september 2013 • vol. 12 no. 9 serving the seating...

September 2013 • Vol. 12 No. 9

mobilitymgmt.com

Serving the Seating & Mobility Professional

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4 mobilitymgmt.comseptember 2013 | mobilitymanagement

september

Mobility Management (ISSN 1558-6731) is published monthly by 1105 Media, Inc., 9201 Oakdale Avenue, Ste. 101, Chatsworth, CA 91311. Periodicals postage paid at Chatsworth, CA 91311-9998, and at additional mailing offi ces. Complimentary subscriptions are sent to qualifying subscribers. Annual subscription rates payable in U.S. funds for non-qualifi ed subscribers are: U.S. $119.00, International $189.00. Subscription inquiries, back issue requests, and address changes: Mail to: Mobility Management, P.O. Box 2166, Skokie, IL 60076-7866, email [email protected] or call (847) 763-9688. POSTMASTER: Send address changes to Mobility Management, P.O. Box 2166, Skokie, IL 60076-7866. Canada Publications Mail Agreement No: 40612608. Return Undeliverable Canadian Addresses to Circulation Dept. or XPO Returns: P.O. Box 201, Richmond Hill, ON L4B 4R5, Canada.

© Copyright 2013 by 1105 Media, Inc. All rights reserved. Printed in the U.S.A. Reproductions in whole or part prohibited except by written permission. Mail requests to “Permissions Editor,” c/o Mobility Management, 14901 Quorum Dr, Ste. 425, Dallas, TX 75254

The information in this magazine has not undergone any formal testing by 1105 Media, Inc. and is distributed without any warranty expressed or implied. Implementation or use of any information contained herein is the reader’s sole responsibility. While the information has been reviewed for accuracy, there is no guarantee that the same or similar results may be achieved in all environments. Technical inaccuracies may result from printing errors and/or new developments in the industry.

Corporate Headquarters: 1105 Media9201 Oakdale Ave. Ste 101 Chatsworth, CA 91311www.1105media.com

Media Kits: Direct your Media Kit requests to Lynda Brown, 972-687-6781 (phone), 972-687-6769 (fax), [email protected]

Reprints: For single article reprints (in minimum quantities of 250-500), e-prints, plaques and posters contact:PARS InternationalPhone: 212-221-9595E-mail: [email protected]/QuickQuote.asp

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On the CoverOptimal bariatric seating, mobility and positioning is an all-day need. Cover by Dudley Wakamatsu.

12 Seat Cushion Comparo Use this side-by-side comparison of wheelchair seat cushions to fi nd the sizes, applica-

tions, media and options that make the most sense for your clients.

22 cover feature All-Day Solutions The needs of bariatric clients are just as nuanced as those of other complex rehab

technology users. Our pictorial highlights unique ways to keep these clients active and

independent throughout the day.

volume 12 • number 9

What’s New Online: MobilityMgmt.comThe countdown has begun: This fall, MobilityMgmt.com is all

new! Our online relaunch will continue to be a living archive

for Mobility Management features, news stories, Webinars

and e-newsletters, but will include new product & tech-

nology sections, new pages devoted to legislation & policy

and research, and an expanded consumer-focused section

with stories and resources created specifi cally for seating &

mobility users and their families. Stay tuned!

6 Editor’s Note

8 MMBeat 28 Classifi eds/Ad Index

30 Marketplace: Ultralightweight Chairs & Accessories

21 New Discoveries Rifton’s team dynamic leads to an award-winning — and clinician-pleasing —

multi-purpose device named TRAM.

September 2013 • Vol. 12 No. 9

mobilitymgmt.com

Serving the Seating & Mobility Professional

contents

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My fi rst reaction to the news of Medicare’s latest capped-rental proposed rule was not politi-cally correct. In the middle of the hallway in the middle of the work day, I called out to my

offi ce-mates, “Great news! Science must have fi gured out a way to regenerate brain cells and spinal cords, because CMS now says our consumers need their equipment for just eight months each!”

No one looked up — they’re pretty accustomed to my occasional funding rant — so I was left muttering to myself along the lines of “Why is CMS (aka, the Centers for Medicare & Medicaid Services) always picking on my people (aka, you and your clients)?”

After cooling off enough to pick through the complex rehab technology-relevant sections of the 186-page proposed rule, I’d had a slight change of heart.

To be sure, this latest capped-rental proposal from CMS would be a migraine for CRT providers: Instead of paying a lump sum for many types of equipment it purchases for benefi ciaries, Medicare wants to pay providers in 13 monthly installments — which would wreak havoc with providers’ cash fl ows. CMS quotes huge anticipated savings under this new plan: $20 million in each of the next three years, $30 million in 2017, etc.

But as Rita Hostak, Sunrise Medical’s VP of government relations, pointed out during an inter-view, those savings are based on CMS data that says Medicare benefi ciaries use their DME for only eight months on average — the implication being that after that period, the benefi ciary either recovers enough to no longer need the equipment, or passes away.

Neither scenario applies to the average Medicare benefi ciary using CRT. Unfortunately, the sorts of diagnoses that CRT users have — predominantly cerebral palsy and brain injuries among adults, and brain injuries or developmental delays for pediatric benefi ciaries, according to data collected by NCART, Hostak says — do not heal. But neither do we generally expect benefi ciaries with CP or brain injuries to have drastically shortened lifespans.

“When you’re talking about wheelchairs for people with permanent disabilities and pediatric wheelchairs, these people are not end-of-life,” Hostak says. “They’re not even sick! They just have a disability and need the technology to allow them to be more functional and independent.”

If saving money is the goal, it makes sense that CMS wants to make eight monthly payments instead of paying full price outright for many kinds of equipment. What doesn’t make sense is why CMS keeps saying, “Eight months.”

And that’s where my change of heart came in.Clearly, when CMS says benefi ciaries use their DME for an average of just eight months, it isn’t

talking about CRT consumers. It’s referring to seniors who have recoverable conditions — surgery that requires a standard wheelchair for a couple of months, for example — or to seniors who are medically very frail.

And when CMS is talking about DME, it’s not talking about CRT. Or at least, it shouldn’t be referring to CRT.

