Frame - Ki Mobilityq Double Stroller Handle _____ $330 Not available with Push Handles or 10” Seat...
15
Phone (800) 981-1540 | Fax (715) 254-0996 [email protected] | www.kimobility.com Company: ________________________________________________ Account Number: __________________ Date: _________________ q Quote q PO Number: ___________________________________ RTS: _____________________________________________________ Marked For: _______________________________________________ Ship To: __________________________________________________ Address: _________________________________________________ City: ________________________________ State: _____________ Zip: ________________ Phone: _____________________________ Email/Fax: ________________________________________________ HCPCS codes provided are based on code verification by the PDAC or our interpretation of the code definitions. Proper use of HCPCS codes does not ensure coverage or payment. For coverage information, verify the appropriate payer’s coverage policy. Rogue XP K0005, E1235 ____________________________________________________________ $2675 Rogue Width Growable Frame. Price includes one time free growth kit. 200 lb weight capacity. Maximum Seat Width of 18”. Frame Transit Option Sling Position In Performance Position (0”), sling is at front of frame. The 1” or 2” sling position extends the frame in front of the sling by that amount. See reference C on page 8. q 0” (Performance) ________________________________________________________________________________ N/C q 1” _____________________________________________________________________________________________________________ N/C q 2” (Classic) ___________________________________________________________________________________________ N/C Adjustable Depth Adds the capability to grow seat in depth. Seat depth plus Adjustable Depth cannot exceed 20.5”. q No Rear Adjustment _________________________________________________________________________ N/C q 1/2” _________________________________________________________________________________________________________ N/C q 1” _____________________________________________________________________________________________________________ N/C q 2” _____________________________________________________________________________________________________________ N/C q 3” _____________________________________________________________________________________________________________ N/C Front Frame Bend Angle between front seat tube and ground. See reference D on page 8. q 90º ________________________________________________________________________________________________________ $150 q 85º __________________________________________________________________________________________________________ N/C q 80º __________________________________________________________________________________________________________ N/C q 75º __________________________________________________________________________________________________________ N/C q 70º __________________________________________________________________________________________________________ N/C q Transit System ___________________________________________________________________________________ N/C Cannot be retrofitted q Omit Transit __________________________________________________________________________________________ N/C Seat Option q Standard Seat Sling ___________________________________________________________________________ Std q Solid Seat Pan E2231 ______________________________________________________________________ $265 q Omit Seat _____________________________________________________________________________________________ N/C DCN0137.13 Pricing and specifications subject to change without notice Page 1 of 8 This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Effective 08/19/2020 Select if chair quote has: q Additional Ki Products with Different Quote/Order Number Quote/Order Number: ____________________ Seat Width Seat Depth See reference A on page 8 q 10” __________________________________________________________________________________________________________ N/C q 11” __________________________________________________________________________________________________________ N/C q 12” __________________________________________________________________________________________________________ N/C q 13” __________________________________________________________________________________________________________ N/C q 14” __________________________________________________________________________________________________________ N/C q 15” __________________________________________________________________________________________________________ N/C q 16” __________________________________________________________________________________________________________ N/C q 17” __________________________________________________________________________________________________________ N/C q 18” __________________________________________________________________________________________________________ N/C See reference B on page 8 q 10” __________________________________________________________________________________________________________ N/C q 11” __________________________________________________________________________________________________________ N/C q 12” __________________________________________________________________________________________________________ N/C q 13” __________________________________________________________________________________________________________ N/C q 14” __________________________________________________________________________________________________________ N/C q 15” __________________________________________________________________________________________________________ N/C q 16” __________________________________________________________________________________________________________ N/C q 17” __________________________________________________________________________________________________________ N/C q 18” __________________________________________________________________________________________________________ N/C q 19” __________________________________________________________________________________________________________ N/C q 20” __________________________________________________________________________________________________________ N/C
Transcript of Frame - Ki Mobilityq Double Stroller Handle _____ $330 Not available with Push Handles or 10” Seat...
Phone (800) 981-1540 | Fax (715) [email protected] | www.kimobility.com
Company: ________________________________________________
Account Number: __________________ Date: _________________
q Quote q PO Number: ___________________________________
RTS: _____________________________________________________
Marked For: _______________________________________________
Ship To: __________________________________________________
Address: _________________________________________________
City: ________________________________ State: _____________
Zip: ________________ Phone: _____________________________
Email/Fax: ________________________________________________
HCPCS codes provided are based on code verification by the PDAC or our interpretation of the code definitions.
Proper use of HCPCS codes does not ensure coverage or payment. For coverage information, verify the appropriate payer’s coverage policy.
Rogue XP K0005, E1235 ____________________________________________________________ $2675Rogue Width Growable Frame. Price includes one time free growth kit. 200 lb weight capacity. Maximum Seat Width of 18”.
Frame
Transit Option
Sling PositionIn Performance Position (0”), sling is at front of frame. The 1” or 2” sling position extends the frame in front of the sling by that amount. See reference C on page 8.
q 0” (Performance) ________________________________________________________________________________ N/Cq 1” _____________________________________________________________________________________________________________ N/Cq 2” (Classic) ___________________________________________________________________________________________ N/C
Adjustable DepthAdds the capability to grow seat in depth. Seat depth plus Adjustable Depth cannot exceed 20.5”.
q No Rear Adjustment _________________________________________________________________________ N/Cq 1/2” _________________________________________________________________________________________________________ N/Cq 1” _____________________________________________________________________________________________________________ N/Cq 2” _____________________________________________________________________________________________________________ N/Cq 3” _____________________________________________________________________________________________________________ N/C
Front Frame BendAngle between front seat tube and ground. See reference D on page 8.
