90° Swing-Away Legrest UppersAdjustable in 5° increments.
7.25”Wx6”D Extruded Footplate ........................ StandardPart pair: FRMASMB7847. Left: FRMASMB7861Right: FRMASMB7862
8.5”Wx6”D Extruded Footplate ......................... StandardPart pair: FRMASMB7848. Left: FRMASMB7863 Right: FRMASMB7864May cause interference on seat widths less than 18.”
60°-90° Swing-Away Legrest, Short ...................... $81 ea.Pair part: RIG136481. Left: RIG132607. Right: RIG132609Not available with 13"-16.5" extensions.
60°-90° Swing-Away Legrest ............................... $81 ea.Pair part: RIG120062. Left: FRMASMB17558. Right: FRMASMB17559Not available with 11"-13" extensions.
11”-13” LengthPart: See XRefN/A with Multi-axis.
11”-16.5” LengthPart: See XRefN/A with Angle Adjustable.
13”-16.5” LengthPart: See XRefN/A with Multi-Axis.
3a. Extruded Footplate(s)
3b. Angle Adjustable Footplate(s)¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.
2. Lower Extension
4”Wx6”D Angle Adjustable .................................$85 ea.Pair part: FRMASMB10564. Left: RIG133537. Right: RIG133560
5”Wx6”D Angle Adjustable .................................$85 ea.Pair part: FRMASMB10565. Left: RIG133538. Right: RIG133561
5”Wx8”D Angle Adjustable .................................$85 ea.Pair part: FRMASMB10566. Left: RIG133539. Right: RIG133562
6”Wx8”D1 Angle Adjustable ................................$85 ea.Pair part: FRMASMB10567. Left: RIG133540. Right: RIG133563
6”Wx11”D1 Angle Adjustable...............................$85 ea.Pair part: FRMASMB10568. Left: RIG133541. Right: RIG133564
8”Wx11”D2 Angle Adjustable ..............................$85 ea.Pair part: FRMASMB10569. Left: RIG133542. Right: RIG133565
4”Wx6”D Multi-Axis .................................... $247.50 ea.Pair part: FRMASMB9456. Left: RIG133531. Right: RIG133552
5”Wx6”D Multi-Axis .................................... $247.50 ea.Pair part: FRMASMB9457. Left: RIG133532. Right: RIG133553
5”Wx8”D Multi-Axis .................................... $247.50 ea.Pair part: FRMASMB9458. Left: RIG133533. Right: RIG133554
6”Wx8”D1 Multi-Axis ................................... $247.50 ea.Pair part: FRMASMB9459. Left: RIG133534. Right: RIG133555
6”Wx11”D1 Multi-Axis ................................. $247.50 ea.Pair part: FRMASMB9460. Left: RIG133535. Right: RIG133558
8”Wx11”D2 Multi-Axis ................................. $247.50 ea.Pair part: FRMASMB9461. Left: RIG133536. Right: RIG133559
Heel Loops (pair) ............................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable and multi-axis footplates.
Wheel Bumper ...................................................... $12.50 ea.Part: See XRef
Gel Neoprene Footrest Sleeve (pair) ...................................$80Part: INDPART2243. HCPCS: K0108
3c. Multi-Axis Footplate(s)¹The 6”x11” footplates may cause interference with seat widths less than 18”. ²The 8”x11” footplates may cause interference with seat widths less than 20”.
4. Swing-Away Legrest Accessories
18. LEGRESTS continued
3a. Reinforced Cast Footplate(s)
3b. Angle Adjustable Footplate(s) with Heel Loops¹The 6” wide footplates may cause interference with seat widths less than 18”. ²The 8” wide footplates may cause interference with seat widths less than 20”. 4"x6" and 5"x6" footplates are only available in pairs.
1. Elevating Legrests Upper
2. Lower Extension
18.5. Elevating LegrestsSelect a legrest upper, a legrest extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes. Select legrest length in following section.
Elevating Legrest Assembly ........................................................................................................................... $162.50 ea.Pair part: FRMASMB6483. Left: RIG138012. Right: RIG138013. HCPCS for K0835 base: E0990. HCPCS for K0822 base: K0195Select lower extension and footplates.
11”-14” LengthPair: FRMASMB4755Left: RIG138026Right: RIG138030For reinforced only
12”-14.5” LengthPart: See XRefFor angle adjustable only
14”-17” LengthPair: FRMASMB4756Left: RIG138033Right: RIG138035For reinforced only
14.5”-18” LengthPart: See XRefFor angle adjustable only
7.25”Wx6”D Reinforced Footplate ...................... StandardPair part: FRMASMB4748. Left: RIG138055. Right: RIG138056
8.5”Wx6”D Reinforced Footplate ....................... StandardPair part: FRMASMB4747. Left: RIG138060. Right: RIG138062May cause interference on seat widths less than 18.”
4”Wx6”D Angle Adjustable .................................$85 ea.Pair parts: FRMASMB8812 x2.
5”Wx6”D Angle Adjustable .................................$85 ea.Pair parts: FRMASMB8811 x2.