This isn’t the fi rst time that CRT has been caught up — possibly inadvertently — in the larger DME net. It happened with competitive bidding, and it’s happened with this capped-rental proposed rule. It will surely keep happening until CRT gets its own benefi t category that takes into account the types of diagnoses that benefi ciaries have, and their prognoses, and how customized their equipment has to be.

There are two bills in Congress right now, one in each chamber, that would emphatically and formally defi ne those diff erences. CRT doesn’t belong within DME because it’s not DME. So instead of complaining in my offi ce hallways, I’ve got a couple of phone calls to make. ●

Laurie Watanabe, [email protected]

News Flash: CRT Is Still Not DME

Editor Laurie Watanabe (949) 265-1573

Associate Editor Cindy Horbrook (972) 687-6573

Group Publisher Karen Cavallo (760) 610-0800

Group Art Director Dudley Wakamatsu

Director, David Seymour Print & Online Production

Director, Jenny Hernandez-Asandas Print Production

Production Coordinator Charles Johnson

Director of Online Marlin Mowatt Product Development

National Sales Manager Caroline Stover (323) 605-4398

SECURITY, SAFETY & HEALTH GROUP

President & Group Publisher Kevin O’Grady

Group Publisher Karen Cavallo

Group Circulation Director Margaret Perry

Group Marketing Manager Susan May

President & Neal Vitale Chief Executive Offi cer

Senior Vice President & Richard Vitale Chief Financial Offi cer

Executive Vice President Michael J. Valenti

Vice President, Christopher M. Coates Finance & Administration

Vice President, Erik A. Lindgren Information Technology & Application Development

Vice President, David F. Myers Event Operations

Chairman of the Board Jeff rey S. Klein

REACHING THE STAFF

Staff may be reached via e-mail, telephone, fax, or mail. A list of editors and contact information is also available online at mobilitymgmt.com.

E-mail: To e-mail any member of the staff , please use the following form: [email protected]

Dallas Offi ce (weekdays 8 a.m. - 5 p.m. CT)Telephone 972-687-6700; Fax 866-779-909514901 Quorum Drive, Suite 425, Dallas, TX 75254

Corporate Offi ce (weekdays, 8:30 a.m.-5:30 p.m. PT) Telephone 818-814-5200; Fax 818-734-1522

9201 Oakdale Avenue, Suite 101, Chatsworth, CA 91311

mobilitymgmt.com

Volume 12, No. 9

SEPTEMBER 2013

editor’s note



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Curtis Instruments’ Wheelchair Video: Speaking from the Heart

To a seating & mobility professional, the process of acquiring a wheel-chair for a client — the evaluations, HCPCS codes, allowables and

documentation — can feel as natural as a heartbeat.But to a consumer, the process can be long, confusing and frustrating. And

for consumers who’ve been ambulatory in the past, making the change can be especially jarring.

A new video by Curtis Instruments seeks to make that transition easier by sharing the experiences of an actual new wheelchair user.

Creating a ResourceThe folks at Curtis Instruments took this project personally. It started when Frank Matheis, Curtis Instruments’ director of corporate marketing communica-tions, was approached by a colleague.

“One of my graphic artists called me and said, ‘My brother-in-law needs to get into a wheelchair. Can you help us?’” Matheis said.

Given that Curtis manufactures the electronics used by many power wheel-chairs in the industry, Matheis was confi dent the company could help out. But when he approached Curtis’s president, he advised Matheis to consult Mike Rozaieski, ATP, Curtis’s product manager for medical mobility.

While Matheis had envisioned choosing a wheelchair would be much like choosing a lawnmower or other retail product, Rozaieski told him, "It doesn't really work like that. Let me explain it to you."

Rozaieski recommended contacting an occupational therapist as well as the consumer’s insurance provider.

“We work with wheelchair manufacturers to provide the drive technology,” Matheis said of Curtis Instruments’ business. “For us here, it’s a matter of tech-nology for people. But we don’t often get to know these people because we don’t sell the wheelchairs.”

Rozaieski helped connect the would-be wheelchair user — Conway Policastro — with a local OT in New Jersey. “They went through the very normal process, the way anybody else would,” Matheis said. “And when it was all done, it took six months, but Conway had a chair that was fi tted to him.”

The Curtis staff er who’d started the wheel rolling told Matheis he hadn’t real-ized the process for acquiring the right wheelchair. “And I said, ‘Mike, do people all have this experience? Are they all so completely baffl ed by the complicated method of what’s ahead of them?’” Matheis recalled. “And he said yes, pretty much.”

Matheis then asked Rozaieski if there was “a tool that explains this to people, so that before they get involved in anything, they would know what they’re

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facing. He said not that he’s aware of. So I said, ‘Why don’t we make one?’”

Speaking from the HeartThe result is “Transitioning Into a Wheelchair: An Introduction to Medical Mobility.” The 12-minute video stars Policastro, who has Charcot-Marie Tooth muscular dystrophy and post-polio syndrome.

The fi lm takes consumers through the wheelchair acquisition process, showing small but critical details, such as the need for “specifi cally and only a mobility exam” by the wheelchair prescriber.

Some scenes were fi lmed at Ability Beyond Disability, a local rehabilitation facility, while others were fi lmed in the community.

Policastro said of his scenes, “It was totally unscripted, just speaking from my heart.”

In the beginning of the process, he added, “I was very resistant and reluctant to the notion of being ‘a wheelchair guy.’ My sister and my mom and other family members and friends were very supportive: ‘Don’t be resistant; lean into it. You need this, you’re falling too much.’”

Policastro said he fi nally agreed and was evaluated and fi tted at a local Kessler Institute during four visits. The emotional journey, though, was longer.

“First, no,” Policastro recalled. “Then, Okay, you’re twisting my arm so I’ll do it. A month before it arrived, it was Hey, where’s my chair? And now that I have it, it’s like Don’t you dare take away my chair!”

In the video, Policastro is initially shown walking laboriously. “The most diffi cult aspect for me transitioning into a wheelchair,” he says in the fi lm, “was dealing with the concept of it: You’re no longer a walking guy, you’re in the chair now. But I’m so glad I worked through that because the chair itself is what really changed my mind.”

The video covers documentation, justifi cation and funding, and ultimately shows Policastro moving independently and freely through his neighborhood.

