5
Invacare® FDX - FDX with MK6i Price List and Order Form www.invacare.com Customer Service: 800-333-6900 Fax: 800-678-4682 To order literature: 800-828-6282 TRANSACTION TYPE TRANSACTION TYPE TRANSACTION TYPE TRANSACTION TYPE Order Order Order Order Quote Quote Quote Quote Company Name Company Name Company Name Company Name Account # Account # Account # Account # Phone Phone Phone Phone P.O. # P.O. # P.O. # P.O. # Date Date Date Date Ship To Name & Address Ship To Name & Address Ship To Name & Address Ship To Name & Address Special Note Special Note Special Note Special Note HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail. Model Model Model Model FDX FDX with MK6i ......................................... $5,970.00 BASE BASE BASE BASE TRANSPORT READY OPTION TRANSPORT READY OPTION TRANSPORT READY OPTION TRANSPORT READY OPTION TRBKTS Wheelchair Transport Brackets ..................... $250.00 K0108 TRRO Transport Ready Option ................................ $300.00 K0108 USER WEIGHT LIMITS USER WEIGHT LIMITS USER WEIGHT LIMITS USER WEIGHT LIMITS U300 User Weight Under 300 lbs ......................... Standard Package includes 2-pole motors and a top speed of up to 5.0 MPH with a User Weight Limit of <300 lbs. DRIVE TYPE OPTION DRIVE TYPE OPTION DRIVE TYPE OPTION DRIVE TYPE OPTION 2-POLE 2-Pole Motor ................................................ Standard E2368 Package includes 60 AMP Controller, 2-Pole Motors, and a top speed of up to 5.0 MPH. PERF Performance Motor Package ......................... $800.00 K0108 Package includes 90 AMP Controller, G-Trac Module, 4-Pole Motors, and a top speed of up to 6.8 MPH. All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Page 1 of 5 Generated on Tuesday, July 30, 2013 Form No. 09-070 8/1/2013

Invacare® FDX - FDX with MK6i Price List and Order Form

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Invacare® FDX - FDX with MK6iPrice List and Order Form www.invacare.com

Customer Service: 800-333-6900 Fax: 800-678-4682 To order literature: 800-828-6282

TRANSACTION TYPETRANSACTION TYPETRANSACTION TYPETRANSACTION TYPEOrderOrderOrderOrder QuoteQuoteQuoteQuote

Company NameCompany NameCompany NameCompany Name Account #Account #Account #Account #

PhonePhonePhonePhone P.O. #P.O. #P.O. #P.O. # DateDateDateDate

Ship To Name & AddressShip To Name & AddressShip To Name & AddressShip To Name & Address

Special NoteSpecial NoteSpecial NoteSpecial NoteHCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes whensubmitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail.

ModelModelModelModelFDX with MK6i FDX FDX with MK6i ......................................... $5,970.00

BASEBASEBASEBASE

TRANSPORT READY OPTIONTRANSPORT READY OPTIONTRANSPORT READY OPTIONTRANSPORT READY OPTIONWheelchair Transport Brackets TRBKTS Wheelchair Transport Brackets ..................... $250.00 K0108

Transport Ready Option TRRO Transport Ready Option ................................ $300.00 K0108

USER WEIGHT LIMITSUSER WEIGHT LIMITSUSER WEIGHT LIMITSUSER WEIGHT LIMITSUser Weight Under 300 lbs U300 User Weight Under 300 lbs ......................... Standard

Package includes 2-pole motors and a top speed ofup to 5.0 MPH with a User Weight Limit of <300 lbs.

DRIVE TYPE OPTIONDRIVE TYPE OPTIONDRIVE TYPE OPTIONDRIVE TYPE OPTION2-Pole Motor 2-POLE 2-Pole Motor ................................................ Standard E2368

Package includes 60 AMP Controller, 2-Pole Motors,and a top speed of up to 5.0 MPH.

