USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624...

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January 2018 USA Retail Price Lists & Order Forms

Transcript of USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624...

Page 1: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

January 2018USA Retail Price Lists & Order Forms

Page 2: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Bantam Small

Bantam Medium

Evolv E3 Medium

Evolv E3 Large

Evolv Medium

EasyStand Evolv Large

EasyStand Evolv XT

EasyStand Glider Medium

EasyStand Glider Large

EasyStand StrapStand

EasyStand StrapStand Classic

Table of Contents

• You must be an authorized EasyStand Supplier to place an order. Contact customer service for a dealer application.

• Please photocopy or download these forms as needed, fillable PDFs and product configurators are available onour website.

• Please refer to our website for latest descriptions & specifications.

• Email completed forms to [email protected] or fax to 877.342.8968.

• Please call us with any questions about ordering at 800.342.8968. Have your account number ready.

• Customer Service is available Monday - Thursday 7:30am to 5:00pm & Friday 7:30am to 4:30pm CST.

• A serial number is required for all parts orders and off-unit option orders. Please use the off-unit price lists(available from customer service).

• All prices are U.S.A. MSRP.

Customer Service Information

Price Lists & Order Forms

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Price lists are available at easystand.com

Zing MPS Size 1

Zing Supine Size 1

Zing MPS Tilt Table Size 1

Zing Supine Tilt Table Size 1

Zing Vertical Size 1

Zing Prone Size 1

Zing MPS Size 2

Zing Supine Size 2

Zing MPS Tilt Table Size 2

Zing Supine Tilt Table Size 2

Zing Prone Size 2

Bantam Extra Small

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Page 3: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

• Four Swivel Locking Casters• Foot Operated Gas Spring• Mast Receiver with Prone Position Lockout

The base model includes:

Size 1 User SpecificationsApproximate Height RangeWeight LimitApproximate Age

Up to 44"70 lbs.

9 Months - 6 Years

PA5520 EasyStand Zing MPS Base $1,128®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESMPS1PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Email form to [email protected] this form to 877.342.8968

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m m

Mast (must select one)

PA5530 Mast PA5532 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$509$715

m m

Lift MechanismsPA5612 Dual Control (gas, foot and hand controls, push handle required)PA5614 Gas Spring Lift Lockout

$98$98

m m

CasterPA5608 Directional Locking Caster (replaces one swivel caster) $71m

Foot Plates (must select one)

PA5536 Platform Foot Plate (foot holders not included)PA5624 Multi-Adjustable Foot Plates-6"Lx3"W (w/foot holders, pair)PA5626 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PA5628 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$155$288$288$288

m m m m

Upper Body Support (must select one)

PA5562 Planar Pad-5”Hx7”WPA5564 Planar Pad-5”Hx9”W PA5616 Planar Pad-7”Hx7"WPA5618 Planar Pad-7”Hx9"WPA5568 Form to Fit Pad-5"Hx10"W PA5572 Form to Fit Pad-5"Hx12"W PA5620 Form to Fit Pad-7"Hx10"W PA5622 Form to Fit Pad-7"Hx12"W

$168$168$168$168$336$336$336$336

m m m m m m m m

m

Upper Body Support AccessoriesPA5576 Lateral Supports (for planar pads only, pair)PA5578 Lateral Supports with Elbow Stop (for planar pads only, pair)PA5580 Lateral Supports with Elbow Stop and Arm Rest

(for planar pads only, pair)PA5630 Elbow Stop with Arm Rest (for planar and form to fit pads)PT50086 X-Style Chest Vest-9.5"Lx9"WPT50088 X-Style Chest Vest-11"Lx9.5"WPA5610 Padded Positioning Strap (fits circumference up to 24",velcro with D-ring)

PA3028 Hygienic Cover for PA5562 (must select pattern)PA3029 Hygienic Cover for PA5564 (must select pattern)PA3045 Hygienic Cover for PA5616 (must select pattern)PA3046 Hygienic Cover for PA5618 (must select pattern)PA3031 Hygienic Cover for PA5568 (must select pattern)PA3033 Hygienic Cover for PA5572 (must select pattern)PA3047 Hygienic Cover for PA5620 (must select pattern)PA3048 Hygienic Cover for PA5622 (must select pattern)PA3039 Hygienic Cover for Lateral Supports (pair, must select pattern)

$329$339$375

$339$253$253$129$41$41$41$41$41$41$41$41$81

m m m

m m m m m m m m m m m m m

Head Support (must select one)

PY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPA5586 Head Support-Form to Fit-5"Hx10"W

$332$332$332

m m m Head Support Accessories

PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51$51$51

m m m

Foot Support AccessoriesPA5540 Foot Holders-6"Lx3"W (pair)PA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PA5546 Secure Foot Straps-8"L (length over top of foot, pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PA5548 Foot Straps-8"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair)

$74$74$74$80$80$41$41

m m m m m m m

Knee Support (must select one)

$129$308$308$308$308

PA5550 Calf/Knee Pad with StrapPA5556 Multi-Adjustable Knee Pads-2.5" (pair, inside width, calf pads not included)PA5558 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PA5729 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PA5730 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

m m m m m Tray

PA5596 Black Molded Tray-11"Lx19"W (depth and height adjustable)PA5600 Black Molded Swing Away Tray-11"Lx19"W (depth, height and angle adjustable)

PA5602 Clear Swing Away Tray-11"Lx19"W (depth, height and angle adjustable)

$432$648 $772

m m m

Tray AccessoriesPA5604 Forearm Wings-Black Molded Tray (pair)PA5606 Forearm Wings-Clear Tray (pair)PA3038 Hygienic Padded Cover (must select pattern)PNG50042 Hand Grips (for clear tray only, pair)

$131$131$181 $140

m m m m

Other AccessoriesPA5594 Push HandleP80809 Tool PouchP80246 Angle Locator

$140$22$32

m m m

Go to easystand.com to see specific frame colors

Knee Support AccessoriesPA5560 Multi-Adjustable Calf Pads-3.5" (pair)(multi-adjustable knee pads required)PA5678 Multi-Adjustable Calf Pads-4.5" (pair)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic Support (must select one)

PA5562 Planar Pad-5"Hx7"WPA5564 Planar Pad-5"Hx9"W PA5566 Form to Fit Pad-5"Hx10"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PA5570 Form to Fit Pad-5"Hx12"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$168$168$336

$336

m m m

m

Pelvic Support AccessoriesPA5574 Hip Supports (for planar pads only, pair)PA3011 Positioning Belt (fits hip circumference up to 24",velcro with D-ring)PA5610 Padded Positioning Strap (fits hip circumference up to 24",velcro with D-ring)

PA3028 Hygienic Cover for PA5562 (must select pattern) PA3029 Hygienic Cover for PA5564 (must select pattern)PA3030 Hygienic Cover for PA5566 (must select pattern)PA3032 Hygienic Cover for PA5570 (must select pattern)

$329$51

$129$41$41$41$41

m m m m m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

1MPS

Go to easystand.com to see specific fabric patterns

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Page 4: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

• Four Swivel Locking Casters• Foot Operated Gas Spring • Mast Receiver

The base model includes:

Size 1 User SpecificationsApproximate Height RangeWeight LimitApproximate Age

Up to 44"70 lbs.

9 Months - 6 Years

PA5522 EasyStand Zing Supine Base $1,087®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESSUP1-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m1Supine

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m m

Mast (must select one)

PA5530 Mast PA5532 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$509$715

m m

Lift MechanismsPA5612 Dual Control (gas, foot and hand controls, push handle required)PA5614 Gas Spring Lift Lockout

$98$98

m m

CasterPA5608 Directional Locking Caster (replaces one swivel caster) $71m

Foot Plates (must select one)

PA5536 Platform Foot Plate (foot holders not included)PA5624 Multi-Adjustable Foot Plates-6"Lx3"W (w/foot holders, pair)PA5626 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PA5628 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$155$288$288$288

m m m m

Upper Body Support (must select one)

PA5562 Planar Pad-5”Hx7”WPA5564 Planar Pad-5”Hx9”W PA5616 Planar Pad-7”Hx7"WPA5618 Planar Pad-7”Hx9"WPA5568 Form to Fit Pad-5"Hx10"W PA5572 Form to Fit Pad-5"Hx12"W PA5620 Form to Fit Pad-7"Hx10"W PA5622 Form to Fit Pad-7"Hx12"W

$168$168$168$168$336$336$336$336

m m m m m m m m

Upper Body Support AccessoriesPA5576 Lateral Supports (for planar pads only, pair)PA5578 Lateral Supports with Elbow Stop (for planar pads only, pair)PA5580 Lateral Supports with Elbow Stop and Arm Rest (for planar pads only, pair)PA5630 Elbow Stop with Arm Rest (for planar and form to fit pads)PT50086 X-Style Chest Vest-9.5"Lx9"WPT50088 X-Style Chest Vest-11"Lx9.5"WPA5610 Padded Positioning Strap (fits circumference up to 24",velcro with D-ring)

PA3028 Hygienic Cover for PA5562 (must select pattern)PA3029 Hygienic Cover for PA5564 (must select pattern)PA3045 Hygienic Cover for PA5616 (must select pattern)PA3046 Hygienic Cover for PA5618 (must select pattern)PA3031 Hygienic Cover for PA5568 (must select pattern)PA3033 Hygienic Cover for PA5572 (must select pattern)PA3047 Hygienic Cover for PA5620 (must select pattern)PA3048 Hygienic Cover for PA5622 (must select pattern)PA3039 Hygienic Cover for Lateral Supports (pair, must select pattern)

$329$339$375

$339$253$253$129$41$41$41$41$41$41$41$41$81

m m m

m m m m m m m m m m m m m

Head Support (must select one)

PY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPA5586 Head Support-Form to Fit-5"Hx10"W

$332$332$332

m m m Head Support Accessories

PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51$51$51

m m m

Foot Support AccessoriesPA5540 Foot Holders-6"Lx3"W (pair)PA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PA5546 Secure Foot Straps-8"L (length over top of foot, pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PA5548 Foot Straps-8"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair)

$74$74$74$80$80$41$41

m m m m m m m

Knee Support (must select one)

$129$308$308$308$308

PA5550 Calf/Knee Pad with StrapPA5556 Multi-Adjustable Knee Pads-2.5" (pair, inside width, calf pads not included)PA5558 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PA5729 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PA5730 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

m m m m m Tray

PA5596 Black Molded Tray-11"Lx19"W (depth and height adjustable)PA5600 Black Molded Swing Away Tray-11"Lx19"W (depth, height and angle adjustable)

PA5602 Clear Swing Away Tray-11"Lx19"W (depth, height and angle adjustable)

$432$648 $772

m m m

Tray AccessoriesPA5604 Forearm Wings-Black Molded Tray (pair)PA5606 Forearm Wings-Clear Tray (pair)PA3038 Hygienic Padded Cover (must select pattern)PNG50042 Hand Grips (for clear tray only, pair)

$131$131$181 $140

m m m m

Other AccessoriesPA5594 Push HandleP80809 Tool PouchP80246 Angle Locator

$140$22$32

m m m

Go to easystand.com to see specific frame colors

Knee Support AccessoriesPA5560 Multi-Adjustable Calf Pads-3.5" (pair)(multi-adjustable knee pads required)PA5678 Multi-Adjustable Calf Pads-4.5" (pair)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic Support (must select one)

PA5562 Planar Pad-5"Hx7"WPA5564 Planar Pad-5"Hx9"W PA5566 Form to Fit Pad-5"Hx10"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PA5570 Form to Fit Pad-5"Hx12"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$168$168$336

$336

m m m

m

Pelvic Support AccessoriesPA5574 Hip Supports (for planar pads only, pair)PA3011 Positioning Belt (fits hip circumference up to 24",velcro with D-ring)PA5610 Padded Positioning Strap (fits hip circumference up to 24",velcro with D-ring)

PA3028 Hygienic Cover for PA5562 (must select pattern) PA3029 Hygienic Cover for PA5564 (must select pattern)PA3030 Hygienic Cover for PA5566 (must select pattern)PA3032 Hygienic Cover for PA5570 (must select pattern)

$329$51

$129$41$41$41$41

m m m m m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

Go to easystand.com to see specific fabric patterns

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESMPS1PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

2

Email form to [email protected] this form to 877.342.8968

Page 5: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESTT1PL-050918 REV D Copyright © 2019 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective January 1, 2019 Date:

• Four Swivel Locking Casters• Foot Operated Gas Spring • Mast Receiver with Prone Position Lockout

The base model includes:

Size 1 User SpecificationsApproximate Height RangeWeight LimitApproximate Age

Up to 44"70 lbs.

