alberta aids to daily living wheelchair specifications ......for the most current pricing...

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PAGE 1 of 9 For the most current pricing information visit www.invacare.ca Note: All specifications and dimensions are approximate. Form:18-394C INVACARE POWER BASES TDXSP2 TDX SP2 Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,575 Select STF: SLOW 16.75” (2) $250 LOW 17.25” MED 18.25” TALL 19.25” 1. Seat-to-floor height is measured at the front of the seat pan based on a standard seat size. Seat-to-floor height may vary +/-.25” dependent on conditions of the power base and seat depth greater than 18” 2. .Available on wide base (25.5”) only. Minimum 18” seat depth. Call Customer Service for other options. USER WEIGHT LIMITS U300 Weight Capacity up to 300 lbs . . . . . . . . . . . . . . . . . . . STD TRANSPORT TIE DOWN TRBKTS Wheelchair Transport Brackets (1) . . . . . . . . . . . . . . . . . . . . STD NOTES: 1. For unoccupied use only TIRE OPTIONS B1431-3 14” x 3” Black Tires w/Gel Foam Inserts . . . . . . . . . . . . . STD B1430-3 14” x 3” Black Tire - Pneumatic . . . . . . . . . . . . . . . . . . N/C FORK OPTIONS DSFK Double-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . . STD FKPKG Single-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . . . $375 BATTERY TRAY TYPE 22TRY 22NF Style Tray - Narrow Base 24” . . . . . . . . . . . . . . . . . . N/C 24TRY 24 Group Style Tray - Wide Base 25.5” . . . . . . . . . . . . . . N/C BATTERY CHARGER OPTION 110CHARGER 110 Volt Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C OMIT Omit Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C FRAME FINISH 163P Black Ice Glossy* . . . . . . . . . . . . . . . . . . . . . . . . N/C 162P Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C 160P Invacare Blue* . . . . . . . . . . . . . . . . . . . . . . . N/C 158P Lights Out Black Matte. . . . . . . . . . . . . . . . . . . . N/C 154P Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . N/C 155P Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C 161P Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C 157P Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C 156P Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C 159P White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C *Quick Ship colours will ship in 5 days RIM INSERT COLORS - MUST PICK ONE 163PR Black Ice Glossy . . . . . . . . . . . . . . . . . . . . . . . N/C 162PR Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C 160PR Invacare Blue . . . . . . . . . . . . . . . . . . . . . . . N/C 158PR Lights Out Black Matte. . . . . . . . . . . . . . . . . . . . N/C 154PR Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . . N/C 155PR Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C 161PR Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C 157PR Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C 156PR Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C 159PR White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C Client Height: Client Weight (lbs): A. Seat to Shoulder: B. Trunk Depth: C. Chest Width: D. Knee to Back: E. Seat to Top of Head: F. Elbow to Hand: G. Seat to Elbow: H. Hip Width: I. Knee to Heel: Cushion Thickness: To ensure system is accurately configured please fill in all required Quote Order Date of Order: ________ Dealer Account #: ____________________ Dealer Name: ________________________________________________ PO #: ____________________________ Tag _______________________ Purchasing Contact: __________________________________________ Phone: __________________________ Fax: _______________________ E-mail: ______________________________________________________ RTS/Therapist: _______________________________________________ Ship to Address: _____________________________________________ City: ____________________________ Province: __________________ Postal Code: _____________________ Client Gender: M F Special Client Conditions: ____________________________________ REQUIRED MEASUREMENTS REQUIRED INFORMATION TDX-SP2 Power Base with Maxx Rehab Seat CDN PRICE LIST AND ORDER FORM FOR AADL CAT#W801 Price Effective February 1, 2018 Customer Service: 1.800.668.5324 I Fax: 1.800.668.5478 I www.invacare.ca RIM INSERTS Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat © 2018 Government of Alberta

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Page 1: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 1 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

INVACARE POWER BASES

TDXSP2 TDX SP2 Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,575

Select STF: SLOW 16.75”(2) $250 LOW 17.25” MED 18.25” TALL 19.25”

1. Seat-to-floor height is measured at the front of the seat pan based on a standard seat size. Seat-to-floor height may vary +/-.25” dependent on conditions of the power base and seat depth greater than 18” 2. . Available on wide base (25.5”) only. Minimum 18” seat depth. Call Customer Service for other options.

USER WEIGHT LIMITS

U300 Weight Capacity up to 300 lbs . . . . . . . . . . . . . . . . . . . STD

TRANSPORT TIE DOWN

TRBKTS Wheelchair Transport Brackets(1) . . . . . . . . . . . . . . . . . . . . STD

NOTES: 1. For unoccupied use only

TIRE OPTIONS

B1431-3 14” x 3” Black Tires w/Gel Foam Inserts . . . . . . . . . . . . .STD

B1430-3 14” x 3” Black Tire - Pneumatic . . . . . . . . . . . . . . . . . . N/CFORK OPTIONS

DSFK Double-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . .STD

FKPKG Single-Sided Fork Package . . . . . . . . . . . . . . . . . . . . . . . . .$375

BATTERY TRAY TYPE

22TRY 22NF Style Tray - Narrow Base 24” . . . . . . . . . . . . . . . . . . N/C

24TRY 24 Group Style Tray - Wide Base 25.5” . . . . . . . . . . . . . . N/C

BATTERY CHARGER OPTION

110CHARGER 110 Volt Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C

OMIT Omit Battery Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/C

FRAME FINISH163P Black Ice Glossy* . . . . . . . . . . . . . . . . . . . . . . . . N/C