Performance Motor Package PERF Performance Motor Package ......................... $800.00 K0108Package includes 90 AMP Controller, G-Trac Module,4-Pole Motors, and a top speed of up to 6.8 MPH.

All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toInvacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.

Page 1 of 5Generated on Tuesday, July 30, 2013 Form No. 09-070

8/1/2013

COLOR SELECTIONCOLOR SELECTIONCOLOR SELECTIONCOLOR SELECTIONWet Black 24P Wet Black ................................................. No ChargeElectric Red 61P Electric Red ............................................... No ChargeElectric Blue 62P Electric Blue ............................................. No ChargeArtic White (FDX) 143P Artic White (FDX) .................................... No ChargeElectric Silver 147P Electric Silver ........................................... No Charge

LIGHTING PACKAGELIGHTING PACKAGELIGHTING PACKAGELIGHTING PACKAGELight Module for SPJPlus LMSPJ Light Module for SPJPlus ............................. $599.00 K0108

LMSPJ requires SPJ+ Single Drive Joystickselection.

Light Module for MPJPlus LMMPJ Light Module for MPJPlus ............................ $599.00 K0108LMSPJ requires SPJ+ Single Drive Joystickselection.

SEATSEATSEATSEATSEAT TO FLOOR HEIGHTSEAT TO FLOOR HEIGHTSEAT TO FLOOR HEIGHTSEAT TO FLOOR HEIGHT

Low Seat-To-Floor LOW Low Seat-To-Floor ...................................... Standard15.75" at 0 degrees

Medium Seat-To-Floor MED Medium Seat-To-Floor ............................. No Charge16.75" at 0 degrees

Tall Seat-To-Floor TALL Tall Seat-To-Floor .................................... No Charge A990017.75" at 0 degrees

SEAT SELECTIONSEAT SELECTIONSEAT SELECTIONSEAT SELECTIONAdjustable Width and Back Angle ADJASBA Adjustable Width and Back Angle .............. StandardAdustable Width And Depth Recliner ADJRECL Adustable Width And Depth Recliner ........... $744.00 E1226

SEAT SELECTION 2SEAT SELECTION 2SEAT SELECTION 2SEAT SELECTION 2Back Posts Only BPO Back Posts Only ........................................ No ChargeCurved Back CURV Curved Back ............................................. No ChargeConventional Back CNB Conventional Back .................................... No ChargeContoura Back CTB Contoura Back ............................................... $625.00 E2620

E2621

CONTOURACONTOURACONTOURACONTOURAOmit Cushion OMCU Omit Cushion ........................................... Less $20.00

CONTOURA UPHOLSTERYCONTOURA UPHOLSTERYCONTOURA UPHOLSTERYCONTOURA UPHOLSTERYMesh Upholstery for CTB only CTBMSH Mesh Upholstery for CTB only ........................ $10.00 A9900

SEAT WIDTH RANGESEAT WIDTH RANGESEAT WIDTH RANGESEAT WIDTH RANGE12 in - 16 in Seat Width Range 1216W 12 in - 16 in Seat Width Range ................. No Charge K010816 in - 20 in Seat Width Range 1620W 16 in - 20 in Seat Width Range ................. No Charge20 in - 22 in Seat Width Range 2022W 20 in - 22 in Seat Width Range ................. No Charge

SEAT WIDTH SETTINGSEAT WIDTH SETTINGSEAT WIDTH SETTINGSEAT WIDTH SETTINGContoura available in even Seat Width from 16" - 22".