9 Months - 6 Years

PA5520 EasyStand Zing MPS TT Base $1,128®

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m m

Mast (must select one)

PA5632 Mast PA5634 Mast with Leg Abduction(multi-adjustable knee pads or planar pads with knee strap and foot plates required for leg abduction)

$509$715

m m

m

Go to easystand.com to see specific frame colors

Pelvic/Upper Body Support AccessoriesPA3063 Hygienic Cover for PA5638 (must select pattern)PA3064 Hygienic Cover for PA5640 (must select pattern) PA3065 Hygienic Cover for PA5642 (must select pattern)

$61$61$61

m m m

Lift MechanismsPA5612 Dual Control (gas, foot and hand controls, push handle required)PA5614 Gas Spring Lift Lockout

$98$98

m m

CasterPA5608 Directional Locking Caster (replaces one swivel caster) $71m

Foot Plates (must select one)

PA5536 Platform Foot Plate (foot holders not included)PA5624 Multi-Adjustable Foot Plates-6"Lx3"W (w/foot holders, pair)PA5626 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PA5628 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$155$288$288$288

m m m m

Foot Support AccessoriesPA5540 Foot Holders-6"Lx3"W (pair)PA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PA5546 Secure Foot Straps-8"L (length over top of foot, pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PA5548 Foot Straps-8"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair)

$74$74$74$80$80$41$41

m m m m m m mLeg Support

PA5644 Planar Pads-4"Hx6"W (pair, not available with calf/knee pad with strap)

PA5646 Planar Pads-6"Hx6"W (pair, not available with calf/knee pad with strap)

PA5648 Planar Pads-8"Hx6"W (pair, not available with calf/knee pad with strap)

$299$299$299

m m m

Leg Support AccessoriesPA5660 Hygienic Cover for PA5644 (must select pattern, pair)PA5662 Hygienic Cover for PA5646 (must select pattern, pair)PA5664 Hygienic Cover for PA5648 (must select pattern, pair)

$81 $81 $81

m m mKnee Support (must select one)

PA5550 Calf/Knee Pad with Strap (not available w/leg support pads)PA5666 Knee Strap (must order leg support PA5644, pair)PA5668 Knee Strap (must order leg support PA5646, pair) PA5670 Knee Strap (must order leg support PA5648, pair)PA5556 Multi-Adjustable Knee Pads-2.5" (pair, inside width, calf pads not included)PA5558 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PA5729 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PA5730 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads or planar pads w/knee strap required for leg abduction)

$129$140$140$140$308$308$308$308

m m m m m m m m

Pelvic/Upper Body Support (must select one)

PA5638 Planar Pad-14"Hx14"WPA5640 Planar Pad-16"Hx14"W PA5642 Planar Pad-18"Hx14"W

$335$335$335

m m m

Knee Support AccessoriesPA5560 Multi-Adjustable Calf Pads-3.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)PA5678 Multi-Adjustable Calf Pads-4.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic Support AccessoriesPA5636 Hip SupportsPA3062 Positioning Strap (fits hip circumference up to 24",velcro with D-ring)PA5672 Padded Positioning Strap (fits hip circumference up to 24",velcro with D-ring)

$329$51

$129

m m m

Upper Body Support AccessoriesPA5652 Lateral Supports-4"-8" Range (pair)PA5654 Lateral Supports-7"-11" Range (pair)PA5674 Padded Positioning Strap (fits circumference up to 24",velcro with D-ring)

PT50086 X-Style Chest Vest-9.5"Lx9"WPT50088 X-Style Chest Vest-11"Lx9.5"WPA3039 Hygienic Cover for Lateral Supports (must select pattern, pair)

$329$329$129$253$253

$81

m m m m m m

Head Support (must select one)

PA5650 Head Support-Planar Pad-8"Hx8.5"WPY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPA5586 Head Support-Form to Fit-5"Hx10"WPA5676 Headrest Mounting Bracket (for alternative manufacturer's head rests)

$273 $332$332$332$92

m m m m m Head Support Accessories

PA3066 Hygienic Cover for Head Support-Planar Pad (must select pattern) PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51$51$51$51

m m m m

TrayPA5596 Black Molded Tray-11"x19" (depth and height adjustable)PA5600 Black Molded Swing Away Tray-11"x19" (depth, height and angle adjustable)

PA5602 Clear Swing Away Tray-11"x19" (depth, height and angle adjustable)

$432$648 $772

m m m

Tray AccessoriesPA5604 Forearm Wings-Black Molded Tray (pair)PA5606 Forearm Wings-Clear Tray (pair)PA3038 Hygienic Padded Cover (must select pattern)PNG50042 Hand Grips (for clear tray only, pair)

$131$131$181 $140

m m m m

Other AccessoriesPA5594 Push HandleP80809 Tool PouchP80246 Angle Locator

$140$22$32

m m m

Hygienic Cover Patterns (must select one if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

1TiltTableMPS

Go to easystand.com to see specific fabric patterns

3

Email form to [email protected] this form to 877.342.8968

Page 6: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESSUPTT1PL-050918 REV D Copyright © 2019 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective January 1, 2019 Date:

• Four Swivel Locking Casters• Foot Operated Gas Spring • Mast Receiver

The base model includes:

Size 1 User SpecificationsApproximate Height RangeWeight LimitApproximate Age

Up to 44"70 lbs.

9 Months - 6 Years

PA5522 EasyStand Zing Supine TT Base $1,087®

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m m

Mast (must select one)

PA5632 Mast PA5634 Mast with Leg Abduction(multi-adjustable knee pads or planar pads with knee strap and foot plates required for leg abduction)

$509$715

m m

m

Go to easystand.com to see specific frame colors

Pelvic/Upper Body Support AccessoriesPA3063 Hygienic Cover for PA5638 (must select pattern)PA3064 Hygienic Cover for PA5640 (must select pattern) PA3065 Hygienic Cover for PA5642 (must select pattern)

$61$61$61

m m m

Lift MechanismsPA5612 Dual Control (gas, foot and hand controls, push handle required)PA5614 Gas Spring Lift Lockout

$98$98

m m

CasterPA5608 Directional Locking Caster (replaces one swivel caster) $71m

Foot Plates (must select one)

PA5536 Platform Foot Plate (foot holders not included)PA5624 Multi-Adjustable Foot Plates-6"Lx3"W (w/foot holders, pair)PA5626 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PA5628 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$155$288$288$288

m m m m

Foot Support AccessoriesPA5540 Foot Holders-6"Lx3"W (pair)PA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PA5546 Secure Foot Straps-8"L (length over top of foot, pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PA5548 Foot Straps-8"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair)

$74$74$74$80$80$41$41

m m m m m m mLeg Support

PA5644 Planar Pads-4"Hx6"W (pair, not available with calf/knee pad with strap)

PA5646 Planar Pads-6"Hx6"W (pair, not available with calf/knee pad with strap)

PA5648 Planar Pads-8"Hx6"W (pair, not available with calf/knee pad with strap)

$299$299$299

m m m

Leg Support AccessoriesPA5660 Hygienic Cover for PA5644 (must select pattern, pair)PA5662 Hygienic Cover for PA5646 (must select pattern, pair)PA5664 Hygienic Cover for PA5648 (must select pattern, pair)

$81 $81 $81

m m mKnee Support (must select one)

PA5550 Calf/Knee Pad with Strap (not available w/leg support pads)PA5666 Knee Strap (must order leg support PA5644, pair)PA5668 Knee Strap (must order leg support PA5646, pair) PA5670 Knee Strap (must order leg support PA5648, pair)PA5556 Multi-Adjustable Knee Pads-2.5" (pair, inside width, calf pads not included)PA5558 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PA5729 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PA5730 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads or planar pads w/knee strap required for leg abduction)

$129$140$140$140$308$308$308$308

m m m m m m m m

Pelvic/Upper Body Support (must select one)

PA5638 Planar Pad-14"Hx14"WPA5640 Planar Pad-16"Hx14"W PA5642 Planar Pad-18"Hx14"W

$335$335$335

m m m

Knee Support AccessoriesPA5560 Multi-Adjustable Calf Pads-3.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)PA5678 Multi-Adjustable Calf Pads-4.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic Support AccessoriesPA5636 Hip SupportsPA3062 Positioning Strap (fits hip circumference up to 24",velcro with D-ring)PA5672 Padded Positioning Strap (fits hip circumference up to 24",velcro with D-ring)

$329$51

$129

m m m

Upper Body Support AccessoriesPA5652 Lateral Supports-4"-8" Range (pair)PA5654 Lateral Supports-7"-11" Range (pair)PA5674 Padded Positioning Strap (fits circumference up to 24",velcro with D-ring)

PT50086 X-Style Chest Vest-9.5"Lx9"WPT50088 X-Style Chest Vest-11"Lx9.5"WPA3039 Hygienic Cover for Lateral Supports (must select pattern, pair)

$329$329$129$253$253

$81

m m m m m m

Head Support (must select one)

PA5650 Head Support-Planar Pad-8"Hx8.5"WPY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPA5586 Head Support-Form to Fit-5"Hx10"WPA5676 Headrest Mounting Bracket (for alternative manufacturer's head rests)

$273 $332$332$332$92

m m m m m Head Support Accessories

PA3066 Hygienic Cover for Head Support-Planar Pad (must select pattern) PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51$51$51$51

m m m m

TrayPA5596 Black Molded Tray-11"x19" (depth and height adjustable)PA5600 Black Molded Swing Away Tray-11"x19" (depth, height and angle adjustable)

PA5602 Clear Swing Away Tray-11"x19" (depth, height and angle adjustable)

$432$648 $772

m m m

Tray AccessoriesPA5604 Forearm Wings-Black Molded Tray (pair)PA5606 Forearm Wings-Clear Tray (pair)PA3038 Hygienic Padded Cover (must select pattern)PNG50042 Hand Grips (for clear tray only, pair)

$131$131$181 $140

m m m m

Other AccessoriesPA5594 Push HandleP80809 Tool PouchP80246 Angle Locator

$140$22$32

m m m

Hygienic Cover Patterns (must select one if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

1TiltTableSupine

Go to easystand.com to see specific fabric patterns

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESTT1PL-050918 REV D Copyright © 2019 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

4

Email form to [email protected] this form to 877.342.8968

Page 7: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

• Four Swivel Locking Casters• Mast Receiver

The base model includes:

Size 1 User SpecificationsApproximate Height RangeWeight LimitApproximate Age

Up to 44"70 lbs.

9 Months - 6 Years

PA5524 EasyStand Zing Vertical Base $778®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESVR1PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m m

Mast (must select one)

PA5530 Mast PA5532 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$509$715

m m

CasterPA5608 Directional Locking Caster (replaces one swivel caster) $71m

Foot Plates (must select one)

PA5680 Platform Foot Plate (foot holders not included)PA5624 Multi-Adjustable Foot Plates-6"Lx3"W (w/foot holders, pair)PA5626 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PA5628 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$155$288$288 $288

m m m m

m

Upper Body Support (must select one)

PA5692 Planar Pad-5"Hx5"WPA5562 Planar Pad-5"Hx7"WPA5564 Planar Pad-5"Hx9"W PA5616 Planar Pad-7"Hx7"W PA5618 Planar Pad-7"Hx9"WPA5566 Form to Fit Pad-5"Hx10"WPA5570 Form to Fit Pad-5"Hx12"WPA5694 Form to Fit Pad-5"Hx10"W (extra sternum positioning)PA5696 Form to Fit Pad-5"Hx12"W (extra sternum positioning)PA5698 Form to Fit Pad-7"Hx10"W (extra sternum positioning)PA5700 Form to Fit Pad-7"Hx12"W (extra sternum positioning)

$168$168$168$168$168$336$336$336$336 $336$336

m m m m mm m m m m m

Go to easystand.com to see specific frame colors

Foot Support AccessoriesPA5540 Foot Holders-6"Lx3"W (pair)PA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PA5546 Secure Foot Straps-8"L (length over top of foot, pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PA5548 Foot Straps-8"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair)

$74$74$74$80$80$41$41

m m m m m m m

Upper Body Support AccessoriesPA5702 Lateral Supports-4"-8" Range (for planar pads only, pair)PA5704 Lateral Supports-7"-11" Range (for planar pads only, pair)PA5610 Padded Positioning Strap (fits circumference up to 24",velcro with D-ring)

PA3039 Hygienic Cover for Lateral Supports (must select pattern, pair)PA3084 Hygienic Cover for PA5692 (must select pattern)PA3028 Hygienic Cover for PA5562 (must select pattern)PA3029 Hygienic Cover for PA5564 (must select pattern)PA3045 Hygienic Cover for PA5616 (must select pattern)PA3046 Hygienic Cover for PA5618 (must select pattern)PA3030 Hygienic Cover for PA5566 (must select pattern)PA3032 Hygienic Cover for PA5570 (must select pattern)PA3085 Hygienic Cover for PA5694 (must select pattern)PA3086 Hygienic Cover for PA5696 (must select pattern)PA3087 Hygienic Cover for PA5698 (must select pattern)PA3088 Hygienic Cover for PA5700 (must select pattern)

$329$329$129$81$41$41$41$41$41$41$41$41$41$41$41

m m m m m m m m m m m m m m m

m m

m

Head SupportPA5706 Face Aperture for 5" Height Pads (pad size-9"Hx3"W, pair)PA5708 Face Aperture for 7" Height Pads (pad size-9"Hx3"W, pair)

$335 $335

Head Support AccessoriesPA5710 Hygienic Cover for PA5706/PA5708 (must select pattern, pair) $81

TrayPA5712 Black Molded Tray-11"Lx19"W (not available with PA5720)PA5716 Multi-Adjustable Black Molded Tray-11"Lx19"W (fore/aft, height, and angle)PA5718 Multi-Adjustable Clear Tray-11"Lx19"W (fore/aft, height, and angle)

$201$407 $531

m m m

Tray AccessoriesPA5604 Forearm Wings-Black Molded Tray (pair)PA5606 Forearm Wings-Clear Tray (pair)PA3038 Hygienic Padded Cover (must select pattern)PNG50042 Hand Grips (for clear tray only, pair)

$131$131$181 $140

m m m m

Other AccessoriesPA5720 Push Handle for Tray (not available with PA5712)P80809 Tool PouchP80246 Angle Locator

$160$22$32

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

Knee Support (must select one)

PA5550 Calf/Knee Pad with StrapPA5688 Multi-Adjustable Knee Pads-2.5" (pair, inside width, calf pads not included)PA5690 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PA5727 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PA5728 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

$129$308$308$308$308

m m m m m

Pelvic Support (must select one)

PA5562 Planar Pad-5"Hx7"WPA5564 Planar Pad-5"Hx9"W PA5566 Form to Fit Pad-5"Hx10"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PA5570 Form to Fit Pad-5"Hx12"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$168$168$336

$336

m m m

m

Pelvic Support AccessoriesPA5574 Hip Supports (for planar pads only, pair)PA3011 Positioning Strap (fits hip circumference up to 24",velcro with D-ring)PA5610 Padded Positioning Strap (fits hip circumference up to 24",velcro with D-ring)

PA3092 Quick StrapPA3093 Padded Quick StrapPA3028 Hygienic Cover for PA5562 (must select pattern)PA3029 Hygienic Cover for PA5564 (must select pattern)PA3030 Hygienic Cover for PA5566 (must select pattern)PA3032 Hygienic Cover for PA5570 (must select pattern)

$329$51

$129$140$218$41$41$41$41

m m m m m m m m m

Knee Support AccessoriesPA5726 Knee Strap for PA5688, PA5690, PA5727 & PA5728 $80m

1Vertical

Go to easystand.com to see specific fabric patterns

5

Email form to [email protected] this form to 877.342.8968

Page 8: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

• Four Swivel Locking Casters• Foot Operated Gas Spring• Mast Receiver

The base model includes:

Size 1 User SpecificationsApproximate Height RangeWeight LimitApproximate Age

Up to 44"70 lbs.