162P Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C160P Invacare Blue* . . . . . . . . . . . . . . . . . . . . . . . N/C

158P Lights Out Black Matte . . . . . . . . . . . . . . . . . . . . N/C

154P Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . N/C

155P Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C

161P Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C

157P Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C

156P Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C

159P White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C

*Quick Ship colours will ship in 5 days

RIM INSERT COLORS - MUST PICK ONE163PR Black Ice Glossy . . . . . . . . . . . . . . . . . . . . . . . N/C

162PR Space Station Silver . . . . . . . . . . . . . . . . . . . . . . N/C160PR Invacare Blue . . . . . . . . . . . . . . . . . . . . . . . N/C

158PR Lights Out Black Matte . . . . . . . . . . . . . . . . . . . . N/C

154PR Rockstar Red . . . . . . . . . . . . . . . . . . . . . . . . N/C

155PR Tangy Orange . . . . . . . . . . . . . . . . . . . . . . . . N/C

161PR Grape Jelly Bean . . . . . . . . . . . . . . . . . . . . . . . . N/C

157PR Island Blue . . . . . . . . . . . . . . . . . . . . . . . . N/C

156PR Monster Green . . . . . . . . . . . . . . . . . . . . . . . . N/C

159PR White Out . . . . . . . . . . . . . . . . . . . . . . . . N/C

Client Height:

Client Weight (lbs):

A. Seat to Shoulder:

B. Trunk Depth:

C. Chest Width:

D. Knee to Back:

E. Seat to Top of Head:

F. Elbow to Hand:

G. Seat to Elbow:

H. Hip Width:

I. Knee to Heel:

Cushion Thickness:

To ensure system is accurately configured please fill in all required

Quote Order Date of Order: ________ Dealer Account #: ____________________

Dealer Name: ________________________________________________

PO #: ____________________________ Tag _______________________

Purchasing Contact: __________________________________________

Phone: __________________________ Fax: _______________________

E-mail: ______________________________________________________

RTS/Therapist: _______________________________________________

Ship to Address: _____________________________________________

City: ____________________________ Province: __________________

Postal Code: _____________________ Client Gender: M F

Special Client Conditions: ____________________________________

REQUIRED MEASUREMENTSREQUIRED INFORMATION

TDX-SP2 Power Base with Maxx Rehab Seat

CDN PRICE LIST AND ORDER FORM FOR AADL CAT#W801Price Effective February 1, 2018

Customer Service: 1.800.668.5324 I Fax: 1.800.668.5478 I www.invacare.ca

RIM INSERTS

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 2: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 2 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

LIGHTS AND INDICATORS

LIGHTSLED Lights and Indicators(1) . . . . . . . . . . . . . . . . . . . . . . . . .$700

NOTE: 1. Must order REM216, REM400 or REM500

CONTROLLERS

PM120AL Expandable Controller . . . . . . . . . . . . . . .STD

GTRAC-LX LiNX G-TRAC Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,200 STANDARD AND MULTIPLE DRIVER CONTROL

REM110 LiNX Drive Only Remote/Joystick(1) . . . . . . . . . . . . . . . . . STD

REM210 LED Non-Expandable Remote/Joystick(1) . . . . . . . . . . . N/C

REM216 LED Expandable Remote/Joystick with Lights . . . . . $875

NOTE: 1. Lights are not available with non-expandable remote.

EXPANDABLE DRIVE CONTROLS OPTIONS

REM400 Color 3.5” Touch Screen Remote/Joystick . . . . . . . . $1,100

REM500 LiNX Color 3.5” Touch Screen

Display Only - No Driver Control(1) . . . . . . . . . . . . . . . . . $1,100

PWH Harness Required for Expandable System . . . . . . . . . . N/C

NOTE:

1. For ASL Alternative Driver Controls and Accessories, please use order Form 19-395C TDX-SP2 Modular Maxx ASL CDN Price List and Order form.

ATTENDANT DRIVE CONTROL CHOICES

ACU Proportional Attendant Control . . . . . . . . . . . . . . . . .$1,024

Select mounting position

MR - Right Handed Mount

ML -Left Handed Mount SPECIALTY PROPORTIONAL CONTROLS REQUIRES REM400 OR REM500

CREM LiNX Compact Remote. . . . . . . . . . . . . . . . . . . . . . . . . . . $1,097

CREM-LF LiNX Compact Remote Low Force . . . . . . . . . . . . . . . $1,097

LINX* DIGITAL CONTROLS SIP-N-PUFFPKG32666 Therafin Sip-N-Puff Breath Tube Kit . . . . . $440

INPUT LiNX Input Module & Sip-N-Puff Interface(1)(2) . . . . . . . . . . . . . . . . . . . . . . . . $1,800 (9 Pin Connection)

NOTE: 1. Only one input module per chair.2. This is required with ASL Drive Controls.O

MOUNTING FOR DRIVER CONTROLS

Motion Height Adjustable Swing-Away Quad Link . . . . . . . . . . $344Select Mounting Position:Left Part # SAQL Right Part # SAQR

LINX ELECTRONIC ACCESSORIES

LAK LiNX Access Key(1) . . . . . . . . . . . . . . . . .$50

NOTE: 1. Required for programming

JOYSTICK TOPS PC101A Bodypoint U Shaped Handle 3”(1) . . . . $120

PC102A Bodypoint U Shaped Handle 4”(1) . . . $120

PC107A Bodypoint Rubber Dome(1) . . . . . . . . $120

1560 T Handle Flexible Joystick Extension(1) . . . . . . . . . . . . . . . . . . . . . . $120

1561 Straight Hangle Flexible Joystick Extension(1) . . . . . . . . . . . . . . . . . . . . . . $120

1826 Chin Cup . . . . . . . . . . . . . . . . . . . . . . . $120

NOTE:

1. To remove/disengage the joystick knob from the REM400 Remote pull straight up on the joystick (DO NOT TWIST) otherwise damage may occur and may void the warranty.

