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Quantum®Q6 Edge 2.0 MASS 2014August 2015136 kg weight capacity
State: P/C:
Account Number: Provider Name: Contact: Phone: Fax: Email: Date: PO#: Marked For:
Ship To: Address: City: Discount:Terms:Freight:Taken By:
SPECIFIED DIMENSIONS*
Quantum Rehab®A Division of Pride Mobility Products Australia®
20-24 Apollo Drive, Hallam, Victoria Phone: (03) 8770 9600 Fax: (03) 9703 2960
Revised: August 2015 Page 1 of 3
You must supply patient information for optimal setup prior to shipping.Client Weight: Less than 300lbs (136kgs)
A. Seat Width:B. Lateral Offset:C. Hip/Thigh Lateral Offset:D. Center of Gravity: Optimized based on seat dimensionsE. Seat Depth:F. Back Height from Pan:G. Lateral Height from Pan:H. Armrest Height from Pan:I. Rigging Length (whole numbers only):J. Seat to Floor Height (select one):
Seating System Seat-To-Floor HeightsTRU-Balance® Tilt 17.500” 18.500” 19.500”iLevel® Lift and Tilt 17.500” 18.500” 19.500"Synergy Seat 16.500” 17.500” 18.500”
Seat to floor height are +/- 1/8” with 18”W x 18”D with solid tires (add 3/8” for pneumatic tires). Increased widths may increase lowest seat to floor heights
Clinician Notes:
Revised: August 2015 Page 2 of 3
Quantum® Q6 EDGE 2.0 Order Form
q Base Mounted Foot Platform
q 14” Pneumatic (pair)q 14” Solid (pair)
q 8 Amp, Off-board Charger
Description BASE MODEL
COLOURS
Description DRIVE WHEELS
Description BASE MOUNTED FOOT PLATFORM
Description BATTERY CHARGER
Electric Blue
Back in Black
Pretty in Pink
Lime Light
Midnight Blue
Orange Crush
Quantum Q6 Edge 2.0Maximum speed 9.66 km/h
Q-Logic Joystick must be ordered with a Q-Logic Controller and Harness For Expandable Controls
Description CONTROLLER
q Q-Logic Joystick V2Mount:
RightBack Left Front Left
Description JOYSTICK MOUNTING BRACKETS
Fixed InlineLeft Right
Swing-AwayLeft Right
Description QUICK DISCONNECT
UPCHARGE Quick Disconnect
Description iLEVEL / TRU-BALANCE® POWER POSITIONING SYSTEMS
Q-logic; please select module to be used for above option.
AAM AM2 Mount under seat (AM2)
SEATING SPECIFICATIONS
Seat Width: q 15” q 16”
q 22”
q 17”
q 23”
q 18”
q 24”
q 14”
q 20” q 21”Seat Width Package:q 14”W-18”W q 16”W-20”W q 20”W-24”W
Seat Depth: q 15” q 16”
q 22”
q 17”
q 23”
Description SYNERGY SEATING SYSTEM
m Synergy Static Seat
Standard Metallic Colours
Red Corvette
Right
RightBack Left Front Left
Right
q Q-Logic Standalone JoystickMount:
q Standard Knob
q Medium Ball Handle
Description JOYSTICK HANDLES
UPCHARGE
Description BATTERY
q MK Gel 50-Amp Batteries (Requires 2 batteries)
Clear Controllers
Clear Colours
Clear Joystick Mounting Brackets
q 18”
q 24”
Clear SeatSpecs.
Clear Seat System
STANDARD
q 14”
q 20” q 21”
Seat Depth Package:q 14”D-18”D q 16”D-20”D q 20”D-24”D
q 19”
q 19”
**additional $60 build charge applies if depth/width seat packages are not same size** Please tick this box if this applies to your selected seat packages:
Yellow Blaze
Deep Purple
Silver Bullet
Grey Street
White Satin
iLEVEL Lift and Tilt System (including seat rails and seat pan) Maximum elevated speed 5.6 km/hMaximum 45o tiltiLevel must be fitted with AAM
TRU-Balance 3 Power Recline 85o - 175o of recline 136kg weight capacityYour choice of AAM or AM2
TRU-Balance® Power Tilt (55°) Your choice of AAM or AM2
Revised: August 2015 Page 3 of 3
PLSKNCP1008
Description BACK OPTIONS
Back Cane Options:q Omit Push Handles
q Fold Forward Back Cane Bracket(needs std canes also)
Description TRU-COMFORT™ SEATING
Please refer to TRU-ComfortTM Cushion and TRU-Comfort Back order forms for detailed sizes and codes.
TRU-Comfort™ Back :
18" Wide
Back Height:
22” H 25” H
Cushion: Standard Back cushion included.
16" Wide 20" Wide 22" Wide
Description ARMRESTS
8”H-12”H 10”H-14”H
2-post, Flip-back, Height-adjustable, Removable3,4
Single-post, Height-adjustable, Removable5
Quad Release Lever required?
Removable, Single-post, Height Adjustable, Heavy Duty
Right
Description ARMPADS
Straight, Desk Length
Straight, Full Length Left
Left Right Gel, Desk Length, (3.5”x10”)
Left Right
Description HEADRESTS
q No Headrest Required
Stealth™ Headrest
q Comfort plus 10” Headrest CP250
q Comfort plus 8” Headrest CP450Stealth™ Headrest Mountsq Headrest Hardware Feat 1” Ball, TWB480-1q Headrest Straight Mounting Hardware 1” HMO400
q 5” x 6” q 5” x 8” q 4” x 6”
q 6” x 8”8
Description
q 60-90o Angle Adjustable Uppers Swing-Away Legrests6 Angle-Adjustable Footplates7
q 6” x 11”8 8” x 11”9
q
Description HIGH MOUNT FOOT PLATFORM (V2)
Highmount Foot Platform Version 2q м4έπм7έ9Ȅǘ q млέπм4έ9Ȅǘ
Standard Back canes
Flip Forward 22" Canes
Attendant Manual Recline130.64 kg Weight Capacity, 180° of Recline2
q Omit Push Handles
Gel, Full Length (3.5”x14”)
Reset Entire FormClear Headrests
q 17” q 18” q 19” q 20” q 21”q 22” q 23” q 24” q 25”
Back Cane Height: (overall height)
Clear Armrests
Clear Tru-Comfort Seating
Clear Back Canes
Clear Legrests
Calf Supports: Calf pads (pair) q Small (6”H x 6”W)
Large (8”H x 8”W)
Quantum® Q6 EDGE 2.0 Order Form
Notes:
Please select the leg length from seat pan to footplate: 11" 12" 13" 14" 15"
16" 17" 18" 19"
FOOTNOTES1. Dual Post Flip-Back Armrest interfere with Meso Brackets. Back width cannot be less that 16"W or exceed 22"W.2. Not available with Flip-Back Arms. Pivot point 2.5" above seat pan.3. Interferes with Swing-Away laterals.4. Height adjustable from 9"-13" in 1" increments.5. Height adjustable from 11"-17" in 1/2" increments. 6. Extensions measured from top of seat pan to footplate.7. Standard with Heel Loops. 8. Requires seat width 18" or greater.9. Requires seat width 20" or greater.
Clear Armpads
Left Right
NON-POWERED LEGRESTS
LAP BELTq 38” Lap Beltq 50” Lap Belt q 60” Lap Belt
TRU-Balance 3 Armrests, including gel pads and stabilizing droppers.