12 in Wide W12 12 in Wide ................................................. No Charge A9900

13 in Wide W13 13 in Wide ................................................. No Charge A9900

14 in Wide W14 14 in Wide ................................................. No Charge A9900

15 in Wide W15 15 in Wide ................................................. No Charge16 in Wide W16 16 in Wide ................................................. No Charge17 in Wide W17 17 in Wide ................................................. No Charge18 in Wide W18 18 in Wide ................................................. No Charge19 in Wide W19 19 in Wide ................................................. No Charge A9900

20 in Wide W20 20 in Wide ................................................. No Charge A9900 orE2201

21 in Wide W21 21 in Wide ................................................. No Charge E2201 orK0108

22 in Wide W22 22 in Wide ................................................. No Charge E2201 orK0108

SEAT DEPTH RANGESEAT DEPTH RANGESEAT DEPTH RANGESEAT DEPTH RANGE12 in - 18 in Seat Depth Range 1218D 12 in - 18 in Seat Depth Range ................. No Charge

Must select 12" - 18" depth range (1218D) whenordering the 12" - 16" seat width range (1216W).

16 in - 19 in Seat Depth Range 1619D 16 in - 19 in Seat Depth Range ................. No Charge19 in - 22 in Seat Depth Range 1922D 19 in - 22 in Seat Depth Range ................. No Charge

SEAT DEPTH SETTINGSEAT DEPTH SETTINGSEAT DEPTH SETTINGSEAT DEPTH SETTINGContoura Seating available in depths 16" - 22".

12 in Deep D12 12 in Deep ................................................. No Charge A9900

13 in Deep D13 13 in Deep ................................................. No Charge A9900

14 in Deep D14 14 in Deep ................................................. No Charge A9900

15 in Deep D15 15 in Deep ................................................. No Charge16 in Deep D16 16 in Deep ................................................. No Charge17 in Deep D17 17 in Deep ................................................. No Charge18 in Deep D18 18 in Deep ................................................. No Charge19 in Deep D19 19 in Deep ................................................. No Charge A9900

20 in Deep D20 20 in Deep ................................................. No Charge E2203

21 in Deep D21 21 in Deep ................................................. No Charge E2203 orK0108

22 in Deep D22 22 in Deep ................................................. No Charge E2204 orK0108

ARM AND BACKARM AND BACKARM AND BACKARM AND BACKARM TYPEARM TYPEARM TYPEARM TYPE

Full Lgth Fix Flip-Up Arms 18F Full Lgth Fix Flip-Up Arms ...................... No Charge A9900

Desk Lgth Fix Flip-Up Arms 28F Desk Lgth Fix Flip-Up Arms ...................... Standard A9900

Full Lgth Adj Flip-Up Arms 19F Full Lgth Adj Flip-Up Arms ......................... $230.00 E0973

Desk Lgth Adj Flip-Up Arms 29F Desk Lgth Adj Flip-Up Arms ........................ $230.00 E0973

Omit Arms L8401 Omit Arms ................................................ No ChargeDesk length Arms CLVD Desk length Arms .......................................... $325.00 E0973

Not available with BPO, Otto Bock, or 12"-15" seatwidth. Must use hard back. See chart on last pagefor arm height adjustment range. Stealth Lateralpart number's TWB-CPR and TWBCPRL are the onlylateral support compatible with the currentCantilever Arm Design. Must choose WF armpad typewith Stealth Laterals.Cantilever Arms

Full Length Arms CLVF Full Length Arms .......................................... $325.00 E0973Not available with BPO, Otto Bock, or 12"-15" seatwidth. Must use hard back. See chart on last pagefor arm height adjustment range. Stealth Lateralpart number's TWB-CPR and TWBCPRL are the onlylateral support compatible with the currentCantilever Arm Design. Must choose WF armpad typewith Stealth Laterals.Cantilever Arms

T-Arm Desk Length Adj. Hgt 8-12 In TADM T-Arm Desk Length Adj. Hgt 8-12 In ........... $175.00 E0973

T-Arm Full Length Adj Hgt 8-12 In. TAFM T-Arm Full Length Adj Hgt 8-12 In. ............. $175.00 E0973

ARM TYPE RIGHTARM TYPE RIGHTARM TYPE RIGHTARM TYPE RIGHTFull Lgth Adj Hgt Flip-Up Arm - Right 19FR Full Lgth Adj Hgt Flip-Up Arm - Right ... No Charge E0973

Desk Lgth Adj Hgt Flip-Up Arm - Right 29FR Desk Lgth Adj Hgt Flip-Up Arm - Right . No Charge E0973

Desk Length Arm Right CLVDR Desk Length Arm Right ................................. $162.50 E0973Cantilever Arm

Full length Arm Right CLVFR Full length Arm Right .................................... $162.50 E0973Cantilever Arm

FDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6i

All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toInvacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.