Now, he remembers how walking had become mentally and emotionally draining, in addition to physically diffi cult, and compares those memories to how his life has improved. “Every morning I wake up with a smile on my face, knowing I have this thing at my bidding, so to speak,” he said. “When I walk from here to the diner and friends are with me, sometimes I’ll put it in third gear and they’ll say, ‘Wait, wait!’ And I was usually the one lagging behind when I was walking.”

Matheis said, “My big hope is that [clinicians and ATPs] fi nd this resource useful for their own clients. We’re hoping they’ll tell somebody to watch this, this can help you. That’s our only stake in this.” ●

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You Choose:

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This is all about

YOU

So many consumer products these days are expected to achieve far more than their “main” functions. Our cars don’t just get us

from point A to B; they also show us the shortest route and entertain the kids in the backseat during the drive. Our phones don’t just make

QM-7 Enhancements:When the Ends Drive the Means

calls; they coordinate our schedules, take photos and play music, too.Of course, complex rehab power chairs are a diff erent category

than mainstream retail products — and yet, today’s consumers, accus-tomed to being a driving force for better, more fully featured choices,

are making their voices heard here, too.

Consumers Make DemandsA prime example: Sunrise Medical’s signifi cant and multiple enhancements to its Quickie QM-7 series of power chairs.

Dan Critchfi eld, product manager, indicated that consumers were a driving force behind the changes, and that their demands are in line with what they expect of non-clinical products.

“Quickie has many valuable social media sites from which we gather the voice of the customer,” Critchfi eld said in an interview with Mobility Management. “We have heard that consumers want products that look and feel good, as well as improve their independence. Th e features that we wanted to concentrate on focused on the consumer’s ability to customize the chair and provide the highest level of independence ever off ered in a single power chair.”

Independence via greater accessibility, Critchfi eld adds, was a recurring theme.

“For many, kitchen tables and cabinets, classroom desks, restaurant tables and bars, grocery stores, vans, etc., may be inaccessible. Either their chair has a seat that is too high or a seat elevator that does not reach high enough. Th e ability to have an ultra-low 16" seat-to-fl oor height with a 12" seat elevator means that these obstacles no longer keep people from enjoying life.”

On the aesthetics front, Sunrise has added eight new shroud colors to the QM-7 line, bringing the total number of choices to 15. And consumers can choose black as their tire color, if that’s a better match with their personal styles.

And Something for ATPs, TooATPs will be happy to hear about more clinically based changes to the QM-7, as well. For instance, Critchfi eld said, “We have made independent and assisted transfers much easier. Cantilever arms and a power foot plate that extends to the fl oor, when combined with the low seat-to-fl oor height option

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mobilitymgmt.com 11 mobilitymanagement | september 2013

Mobility has a name.

Our new site is coming soon - visit numotion.com. 800.500.9150

United Seating & Mobility and ATG Rehab have come together to form one dynamic company: Numotion. With a strong local focus, we aim to be the most responsive and innovative company to do business with for all our customers – and a loyal and helpful partner that will move lives forward for years to come. It’s a nu day in mobility.

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and seat elevator, allow for transferring in and out of the QM-7 with less eff ort and reduced injury and fatigue.”

On the positioning end, Critchfi eld explained that the QM-7 stands ready to meet the needs of consumers of diff erent sizes: “Th e new 3.7 Power Recline provides seating for smaller adults and younger children by off ering a 14" seat width with recline. Clinicians are telling us that there are many applications when power recline is appropriate for these clients. We have also introduced power recline with a weight capacity of 350 lbs. that accommodates seat widths up to 22".”

Other changes include an integrated JAY J3 back option that functions in tandem with the 3.7 Power Recline system, and a redesigned electronics enclosure shell that’s 3" narrower in depth for a cleaner look.

Blending Into Consumers’ LifestylesTh e greatest achievement for a new product is blending into its owner’s life so easily that the consumer barely notices the transition.

As Critchfi eld noted, “What we have found for clients with new injuries or late-onset diseases is that many experience challenges when adapting to living in a wheelchair, both fi nancially and emotionally. Because the QM-7 can achieve such low seat-to-fl oor heights and still have the ability to reach high cabi-nets, consumers do not need to modify their homes to the degree that they would have to without these capa-bilities. Desks, tables, kitchen counters and cabinets, bathrooms, beds, etc. can remain unchanged. Th is can

greatly relieve stress and cost.” Th e right power chair can also help in other intangible, but just as

important ways.“Imagine going to a restaurant with your family,” Critchfi eld said,

“and being able to pull right up under a table for dinner, elevating up and joining in conversations at the bar, looking your daughter in the eye when she gets married, going to a ball game, going to college and sitting with your classmates at a desk. All these are possible in a single, comfortable, capable, great-looking product.” ●

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Wheelchair seat cushions are arranged alpha-betically by manufacturer, then by cushion

(model) name.Cushion manufacturers self-reported the data in

the listed categories. An “n/a” indicates no informa-tion on this category was available, or the category did not apply to a particular cushion. Manufacturers have reported the Medicare HCPCS code(s) that each cushion was qualifi ed for at the time we went to press.

Cushion width, depth and height measurements are listed in inches. Weight capacities and cushion

weights are listed in pounds.Cushions and data are listed as space permits and

may be abbreviated for space limitations. In some cases, additional sizes, cushion accessories, options, applications, etc., are not listed in the comparo grid, but are available from the manufacturer.

This comparo gives clinicians and assistive technology professionals a “starting point” when researching wheelchair seat cushions for a variety of client needs. For complete information on a specifi c cushion, please contact the corresponding manu-facturer in the Source List. ●

How to Read Th is Comparo

Cushion Comparo 2013

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s.M

ultip

le in

depe

n-de

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ecte

d 4"

hig

h ai

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caps

ulat

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top

cove

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Flui

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Hav

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Dynamic Systems

Pudg

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t m

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16", 1

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16", 1

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0.5"

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stre

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2.5

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Rem

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igh

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in b

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n

OUR COMMITMENT

TO SAFETY

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HCPC

S Cod

e(s)

Wid

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Wei

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:Dynamic Systems

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Cont

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man

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16";

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16", 1

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0.25

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us-

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s av

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No

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Opt

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-ha

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Wat

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Mat

rx P

SE2

605/

2606

10", 1

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pedi

atric

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", 18"

, 20"

st

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21-3

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y du

ty

10", 1

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14", 1

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pedi

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", 18"

