17
Page 1 of 17 INFINFB3572/RevF/01MAY2018 Q6 Edge ® HD Order Form with TRU-Balance ® 3 Positioning - Group 3 Quantum ® Rehab 401 York Ave., Duryea, PA 18642 Phone: 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:________ PATIENT INFORMATION ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 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: ________ INTRODUCTION This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applica- tions other than Acrobat. Complete 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 determining 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!

Quantum Q6 Edge HD TRU-Balance 3 Seating Order Form · PDF fileDeep Purple Part: DGN169178-PPR5 Lime Light Part: DGN169178-PGN7 Grey Street Part: DGN169178-PSL3 Silver Bullet Part:

Embed Size (px)

Citation preview

Page 1 of 17INFINFB3572/RevF/01MAY2018

Q6 Edge® HD Order Form with TRU-Balance® 3 Positioning - Group 3

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:________

PATIENT INFORMATION

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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: ________

INTRODUCTION This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applica-tions other than Acrobat. Complete 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 determining 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!

Page 2 of 17INFINFB3572/RevF/01MAY2018

Quantum Q6 Edge HD 3HD-SS ...............................$8,595Part: Q6 EDGEHD 3HD-SS. HCPCS: K0850Solid seat pan standard with no power option.

Quantum Q6 Edge HD 3SPHD-SS ............................$8,595Part: Q6 EDGEHD 3SPHD-SS. HCPCS: K0858Single power option.

Quantum Q6 Edge HD 3MPHD-SS ...........................$8,595Part: Q6 EDGEHD 3MPHD-SS. HCPCS: K0862Multiple power option.

BASE MOUNTED FOOT PLATFORMREQUIRED. Select a foot platform option. May interfere with seat mounted legrests. Not available with center mount foot platforms.

Base Mounted Foot Platform .............................StandardPart: FRMASMB160779.45"W x 10"D platform.

Base Mounted, Bell Shaped Foot Platform .......... No ChargePart: RIGASMB712004110.12"W tapering out to 14"W x 13.06"D platform.

Omit base mounted foot platform .................... No ChargePart: PTOINDV3674

DRIVE WHEELSREQUIRED. Select a type of drive wheels. Knobby tires increase overall base width by 1.5”.

3" x 14” Run Flat Tires ....................................StandardPart: PTOINDV3510

3" x 14” Flat Free Tires ................................. No ChargePart: WHL124116 x2

3" x 14” Pneumatic Tires ............................... No ChargePart: WHL124117 x2

4”W Flat Free, Knobby, Extended .................. $275.50 ea.Traction TiresPart: WHL121698 x2

4”W Pneumatic, Knobby, Extended ................ $275.50 ea.Traction TiresPart: WHL121703 x2

BASE COLORREQUIRED. Select one shroud color. Colors shown here may differ from actual product depending on monitor/printer calibration used.

BASE MODELREQUIRED. Select a power base. 450 lb. weight capacity with standard 4.7 mph programmable motors, 8 amp off board charger, and unoccupied transit loops. Dimensions of base without legrests: 26”Wx36.75”L.

Red CorvettePart: DGN169178-PRD1

Electric BluePart: DGN169178-PBU9

Back in BlackPart: DGN169178-PBK1

White SatinPart: DGN169178-PWT2

Pretty in PinkPart: DGN169178-PPK3

Deep PurplePart: DGN169178-PPR5

Lime LightPart: DGN169178-PGN7

Grey StreetPart: DGN169178-PSL3

Silver BulletPart: DGN169178-PSL7

Midnight BluePart: DGN169178-PBU10

Orange CrushPart: DGN169178-POR6

Yellow BlazePart: DGN169178-PYL3

To Be DeterminedFollow-up required.

Match to Base Color ......................................$24.98 ea.Part: Configuration selection, see specific part below

Non-matching Color ......................................$24.98 ea.Part: Configuration selection, see specific part below

Red CorvettePart: DGN164245-PRD1

Electric BluePart: DGN164245-PBU9

Back in BlackPart: DGN164245-PBK1

White SatinPart: DGN164245-PWH2

Pretty in PinkPart: DGN164245-PPK3

Deep PurplePart: DGN164245-PPR5

Lime LightPart: DGN164245-PGN7

Grey StreetPart: DGN164245-PSL3

Silver BulletPart: DGN164245-PSL7

Midnight BluePart: DGN164245-PBU10

Orange CrushPart: DGN164245-POR6

Yellow BlazePart: DGN164245-PYL3

To Be DeterminedFollow-up required.

Drive Wheel Accent Color Optional. Sold in Pairs (parts below will be a quantity of 2). Not available with knobby tires.

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Red Corvette

Electric Blue

Back in Black

White Satin

Pretty in Pink

Deep Purple

Lime Light

Grey Street

Midnight Blue

Orange Crush

Yellow Blaze

Rim ColorOptional. Rim colors other than the standard are available through a special order and extended lead time. Not available with knobby tires.

Standard Rims ...................StandardNo Part: Standard product

Non-matching Rims ..................$200No Part: SOF - Select color below

Match Rims to Base Color ..........$200No Part: SOF

Page 3 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

NE+ 6 Key Joystick

Non-Expandable ControlsSelect a joystick below or omit selection if another controller type is desired. Non-expandable does not allow supplementary drive controllers.

NE 4-Key Joystick ........................... StandardPart: CTLDC1554Available with Static Seat or Tilt Only through Toggle.

NE+ 6-Key Joystick (1 Actuator) ........ No ChargePart: CTLDC1560Control of one actuator through Joystick on single power base model (3SPHD-SS) only.

No Joystick, Setup for NE+ Joystick ... No ChargePart: Configuration selection

NE+ 6-Key Joystick (2 Actuators) ............. $200Part: CTLDC1560Control up to 2 actuators through joystick.

NE+ 8-Key Joystick (2 Actuators) ............. $400Part: CTLDC1561Control up to 2 actuators and LED, Full Light Package through joystick.

ELECTRONICSREQUIRED. Select a type of drive control from the following sections. The No Joystick option is used to omit the joystick and utilize another control, such as a specialty control at the end of this form or found on the Alternative Controls and Electronics Order Forms.

Q-Logic 3 EX Controller Module ............... $695Part: See XRef. HCPCS: E2377

Q-Logic 3 Expandable Controller.............. $425Harness Part: HAR144005. HCPCS: E2313

Q-Logic 3 EX Joystick ........................................... $700Part: CTL167724

Q-Logic 3 EX Joystick for LED, Full Light Package ........$700Part: CTL167725

No Joystick, Setup for Q-Logic 3Part: Configuration selection.

Q-Logic 3 Joystick

Fender Light Switch Mount Type

Expandable Controls - Quantum Intelligent Systems™Select expandable controls or omit selection if another controller type is desired. Expandable controls allow multiple or specialized controllers. This sections allows a selection of common configurations.

Q-Logic 3 Required ComponentsQ-Logic 3 expandable controls require the controller module and expandable harness below. If a Q-Logic joystick or specialty control is selected later in this form, Customer Service will quote the order with these items.

Q-Logic 3 Joystick ShroudREQUIRED with Q-Logic 3 EX Joystick selection above. Colors are shown on page 2. Price will be assigned to color part number.