q 90º ________________________________________________________________________________________________________ $150q 85º __________________________________________________________________________________________________________ N/Cq 80º __________________________________________________________________________________________________________ N/Cq 75º __________________________________________________________________________________________________________ N/Cq 70º __________________________________________________________________________________________________________ N/Cq Transit System ___________________________________________________________________________________ N/C
Cannot be retrofitted
q Omit Transit __________________________________________________________________________________________ N/C
Seat Option
q Standard Seat Sling ___________________________________________________________________________ Stdq Solid Seat Pan E2231 ______________________________________________________________________ $265q Omit Seat _____________________________________________________________________________________________ N/C
DCN0137.13 Pricing and specifications subject to change without notice Page 1 of 8
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
Effective 08/19/2020
Select if chair quote has: q Additional Ki Products with Different Quote/Order Number Quote/Order Number: ____________________
Seat Width
Seat Depth
See reference A on page 8
q 10” __________________________________________________________________________________________________________ N/Cq 11” __________________________________________________________________________________________________________ N/Cq 12” __________________________________________________________________________________________________________ N/Cq 13” __________________________________________________________________________________________________________ N/Cq 14” __________________________________________________________________________________________________________ N/Cq 15” __________________________________________________________________________________________________________ N/Cq 16” __________________________________________________________________________________________________________ N/Cq 17” __________________________________________________________________________________________________________ N/Cq 18” __________________________________________________________________________________________________________ N/C
See reference B on page 8
q 10” __________________________________________________________________________________________________________ N/Cq 11” __________________________________________________________________________________________________________ N/Cq 12” __________________________________________________________________________________________________________ N/Cq 13” __________________________________________________________________________________________________________ N/Cq 14” __________________________________________________________________________________________________________ N/Cq 15” __________________________________________________________________________________________________________ N/Cq 16” __________________________________________________________________________________________________________ N/Cq 17” __________________________________________________________________________________________________________ N/Cq 18” __________________________________________________________________________________________________________ N/Cq 19” __________________________________________________________________________________________________________ N/Cq 20” __________________________________________________________________________________________________________ N/C
Back Upholstery
Seat Back AngleStandard is 90º (perpendicular to floor). Minus (-º) closes back angle. Plus (+º) opens back angle.
q Std q +2º q +4º q +6º q +8º q +10º q -2º q -4º q -6º q -8º q -10º
Spinergy Backrest Release Cable ColorSelect desired color. If no selection is made, black will be used.
q Black q Red q White q Blueq Yellow q Orange q Green q Pink
Push Handle
q Omit Push Handle _____________________________________________________________________________ N/Cq Standard Push Handle _____________________________________________________________________ $15q Low Profile Push Handle _______________________________________________________________ $135
2” shorter than standard push handles
q Fold Down Push Handle ________________________________________________________________ $110Not available on Height Adjustable Back Posts with 9”-11” Back Heights or Offset Back Posts with 11”-14” Back Heights
q Bolt-On Push Handle ______________________________________________________________________ $185Handles will be 1” - 2” above back height
Stroller HandleStroller Handles are removable and height adjustable
q Ergo Stroller Handle ________________________________________________________________________ $185q Single Stroller Handle _____________________________________________________________________ $165q Double Stroller Handle ___________________________________________________________________ $330
Not available with Push Handles or 10” Seat Width
Backrest
Back Post / Height Range / Back Height
BackPost
Height Range Back Height
Height Adjustable(Standard or 1” Inward Offset)
q Ex. Short1 q 9 q 10 q 11 q 12
q Short q 11 q 12 q 13 q 141
q Medium q 13 q 14 q 15 q 16
q Tall q 15 q 16 q 17 q 18
Fixed Height (Straight or 1” Inward Offset)
q Fixedq 91 q 101 q 111 q 12 q 13
q 14 q 15 q 16 q 17 q 18
Fixed Height 2” Offset q Fixed 2” Offset
q 111 q 121 q 131 q 141
q 15 q 16 q 171 Not available with Fold Down Push Handle
Height Adjustable Back Post OptionSelection required with Height Adjustable Back Post. Each Offset Back Post is offset 1/2” creating 1” overall offset.
q Standard _______________________________________________________________________________________________ N/Cq 1” Inward Offset _________________________________________________________________________________ N/C
Fixed Height Back Post OptionSelection required with Fixed Height Back Post. Uses 1” tubes compatible with after-market backs. Not available with back upholstery. 2” Inward or Outward Offset Back Posts are offset 1” creating 2” overall offset. 1” Offset Back Post is offset 1/2” creating 1” overall offset.
q Straight __________________________________________________________________________________________________ N/Cq 1” Inward Offset _________________________________________________________________________________ N/Cq 2” Inward Offset _________________________________________________________________________________ $95q 2” Outward Offset ______________________________________________________________________________ $95
Not available with Swing Away Armrests
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0137.13 Pricing and specifications subject to change without notice Page 2 of 8
Available only with Height Adjustable Back Posts. If selecting both upholstery and Axiom Back, the upholstery will be installed.
Padded Velcro Adjustable q Standard Cover ______________________________ Std q Air Mesh Breathable Cover _____________________ $75
Not available on chair widths less than 12”
Tension Adjustable E2611
q Standard Cover _____________________________ $315 q Air Mesh Breathable Cover ____________________ $390
Not available on chair widths less than 12”
q Omit Back Upholstery ___________________________________________________________________ - $10
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Front Seat Height and Casters
Caster Size / Footrest Taper / Front Seat HeightSelect Front Seat Height and Footrest Taper in row corresponding to Caster Size. 6” casters not available with 85º and 90º Front Frame Bend.
Footrest Taper indicates bend of front frame creating footrest width. Taper is measured from outside of seat frame to outside of front tube. Taper is not available with 70º Front Frame Bend. See reference E on page 8.
Front Seat Height is measured from floor to top of seat tube at front of seat sling. Adjustable up or down by 1/2”. See reference F on page 8.
Footrest Taper
Caster Size
Front Seat Height
q Straight
3” q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
4” q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
5” q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
6” q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
q 1” Taper
3” q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
4” q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
5” q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
6” q 18 q 18.5 q 19 q 19.5 q 20 q 20.5
Fork Options
q Standard Fork ______________________________________________________________________________________ Stdq Single Sided Fork _____________________________________________________________________________ $135q Frog Legs Ultra-Sport Fork - Black E1015 ________________________________ $425
Not included in Colored Anodizing Package
q User Weight Under 80 lbs q User Weight 80 - 120 lbs q User Weight 120 - 160 lbs q User Weight 160 - 220 lbsq Frog Legs PHASE 2 Carbon Fork ______________________________________________ $425
Lightweight shock absorbing fork. Not included in Colored Anodizing Package.