, 20

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30"

heav

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3.5"

150

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300

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600

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n/a

Cust

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mod

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, cu

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kit

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Resil

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er &

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ible

Dar

tex

oute

r co

ver

Requ

ire su

perio

r pos

ition

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abili

ty &

com

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Mat

rx S

tabi

lite

E260

5/E2

606

14-2

0"

stan

dard

; 21

-24"

he

avy

duty

14-2

0"

stan

-da

rd;

16-2

2"

heav

y du

ty

3.75

"30

0 lb

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500

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heav

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Cust

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mod

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tions

, cu

shio

n rig

idiz

er,

rem

ovab

le le

g w

edge

s, pe

lvic

ob

liqui

ty k

it

3 lb

s. &

upPo

sitio

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Hig

h Re

silie

nt fo

am b

ase

with

Inva

care

Thi

nAir

blad

der p

ositi

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Moi

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Requ

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Mat

rx V

i/Ki

d*ab

*ra

E260

7/E2

608

12", 1

4"

peds

; 14"

, 16

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, 20

", 22"

st

anda

rd;

18-3

0"

heav

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12",

14"

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; 15

-20"

st

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rd;

18-2

6"

heav

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ty

3"

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atric

; 3.

75"

stan

dard

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avy

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150

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iatr

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300

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600

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Cust

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tions

, dr

op b

ase,

cu

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n rig

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pelv

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ki

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1.5 lb

s. &

up (p

eds);

3

lbs.

& up

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anda

rd);

4 lb

s. &

up (h

eavy

du

ty)

3-pa

rt fo

am

cons

truc

tion:

soft

Hig

h Re

silie

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am

(top)

; ela

stic

isch

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relie

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fi rm

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)

Moi

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zipp

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moi

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br

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able

out

er c

over

Are

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ate

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igh

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Ottobock Healthcare

Aer

ial

E262

415

" to

20"

16" t

o 18

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5" fr

om

late

ral

edge

300

lbs.

n/a

Brea

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sity

inse

rts

1.74

lbs.

Brea

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le

retic

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ed fo

am &

Br

eath

air i

nser

t

Dar

lexx

fabr

ic,

easy

-to-

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cor

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orne

r zip

per w

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Requ

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Ottobock Healthcare

Aqu

osE2

607

15" t

o 20

"16

" to

18"

3.5"

from

la

tera

l ed

ge

300

lbs.

n/a

n/a

2.5

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l pac

kets

&

light

wei

ght R

est

Susp

ensio

n Fo

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Dar

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fabr

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ur

Liqu

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to c

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Requ

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out

com

prom

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pro

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sitio

ning



HCPC

S Cod

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Dept

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Acce

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Cons

truc

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Cove

r Con

stru

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nId

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sers

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:Ottobock Healthcare

OBS

S O

rtho

-Sha

peE2

609/

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7Cu

stom

Cust

omCu

stom

No

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ABS m

olded

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, 2 P

lastaz

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leg

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ac

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Soft

spot

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are

as

of e

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pres

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sk, d

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info

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ABS

sh

ell,

mou

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are,

ext

ra

liner

s

Varie

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arily

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and

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STr

evira

CS

Surfa

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abric

(p

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ave

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mos

t com

plex

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& p

ress

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man

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eeds

, but

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so re

quire

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of c

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OBS

S Tr

u-Sh

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E260

9/E2

617

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stom

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gh-d

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or A

BS ba

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, ste

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su

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ts, le

g-len

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, und

ercut

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Soft

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s for

extre

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doub

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el re

info

rced

later

al su

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mov

able

wash

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nyl

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ount

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Varie

s by

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Prim

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foam

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arle

x, D

arte

x, N

eo-

pren

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pace

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ave

the

mos

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plex

po

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& p

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man

agem

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Ottobock Healthcare

Terr

aE2

607

15" t

o 20

"16

" to

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3.5"

from

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ge

300

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n/a

n/a

1.8

lbs.

Rest

Sus

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Foam

Dar

tex

fabr

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easy

-to-

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orne

r zip

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Requ

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cus

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Quantum Rehab

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2E2

603/

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416

", 18"

, 20

", 22"

14", 1

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18", 2

0",

22", 2

4"

4.5"

in

front

ta

pere

d to

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n re

ar o

f cu

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350

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Cust

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zes &

m

odifi

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ns3

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Hig

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mol

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p la

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of fo

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4-w

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air

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ver o

ptio

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Requ

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in p

rote

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Ride Designs

Cust

omE2

609

14" t

o 20

"Cu

stom

pe

r or

der

form

Varie

s per

cl

ient

250

lbs.

Ride

CAM

stra

ps

for a

djus

ting

cont

ours

; cov

er

Addi

tiona

l cov

erAp

prox

i-m

atel

y 3

lbs.

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cel

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rous

com

posit

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stom

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cus

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sh

ape

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Requ

ire p

rote

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m

skin

bre

akdo

wn

&/or

pe

lvic

stab

ility

ROHO Inc.

Hyb

rid

Elit

eE2

622/

E262

3To

fi t c

hair

wid

ths

14-24

"; du

al co

mpa

rt-m

ent s

izes

appl

icabl

e

14-2

0"3"

500

lbs.

Cove

r, re

pair

kit,

inst

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ions

&

pum

p

Hea

vy-d

uty

cove

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ries

by si

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appr

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mat

ely

3.5

lbs.

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ushi

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inse

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am

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sista

nt

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pren

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JAY

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am

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me-

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poly

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kn

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lip P

VC

bott

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Hav

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hist

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of sk

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soft

tissu

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eakd

own

&/or

any

stag

e of

pre

ssur

e ul

cer,

skin

gra

fts o

r fl a

p su

rger

y; h

ave

norm

al o

r im

paire

d se

nsat

ion;

hav

e pr

essu

re u

lcer

risk



HCPC

S Cod

e(s)

Wid

th(s)

Dept

h(s)

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eigh

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pacit

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anda

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Acce

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Avai

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ion

Wei

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Cush

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Cons

truc

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Cove

r Con

stru

ctio

nId

eal f

or u

sers

who

:ROHO Inc.