Black, Soft Touch ............StandardPart: DGN124307

Non-matching Shroud ............. $50Part: PTOINDV3422Select color below

Match Shroud ....................... $50Part: PTOINDV3421

Red CorvettePart: DGN124336-PRD1

Electric BluePart: DGN124336-PBU9

Back in BlackPart: DGN124336-PBK1

White SatinPart: DGN124336-PWH2

Pretty in PinkPart: DGN124336-PPK3

Deep PurplePart: DGN124336-PPR5

Lime LightPart: DGN124336-PGN7

Grey StreetPart: DGN124336-PSL3

Silver BulletPart: DGN124336-PSL7

Midnight BluePart: DGN124336-PBU10

Orange CrushPart: DGN124336-POR6

Yellow BlazePart: DGN124336-PYL3

Switch Operated Fender Lights....................................................................................................................$250*Part: DGN154117*Will be included at no charge with iLevel 10" Lift system. Fender lights operate by pressing included single switch button.

FENDER LIGHTINGOptional. Fender lighting is not available with NE 4-Key joystick or Single Actuator Control through Toggle Box.

FULL LIGHT PACKAGESOptional. Requires NE+ 8 Key or Q-Logic 3 Joystick for Full Light Package.

Seat Mounted, LED, Full Light Package ........................................................................................................... $995Part: ELE131477

Q-Logic 3 EX Joystick

Side Rail/Track Mount Bracket ......................... No ChargePart: MEC1800866Allows the egg switch to be mounted to seating side rails using a t-nut assembly. This may also be mounted to TRU-Balance 3 flip-back arm-rest and other seat or accessory bar rails. Not available with con-toured seating.

Under Armrest Mounting Bracket ............................ $50*Part: MEC1802726*No charge with contoured seating. Allows the egg switch to mount to a joystick tube-style bracket mounted to any armrest. Includes joystick mounting bracket.

Page 4 of 17INFINFB3572/RevF/01MAY2018

JOYSTICK HANDLESOptional. The NE/NE Plus joysticks are standard with a carrot handle (See A in image). The standard Q-Logic 3 joystick knob can be seen in the image on the previous page. The optional handle will be mounted to the joystick and the standard handle will be shipped with the unit.

Joystick Handles

Account Number: ___________ Date: ________________ Marked for: _____________________________________

ELECTRONICS continuedSCIM ModuleOptional

SCIM Module Kit for Q-Logic 3 ........................................................................................$525Part: CTL168055Allows use of joystick display for specialty devices. Available with Q-Logic 3 EX Joystick selection above. Up to 5 profiles to control drive, seat, and auxiliary functions, excluding sip-n-puff and single switch functions. A switch is required to operate the input device attached to the SCIM module. SCIM Module

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

Q-Logic 3 Carrot Handle (A) ............. No ChargePart: DGN124308

JOYSTICK MOUNTING BRACKETSREQUIRED. Select a mount to be used with a joystick selected in previous section.

Omit Joystick Mounting Bracket

Fixed, Inline Joystick Bracket

Swing Away JoystickInline Mount (Right)

Swing Away JoystickOffset Mount (Right)Swing-away, Inline, Left Side Mount .......... $245

Part: See XRef. HCPCS: E1028

Swing-away, Inline, Right Side Mount ........ $245Part: See XRef. HCPCS: E1028

Swing-away, 1” Offset, Left Side Mount ..... $245Part: See XRef. HCPCS: E1028

Swing-away, 1” Offset, Right Side Mount .... $245Part: See XRef. HCPCS: E1028

Swing-Away (Retractable) BracketAllows the joystick to retract to the side of the armrest while maintaining the same joystick orientation. "Inline brack-et" 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.

Fixed, In-line, Bracket .............................................................................................StandardQ-Logic Part: FRMASMB10617. NE/NE+ Part: FRMASMB12744

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

Multi-Axis JoystickMount

Retract4

Swing-Away/Flip DownBracket (Stand Alone

Hardware Shown)

Retract4 Mount ................................... $350NE/NE+ Part: MEC138876. HCPCS: E1028Q-Logic Part: MEC138860. 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: E1028Q-Logic Part: ACC131216. HCPCS: E1028Allows height adjustment of joystick.

Stealth Swing-Away/Flip Down Bracket ....$294.25SAJ Part: ST-TWBM480CJ-Q. HCPCS: E1028Q-Logic Part: ST-TWBM480QL-Q. HCPCS: E1028Allows the joystick to pivot to side of armrest, or flip-down if bracket is adjusted.

Specialty Joystick MountsSelect a bracket and side to mount it.

Left Side MountPart: PTOINDV1225

Right Side MountPart: PTOINDV1226

Specialty Mount Side

Page 5 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

ELECTRONICS ACCESSORIESOptional.

USB Mobile Device Charger ......................$175Part: ELE168069Can charge 1 device. A multiplier harness is required and must be added when a Static Seat or Power Tilt Only seating system is chosen. The selection of more than 3 modules requires an additional multiplier.

Q-Logic EX/NE Programmer .................... $545Part: ELEASMB6976

Q-Logic PC Programming Disk with Cable ... $750Part: ELEASMB5216 USB Media

Device Charger

TRU-BALANCE® 3 SEATING - Quantum Intelligent Systems™REQUIRED. Select one seating system. Be sure to complete the Seat Dimension, Seat to Floor, and back selections.

TRU-Balance 3 Static Seat ...................................$2,295Part: PTOINDV344220° of limited recline adjustment (-5/ +15) via gas strut within back cover.

TRU-Balance 3, Heavy Duty, Power Tilt ..................$7,995Part: PTOINDV3643. HCPCS: E100250° Center of Gravity (CG) power tilt seating system.

TRU-Balance 3 Heavy Duty, Power Recline ..............$8,595Part: PTOINDV3645. HCPCS: E1004175° of power recline.

TRU-Balance 3 Heavy Duty, Power Tilt & Recline .... $12,895Part: PTOINDV3644. HCPCS: E100750° CG power tilt with 175° of power recline. Full drive lockout at 20°.

TRU-Balance® 3 Configuration

TRU-Balance 3, Heavy Duty, 10” Power Lift with iLevel® and Fender Lights ............................ $2,600Part: PTOINDV3797. HCPCS: E2300400 lb weight capacity. 24”W x 24”D maximum seat size. Includes fender lights found on page 2.

10” Power Lift - iLevel SystemOptional. Select one option below.

20”-24” Width Package 24”-28” Width Package 28”-32” Width Package

Seat Width

Seat Depth

Seat DimensionsREQUIRED with seat selection. Select width and depth package and enter desired set width and depth in that available package range, available in 1” increments. Configurations disallowed or not shown may be available through special order. Maximum non-lift seat size is 32"W x 25"D. Maximum lift seat size is 24"Wx25"D. Seat depth of 25" D is attainted by using the 20"-24" Depth Package. Parts: See XRef: TB3SPACK

16”-20” Depth PackageMinimum Seat Depth is 20"

20”-24” Depth PackageUse with 25" Depth

Not available with power lift:

20” D(#1010)

21” D(#1011)

22” D(#1012)

23” D(#1013)

24” D(#1014)

25” D(#1060)

20” W(#1010)

21” W(#1011)

22” W(#1012)

23” W(#1013)

24” W(#1014)

25” W(#1056)

26” W(#1054)

27” W(#1057)

28” W(#1055)

29” W(#1058)

30” W(#1059)

31” W(#1060)

32” W(#1061)

Set Width at:______ Part: SETWDTH#, see below

Set Depth at:______ Part: SETDPTH#, see below

Static Seat Only or Recline Only

Tilt Only, Tilt and Recline, or Any Power Lift Configuration

Seat to Floor HeightREQUIRED. Select a seat to floor height compatible with the seat functions previously selected.