9 Months - 6 Years

PA5522 EasyStand Zing Prone Base $1,087®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESPR1PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m m

Mast (must select one)

PA5530 Mast PA5532 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$509$715

m m

m

Upper Body Support (must select one)

PA5692 Planar Pad-5"Hx5"WPA5562 Planar Pad-5"Hx7"WPA5564 Planar Pad-5"Hx9"W PA5616 Planar Pad-7"Hx7"W PA5618 Planar Pad-7"Hx9"WPA5566 Form to Fit Pad-5"Hx10"WPA5570 Form to Fit Pad-5"Hx12"WPA5694 Form to Fit Pad-5"Hx10"W (extra sternum positioning)PA5696 Form to Fit Pad-5"Hx12"W (extra sternum positioning)PA5698 Form to Fit Pad-7"Hx10"W (extra sternum positioning)PA5700 Form to Fit Pad-7"Hx12"W (extra sternum positioning)

$168$168$168$168$168$336$336$336$336 $336$336

m m m m mm m m m m m

Go to easystand.com to see specific frame colors

CasterPA5608 Directional Locking Caster (replaces one swivel caster) $71m

Foot Plates (must select one)

PA5680 Platform Foot Plate (foot holders not included)PA5624 Multi-Adjustable Foot Plates-6"Lx3"W (w/foot holders, pair)PA5626 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PA5628 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$155$288$288 $288

m m m m

Foot Support AccessoriesPA5540 Foot Holders-6"Lx3"W (pair)PA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PA5546 Secure Foot Straps-8"L (length over top of foot, pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PA5548 Foot Straps-8"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair)

$74$74$74$80$80$41$41

m m m m m m mKnee Support (must select one)

PA5550 Calf/Knee Pad with StrapPA5688 Multi-Adjustable Knee Pads-2.5" (pair, inside width, calf pads not included)PA5690 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PA5727 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PA5728 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

$129$308$308$308$308

m m m m m

Lift MechanismsPA5725 Dual Control (gas, foot and hand controls, push handle required)PA5614 Gas Spring Lift Lockout

$98 $98

m m Upper Body Support Accessories

PA5702 Lateral Supports-4"-8" Range (for planar pads only, pair)PA5704 Lateral Supports-7"-11" Range (for planar pads only, pair)PA5610 Padded Positioning Strap (fits circumference up to 24",velcro with D-ring)

PA3039 Hygienic Cover for Lateral Supports (must select pattern, pair)PA3084 Hygienic Cover for PA5692 (must select pattern)PA3028 Hygienic Cover for PA5562 (must select pattern)PA3029 Hygienic Cover for PA5564 (must select pattern)PA3045 Hygienic Cover for PA5616 (must select pattern)PA3046 Hygienic Cover for PA5618 (must select pattern)PA3030 Hygienic Cover for PA5566 (must select pattern)PA3032 Hygienic Cover for PA5570 (must select pattern) PA3085 Hygienic Cover for PA5694 (must select pattern)PA3086 Hygienic Cover for PA5696 (must select pattern)PA3087 Hygienic Cover for PA5698 (must select pattern)PA3088 Hygienic Cover for PA5700 (must select pattern)

$329$329$129$81$41$41$41$41$41$41$41$41$41$41$41

m m m m m m m m m m m m m m m

m m

m

Head SupportPA5706 Face Aperture for 5" Height Pads (pad size-9"Hx3"W, pair)PA5708 Face Aperture for 7" Height Pads (pad size-9"Hx3"W, pair)

$335 $335

Head Support AccessoriesPA5710 Hygienic Cover for Face Aperture (must select pattern, pair) $81

TrayPA5712 Black Molded Tray-11"Lx19"W (not available with PA5720)PA5716 Multi-Adjustable Black Molded Tray-11"Lx19"W (fore/aft, height, and angle)PA5718 Multi-Adjustable Clear Tray-11"Lx19"W (fore/aft, height, and angle)

$201$407 $531

m m m

Tray AccessoriesPA5604 Forearm Wings-Black Molded Tray (pair)PA5606 Forearm Wings-Clear Tray (pair)PA3038 Hygienic Padded Cover (must select pattern)PNG50042 Hand Grips (for clear tray only, pair)

$131$131$181 $140

m m m m

Other AccessoriesPA5720 Push Handle for Tray (not available with PA5712)P80809 Tool PouchP80246 Angle Locator

$160$22$32

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

Pelvic Support (must select one)

PA5562 Planar Pad-5"Hx7"WPA5564 Planar Pad-5"Hx9"W PA5566 Form to Fit Pad-5"Hx10"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PA5570 Form to Fit Pad-5"Hx12"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$168$168$336

$336

m m m

m

Pelvic Support AccessoriesPA5574 Hip Supports (for planar pads only, pair)PA3011 Positioning Strap (fits hip circumference up to 24",velcro with D-ring)PA5610 Padded Positioning Strap (fits hip circumference up to 24",velcro with D-ring)

PA3092 Quick StrapPA3093 Padded Quick StrapPA3028 Hygienic Cover for PA5562 (must select pattern)PA3029 Hygienic Cover for PA5564 (must select pattern)PA3030 Hygienic Cover for PA5566 (must select pattern)PA3032 Hygienic Cover for PA5570 (must select pattern)

$329$51

$129$140$218$41$41$41$41

m m m m m m m m m

Knee Support AccessoriesPA5726 Knee Strap for PA5688, PA5690, PA5727 & PA5728 $80m

1Prone

Go to easystand.com to see specific fabric patterns

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESVR1PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

6

Email form to [email protected] this form to 877.342.8968

Page 9: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

The gas spring model includes: Four Swivel Locking Casters, Foot Operated Gas Spring, Mast Receiver with Prone Position Lockout.

Size 2 User SpecificationsHeight RangeWeight Limit

40"-60"154 lbs.

PB5500 EasyStand Zing MPS Gas Spring Lift $1,423®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESMPS2PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m mMast (must select one)

PB5512 Mast PB5514 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$593$833

m m

Upper Body Support (must select one)

PB3001 Planar Pad-8"Hx11"WPB3003 Planar Pad-8"Hx13"W PB3005 Form to Fit Pad-8"Hx11"W PB3007 Form to Fit Pad-8"Hx13"W

$211$211$408$408

m m m m

m

Go to easystand.com to see specific frame colors

Lift MechanismsPB5516 Dual Control (gas, foot and hand controls, push handle required, not available with pow’r up lift)PA5614 Gas Spring Lift Lockout (not available with pow’r up lift)

$114

$98

m

mCaster

PB5510 Directional Locking Caster (replaces one swivel caster) $78mFoot Plates (must select one)

PB5518 Platform Foot Plate (foot holders not included)PB5520 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PB5522 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)PB5524 Multi-Adjustable Foot Plates-11.75"Lx5"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$200$334$334$334

m m m m

Foot Support AccessoriesPA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PB5526 Foot Holders-11.75"Lx5"W (pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PY5638 Secure Foot Straps-15"L (length over top of foot, pair)PNG50506 Secure Foot Straps-21"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair)

$74$74$74$80$80

$106$41$41$41

m m m m m m m m mKnee Support (must select one)

$160$358$358$358

PB5528 Calf/Knee Pad with StrapPB5530 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PB5532 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PB5534 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

m m m m

Knee Support AccessoriesPA5678 Multi-Adjustable Calf Pads-4.5" (pair)(multi-adjustable knee pads required)PB5536 Multi-Adjustable Calf Pads-5.5" (pair)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic Support (must select one)

PB3000 Planar Pad-10"Hx11"WPB3002 Planar Pad-10"Hx13"W PB3004 Form to Fit Pad-10"Hx11"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PB3006 Form to Fit Pad-10"Hx13"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$211$211$408

$408

m m m

m

Pelvic Support AccessoriesPB5538 Hip Supports (7"-13", for planar pads only, pair)PB5540 Hip Supports (12"-18", for planar pads only, pair)PT30066 Positioning Strap (fits hip circumference up to 35", velcro with D-ring))

PB5542 Padded Positioning Strap (fits hip circumference up to 35", velcro with D-ring)

PB3025 Hygienic Cover for PB3000 (must select pattern) PB3026 Hygienic Cover for PB3002 (must select pattern)PB3027 Hygienic Cover for PB3004 (must select pattern)PB3028 Hygienic Cover for PB3006 (must select pattern)

$382$382$51

$145$47$47$47$47

m m m m m m m m

Upper Body Support AccessoriesPB5544 Lateral Supports-7”-11”W w/PB3001, 9”-13”W w/PB3003 (pair) PB5546 Lateral Supports-10”-14”W w/PB3001, 12”-16”W w/PB3003 (pair)PB5548 Lateral Supports with Elbow Stop (for planar pads only, pair)PB5550 Lateral Supports with Elbow Stop and Arm Rest (for planar pads only, pair)PB5552 Elbow Stop with Arm Rest (for planar pads only, pair)PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"WPNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PB5542 Padded Positioning Strap (fits circumference up to 35", velcro with D-ring)

PB3029 Hygienic Cover for PB3001 (must select pattern)PB3030 Hygienic Cover for PB3003 (must select pattern)PB3031 Hygienic Cover for PB3005 (must select pattern)PB3032 Hygienic Cover for PB3007 (must select pattern)PB3049 Hygienic Cover for PB5544/PB5546 (must select pattern, pair)

$339$339$359$430

$359$253$253$253$253$145$47$47$47$47$93

m m m m m m m m m m m m m m mHead Support (must select one)

PY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPY5630 Head Support-7"Hx14"WPA5586 Head Support-Form to Fit -5"Hx10"W

$332$332$332$332

m m m m Head Support Accessories

PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PB3033 Hygienic Cover for Head Support-7"Hx14"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51 $51$51$51

m m m m

TrayPB5554 Black Molded Tray-21"Lx24"W (depth, height and angle adjustable)PB5556 Black Molded Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

PB5558 Clear Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

$630$747$922

m m m

The pow’r up lift model includes: Four Swivel Locking Casters, Pow’r Up Lift, Mast Receiver.

PB5504 EasyStand Zing MPS Pow’r Up Lift $2,559®

m

Base (must select one)

Tray AccessoriesPT50156 Elbow Pad-9.25" CutoutPT50160 Elbow Pad-11" CutoutPY5582 Elbow Pad-13" CutoutPT30093 Hygienic Padded Cover (not available with elbow pads, must select pattern)

PNG50042 Hand Grips (for clear tray only, pair)

m m m mm

$131$131$131$181$140

Other AccessoriesPB5560 Push HandleP80809 Tool PouchP80246 Angle Locator

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

$155$22$32

Go to easystand.com to see specific fabric patterns

2MPS

7

Email form to [email protected] this form to 877.342.8968

Page 10: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

The gas spring model includes: Four Swivel Locking Casters, Foot Operated Gas Spring, Mast Receiver.

Size 2 User SpecificationsHeight RangeWeight Limit

40"-60"154 lbs.

PB5502 EasyStand Zing Supine Gas Spring Lift $1,383®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESSUPINE2PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m

The pow’r up lift model includes: Four Swivel Locking Casters, Pow’r Up Lift, Mast Receiver.

PB5506 EasyStand Zing Supine Pow’r Up Lift $2,559®

m

Base (must select one)

2Supine

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESMPS2PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

8

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m mMast (must select one)

PB5512 Mast PB5514 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$593$833

m m

Upper Body Support (must select one)

PB3001 Planar Pad-8"Hx11"WPB3003 Planar Pad-8"Hx13"W PB3005 Form to Fit Pad-8"Hx11"W PB3007 Form to Fit Pad-8"Hx13"W

$211$211$408$408

m m m m

Go to easystand.com to see specific frame colors

Lift MechanismsPB5516 Dual Control (gas, foot and hand controls, push handle required, not available with pow’r up lift)PA5614 Gas Spring Lift Lockout (not available with pow’r up lift)

$114

$98

m

mCaster

PB5510 Directional Locking Caster (replaces one swivel caster) $78mFoot Plates (must select one)

PB5518 Platform Foot Plate (foot holders not included)PB5520 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PB5522 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)PB5524 Multi-Adjustable Foot Plates-11.75"Lx5"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$200$334$334$334

m m m m

Foot Support AccessoriesPA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PB5526 Foot Holders-11.75"Lx5"W (pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PY5638 Secure Foot Straps-15"L (length over top of foot, pair)PNG50506 Secure Foot Straps-21"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair)

$74$74$74$80$80

$106$41$41$41

m m m m m m m m mKnee Support (must select one)

$160$358$358$358

PB5528 Calf/Knee Pad with StrapPB5530 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PB5532 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PB5534 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

m m m m

Knee Support AccessoriesPA5678 Multi-Adjustable Calf Pads-4.5" (pair)(multi-adjustable knee pads required)PB5536 Multi-Adjustable Calf Pads-5.5" (pair)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic Support (must select one)

PB3000 Planar Pad-10"Hx11"WPB3002 Planar Pad-10"Hx13"W PB3004 Form to Fit Pad-10"Hx11"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PB3006 Form to Fit Pad-10"Hx13"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$211$211$408

$408

m m m

m

Pelvic Support AccessoriesPB5538 Hip Supports (7"-13", for planar pads only, pair)PB5540 Hip Supports (12"-18", for planar pads only, pair)PT30066 Positioning Strap (fits hip circumference up to 35", velcro with D-ring))

PB5542 Padded Positioning Strap (fits hip circumference up to 35", velcro with D-ring)