Qua

dtro

Sel

ect

E262

4/E2

625

12-2

4"

12-2

4"Lo

w

profi

le

(2"),

mid

pr

ofi le

(3

"), h

igh

profi

le

(4")

No

wei

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limit

if pr

op-

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size

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in

divi

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r, re

pair

kit,

inst

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&

pum

p

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cove

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h pr

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), 3

lbs.

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pr

ofi le

), 2.5

lbs.

(low

pr

ofi le

)

Neo

pren

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and

high

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hav

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oses

Star Cushion

Gal

axy

E262

414

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, 18

" 20"

14" 1

6",

18", 2

0"n/

an/

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ver,

repa

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JAY

Fusi

onE2

622/

E262

314

-24"

14-2

4"4"

300

lbs.

(14-

21" w

ide)

&

500

lbs.

(22-

24" w

ide)

X-st

atic

cov

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optio

nal f

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ba

se m

odifi

ca-

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tex

cove

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lbs.

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& ai

r ins

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3 lb

s. (1

6x18

" &

fl uid

in

sert

)

Base

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at h

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mic

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Sunrise Medical

JAY

Uni

onE2

607/

E260

814

-24"

14-2

4"4.

5"30

0 lb

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&

500

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X-st

atic

cov

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late

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ppor

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optio

nal f

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ls)

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cov

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pace

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cove

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Aquila Corp.(866) 782-9658aquilacorp.com

Comfort Company(406) 522-8560comfortcompany.com

Drive Medical Design(877) 224-0946drivemedical.com/mason

Dynamic Systems Inc.(855) 786-6283sunmatecushions.com

Invacare Corp.(800) 333-6900invacare.com

Motion Concepts(888) 433-6818motionconcepts.com

Ottobock(800) 328-4058ottobockus.com

Quantum Rehab(866) 800-2002quantumrehab.com

Ride Designs(866) 781-1633ridedesigns.com

ROHO Inc.(800) 851-3449therohogroup.com

Star Cushion Products(618) 539-7070starcushion.com

Sunrise Medical(800) 333-4000sunrisemedical.com

Supracor(800) 787-7226supracor.com

VARILITE(800) 827-4548varilite.com

Source List


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The complex rehab technology community has been familiar with — and has been

admiring — Rifton Equipment’s TRAM for a little while now. The multi-purpose device lifts, transfers, stands, supports gait training…even weighs consumers thanks to a built-in scale.

In Mobility Management’s July Best Picks issue, Kelly Mackenhausen, an RTS with Wheelchairs Plus in Grand Rapids, Mich., lauded the TRAM’s ability to meet the needs of a real-life consumer who “needed several devices, such as a transfer device, stander, gait trainer and scale.”

Mackenhausen explained, “His large stature and instability had halted gait training, required two to three staff for transfers, and weight monitoring was impossible. The TRAM has allowed him to resume gait training, transfer safely and be weighed, all while being safely supported in one device that can be operated with one staff instead of two or three. The scale also allows physical therapists to measure weight-bearing progress.”

Now the TRAM is garnering even more praise, thanks to a gold-medal win at the Medical Device Excellence Awards (MDEA) this summer.

Serving a Real NeedThe MDEA program, now 15 years old, says it recognizes “signifi cant advances in medical product design and engineering that improve the quality of healthcare delivery and accessibility.”

Rifton competed in the Rehabilitation & Assistive Technology Products category and took home the category’s top prize. Among its well-known competitors: A remote patient-monitoring system designed and supplied by Samsung Mobile, and a pediatric CPAP mask from ResMed.

Awards program offi cials noted that Rifton — headquartered in New York state’s Hudson Valley — was the smallest manufacturer to win this year.

Stephen B. Wilcox, Ph.D., one of this year’s judges, said of Rifton’s entry, “What impressed me about the TRAM is that it serves a real need. It’s a clever and thoughtful use of existing technology that really empowers both the patient and caregiver. I haven’t seen anything this innovative in adaptive equipment in a long time.”

A Long List of NeedsWhat may be equally innovative is how the TRAM was created.

As is typical with product creation in the complex rehab technology niche, Rifton Design Manager Kirk Wareham said the manufacturer very seriously considered opinions from around the industry.

“We get a constant fl ow of design input from clients, therapists and distributors, and from attending exhibits and giving in-services,” he explained. “This input is carefully logged and tracked and is what drives our design queue — what projects our design teams will be assigned to next.”

Wareham added that over the years, Rifton had accumulated large amounts of information on a list of needs, including assisted sit-to-stand

for clients; toileting; caregiver protection from injuries; and simplifying and speeding up the

transfer of larger or heavier clients. “Using all this input as our guide, we iden-

tifi ed a list of key features, boundaries, core functions, and benefi ts of the potential product and then ranked them in order of importance,” Wareham explained. “This exercise guaranteed that not only would

our product answer the many needs of clients and caregivers, but it would also

provide us with the best sales return on the time we invested in the project.”So far, that process might sound fairly familiar.

The creation process at Rifton, however, takes a very diff erent path once product design actually gets underway.

Forging Its Own PathRifton Equipment is one of the businesses run by the Bruderhof (“Place of Brothers”) community in Rifton, N.Y. Bruderhof members do not draw salaries or own private property. They live communally, with everyone contributing to the running of the community and to the well-being of neighbors and family.

That faith and way of life extends to their product development, including the creation of the TRAM.

“Designing medical products is a complicated endeavor,” Wareham said. “No single person has all the necessary skills to do this alone.”

Rather than have a project manager who dictated his or her decisions to subordinates, Wareham said the TRAM benefi tted from a diff erent methodology.

“Our design process is based on a multi-functional team approach,” he said. “Team members must develop a harmonious and cooperative working relationship. One member’s enthusiasm ignites that of his team-mates. Open-minded ideas, perhaps even through heated debate, gain depth and value as they bounce from one team member to the next. Information fl ows in all directions if team members are really listening.”

The process, Wareham added, does not require or even benefi t from complete uniformity in thinking.

“Someone’s favorite bubble pops under the honest scrutiny of his teammates,” he pointed out. “Challenging a teammate’s ideas is not chal-lenging their intellect or them as an individual. Challenging basic assump-tions can lead to breakthroughs and consensus. Strong emphasis on the concept phase, the whiteboarding and refi ning of ideas before they are set in stone, will not only produce a better product but will move us faster toward the fi nish line. Every important decision is made by consensus.”