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 3: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 3 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

MAXX REHAB SEAT

Maxx Adjustable Rehab Seat Part # D0195 . . . . . . . . . . . $1,200

SEAT SPECIFICATIONS

Select Seat Width and Ultra Rail Width Adjustment

16” 17” 18” 19” 20” . . . . . . . . . . . . . . . . . . . . . . N/CPart # SW116 SW117 SW118 SW119 SW120 (Adjustable from 16”- 20”)

19” 20” 21” 22” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$460Part # SW219 SW220 SW221 SW222 (Adjustable from 19” - 22”)

Select Seat Depth and Ultra Rail Depth Adjustment

16” 17” 18” 19” 20” 21” . . . . . . . . . . . . . . . . N/CPart # SD116 SD117 SD118 SD119 SD120 SD121 (Adjustable from 16” - 21”)

19” 20” 21” 22” 23” . . . . . . . . . . . . . . . . . . . . . . . .$381Part # SD219 SD220 SD221 SD222 SD223 (Adjustable from 19” - 23”)

Small Adult Sizes: Select Seat Width(1)

14”(1) 15”(1) (Adjustable from 14” - 17”)Part # SW314 SW315

Select Seat Depth(1)

14”(1) 15”(1) 16” 17”18” (Adjustable from 14” - 18”)Part # SD314 SD315 SD316 SD317 SD318

NOTE:

1. Small Adult Seat Size - Weight limit is 175lbs on these seat sizes. If one of these widths/depths are selected, you can only selects one of smaller depths/widths.

LAP BELTS AND CHEST STRAPSPush Button Style Seat Belt . . . . . . . . . . . . . . . . . . . . . . STDPart # 48” BELT48 60” BELT60 71” BELT71

Chest Strap 5” W x 24” L (1) Part # CS . . . . . . . . . . . . . .$210 Padded Lap Belt 2 point(1) Part # PLB2 . . . . . . . . . . . . . . .$170 Padded Lap Belt 4 point(1) Part # PLB4 . . . . . . . . . . . . . . .$215NOTE: 1. 67” length only option.

CUSHION COVER REFERENCE GUIDE

MATRX SEAT CUSHION OPTIONS

Matrx Libra Seat Cushion 14”w-20”w . . . . . . . . . . . . . . .$745 LC1414 LC1416 LC1516 LC1518 LC1520 LC1616 LC1618 LC1620 LC1716 LC1718 LC1720 LC1816 LC1818 LC1820 LC1916 LC1918 LC1920 LC2016 LC2018 LC2020

Matrx Libra Seat Cushion 21”w - 22”w . . . . . . . . . . .$1,025 LC1622 LC1722 LC1822 LC1922 LC2022 LC2118 LC2120 LC2122 LC2218 LC2220

Matrx PS Seat Cushion 16”w - 20”w . . . . . . . . . . . . . . . .$569 PS1616 PS618 PS1620 PS1816 PS1818 PS1820 PS2016 PS2018 PS2020

Matrx PSVF Seat Cushion 16”w - 20”w . . . . . . . . . . . . . .$672 PSVF1616 PSVF1618 PSVF1620 PSVF1816

PSVF1818 PSVF1820 PSVF2016 PSVF2018 PSVF2020

Matrx Vi Seat Cushion 16”w - 20”w . . . . . . . . . . . . . . $624 MA1616-VI MA1618-VI MA1620-VI MA1816-VI

MA1818-VI MA1820-VI

Matrx Vi Seat Cushion 21”w - 22”w . . . . . . . . . . . . . . . .$681 MA2016-VI MA2018-VI MA2020-VI MA2218-VI

MA2220-VI

FABRIC OPTIONS FOR CUSHIONS

Spacetex Fabric Option for Libra Cushion Part # SFLF . . . . . . N/C Infection Control Fabric Option for Libra Cushion Part # ICFL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 Fusion Fabric Upgrade for Matrx Vi Cushion Part # FFV . . . . $150 Onyx Fabric Upgrade for Matrx Vi Cushion Part # OCUMA . . . . $100

Startex Fabric Upgrade for Matrx Vi Cushion Smooth Side up Part # SFVS . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50

Fabric Side up Part # SFVF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50

NOTE: Systems Include Seat Pan, Back Pan, Standard Armrests and Seat belt.

They are designed for use with a 2”- 3” cushion.

Infection Control

Onyx

StartexMeshtex

FusionSpacetex

Cushion Meshtex Startex Infection Spacetex Fusion Onyx

Libra N/A STD $50 N/C N/A N/A

PS N/A STD -Reversible

STD -Reversible

N/A N/A N/A

PSVF Combination Cover $50 N/A N/A N/A

Vi STD $50 $50 N/A $150 $100

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 4: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 4 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

MATRX ELAN HEADREST PAD

Matrx Elan Standard Pad . . . . . . . . . . . . . . . . . . . . . . . . .$310 Part # 6” Pad ESP6 10” Pad ESP10 14” Pad ESP14

Matrx Elan Standard Pad with Infection Control . . . . $335 Part #6” Pad ESP6-IC 10” Pad ESP10-IC 14” Pad ESP14-IC