PB3025 Hygienic Cover for PB3000 (must select pattern) PB3026 Hygienic Cover for PB3002 (must select pattern)PB3027 Hygienic Cover for PB3004 (must select pattern)PB3028 Hygienic Cover for PB3006 (must select pattern)

$382$382$51

$145$47$47$47$47

m m m m m m m m

Upper Body Support AccessoriesPB5544 Lateral Supports-7”-11”W w/PB3001, 9”-13”W w/PB3003 (pair) PB5546 Lateral Supports-10”-14”W w/PB3001, 12”-16”W w/PB3003 (pair)PB5548 Lateral Supports with Elbow Stop (for planar pads only, pair)PB5550 Lateral Supports with Elbow Stop and Arm Rest (for planar pads only, pair)PB5552 Elbow Stop with Arm Rest (for planar pads only, pair)PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"WPNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PB5542 Padded Positioning Strap (fits circumference up to 35", velcro with D-ring)

PB3029 Hygienic Cover for PB3001 (must select pattern)PB3030 Hygienic Cover for PB3003 (must select pattern)PB3031 Hygienic Cover for PB3005 (must select pattern)PB3032 Hygienic Cover for PB3007 (must select pattern)PB3049 Hygienic Cover for PB5544/PB5546 (must select pattern, pair)

$339$339$359$430

$359$253$253$253$253$145$47$47$47$47$93

m m m m m m m m m m m m m m mHead Support (must select one)

PY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPY5630 Head Support-7"Hx14"WPA5586 Head Support-Form to Fit -5"Hx10"W

$332$332$332$332

m m m m Head Support Accessories

PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PB3033 Hygienic Cover for Head Support-7"Hx14"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51 $51$51$51

m m m m

TrayPB5554 Black Molded Tray-21"Lx24"W (depth, height and angle adjustable)PB5556 Black Molded Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

PB5558 Clear Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

$630$747$922

m m m

Tray AccessoriesPT50156 Elbow Pad-9.25" CutoutPT50160 Elbow Pad-11" CutoutPY5582 Elbow Pad-13" CutoutPT30093 Hygienic Padded Cover (not available with elbow pads, must select pattern)

PNG50042 Hand Grips (for clear tray only, pair)

m m m mm

$131$131$131$181$140

Other AccessoriesPB5560 Push HandleP80809 Tool PouchP80246 Angle Locator

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

$155$22$32

Go to easystand.com to see specific fabric patterns

Email form to [email protected] this form to 877.342.8968

Page 11: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

$1,423The gas spring model includes: Four Swivel Locking Casters, Foot Operated Gas Spring, Mast Receiver with Prone Position Lockout.

Size 2 User SpecificationsHeight RangeWeight Limit

40"-60"154 lbs.

PB5562 EasyStand Zing MPS TT Gas Spring Lift®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESMPSTT2PL-050918 REV D Copyright © 2019 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective January 1, 2019 Date:

m

The pow’r up lift model includes: Four Swivel Locking Casters, Pow’r Up Lift, Mast Receiver.

PB5566 EasyStand Zing MPS TT Pow’r Up Lift $2,559®

m

Base (must select one)

CasterPB5510 Directional Locking Caster (replaces one swivel caster) $78m

Foot Plates (must select one)

PB5518 Platform Foot Plate (foot holders not included)PB5520 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PB5522 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)PB5524 Multi-Adjustable Foot Plates-11.75"Lx5"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$200$334$334$334

m m m m

Foot Support AccessoriesPA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PB5526 Foot Holders-11.75"Lx5"W (pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PY5638 Secure Foot Straps-15"L (length over top of foot, pair)PNG50506 Secure Foot Straps-21"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair)PNG50505 Foot Straps-21"L (length over top of foot, pair)

$74$74$74$80$80

$106$41$41$41

m m m m m m m m mLeg Support

$362$362$362

PB5570 Planar Pads-9"Hx7.5"W (pair, not available with calf/knee pad with strap) PB5572 Planar Pads-12"Hx7.5"W (pair, not available with calf/knee pad with strap)

PB5574 Planar Pads-15"Hx7.5"W (pair, not available with calf/knee pad with strap)

m m mLeg Support Accessories

PB5600 Hygienic Cover for PB5570 (must select pattern, pair)PB5602 Hygienic Cover for PB5572 (must select pattern, pair)PB5604 Hygienic Cover for PB5574 (must select pattern, pair)

$97$97$97

m m mKnee Support (must select one)

$160$140$140$140$358$358$358

PB5528 Calf/Knee Pad with Strap (not available with leg support pads)

PB5576 Knee Strap for PB5570 (pair)PB5578 Knee Strap for PB5572 (pair) PB5580 Knee Strap for PB5574 (pair)PB5530 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PB5532 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PB5534 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads or planar pads w/knee strap required for leg abduction)

m m m m m m m

Knee Support AccessoriesPA5678 Multi-Adjustable Calf Pads-4.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)PB5536 Multi-Adjustable Calf Pads-5.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic/Upper Body Support (must select one)

PB3012 Planar Pad-19"Hx16"WPB3015 Planar Pad-22"Hx16"W PB3018 Planar Pad-25"Hx16"W

$406$406$406

m m m

Pelvic/Upper Body Support AccessoriesPB3035 Hygienic Cover for PB3012 (must select pattern)PB3036 Hygienic Cover for PB3015 (must select pattern) PB3037 Hygienic Cover for PB3018 (must select pattern)

$65$65$65

m m m

Pelvic Support AccessoriesPB5584 Hip Supports (7"-13", pair)PB5586 Hip Supports (10"-16", pair)PA3062 Positioning Strap (fits hip circumference up to 45", velcro with D-ring)

PB3052 Positioning Strap (fits hip circumference up to 57", velcro with D-ring)

PB5592 Padded Positioning Strap (fits hip circumference up to 45", velcro with D-ring)

PB5594 Padded Positioning Strap (fits hip circumference up to 57", velcro with D-ring)

$382$382

$51 $51$145 $145

m m m m m m

Upper Body Support AccessoriesPB5588 Lateral Supports-7"-11" Range (pair) PB5590 Lateral Supports-10"-16" Range (pair)PNG30170 X-Style Chest Vest-11”Lx9.5”W PNG30056 X-Style Chest Vest-14.5”Lx10.5”W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"WPNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PB5596 Padded Positioning Strap (fits circumference up to 45", velcro with D-ring)

PB5598 Padded Positioning Strap (fits circumference up to 57", velcro with D-ring)

PB3049 Hygienic Cover for PB5588/PB5590 (must select pattern, pair)

$339$339$253$253$253$253$195 $195$93

m m m m m m m m m

Head Support (must select one)

PB5582 Head Support-Planar Pad-9"Hx10"WPY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPY5630 Head Support-7"Hx14"WPA5586 Head Support-Form to Fit-5"Hx10"W

$295$332$332$332$332

m m m m m Head Support Accessories

PB3038 Hygienic Cover for Head Support-Planar Pad (must select pattern)PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PB3033 Hygienic Cover for Head Support-7"Hx14"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51$51$51$51$51

m m m m m Tray

PB5554 Black Molded Tray-21"Lx24"W (depth, height and angle adjustable)PB5556 Black Molded Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

PB5558 Clear Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

$630$747$922

m m m

Tray AccessoriesPT50156 Elbow Pad-9.25" CutoutPT50160 Elbow Pad-11" CutoutPY5582 Elbow Pad-13" CutoutPT30093 Hygienic Padded Cover (not available with elbow pads, must select pattern)

PNG50042 Hand Grips (for clear tray only, pair)

$131$131$131$181$140

m m m mm Other Accessories

PB5560 Push HandleP80809 Tool PouchP80246 Angle Locator

$155$22$32

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

Go to easystand.com to see specific fabric patterns

2TiltTableMPS

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m mMast (must select one)

PB5512 Mast PB5514 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$593$833

m m

Go to easystand.com to see specific frame colors

Lift MechanismsPB5516 Dual Control (gas, foot and hand controls, push handle required, not available with pow’r up lift)PA5614 Gas Spring Lift Lockout (not available with pow’r up lift)

$114

$98

m

m

9

Email form to [email protected] this form to 877.342.8968

Page 12: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

$1,383The gas spring model includes: Four Swivel Locking Casters, Foot Operated Gas Spring, Mast Receiver.

Size 2 User SpecificationsHeight RangeWeight Limit

40"-60"154 lbs.

PB5564 EasyStand Zing Supine TT Gas Spring Lift®

2TiltTableSupine

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESSUPINETT2PL-050918 REV D Copyright © 2019 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective January 1, 2019 Date:

m

The pow’r up lift model includes: Four Swivel Locking Casters, Pow’r Up Lift, Mast Receiver.

PB5568 EasyStand Zing Supine TT Pow’r Up Lift $2,559®

m

Base (must select one)

CasterPB5510 Directional Locking Caster (replaces one swivel caster) $78m

Foot Plates (must select one)

PB5518 Platform Foot Plate (foot holders not included)PB5520 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PB5522 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)PB5524 Multi-Adjustable Foot Plates-11.75"Lx5"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$200$334$334$334

m m m m

Foot Support AccessoriesPA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PB5526 Foot Holders-11.75"Lx5"W (pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PY5638 Secure Foot Straps-15"L (length over top of foot, pair)PNG50506 Secure Foot Straps-21"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair)

$74$74$74$80$80

$106$41$41$41

m m m m m m m m mLeg Support

$362$362$362

PB5570 Planar Pads-9"Hx7.5"W (pair, not available with calf/knee pad with strap)

PB5572 Planar Pads-12"Hx7.5"W (pair, not available with calf/knee pad with strap)

PB5574 Planar Pads-15"Hx7.5"W (pair, not available with calf/knee pad with strap)

m m mLeg Support Accessories

PB5600 Hygienic Cover for PB5570 (must select pattern, pair)PB5602 Hygienic Cover for PB5572 (must select pattern, pair)PB5604 Hygienic Cover for PB5574 (must select pattern, pair)

$97$97$97

m m mKnee Support (must select one)

$160$140$140$140$358$358$358

PB5528 Calf/Knee Pad with Strap (not available with leg support pads) PB5576 Knee Strap for PB5570 (pair)PB5578 Knee Strap for PB5572 (pair) PB5580 Knee Strap for PB5574 (pair)PB5530 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PB5532 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PB5534 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads or planar pads w/knee strap required for leg abduction)

m m m m m m m

Knee Support AccessoriesPA5678 Multi-Adjustable Calf Pads-4.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)PB5536 Multi-Adjustable Calf Pads-5.5" (pair, not available w/leg support pads)(multi-adjustable knee pads required)

$201

$201

m

m

Pelvic/Upper Body Support (must select one)

PB3012 Planar Pad-19"Hx16"WPB3015 Planar Pad-22"Hx16"W PB3018 Planar Pad-25"Hx16"W

$406$406$406

m m m

Pelvic/Upper Body Support AccessoriesPB3035 Hygienic Cover for PB3012 (must select pattern)PB3036 Hygienic Cover for PB3015 (must select pattern) PB3037 Hygienic Cover for PB3018 (must select pattern)

$65$65$65

m m m

Pelvic Support AccessoriesPB5584 Hip Supports (7"-13", pair)PB5586 Hip Supports (10"-16", pair)PA3062 Positioning Strap (fits hip circumference up to 45", velcro with D-ring)

PB3052 Positioning Strap (fits hip circumference up to 57", velcro with D-ring)

PB5592 Padded Positioning Strap (fits hip circumference up to 45", velcro with D-ring)

PB5594 Padded Positioning Strap (fits hip circumference up to 57", velcro with D-ring)

$382$382

$51 $51$145 $145

m m m m m m

Upper Body Support AccessoriesPB5588 Lateral Supports-7"-11" Range (pair) PB5590 Lateral Supports-10"-16" Range (pair)PNG30170 X-Style Chest Vest-11”Lx9.5”W PNG30056 X-Style Chest Vest-14.5”Lx10.5”W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"WPNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PB5596 Padded Positioning Strap (fits circumference up to 45", velcro with D-ring)

PB5598 Padded Positioning Strap (fits circumference up to 57", velcro with D-ring)

PB3049 Hygienic Cover for PB5588/PB5590 (must select pattern, pair)

$339$339$253$253$253$253$195 $195$93

m m m m m m m m m

Head Support (must select one)

PB5582 Head Support-Planar Pad-9"Hx10"WPY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPY5630 Head Support-7"Hx14"WPA5586 Head Support-Form to Fit-5"Hx10"W

$295$332$332$332$332

m m m m m Head Support Accessories

PB3038 Hygienic Cover for Head Support-Planar Pad (must select pattern)PA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)PB3033 Hygienic Cover for Head Support-7"Hx14"W (must select pattern)PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

$51$51$51$51$51

m m m m m Tray

PB5554 Black Molded Tray-21"Lx24"W (depth, height and angle adjustable)PB5556 Black Molded Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

PB5558 Clear Swing Away Tray-21"Lx24"W (depth, height and angle adjustable)

$630$747$922

m m m

Tray AccessoriesPT50156 Elbow Pad-9.25" CutoutPT50160 Elbow Pad-11" CutoutPY5582 Elbow Pad-13" CutoutPT30093 Hygienic Padded Cover (not available with elbow pads, must select pattern)

PNG50042 Hand Grips (for clear tray only, pair)

$131$131$131$181$140

m m m mm Other Accessories

PB5560 Push HandleP80809 Tool PouchP80246 Angle Locator

$155$22$32

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

Go to easystand.com to see specific fabric patterns

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m mMast (must select one)

PB5512 Mast PB5514 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$593$833

m m

Go to easystand.com to see specific frame colors

Lift MechanismsPB5516 Dual Control (gas, foot and hand controls, push handle required, not available with pow’r up lift)PA5614 Gas Spring Lift Lockout (not available with pow’r up lift)

$114

$98

m

m

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESMPSTT2PL-050918 REV D Copyright © 2019 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

10

Email form to [email protected] this form to 877.342.8968

Page 13: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

$1,383The gas spring model includes: Four Swivel Locking Casters, Foot Operated Gas Spring, and Mast Receiver.