5”Wx8”D Angle Adjustable .................................$85 ea.Pair part: FRMASMB4735. Left: RIG137791. Right: RIG137792.
6”Wx8”D1 Angle Adjustable ................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795.
6”Wx11”D1 Angle Adjustable...............................$85 ea.Pair part: FRMASMB4741. Left: RIG137796. Right: RIG137797.
8”Wx11”D2 Angle Adjustable ..............................$85 ea.Pair part: FRMASMB4744. Left: RIG137798. Right: RIG137799.
Legrests section continued on following page.
Page 9 of 11INFINFB3950/RevB/01AUG2018
Heel Loops (pair) ............................................................$50Part: FRMASMB7873. HCPCS: E0951Standard on angle adjustable footplates.
Wheel Bumper ...................................................... $12.50 ea.Part: See XRefAvailable on angle adjustable footplates.
Falcon Gel Padded Knee Adductor Buttons (KBE) (pair) ..........$125Part: INDPART2242. HCPCS: E0953^^Please verify the appropriate billing code to be used for this item with all third-party payors.
Account Number: ___________ Date: ________________ Marked for: _____________________________________
4. Elevating Legrest Accessories18. LEGRESTS continued
TRU-Comfort 2 SPP CushionSkin protection and positioning with 4-way stretch, breathable cover.
E2607, 16"W to 20" W ...........................$400
Part series: ST-TC2SPPXXYY
Simplicity G CushionGeneral use with 2-way stretch, breathable cover.
E2601, 16"W to 20" W ........................... $110Part series: ST-SIMGXXYY
19. QUICK STEALTH CUSHION CONFIGURATIONOptional. Specific cushion/component sizes available, part numbers, and special order cushions can be found on the complete Stealth Cushion Order Form. This section allows a quick selection of a single cushion. The XXYY portion of the part number directly relates to the dimensions of the cushion, where XX represents the width and YY represents the depth.
19.1. Cushion Dimensions
19.2. Cushion Model Selection
19.3. Additional Fluid Proof LinersFluid Proof Urethane Liner ......................................... $50-$70Part: URL1709070-XXYYNot available with Simplicity and TRU-Comfort 2.
Fluid Proof Polyurethane Liner .............................. Coming soonNot available with Simplicity.
Solution SPP CushionSkin protection and positioning with 4-way stretch, breathable cover. Includes urethane liner.
E2607, 14"W to 20" W ........................... $375
Part series: ST-SOLSPPXXYY
Spectrum Gel SPP CushionPositioning with 4-way stretch, breathable cover. Includes urethane liner.Part series: ST-SPCGSPPXXYY
E2607, 14"W to 20" W ...........................$460
Spectrum Foam SPP CushionSkin protection and positioning with 4-way stretch, breathable cover.Part series: ST-SPCFSPPXXYY
E2607, 16"W to 20" W ...........................$460
14” W 16" W 17" W 18" W 19" W 20" W 14” D 16" D 17" D 18" D 19" D 20" D"
Cushion Width Cushion Depth
20. PROVIDER INSTALLED ACCESSORIESOptional. Multiple accessories can be mounted along the various tracks but some interference may occur.
TRU-Balance 3 Cup Holder .......................No ChargePart: ACC125003For use with TRU-Balance 3 (track style) armrests.
Cup Holder (Tube-style Armrest) ...............No ChargePart: ACCASMB2634For use with tube-style armrests.
TRU-Balance 3 Backpack Holder (Pair) (A) ........... $50Part: ACC147774Not available with back cane option.
TRU-Balance 3 Hydration System (B) .................$200Part: ACC125010
TRU-Balance 3 Glove Box (C) ........................... $125Part: ACC125011
TRU-Balance 3 Transfer Bar, ...........................$200Quick Release (Pair) (D) Part: ACC147773. HCPCS: E0705
TRU-Balance 3 Front Mounted .......................... $50Cell Phone/ Media Holder (E)Part: ACC155835
Large, Black, Weather Cover ...........................$202Part: ACCCOVR1021
TRU-Balance 3 Reflector Kit ............................. $50Part: ACC124670
TRU-Balance 3 Personal Item Hook .................... $50Part: ACC125008Not available with back cane option.
TRU-Balance 3 Rear View Mirror ....................... $50Part: ACC155833
TRU-Balance 3 Oxygen Holder .........................$200Part: ACC125006. HCPCS: E2208
TRU-Balance 3 Clothing Guard (Pair) .................$200Part: ACC125007
Quantum Backpack ........................................ $75Part: ACCINDV1102
Stealth Large Tablet Holder ............................$375Part: ACC7120005
Stealth Cell Phone/Media Device Holder ............ $195Part: ACC7120006
TRU-Balance 3Accessories
Page 10 of 11INFINFB3950/RevB/01AUG2018
Account Number: ___________ Date: ________________ Marked for: _____________________________________
U-1, Interceptor Batteries ..........................................$133 ea.Part: BAT1704611 x2 qty. HCPCS: E2365
No Batteries ......................................................... No ChargePart: Configuration selection