Matrx Elan Occipital Pad . . . . . . . . . . . . . . . . . . . . . . . . $341Part #9” Pad EOP9 12” Pad EOP12

Matrx Elan Occipital Pad with Infection Control . . . . . $366Part #9” Pad EOP9-IC 12” Pad EOP12-IC

Matrx Elan 4-Point Pad (11”W x 10”H”) Part #Standard Cover E4POINT . . . . . . . . . . . . . . . . . . . $448 Infection Control E4POINT-IC . . . . . . . . . . . . . . . . . .$473

MOTION CONCEPTS HEADREST PAD

Motion Concepts Standard Part # MCSH . . . . . . . . . . . . . . N/CMotion Concepts Auto Style(1) Part # MCOH . . . . . . . . . . . .$350NOTE: 1. Comes STD with Fixed Mounting hardware; for use on Matrx PB or Elite

Backs you must select removable hardware upgrade on P6. HEAD-RESTS HCPCS code E0955

HEADREST MOUNTING HARDWARE OPTIONS

Fixed Mounting (non-removable)(1)(2)

Part # FM . . . . . . . . N/C Elan Headrest Hardware - Multi-Axis Removable Part # MEHW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$266Motion Concepts Multi - Axis Removable Mounting Part # MAHU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$225OMIT: Headrest Part # OHR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .N/C NOTE: 1. Unless selecting a “Removable” hdwr option, the headrest

will come standard w/ Fixed Straight Mounting Hardware (non-removable)

FINISHED BACK HEIGHTS

Finished Back heights for Rehab Seat Systems(1)(2)

18” 19” 20” 21” 22” 23” 24” 25”Part # FBT18 FBT19 FBT20 FBT21 FBT22 FBT23 FBT24 FBT25

NOTES: 1. Comes with standard cane height unless other specified cane height is selected un back canes. 2. 4” gap is recommended for Rehab Seat Systems to allow for the seat cushion.

BACK CANES Measured from Seat pan to top of back cane

90° Standard Back Canes (1) (Straight Rear Uprights)

18” 20” 22” 24” . . . . . . . . . . . . . . . . . . . STDPart # SBC18 SBC20 SBC22 SBC24

Select Cane Angle 75° 79° 85° 90° 95° 101° 106° 112° 116°Part # BA75 BA79 BA85 BA90 BA95 BA101 BA106 BA112 BA116

Angled (5°)Tilt Back Canes (1) 20” 22” 24” . . . . . . N/CPart # ABC20 ABC22 ABC24

Select Cane Angle 81°84° 91° 96° 101° 106° 111° 117°121°Part # BA81 BA84 BA91 BA96 BA101 BA106 BA111 BA117 BA121

10° Mid-Angle Back Canes(1)(2) (Recommended with Sling Back) . . N/C 18” 20” 22” 24”Part # TBC18 TBC20 TBC22 TBC24

NOTES:1. If no Back Canes are slected default will be 22” standard height set at

95° angle.2. Not recommended with upgradeable backs as height adjustment is

limited.

BACK OPTIONS

Sling Back Fabric Part # SLING . . . . . . . . . . . . . . . . . . . . . . . . . . N/C

Standard Rehab Back and Back cushion Part # SRB Finished height from 18” to 25” . . . . . . . . . . . . . . . . . . . . . . . . .$125 Additional Super Soft/HR Foam(1)(2) Part # SS . . . . . . . . . . . . . . . . . . . . .$100Matrx Fabric Upcharge(2) Part # MFU . . . . . . . . . . . . . . . . . . . $100 OMIT: Rigid Back Pan & Cushion Part # ORBC . . . . . . . . . N/C

NOTES: 1. Additional foam added may impact seat depth. 2. Lead time up to 2 weeks

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 5: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 5 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

BACK COVER REFERENCE GUIDE

UPGRADABLE BACK OPTIONS

High Back 16”-22”wide . . . . . . . . . . . . . . . . . . . . . . . . . . $595 MHB1616 MHB1618 MHB1620 MHB1716

MHB1718 MHB1720 MHB1816 MHB1818 MHB1820 MHB1916 MHB1918 MHB1920 MHB2016 MHB2018 MHB2020 MHB2116 MHB2118 MHB2120 MHB2216 MHB2218 MHB2220

Matrx Elite Back 14”-20” wide (3” Contour) . . . . . . . . . $766 PBE1410 PBE1412 PBE1414 PBE1416

PBE1418 PBE1420 PBE1510 PBE1512 PBE1514 PBE1516 PBE1518 PBE1520 PBE1610 PBE1612 PBE1614 PBE1616 PBE1618 PBE1620 PBE1714 PBE1716 PBE1718 PBE1720 PBE1814 PBE1816 PBE1818 PBE1820 PBE1916 PBE1918 PBE1920 PBE2014 PBE2016 PBE2018 PBE2020

Matrx Elite HD Back 21”-22” wide (3” Contour) . . . . . $1,051 PBE2116-HD PBE2120-HD PBE2216-HD PBE2220-HD

Matrx Elite TR Back 15”-20” wide (3” Contour) . . . . . . . $866 PBE1516-TR PBE1518-TR PBE1520-TR PBE1616-TR PBE1618-TR PBE1620-TR PBE1716-TR PBE1718-TR PBE1720-TR PBE1816-TR PBE1818-TR PBE1820-TR PBE1916-TR PBE1918-TR PBE1920-TR PBE2016-TR PBE2018-TR PBE2020-TR

Matrx Elite TR HD Back 21”-22”wide (3” Contour) . . . $1066 PBE2120-TRHD PBE2220-TRHD