The end result: a device that fulfi lls so many diff erent needs that it’s clearly in a diff erent category than traditional patient lifts.

“It is vital to provide customers with the best long-term value for their money,” Wareham said. “Versatility is a primary driver of that value. Providing versatile and durable products is our goal since it off ers the best result for us and our customers.” — Laurie Watanabe ●

A Road Less Traveled:Rift on’s TRAM Wins MDEA Gold Medal

new discoveries


Bariatric Clients Want Independence, Too — And Technology Can Help

Bariatrics

Bariatric RollatorWith a 500-lb. weight capacity, this rollator combines easy operation with easy storage and transport, thanks to its ability to fold quickly. Ergonomic hand brakes, height adjustability and a fl ip-up padded seat make the rollator convenient to use, while a wide, deep steel-construction frame provides durability. Large 8" wheels give the rollator improved mobility over rougher terrain.


Ceiling Lift MotorsSureHands’ bariatric ceiling motors provide a patient lifting capacity of 660 lbs. They operate on two rechargeable batteries with mechanical emergency stop and down func-tions. Used with the Handi-sling, these heavy-duty motors can help to optimize accessibility within the home while promoting safer transfers for patients and their caregivers.

SureHands Lift & Care Systems (800) 724-5305surehands.com

Due to the sheer volume of mainstream-media information about obesity today, it’s easy for everyone involved — from

consumers to clinicians outside the seating & mobility realm — to miss the nuances in this niche. In reality, bariatric clients have a lot in common with other clients complex rehab technology professionals work with. Th ey may have multiple diagnoses, some

progressive. Th ey have diff erent body shapes, and clinical and functional needs that require a customized approach. And they want to be as active and independent as possible!

In this bariatric pictorial, we highlight products that can help bariatric patients achieve those goals, while also meeting seating, positioning and personal mobility needs. — Ed.

http://www.invacare.com

http://www.surehands.com

All Leisure-Lift products areproudly Made In America

PaceSaver/Leisure-Lift, [email protected]

ALWAYSAMERICAN MADE

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Have Questions?Call 1-800-255-0285 or Visit www.pacesaver.com For More Information

Shown with optionalAdmiral GPS Seat

Plenty of Options Available Custom Seating Amputee Support Tie Down System Powered Stanza™ Anti-Tip Wheels Attendant Control ELR’s and Heavy Duty ELR’s Custom Footplates Powered Center Column Footrest Saddle Bag Pannus Pad/Support Cup Holder Walker/Cane Holder Oxygen Holder And More...

American made with longer warranties and quick parts delivery.

More than one-third of U.S. adults (35.7%) are obese. Proper positioning can help improve areas such as lung func-

combating immobility and provides an opportunity for social interaction, which enhances quality of life.

Providing safe comfortable seating is an important aspect of bariatric care. Sitting in the correct sized chair ensures the pa-tient’s comfort and well-being. The optimum chair can be identi-

factors such as weight, body shape and weight distribution.

PaceSaver® offers several chairs and seating options to ac-commodate even the most challenging bariatric client. Custom Sizes, Tilt, Power Seat, Power Footrest, Heavy Duty ELR’s just to name a few.

Chairs up to 675 lbs. weight capacity and multiple options to choose from. Pacesaver® can help deliver a chair $100’s less

Take the time to save money and improve the quality of someone’s life.

Optional Admiral Full Back Seat

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Quickie M6Modeled after the popular Quickie 2, the Quickie M6 features a high-strength modu-lar steel folding frame and interchangeable components to accommodate changing consumer conditions. To minimize frame fl ex, the M6 has a double locking crossbrace and stabilizer bar; the K0007 chair also features an adjustable axle plate, low seat heights, and numerous back height, caster, hanger and handrim options. Seat widths are off ered in 22-30" ranges, with seat depths of 18-22" and a weight capacity of 650 lbs.

Sunrise Medical (800) 333-4000sunrisemedical.com

M300 Corpus HDDesigned especially for consumers weighing up to 450 lbs., the M300 Corpus HD has a mid-wheel-drive confi guration for maneuverability, and extremely sturdy armrests and legrests to support users’ active lifestyles. The chair also features power tilt (0-45°) and power recline (90-150°), along with an extra-wide footplate and durable mesh upholstery to keep moisture away from the user’s body.

Permobil (800) 736-0925permobil.com

Sprinter XL4 DeluxeThis four-wheeled scooter off ers many luxuri-ous features, including a two-tone leatherette seat, a full lighting package, delta tiller and a full suspension to provide a smooth and steady ride. The swivel-and-slide seat helps to make transfers more convenient. The XL4 Deluxe has a 500-lb. weight capacity.

Shoprider (800) 743-0772shoprider.com

APK2This battery-operated, alternating pressure sore treatment cushion has no weight or size limitations. It includes a waterproof foam exterior and internal sets of alternating air bladders to provide therapy similar to that of an alternating-pressure mattress, but with the bonus of enabling the client to be mobile in a wheelchair. The APK2 off -loads full time under an existing pressure ulcer to facilitate healing.

Aquila Corp. (866) 782-9658aquilacorp.com

Tri-Flex IIWith a 1,000-lb. weight capacity, the Tri-Flex II hospital bed off ers expandable widths (37", 48", 54") and a fold-and-roll design for easy delivery and storage. It also features electric high-low functions, achieves Trendelenburg and reverse Trendelenburg positions, and provides CPR release and battery backup. The alternating-pressure, low-air-loss mattress can help consumers with skin-breakdown issues.

Burke Inc. (800) 255-4147burkebariatric.com

BOSS 4.5Its patented 3/4 midi drive enables the BOSS 4.5 bariatric power wheelchair to achieve a 24.4" turning radius, while the 25.4" width helps consumers navigate easily through stan-dard doorways. The BOSS 4.5 also includes a 150-amp modular controller, inline gear drives and high-torque 1 3/4-hp, 4-pole motors. PaceSaver says the 450-lb.-weight-capacity chair can climb a 140-yard, 9° hill 42 times before needing to recharge.

PaceSaver/Leisure-Lift (800) 255-0285pacesaver.com

Bariatrics

All-Day Solutions


http://www.aquilacorp.com

http://www.permobil.com

http://www.burkebariatric.com

http://www.sunrisemedical.com

http://www.shoprider.com


www.Qstraint.com/DiOR

Experience the power of combining the advanced QLK-150 docking station with DiOR – the Drive-in Occupant Restraint system.