21. PROVIDER INSTALLED ACCESSORIESREQUIRED. The powerchair requires 2 batteries and will be installed if ordered.
Air Force Army Coast Guard Marines Navy Purple Heart
Air Force Patch ..............................$20Part: ACC140240
Army Patch ...................................$20Part: ACC140241
Coast Guard Patch ..........................$20Part: ACC140239
Marines Patch ................................$20Part: ACC140243
Navy Patch ...................................$20Part: ACC140244
Purple Heart Patch .........................$20Part: ACC140238
22. BRANCH PATCHESOptional.
1. Bracket
2. Pads
3. Installation
Swing-away, Rail Mounts, pair (TWBTLTC) ...................................................................................................................... $472.50Part: INDPART2677. HCPCS: E1028
Curved Pads, 3”x5”, pair (TWBL-3X5) ................................ $210Part: INDPART2663. HCPCS: E0956
Curved Pads, 4”x6”, pair (TWBL-4X6) ................................ $210Part: INDPART2664. HCPCS: E0956
Install LateralsPart: PTOINDV3499
Do Not InstallPart: PTOINDV3500
23.1. Stealth Thoracic LateralsSwing-away laterals may interfere with TRU-Balance 3 armrests and 2-post, flip up armrests. These laterals are not available with the back cane option.
23. MANUFACTURER INSTALLED POSITIONING COMPONENTSOptional. Not available with contoured seating. More options are available on the Positioning Components Order Form.
Flip Down Bracket (TWBTLADD-HW) ................... $236.25 ea.Part: INDPART2804. HCPCS: E1028
Removable Bracket (LP430) ............................... $262.50 ea.Part: INDPART2805. HCPCS: E1028
Removable Bracket with 1” Offset .......................... $400 ea. (LP430 & LHW-121)
Part: INDPART2854. HCPCS: E1028
Flip Down with LEFT Full Surface Contact ................. $236.25 ea.Feature (TWBADD-L & LPHW407)Part: POS140428. HCPCS: E1028
Flip Down with RIGHT Full Surface Contact ................ $236.25 ea.Feature (TWBADD-R & LPHW407)Part: POS140429. HCPCS: E1028
1. Pelvic/Thigh Guide Bracket
2. Pelvic/Thigh Guide Adapter
23.2. Stealth Pelvic/Thigh GuidesPelvic/thigh guides may interfere with the joystick receiver block and down posts. Please provide quantity next to check box.
2” Height Adapter Plate (LHW-122) .................................$26.25Part: INDPART2821. HCPCS: K0108Height adapter is needed with TRU-Comfort seat cushions. Not avail-able with the flip down bracket.
2 1/4” Adapter Plate (LHW-129) .....................................$53.50Part: POS140430. HCPCS: K0108Only available with the flip down full surface bracket.
3. Pelvic/Thigh Guide Pad^Please verify the appropriate billing code to be used for this item with all third-party payors.
4. Pelvic/Thigh Guide Installation
Short Pad, 4”x4” (TWBADD-4X4) ..............................$75 ea.Part: INDPART2801. HCPCS: E0953^
Medium Pad, 4”x8” (TWBADD-4X8) ...........................$75 ea.Part: INDPART2802. HCPCS: E0953^
Long Pad, 4”x12” (TWBADD-4X12) ............................$75 ea.Part: INDPART2803. HCPCS: E0953^
Install on LeftPart: PTOINDV3585
Install on RightPart: PTOINDV3586
Do Not InstallPart: PTOINDV3719
Page 11 of 11INFINFB3950/RevB/01AUG2018
Account Number: ___________ Date: ________________ Marked for: _____________________________________
24.1. Stealth Foot Boxes^Please verify the appropriate billing code to be used for this item with all third-party payors.