UPGRADABLE BACK OPTIONS - Cont

Matrx Elite Deep Back 14”-20” wide (6” Contour) . . . . $918 EDB1412 EDB1416 EDB1418 EDB1420

EDB1510 EDB1512 EDB1514 EDB1516 EDB1518 EDB1520 EDB1610 EDB1612 EDB1614 EDB1616 EDB1618 EDB1620 EDB1710 EDB1712 EDB1714 EDB1716 EDB1718 EDB1720 EDB1810 EDB1812 EDB1814 EDB1816 EDB1818 EDB1820 EDB1910 EDB1912 EDB1914 EDB1916 EDB1918 EDB1920 EDB2010 EDB2012 EDB2014 EDB2016 EDB2018 EDB2020

Matrx Elite Deep HD Back 21”-22” wide (6” Contour) . . .$1,095EDB2120-HD EDB2220-HD

Matrx PB Back 14”-20” wide (5” Contour) . . . . . . . . . . . $734 MPB1412 MPB1416 MPB1612 MPB1616

MPB1620 MPB1712 MPB1716 MPB1720 MPB1812 MPB1816 MPB1820 MPB2012 MPB2016 MPB2020

Matrx PB Deep Back 14”-20” (7” Contour) . . . . . . . . . . . $892 PBD1412 PBD1416 PBD1612 PBD1616

PBD1620 PBD1712 PBD1716 PBD1720 PBD1812 PBD1816 PBD1820 PBD2012 PBD2016 PBD2020

Matrx PB HD Back(4) 20”-22”wide (5” Contour) . . . . . . . .$1,051 HDB2016 HDB2020 HDB2216 HDB2220

Matrx PB HD Deep Back(4) 21”-22”wide (7” Contour) . . . . . . . .$1,209 DHD2016 DHD2020 DHD2216 DHD2220

BACK FABRIC UPGRADES UP

Super Soft Foam for Elite Back Upgrade Part # EBSS . . . . . . . $100Fusion Fabric Upgrade High Back Part # FFUHB . . . . . . . . . . . . .$100 Onyx Fabric Upgrade for High Back Part # OCUHB . . . . . . . . . .$100

Infection Control Cover for Elite/PB Backs Part ## WSCU . . .$100 (purchased with back)

Infection Control Cover for Elite/PB Backs Part ## WSC . . . . $150 (purchased without back)

Chest Harness Interface Kit for Elite Back (1) Part # CHIEB . . . . $45 Chest Harness Interface Kit for PB Back (1) Part # CHIPB . . . . . . $45

NOTE: 1. Does not include the chest strap.

.

4-way Stretch PolyesterMeshtex Infection Control

Fusion Onyx

Back Meshtex Polyester Infection Fusion Onyx

Contour N/A STD N/A N/A $100

High STD N/A N/A $100 $100

Elite/ Elite HD/Elite Deep STD N/A $100 N/A N/A

Elite TR/ Elite TR HD STD N/A $100 N/A N/A

PB/PB HD/PB Deep/PB HD Deep

STD N/A $100 N/A N/A

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 6: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 6 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

ARMRESTS

Adult Dual Post Adjustable Height With Quick HeightAdjustment Lever(pair) . . . . . . . . . . . . . . . . . . . . . . . . . . . STD

Select Size: (9.75”-12.75”)(12.75”-15.75”)(15.75”-18.75”) Part # DP1 DP2 DP3

Select : Flat pouch Glove Boxes Part # FP GB

Add: OutBack Arm Option(1) (each) Specify: Select: Right Part # OAR Left Part # OAL . . . . . . . . . . . . . . .$195 (Allows outward rotation while flipping back armrest)

Ultra Rail Mounted Flip Back Cantilever Maxx Arm(2)(3) (9”-12.5”) (pair) Part # RMCAN . . . . . . . . . . . . . . . . . . . . . . $488 Add Dual Post Module (pair) Part # DPM . . . . . . . . . . . . . . . $250

NOTES: 1. Only available with Dual Post.2. Mounts to Seat Rail. Slotted upper tube for infinite fore/aft adjust-

ment of arm pad. 3. Not available with Small Adult Sizes.

ARMREST TUBE LENGTH

LEFT Armrest Tube Select: Full Part # ATFL Desk Part # ATDLRIGHT Armrest Tube Select: Full Part # ATFR Desk Part # ATDR

ARM PADS

Standard Pads (each) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STDLeft Full(14”)Part # SAPFL Desk(10”) Part # SAPDL

Right Full(14”) Part # SAPFR Desk(10”) Part # SAPDR

Waterfall Arm Pads(2) (each) . . . . . . . . . . . . . . . . . . . . . . . N/C Left Full(14”)Part # WAPFL Desk(10”) Part # WAPDL

Right Full(14”) Part # WAPFR Desk(10”) Part # WAPDR

Modular Arm Pads(1) (each) . . . . . . . . . . . . . . . . . . . . . . . . $35 Left Full(14”) Part # MAPTFLDesk(10”) Part # MAPTDL

Must select Pad Insert:

Iskin - Integrated soft skin foam Part # ISSFL Startex Covered Visco foam Part # SCVFL

Right Full(14”) Part # MAPTFRDesk(10”) Part # MAPTDR

Must select Pad Insert:

Iskin - Integrated soft skin foam Part # ISSFR Startex Covered Visco foam Part # SCVFR

Flat Multi Position Pads (each) . . . . . . . . . . . . . . . . . . . . . .$80 Left Full(14”)Part # MPAFL Desk(10”) Part # MPADL