DCN0137.13 Pricing and specifications subject to change without notice Page 3 of 8
Footrest
Footplate
q Tubular “Open” Footplate _________________________________________________________________ StdNot available with footrest widths less than 9.5”. See Reference G on page 8.
q Tubular Footplate with ABS Cover _______________________________________________ $30Not available with footrest widths less than 9.5”. See Reference G on page 8.
q Aluminum Angle Adjustable K0040 _______________________________________________ $95q Aluminum Angle Adjustable with Riser K0040, K0037 _____________ $165q High Mount Aluminum Angle Adjustable K0040, K0037 _________ $165q Angle Adjustable Flip Under K0040, K0037 _________________________________ $185
Not available with footrest widths less than 9.5”. See Reference G on page 8.
q High Mount Angle Adjustable Flip Under K0040, K0037 _________ $270Not available w/footrest widths greater than 15.5”. See Reference G on page 8.
Seat to Footrest LengthMeasured from front edge of seat sling to top, rear of footrest. Footrest length at least 2.5” shorter than Front Seat Height recommended. See reference H on page 8.
q 8” q 8.5” q 9” q 9.5” q 10” q 10.5”
q 11” q 11.5” q 12” q 12.5” q 13” q 13.5”
q 14” q 14.5” q 15” q 15.5” q 16” q 16.5”
q 17” q 17.5” q 18” q 18.5” q 19” q 19.5”
Footrest Protector
q Footrest Protector ______________________________________________________________________________ N/CNot available with Angle Adjustable Flip Under, High Mount Angle Adjustable Flip Under or High Mount Aluminum Angle Adjustable Footplates
Caster SizePrice 3” 4” 5” 6”
Cas
ter
Typ
e
.75” Rollerblade N/C q q
.75” Lighted Rollerblade $75 q q q1” Poly N/C q q q1” Poly Aluminum $125 q q1” Pneumatic $85 q1.5” Poly $50 q q q1.5” Soft Roll Aluminum $180 q q q q
Caster
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Rear Tire Type
q Street Pneumatic 1 3/8” E2211, E2212 ___________________________________________ StdNot available on 25” wheel size
q Full Poly 1 3/8” E2218 _______________________________________________________________________ N/CNot available on Superlight wheel or 25” wheel size
q Pneumatic with Airless Insert 1 3/8” E2211, E2213 ____________________ $80Not available on Superlight wheel or 25” wheel size
q Schwalbe HS-127 1 3/8” E2211, E2212 ______________________________________ $125Available only on 24” wheel size. Not available on Mag wheel.
q Euro Trek Knobby 1 3/8” E2211, E2212 _________________________________________ $95Available only on 24” wheel size
q Mountain 2” Black E2211, E2212 _____________________________________________________ $95Available only on 22”, 24” and 25” MAXX Performance and Spinergy wheels
q Low Poly 1” E2218 _____________________________________________________________________________ $75Not available on Superlight wheel or 25” wheel size
q Sentinel Solid Tire 1” E2218 ____________________________________________________________ $95Not available on Superlight wheel, 18” wheel size or 20” and 22” Mag wheels
q High Pressure 1” E2211, E2212 ________________________________________________________ $95Not available on Mag wheel or 18” wheel size
q Schwalbe One 1” E2211, E2212 ____________________________________________________ $125Available only on 24” and 25” wheel sizes. Not available on Mag wheel.
q Schwalbe Marathon Plus Evolution 1” E2211, E2212 ______________ $135Available only on 24” and 25” wheel sizes. Not available on Mag wheel.
Full Profile
Low Profile
Rear Seat Height and Wheels
Wheel Size / Rear Seat HeightSelect Rear Seat Height in row corresponding to desired Wheel Size. For proper setup, selection is required when omitting rear wheels.Measured from floor to top of seat tube at front of back post. Rear Seat Height is custom to needs. See reference I on page 8.
Wheel Size
Rear Seat Height
18” q11.51 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19
20” q12.51 q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20
22” q13.51 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20
24” q14.51 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20
25” q 151 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 201 Available only with Low Profile tires
q One Arm Drive E0958 ___________________________________________________________________ $1495Available only with Mag wheel. Not available with 10” Seat Width. Axle not quick release. Standard Handrim will be Aluminum Anodized.
Drive Handrim Side: q Left q Right
Drive Handrim Type: q Aluminum _______________________________________ N/C q Poly Coated _________________________________ $200
One Arm Drive
DCN0137.13 Pricing and specifications subject to change without notice Page 4 of 8
Rear Wheel
Rear Wheel SizePrice 18” 20” 22” 24” 25”
Rea
r W
heel
Typ
e MAXX Performance Spoke N/C q q q q qMag (Black) $50 q q qColored Mag $100 q qSuperlight Spoke $315 q q1
Spinergy Spox $835 q q q qSpinergy LX $1040 q q q
1 Available only with Superlight and Plastic Coated Handrims
Spinergy OptionsSelect spoke color and handrim tab for Spinergy wheelsSpoke Color: q Black q Red q White q Blue q Yellow q Pink 1 q Green 1 q Purple1 q Orange 1
1Available only with Spingergy LX
Handrim Tab: Available only with Aluminum Anodized and Plastic Coated Handrims
q Short Tab ____________________________________________________________________________________ N/C q Long Tab ____________________________________________________________________________________ N/C
Colored MagMag Color: q Florescent Red q White q Blue q Pink
Wheel Locks
Wheel Lock Wheel Lock Options
q Push to Lock ________________________________________________________________________________________ Stdq Push to Lock Flush Mount ______________________________________________________________ N/Cq Pull to Lock __________________________________________________________________________________________ N/Cq Under Seat Scissor Lock _________________________________________________________________ $35q Low Profile Scissor Lock _________________________________________________________________ $65
Not available with Low Poly, Full Poly or Sentinel Solid tires
q Short Thro Scissor Lock ________________________________________________________________ $125q Omit Wheel Locks _____________________________________________________________________________ N/C
q Extension Handles E0961 ________________________________________________________________ $70Available only with Push to Lock or Pull to Lock Wheel Locks
q Grade Aids E0974 _____________________________________________________________________________ $150Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert tires
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Rear Seat Height and Wheels continued
Center of Gravity PresetMeasured from front of back post to center of rear axle. 0” indicates axle will be directly under back post. 2” minimum Center of Gravity with 5th Wheel and One Arm Drive. See reference J on page 8. Amputee Positions
q -1.5” q -1.25” q -1” q -.75”
q -.5” q -.25” q 0” q .25”
q .5” q .75” q 1” q 1.25”
q 1.5” q 1.75” q 2” q 2.25”
q 2.5” q 2.75” q 3” q 3.25”
q 3.5” q 3.75” q 4” q 4.25”
Standard Positions
Axle
q Quick Release ______________________________________________________________________________________ Stdq Quad Quick Release _______________________________________________________________________ $175
Not available with Mag or Spinergy wheels
Rear Wheel Spacing
Rear Wheel Camber
1.5” minimum Rear Wheel Spacing with Height Adjustable Armrest. 1” minimum Rear Wheel Spacing with 0º Rear Wheel Camber. 1.25” minimum Rear Wheel Spacing in combination with One Arm Drive and Seat Widths less than 13”. See reference K on page 8. No selection needed with Wheelchair Drive Ready options.