Size 2 User SpecificationsHeight RangeWeight Limit

40"-60"154 lbs.

PB5606 EasyStand Zing Prone Gas Spring Lift®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESPRONE2PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

Upper Body Support (must select one)

PA3006 Planar Pad-5"Hx7"WPA3007 Planar Pad-5"Hx9"WPA3041 Planar Pad-7"Hx7"WPA3042 Planar Pad-7"Hx9"WPA3079 Form to Fit Pad-5"Hx12"WPB3046 Form to Fit Pad-6"Hx13"WPA3081 Form to Fit Pad-7"Hx12"WPB3047 Form to Fit Pad-10"Hx13"W

$211$211$211$211$408$408$408$408

m m m m m m m m

m

Foot Plates (must select one)

PB5612 Platform Foot Plate (foot holders not included)PB5616 Multi-Adjustable Foot Plates-7.75"Lx3.25"W (w/foot holders, pair)PB5618 Multi-Adjustable Foot Plates-9.75"Lx4"W (w/foot holders, pair)PB5620 Multi-Adjustable Foot Plates-11.75"Lx5"W (w/foot holders, pair)(multi-adjustable foot plates required for leg abduction)

$200$334$334$334

m m m m

Foot Support AccessoriesPA5542 Foot Holders-7.75"Lx3.25"W (pair)PA5544 Foot Holders-9.75"Lx4"W (pair)PB5526 Foot Holders-11.75"Lx5"W (pair)PT50082 Secure Foot Straps-10"L (length over top of foot, pair)PY5638 Secure Foot Straps-15"L (length over top of foot, pair)PNG50506 Secure Foot Straps-21"L (length over top of foot, pair)PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair)

$74$74$74$80$80

$106$41$41$41

m m m m m m m m mKnee Support (must select one)

$160$358$358$358

PB5528 Calf/Knee Pad with StrapPB5622 Multi-Adjustable Knee Pads-3.25" (pair, inside width, calf pads not included)PB5624 Multi-Adjustable Knee Pads-4.25" (pair, inside width, calf pads not included)PB5626 Multi-Adjustable Knee Pads-5" (pair, inside width, calf pads not included)(multi-adjustable knee pads required for leg abduction)

m m m m

Knee Support AccessoriesPB5636 Knee Strap for PB5622, PB5624, and PB5626 $115m

Pelvic Support (must select one)

PB3000 Planar Pad-10"Hx11"WPB3002 Planar Pad-10"Hx13"W PB3004 Form to Fit Pad-10"Hx11"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)PB3006 Form to Fit Pad-10"Hx13"W (not recommended with leg abduction mast, amount of leg abduction will be restricted)

$211$211$408

$408

m m m

m

Pelvic Support AccessoriesPB5538 Hip Supports (7"-13", for planar pads only, pair)PB5540 Hip Supports (12"-18", for planar pads only, pair)PT30066 Positioning Strap (fits hip circumference up to 35", velcro with D-ring)

PB5542 Padded Positioning Strap (fits hip circumference up to 35", velcro with D-ring)

PB3025 Hygienic Cover for PB3000 (must select pattern) PB3026 Hygienic Cover for PB3002 (must select pattern)PB3027 Hygienic Cover for PB3004 (must select pattern)PB3028 Hygienic Cover for PB3006 (must select pattern)

$382$382$51

$145$47$47$47$47

m m m m m m m m

Upper Body Support AccessoriesPB5627 Lateral Supports(7"-12" range with 7"W planar pads, 9"-14" with 9"W planar pads, for planar pads only, pair) PB5542 Padded Positioning Strap (fits circumference up to 35”, velcro with D-ring)

PA3028 Hygienic Cover for PA3006 (must select pattern)PA3029 Hygienic Cover for PA3007 (must select pattern)PA3045 Hygienic Cover for PA3041 (must select pattern)PA3046 Hygienic Cover for PA3042 (must select pattern)PA3086 Hygienic Cover for PA3079 (must select pattern)PB3050 Hygienic Cover for PB3046 (must select pattern)PA3088 Hygienic Cover for PA3081 (must select pattern)PB3051 Hygienic Cover for PB3047 (must select pattern)PB3049 Hygienic Cover for PB5627 (must select pattern, pair)

$339

$145$41$41$41$41$41$41$41$41$93

m

m m mm m m m m m m

Head SupportPB5638 Face Aperture (pad size-9"Hx3"W, pair) $386m

Head Support AccessoriesPA5710 Hygienic Cover for Face Aperture (must select pattern, pair) $81m

TrayPB5628 Black Molded Tray-21"Lx24"W (depth, height and angle adjustable)PB5630 Clear Tray-21"Lx24"W (depth, height and angle adjustable)

$525$764

m m

Tray AccessoriesPT50156 Elbow Pad-9.25" CutoutPT50160 Elbow Pad-11" CutoutPY5582 Elbow Pad-13" CutoutPT30093 Hygienic Padded Cover (not available with elbow pads, must select pattern)

PNG50042 Hand Grips (for clear tray only, pair)

$131$131$131$181$140

m m m mm Other Accessories

PB5632 Push Handle for TrayP80809 Tool PouchP80246 Angle Locator

$155$22$32

m m m

Hygienic Cover Patterns (required if hygienic covers were ordered)

Rainbow Unicorn Sea Creatures Fancy Pants ElephantsSpace RaceAll Smiles Animals

m m m m m

The pow’r up lift model includes: Four Swivel Locking Casters, Pow’r Up Lift, Mast Receiver.

PB5608 EasyStand Zing Prone Pow’r Up Lift $2,559®

m

Base (must select one)

Go to easystand.com to see specific fabric patterns

2Prone

Frame Color (please select one)

Green (if no selection is made, green will be selected)PurpleWhiteOrange

m m m mMast (must select one)

PB5512 Mast PB5514 Mast with Leg Abduction(multi-adjustable knee pads and multi-adjustable foot plates required for leg abduction)

$593$833

m m

Go to easystand.com to see specific frame colors

Lift MechanismsPB5640 Dual Control (gas, foot and hand controls, push handle required, not available with pow’r up lift)PA5614 Gas Spring Lift Lockout (not available with pow’r up lift)

$114

$98

m

mCaster

PB5510 Directional Locking Caster (replaces one swivel caster) $78m

11

Email form to [email protected] this form to 877.342.8968

Page 14: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESNEWBANSMPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

• Foot Plates • Knee Pads • Gas Spring Lift with Foot Pedal • Planar Seat and Back • Black Upholstery • Two 3" Rear Locking Swivel Casters • Two 5" Front Wheels • Chest Strap

The base model includes:

Extra Small User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat to back surface)Seat to Foot Plate Range (from seat pivot)

28"-40"50 lbs.7"-12"

4.5"-16.5"

PT50001 EasyStand Bantam Extra Small $2,289®

m

Foot Plate, Knee Pads, and SeatPT50252 Multi-Adjustable Foot Plates (pair)

PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair)

PT50082 Secure Foot Straps-10"L (length over top of foot, two pair)

PY5638 Secure Foot Straps-15"L (length over top of foot, two pair)

PT50264 Swing-Away Knee Pads (pair)

PT50044 Form to Fit Seat PT30082 Hygienic Cover for Standard Seat (must select pattern)

PT30083 Hygienic Cover for PT50044 (must select pattern)

PT50098 Hip Supports (6"-9" range, pair, not available with form to fit seat)

PT50278 Calf Pad

$197$41$41$80$80

$197$323$72$72

$332$129

m m m mm m m m m m m

Positioning, Back, and Upper Body SupportPT50008 Lateral Supports-8"-12" Range Curved Pad (for planar pads only, pair)

PT50274 Lateral Supports-8"-12" Range Flat Pad (for planar pads only, pair)

PT50248 Lateral Supports-5"-9" Range Curved Pad (for planar pads only, pair)

PT50276 Lateral Supports-5"-9" Range Flat Pad (for planar pads only, pair) PT50216 Lateral Supports with Elbow Stop-8"-12" Range (for planar pads only, pair)

PT50218 Lateral Supports with Elbow Stop and Arm Rest-8"-12" Range (for planar pads only, pair)

PT50220 Elbow Stop with Arm Rest (for planar and form to fit pads, pair)

PT50052 Form to Fit Back 11"-13"H RangePT50240 Form to Fit Back 15"-17"H RangePT30078 Hygienic Cover for Planar Back-11"-13"H Range (must select pattern)

PT30089 Hygienic Cover for Planar Back-15"-17"H Range (must select pattern)

PT30079 Hygienic Cover for PT50052 (must select pattern)

PT30090 Hygienic Cover for PT50240 (must select pattern) PT30066 Positioning Belt (fits hip circumference up to 23", velcro with D-ring)

PT30094 Positioning Belt (fits hip circumference up to 33", velcro with D-ring)

PT50086 X-Style Chest Vest-9.5"Lx9"WPT50088 X-Style Chest Vest-11"Lx9.5"WPT50128 High Mount Chest Vest BracketPT50062 Head Support-5"Hx8"WPT50064 Head Support-6"Hx10"WPT50284 Head Support-Form to Fit-5"Hx10"WPA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)

PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)

PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

PT50280 Push Handle (required for dual control) P80809 Tool Pouch P80246 Angle Locator

$332$332$332$332$339

$375$339$323$323$72$72$72$72$51$51

$253$253$71

$332$332$332$51$51$51

$140$22 $32

m m m m m m

m m m m m m m m m m m m m m m m m m m m m

Rainbow UnicornSea Creatures Fancy Pants ElephantsSpace Race All Smiles Animals

Go to easystand.com to see specific fabric patterns

Hygienic Cover Patterns (must select one if hygienic covers were ordered)

m m m m m * not available with mobile

Go to easystand.com to see specific frame colors

Frame Color (please select one)

Green (base model) Purple White Orange

m m m m Foot Holder Size (please select one)

6"Lx3"W 7.75"Lx3.25"W (base model) 9.75"Lx4"W

m m m Knee Pad Size (inside width, please select one)

2.5"3.25" (base model)

4.25"

m m m Planar Back Size (height from seat, please select one)

11"-13"H Range (base model)

15"-17"H Range m m

Lift MechanismsPT50236 Dual Control (gas, foot and hand controls, push handle required)

PA5614 Gas Spring Lift LockoutPT50022 Pow'r Up Lift (replaces gas spring lift, battery powered)

PT50020 Hydraulic Actuator with Removable Handle (replaces gas)

PNG50044 Quad Grip Handle Extension (hydraulic actuator required)

PNG50070 T-Style Handle Extension (hydraulic actuator required)

$98$98

$1,119$667$140 $140

m m m mmm

Supine (CANNOT be ordered off-unit)

PT50234 Supine (head support required, shadow tray is recommended)

$411m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth(roller bearing allows for smoother seat depth adjustment)

$98m

*

Tray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)

PT50156 Elbow Pad-9.25" Cutout (21"Lx24"W tray only)

PT50160 Elbow Pad-11" Cutout (21"Lx24"W tray only)

PA5604 Forearm Wings-Black Molded Tray (11"Lx19"W tray only, pair)

PA5606 Forearm Wings-Clear Tray (11"Lx19"W tray only, pair)

PA3038 Hygienic Padded Cover (11"Lx19"W tray only, must select pattern)

PT30093 Hygienic Padded Cover (21"Lx24"W tray only, must select pattern)

$140 $131$131$131$131$181$181

mm mm mm m

*

Front CastersPT50116 Front Swivel Casters $163m *

Mobile TrayPT50246 Mobile Tray (depth and height adjustable, not available with form to fit backs) $438m

Shadow Trays$432$648$772$541$787

PT50204 Black Molded Tray-11"Lx19"W (depth & height adjustable)

PA5600 Black Molded Swing-Away Tray-11"Lx19"W (depth, height & angle adjustable)

PA5602 Clear Swing-Away Tray-11"Lx19"W (depth, height & angle adjustable)

PT50074 Black Molded Tray-21"Lx24"W (depth, height & angle adjustable)

PT50076 Clear Tray-21"Lx24"W (depth, height & angle adjustable)

m m m m m

*

MobilePT50150 Mobile (not available with supine or front swivel casters)

PT50177 Tall Mobile (not available with supine or front swivel casters)

$1,257$1,257

m m

Some options ordered on-unit may be in place of similar base items

extra small

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESPRONE2PL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

12

Email form to [email protected] this form to 877.342.8968

Page 15: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

• Foot Plates • Knee Pads • Gas Spring Lift with Foot Pedal • Planar Seat and Back • Black Upholstery • Two 3" Rear Locking Swivel Casters • Two 5" Front Wheels • Chest Strap

The base model includes:

Small User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat to back surface)Seat to Foot Plate Range (from seat pivot)

36"-54"100 lbs.11"-16"

4.5"-16.5"

PT50002 EasyStand Bantam Small $2,289®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESNEWBANSMPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m

Foot Plate, Knee Pads, and SeatPT50252 Multi-Adjustable Foot Plates (pair)

PT50080 Foot Straps-10"L (length over top of foot, pair) PY5636 Foot Straps-15"L (length over top of foot, pair)

PT50082 Secure Foot Straps-10"L (length over top of foot, two pair)

PY5638 Secure Foot Straps-15"L (length over top of foot, two pair)

PT50264 Swing-Away Knee Pads (pair)

PT50048 Form to Fit Seat PT30084 Hygienic Cover for Standard Seat (must select pattern)

PT30085 Hygienic Cover for PT50048 (must select pattern)

PT50007 Hip Supports (8"-12" range, pair, not available with form to fit seat)

PT50278 Calf Pad

$197$41$41$80$80

$197$323$72$72

$332$129

m m m mm m m m m m m

Positioning, Back, and Upper Body SupportPT50008 Lateral Supports-8"-12" Range Curved Pad (for planar pads only, pair)

PT50274 Lateral Supports-8"-12" Range Flat Pad (for planar pads only, pair)