Adding the DiOR to a QLK system delivers a new level of safety, security, independence and convenience. DiOR’s pivoting arms move forward as you enter with your power chair, providing you with the right lap belt angles every time.

DiOR is the first and only crash tested occupant belt for docking systems.

www.Qstraint.com/QLK-150

Evolution/Evolution PSVThese E2623-coded cushions can support weights up to 750 lbs. with their adjustable air and foam fl otation technology that distributes pressure. Three stiff nesses of foam create distinct areas for ITs, positioning and stability. Closed-cell foam contoured bases are available as options to increase pelvic and lateral stability. Available in standard or with Pressure Setting Valve in 22x18", 22x20", 24x18" and 24x20" bariatric sizes.

VARILITE (800) 827-4548varilite.com

Revolution Lift Aqua Creek’s most versatile lift is designed for in-ground or above-ground pools and spas, and is made to be operated by the pool user. It features an easy-to-use, four-button remote and dual fl ip-up armrests. The ADA-compliant lift uses a 24v rechargeable battery, has a 500-lb. weight capacity, and features multiple attachments to accommodate a range of situations.

Aqua Creek Products (888) 687-3552aquacreek.com

http://www.Qstraint.com/DiOR

http://www.Qstraint.com/QLK-150

http://www.varilite.com

http://www.aquacreek.com


Bariatrics

With one-third of the American population today experiencing clinical obesity, DME

providers and manufacturers have innovated new approaches for providing equipment to the bariatric population. This can prove a challenging but vital task given the equipment and funding constraints that accompany the specialized needs of these clients.

When talking with providers across the country about assessing and fi tting bariatric clients for heavy-duty power chairs, we have long heard of many diff erent obstacles. Common themes: There isn’t a bariatric model that will accommodate the client’s specifi c complex rehab seating and positioning needs; the bariatric power chair is too wide to go through doorways in the client’s home; the client doesn’t medically qualify for what’s needed per Medicare guidelines; plus many more logistical and funding chal-

lenges. In these cases of the past, the client hasn’t received the equipment that he or she needs to increase independence and overall quality of life.

However, today’s is a diff erent landscape, and as providers, clinicians and manufacturers, we’ve come together to resolve many of these issues to ensure that those with clinical bariatric mobility needs are properly addressed, starting with the design and manufacture of quality, durable, streamlined bariatric products suitable for today’s clients.

Making Up for Lost TimeIn complex rehab, bariatric power bases and seating have had a greater emphasis in recent years. As complex rehab technology has evolved, it’s rightfully moved toward clinical bariatric applications, where aspects like pressure management and supportive seating surfaces are of exceptional importance.

However, manufacturers haven’t merely migrated standard weight capacity products upward, but have designed bariatric products from the ground up to meet the population’s specifi c clinical needs. For example, in creating a bariatric heavy-duty tilt, not only is a larger power actuator used, but every aspect from calf supports to backrest designs to address residual tissue are used. In this way, bariatric mobility products aren’t mere adaptations, but market-specifi c, highly engineered designs to meet clinical needs.

Bariatric Mobility EmergesManufacturers have focused on all aspects of design, from function to form. Indeed, it once was that bariatric mobility products were very utilitarian, built robustly, but with little function or form. Yet bariatric products are now among the most cutting-edge designs, liberating clients to the fullest extent.

Today’s clinically based bariatric power chairs, for example, start out with specially designed components. Ultra high-torque motors, high-weight capacity suspension, rein-forced frames, larger batteries and even heavy-duty tires are all standard design criteria in the 450 lbs.-and-above weight-capacity classes, optimizing performance.

Fitting InAlthough robustness is essential, attention to minimizing power base size proves essential for environmental access. Whereas a bariatric power base width wasn’t uncommon years ago in the 29" range, it’s very typical today to fi nd coded heavy-duty bases in the 26" width range. As a result, environmental access, from doorways to van ramps, is dramatically improved for clients requiring the 450 lbs.-and-above power chair class.

Looking GoodAesthetics have been an increasingly important aspect of the bariatric mobility market. Power chair aesthetics evolved over the past decade, and this has likewise crossed into the bariatric market. If there’s a signature look to today’s bariatric power bases, it’s tough but refi ned. Highly stylized power bases, with curved lines and appealing accents, portray an elegance that clients crave. For many relying on bariatric power bases, they want their power chair to complement them, not call attention to them, and from classy colors to glimmering grilles, bariatric power chairs are now among the most attractive in the market.

Accessorizing Is KeyBeyond power base features and aesthetics, positioning components and acces-sories are key to bariatric products. While strength and durability are givens, so is component proportion. Endomorph and mesomorph back canes adapt to body-type diversity; heavy-duty armrests provide appropriate weight-bearing support; and appropriately sized lower-extremity support (legrests, footplates, calf supports) create enhanced positioning. Such components, engineered specifically for bariatric applications, don’t just offer appropriate positioning in the immediate, but offer increased product longevity at the higher weight capacities.

Heavy-Duty Complex RehabTissue protection and pressure management are critical in the bariatric market, among the highest-risk populations. Heavy-duty power positioning — including tilt, recline and artic-ulating footplates — are rightfully now a mainstay in the bariatric complex rehab market. From pressure management to addressing circulatory needs, power positioning should be a consideration in clinical evaluations. Additionally, bariatric pressure-management cushions aren’t merely bigger, but off er specifi c forms and structure to best serve clients in the higher weight-capacity classes.

Ridding Outdated StigmasWith so much clinically based bariatric mobility technology available today, it’s essential to look at the bariatric population as just that: clinically based.

Those with clinical obesity requiring mobility products often have justifi able complex rehab needs — again, from appropriate power bases to power positioning to pressure-management cushions. During the evaluation and fi tting process, all underlying causes and related risk factors must be accounted for, fully recognizing the client’s needs. Within that professional approach, a client whose needs may not have been fully addressed in the past can get the most thorough evaluation today.