q .75” q 1” q 1.25” q 1.5” q 1.75”
Wheelchair Drive ReadyChair will ship from Ki Mobility with adaption kit installed for selected Alber system. Order system separately from Alber USA. Select Rear Seat Height (full profile selections only) in drive wheel size on Rear Seat Height chart (page 4). Requires Rear Anti-Tips. Not available with 5th Wheel or Spinergy wheels.
q e-motion Ready __________________________________________________________________________________ N/Cq twion Ready _________________________________________________________________________________________ N/C
Camber Selection: q 0º q 3º
Handrim Option
q 3M Micro Grip _____________________________________________________________________________________ $65Not available on Plastic Coated or Projection Handrims
DCN0137.13 Pricing and specifications subject to change without notice Page 5 of 8
Not available on 18” or 20” wheel sizes or 22” Mag wheel. Not recommended with Mag wheel.
q Natural Fit LT Regular Grip ____________________________________________________________ $465q Natural Fit Standard Regular Grip _______________________________________________ $445q Natural Fit LT Super Grip _______________________________________________________________ $515q Natural Fit Standard Super Grip __________________________________________________ $495q Natural Fit LT Omit Grip _________________________________________________________________ $395q Natural Fit Standard Omit Grip ____________________________________________________ $345
Natural Fit Handrims
No selection needed with One Arm Drive Standard Handrims
Handrim
q Aluminum Anodized ___________________________________________________________________________ Stdq Superlight Aluminum Anodized _____________________________________________________ $50
Available only on 24” and 25” wheel sizes. Available only on MAXX Performance, Superlight or Spinergy wheels.
q Plastic Coated ___________________________________________________________________________________ $100q Projection (8 Vertical Projections) ________________________________________________ $315
Available only with full profile tires in combination with 22”-25” MAXX Performance, or 24” Mag wheel
q Spinergy Flex Rim ____________________________________________________________________________ $600Available only on 24” and 25” Spinergy LX wheels
q Omit Handrim ______________________________________________________________________________________ N/C
No selection needed with One Arm Drive
q 0º q 2º q 4º q 6º q 8º
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0137.13 Pricing and specifications subject to change without noticePage 6 of 8
Side Guards
Fabric Side GuardNot available when omitting Back Upholstery
q Fabric Side Guards K0108 _______________________________________________________________ $85
q Composite Side Guards K0108 ____________________________________________________ $14512” minimum Seat Depth
Aluminum Straight K0108 12” minimum Seat Depth
q Black Matte _________________________________ $195 q Match Frame Color __________________________ $245
Not available with Hydrographics
Aluminum with Foam Pad K0108Not available with Adjustable Depth greater than 1/2”
q Black Matte _________________________________ $305 q Match Frame Color __________________________ $375
Not available with Hydrographics
q Carbon Fiber Adjustable Fender K0108 _____________________________________ $485Not available with Adjustable Depth greater than 1/2”
Direct Mount
q Composite Side Guards K0108 ____________________________________________________ $17512” minimum Seat Depth
q Composite Side Guards - Pediatric K0108 ______________________________ $140
Aluminum Straight K0108 12” minimum Seat Depth
q Black Matte _________________________________ $225 q Match Frame Color __________________________ $275
Not available with Hydrographics
Aluminum Adjustable Fender with Foam Pad K0108
q Black Matte _________________________________ $335 q Match Frame Color __________________________ $385
Not available with Hydrographics
q Carbon Fiber Adjustable Fender K0108 _____________________________________ $515
Clamp-On Mount
Not available with T-Arms or Swing Away with Side Guard Armrests
Armrests
q Short Swing Away with Side Guard (7” - 9”) E0973 ___________________ $285Includes Composite Side Guard with Direct Mount Receiver. Not available with Arm Pads or Outward Offset Back Posts. If selection is not available with rear wheel and rear seat height configuration, then Tall Swing Away with Side Guard armrest will be used.
q Tall Swing Away with Side Guard (9.25” - 11.25”) E0973 ___________ $285Includes Composite Side Guard with Direct Mount Receiver. Not available with Arm Pads or Outward Offset Back Posts.
q Omit Armrests _____________________________________________________________________________________ N/C
Accessories
Anti-TipNot available with 5th wheel
q Rear Anti-Tips E0971 _______________________________________________________________________ $145q Omit Rear Anti-Tips ___________________________________________________________________________ N/C
Rotating removable rear caster. Not available with Anti-Tips or 25” rear wheel.
q Standard 5th Wheel E0971 ___________________________________________________________ $215
q Dynamic 5th Wheel K0108 ____________________________________________________________ $215 Elastomer: q Soft q Firm
Both elastomers are included; the selected elastomer will be installed.