Page 2 of 5Generated on Tuesday, July 30, 2013 Form No. 09-070

ARM TYPE LEFTARM TYPE LEFTARM TYPE LEFTARM TYPE LEFTFull Lgth Adj Hgt Flip-Up Arm - Left 19FL Full Lgth Adj Hgt Flip-Up Arm - Left ..... No Charge E0973

Desk Lgth Adj Hgt Flip-Up Arm - Left 29FL Desk Lgth Adj Hgt Flip-Up Arm - Left .... No Charge E0973

Desk Length Arm Left CLVDL Desk Length Arm Left ................................... $162.50 E0973Cantilever Arm

Full Length Arm Left CLVFL Full Length Arm Left ..................................... $162.50 E0973Cantilever Arm

ARM OPTIONSARM OPTIONSARM OPTIONSARM OPTIONSReclining Armpads (Elbow Support) RCL Reclining Armpads (Elbow Support) ....... No Charge

Select when choosing Cantilever Arms.Waterfall Armpads WF Waterfall Armpads ...................................... Standard K0108

Select when choosing Cantilever Arms.

BACK TYPEBACK TYPEBACK TYPEBACK TYPESectional Rear Uprights SECT Sectional Rear Uprights ............................ No ChargeStraight Rear Uprights SRUP Straight Rear Uprights .............................. No Charge A9900

No Push Handles 9720P No Push Handles ............................................. $82.00 A9900

Omit Rear Uprights L8661 Omit Rear Uprights .................................. Less $20.00

BACK ANGLE DEGREEBACK ANGLE DEGREEBACK ANGLE DEGREEBACK ANGLE DEGREE90 Degree Back Angle 90BA 90 Degree Back Angle ................................ Standard95 Degree Back Angle 95BA 95 Degree Back Angle .............................. No Charge A9900

SEAT POSITIONING STRAPSEAT POSITIONING STRAPSEAT POSITIONING STRAPSEAT POSITIONING STRAPAirline Buckle Seat Pos. Strap 1311BK Airline Buckle Seat Pos. Strap ........................ $50.00

Not available with 12" - 15" seat widths.Push Button Style Seat Pos Strap 1515 Push Button Style Seat Pos Strap ................ Standard A9900 or

E0978

CHEST POSITIONING STRAPCHEST POSITIONING STRAPCHEST POSITIONING STRAPCHEST POSITIONING STRAPAirline Buckle Chest Pos. Strap 7311BK Airline Buckle Chest Pos. Strap ............... No Charge E0960

Not available with 12" - 15" seat widths.Push Button Style Chest Pos. Strap 9515 Push Button Style Chest Pos. Strap ............... $100.00 E0960

Hook and Loop Chest Positioning Strap 7321BK Hook and Loop Chest Positioning Strap ... No Charge E0960

BACK HEIGHTBACK HEIGHTBACK HEIGHTBACK HEIGHT12 in High BH12 12 in High ................................................. No Charge13 in High BH13 13 in High ................................................. No Charge14 in High BH14 14 in High ................................................. No Charge15 in High BH15 15 in High ................................................. No Charge16 in High BH16 16 in High ................................................. No Charge17 in High BH17 17 in High ................................................. No Charge18 in High BH18 18 in High ................................................. No Charge19 in High BH19 19 in High ................................................. No Charge20 in High BH20 20 in High ................................................. No Charge A9900

21 in High BH21 21 in High ................................................. No Charge A9900

22 in High BH22 22 in High ................................................. No Charge A9900