16.5” Seat to FloorPart: PTOINDV3459

17.5” Seat to FloorPart: PTOINDV3460

18.5” Seat to FloorPart: PTOINDV3463

18.5” Seat to FloorPart: PTOINDV3463

19.5” Seat to FloorPart: PTOINDV3505

20.5” Seat to FloorPart: PTOINDV3528

Page 6 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

TRU-BALANCE® 3 SEATING continued

Angle Adjustable .......................................... No ChargePart: MEC140266

1” Endo ..............................................................$35Part: MEC141455

2” Endo ..............................................................$35Part: MEC141456

Back Cane TypeSelect with Back Cane Option selected above.

Back SelectionREQUIRED. Match choice in this section with the options in the back cushion configuration section.

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 actu-ator) selections. Select back cane type, back cane height, and back cushion configuration.

Back Cane HeightSelect with Back Cane Option selected above.

16”High CanePart: FRMASMB15834

17”High CanePart: FRMASMB15835

20”High CanePart: FRMASMB15838

21”High CanePart: FRMASMB15839

24”High CanePart: FRMASMB15842

25”High CanePart: FRMASMB15843

Sport Back.................................................. No ChargePart: See XRefComplete following width package and size.

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"-20"W: SET131920. Part 20"-24"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”.

Back Cushion ConfigurationREQUIRED. Select a configuration type and applicable dimensions. See the Sport, Q-Back, and TRU-Comfort 2 back availability chart for stock order back size ranges. Other size backs may be available with Special Order and extended lead time.

Match Seat Width SelectionsPart: PTOINDV3468

16”W-20”W PackagePart: Configuration selection, back cushions

20”W-24”W PackagePart: Configuration selection, back cushions

24”W-28”W PackagePart: Configuration selection, back cushions

28”W-32”W PackagePart: Configuration selection, back cushions

Back Cushion WidthAvailable with +/-4” of seat width. Reference chart for available back width.

Tilt or Static Back Width Recline Back Width

Sport and TRU-Comfort 2 Back Availability Chart

Ove

rall

Back

Hei

ght

Sport or TRU-Comfort 2 BackSport Back

Set Back Width at:______ Part: PTOINDV#, see below

18” W(#3566)

19” W(#3567)

20” W(#3568)

21” W(#3569)

22” W(#3570)

24” W(#3571)

26” W(#3572)

28” W(#3573)

30” W(#3574)

32” W(#3575)

Page 7 of 17INFINFB3572/RevF/01MAY2018

TRU-BALANCE® 3 SEATING continued

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Back Cushion Overall HeightStatic Seat and Power Tilt available height range: 16”-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 2 back availability chart for stock order back size ranges.

Set Overall Height at:______ Part: SETHGTH#, see below

16” High(#1029)

17” High(#1030)

18” High(#1031)

19” High(#1032)

20” High(#1033)

21” High(#1034)

22” High(#1035)

23” High(#1036)

24” High(#1037)

25” High(#1038)

26” High(#1039)

27” High(#1040)

28” High(#1041)

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 with the back cane configuration. Reference colors shown on page 2.

Back in BlackPart: DGN148032

Red CorvettePart: DGN148034

Electric BluePart: DGN148076

White SatinPart: DGN148075

Pretty in PinkPart: DGN148045

Deep PurplePart: DGN148046

Lime LightPart: DGN148036

Grey StreetPart: DGN148074

Silver BulletPart: DGN148047

Midnight BluePart: DGN148035

Orange CrushPart: DGN148038

Yellow BlazePart: DGN148077

Additional TRU-Balance 3 Back OptionsOptional.

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.

See Comfort Company Back order form

Privacy Flap, 9.75” ................................................$35Part: DWR1044E456BStandard on recline seating systems.

Privacy Flap, 12.75” ..............................................$35Part: DWR1044E456AStandard on recline seating systems.

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 config-uration.

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

TRU-Balance 3 Flip-Back, 8”-12”H ..................StandardPart: See XRef

TRU-Balance 3 Flip-Back, 12”-16”H ................StandardPart: See XRef

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.

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 Armrest Downpost (Pair) .................................................................................................. No ChargePart: See XRefAvailable up to 2” difference between seat and back width via endomorph or mesomorph configuration. Not available on 14” Width seat or back.

Page 8 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

14” Full LengthPart: Configuration selection

10” Desk LengthPart: Configuration selection

ARMREST SIZEREQUIRED. Select a Left (L) and Right (R) armrest size. This also affects the foam and waterfall armpad selection below.

No Armpad Selection and/or See Positioning Components Page or Order Form ................................................. No ChargePart: Configuration selection

Straight, Armpad .......................................StandardPart: See XRef

Waterfall, Armpad .................................... No ChargePart: See XRef

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.

Foam Armpads

Falcon Gel Armpads for TRU-Balance 3 Armrests

Falcon Gel Armpads for Tube Style Arms

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

Gel ArmpadsSold only in pairs. Armpads are 3” wide.

Height AdjustableReceiver (Track Arm)

Height AdjustableReceiver (Tube Arm)

JOYSTICK BRACKET RECEIVERREQUIRED.

Standard Fixed Receiver ..................................StandardPart: ACC123525

Stealth Height Adjustable Receiver .......................... $214Tube Arm Part: ST-ARM250C-Q. HCPCS: K0108Track Arm Part: ST-ARM250T-Q. HCPCS: K0108

ARMREST HEIGHTREQUIRED. Set left and right armrest height. Note the available height range in the option description.

Set Left Height at:______ Set Right Height at:______ 8” HighPTOINDV3535

9” HighPTOINDV3536

10” HighPTOINDV3537

11” HighPTOINDV3538

12” HighPTOINDV3539

13” HighPTOINDV3540

14” HighPTOINDV3541

15” HighPTOINDV3542

16” HighPTOINDV3543

8” HighPTOINDV3450

9” HighPTOINDV3451

10” HighPTOINDV3452

11” HighPTOINDV3453

12” HighPTOINDV3454

13” HighPTOINDV3455

14” HighPTOINDV3456

15” HighPTOINDV3457

16” HighPTOINDV3458

Page 9 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Optional Lap Belts

LAP BELTSREQUIRED. Select a lap belt below.

38” Lap BeltPart: ACCBELT1006

50” Lap BeltPart: ACCBELT1000

60” Lap BeltPart: ACCBELT1002

70” Lap BeltPart: ACCBELT1003

80” Lap BeltPart: ACCBELT1004

90” Lap BeltPart: ACCBELT1001

Standard Lap Belts

i-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

HEADRESTSOptional. Select a headrest pad and bracket.