5th Wheel
ArmrestHeight Adjustable T-Arm (8.5” - 13.5”) E0973
Not available with Seat Depths less than 13”. 1.5” minimum Rear Wheel Spacing
q Desk _______________________________________ $340 q Full ________________________________________ $340Height Adjustable T-Arm Low (7.5” - 11.5”) E0973
Not available with Seat Depths less than 12”. 1.5” minimum Rear Wheel Spacing
q Desk _______________________________________ $340 q Full ________________________________________ $340Angle Adjustable Locking Extendable Flip Up E0973
Requires Fixed Height Backrest. Not available with backrest heights less than 12”
q Desk _______________________________________________________________________________________ $265 q Full ___________________________________________________________________________________________ $265q Short Swing Away (7” - 9”) E0973 ___________________________________________________ $210
Not available with Arm Pads or Outward Offset Back Posts. If selection is not available with rear wheel and rear seat height configuration, then Tall Swing Away armrest will be used.
q Tall Swing Away (9.25” - 11.25”) E0973 ____________________________________________ $210Not available with Arm Pads or Outward Offset Back Posts
Arm PadNot available with Swing Away Armrests
q Standard Arm Pad _____________________________________________________________________________ N/Cq Waterfall Arm Pad ______________________________________________________________________________ $25
Not available with Angle Adjustable Locking Extendable Flip Up Armrest
q Foam Grip ____________________________________________________________________________________________ N/CAvailable only with Angle Adjustable Locking Extendable Flip Up Armrest
Calf Strap
q Velcro Adjustable K0038 ___________________________________________________________________ $40q Padded Velcro Adjustable K0038 __________________________________________________ $68q Bodypoint Padded AeroMesh K0038 _________________________________________ $102
Positioning Belt
q 1” Auto Buckle E0978 _______________________________________________________________________ $70q 1” Padded Auto Buckle E0978 _____________________________________________________ $155q 1 1/2” Auto Buckle E0978 ________________________________________________________________ $70q 1 1/2” Padded Auto Buckle E0978 _____________________________________________ $155q 2” Airline Buckle E0978 ___________________________________________________________________ $110
Bodypoint Evoflex - Pelvic Stabilizer E0978 ____________________________________ $183 Size: q Small (16-24”) q Medium (19-29”) q Large (25-37”)
Color
Matte Finish Charcoal Gray __________________________________________________ N/CEmerald Green _________________________________________________ N/CIridescent Burgundy _______________________________________ N/CIridescent Navy _________________________________________________ N/CMilitary Green ____________________________________________________ N/CRetro Red ___________________________________________________________ N/CRoyal Blue __________________________________________________________ N/CShadow Black __________________________________________________ N/CSmooth White ___________________________________________________ N/C
Frame Accentq qq qq qq qq qq qq qq qq q
Gloss Finish Black ____________________________________________________________________ N/CBlue Skies __________________________________________________________ N/CBubblegum Pink ______________________________________________ N/CCandy Blue ________________________________________________________ N/CCandy Purple ____________________________________________________ N/CCandy Red _________________________________________________________ N/CCopper ________________________________________________________________ N/CGranny Smith ____________________________________________________ N/CMetallic Orange ________________________________________________ N/CSilver ____________________________________________________________________ N/CTeal ______________________________________________________________________ N/CYellow __________________________________________________________________ N/C
Frame Accentq qq qq qq qq qq qq qq qq qq qq qq q
Select desired frame and accent colors. Accent color is used on backrest rigidizer bar; if no accent color is selected, frame color will be used.
Frame and Accent
Colored Anodizing PackageSelect desired color. If no selection is made, black will be used. Included in Colored Anodizing Package: Backrest plates, camber tube (not available with Wheelchair Drive Ready selection), towers, CG clamps (not available with negative Center of Gravity or Wheelchair Drive Ready selections), side guard receivers, RP tuning housing, front caster forks (standard or Single Sided) and Dynamic 5th Wheel split clamp.
q Black ______________________________________________________________________________________________________ N/Cq Blue ______________________________________________________________________________________________________ $165q Bright Green ______________________________________________________________________________________ $165q Orange ________________________________________________________________________________________________ $165q Pewter _________________________________________________________________________________________________ $165q Pink ______________________________________________________________________________________________________ $165q Purple __________________________________________________________________________________________________ $165q Red _______________________________________________________________________________________________________ $165q Gold _____________________________________________________________________________________________________ $165
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0137.13 Pricing and specifications subject to change without notice Page 7 of 8
Other Accessories
q Tool Kit ___________________________________________________________________________________________________ $45q Removable Underseat Pouch ________________________________________________________ $50q Pediatric Ki Mobility Backpack ______________________________________________________ $65q Ki Mobility Backpack ________________________________________________________________________ $65
Best fit on chairs more than 10” wide
q Luggage Carrier _________________________________________________________________________________ $85q Black Neoprene Impact Guards ____________________________________________________ $90q Under Chair Carrier and Removable Bag ___________________________________ $85
Not available with Seat Widths less than 14”
q Cane and Crutch Holder _______________________________________________________________ $195
Spoke Guards
q Clear Spoke Guards K0065 ___________________________________________________________ $115Not available with Mag wheel
q Black Spoke Guards K0065 __________________________________________________________ $115Not available with 18” or 20” wheel sizes or Mag wheel
Designer Spoke Guards K0065 __________________________________________________________ $210Available only with 20” and 22” wheel sizes. Not available with Mag wheel.
Design:
q Blue Monster q Fairy Garden q Havin’ a Hoot
q Robo Fun q Rockin’ Reptiles q Super Puppies
q Tutu Cute q Tuxedo Time
Accessories continued
HydrographicsAvailable on frame only; please choose accent color to left. Not available with Transit Option.
Hydrographics _________________________________________________________________________________________ $695Available on frame only; please choose accent color above
q AOR1 (Desert Digital Camo) q Pink Camo q Muddy Girl q NEXT Camo q Carbon Fiber1 q Zebra1
1Select Hydrographics Base Color. Zebra not available in Black.
Hydrographics Base Color ____________________________________________________________________ N/C
q Black q Blue q Granny Smith q Pink q Purple q Red
Belt Mounting Kit
q Ki Mobility Belt Mounting Clamp ___________________________________________________ $35q Bodypoint Belt Mounting Bracket Kit ________________________________________ $105
References A. Seat Width See Diagram 1
Measured from outside of frame tube on one side to outside of frame tube on other side.
B. Seat Depth See Diagram 3
Measured from front of back posts to front edge of seat sling. Seat sling starts at beginning of bend at front of frame.
C. Sling Position See Diagram 2
In Performance Position (0”), sling is at front of frame to keep chair shorter and more maneuverable. The 1” or 2” seat sling position extends the frame in front of the sling by that amount. Adding more frame can improve stability and provide support to aid in transfers.
D. Front Frame Bend See Diagram 3
Angle between front seat tube and ground.