24.2. Stealth Padded Shoe Holder
Stealth Small Foot Boxes, 5"Wx8"Dx7"H ......................... $498.75(SPLE107) (pair)Part: INDPART2786. HCPCS: E0954^
Stealth Medium Foot Boxes, 6"Wx10"Dx9"H .................... $498.75(SPLE108) (pair)Part: INDPART2787. HCPCS: E0954^
Stealth Large Foot Boxes, 7"Wx12"Dx11"H ...................... $498.75(SPLE109) (pair)Part: INDPART2788. HCPCS: E0954^
Stealth Small Padded Shoe Holder 3.75"Wx6.25"D ................ $266(SPLE111) (pair)Part: INDPART2783
Stealth Medium Padded Shoe Holder, 4"Wx8.25"D ................ $266(SPLE112) (pair)Part: INDPART2784
Stealth X-Large Padded Shoe Holder, 5"Wx10.75"D ............... $266(SPLE114) (pair)Part: INDPART2785
2. Elbow Support Pad
1. Elbow Support Bracket24.3. Stealth Elbow Support
Left,Swing-Away, Elbow Support ........ $183.75 ea. Bracket Tube Style Arms (ARMS-ES-L)
Part: POS124064. HCPCS: E1028
Left, Fixed Elbow Support Bracket ...... $183.75 ea. TRU-Balance 3 Arms (ARMS-ESFTB3-L)
Part: POS133465
Right, Swing-Away, Elbow Support ...... $183.75 ea. Bracket Tube Style Arms (ARMS-ES-R)
Part: POS124066. HCPCS: E1028
Right, Fixed Elbow Support Bracket .... $183.75 ea. TRU-Balance 3 Arms (ARMS-ESFTB3-R)
Part: POS133466
3"Wx3"H Elbow Pad (ARMS-ES-3X3) .......................$52.50 ea.Part: POS124065. HCPCS: K0108
4"Wx4"H Elbow Pad (ARMS-ES-4X4) .......................$52.50 ea.Part: POS124067. HCPCS: K0108
Elbow Supports
24.4. Stealth i-Fit Chest HarnessUpper Classic, Medium (IFPS1103) ............... $142 ea.Part: ST-IFPS1103-Q. HCPCS: E0960
Upper Classic, Large (IFPS1104) .................. $142 ea.Part: ST-IFPS1104-Q. HCPCS: E0960
Upper Contour, Medium (IFPS2103) .............. $142 ea.Part: ST-IFPS2103-Q. HCPCS: E0960
Upper Contour, Large (IFPS2104) ................ $142 ea.Part: ST-IFPS2104-Q. HCPCS: E0960
Contoured and ClassicChest Harness
24. PROVIDER INSTALLED POSITIONING COMPONENTSOptional. Not available with contoured seating. More options are available on the Positioning Components Order Form.
24.5. Stealth i-Fit Chest StrapsChest Strap, Medium w/ Belt Anchor ............. $90 ea.(IFCS4113)Part: ST-IFCS4113-Q. HCPCS: E0960
Chest Strap, Large w/ Belt Anchor ................ $90 ea.(IFCS4114)Part: ST-IFCS4114-Q. HCPCS: E0960
Chest Strap
25. REFERENCE ORDER FORMSOptional. Select below to note that additional order forms will accompany this order form. This will also be a link in interactive forms.
Positioning Components Order Form
©2018 Quantum Rehab - A Pride Mobility Products Corporation company. All rights reserved.
Quantum® Rehab401 York Ave., Duryea, PA 18642Phone: 866-800-2002 | Fax: 866-707-3422 | Email: [email protected]
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Section NameOption Name MSRP Part Number Manufacturer Extended DescriptionTRU-BALANCE 3 SEATING : Seat Dimensions Seat TypeTB3SPACK: Seat width package, depth package, and transit kit section generate one part assembly.
No Charge SET130931 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,SEAT ONLY,TRU-BALANCE 3
SET130932 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET130933 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,SEAT ONLY,TRU-BALANCE 3 SET130934 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET1710459 SEAT BASE,ASSY,12"W-16"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5,J6 SET1710462 SEAT BASE,ASSY,12"W-16"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5,J6 SET1710463 SEAT BASE,ASSY,16"W-20"W,12"D-16"D,TILT ONLY,TRU-BALANCE 3.5,J6 SET1710466 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5,J6
TRU-BALANCE 3 SEATING : Back Cushion ConfigurationSport Back No Charge SET130247 SEAT BACK,ASSY,14"W,10"W-14"W,11"H,SPORT BACK,TRU-BALANCE 3
SET130249 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130250 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130251 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,SPORT BACK,TRU-BALANCE 3SET130252 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130253 SEAT BACK,ASSY,16"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130255 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130257 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130258 SEAT BACK,ASSY,17"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130259 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130260 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130261 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,SPORT BACK,TRU-BALANCE 3SET130262 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130263 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130267 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130268 SEAT BACK,ASSY,19"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130269 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,SPORT BACK,TRU-BALANCE 3SET130270 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130271 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,SPORT BACK,TRU-BALANCE 3SET130272 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,SPORT BACK,TRU-BALANCE 3SET130275 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,SPORT BACK,TRU-BALANCE 3SET130276 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130277 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,SPORT BACK,TRU-BALANCE 3SET130278 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130292 SEAT BACK,ASSY,21"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130293 SEAT BACK,ASSY,21"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130294 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130297 SEAT BACK,ASSY,22"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130298 SEAT BACK,ASSY,22"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130299 SEAT BACK,ASSY,24"W,20"W-24"W,13"H,SPORT BACK,TRU-BALANCE 3SET130300 SEAT BACK,ASSY,24"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130303 SEAT BACK,ASSY,24"W,20"W-24"W,17"H,SPORT BACK,TRU-BALANCE 3SET130304 SEAT BACK,ASSY,24"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130305 SEAT BACK,ASSY,24"W,20"W-24"W,19"H,SPORT BACK,TRU-BALANCE 3SET130306 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130308 SEAT BACK,ASSY,24"W,20"W-24"W,21"H,SPORT BACK,TRU-BALANCE 3SET130309 SEAT BACK,ASSY,24"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3