Headrest Pads

Headrest BracketStealth’s Worlds Best Removable .......... $220.50Headrest Bracket (C)Part: FRMASMB15999. HCPCS: E1028

Stealth Removable Headrest Bracket (D) ...$160.50Part: HDWASMB1084. HCPCS: E1028

Stealth 8” Comfort Plus ...................... $151.94Part: POS148484. HCPCS: E0955

Stealth 10” Comfort Plus (A) ................ $151.94Part: SETHEAD1057. HCPCS: E0955

Stealth 14” Comfort Plus ..................... $151.94Part: INDPART2327. HCPCS: E0955

Pediatric Comfort Plus (6”Wx4.5”H) ...... $151.94Part: SETHEAD1069. HCPCS: E0955

Stealth Small Contoured (9.75”Wx3”H) ....$64.20Part: SETHEAD1052. HCPCS: E0955

Stealth Large Contoured (11”Wx6”H) (B) ..$80.25Part: SETHEAD1053. HCPCS: E0955

Headrests

MANUFACTURER INSTALLED ACCESSORIESOptional.

Trilogy Vent Tray ................................. $400Part: ACC136791. HCPCS: E1029

Push Handles (pair) ...............................$175Part: ACC147772Not available with oxygen holder, back cane option, or vent tray. Required with attendant manual recline.

Compact Vent Tray ............................. $1,395Part: ACC133889. HCPCS: E1029

Accessory Bar ......................................$100Part: MEC125098Standard with the Trilogy vent tray, and oxygen holder. May be added to mount additional accessory to back of unit. Not available with back cane option.

Compact and Trilogy

Page 10 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

POWER LEGREST CONTROLOptional. Specific power legrest options are selected later in this form. Select the control type here, if power legrests are desired, to assist the selection of the power positioning electronics.

Independent Legrests (Requires 2 actuator controls)Part: Configuration selection

Combined Legrests (Requires 1 actuator control)Part: Configuration selection

Articulating Foot Platform (Requires 1 Actuator Control)Part: Configuration selection

POWER POSITIONING ELECTRONICSREQUIRED, except with Static Seat without power options. Select the desired control type for the seating system. Please note the available actuator controls. The 4-way toggle and 4 function push button are mounted on the same side as the joystick.

Single Actuator Control Through Flat Button ............$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TRU-Balance 3 armrests. Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through Flat Button .........$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TRU-Balance 3 armrests. Part: See XRef. HCPCS: E2311

Single Actuator Control Through Toggle Button ........$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TRU-Balance 3 armrests. Part: See XRef. HCPCS: E2310

Multiple Actuator Control Through Toggle Button ......$3,295iAccess and Q-Logic 3 Controller and InterfaceOnly available with TRU-Balance 3 armrests. Part: See XRef. HCPCS: E2311

Single Actuator Through Q-Logic 3 ........................$1,895Controller and Interface Part: See XRef. HCPCS: E2310

Multiple Actuator Through Q-Logic 3 .....................$2,895Controller and Interface Part: See XRef. HCPCS: E2311

Single Actuator Control Through ...........................$1,895NE+ 6-Key Joystick Part: See XRef. HCPCS: E2310

Two Actuator Control Through .............................$2,895NE+ 6-Key Joystick Part: 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. Fender lights are not available with tilt through toggle. Select toggle side.

Left Side Toggle Right Side TogglePart PTOINDV1838 Part: PTOINDV1839

Q-Logic 3 Controls with iAccess Switch ControliAccess control is not available with combined or independent power legrests.

Tilt Only through Toggle

NE+ 6-Key Controls

Q-Logic 3 Controls through Joystick

Switch Controls

iAccessFlat Button

iAccessToggle Button

Left Side iAccess Right Side iAccessPart PTOINDV3678 Part: PTOINDV3679

iAccess Mount

ATTENDANT CONTROLOptional. *Attendant control will be at no charge when ordered with Tilt and Recline, alternative drive controls, and a Q-Logic Display or SCIM module. Mounting bracket is included.

Attendant Control ..............................................$500*Part: ELE167862. HCPCS: E2331

Page 11 of 17INFINFB3572/RevF/01MAY2018

This rigging configuration causes no interference issues at this seat-to-floor height.This rigging configuration may have less than 1.75” clearance when fully extended and may interfere with the ground or reduce obstacle climbing ability.

Center Mount Foot Platform Compatibility Matrixfor TRU-Balance® 3

Power Reclineor Static Seat

Low Med. High Low Med. High Low Med. High

Power Tilt Power Lift

10”-16” Length Extension

13”-19” Length Extension

LEGRESTSOptional. All efforts will be made to accommodate legrest length selection, but minor changes may need to be made to meet shipping guide-lines. Some adjustments may be needed upon receipt of the unit. Reference the section’s compatibility matrix for legrest interference.

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.

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 eaPart: WHLASMB1578

Footplate Connector ..............................................$15Part: RIGASMB7120023

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.

Modular Footplate Extension ComponentsOptional. Assembly required. May require seating configuration adjustments to avoid front caster interference.

Additional Accessories

Center Mount Foot PlatformsIf power articulating foot platform is selected, be sure power legrest control has been selected in previous section. Select legrest length in following section.

8"-12" Extension, 5"x6" FootplatesPart: RIG152577Not available with power articulating platform.

8"-12" Extension, 5"x8" FootplatesPart: RIG152578Not available with power articulating platform.

10"-16" Extension, 5"x6" FootplatesPart: RIG150206

10"-16" Extension, 5"x8" FootplatesPart: RIG150203

10"-16" Extension, 5"x11" FootplatesPart: RIG150212

13"-19" Extension, 5"x6" FootplatesPart: RIG151505

13"-19" Extension, 5"x8" FootplatesPart: RIG151506

13"-19" Extension, 5"x11" FootplatesPart: RIG151508

Power Articulating Foot Platform ........... $2,995Part: PTOINDV3754. HCPCS: 1012

Manually Adjustable Center Mount ........... $250Foot PlatformPart: RIG163640

Lower Extension and Footplates

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Power ArticulatingFoot Platform

Page 12 of 17INFINFB3572/RevF/01MAY2018

LEGRESTS continued

70° HD Drop-in with 12"-14.5" ................ No Charge Length Lower Extension

Pair part: FRMASMB4762. Left: RIG137706. Right: RIG137707

70° HD Drop-in with 14.5-18" ................. No Charge Length Lower Extension

Pair part: FRMASMB4853. Left: RIG137708. Right: RIG137709

Heavy Duty, Drop-in Legrest UpperLeft and Right Legrests will match Left and Right Legrests will not match One Legrest (Left or Right as Marked)

Configuration Verification

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Heavy Duty, 70°, Drop-In, Swing-Away LegrestsSelect a configuration, a legrest with extension, and type of footplate. Pair (P), left (L), and right (R) configurations are selected by checking the appropriate boxes.

Accessories

Heavy Duty Elevating LegrestsSelect a configuration, a legrest upper, a legrest extension, and type of footplate. Left (L) and right (R) configurations are selected by checking the appropriate boxes.

Left and Right Legrests will match Left and Right Legrests will not match One Legrest (Left or Right as Marked)

Configuration Verification

6”Wx8”D1 ..............................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795.HCPCS: K0040

6”Wx11”D1 .............................................$85 ea.Pair part: FRMASMB4741. Left: RIG137796. Right: RIG137797.HCPCS: K0040May cause interference on seat widths less than 18".