Right Full(14”) Part # MPAFR Desk(10”) Part # MPADR

ARM PADSGel Pads (each) Narrow (2”x12”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$88 Left Part # GAPNL Right Part # GAPNR Wide (3.5”x12”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$96 Left Part # GAPWL Right Part # GAPWR

Long (3.5”x14”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $103 Left Part # GAPLL Right Part # GAPLR

Ergonomic Arm Trough (4.5”x13”) Left Part # EATL . . . . . . . . . . . . . . . . . . $121 Right Part # EATR . . . . . . . . . . . . . . . . . . $121

Flat Hand Pad (4.5”x 5”) - Compatible Only w/Ergonomic Arm Trough Left Part # FHPL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$85 Right Part # FHPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$85

OMIT: Armpads(4) (7/8” diameter tube) Part # OAP . . . . . . . . . . N/C

NOTES: 1. Requires interchangeable pad insert. 2. Full length pad not compatible with the desk length

armrest tube if using Ultra Rail mounted Tilt Arms. 3. Only available on Non-Joystick side. 4. Must specify the Arm Tube lengths.

ARMPAD ACCESSORIESArm Pad Storage/Cup Holder(3)

Left Part # APSL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$295 Right Part # APSR . . . . . . . . . . . . . . . . . . . . . . . . . . . .$295

Elbow Block LEFT(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$195Select Pad Size and Extensions:

XS(3.25”x4.25”) Part # EBXL S(3.5”x5.25”) Part # EBSL

M(3.75”x5.75”) Part # EBML L(4.25”x6.5”) Part # EBLL

Vertical Extension: S(3”) Part # V3 L(5”) Part # V5 Horizontal Extension: S(5”) Part # H5 L(7”) Part # H7

Elbow Block RIGHT(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . .$195Select Pad Size and Extensions:

XS(3.25”x4.25”) Part # EBXR S(3.5”x5.25”) Part # EBSR

M(3.75”x5.75”) Part # EBMR L(4.25”x6.5”) Part # EBLR

Vertical Extension: S(3”) Part # V3 L(5”) Part # V5 Horizontal Extension: S(5”) Part # H5 L(7”) Part # H7

Multi Axis Upper Extremity Support(2) (each) . . . . . . . . $257 With Quick Adjustment Lever

Left Part # MACESL Right Part # MACESR ACES - Cont1” Offset Armrest Spacer (each) . . . . . . . . . . . . . . . . . . . . . .$125 (Allows seat width to increase by 2” with Dual Post Arms)

Left Part # OAS2L Right Part # OAS2R

1/2” Offset Armrest Spacer (each) . . . . . . . . . . . . . . . . . . . .$125 (Allows seat width to increase by 1” with Dual Post Arms)

Left Part # OAS1L Right Part # OAS1R

Multi Purpose Arm Pad Adapter Block(3) (each) Quantity (___) Part # MPAPA . . . . . . . . . . . . . . . . . . . . . . . . .$35

NOTES: 1. Prevents arm from slipping. 2. Allows rotation of the armpad, only compatible with Gel pad, Flat pad or Ergonomic Arm Troughs. 3. Not available with Standard Pads or Waterfall Pads.

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 7: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 7 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

MAXX LATERALS(1)

Fixed Mounted Lateral Trunk Support LEFT . . . . . . . . . .$100Select Pad Size:

XS(3.25”x4.25”) Part # LATXL S(3.5”x5.25”) Part # LATSL

M(3.75”x5.75”) Part # LATML L(4.25”x6.5”) Part # LATLL

Fixed Mounted Lateral Trunk Support RIGHT . . . . . . . $100Select Pad Size:

XS(3.25”x4.25”) Part # LATXR S(3.5”x5.25”) Part # LATSR

M(3.75”x5.75”) Part # LATMR L(4.25”x6.5”) Part # LATLR

SELECT SWING AWAY HARDWARE TO CONVERT ABOVE SUPPORTS:

MAXX STYLE SWING-AWAY HARDWARE

Maxx Style Swing-away Multi-Adjustable Mounting Hardware LEFT Part # SALATL . . . . . . . . . . . . . . . . . . . . $195

(Standard with 1” telescoping link gives 0-2.75” medial offset (2))

Maxx Style Swing-away Multi-Adjustable Mounting Hardware RIGHT Part # SALATR . . . . . . . . . . . . . . . . . $195

(Standard with 1” telescoping link gives 0-2.75” medial offset (2))

Additional Telescoping Link(each) Quantity ( ) . . . . $75 (Adding an additional 1” telescoping link gives up to 5.5” medial offset(2))

LEFT Part # ATLL RIGHT Part # ATLRNOTES: 1. These laterals are not available with Matrx PB, PB Elite Deep

and PB Deep Backs.2. The amount of offset available may be impacted by back thickness.