ADI Q-Back, Active Contour $525 ALBR16SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,16"W,16"H,(ADI)ALBR16TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,16"W,18"H,(ADI)ALBR18SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,18"W,16"H,(ADI)ALBR18TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,18"W,18"H,(ADI)
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
Page 1 of 7
Section NameOption Name MSRP Part Number Manufacturer Extended Description
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ALBR20SAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,20"W,16"H,(ADI)ALBR20TAQ Q-BACK,AL SERIES,ACTIVE CONTOUR,20"W,18"H,(ADI)
ADI Q-Back, Deep Contour $595 ALBR16SDQ Q-BACK,AL SERIES,DEEP CONTOUR,16"W,16"H,(ADI)ALBR16TDQ Q-BACK,AL SERIES,DEEP CONTOUR,16"W,18"H,(ADI)ALBR18SDQ Q-BACK,AL SERIES,DEEP CONTOUR,18"W,16"H,(ADI)ALBR18TDQ Q-BACK,AL SERIES,DEEP CONTOUR,18"W,18"H,(ADI)ALBR20SDQ Q-BACK,AL SERIES,DEEP CONTOUR,20"W,16"H,(ADI)ALBR20TDQ Q-BACK,AL SERIES,DEEP CONTOUR,20"W,18"H,(ADI)
ADI Q-Back, Extra Deep Contour $650 ALBR16S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,16"W,16"H,(ADI)ALBR16T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,16"W,18"H,(ADI)ALBR18S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,18"W,16"H,(ADI)ALBR18T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,18"W,18"H,(ADI)ALBR20S6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,20"W,16"H,(ADI)ALBR20T6Q Q-BACK,AL SERIES,EXTRA DEEP CONTOUR,20"W,18"H,(ADI)
TRU-Comfort 4-way Stretch, 20" Width or less $675 SET123622 SEAT BACK,ASSY,12"W,10"W-14"W,11"H,TRU-COMFORT 2,4 WAY STRETCHSET123623 SEAT BACK,ASSY,14"W,10"W-14"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123631 SEAT BACK,ASSY,16"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123633 SEAT BACK,ASSY,16"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123635 SEAT BACK,ASSY,16"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123637 SEAT BACK,ASSY,16"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123639 SEAT BACK,ASSY,17"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET123641 SEAT BACK,ASSY,17"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET123651 SEAT BACK,ASSY,17"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET123653 SEAT BACK,ASSY,17"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET123655 SEAT BACK,ASSY,18"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124576 SEAT BACK,ASSY,18"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124578 SEAT BACK,ASSY,18"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124597 SEAT BACK,ASSY,18"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124599 SEAT BACK,ASSY,18"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124601 SEAT BACK,ASSY,19"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124602 SEAT BACK,ASSY,19"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124603 SEAT BACK,ASSY,19"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124605 SEAT BACK,ASSY,19"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124606 SEAT BACK,ASSY,20"W,16"W-20"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124607 SEAT BACK,ASSY,20"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124609 SEAT BACK,ASSY,20"W,16"W-20"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124610 SEAT BACK,ASSY,20"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124611 SEAT BACK,ASSY,20"W,16"W-20"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124612 SEAT BACK,ASSY,20"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124613 SEAT BACK,ASSY,20"W,16"W-20"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124618 SEAT BACK,ASSY,20"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124619 SEAT BACK,ASSY,20"W,16"W-20"W,21"H,TRU-COMFORT 2,4 WAY STRETCHSET124623 SEAT BACK,ASSY,20"W,20"W-24"W,21"H,TRU-COMFORT 2,4 WAY STRETCH
TRU-Comfort 4-way Stretch, 22" Width or greater $775 SET124624 SEAT BACK,ASSY,22"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124625 SEAT BACK,ASSY,22"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124626 SEAT BACK,ASSY,22"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124627 SEAT BACK,ASSY,22"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124628 SEAT BACK,ASSY,24"W,20"W-24"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET130059 SEAT BACK,ASSY,24"W,24"W-28"W,13"H,TRU-COMFORT 2,4 WAY STRETCHSET124629 SEAT BACK,ASSY,24"W,20"W-24"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET130060 SEAT BACK,ASSY,24"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124630 SEAT BACK,ASSY,24"W,20"W-24"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET130061 SEAT BACK,ASSY,24"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124631 SEAT BACK,ASSY,24"W,20"W-24"W,19"H,TRU-COMFORT 2,4 WAY STRETCH
Page 2 of 7
Section NameOption Name MSRP Part Number Manufacturer Extended Description
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