PT50248 Lateral Supports-5"-9" Range Curved Pad (for planar pads only, pair)

PT50276 Lateral Supports-5"-9" Range Flat Pad (for planar pads only, pair) PT50216 Lateral Supports with Elbow Stop-8"-12" Range (for planar pads only, pair)

PT50218 Lateral Supports with Elbow Stop and Arm Rest-8"-12" Range (for planar pads only, pair)

PT50220 Elbow Stop with Arm Rest (for planar and form to fit pads, pair)

PT50056 Form to Fit Back-12.5"-14.5"H RangePT50244 Form to Fit Back-16.5"-18.5"H RangePT30080 Hygienic Cover for Planar Back-14"-16"H Range (must select pattern)

PT30091 Hygienic Cover for Planar Back-18"-20"H Range (must select pattern)

PT30081 Hygienic Cover for PT50056 (must select pattern)

PT30092 Hygienic Cover for PT50244 (must select pattern) PT30066 Positioning Belt (fits hip circumference up to 29", velcro with D-ring)

PT30094 Positioning Belt (fits hip circumference up to 39", velcro with D-ring)

PT50086 X-Style Chest Vest-9.5"Lx9"WPT50088 X-Style Chest Vest-11"Lx9.5"WPT50128 High Mount Chest Vest BracketPT50062 Head Support-5"Hx8"WPT50064 Head Support-6"Hx10"WPT50284 Head Support-Form to Fit-5"Hx10"WPA3035 Hygienic Cover for Head Support-5"Hx8"W (must select pattern)

PA3036 Hygienic Cover for Head Support-6"Hx10"W (must select pattern)

PA3037 Hygienic Cover for Head Support-Form to Fit (must select pattern)

PT50280 Push Handle (required for dual control) P80809 Tool Pouch P80246 Angle Locator

$332$332$332$332$339

$375$339$323$323$72$72$72$72$51$51

$253$253$71

$332$332$332$51$51$51

$140$22 $32

m m m m m m

m m m m m m m m m m m m m m m m m m m m m

Rainbow UnicornSea Creatures Fancy Pants ElephantsSpace Race All Smiles Animals

Go to easystand.com to see specific fabric patterns

Hygienic Cover Patterns (must select one if hygienic covers were ordered)

m m m m m * not available with mobile

small

Go to easystand.com to see specific frame colors

Frame Color (please select one)

Green (base model) Purple White Orange

m m m m Foot Holder Size (please select one)

7.75"Lx3.25"W (base model) 9.75"Lx4"W11.75"Lx5"W

m m m Knee Pad Size (inside width, please select one)

3.25"

4.25" (base model)

5"

m m m Planar Back Size (height from seat, please select one)

14"-16"H Range (base model)

18"-20"H Rangem m

Lift MechanismsPT50236 Dual Control (gas, foot and hand controls, push handle required)

PA5614 Gas Spring Lift LockoutPT50022 Pow'r Up Lift (replaces gas spring lift, battery powered)

PT50020 Hydraulic Actuator with Removable Handle (replaces gas)

PNG50044 Quad Grip Handle Extension (hydraulic actuator required)

PNG50070 T-Style Handle Extension (hydraulic actuator required)

$98$98

$1,119$667$140 $140

m m m mmm

Supine (CANNOT be ordered off-unit)

PT50234 Supine (head support required, shadow tray is recommended)

$411m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth(roller bearing allows for smoother seat depth adjustment)

$98m

*

Tray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)

PT50156 Elbow Pad-9.25" Cutout (21"Lx24"W tray only)

PT50160 Elbow Pad-11" Cutout (21"Lx24"W tray only)

PA5604 Forearm Wings-Black Molded Tray (11"Lx19"W tray only, pair)

PA5606 Forearm Wings-Clear Tray (11"Lx19"W tray only, pair)

PA3038 Hygienic Padded Cover (11"Lx19"W tray only, must select pattern)

PT30093 Hygienic Padded Cover (21"Lx24"W tray only, must select pattern)

$140 $131$131$131$131$181$181

mm mm mm m

*

Front CastersPT50116 Front Swivel Casters $163m *

Mobile TrayPT50246 Mobile Tray (depth and height adjustable, not available with form to fit backs) $438m

Shadow Trays$432$648$772$541$787

PT50204 Black Molded Tray-11"Lx19"W (depth & height adjustable)

PA5600 Black Molded Swing-Away Tray-11"Lx19"W (depth, height & angle adjustable)

PA5602 Clear Swing-Away Tray-11"Lx19"W (depth, height & angle adjustable)

PT50074 Black Molded Tray-21"Lx24"W (depth, height & angle adjustable)

PT50076 Clear Tray-21"Lx24"W (depth, height & angle adjustable)

m m m m m

*

MobilePT50150 Mobile (not available with supine or front swivel casters)

PT50177 Tall Mobile (not available with supine or front swivel casters)

$1,257$1,257

m m

13

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Page 16: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

• Two 5" Front Wheels • Two 5" Rear Locking Casters• Manual Hydraulic Actuator with Handle • Planar Seat • Knee Pads • Height-Only Adjustable Foot Plates • Black Upholstery • Blue Frame Color• Tray and Back Support Required

The base model includes:

Medium User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat pivot to planar back)Seat to Foot Plate Range (from seat pivot)

4'0"-5'6"200 lbs.15"-20"7"-18.5"

PY5500 EasyStand Bantam Medium $2,398®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESBANMEDPL-082318 REV E Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective September 1, 2018 Date:

m

Back Support (must select a one)

PY5530 Planar Back-16"HPY5532 Planar Back-20"H

PY5574 Contoured Back-16"HPY5576 Contoured Back-20"HPY3041 Black Hygienic Back Cover for PY5530PY3040 Black Hygienic Back Cover for PY5532PY3045 Black Hygienic Back Cover for PY5574PY3046 Black Hygienic Back Cover for PY5576

$696$735$767$806

$85$85$85$85

m m m m m m m m

Foot Plate, Knee Pads, and SeatPY5586 Multi-Adjustable Foot Plates (pair)

PY5636 Foot Straps-15"L (length over top of foot, pair)

PY5638 Secure Foot Straps-15"L (length over top of foot, two pair)

PY5600 Roho® Knee Pads (pair, only available with 5.5" pad)

PY5596 Swing-Away Knee Pads (pair)

PY5570 Contoured Seat-Narrow 11"-13"W PY5572 Contoured Seat-Wide 12"-14"W PY3042 Black Hygienic Seat Cover for Planar Seat PY3043 Black Hygienic Seat Cover for PY5570 PY3044 Black Hygienic Seat Cover for PY5572 PY5560 Hip Supports (9"-15" range, pair, not available with contoured seat)

$229$41$80

$282$244$369$369$85$85$85

$332

m m m mm m m m m m m

Foot Holder Size (please select one)

7.75"Lx3.25"W 9.75"Lx4"W11.75"Lx5"W (base model)

m m m Knee Pad Size (inside width, please select one)

4.0" 5.5" (base model)

m m

Choose actuator handle location:Right Side (base model)

Left Sidem m

Supine (CANNOT be ordered off-unit)

PY5554 Supine (shadow tray, back option and head support required)

$514m

Seat Adjustment (CANNOT be ordered off-unit)PY5645 Easy-Adjust Seat Depth (Roller bearing seat depth that allows for smoother seat depth adjustment)

$98m

*

Tray AccessoriesPNG50042 Hand Grips (for clear tray only, pair)

PT50156 Elbow Pad-9.25" CutoutPT50160 Elbow Pad-11" CutoutPY5582 Elbow Pad-13" CutoutPNG30000 Large Contoured Chest Pad (not available with elbow pads)

PNG30295 Padded Tray Cover (not available with elbow pads)

$140 $131$131$131$129$206

mm mm m m

Front CastersPY5568 Front Swivel Casters $163m

PY5604 Black Molded Tray-21"Lx24"W (depth, height and angle adjustable)

PY5606 Clear Tray-21"Lx24"W (depth, height and angle adjustable)

PY5656 Black Molded Swing-Away Tray-21"Lx24"W (depth, height and angle adjustable)

PY5657 Clear Swing-Away Tray-21"Lx24"W (depth, height and angle adjustable)

Shadow Trays (must select one)

$630$871$747

$922

m m m

m

Lift MechanismsPY5564 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PY5632 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140 $140

m m

m m

Positioning and Upper Body SupportPY3008 Velcro® Positioning Belt (fits hip circumference up to 66", velcro with D-ring)

PY3014 Positioning Belt with Airline Style Buckle (fits hip circumference up to 66", velcro with D-ring)

PY5620 Chest Strap (circumference up to 42", velcro with D-ring)

PY5634 High Mount Chest Vest Bracket (head support required)

PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"WPNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PY5562 Lateral Supports-9"-14.5" Range (pair, not available with contoured back)

PY5658 Lateral Supports with Elbow Stop-9"-14.5" Range (for planar pads only, pair)

PY5659 Lateral Supports with Elbow Stop and Arm Rest-9"-14.5" Range (for planar pads only, pair)

PY5660 Elbow Stop with Arm Rest (for planar and contoured pads, pair)

PY5626 Head Support-5"Hx8"WPY5628 Head Support-6"Hx10"WPY5630 Head Support-7"Hx14"WPA5586 Head Support-Form to Fit-5"Hx10"WPNG50040 Push Handles (pair)

P80809 Tool Pouch PY5643 Angle Locator

$51$140

$129$71

$253$253$253$253$332$339

$375

$339$332$332$332 $332$140$22$32

m m

m m m m m m m m

m

m m m m m m m m

medium

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESNEWBANSMPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Go to easystand.com to see specific fabric patterns

14

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Page 17: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Medium User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat pivot to flat back)Seat to Foot Plate Range (from seat pivot)

4'0"-5'6"200 lbs.14"-19"

11.5"-18"

PNG50410 EasyStand Evolv E3 Medium $2,398®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVE3MEDPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m

Foot Plates, Knee Pads and SeatsPNG50414 Multi-Adjustable Foot Plates (pair)

PNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG30269 Transfer SeatPNG50324 Rotating Seat PNG30183 Seat with Roho® Insert P80246 Angle LocatorPNG50161 Hip Supports (9"-15" range, pair)

PNG50198 Hip Supports (11"-17" range, pair, limited adjustment with shadow tray)

PNG50518 Hip Supports (16"-22" range, pair, limited adjustment with shadow tray)

PNG50384 Independent Knee Pads (pair)* PNG50385 Independent Roho® Knee Pads (pair)*PNG50425 Independent Knee Pads for Swing-Away (pair)* PNG50426 Independent Roho® Knee Pads for Swing-Away (pair)*

$197$41$41

$106$106$126$220$557$32

$332 $332$332$444$557$444$557

m m m m m m m m m m m m m m m m

• Two 5" Front Wheels • Two 5" Rear Locking Casters• Manual Hydraulic Actuator with Handle • Planar Seat • Flip-Up Knee Pads • Height-Only Adjustable Foot Plates • No-Tray Chest Pad • Transfer Handles• Black Upholstery

The base model includes:

Front Mounted Trays “Swing-Away” (not available with shadow tray)*PNG50462 Black Molded Tray for Swing-AwayPNG50463 Clear Tray for Swing-AwayPNG50464 Oversized Clear Tray for Swing-AwayPNG50495 Black Molded Angle Adjustable Tray for Swing-Away PNG50494 Clear Angle Adjustable Tray for Swing-AwayPNG50496 Oversized Angle Adjustable Tray for Swing-Away

$535 $689$816$855

$1,001$1,127

m m m mm m

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth (back option required) $98m

Front Mounted Trays (not available with shadow tray)*PNG50393 Black Molded TrayPNG50394 Clear Tray Top PNG50396 Oversized Clear Tray PNG50397 Black Molded Angle Adjustable Tray PNG50398 Clear Angle Adjustable Tray

$535 $689$816$855

$1,001

mm mm m

Frame StylesPNG50025 Mobile (not available with independent knee pads or shadow tray) PNG50314 Front Swivel Casters*PNG50483 Front Swivel Casters for Swing-Away Front* PNG50417 Swing-Away Front (tray required)*PNG50428 Swing-Away Front for Shadow Tray (tray required)*

$1,344$163$163$246$192

m m m m m

PNG50476 Shadow Tray-7" (7.25”H from seat, 4”-15”D from back) (only available with Swing-Away Front)

PNG50478 Deep Shadow Tray-7" (7.25”H from seat, 8”-19”D from back) (only available with Swing-Away Front)

PNG50401 Shadow Tray-10" (10”H from seat, 4”-15”D from back)

PNG50402 Deep Shadow Tray-10" (10”H from seat, 8”-19”D from back)

PNG50347 Clear Top for Shadow Tray (must order a shadow tray)

Shadow Trays (back support required for all shadow trays)*$1,119

$1,119

$1,119$1,119

$149

m

m

m m m

Lift MechanismsPNG50010 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140 $140

m m

m m

The EasyStand Evolv E3 is different from the EasyStand Evolv. The base features on the E3 model differ from those offered on the EasyStand Evolv. Before ordering the E3 model be certain that you know the differences and are ordering the product that best fits your client’s needs.