Seat Width Straight 1” TaperOutside
Measurement2” Narrower than Seat
Width4” Narrower than Seat
Width
10” 7.5”
11” 8.5”
12” 9.5” 7.5”
13” 10.5” 8.5”
14” 11.5” 9.5”
15” 12.5” 10.5”
16” 13.5” 11.5”
17” 14.5” 12.5”
18” 15.5” 13.5”
F. Front Seat Height See Diagram 1
Measured from floor to top of seat tube at front of seat sling.
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
C
Diagram 2
Diagram 1
A
GF
K
E
G. Footrest Width See Diagram 1
Measured from inside of front tube to inside of front tube on other side. Footrest width is listed below for each seat width and taper.
E. Footrest Taper See Diagram 1
Indicates bend of front frame creating footrest. Taper is measured from outside of seat frame to outside of front tube.
H. Seat to Footrest Length See Diagram 3
Measured from front edge of seat sling to top rear of footrest. Footrest length of at least 2.5” shorter than front seat height recommended.
I. Rear Seat Height See Diagram 3
Measured from floor to top of seat tube at front of back post. Rear seat height is custom to needs.
J. Center of Gravity Preset See Diagram 3
Measured from front of back post to center of rear axle. 0” indicates axle will be directly under back post.
K. Rear Wheel Spacing See Diagram 1
Measured from outside of seat back to inside of rear tire. Adjustable out .5” from setting.
DCN0137.13 Pricing and specifications subject to change without notice Page 8 of 8
B
D
J
Diagram 3
H
I
DCN0537.1 Pricing and specifications subject to change without notice Page 1 of 2
Axiom Cushions
Axiom G Cushion and Extra Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 22”
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
Retail $120 $75 $120 $75 $120 $75 $120 $75 $120 $75 $120 $75 $120 $75 $199 $75HCPC E2601 E2601 E2601 E2601 E2601 E2601 E2601 E2602
Dep
th
14” q q15” q q q q q q16” q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q21” q q q q q q q q q q22” q q q q q q q q q q
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Axiom S Cushion and Extra Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 22”
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
Retail $210 $85 $210 $85 $210 $85 $210 $85 $210 $85 $210 $85 $210 $85 $315 $85HCPC E2603 E2603 E2603 E2603 E2603 E2603 E2603 E2604
Dep
th
14” q q15” q q q q q q16” q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q21” q q q q q q q q q q22” q q q q q q q q q q
Axiom P Cushion and Extra Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 22”
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
CushionOuter Cover
Retail $355 $95 $355 $95 $355 $95 $355 $95 $355 $95 $355 $95 $355 $95 $460 $95HCPC E2605 E2605 E2605 E2605 E2605 E2605 E2605 E2606
Dep
th
14” q q15” q q q q q q16” q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q21” q q q q q q q q q q22” q q q q q q q q q q
Weight capacity: 350 lbs
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
DCN0537.1 Pricing and specifications subject to change without notice Page 2 of 2
Axiom Cushions continued Weight capacity: 350 lbs
Axiom SP Visco Cushion and Extra Inner / Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 21” 22”
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer
Retail $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $430 $105 $525 $105HCPC E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2608
Dep
th
14” q q q q q q q q q15” q q q q q q q q q q q q q q q16” q q q q q q q q q q q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q q q q q q q q q q q q q q21” q q q q q q q q q q q q q q q q q q q q q q q q22” q q q q q q q q q q q q q q q q q q q q q q q q
Axiom SP Fluid Cushion and Extra Inner / Outer Cover
Width14” 15” 16” 17” 18” 19” 20” 21” 22”
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
CushionCover
Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer Inner Outer
Retail $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $470 $105 $575 $105HCPC E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2607 E2608
Dep
th
14” q q q q q q q q q15” q q q q q q q q q q q q q q q16” q q q q q q q q q q q q q q q q q q q q q q q q17” q q q q q q q q q q q q q q q q q q q q q q q q18” q q q q q q q q q q q q q q q q q q q q q q q q q q q19” q q q q q q q q q q q q q q q q q q q q q q q q q q q20” q q q q q q q q q q q q q q q q q q q q q q q q q q q21” q q q q q q q q q q q q q q q q q q q q q q q q22” q q q q q q q q q q q q q q q q q q q q q q q q
Width
14” 15” 16” 17” 18” 19” 20” 21” 22”
Dep
th
14” q q q15” q q q q16” q q q q q q q q17” q q q q q q q q18” q q q q q q q q q19” q q q q q q q q q20” q q q q q q q q q21” q q q q q q q q22” q q q q q q q q
Select size in chart below. Weight capacity: 350 lbs.
Solid Seat Insert ________________________________________________________________________________________ $60
Solid Seat Insert
DCN0538.2 Pricing and specifications subject to change without notice Page 1 of 5
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Axiom Back Select back that is the same or up to 2” narrower than the width of the frame. Hardware is included with back. Low Back selections are not available with headrests, modifications, or posture supports. Weight capacity: 300 lbs.
