Quantum®Q6 Edge HDMASS 2014August 2015204 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 450lbs (204kgs)
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 18.125” 18.187” 20.187”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 HD Order Form
q Base Mounted Foot Platform
q 8 Amp, Off-board Charger
Description BASE MODEL
COLOURS
Description
BASE MOUNTED FOOT PLATFORM
Description
BATTERY CHARGER
Onyx Black
Quantum Q6 Edge HD
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
STANDARD
UPCHARGE
UPCHARGE Quick Disconnect
Description TRU-BALANCE® POWER POSITIONING SYSTEMS
TRU-Balance® HD Power Tilt Weight Capacity of 204 kg (450 lbs)
Q-logic; please select module to be used for tilt.
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
Candy Apple Red
Viper Blue
Right
RightBack Left Front Left
Right
q Q-Logic Standalone JoystickMount:
Description
Description
BATTERY
q MK Gel, 70-Amp Batteries (Requires 2 batteries)
Clear Controllers
Clear Colours Clear Joystick Mounting Brackets
q 18”
24”
Clear Seat Specs.
Clear Seat System
q 21”
q 14”
q 20”
q 14”D-18”D q 16”D-20”D q 20”D-24”D 24"D-28"D
q 19”
q
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:
JOYSTICK HANDLES
UPCHARGESTANDARDq Standard Knob
q Medium Ball Handle
24"W-28"W
28"
26"
28"Seat Depth Package:
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 SYNERGYTM SOLID STANDARD BACK SEATING
***Particular size dimensions may incur a 4 week wait-period
Synergy Standard Back Width: 22" Wide
Back Height:
20" Wide 24" Wide 26" 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 NON-POWERED LEGRESTS
q 60-90o Angle Adjustable Uppers Swing-Away Legrests6 Angle-Adjustable Footplates7
q 6” x 11”8 8” x 11”9
q Heavy Duty Drop-In Legrests6q Angle Adjustable Footplates7
4” x 6”
6” x 8”8
5” x 6”
6” x 11”8
5” x 8”
8” x 11”9
q
Description HIGH MOUNT FOOT PLATFORM (V2)
Highmount Foot Platform Version 2q м4έπм7έ9Ȅǘ q млέπм4έ9Ȅǘ
q 50” Lap Belt q 60” Lap Belt
Description LAP BELT
Standard Back canes
Flip Forward 22" Canes q Omit Push Handles
18” H 20” H 22" H
Cushion: Standard Back cushion included.
Gel, Full Length (3.5”x14”)
Reset Entire Form
Clear Headrests
Clear Armpads
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 Standard 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 HD 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.
STANDARD
STANDARD
UPCHARGE
UPCHARGE
Left Right
28" Wide
q 70” Lap Belt q 80” Lap Belt
q 90” Lap BeltClear Lap Belts