8”Wx11”D2 .............................................$85 ea.Pair part: FRMASMB4744. Left: RIG137708. Right: RIG137709.HCPCS: K0040May cause interference on seat widths less than 20".

Wheel Bumper(s) ...................................................................................................................... $12.50 ea.Pair part: WHLASMB1578. Left part: WHL169510. Right part: WHL169511

Angle Adjustable Footplate(s) with Heel Loops

Heavy Duty, Elevating Legrest(s) with Calf Pad(s) .............................................................................$162.50 ea.Pair part: FRMASMB6702. Left: FRMASMB8444. Right: FRMASMB8445. HCPCS: E0990

Heavy Duty Elevating Legrests

Reinforced Footplate(s)7.25”Wx6”D Extruded Footplate ...............StandardPart pair: FRMASMB4748. Left: RIG138055. Right: RIG138056

8.5”Wx6”D Extruded Footplate .................StandardPart pair: FRMASMB4747. Left: RIG138060. Right: RIG138062

6”Wx8”D ...............................................$85 ea.Pair part: FRMASMB4738. Left: RIG137793. Right: RIG137795.HCPCS: K0040

6”Wx11”D ..............................................$85 ea.Pair part: FRMASMB4741. Left: RIG137796. Right: RIG137797.HCPCS: K0040

8”Wx11”D ..............................................$85 ea.Pair part: FRMASMB4744. Left: RIG137798. Right: RIG137799.HCPCS: K0040May cause interference with seat widths less than 20"

Angle Adjustable Footplate(s) with Heel Loops

11”-14” LengthPart: FRMASMB4755. Left part: RIG138026. Right part: RIG138030For reinforced footplates only.

12”-14.5” LengthPart: FRMASMB4752. Left part: FRMASMB5391. Right part: FRMASMB4723For angle adjustable footplates only.

14”-17” LengthPart: FRMASMB4756. Left part: RIG138033. Right part: RIG138035For reinforced footplates only.

14.5”-18” LengthPart: FRMASMB4753. Left part: FRMASMB4724. Right part: FRMASMB5392For angle adjustable footplates only.

Lower Extension

Page 13 of 17INFINFB3572/RevF/01MAY2018

SET LEGREST LENGTHREQUIRED with matching left and right legrest configuration. 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. Non-matching or individual legrest configurations lengths are not set by the manufacturer.

Set Legrest Length at:______ Part: PTOINDV#, see below

8” L(#3472)

8.5” L(#3473)

9” L(#3474)

9.5” L(#3475)

10” L(#3476)

10.5” L(#3477)

11” L(#3478)

11.5” L(#3479)

12” L(#3480)

12.5” L(#3481)

13” L(#3482)

13.5” L(#3483)

14” L(#3484)

14.5” L(#3485)

15” L(#3486)

15.5” L(#3487)

16” L(#3488)

16.5” L(#3489)

17” L(#3490)

Account Number: ___________ Date: ________________ Marked for: _____________________________________

CUSHION QUICK PICKOptional. Specific cushion/component sizes available, part numbers, and special order cushions can be found on the complete Stealth Cushion Order Form.

PROVIDER INSTALLED ACCESSORIESOptional. Multiple accessories can be mounted along the various tracks but some interference may occur.

TRU-Balance 3Accessories

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 Simplicity® G Cushion (General Use) .........$110-$165HCPCS: E2601

Stealth Solution® Cushion SPP .........................$375-$430(Skin Protection & Positioning) HCPCS: E2607-E2608

Synergy Solution® 1 Cushion (Skin Protection) .......$430-$480HCPCS: E2603-E2604

Stealth Spectrum® Gel Cushion SPP ..................$460-$530(Skin Protection & Positioning) HCPCS: E2607-2608

Stealth Spectrum® Foam Cushion SPP ................$460-$590(Skin Protection & Positioning) HCPCS: E2607-E2608

Stealth TRU-Comfort 2 SPP Cushion ................. $400-$500(Skin Protection & Positioning) HCPCS: E2607-E2608

Page 14 of 17INFINFB3572/RevF/01MAY2018

BATTERIESREQUIRED. Select a type of battery below or to omit the batteries. The powerchair requires 2 batteries. Batteries will be installed if ordered.

Group 24, 70 Amp Gel Cell, Interceptor Battery .... $365 ea.Part: BAT1704614. HCPCS: E2363

No batteries. Provider will assume responsibility of batteries.Part: Configuration selection

Group 24, 70 Amp Gel Cell, MK Battery ............... $410 ea.Part: BATGEL1009. HCPCS: E2363

BRANCH PATCHESOptional.

Air Force Army Coast Guard Marines Navy Purple Heart

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

Pads

Installation

MANUFACTURER INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.

Stealth Thoracic LateralsSwing-away laterals may interfere with TRU-Balance 3 and 2-post, flip up armrests. These laterals are not available with the back cane option.

Bracket

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Install LateralsPart: PTOINDV3499

Do Not InstallPart: PTOINDV3500

Flip Down Bracket (TWBTLADD-HW) ........... $236.25 ea.Part: INDPART2804. 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

Removable Bracket (LP430) ...................... $262.50 ea.Part: INDPART2805. HCPCS: E1028

Removable Bracket with 1” Offset .................$400 ea. (LP430 & LHW-121)

Part: INDPART2854. HCPCS: E1028

Stealth Pelvic/Thigh GuidesPelvic/thigh guides may interfere with the joystick receiver block and down posts. Please provide quantity next to check box.

Bracket

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

Page 15 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

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.

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

Pelvic/Thigh Guide Pad^ Please verify the appropriate billing code to be used for this item with all third party payors.

Pelvic/Thigh Guide Adapter

Pelvic/Thigh Guide Installation

MANUFACTURER INSTALLED POSITIONING COMPONENTS continued

NON-INSTALLED POSITIONING COMPONENTSOptional. More options are available on the Positioning Components Order Form.

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.

Stealth Foot Boxes^ Please verify the appropriate billing code to be used for this item with all third party payors.

Stealth Padded Shoe Holder

Pad

Stealth Elbow SupportLeft,Swing-Away, Elbow Support Bracket ..... $183.75 ea.

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 Bracket ... $183.75 ea. 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

Upper 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

Chest 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

Stealth i-Fit Chest Harness

Stealth i-Fit Chest StrapsContoured and Classic

Chest Harness

Chest Strap

Page 16 of 17INFINFB3572/RevF/01MAY2018

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Q-Logic 3 SAJQ-Logic 3 EX SAJ ........................................................................................................$700Part: CTL143980Must be used in conjunction with Enhanced Display or Q-Logic 3 Joystick.

SPECIALTY CONTROLSOptional. Select a type of specialty controls below or to refer to the specialty controls order form.

Enhanced Display

Red CorvettePart: DGN137729-PRD1

Electric BluePart: DGN137729-PBU9

Back in BlackPart: DGN137729-PBK1

White SatinPart: DGN137729-PWH2

Pretty in PinkPart: DGN137729-PPK3

Deep PurplePart: DGN137729-PPR5

Lime LightPart: DGN137729-PGN7

Grey StreetPart: DGN137729-PSL3

Silver BulletPart: DGN137729-PSL7

Midnight BluePart: DGN137729-PBU10

Orange CrushPart: DGN137729-POR6

Yellow BlazePart: DGN137729-PYL3

Black, Soft Touch ............................ StandardPart: DGN137728

Non-matching Joystick Shroud .................. $50Select color below

Match Joystick Shroud to Base Color ........... $50Part: See color below.