Width
12” 14” 16” 18” 20” 22”Retail $555 $555 $555 $555 $555 $791
HCPC E2613 E2613 E2613 E2613 E2613 E2614
Hei
gh
t Lo
w
8” q AXPB1208 q AXPB1408 q AXPB1608 q AXPB1808 q AXPB2008
10” q AXPB1410 q AXPB1610 q AXPB1810 q AXPB2010 q AXPB2210
12” q AXPB1212 q AXPB1412 q AXPB1612 q AXPB1812 q AXPB2012
Mid
14” q AXPB1414 q AXPB1614 q AXPB1814 q AXPB2014 q AXPB2214
16” q AXPB1216 q AXPB1416 q AXPB1616 q AXPB1816 q AXPB2016
18” q AXPB1418 q AXPB1618 q AXPB1818 q AXPB2018 q AXPB2218
Axiom Posterior Back (PB)
Width
12” 14” 16” 18” 20” 22”Retail $636 $636 $636 $636 $636 $862
HCPC E2615 E2615 E2615 E2615 E2615 E2616
Hei
gh
t
Lo
w
8” q AXPL1208 q AXPL1408 q AXPL1608 q AXPL1808 q AXPL2008
10” q AXPL1410 q AXPL1610 q AXPL1810 q AXPL2010 q AXPL2210
12” q AXPL1212 q AXPL1412 q AXPL1612 q AXPL1812 q AXPL2012
Mid
14” q AXPL1414 q AXPL1614 q AXPL1814 q AXPL2014 q AXPL2214
16” q AXPL1216 q AXPL1416 q AXPL1616 q AXPL1816 q AXPL2016
18” q AXPL1418 q AXPL1618 q AXPL1818 q AXPL2018 q AXPL2218
Tall 20” q AXPL1220 q AXPL1420 q AXPL1620 q AXPL1820 q AXPL2020
22” q AXPL1422 q AXPL1622 q AXPL1822 q AXPL2022 q AXPL2222
Axiom Posterior Lateral Back (PL)
Axiom Posterior Back - Low Axiom Posterior Back - Mid
Axiom Posterior Back Measurement Reference
Back Height A B Shell Contour Depth
Hei
gh
t Lo
w8” 10” 6.5”
2.25”
10” 12” 8.5”
12” 14” 10.5”
Mid
14” 16” 8.5”
16” 18” 9.5”
18” 20” 10.5”
A
4.1
BA
4.1
B
Axiom Posterior Lateral Back Measurement Reference
Back Height A B Shell Contour Depth
Hei
gh
t
Lo
w
8” 10” 6.5”
3.65”
10” 12” 8.5”
12” 14” 10.5”
Mid
14” 16” 8.5”
16” 18” 9.5”
18” 20” 10.5”
Tall 20” 22” 11.5”
22” 24” 12.5”Axiom Posterior Lateral
Back - LowAxiom Posterior Lateral
Back - MidAxiom Posterior Lateral
Back - Tall
A
5.5
B
5.5
AB
A
5.5
B
DCN0538.2 Pricing and specifications subject to change without notice Page 2 of 5
Width
12” 14” 16” 18” 20” 22”Retail $735 $735 $735 $735 $735 $813
HCPC E2620 E2620 E2620 E2620 E2620 E2621
Hei
gh
t
Lo
w
8” q AXLB1208 q AXLB1408 q AXLB1608 q AXLB1808 q AXLB2008
10” q AXLB1410 q AXLB1610 q AXLB1810 q AXLB2010 q AXLB2210
12” q AXLB1212 q AXLB1412 q AXLB1612 q AXLB1812 q AXLB2012
Mid
14” q AXLB1414 q AXLB1614 q AXLB1814 q AXLB2014 q AXLB2214
16” q AXLB1216 q AXLB1416 q AXLB1616 q AXLB1816 q AXLB2016
18” q AXLB1418 q AXLB1618 q AXLB1818 q AXLB2018 q AXLB2218
Tall 20” q AXLB1220 q AXLB1420 q AXLB1620 q AXLB1820 q AXLB2020
22” q AXLB1422 q AXLB1622 q AXLB1822 q AXLB2022 q AXLB2222
Axiom Lateral Back (LB)
Axiom Back continued Select back that is the same or up to 2” narrower than the width of the frame. Hardware is included with back. Low Back selections are not available with headrests, modifications, or posture supports. Weight capacity: 300 lbs.
Axiom Lateral Back Measurement Reference
Back Height A B Shell Contour Depth
Hei
gh
t
Lo
w
8” 10” 6.5”
3.65”
10” 12” 8.5”
12” 14” 10.5”
Mid
14” 16” 8.5”
16” 18” 9.5”
18” 20” 10.5”
Tall 20” 22” 11.5”
22” 24” 12.5”Axiom Lateral
Back - LowAxiom Lateral
Back - MidAxiom Lateral
Back - Tall
A
5.5
B
5.5
AB
A
5.5
B
Axiom Deep Lateral Back (DL)
Width
12” 14” 16” 18” 20” 22”Retail $735 $735 $735 $735 $735 $813
HCPC E2620 E2620 E2620 E2620 E2620 E2621
Hei
gh
t
Mid
14” q AXDL1214 q AXDL1414 q AXDL1614 q AXDL1814 q AXDL2014 q AXDL2214
16” q AXDL1416 q AXDL1616 q AXDL1816 q AXDL2016
18” q AXDL1218 q AXDL1418 q AXDL1618 q AXDL1818 q AXDL2018 q AXDL2218
Tall 20” q AXDL1220 q AXDL1420 q AXDL1620 q AXDL1820 q AXDL2020
22” q AXDL1422 q AXDL1622 q AXDL1822 q AXDL2022 q AXDL2222
Axiom Deep Lateral Back Measurement Reference
Back Height A
B1 Shell Contour Depth12” 14” 16” 18” 20” 22”
Hei
gh
t
Mid
14” 16” 8.25” 8.25” 8.25” 8.25” 8.25” 8.25”
6”
16” 18” 9.25” 9.25” 9.25” 9.25” 9.25” 9.25”
18” 20” 10.25” 10.25” 10.25” 10.25” 10.25” 10.25”
Tall 20” 22” 9.5” 9.75” 10” 10.25” 10.25” 10.5”
22” 24” 10.75” 11” 11.25” 11.5” 11.5” 11.75”1 Measurement based on back width
Axiom Deep Lateral Back - Mid Axiom Deep Lateral Back - Tall
AB
7.75
AB
7.75
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Description Item Code HCPC Retail (Each)
q Headrest Flip Down MountOnly available with HEDHMD401/HEDHMD417
HDR100 E1028 $170
q Universal Mounting PlateFor use with other manufacturer headrests
UMP K0108 $40
DCN0538.2 Pricing and specifications subject to change without notice Page 3 of 5
Axiom Back Accessories
Headrest and HardwareChoose headrest and hardware combination in chart below. Not available with Low Backs.