SET130062 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,TRU-COMFORT 2,4 WAY STRETCH
ARMRESTS : TRU-Balance 3 Flip-Back ArmrestsTRU-Balance 3 Flip-Back, 8"-12"H, Left Standard ARM147696 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFT
ARM147744 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147810 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147811 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT
TRU-Balance 3 Flip-Back, 8"-12"H, Right Standard ARM147738 ARMREST,ASSY,12"W-20"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147746 ARMREST,ASSY,12"W-20"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147743 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147812 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT
TRU-Balance 3 Flip-Back, 12"-16"H, Left Standard ARM147740 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147748 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147747 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147813 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT
TRU-Balance 3 Flip-Back, 12"-16"H, Right Standard ARM147742 ARMREST,ASSY,12"W-20"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147797 ARMREST,ASSY,12"W-20"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147749 ARMREST,ASSY,20"W-24"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147817 ARMREST,ASSY,20"W-24"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT
TRU-Balance 3 Armrest Downpost $87.50 MEC140975 DOWN POST,ASSY,8"H-11"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140977 DOWN POST,ASSY,12"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140979 DOWN POST,ASSY,13"H-14"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140981 DOWN POST,ASSY,15"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140983 DOWN POST,ASSY,16"H,STRAIGHT,LEFT,TRU-BALANCE 3MEC140976 DOWN POST,ASSY,8"H-11"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140978 DOWN POST,ASSY,12"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140980 DOWN POST,ASSY,13"H-14"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140982 DOWN POST,ASSY,15"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140984 DOWN POST,ASSY,16"H,STRAIGHT,RIGHT,TRU-BALANCE 3MEC140410 DOWN POST,ASSY,8"H-11"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140416 DOWN POST,ASSY,12"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140417 DOWN POST,ASSY,13"H-14"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140418 DOWN POST,ASSY,15"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140419 DOWN POST,ASSY,16"H,ENDOMORPH,LEFT,TRU-BALANCE 3MEC140990 DOWN POST,ASSY,8"H-11"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140991 DOWN POST,ASSY,12"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140992 DOWN POST,ASSY,13"H-14"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140993 DOWN POST,ASSY,15"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC140994 DOWN POST,ASSY,16"H,ENDOMORPH,RIGHT,TRU-BALANCE 3MEC166424 DOWN POST,ASSY,8"H-11"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166429 DOWN POST,ASSY,12"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166430 DOWN POST,ASSY,13"H-14"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166431 DOWN POST,ASSY,15"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166432 DOWN POST,ASSY,16"H,MESOMORPH,LEFT,TRU-BALANCE 3MEC166433 DOWN POST,ASSY,8"H-11"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166435 DOWN POST,ASSY,12"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166436 DOWN POST,ASSY,13"H-14"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166437 DOWN POST,ASSY,15"H,MESOMORPH,RIGHT,TRU-BALANCE 3MEC166438 DOWN POST,ASSY,16"H,MESOMORPH,RIGHT,TRU-BALANCE 3
ARMRESTS : Two-Post Armrests
Page 3 of 7
Section NameOption Name MSRP Part Number Manufacturer Extended Description
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
2-Post, Flip Back, Height Adjustable, removable Armrests (9"-13" Height)
No Charge($150 with Static seat)
FRMASMB7062 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED
FRMASMB7063 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,FULL LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED
FRMASMB7060 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,LEFT,SYNERGY,TEXTURED
FRMASMB7061 ARMREST,ASSY,ADULT TWO POST FLIP-UP HEIGHT ADJUSTABLE,DESK LENGTH,VERSION 2,RIGHT,SYNERGY,TEXTURED
ARMRESTS : Heavy Duty, Removable Armrests8"-12"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138631 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138632 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
ARM138629 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138630 ARMREST,ASSY,HD REMOVABLE,8"H-12"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
10"-14"H, Single Post, Height Adjustable, Removable, Heavy Duty $75 ea. ARM138627 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138628 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,DESK LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
ARM138625 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,LEFT,SHORT INSERT
ARM138626 ARMREST,ASSY,HD REMOVABLE,10"H-14"H,FULL LENGTH,TRU-BALANCE 3,RIGHT,SHORT INSERT
ARMPADSStraight, Armpad Standard ARM130236 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST
ARM130237 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST
ARM130289 ARMPAD,ASSY,STRAIGHT,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST
ARM130288 ARMPAD,ASSY,STRAIGHT,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST
ARM134254 ARMPAD,ASSY,STRAIGHT,DESK LENGTH/DESK LENGTH COMBO,TUBE STYLE ARMRESTARM134275 ARMPAD,ASSY,STRAIGHT,FULL LENGTH/FULL LENGTH COMBO,TUBE STYLE ARMRESTARM134280 ARMPAD,ASSY,STRAIGHT,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TUBE STYLE
ARMRESTARM134281 ARMPAD,ASSY,STRAIGHT,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE
ARMRESTWaterfall, Armpad No Charge ARM130287 ARMPAD,ASSY,WATERFALL,DESK LENGTH/DESK LENGTH COMBO,TRU-BALANCE 3 ARMREST
ARM130238 ARMPAD,ASSY,WATERFALL,FULL LENGTH/FULL LENGTH COMBO,TRU-BALANCE 3 ARMREST
ARM130291 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST
ARM130290 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST
ARM130706 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST
ARM130705 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST
ARM130710 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST
ARM130709 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST
Page 4 of 7
Section NameOption Name MSRP Part Number Manufacturer Extended Description
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
ARM130704 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST
ARM130349 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST
ARM130708 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TRU-BALANCE 3 ARMREST
ARM130707 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TRU-BALANCE 3 ARMREST
ARM134282 ARMPAD,ASSY,WATERFALL,DESK LENGTH/DESK LENGTH COMBO,TUBE STYLE ARMREST
ARM134285 ARMPAD,ASSY,WATERFALL,FULL LENGTH/FULL LENGTH COMBO,TUBE STYLE ARMRESTARM134288 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/DESK LENGTH LEFT COMBO,TUBE STYLE
ARMRESTARM134289 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE
ARMRESTARM134290 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE
STYLE ARMRESTARM134291 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE
STYLE ARMRESTARM134292 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE
STYLE ARMRESTARM134293 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE
STYLE ARMRESTARM134294 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE
STYLE ARMRESTARM134295 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE
STYLE ARMRESTARM134296 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE
STYLE ARMRESTARM134297 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE
STYLE ARMREST
Single Actuator Control, Through Toggle (Power Tilt Only) No Charge ELE130021 ELECTRONIC,ASSY,Q-LOGIC/NE PLUS,THRU HIGH POWER TOGGLE,W/MANUAL RECLINE,TRU-BALANCE 3
ELE130022 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,TRU-BALANCE 3
ELE1611928 ELECTRONIC,ASSY,REMOTE PLUS/Q-LOGIC//VSI/VR2/NE+/NE,THRU HIGH POWER TOGGLE,W/MANUAL RECLINE,TRU-BALANCE 3
POWER POSITIONING ELECTRONICSSingle Actuator Control, Through NE+ 6-Key Joystick $1,895 ELE130739 ELECTRONIC,ASSY,NE PLUS,INDEPENDENT LEGS,TRU-BALANCE 3 SEAT,(CONFIGURATION # 01)
ELE130740 ELECTRONIC,ASSY,NE PLUS,COMBINED LEGS,TRU-BALANCE 3 SEAT,(CONFIGURATION # 02)
ELE130741 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,POWER ARTICULATING FOOT PLATFORM,TRU-BALANCE 3 SEAT,(CONFIGURATION # 03)
ELE130742 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,TRU-BALANCE 3 LIFT,(CONFIGURATION # 04)
ELE151798 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT,(CONFIGURATION # 04)
ELE130744 ELECTRONIC,ASSY,NE PLUS/Q-LOGIC THRU AM1,TRU-BALANCE 3 POWER TILT(CONFIGURATION # 20)
ELE130746 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT THRU JSTK W/MANUAL RECLINE,(CONFIGURATION # 20)
ELE130010 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER RECLINE,RECLINE ONLY,(CONFIGURATION # 08)
POWER POSITIONING ELECTRONICS : Tilt Only through Toggle (Power Tilt Only)
Page 5 of 7
Section NameOption Name MSRP Part Number Manufacturer Extended Description
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
Two Actuator Control, Through NE+ 6-Key Joystick $2,895 ELE130743 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 LIFT/POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 07)
ELE151800 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT/POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 07)
ELE130747 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT,AFP,THRU JOYSTICK,(CONFIGURATION # 23)
ELE130011 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER RECLINE,RECLINE/POWER AFP,W/INDEPENDENTLY CONTROLLED POWER AFP,(CONFIGURATION # 11)
ELE130023 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 LIFT & TILT,THRU JOYSTICK,(CONFIGURATION # 24)
ELE151802 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT & TILT,THRU JOYSTICK,(CONFIGURATION # 24)
ELE130012 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 LIFT & RECLINE,(CONFIGURATION # 14)ELE151804 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER ADJUSTABLE SEAT LIFT &
RECLINE,(CONFIGURATION # 14)ELE130008 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT &
RECLINE,TILT/RECLINE,(CONFIGURATION # 28)LEGRESTS : 60-90 Swing-Away LegrestsP: 11"-13" Length No Charge FRMASMB8053 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",C-1010-179P: 11"-13" Length FRMASMB10557 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,PAIR
P: 11"-13" Length FRMASMB10558 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,PAIR
L: 11"-13" Length RIG136570 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",LEFTL: 11"-13" Length FRMASMB10014 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-655L: 11"-13" Length FRMASMB10016 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-656
R: 11"-13" Length RIG136571 LEGREST,ASSY,S/A #8,LOWER EXTENSION,11"-13",RIGHTR: 11"-13" Length FRMASMB10015 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-657