Mobile Trays (not available with front mounted or shadow trays)

PNG50395 Clear Tray for MobilePNG50399 Clear Angle Adjustable Tray for Mobile

$689 $1,001

m m

Tray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)*PNG30000 Large Contoured Chest Pad (standard with shadow tray)

PNG30295 Padded Tray Cover (not available with oversized clear tray)*

$140$129$206

m m m

®

medium

Positioning, Back, and Upper Body SupportPNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair)

PNG50176 Lateral Supports-11"-19.5"W (pair) PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m m m m m m m m m m m m m

* not available with mobile

15

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Page 18: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVE3LGPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVE3MEDPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

16

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Large User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat pivot to flat back)Seat to Foot Plate Range (from seat pivot)

5'0"-6'2"280 lbs.18"-23"14"-21"

PNG50400 EasyStand Evolv E3 Large $2,398®

m

Foot Plates, Knee Pads and SeatsPNG50411 Multi-Adjustable Foot Plates (pair)

PNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG30270 Transfer SeatPNG50318 Rotating Seat PNG30023 Seat with Roho® Insert P80246 Angle LocatorPNG50161 Hip Supports (10"-15" range, pair)

PNG50198 Hip Supports (12"-17" range, pair, limited adjustment with shadow tray)

PNG50518 Hip Supports (17"-23" range, pair, limited adjustment with shadow tray)

PNG50384 Independent Knee Pads (pair)* PNG50385 Independent Roho® Knee Pads (pair)*PNG50425 Independent Knee Pads for Swing-Away (pair)* PNG50426 Independent Roho® Knee Pads for Swing-Away (pair)*

$197$41$41

$106$106$126$220$557$32

$332$332$332$444$557$444$557

m m m m m m m m m m m m m m m m

• Two 5" Front Wheels • Two 5" Rear Locking Casters• Manual Hydraulic Actuator with Handle • Planar Seat • Flip-Up Knee Pads • Height-Only Adjustable Foot Plates • No-Tray Chest Pad • Transfer Handles• Black Upholstery

The base model includes:

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth (back option required) $98m

Frame StylesPNG50025 Mobile (not available with independent knee pads or shadow tray) PNG50314 Front Swivel Casters*PNG50483 Front Swivel Casters for Swing-Away Front* PNG50417 Swing-Away Front (tray required)*PNG50428 Swing-Away Front for Shadow Tray (tray required)*

$1,344$163$163$246$192

m m m m m

PNG50476 Shadow Tray-7" (7.25”H from seat, 4”-15”D from back) (only available with Swing-Away Front)

PNG50478 Deep Shadow Tray-7" (7.25”H from seat, 8”-19”D from back) (only available with Swing-Away Front)

PNG50401 Shadow Tray-10" (10”H from seat, 4”-15”D from back)

PNG50402 Deep Shadow Tray-10" (10”H from seat, 8”-19”D from back)

PNG50403 Shadow Tray-12” (12.25”H from seat, 4”-15”D from back) PNG50404 Deep Shadow Tray-12” (12.25”H from seat, 8”-19”D from back)

PNG50347 Clear Top for Shadow Tray (must order a shadow tray)

Shadow Trays (back support required for all shadow trays)*$1,119

$1,119

$1,119$1,119$1,119$1,119

$149

m

m

m m m m m

Lift MechanismsPNG50010 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140 $140

m m

m m

The EasyStand Evolv E3 is different from the EasyStand Evolv. The base features on the E3 model differ from those offered on the EasyStand Evolv. Before ordering the E3 model be certain that you know the differences and are ordering the product that best fits your client’s needs.

Front Mounted Trays “Swing-Away” (not available with shadow tray)*PNG50462 Black Molded Tray for Swing-AwayPNG50463 Clear Tray for Swing-AwayPNG50464 Oversized Clear Tray for Swing-AwayPNG50495 Black Molded Angle Adjustable Tray for Swing-Away PNG50494 Clear Angle Adjustable Tray for Swing-AwayPNG50496 Oversized Angle Adjustable Tray for Swing-Away

$535 $689$816$855

$1,001$1,127

m m m mm m

Front Mounted Trays (not available with shadow tray)*PNG50393 Black Molded TrayPNG50394 Clear Tray Top PNG50396 Oversized Clear Tray PNG50397 Black Molded Angle Adjustable Tray PNG50398 Clear Angle Adjustable Tray

$535 $689$816$855

$1,001

mm mm m

Mobile Trays (not available with front mounted or shadow trays)

PNG50395 Clear Tray for MobilePNG50399 Clear Angle Adjustable Tray for Mobile

$689 $1,001

m m

Tray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)*PNG30000 Large Contoured Chest Pad (standard with shadow tray)

PNG30295 Padded Tray Cover (not available with oversized clear tray)*

$140$129$206

m m m

Positioning, Back, and Upper Body SupportPNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair)

PNG50176 Lateral Supports-11"-19.5"W (pair)

PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m m m m m m m m m m m m m

* not available with mobile

®

large

Page 19: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Medium User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat pivot to flat back)Seat to Foot Plate Range (from seat pivot)

4'0"-5'6"200 lbs.14"-19"

11.5"-18"

PNG50162 EasyStand Evolv Medium $3,033®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVMEDPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m

Foot Plates, Knee Pads and SeatsPNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG30269 Transfer SeatPNG50324 Rotating Seat PNG30183 Seat with Roho® Insert P80246 Angle LocatorPNG50161 Hip Supports (9"-15" range, pair)

PNG50198 Hip Supports (11"-17" range. pair, limited adjustment with shadow tray)

PNG50518 Hip Supports (16"-22" range, pair, limited adjustment with shadow tray)

PNG50384 Independent Knee Pads (pair)* PNG50385 Independent Roho® Knee Pads (pair)*PNG50425 Independent Knee Pads for Swing-Away (pair)* PNG50426 Independent Roho® Knee Pads for Swing-Away (pair)*

$41 $41

$106$106$126$220$557$32

$332 $332$332$444$557$444$557

m m m m m m m m m m m m m m m

• Two 5" Front Wheels • Two 5" Rear Locking Casters• Manual Hydraulic Actuator with Handle • Planar Seat • Flip-Up Knee Pads • Multi-Adjustable Foot Plates • Black Molded Tray with Chest Pad • Transfer Handles• Black Upholstery

The base model includes:

Front Mounted Trays “Swing-Away” (not available with shadow tray)*PNG50456 Clear Tray for Swing-AwayPNG50458 Oversized Clear Tray for Swing-AwayPNG50490 Black Molded Angle Adjustable Tray for Swing-Away PNG50489 Clear Angle Adjustable Tray for Swing-Away PNG50491 Oversized Angle Adjustable Tray for Swing-Away

$149 $253$321$465$569

m m m m m

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth (back option required) $98m

Front Mounted Trays (not available with shadow tray)*PNG50248 Clear Tray Top PNG50194 Oversized Clear Tray PNG50368 Black Molded Angle Adjustable Tray PNG50366 Clear Angle Adjustable Tray PNG50295 No-Tray Chest Pad

$149$253$321$465$231

mm mm m

Frame StylesPNG50025 Mobile (not available with independent knee pads or shadow tray) PNG50314 Front Swivel Casters*PNG50483 Front Swivel Casters for Swing-Away Front* PNG50417 Swing-Away Front (tray required)*PNG50428 Swing-Away Front for Shadow Tray (tray required)*

$1,344$163$163$246$192

m m m m m

PNG50471 Shadow Tray-7" (7.25”H from seat, 4”-15”D from back) (only available with Swing-Away Front)

PNG50474 Deep Shadow Tray-7" (7.25”H from seat, 8”-19”D from back) (only available with Swing-Away Front)

PNG50130 Shadow Tray-10" (10”H from seat, 4”-15”D from back)

PNG50334 Deep Shadow Tray-10" (10”H from seat, 8”-19”D from back)

PNG50347 Clear Top for Shadow Tray (must order a shadow tray)

Shadow Trays (back support required for all shadow trays)*$557

$557

$557$557$149

m

m

m m m

Lift MechanismsPNG50010 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140$140

m m

m m

Mobile Trays (not available with front mounted or shadow trays)

PNG50327 Clear Angle Adjustable Tray for Mobile $321mTray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)*PNG30000 Large Contoured Chest Pad (standard with shadow tray)

PNG30295 Padded Tray Cover (not available with oversized clear tray)*

$140$129$206

m m m

Positioning, Back, and Upper Body SupportPNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair)

PNG50176 Lateral Supports-11"-19.5"W (pair) PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m m m m m m m m m m m m m

* not available with mobile

®

medium

17

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Page 20: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Large User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat pivot to flat back)Seat to Foot Plate Range (from seat pivot)

5'0"-6'2"280 lbs.18"-23"14"-21"

PNG50084 EasyStand Evolv Large $3,033®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVLGPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m

Foot Plates, Knee Pads and SeatsPNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG30270 Transfer SeatPNG50318 Rotating Seat PNG30023 Seat with Roho® Insert P80246 Angle LocatorPNG50161 Hip Supports (10"-15" range, pair)

PNG50198 Hip Supports (12"-17" range, pair, limited adjustment with shadow tray)

PNG50518 Hip Supports (17"-23" range, pair, limited adjustment with shadow tray)

PNG50384 Independent Knee Pads (pair)* PNG50385 Independent Roho® Knee Pads (pair)*PNG50425 Independent Knee Pads for Swing-Away (pair)* PNG50426 Independent Roho® Knee Pads for Swing-Away (pair)*

$41 $41

$106$106$126$220$557$32

$332 $332$332$444$557$444$557

m m m m m m m m m m m m m m m

• Two 5" Front Wheels • Two 5" Rear Locking Casters• Manual Hydraulic Actuator with Handle • Planar Seat • Flip-Up Knee Pads • Multi-Adjustable Foot Plates • Black Molded Tray with Chest Pad • Transfer Handles• Black Upholstery

The base model includes:

Front Mounted Trays “Swing-Away” (not available with shadow tray)*PNG50456 Clear Tray for Swing-AwayPNG50458 Oversized Clear Tray for Swing-AwayPNG50490 Black Molded Angle Adjustable Tray for Swing-Away PNG50489 Clear Angle Adjustable Tray for Swing-Away PNG50491 Oversized Angle Adjustable Tray for Swing-Away

$149 $253$321$465$569

m m m m m

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth (back option required) $98m

Front Mounted Trays (not available with shadow tray)*PNG50248 Clear Tray Top PNG50194 Oversized Clear Tray PNG50368 Black Molded Angle Adjustable Tray PNG50366 Clear Angle Adjustable Tray PNG50295 No-Tray Chest Pad

$149$253$321$465$231

mm mm m

Frame StylesPNG50025 Mobile (not available with independent knee pads or shadow tray) PNG50314 Front Swivel Casters*PNG50483 Front Swivel Casters for Swing-Away Front* PNG50417 Swing-Away Front (tray required)*PNG50428 Swing-Away Front for Shadow Tray (tray required)*

$1,344$163$163$246$192

m m m m mLift Mechanisms

PNG50010 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140$140

m m

m m

Mobile Trays (not available with front mounted or shadow trays)

PNG50327 Clear Angle Adjustable Tray for Mobile $321mTray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)*PNG30000 Large Contoured Chest Pad (standard with shadow tray)

PNG30295 Padded Tray Cover (not available with oversized clear tray)*

$140$129$206

m m m

Positioning, Back, and Upper Body SupportPNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair)

PNG50176 Lateral Supports-11"-19.5"W (pair) PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m m m m m m m m m m m m m

* not available with mobile

PNG50471 Shadow Tray-7" (7.25”H from seat, 4”-15”D from back) (only available with Swing-Away Front)

PNG50474 Deep Shadow Tray-7" (7.25”H from seat, 8”-19”D from back) (only available with Swing-Away Front)

PNG50130 Shadow Tray-10" (10”H from seat, 4”-15”D from back)

PNG50334 Deep Shadow Tray-10" (10”H from seat, 8”-19”D from back)

PNG50026 Shadow Tray-12” (12.25”H from seat, 4”-15”D from back) PNG50332 Deep Shadow Tray-12” (12.25”H from seat, 8”-19”D from back)

PNG50347 Clear Top for Shadow Tray (must order a shadow tray)

Shadow Trays (back support required for all shadow trays)*$557

$557

$557$557$557$557$149

m

m

m m m m m

®

large

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVMEDPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

18

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Page 21: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

XT User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (seat pivot to flat back)Seat to Foot Plate Range (from seat pivot)

6'0"-6'10"350 lbs.20"-25"17"-23"

EasyStand Evolv XT $4,046®

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVLGPL-050918 REV D Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Payer Source:

Retail Price List & Order Form USA Effective June 1, 2018 Date:

m

Foot Plates, Knee Pads and SeatsPNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG30270 Transfer SeatPNG50318 Rotating Seat PNG30023 Seat with Roho® Insert P80246 Angle LocatorPNG50161 Hip Supports (10"-15" range, pair)

PNG50198 Hip Supports (12"-17" range, pair, limited adjustment with shadow tray)

PNG50518 Hip Supports (17"-23" range, pair, limited adjustment with shadow tray)

PNG50384 Independent Knee Pads (pair)* PNG50385 Independent Roho® Knee Pads (pair)*

$41 $41

$106$106$126$220$557$32

$332$332$332$444$557

m m m m m m m m m m mm mPositioning, Back, and Upper Body Support

PNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair) PNG50176 Lateral Supports-11"-19.5"W (pair)

PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m m m m m m m m m m mm m

* not available with mobile

• Two 5" Front Wheels • Two 5" Rear Locking Casters• Manual Hydraulic Actuator with Handle • Planar Seat • Flip-Up Knee Pads • Multi-Adjustable Foot Plates • Black Molded Tray with Chest Pad • Transfer Handles• Black Upholstery

The base model includes:

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50500 Easy-Adjust Seat Depth (back option required) $98m

Front Mounted Trays (not available with shadow tray)*PNG50248 Clear Tray Top PNG50194 Oversized Clear Tray PNG50368 Black Molded Angle Adjustable Tray PNG50366 Clear Angle Adjustable Tray PNG50295 No-Tray Chest Pad

$149 $253$321$465$231

mm mm m

Frame StylesPNG50322 Mobile (not available with independent knee pads or shadow tray) PNG50346 Front Swivel Casters*

$1,344$163

m mLift Mechanisms

PNG50321 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140$140

m m

m m

Mobile Trays (not available with front mounted or shadow trays)

PNG50327 Clear Angle Adjustable Tray for Mobile $321mTray Accessories (tray required)

PNG50042 Hand Grips (for clear tray only, pair)*PNG30000 Large Contoured Chest Pad (standard with shadow tray)

PNG30295 Padded Tray Cover (not available with oversized clear tray)*

$140$129$206

m m m

PNG50130 Shadow Tray-10" (10”H from seat, 4”-15”D from back)

PNG50334 Deep Shadow Tray-10" (10”H from seat, 8”-19”D from back)