MATRX FIXED LATERALS - FOR ELITE AND ELITE TR BACKS

Matrx Standard Fixed LEFT

Select pad: Standard (7.5” x 5”) Part # PBLSL . . . . . . $116 Small (5.5” x 3”) Part # PBSSL . . . . . . . . . $113

Matrx Standard Fixed RIGHT Select pad: Standard (7.5” x 5”) Part # PBLSR . . . . . . $116 Small (5.5” x 3”) Part # PBSSR . . . . . . . . . $113

Matrx Offset Fixed LEFT Part # PBOLL . . . . . . . . . . . . . . . $125

Matrx Offset Fixed RIGHT Part # PBOLR . . . . . . . . . . . . $125

MATRX SWING AWAY LATERALS - FOR ELITE AND ELITE TR BACKS

Matrx Lateral Trunk Support LEFT pad (each) . . . . . $108Select Pad Size:

XS(3.25”x4.25”) Part # EPADXL S(3.5”x5.25”) Part # EPADSL

M(3.75”x5.75”) Part # EPADML L(4.25”x6.5”) Part # EPADLL

Matrx Lateral Trunk Support RIGHT pad (each) . . . . $108Select Pad Size:

XS(3.25”x4.25”) Part # EPADXR S(3.5”x5.25”) Part # EPADSR

M(3.75”x5.75”) Part # EPADMR L(4.25”x6.5”) Part # EPADLR

MATRX SWING AWAY LATERALS - FOR ELITE AND ELITE TR BACKS

Matrx Elite Back Swing Away Hardware LEFT Part # SAHEBL . . . . . . . . . . . . . . . . . . . . . . $195 RIGHT Part # SAHEBR . . . . . . . . . . . . . . . . . . . . . $195

Matrx Offset Elite Swing Away Hardware LEFT Part # OSAHL . . . . . . . . . . . . . . . . . . . . . . $195 RIGHT Part # OSAHR . . . . . . . . . . . . . . . . . . . . . . $195FIXED HIP/KNEE SUPPORTSLateral Hip Support Pad with Fixed Mounting LEFT . $120

Mounted at HIP Pad Size:XS(5.5”W x 4”H) Part # HSPXLH S(7”W x 6”H) Part # HSPSLH

M(9”W x 4”H) Part # HSPMLH L(13”W x 4”H) Part # HSPLLH

Mounted at KNEE Pad Size:XS(5.5”W x 4”H) Part # HSPXLK S(7”W x 6”H) Part # HSPSLK

M(9”W x 4”H) Part # HSPMLK L(13”W x 4”H) Part # HSPLLK

Lateral Hip Support Pad with Fixed Mounting RIGHT . . . . $120

Mounted at HIP Pad Size:XS(5.5”W x 4”H) Part # HSPXRH S(7”W x 6”H) Part # HSPSRH

M(9”W x 4”H) Part # HSPMRH L(13”W x 4”H) Part # HSPLRH

Mounted at KNEE Pad Size:XS(5.5”W x 4”H) Part # HSPXRK S(7”W x 6”H) Part # HSPSRK

M(9”W x 4”H) Part # HSPMRK L(13”W x 4”H) Part # HSPLRK

REMOVABLE & SWING AWAY HARDWARE UPGRADEHARDWARE TO CONVERT ABOVE HIP SUPPORT TO UPGRADE TO REMOVEABLE/SWINGAWAY HIP OR KNEE SUPPORTS

Lift Off Removable Hardware for Hip Support (Hip position only)

LEFT Part # LOHL . . . . . . . . . . . . . . . . . . . . . . . $195 RIGHT Part # LOHR . . . . . . . . . . . . . . . . . . . . . . . $195Swing Away Removable Hardware for Hip Supports

LEFT Mounted at Hip Part # SHSHLH . . . . . . . . . . $215 RIGHT Mounted at Hip Part # SHSHRH . . . . . . . . . . $215 LEFT Mounted at Knee Part # SHSHLK . . . . . . . . . $215

RIGHT Mounted at Knee Part # SHSHRK . . . . . . . . . $215

Maxx Style Quick Release, Removable, Multi-AxisMounting Hardware for Hip Supports

LEFT Mounted at Hip Part # MHSHLH . . . . . . . . . . $215 RIGHT Mounted at Hip Part # MHSHRH . . . . . . . . . . $215 LEFT Mounted at Knee Part # MHSHLK . . . . . . . . . $215

RIGHT Mounted at Knee Part # MHSHRK . . . . . . . . . $215

Extended Maxx Style Quick Release, Removable, Multi-AxisMounting Hardware for Hip Supports(1)

LEFT Mounted at Hip Part # EMQHLH . . . . . . . . . . $215 RIGHT Mounted at Hip Part # EMQHRH . . . . . . . . . $215 LEFT Mounted at Knee Part # EMQHLK . . . . . . . . . $215

RIGHT Mounted at Knee Part # EMQHRK . . . . . . . . . $215

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 8: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 8 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

TDX-SP2 Base with Maxx Rehab Seat

MANUAL CENTER FRONT RIGGING

Fixed Center Mount Foot Platform(2) Part # FCMP . . . . . . . . . . . . N/C Comes standard with a rubber coated footplate 11½” W x 10” Part # IFP

Part # FCMP-RFP

Set at70° 90° 97° Part # SA70 SA90 SA97

Seat pan to footplate: 9”-13” Part # SPTF1 Seat pan to footplate: 13”-17” Part # SPTF2

Maxx Style Fixed Center Mount Foot Platform(1)(2)

Part # MSFCMFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $395 Comes standard with a rubber coated footplate 11½” W x 10” Part # IFP

Comes standard with individual calf pads Part # ICP

Set at70° 90°97°

Part # SA70 SA90 SA97

Seat pan to footplate: 9”-13” Part # SPTF1

Seat pan to footplate: 13”-17” Part # SPTF2

Invacare Center Mount Adjustable Knee Angle(3) . . . . . . $595 Part # IAKACM (CTMT)

Seat pan to footboard: (9.25” - 12”) Part # SPTF3 (12.25” - 15”) Part # SPTF4Select Individual foot plates or footboard

(5.25”Wx7.5”D) (5.5”Wx9.5”D)(5.9”Wx11.5”D) Footboard

Part # SM Part # MED Part # LRG Part # FB

Invacare Calf Pads for use with CTMT Part # CALF . . . . . . . . . . . . . . . $268

NOTES: 1. Depth and height adjustable. Call to confirm on seat sizes below

16” wide x 16” deep.. 2. 3” ground clearance equired.