23 in High BH23 23 in High ................................................. No Charge24 in High BH24 24 in High ................................................. No Charge19 in High TSBH19 19 in High ................................................. No Charge22 in High TSBH22 22 in High ................................................. No Charge

Contoura Back25 in High TSBH25 25 in High ................................................. No Charge K0108

Contoura Back28 in High TSBH28 28 in High ................................................. No Charge

Contoura Back18 in High BHR18 18 in High ................................................. No Charge20 in High BHR20 20 in High ................................................. No Charge22 in High BHR22 22 in High ................................................. No Charge24 in High BHR24 24 in High ................................................. No Charge26 in High BHR26 26 in High ................................................. No Charge

POSITIONING OPTIONSPOSITIONING OPTIONSPOSITIONING OPTIONSPOSITIONING OPTIONSLATERALSLATERALSLATERALSLATERALS

Multi-Bar Swingaway Lateral Medium - TMSLM Multi-Bar Swingaway Lateral Medium -Pair ................................................................ $260.00 E0956

Multi-Bar Swingaway Lateral Large - Pair TMSLL Multi-Bar Swingaway Lateral Large - Pair ... $260.00 E0956

Clamp Swingaway Contoura Lateral TCSLM Clamp Swingaway Contoura LateralMedium - Pair ................................................ $210.00 E1028

Clamp Swingaway Laterals Large - Pair TCSLL Clamp Swingaway Laterals Large - Pair ....... $210.00 E0956

Swingaway Contoura Lateral Medium - Pair CSLM Swingaway Contoura Lateral Medium - Pair......................................................................... $210.00 E0956

Swingaway Contoura Laterals Large - Pair CSLL Swingaway Contoura Laterals Large - Pair ... $210.00 E0956

LATERALS HARDWARELATERALS HARDWARELATERALS HARDWARELATERALS HARDWARERemovable and Adjustable Hardware TMSLMHW Removable and Adjustable Hardware ............ $210.00 E1028

Removable and Adjustable Hardware TMSLLHW Removable and Adjustable Hardware ............ $210.00 E1028

Removable and Adjustable Hardware TCSLMHW Removable and Adjustable Hardware ............ $210.00 E1028

Removable and Adjustable Hardware TCSLLHW Removable and Adjustable Hardware ............ $210.00 E1028

Removable and Adjustable Hardware CSLMHW Removable and Adjustable Hardware ............ $210.00 E1028

Removable and Adjustable Hardware CSLLHW Removable and Adjustable Hardware ............ $210.00 E1028

MK6 ELECTRONICSMK6 ELECTRONICSMK6 ELECTRONICSMK6 ELECTRONICSCONTROLLERSCONTROLLERSCONTROLLERSCONTROLLERS

G-Trac Controller with Gyro Module GTRAC G-Trac Controller with Gyro Module ......... Standard K0108GTRAC now comes standard on all FDX Front-WheelDrive Power Wheelchair models.

STANDARD DRIVER CONTROLSSTANDARD DRIVER CONTROLSSTANDARD DRIVER CONTROLSSTANDARD DRIVER CONTROLSSPJ PLUS Single Drive Joystick SPJPLUS SPJ PLUS Single Drive Joystick ................. Standard

ALTERNATIVE PROPORTIONAL CONTROLSALTERNATIVE PROPORTIONAL CONTROLSALTERNATIVE PROPORTIONAL CONTROLSALTERNATIVE PROPORTIONAL CONTROLSMPJ Plus with Color LCD Screen CMPJM6U MPJ Plus with Color LCD Screen ................. $750.00 E2377

MK6i Display Only ASLRDYM6 MK6i Display Only ....................................... $750.00 E2377Display only, No Driver Control. Allows choice fromorder form.

Proportional RIM Head Control 1500M6 Proportional RIM Head Control ................ $2,875.00 E2327

Compact Joystick w/Display 1558MM6 Compact Joystick w/Display ....................... $1,130.00 E2373With MK6i Display.Please choose corresponding headrest.