Q-Logic 3 Enhanced Display ShroudRequired with Q-Logic 3 Enhanced Display selection above. Reference colors shown on page 2.

Q-Logic 3 Enhanced Display Kit ................................................................................... $1,720Part: CTL167726Select a color option below. Includes enhanced display, flexible gooseneck and mounting bracket. Features: 3.5” LCD display; up to 5 profiles to control drive, seat, and auxiliary functions; Bluetooth connectivity for mobile devices and mouse emulation; integrated single switch scanner; IR controls.

Enhanced Display

NON-INSTALLED POSITIONING COMPONENTS continued

Facial Lateral, 4.5"x2" Pad, Right Side, ................ $294.25for Comfort Series (CPS9-R-HW)Part: INDPART2647. HCPCS: E1028

Facial Lateral, 4.5"x2" Pad, Left Side ................... $294.25for Comfort Series (CPS9-L-HW)Part: INDPART2648. HCPCS: E1028

Facial Lateral, 4.5"x2" Pads, Left and Right Side .. $347.75 ea.for Comfort Series (CPS9-B-HW)Part: INDPART2649. HCPCS: E1028

Stealth Swing Away Headrest MountsThese Swing-Away headrest mounts are only available with the Stealth Comfort Series Headrests.

Other Accessories

Stealth HeadrestMounts

Head ArrayAdult, i-Drive Tri-Array Series, 3-Switch .. $4,414Head Array (IDHBT200-1)Part: ST-IDHBT200-1-Q. HCPCS: E2330Features bluetooth, head support, 3 non-proportional proximity sensors for drive control, an egg switch for re-set mode change, and i-Drive smart box.

Adult, i-Drive Pro Series Head Array ....... $4,461(IDHBT300-1)Part: ST-IDHBT300-1-Q. HCPCS: E2330Features bluetooth, head support with occipital pad and 2 swing-away spot pads for left and right side, 3 non-pro-portional proximity sensors, an egg switch for reset mode change, and i-Drive smart box.

Adult Pro-Series

1" Ball Kit for Facial Laterals (TWB-1BK)...$80.25Part: POS150532Required with facial laterals to mount to comfort head-rest brackets.

Egg Switch Mount (ESM) (A) ......... $52.50 ea.Part: INDPART2815

Figure 8 Bracket with 13" Rod .....$267.50 ea. and Egg Switch Mount (B)

Part: ST-F8675-13-Q

Facial Pad, 4"x2" (900-Q) ............ $53.50 ea.Part: ST-900-Q. HCPCS: K0108

Facial Pad, 6"x2" (920-Q) ............ $53.50 ea.Part: ST-920-Q. HCPCS: K0108

Swing-Away Joystick Mount, 18" Rod (C) .. $250 ea.Part: ST-SUS18-Q Allows mounting of facial pads and attaches to the headrest

Page 17 of 17INFINFB3572/RevF/01MAY2018

©2017 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]

facebook.com/QuantumRehab

youtube.com/QuantumRehab

instagram.com/quantum_rehab

twitter.com/quantumrehab

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Egg Switches

Egg Switch

Red Egg Switch (ESRED) .............. $80.85 ea. Part: SWTMCRO1077

Blue Egg Switch (ESBLU) ............. $80.85 ea.Part: SWTMCRO1079

Black Egg Switch (ESBLK) ............ $80.85 ea.Part: SWTMCRO1081

Green Egg Switch (ESGRN) ........... $80.85 ea.Part: SWTMCRO1078

Yellow Egg Switch (ESYEL) ........... $80.85 ea.Part: SWTMCRO1080

SPECIALTY CONTROLS continued

Alternative Controls & Electronics Order Form Positioning Components Order Form

No Additional Multiplier (NA) .......................... No ChargePart: Configuration selection

Secondary Multiplier (SM) ................................. $221.21Part: HAR144004

Special Order Configuration (SOF)Part: Configuration selection

MULTIPLIER HARNESSREQUIRED. Multiple controllers or power accessories may require an additional multiplier harness or special order. Reference the chart be-low to determine the appropriate selection. The rows refer to the to-tal amount of arm mounted devices and the columns refer to the total amount of back mounted devices. The online order configurator will automatically make this selection under specialty controls.

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.

1 Arm 2 Arm 3 Arm 4+ Arm

1 Back0 Back

2 Back3+ Back

NANASMSOF

SMSMSMSOF

SMSMSMSOF

SOFSOFSOFSOF

Power Positioning Chart

1 Arm 2 Arm 3 Arm 4+ Arm

1 Back0 Back

2 Back3+ Back

NA

NA No additional MultiplierSecondary MultiplierSpecial Order Required

NASM

SM SOFSOF

SMSMSMSOF

SOFSOFSOFSOF

SOFSOFSOFSOF

Static Seat Chart

Q-Logic 3 Multiplier Charts

Arm

Mou

nts Joystick (Hand Control)

Enhanced DisplayiAccessUSB ChargerSAJ

Back

Mou

nts

Attendant ControlSCIMSip n PuffECU

Stealth Sip and Puff for Comfort Series, .... $294.25Left Mount(SP625-CL)Part: ST-SP625-CL-Q Includes straw and mounting hardware. Use with Stealth Comfort Plus headrests.

Stealth Sip and Puff for Comfort Series, .... $294.25Right Mount (SP622-CR)Part: ST-SP625-CR-QIncludes straw and mounting hardware. Use with Stealth Comfort Plus headrests.

Stealth Sip and Puff for Stealth Ultra, .....$294.253-Switch Head Array (SP625-U)Part: ST-SP625-U-Q Includes straw and mounting hardware. Use with Stealth Ultra Head Array, CTLDC1192, found on Alternative Con-trols and Electronics order form. Stealth Sip & Puff

Straw and Mount

Sip and Puff Module for Q-Logic 3 .................................................................................$1,895Part: CTL168056 Includes module and mounting hardware.

Sip and Puff Drive

Module

Sip & Puff Module

Page 1 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionELECTRONICSQ-Logic 3 EX Controller Module $695 ELE1705058 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,STATIC SEATING

ELE1705059 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,STATIC SEATING,W/POWER

ELE1705060 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,POWER POSITIONING

ELE1705061 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,STATIC SEATING,W/PTO

ELE1705062 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,STATIC SEATING,W/POWER,W/PTO

ELE1705178 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,TILT THRU TOGGLE,W/PTO

ELE1705063 ELECTRONIC,ASSY,Q-LOGIC 3,64 HAMMER II MOTORS,Q6EDGE HD,POWER POSITIONING,W/PTO

JOYSTICK MOUNTING BRACKETSSwing-away, Inline, Left Side Mount $245 ACC142526 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,INLINE,LEFT,NE/NE PLUS

ACC142524 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,INLINE,LEFT,Q-LOGIC Swing-away, Inline, Right Side Mount $245 ACC142527 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,INLINE,RIGHT,NE/NE PLUS

ACC142525 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,INLINE,RIGHT,Q-LOGIC Swing-away, 1" Offset, Left Side Mount $245 ACC142747 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,OFFSET,LEFT,NE/NE PLUS