R: 11"-13" Length FRMASMB10017 LEGREST,ASSY,LOWER EXTENSION,11"-13",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-658
P: 11"-16.5" Length FRMASMB9159 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,PAIRP: 11"-16.5" Length FRMASMB9168 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,PAIRL: 11"-16.5" Length FRMASMB9160 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,LEFT,E-1010-641L: 11"-16.5" Length FRMASMB9169 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,LEFT,E-1010-642R: 11"-16.5" Length FRMASMB9161 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,LONG,RIGHT,E-1010-643R: 11"-16.5" Length FRMASMB9170 LEGREST,ASSY,MULTI-AXIS LOWER,11"-16.5" EXT,SHORT,RIGHT,E-1010-644P: 13"-16" Length FRMASMB7844 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",E-1010-415P: 13"-16" Length FRMASMB10559 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,PAIR
P: 13"-16" Length FRMASMB10560 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,PAIR
L: 13"-16" Length RIG133473 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",LEFTL: 13"-16" Length FRMASMB10018 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-659
L: 13"-16" Length FRMASMB10020 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-660
R: 13"-16" Length RIG133476 LEGREST,ASSY,S/A #8,LOWER EXTENSION,13"-16.5",RIGHTR: 13"-16" Length FRMASMB10019 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-661
Page 6 of 7
Section NameOption Name MSRP Part Number Manufacturer Extended Description
J6 Cross Reference Spreadsheet - TRU-Balance 3 Postioning
R: 13"-16" Length FRMASMB10021 LEGREST,ASSY,LOWER EXTENSION,13"-16.5",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-662
P: 15.5"-19.5" Length FRMASMB7845 FOOTREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",E-1010-381P: 15.5"-19.5" Length FRMASMB10561 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,PAIRP: 15.5"-19.5" Length FRMASMB10562 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,PAIRP: 15.5"-19.5" Length FRMASMB9162 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,PAIRP: 15.5"-19.5" Length FRMASMB9171 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,PAIRL: 15.5"-19.5" Length RIG133474 LEGREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",LEFTL: 15.5"-19.5" Length FRMASMB10022 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,LEFT,E-1010-663
L: 15.5"-19.5" Length FRMASMB10024 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,LEFT,E-1010-664
L: 15.5"-19.5" Length FRMASMB9163 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,LEFT,E-1010-487L: 15.5"-19.5" Length FRMASMB9172 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,LEFT,E-1010-645R: 15.5"-19.5" Length RIG133477 LEGREST,ASSY,S/A #8,LOWER EXTENSION,15.5"-19.5",RIGHTR: 15.5"-19.5" Length FRMASMB10023 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,LONG,RIGHT,E-1010-665
R: 15.5"-19.5" Length FRMASMB10025 LEGREST,ASSY,LOWER EXTENSION,15.5"-19.5",ANGLE ADJUSTABLE,SHORT,RIGHT,E-1010-666
R: 15.5"-19.5" Length FRMASMB9164 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,LONG,RIGHT,E-1010-488R: 15.5"-19.5" Length FRMASMB9173 LEGREST,ASSY,MULTI-AXIS LOWER,15.5"-19.5" EXT,SHORT,RIGHT,E-1010-646LEGRESTS : Elevating LegrestsP: 12"-14.5" Length No Charge FRMASMB4752 LEGREST,ASSY,ANGLE ADJUSTABLE LOWER,12"-14.5" EXT,PAIRP: 12"-14.5" Length FRMASMB7922 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,FOR SHORT BLOCK,PAIRL: 12"-14.5" Length FRMASMB5391 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,LEFT,C-1000-340L: 12"-14.5" Length FRMASMB6279 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,FOR SHORT BLOCK,LEFT,C-1000-353
R: 12"-14.5" Length FRMASMB4723 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,RIGHT,C-1000-287R: 12"-14.5" Length FRMASMB5136 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,12"-14.5" EXT,FOR SHORT BLOCK,RIGHT,C-1000-318
P: 14.5"-18" Length FRMASMB4753 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,PAIRP: 14.5"-18" Length FRMASMB7923 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,FOR SHORT BLOCK,PAIRL: 14.5"-18" Length FRMASMB4724 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,LEFT,C-1000-288L: 14.5"-18" Length FRMASMB6280 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,FOR SHORT BLOCK,LEFT,C-1000-354
R: 14.5" -18" Length FRMASMB5392 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,RIGHT,C-1000-341R: 14.5" -18" Length FRMASMB5137 LEGREST,ASSY,ANGLE ADJUSTABLE,LOWER,14.5"-18" EXT,FOR SHORT BLOCK,RIGHT,C-1000-319
LEGRESTS : 60-90 Swing-Away Legrest AccessoriesWheel Bumper $12.50 ea WHL133585 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,LEFT
WHL133587 WHEEL,ASSY,BUMPER,S/A #8 EXTRUDED FOOTPLATE,LEFT WHL169510 WHEEL,ASSY,BUMPER,PEDIATRIC ANGLE ADJUSTABLE FOOTPLATE,LEFTWHL133586 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,RIGHT WHL133589 WHEEL,ASSY,BUMPER,S/A #8 EXTRUDED FOOTPLATE,RIGHT WHL169511 WHEEL,ASSY,BUMPER,PEDIATRIC ANGLE ADJUSTABLE FOOTPLATE,RIGHTWHLASMB1578 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE WHLASMB1727 WHEEL,ASSY,BUMPER,S/A #8 EXTRUDED FOOTPLATE WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE
LEGRESTS : Elevating Legrest AccessoriesWheel Bumper $12.50 ea WHL133585 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,LEFT
WHL133586 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE,RIGHT WHLASMB1578 WHEEL,ASSY,BUMPER,ANGLE ADJUSTABLE FOOTPLATE WHL169508 WHEEL,ASSY,BUMPER,PEDIATRIC,ANGLE ADJUSTABLE FOOTPLATE
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