Mini Color Display MCD Mini Color Display ........................................ $750.00 K0108

For your ASL Drive System needs please refer to the following: ASLSingle Invoice Price List Form #02-097For your ASL Drive System needs please refer to the following: ASL

Single Invoice Price List Form #02-097

Personal Joystick, Inductive on Front PSFM6 Personal Joystick, Inductive on Front ......... $1,130.00 E2377TOD-SS: Toggle On/Off Drive Select, SpeedPotentiometer Standard.

Personal Joystick, Inductive in Rear PSRM6 Personal Joystick, Inductive in Rear ........... $1,130.00 E2377TOD-SS: Toggle On/Off Drive Select, SpeedPotentiometer Standard.

PERSONAL SWITCH OPTIONPERSONAL SWITCH OPTIONPERSONAL SWITCH OPTIONPERSONAL SWITCH OPTIONPush Button On/Off w/PB Drive Select PBOD Push Button On/Off w/PB Drive Select ... No Charge

PSRM6 Ony.Push Button On/Off with Speed Select PBSS Push Button On/Off with Speed Select ..... No Charge

Drive select through mode switch, or mode switchand joystick. PSRM6 Only.

PERSONAL SWITCH LOCATIONPERSONAL SWITCH LOCATIONPERSONAL SWITCH LOCATIONPERSONAL SWITCH LOCATIONOn/Off Mounted Right OR On/Off Mounted Right .............................. No Charge

PSRM6 Ony.

FDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6i

All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toInvacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.

Page 3 of 5Generated on Tuesday, July 30, 2013 Form No. 09-070

On/Off Mounted Left OL On/Off Mounted Left ................................ No ChargePSRM6 Ony.

RIM CONTROL HEAD PADSRIM CONTROL HEAD PADSRIM CONTROL HEAD PADSRIM CONTROL HEAD PADSSmall Headrest SMHD Small Headrest .......................................... No Charge E0955

Large Headrest LGHD Large Headrest .......................................... No Charge E0955

ALTERNATIVE DIGITAL CONTROLSALTERNATIVE DIGITAL CONTROLSALTERNATIVE DIGITAL CONTROLSALTERNATIVE DIGITAL CONTROLSMust also use either a Multiple Drive Joystick or MK6i Display.

Sip-N-Puff Digital Interface Box SNPM6 Sip-N-Puff Digital Interface Box ................ $1,500.00 E2325

Wafer Board AND Digital Interface Box 5018M6 Wafer Board AND Digital Interface Box ... $1,550.00 E2322

Mini Tash Joystick AND Digital Interface 5020M6 Mini Tash Joystick AND Digital InterfaceBox .............................................................. $1,750.00 E2312

SIP-N-PUFF KITSIP-N-PUFF KITSIP-N-PUFF KITSIP-N-PUFF KITTherafin Sip-N-Puff Breath Tube Kit PKG32666 Therafin Sip-N-Puff Breath Tube Kit ........... $380.00 E2326

Therafin is a registered trademark of W/R MedicalElectronics Co.

ADDITIONAL CONTROLSADDITIONAL CONTROLSADDITIONAL CONTROLSADDITIONAL CONTROLSCompact Joystick Less Standard Mount 1558M6 Compact Joystick Less Standard Mount ....... $770.00 K0108

Wafer Board 5018 Wafer Board ................................................... $310.00 K0108Requires SNPM6 Sip-N-Puff Interface Box.

Mini Tash Joystick 5020 Mini Tash Joystick ........................................ $405.00 E2312Requires SNPM6 Sip-N-Puff Interface Box.

Proportional Attendant Control PACM6 Proportional Attendant Control ..................... $850.00 E2331

Attendant Control 9153615932 1552M Attendant Control 9153615932 ..................... $850.00 E2331Requires SNPM6 Sip-N-Puff Interface Box.