ACC142525 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,OFFSET,LEFT,Q-LOGICSwing-away, 1" Offset, Right Side Mount $245 ACC142748 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,OFFSET,RIGHT,NE/NE PLUS

ACC142743 JOYSTICK MOUNTING BRACKET,ASSY,SWING AWAY,OFFSET,RIGHT,Q-LOGIC

TRU-BALANCE 3 SEATING : Seat Dimensions Seat TypeTB3SPACK: Seat width package, depth package, and transit kit section generate one part assembly.

null SET130934 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3

SET130935 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,SEAT ONLY,TRU-BALANCE 3 SET130938 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET130939 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,SEAT ONLY,TRU-BALANCE 3 SET130940 SEAT BASE,ASSY,20"W-24"W,24"D-28"D,SEAT ONLY,TRU-BALANCE 3 SET130941 SEAT BASE,ASSY,24"W-28"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET130943 SEAT BASE,ASSY,24"W-28"W,20"D-24"D,SEAT ONLY,TRU-BALANCE 3 SET130944 SEAT BASE,ASSY,24"W-28"W,24"D-28"D,SEAT ONLY,TRU-BALANCE 3 SET130945 SEAT BASE,ASSY,28"W-32"W,16"D-20"D,SEAT ONLY,TRU-BALANCE 3 SET130946 SEAT BASE,ASSY,28"W-32"W,20"D-24"D,SEAT ONLY,TRU-BALANCE 3 SET130947 SEAT BASE,ASSY,28"W-32"W,24"D-28"D,SEAT ONLY,TRU-BALANCE 3 SET160209 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160210 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5 SET160406 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160407 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5 SET160216 SEAT BASE,ASSY,24"W-28"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160221 SEAT BASE,ASSY,24"W-28"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5 SET160224 SEAT BASE,ASSY,28"W-32"W,16"D-20"D,TILT ONLY,TRU-BALANCE 3.5 SET160230 SEAT BASE,ASSY,28"W-32"W,20"D-24"D,TILT ONLY,TRU-BALANCE 3.5 SET148101 SEAT BASE,ASSY,16"W-20"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET148107 SEAT BASE,ASSY,16"W-20"W,20"D-24"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET148111 SEAT BASE,ASSY,20"W-24"W,16"D-20"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3 SET148114 SEAT BASE,ASSY,20"W-24"W,20"D-24"D,TILT READY,REAC LIFT READY,TRU-BALANCE 3

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 3

Section NameQ6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

Page 2 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

SET130252 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 3SET130310 SEAT BACK,ASSY,26"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130312 SEAT BACK,ASSY,26"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130314 SEAT BACK,ASSY,26"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130315 SEAT BACK,ASSY,26"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130316 SEAT BACK,ASSY,28"W,24"W-28"W,13"H,SPORT BACK,TRU-BALANCE 3SET130317 SEAT BACK,ASSY,28"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130318 SEAT BACK,ASSY,28"W,24"W-28"W,15"H,SPORT BACK,TRU-BALANCE 3SET130319 SEAT BACK,ASSY,28"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130320 SEAT BACK,ASSY,28"W,24"W-28"W,17"H,SPORT BACK,TRU-BALANCE 3SET130321 SEAT BACK,ASSY,28"W,28"W-32"W,17"H,SPORT BACK,TRU-BALANCE 3SET130322 SEAT BACK,ASSY,28"W,24"W-28"W,19"H,SPORT BACK,TRU-BALANCE 3SET130324 SEAT BACK,ASSY,28"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130325 SEAT BACK,ASSY,28"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3SET130341 SEAT BACK,ASSY,28"W,24"W-28"W,21"H,SPORT BACK,TRU-BALANCE 3SET130326 SEAT BACK,ASSY,30"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130327 SEAT BACK,ASSY,30"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130329 SEAT BACK,ASSY,30"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130330 SEAT BACK,ASSY,30"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3SET130331 SEAT BACK,ASSY,32"W,28"W-32"W,13"H,SPORT BACK,TRU-BALANCE 3SET130332 SEAT BACK,ASSY,32"W,28"W-32"W,15"H,SPORT BACK,TRU-BALANCE 3SET130333 SEAT BACK,ASSY,32"W,28"W-32"W,17"H,SPORT BACK,TRU-BALANCE 3

Page 3 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

SET130335 SEAT BACK,ASSY,32"W,28"W-32"W,19"H,SPORT BACK,TRU-BALANCE 3SET130336 SEAT BACK,ASSY,32"W,28"W-32"W,21"H,SPORT BACK,TRU-BALANCE 3

TRU-Comfort 2 Back, 20" Width or less $675 SET123631 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 2 Back, 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 STRETCHSET130062 SEAT BACK,ASSY,24"W,24"W-28"W,19"H,TRU-COMFORT 2,4 WAY STRETCHSET124633 SEAT BACK,ASSY,26"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124634 SEAT BACK,ASSY,26"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124642 SEAT BACK,ASSY,28"W,24"W-28"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124646 SEAT BACK,ASSY,28"W,28"W-32"W,15"H,TRU-COMFORT 2,4 WAY STRETCHSET124647 SEAT BACK,ASSY,28"W,24"W-28"W,17"H,TRU-COMFORT 2,4 WAY STRETCHSET124648 SEAT BACK,ASSY,28"W,28"W-32"W,17"H,TRU-COMFORT 2,4 WAY STRETCH

ARMRESTS : TRU-Balance 3 Flip-Back ArmrestsTRU-Balance 3 Flip-Back, 8"-12"H, Left Standard ARM147810 ARMREST,ASSY,20"W-24"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

ARM147811 ARMREST,ASSY,20"W-24"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147820 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147840 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147844 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147863 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

Page 4 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

TRU-Balance 3 Flip-Back, 8"-12"H, Right Standard ARM147743 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,RIGHTARM147822 ARMREST,ASSY,24"W-28"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147841 ARMREST,ASSY,24"W-28"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147846 ARMREST,ASSY,28"W-32"W,8''H-12''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147864 ARMREST,ASSY,28"W-32"W,8''H-12''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

TRU-Balance 3 Flip-Back, 12"-16"H, Left Standard ARM147747 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,LEFTARM147838 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147842 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147850 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,LEFTARM147865 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,LEFT

TRU-Balance 3 Flip-Back, 12"-16"H, Right Standard ARM147749 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,RIGHTARM147839 ARMREST,ASSY,24"W-28"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147843 ARMREST,ASSY,24"W-28"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147855 ARMREST,ASSY,28"W-32"W,12''H-16''H,FULL LENGTH,VERSION 2,TRU-BALANCE 3,RIGHTARM147867 ARMREST,ASSY,28"W-32"W,12''H-16''H,DESK LENGTH,VERSION 2,TRU-BALANCE 3,RIGHT

TRU-Balance 3 Armrest Downpost No Charge 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 : 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

Page 5 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

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

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

ARMREST

Page 6 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

ARM134289 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134290 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134291 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,DESK LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134292 ARMPAD,ASSY,WATERFALL,DESK LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134293 ARMPAD,ASSY,WATERFALL,DESK LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134294 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,FULL LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134295 ARMPAD,ASSY,WATERFALL,FULL LENGTH LEFT/STRAIGHT,FULL LENGTH RIGHT COMBO,TUBE STYLE ARMREST