PNG50026 Shadow Tray-12” (12.25”H from seat, 4”-15”D from back) PNG50332 Deep Shadow Tray-12” (12.25”H from seat, 8”-19”D from back)

PNG50347 Clear Top for Shadow Tray (must order a shadow tray)

Shadow Trays (back support required for all shadow trays)*$557$557$557$557$149

m m m m m

®

Price Includes:PNG50209 EasyStand Evolv XT Base PNG50377 Extra Tall Configuration

$3,033$1,013

xt

19

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Some options ordered on-unit may be in place of similar base items

Email form to [email protected] this form to 877.342.8968

Page 22: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESEVLGPL-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Medium User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (center of knee pad to flat back)Seat to Foot Plate Range (from seat pivot)

4'0"-5'6"200 lbs.20"-25"

13.5"-16.5"

EasyStand Glider Medium $6,635

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESGLMEDPL-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Fax this form to 877.342.8968

Payer Source:

USA Effective January 1, 2018 Date:

m

Some options ordered on-unit may be in place of similar base items

Positioning, Back, and Upper Body SupportPNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H

ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel

ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair)

PNG50176 Lateral Supports-11"-19.5"W (pair) PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m

m m m m m m m m m m m m

• Full Range Seat • Adjustable Resistance Cylinders• Positioning Bar • Two 5" Front Wheels• Two 5" Rear Locking Casters • Manual Hydraulic Actuator with Handle• Tray & Chest Pad • Glide Handles• Flip-Up Knee Pads • Adjustable Foot Plates• Transfer Handles • Black Upholstery

The base model includes:

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth (back option required) $98m

Lift MechanismsPNG50010 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140$140

m m

m m

Tray, Front Supports, and HandlesPNG50251 Glide Handle Extensions (pair)

PNG50295 No-Tray Chest Pad$140$231

m m

PNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG50351 Seat with Roho® Insert P80246 Angle Locator PNG50345 Hip Supports (9"-15" range, pair) PNG50374 Hip Supports (11"-17" range, pair)

Foot Plates and Seats$41 $41

$106$106$557$32

$332$332

m m m m m m m m

®

Price Includes:PNG50378 Glider Base PNG50187 Glider Configuration

$3,033$3,602

Glidermedium

Retail Price List & Order Form

Page 23: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Large User SpecificationsApproximate Height RangeWeight LimitSeat Depth Range (center of knee pad to flat back)Seat to Foot Plate Range (from seat pivot)

5'0"-6'2"280 lbs.24"-29"

15.5"-18.5"

EasyStand Glider Large $6,635

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESGLMEDPL-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Fax this form to 877.342.8968

Payer Source:

USA Effective January 1, 2018 Date:

m

Some options ordered on-unit may be in place of similar base items

Positioning, Back, and Upper Body SupportPNG50066 Flat Back-15"HPNG50067 Flat Back-19"HPNG50062 Contoured Back-15"H PNG50068 Contoured Back-19"H PNG50171 Removable Flat Back-15"H PNG50173 Removable Flat Back-19"H PNG50172 Removable Contoured Back-15"H PNG50174 Removable Contoured Back-19"H

ATTENTION - All options below require a back

PNG30029 Velcro® Positioning Belt-26"-55"PNG30306 Velcro® Positioning Belt-38"-67"PNG30028 Positioning Belt with Airline Style Buckle-26"-55" PNG50192 Chest Strap-30"-46"PNG50193 Chest Strap-34"-54"PNG50504 Chest Strap-46"-66"P600002 Back Angle Adjustment Wheel

ATTENTION - All options below require the accessories mounting bracket

PNG50034 Accessories Mounting Bracket PNG30170 X-Style Chest Vest-11"Lx9.5"W PNG30056 X-Style Chest Vest-14.5"Lx10.5"W PNG30171 Y-Style Chest Vest-17.5"Lx11.5"W PNG30021 Y-Style Chest Vest-20.5"Lx12.5"W PNG11212 High Mount Chest Vest Bracket PNG50224 Lateral Supports-8"-16.5"W (pair)

PNG50176 Lateral Supports-11"-19.5"W (pair) PNG50240 Head Support-ShortPNG50037 Head Support-TallPNG50040 Push Handles (pair)

P80809 Tool Pouch

$608$642$669$703$698$732$760$794

$51$51

$140$129$129$129$95

$61$253$253$253$253$71

$332$332$332$332$140$22

m m m m m m m m

m m m m m m m

m m m m m m m m m m m m

• Full Range Seat • Adjustable Resistance Cylinders• Positioning Bar • Two 5" Front Wheels• Two 5" Rear Locking Casters • Manual Hydraulic Actuator with Handle• Tray & Chest Pad • Glide Handles• Flip-Up Knee Pads • Adjustable Foot Plates• Transfer Handles • Black Upholstery

The base model includes:

Choose actuator handle location:Right Side (base model)

Left Sidem m

Seat Adjustment (CANNOT be ordered off-unit)PNG50499 Easy-Adjust Seat Depth (back option required) $98m

Lift MechanismsPNG50010 Pow’r Up Lift (replaces hydraulic actuator, battery powered)

PNG50328 Adjustable/Removable Actuator Handle (not available with pow’r up)

PNG50044 Quad Grip Handle Extension (not available with pow’r up)

PNG50070 T-Style Handle Extension (not available with pow’r up)

$1,119$208

$140$140

m m

m m

Tray/Front SupportsPNG50295 No-Tray Chest Pad $231m

PNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

PNG50353 Seat with Roho® Insert P80246 Angle Locator PNG50345 Hip Supports (10"-15" range, pair) PNG50374 Hip Supports (12"-17" range, pair)

Foot Plates and Seats$41 $41

$106$106$557$32

$332$332

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®

Price Includes:PNG50378 Glider Base PNG50024 Glider Configuration

$3,033$3,602

Glider large

Retail Price List & Order Form

Page 24: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESGLMEDPL-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

StrapStand User SpecificationsApproximate Height RangeWeight Limit

5'0"-6'5"350 lbs.

P2100 EasyStand StrapStand $2,510

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESGLSSPL-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Fax this form to 877.342.8968

Payer Source:

USA Effective January 1, 2018 Date:

m

Some options ordered on-unit may be in place of similar base items

Foot Plates and Knee PadsP82090 Multi-Adjustable Foot Plates (pair, recomended for users 5’10” and up)

P82144 XL Foot PlatePNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

P82101 Independent Knee Pads (pair)

P82189 Independent Roho® Knee Pads (pair)

$240$276$41$41

$106$106$444$557

m m m m m m m m

• Two 3" Casters • Two 4" Wheels• Foot Plates • Knee Pad• No-Tray Chest Pad • Hydraulic Actuator with Handle• Black Upholstery

The base model includes:

Lifting Straps80811 Lifting Strap-9"Wx25"L80719 Lifting Strap-12"Wx28"L 80962 Lifting Strap-14"Wx32"L 80882 Adjustable Lifting Strap-10"Wx26"L (for fixed arm wheelchairs)

80881 Adjustable Lifting Strap-12"Wx29"L (for fixed arm wheelchairs)

80963 Adjustable Lifting Strap-14"Wx32"L (for fixed arm wheelchairs)

82205 Adjustable Sling Strap-9"Wx25"L (for fixed arm wheelchairs)

82206 Adjustable Sling Strap-12"Wx28"L (for fixed arm wheelchairs)

82207 Adjustable Sling Strap-14"Wx32"L (for fixed arm wheelchairs)

82280 Adjustable Lifting Harness-10"Wx26"L(for fixed arm wheelchairs)

82281 Adjustable Lifting Harness-12"Wx29"L (for fixed arm wheelchairs)

82282 Adjustable Lifting Harness-14"Wx32"L (for fixed arm wheelchairs)

$213$213 $213$213

$213$213

$213$213

$213$282$282$282

m mm m m mm m m mm m

Tray AccessoriesPNG50042 Hand Grips (for clear tray only, pair)

PNG30000 Large Contoured Chest PadPNG30295 Padded Tray Cover (tray required, not available with narrow trays)

$140$129$206

m m m

P82261 Narrow Clear Tray (2” narrower lift arms)

P82262 Narrow Clear Angle Adjustable Tray (2” narrower lift arms)

PNG50393 Black Molded TrayPNG50394 Clear TrayPNG50397 Black Molded Angle Adjustable Tray PNG50398 Clear Angle Adjustable Tray

Trays$689

$1,001$535$689$855

$1,001

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®

Lifting Strap and Tray not included. Please choose Lifting Strap and Tray option below

Actuator HandlesPNG50044 Quad Grip Handle Extension PNG50070 T-Style Handle Extension P82264 Removable Actuator Handle

$140$140$208

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Positioning OptionsP80829 Upper Body Support StrapP82062 Grab Handles (pair)

P82160 Transport HandleP82188 Swing-Out Legs (pair, for wheelchairs greater than 22” wide)

P80809 Tool Pouch

$134$140$197$541$22

m m m m m

StrapStandRetail Price List & Order Form

Page 25: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Additional Lifting Strap80811 Lifting Strap-9"Wx25"L80719 Lifting Strap-12"Wx28"L 80962 Lifting Strap-14"Wx32"L 80882 Adjustable Lifting Strap-10"Wx26"L (for fixed arm wheelchairs)

80881 Adjustable Lifting Strap-12"Wx29"L (for fixed arm wheelchairs)

80963 Adjustable Lifting Strap-14"Wx32"L (for fixed arm wheelchairs)

82205 Adjustable Sling Strap-9"Wx25"L (for fixed arm wheelchairs)

82206 Adjustable Sling Strap-12"Wx28"L (for fixed arm wheelchairs)

82207 Adjustable Sling Strap-14"Wx32"L (for fixed arm wheelchairs)

82280 Adjustable Lifting Harness-10"Wx26"L(for fixed arm wheelchairs)

82281 Adjustable Lifting Harness-12"Wx29"L (for fixed arm wheelchairs)

82282 Adjustable Lifting Harness-14"Wx32"L (for fixed arm wheelchairs)

$213$213 $213 $213$213

$213 $213$213$213$282$282

$282

m mm m m mm m m mm m

StrapStand User SpecificationsApproximate Height RangeWeight Limit

5'0"-6'5"350 lbs.

P2000 EasyStand StrapStand "Classic" $3,258

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM ESGLSSCPL-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.

Name:

Address:

Ship To

Phone:

City, State:

Tag For:

Address:

Zip:

Purchase Order #:

Bill To (EasyStand Supplier Only)

Account #:

Quote #:

Ordered By:

Name of RTS/ATP:

Supplier Company:

City, State, Zip:

Phone:

Address:

Fax:

Email:

Ph: 800.342.8968 or 507.697.6393Fax: 877.342.8968 or 507.697.6900

easystand.com

Fax this form to 877.342.8968

Payer Source:

USA Effective January 1, 2018 Date:

m

Some options ordered on-unit may be in place of similar base items

Foot Plates and Knee PadsP82090 Multi-Adjustable Foot Plates (pair, recomended for users 5’10” and up)

P82144 XL Foot PlatePNG30030 Foot Straps-15"L (length over top of foot, pair) PNG50505 Foot Straps-21"L (length over top of foot, pair) PNG30031 Secure Foot Straps-15"L (length over top of foot, two pair)

PNG50506 Secure Foot Straps-21"L (length over top of foot, two pair)

P82101 Independent Knee Pads (pair)

P82189 Independent Roho® Knee Pads (pair)

$240$276$41$41

$106$106$444$557

m m m m m m m m

• Two 3" Casters • Two 4" Wheels• Foot Plates • Knee Pad• Hydraulic Actuator with Handle • Black Upholstery• Charcoal Frame • Black Molded Tray with Chest Pad• Your Choice of Lifting Strap

The base model includes:

Tray AccessoriesPNG30000 Large Contoured Chest PadPNG30295 Padded Tray Cover

$129$206

m m

®

Actuator HandlesPNG50044 Quad Grip Handle Extension PNG50070 T-Style Handle Extension P82264 Removable Actuator Handle

$140$140$208

m m m

Positioning OptionsP80829 Upper Body Support StrapP82062 Grab Handles (pair)

P82160 Transport HandleP82188 Swing-Out Legs (pair, for wheelchairs greater than 22” wide)

P80809 Tool Pouch

$134$140$197$541$22

m m m m m

Choose one Lifting Strap:P80811 Lifting Strap-9"Wx25"LP80719 Lifting Strap-12"Wx28"L P80962 Lifting Strap-14"Wx32"L P80882 Adjustable Lifting Strap-10"Wx26"L (for fixed arm wheelchairs)

P80881 Adjustable Lifting Strap-12"Wx29"L (for fixed arm wheelchairs)

P80963 Adjustable Lifting Strap-14"Wx32"L (for fixed arm wheelchairs)

P82205 Adjustable Sling Strap-9"Wx25"L (for fixed arm wheelchairs)

P82206 Adjustable Sling Strap-12"Wx28"L (for fixed arm wheelchairs)

P82207 Adjustable Sling Strap-14"Wx32"L (for fixed arm wheelchairs)

m mm m m mm m m

StrapStand classic

Retail Price List & Order Form

Page 26: USA Retail Price Lists & Order FormsPA5536 Platform Foot Plate (foot holders not included) PA5624 Multi-Adjustable Foot Plates-6"Lx3"W(w/foot holders, pair) PA5626 Multi-Adjustable

Authorized Supplier

262 West 1st StreetMorton, MN 56270 USAToll Free: 800.342.8968 or 507.697.6393Fax Free: 877.342.8968 or 507.697.6900email: [email protected]

Standing technology should only be used under the guidance of a physician with recommendations for standing program protocol and any medical precautions. Standing programs should be monitored by the attending therapist. AMI maintains a policy of continual product improvement and reserves the right to change features, specifications, and prices without prior notification. Check with AMI for latest information. FORM EASYPRICELIST-110917 REV C Copyright © 2018 Altimate Medical, Inc. All rights reserved. U.S. & international patents pending. Printed in the U.S.A.