JOYSTICK MOUNTING HARDWAREJOYSTICK MOUNTING HARDWAREJOYSTICK MOUNTING HARDWAREJOYSTICK MOUNTING HARDWAREQuad Link Retract Joystick Mnt SPJ Plus QLA Quad Link Retract Joystick Mnt SPJ Plus .... $279.00 E1028

Include ARM250 standard.Quad Link Retract Joystick Mnt MPJ Plus QLAM6 Quad Link Retract Joystick Mnt MPJ Plus ... $279.00 E1028

Include ARM250 standard.Left Handed Mounted Joystick LEFT Left Handed Mounted Joystick ................. No ChargeCane Mounted Head Control Hardware RIMHW Cane Mounted Head Control Hardware ......... $219.00 K0108

Complete Bib Assembly PKG32669 Complete Bib Assembly ................................ $265.00 K0108

Rear Cane Mount for Compact Joystick RCM Rear Cane Mount for Compact Joystick ....... $395.00 K0108

ELECTRONIC ACCESSORIESELECTRONIC ACCESSORIESELECTRONIC ACCESSORIESELECTRONIC ACCESSORIESHarness Req for Expandable Electronics PWH Harness Req for Expandable Electronics ...... $350.00 E2313

Required to interface joystick or MK6i display withexpandable controllers.

MK6i Programmer with Pro Memory Card 1813M6 MK6i Programmer with Pro Memory Card .. $475.00 A9900

Pro Memory Card - USB Ready 1813SD Pro Memory Card - USB Ready ...................... $90.00 A9900

T Handle Flexible Joystick Ext. 1560 T Handle Flexible Joystick Ext. ...................... $77.00 E2323

Straight Handle Flexible Joystick Ext. 1561 Straight Handle Flexible Joystick Ext. ............ $77.00 E2323

Chin Cup 1826 Chin Cup .......................................................... $48.00 E2324

MK6 Auxillary Power Source - Two 24 volt A24VPS MK6 Auxillary Power Source - Two 24 voltleads ............................................................... $200.00 K0108

MK6 Auxillary Module - Outputs 1 & 2 AUX12M6 MK6 Auxillary Module - Outputs 1 & 2 ....... $795.00 K0108

MK6 Auxillary Module - Outputs 3 & 4 AUX34M6 MK6 Auxillary Module - Outputs 3 & 4 ....... $795.00 K0108

Dual Toggle 2SW Dual Toggle .................................................... $172.00 K0108Option to replace the Mono Port "Y" cable whenrequiring two switch functions of the mode switchport on expandable controller systems. Notcompatible with SPJ+ joystick options.

Dual Push Button 2PB Dual Push Button ........................................... $147.00 K0108Option to replace the Mono Port "Y" cable whenrequiring two switch functions of the mode switchport on expandable controller systems. Notcompatible with SPJ+ joystick options.

Push Button Arm Mount PBMT Push Button Arm Mount ............................... $252.00 K0108

Push Button for SPJ Joystick 2PBSPJ Push Button for SPJ Joystick .................... No Charge K0108

Wireless (RF) Mouse Only Module RFM Wireless (RF) Mouse Only Module .............. $750.00 K0108RFM includes Transmitter, USB Radio Frequence

Mouse Dongle (Receiver), and Stereo Switch withhook and loop mount for mouse clicks. Notcompatible with SPJ+.

FDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6i

All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toInvacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.

Page 4 of 5Generated on Tuesday, July 30, 2013 Form No. 09-070

Infrared Module with Mouse Emulation IR Infrared Module with Mouse Emulation ....... $995.00 K0108

Small Joystick Ball SJB Small Joystick Ball ................................... No Charge

MISCELLANEOUSMISCELLANEOUSMISCELLANEOUSMISCELLANEOUSINSTALLATION OF BATTERIESINSTALLATION OF BATTERIESINSTALLATION OF BATTERIESINSTALLATION OF BATTERIES

Group 34 Battery 34BATTERY Group 34 Battery ........................................... $600.00 K0108

Less Batteries 34OMIT Less Batteries .............................................. Standard