ARM134296 ARMPAD,ASSY,WATERFALL,FULL LENGTH RIGHT/STRAIGHT,DESK LENGTH LEFT COMBO,TUBE STYLE ARMREST

ARM134297 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)

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)

POWER POSITIONING ELECTRONICS : Tilt Only through Toggle (Power Tilt Only)

Page 7 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

ELE130008 ELECTRONIC,ASSY,NE PLUS,TRU-BALANCE 3 POWER TILT & RECLINE,TILT/RECLINE,(CONFIGURATION # 28)

Single Actuator Control through Q-Logic 3 Controller and Interface $1,895 ELE167826 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167826 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167828 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,(CONFIGURATION # 20)

ELE167830 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE,(CONFIGURATION # 20)

ELE167845 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)

ELE167846 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE167847 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,(CONFIGURATION # 08)

ELE167848 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 08)

ELE167806 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 03)

ELE167805 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,(CONFIGURATION # 02)

ELE168161 ELECTRONIC,ASSY,Q-LOGIC 3/AM1,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 04.1)

ELE167811 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,(CONFIGURATION # 04.1)

ELE167813 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,(CONFIGURATION # 06.1)

ELE167814 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 07.1)

Multiple Actuator Control through Q-Logic 3 Controller and Interface $2,895 ELE167831 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,INDEPENDENT LEGS,(CONFIGURATION # 21)

ELE167832 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,(CONFIGURATION # 22)

ELE167834 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,(CONFIGURATION # 23)

ELE167835 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 20)

ELE167836 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & 4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 20)

ELE167837 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 22)

ELE167839 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/4-FUNCTION PUSH BUTTON ACTUATOR CONTROL,(CONFIGURATION # 23)

ELE167849 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 09)

ELE167850 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 09)

ELE167851 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,(CONFIGURATION # 10)

ELE167852 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 10)

ELE167853 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,(CONFIGURATION # 11)

ELE167854 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 11)

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls through Joystick

Page 8 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

ELE167887 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,(CONFIGURATION # 28)

ELE167888 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 28)

ELE167889 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 29)

ELE167890 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 29)

ELE167891 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 30)

ELE167892 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 30))

ELE167893 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,(CONFIGURATION # 31)

ELE167894 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 31)

ELE167804 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,INDEPENDENT LEGS,(CONFIGURATION # 01)

ELE167812 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,INDEPENDENT LEGS,(CONFIGURATION # 05.1)

ELE167877 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,(CONFIGURATION # 24.1)

ELE167879 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,(CONFIGURATION # 26.1)

ELE167880 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER ARTICULATING FOOT PLATFORM,(CONFIGURATION # 27.1)

ELE167878 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,INDEPENDENT LEGS,(CONFIGURATION # 25.1)

ELE167984 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,(CONFIGURATION # 14.1)

ELE167985 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 14.1)

ELE167986 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 15.1)

ELE167988 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 15.1)

ELE167989 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,(CONFIGURATION # 16.1)

ELE167991 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 16.1)

ELE167992 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,(CONFIGURATION # 17.1)

ELE167993 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 17.1)

ELE168014 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,(CONFIGURATION # 34.1)

ELE168015 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL,(CONFIGURATION # 34.1)

ELE168016 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,(CONFIGURATION # 35.1)

ELE168017 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,INDEPENDENT LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 35.1)

ELE168018 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,(CONFIGURATION # 36.1)

ELE168019 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL,(CONFIGURATION # 36.1)

Page 9 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

ELE168020 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,(CONFIGURATION # 37.1)

ELE168021 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL,(CONFIGURATION # 37.1)

Single Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168659 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 20)

ELE168660 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS FLAT BUTTON,(CONFIGURATION # 20)

ELE168682 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 08)

ELE168683 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 08)

ELE168644 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 02)

ELE168645 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 03)

ELE168648 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 04.1)

ELE168649 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 06.1)

ELE168650 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS FLAT BUTTON,(CONFIGURATION # 07.1)

Single Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168664 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)

ELE168665 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,W/MANUAL RECLINE & IACCESS TOGGLE BUTTON,(CONFIGURATION # 20)

ELE168688 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)

ELE168689 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 08)

ELE168646 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 02)

ELE168647 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 03)

ELE168651 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 04.1)

ELE168652 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 06.1)

ELE168653 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT,POWER ARTICULATING FOOT PLATFORM,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 07.1)

Multiple Actuator Control Through Flat Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168661 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 22)

ELE168662 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 23)

ELE168684 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,IACCESS FLAT BUTTON,(CONFIGURATION # 10)

ELE168685 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 10)

ELE168686 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 11)

ELE168687 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 11)

ELE168700 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 28)

POWER POSITIONING ELECTRONICS : Q-Logic 3 Controls with iAccess Switch Control

Page 10 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

ELE168701 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 28)

ELE168702 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 30)

ELE168703 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 30)

ELE168704 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE168705 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 31)

ELE168694 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS FLAT BUTTON,(CONFIGURATION # 24.1)

ELE168695 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 26.1)

ELE168696 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 27.1)

ELE168712 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 14.1)

ELE168713 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 14.1)

ELE168714 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 16.1)

ELE168715 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 16.1)

ELE168716 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 17.1)

ELE168717 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 17.1)

ELE168724 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS FLAT BUTTON,(CONFIGURATION # 34.1)

ELE168725 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 34.1)

ELE168726 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/IACCESS FLAT BUTTON,(CONFIGURATION # 36.1)

ELE168727 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 36.1)

ELE168728 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS FLAT BUTTON,(CONFIGURATION # 37.1)

ELE168729 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS FLAT BUTTON,(CONFIGURATION # 37.1)

Multiple Actuator Control Through Toggle Button iAccess and Q-Logic 3 Controller and Interface

$3,295 ELE168666 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 22)

ELE168672 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 23)

ELE168690 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,IACCESS TOGGLE BUTTON,(CONFIGURATION # 10)

ELE168691 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 10)

ELE168692 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)

Page 11 of 11

Option Name MSRP Part Number Manufacturer Extended DescriptionSection Name

Q6 Edge HD Cross Reference Spreadsheet - TRU-Balance 3 Postioning

ELE168693 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 11)

ELE168706 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)

ELE168707 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 28)

ELE168708 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 30)

ELE168709 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 30)

ELE168710 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)

ELE168711 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER TILT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 31)

ELE168697 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 24.1)

ELE168698 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 26.1)

ELE168699 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & TILT,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 27.1)

ELE168718 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 14.1)

ELE168719 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 14.1)

ELE168720 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 16.1)

ELE168721 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 16.1)

ELE168722 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 17.1)

ELE168723 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT & RECLINE,AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 17.1)

ELE168730 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 34.1)

ELE168731 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 34.1)

ELE168732 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 36.1)

ELE168733 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,COMBINED LEGS,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 36.1)

ELE168734 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/IACCESS TOGGLE BUTTON,(CONFIGURATION # 37.1)

ELE168736 ELECTRONIC,ASSY,Q-LOGIC 3/AAM,TRU-BALANCE 3 SEAT,POWER ADJUSTABLE LIFT TILT & RECLINE,POWER AFP,W/ATTENDANT CONTROL & IACCESS TOGGLE BUTTON,(CONFIGURATION # 37.1)