UPGRADE: FOOT PLATFORM FIXED CENTER MOUNT

Medium Flip-up Foot Platform(1) . . . . . .$180 (12”W x 10.75”D) Part # MFFP

Large Flip-up Foot Platform(1) . . . . . . . .$250 (14.5”W x 13”D) Part # LFFP

Extra Large Flip-up Foot Platform(1) . . .$250 (17”W x 13”D) Part # XLFFP

NOTE: 1. May cause interference with certain bases and seat widths call to confirm configuration.

UPGRADE: INDIVIDUAL FOOT PLATE FOR MAXX CMFP

In cast aluminum with built in heel cups and rubber mat Select:

Left: S(5”W x 7.5”D) M(5.5”Wx9.5”D)L(6”Wx11.5”D) . . . . $165 Part # IFSL IFML IFLL

Right: S(5”W x 7.5”D) M(5.5”Wx9.5”D)L(6”Wx11.5”D) . . . . $165Part # IFSR IFMR IFLR

SWING AWAY FRONT RIGGING OPTIONS

Invacare 70° Non-Tapered HD Swingaway Footrests w/Composite Footplates and Heel Loops (Pair) Part # 70HDC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$325

Invacare 70° Non-Tapered HD Swingaway Footrests with AT5543 Adjustable Angle Footplates, Heel Loops and Impact Guards (Pair) (1)(3) Part # 70HDAIH . . . . . . . . . . . . .$457

70° Swingaway Tapered Footrests with AT5543 Adjustable Angle Footplates, Heel Loops and Impact Guards (Pair) Part # 770TAPAIH . . . . . . . . . . . . . . . . . . . . . . $497

Longer Pivot and Slide Tube for 70° Swingaways (Pair) Part # ALPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $132

Heavy Duty 70° Swing away Footrests(1) (Pair) . . . . . .$495 Part # HD70

Select Receivers: Straight Flared outward1”

Part # RS Part # RFSeat pan to footplate:

XS (6”-11”) S (11”-15”) M (13”-17”)L (16”-20”) Part # SPTF11 SPTF8 SPTF2 SPTF7

Calf pads for HD Swing Away Footrests (Pair) . . . . $275 Select: Flat Pads Part # HD70FCP Curved Calf pads (inside width is 6”) Part # HD70CCP

Select Footplates on page 10/11 under Foot plate options:

Residual Limb Support (Each) (6.75”W x 9.75”L x 2”H)(2) . . . . . .$495 Select: Left Part # RLSL Right Part # RLSR

Dynamic Coil Springs (Pair) for Heavy Duty 70° Swingaway Footrests Part # DCS . . . . . . . . . . . . . . . . . . .$190

NOTES:

1. Heavy duty durable construction (4.5lbs ea.).2. Swing away and removable, 50° of angle adjustment,

3.5” height adjustment and 2” of for/aft adjustment. Select Footplates on page 9 under Foot plate options.

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta

Page 9: Alberta Aids to Daily Living Wheelchair Specifications ......For the most current pricing information visit PAGE 3 of 9 Note: All specifications and dimensions are approximate. Form:18-394C

PAGE 9 of 9For the most current pricing information visit www.invacare.ca

Note: All specifications and dimensions are approximate.Form:18-394C

Dealer Name: _______________________________________________

Dealer Account Number: ____________________________________

PO #:_______________________________________________________

Tag: _______________________________________________________

FOOT PLATE OPTIONS FOR SWING AWAY FRONT RIGGING (1)

Adjustable Angle Foot Plates (each) . . . . . . . . . . . . . . . .$165

LEFT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # AFSL AFML AFLL AFXL

RIGHT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # AFSR AFMR AFLR AFXR

Multi-Axis Adjustable Angle Foot Plates(each) . . . . . . .$225LEFT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # MFSL MFML MFLL MFXL

RIGHT S(4.25”W x 8”D) M(5.25”Wx8”D) L(6.25”Wx8”D) XL(9”Wx11”D)Part # MFSR MFMR MFLR MFXR

Adjustable Angle Foot Plates with Caster Cut (each) . .$165LEFT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D)

Part # AFCSL AFCML AFCLL

RIGHT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D) Part # AFCSR AFCMR AFCLR

Multi-Axis Adjustable Angle Foot Plates Caster Cut(each) . .$225LEFT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D)

Part # MFCSL MFCML MFCLL

RIGHT S(7.25”W x 9”D) M(7.5”W x 11”D) L(10”W x 14”D) Part # MFCSR MFCMR MFCLR

Heel Loops (each) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20 Left Part # HLLRight Part # HLR

NOTES:

1. Certain footplate sizes may not fit all seat widths depending on legrests selected.

DUAL FRONT RIGGING ADAPTOR

Dual Front Rigging Receiver . . . . . . . . . . . . . . . . . . . . . $250

Maxx Style Fixed or Fixed Center Mount with 70° Swing Away Footrests Part # DFRA1

INSTALLATION

Installation by Motion Concepts Part # MCI . . . . . . . . . . N/C

Total Retail Value $

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TDX-SP2 Base with Maxx Rehab Seat

Alberta Health - Pharmaceutical and Supplementary Benefits Alberta Aids to Daily Living Wheelchair Specification - Invacare TDX-SP2 Rehab Seat

© 2018 Government of Alberta