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
HEDHDW101/HEDHDW117 HEDHDW201/HEDHDW217 HEDHDW401/HEDHDW417
HEDPAD408
HEDPAD410
HEDPAD414
HEDPAD201
HEDPAD202
HEDPAD203
HEDPAD502
HEDPAD503
Hardware
Standard Straight Back Mount Hardware with Ball
Multi Axis Removable Hardware with Horizontal Bar
Headrest Hardware with Ball
HEDHDW101 / HEDHDW117 HEDHDW201 / HEDHDW217 HEDHDW401 / HEDHDW417
Description Item Code HCPC Kio Code Retail Kio Code Retail Kio Code Retail
Hea
dre
st P
ad
Comfort Plus Headrest 8” HEDPAD408 E0955E1028 q HDR001 $277 q HDR009 $313 q HDR017 $388
Comfort Plus Headrest 10” HEDPAD410 E0955E1028 q HDR002 $277 q HDR010 $313 q HDR018 $388
Comfort Plus Headrest 14” HEDPAD414 E0955E1028 q HDR003 $277 q HDR011 $313 q HDR019 $388
Small All Positioning Headrest Pad and Ring Only HEDPAD201 E0955
E1028 q HDR004 $277 q HDR012 $313 q HDR020 $388
Medium All Positioning Headrest Pad and Ring Only
HEDPAD202 E0955E1028 q HDR005 $277 q HDR013 $313 q HDR021 $388
Large All Positioning Headrest Pad and Ring Only HEDPAD203 E0955
E1028 q HDR006 $277 q HDR014 $313 q HDR022 $388
Tri-Comfort Plus Headrest 14”
HEDPAD502 E0955E1028 q HDR007 $288 q HDR015 $324 q HDR023 $399
Tri-Comfort Plus Headrest 19”
HEDPAD503 E0955E1028 q HDR008 $288 q HDR016 $324 q HDR024 $399
Headrest Hardware Options
DCN0538.2 Pricing and specifications subject to change without notice Page 4 of 5
Axiom Back Accessories continued
Available only with Axiom Lateral Back and Axiom Deep Lateral back
Description Item Code HCPC Retail
q Lumbar Pad 12” L12 K0108 $48
q Lumbar Pad 14” L14 K0108 $48
q Lumbar Pad 16” L16 K0108 $48
q Lumbar Pad 18” L18 K0108 $48
q Lumbar Pad 20” L20 K0108 $48
q Lumbar Pad 22” L22 K0108 $48
Lumbar Pads
Description Item Code HCPC Retail
q Privacy Flap 12” PF12 K0108 $45
q Privacy Flap 14” PF14 K0108 $45
q Privacy Flap 16” PF16 K0108 $45
q Privacy Flap 18” PF18 K0108 $45
q Privacy Flap 20” PF20 K0108 $45
q Privacy Flap 22” PF22 K0108 $45
Privacy Flap
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Lateral Support
Laterals for Posterior BackPair Left Right Description Item Code HCPC Pair Each
q q q 3 x 4 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Back LF3x4P E0956 $305 $153
q q q 4 x 5 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Back LF4x5P E0956 $305 $153
q q q 3 x 4 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Back LS3x4P E0956, E1028 $650 $325
q q q 4 x 5 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Back LS4x5P E0956, E1028 $650 $325Laterals for Posterior Lateral BackPair Left Right Description Item Code HCPC Pair Each
q q q 3 x 4 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Lateral Back LF3x4L E0956 $305 $153
q q q 4 x 5 Lateral Pads with Fixed Mounting Hardware for Axiom Posterior Lateral Back LF4x5L E0956 $305 $153
q q q3 x 4 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Lateral Back
LS3x4L E0956, E1028 $650 $325
q q q4 x 5 Lateral Pads with Swing Away Mounting Hardware for Axiom Posterior Lateral Back
LS4x5L E0956, E1028 $650 $325
DCN0538.2 Pricing and specifications subject to change without notice Page 5 of 5
Axiom Back Accessories continued
Selection of a modification from the Axiom Back Modifications section required in order to mount posture supports. Not available with Low Backs.
Description Item Code HCPC Retail
q Small Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60153T E0960 $144
q Medium Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60154T E0960 $144
q Large Static Therafit 2-Piece Chest Strap with H & L Adj and 1” Safety Strap 60155T E0960 $144
q Small Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60110T E0960 $113
q Medium Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60111T E0960 $113
q Large Dynamic Therafit Chest Strap with Dual D-Ring Adjustment 60112T E0960 $113
q Small Dynamic Therafit Comfortfit Full Vest 30589T E0960 $167
q Medum Dynamic Therafit Comfortfit Full Vest 30590T E0960 $167
q Large Dynamic Therafit Comfortfit Full Vest 30591T E0960 $167
q XLarge Dynamic Therafit Comfortfit Full Vest 30592T E0960 $167
q XXLarge Dynamic Therafit Comfortfit Full Vest 30593T E0960 $167
q Small Dynamic Therafit Comfortfit Trim Vest 30618T E0960 $169
q Medum Dynamic Therafit Comfortfit Trim Vest 30619T E0960 $169
q Large Dynamic Therafit Comfortfit Trim Vest 30620T E0960 $169
q XLarge Dynamic Therafit Comfortfit Trim Vest 30621T E0960 $169
q XXLarge Dynamic Therafit Comfortfit Trim Vest 30622T E0960 $169
Therafin Posture Support
Choose modification to add holes to the back shell in order to mount posture supports. Not available with Low Backs.
Description Item Code HCPC Retail
q Modification for 4 Point Harness AXM4PT K0108 N/C
q Modification for 2 Point Chest Strap AXM2PT K0108 N/C
q Modification for Shoulder GuidesIncludes shoulder guides
AXMSG K0108 $50
Axiom Back Modifications
Gloss Finish Item Code Retail
q Black AXMBLK N/C
q Blue Skies AXMSKY N/C
q Bubblegum Pink AXMPNK N/C
q Candy Blue AXMCBL N/C
q Candy Purple AXMPUR N/C
q Candy Red AXMRED N/C
q Copper AXMCOP N/C
q Granny Smith AXMGSM N/C
q Metallic Orange AXMMOR N/C
q Silver AXMSIL N/C
q Teal AXMTEA N/C
q Yellow AXMYLW N/C
Painted Back Shell ModificationIf no selection is made, standard Shadow Black will be used with no additional lead time
Axiom Back Modifications Extended lead times will apply for all modifications
Phone (800) 981-1540 | Fax (715) 254-0996
[email protected] | www.kimobility.com
Matte Finish Item Code Retail
q Charcoal Gray AXMCGM N/C
q Emerald Green AXMEGM N/C
q Iridescent Burgundy AXMIBM N/C
q Iridescent Navy AXMINM N/C
q Military Green AXMAGM N/C
q Retro Red AXMRRM N/C
q Royal Blue AXMRBM N/C
q Smooth White AXMSWM N/C