BATTERY CHARGER OPTIONBATTERY CHARGER OPTIONBATTERY CHARGER OPTIONBATTERY CHARGER OPTION110 Volt Battery Charger 110CHARGER 110 Volt Battery Charger .......................... No ChargeLester 8 AMP Battery Charger LESTR Lester 8 AMP Battery Charger ...................... $320.00 A9900

Omit Charger L8900 Omit Charger ........................................... Less $80.00

BACK ACCESSORIESBACK ACCESSORIESBACK ACCESSORIESBACK ACCESSORIESOmit Back Upholstery L8601 Omit Back Upholstery .............................. No ChargeReinforced Back Upholstery RBP Reinforced Back Upholstery ..................... No Charge A9900

MISC ACCESSORIESMISC ACCESSORIESMISC ACCESSORIESMISC ACCESSORIESWheel Locks 1303 Wheel Locks .................................................... $45.00 A9900

Oxygen Holder (ASBA Seat Only) SEATO2 Oxygen Holder (ASBA Seat Only) ................ $150.00 E2208

FRONT RIGGING OPTIONSFRONT RIGGING OPTIONSFRONT RIGGING OPTIONSFRONT RIGGING OPTIONSFRONT RIGGINGFRONT RIGGINGFRONT RIGGINGFRONT RIGGING

Center Mount Form 12.25 - 15 in CTMT-F Center Mount Form 12.25 - 15 in ................ Standard E0990Allows 60° to 90° static knee angle positioning witha drop back lever for easier transferring. Extensionrange 12 1/2" - 15". Footplates are adjustable angle.Must choose either SML, MDM or LRG footplate.For a 14"-18" extension range, available throughspecial #SM-071217095848 with Tall STF Only and 5Degree Seat-Tilt Angle.

Center Mount Form 9.25 - 12 in CTMT-FJ Center Mount Form 9.25 - 12 in ............... No Charge E0990For a 14"-18" extension range, available throughspecial #SM-071217095848 with Tall STF Only and 5Degree Seat-Tilt Angle. Allows 60° to 90° static kneeangle positioning with a drop back lever for easiertransferring. Extension range 9 1/4"- 12". Footplatesare adjustable angle. Available on low seat-to-flooronly. Must choose either SML, MDM or LRGfootplate.

No Front Rigging Selection NO_FRONTRIG No Front Rigging Selection ...................... No Charge

FOOTPLATE SIZEFOOTPLATE SIZEFOOTPLATE SIZEFOOTPLATE SIZESmall Footplates ( 5.25 in X 8 in ) SML Small Footplates ( 5.25 in X 8 in ) ............ No Charge K0042

SML comes with 2" of width adjustment rangingfrom 12-14".

Medium Footplates ( 5.25 in X 10 in ) MDM Medium Footplates ( 5.25 in X 10 in ) ..... No Charge K0042MDM comes with 2" of width adjustment randingfrom 13-15".

Large Footplates ( 5.90 in X 12 in ) LRG Large Footplates ( 5.90 in X 12 in ) .......... No Charge K0041LRG comes with 2" of width adjustment ranging from14-16".

FOOTPLATE TYPEFOOTPLATE TYPEFOOTPLATE TYPEFOOTPLATE TYPEIndividual Footplates IFP Individual Footplates ..................................... $275.00Center Mount Footboard CTMTFB Center Mount Footboard ........................... No Charge A9900

One piece footboard for Center Mount (CTMT-F)Riggings.

No Footplate Selection NO_FTPLT No Footplate Selection .............................. No Charge

FOOTREST/LEGREST ACCESSORIESFOOTREST/LEGREST ACCESSORIESFOOTREST/LEGREST ACCESSORIESFOOTREST/LEGREST ACCESSORIESCalf Pads for Center Mount CALF Calf Pads for Center Mount .......................... $200.00 A9900

FDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6iFDX - FDX with MK6i

All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toAll rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed toInvacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.

Page 5 of 5Generated on Tuesday, July 30, 2013 Form No. 09-070