In meeting the needs of the market, bariatric clients have remarkably liberating, clinically based mobility technology available today. What’s more, the level of care has never been better. When combined, bariatric clients are fi t to the most appropriate technology by the most skilled providers. The result is an optimal level of health and quality of life for the client — an ideal outcome that we all seek. ●

John Storie is director of Quantum fi eld sales for Quantum Rehab. He can be reached via e-mail at [email protected].

Today’s Bariatric Market: Tough But Refi ned By John Storie, Quantum Rehabclinically speaking

Manufacturers haven’t merely migrated standard weight capacity products upward, but have designed bariatric products from the ground up to meet the population’s specifi c clinical needs


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Laminar CushionsA bonded combination of the Pudgee and SunMate cushions, the Laminar is designed to meet the most diffi cult support require-ments experienced by active wheelchair users. Laminar cushions are available in four standard sizes (widths and depths from 16" to 20") in 2" to 3.5" thicknesses.

Dynamic Systems (855) SUNMATEsunmatecushions.com

Bariatrics

JAY 3 Back Heavy DutyThis bariatric back (500-lb. weight capacity) is built to be strong, with four-point, quick-release mounting hardware that also makes the back easy to remove from the wheelchair. But the back’s design also enables it to fi t the varied needs of wheelchair users: It features a mild contour in 22-26” widths and four height options, and is compatible with a number of positioning options, including Whitmyer head supports, lateral thoracic supports and anterior trunk supports. A complimentary vanity fl ap accommodates redundant lower-hip tissue.

Sunrise Medical (800) 333-4000sunrisemedical.com

KM-8520Thanks to T6 aircraft aluminum, Karman Healthcare’s bariatric manual chairs have a starting weight of just 35 lbs., but the KM-8520 can accommodate up to 350 lbs. with 20" seat-ing. Adaptive lightweight bariatric chairs have weight capacities up to 550 lbs.

Karman Healthcare (800) 80-KARMAkarmanhealthcare.com

All-Day Solutions

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Morph Wheels by Maddak . . . . . . . . . . . . . . . . 30

Out-Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Sunrise Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

TiLite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Topolino Technology . . . . . . . . . . . . . . . . . . . . . 30

AAHomecare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Abilities Expo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Comfort Company . . . . . . . . . . . . . . . . . . . . . . . . 15

Dynamic Systems Inc. . . . . . . . . . . . . . . . . . . . . . 29

Harmar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Invacare Corp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Numotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Open Sesame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Ottobock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 & 9

Out-Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

PaceSaver/Leisure-Lift . . . . . . . . . . . . . . . . . . . . 23

Permobil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Q’Straint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ROHO Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

SKYLINK Group . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Sunrise Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

TiLite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

VARILITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

advertisers’ index Company Name Page # Company Name Page #

http://www.otodor.com

http://www.karmanhealthcare.com

http://www.sunmatecushions.com



www.sunmatecushions.comFREE SAMPLES

PEOPLE TESTED. PEOPLE APPROVED. This is what comfort looks like.

Transfer BoardsThese premium transfer boards have a nine-ply birch wood base with three additional plies laminated on top, and feature two hand holes and tapered ends for convenience. The boards measure 32x10", with 5/8" thickness in the center and 7/16" thicknesses on the ends. The smooth, uninterrupted surface from end to end helps to facilitate transfers. The boards are stress tested to hold up to 650 lbs.

Therafi n Corp. (800) 843-7234therafi n.com/heavydutyboard.htm

Fusion 500 ScooterThis scooter has a 500-lb. weight capacity, but still manages to stay nimble, with a 33.75" turning radius and an 8° RESNA incline stabil-ity/safety rating. The Fusion 500 adds 3" in length for more comfortable leg and seating room, and features a 110-amp controller and 4-pole, heavy-duty motor/transaxle for all-day range.

PaceSaver/Leisure-Lift (800) 255-0285pacesaver.com

Stimulite Seat CushionWith two soft layers of fl exible Stimulite hon-eycomb fused to the back of a robust bottom layer, Supracor’s bariatric seat cushion provides maximum pressure relief, ventilation and reduced shearing in a product weighing just 7 to 8 lbs. The cushions are available in widths from 20" to 30", and in depths from 16" to 26"; weight capacity is 650 lbs. They’re naturally antibacterial, antifungal, and allergen free.

Supracor(800) 787-7226supracor.com

http://www.sunmatecushions.com

http://www.opensesamedoor.com


http://www.supracor.com

http://www.therafin.com/heavydutyboard.htm


IconWith 15 fully adjustable elements, the Icon’s modular design enables ATPs to change components or component size to achieve the right fi t and suspension. Icon chairs have a weight capacity of 265 lbs., with seat widths of 12-18" and seat depths of 15-18". The Icon chair has a transport weight of 13 lbs.

Icon Wheelchairs(888) 461-5759iconwheelchairs.com

Ergonomic HandrimsOut-Front’s Natural-Fit, Surge and Q-Grip handrims off er a suite of high-performance choices that vary in ergonomics, coating surfaces and functionality. An online Handrim Feature Finder enables ATPs to check out the selection and choose the handrim that works best for their clients’ activities and environments.

Out-Front(480) 833-1829out-front.com

MyOnThe MyOn began with the strength and durability of Invacare’s most successful Euro-pean wheelchair. But it also has consumer- and provider-friendly improvements to serve the American market. The MyOn features cantilever fl ip-back arms, transfer-friendly wheel locks and fold-down back canes.


Quickie Q7Thanks to a combination of 7000-series aerospace aluminum and ShapeLoc heat-treating technology, the Q7 boasts a frame that’s both light and strong. Ovalized tubing design reduces fl ex and enhances rigidity. Custom frame lengths and caster wheel placement options maximize maneuverability and stability for every client.

Sunrise Medical(800) 333-4000sunrisemedical.com

Ergo FlightMade of T6 aluminum, this K0004-coded chair features the S-Shape seating system and has a frame that weighs 14.5 lbs. It features fi xed armrests with concave armpads and a built-in Silver Aegis antibacterial cushion.

Karman Healthcare(800) 80-KARMAkarmanhealthcare.com

Aero TDubbed “Pure Geometry,” the Aero T has Dual-Tube technol-ogy at the heart of its design. The fl owing lines were created to stiff en the chair and to transfer more of each consumer’s push stroke directly to the ground. Reducing wasted energy means your clients need fewer strokes to get through their busy days.

TiLite(800) 545-2266tilite.com

Morph WheelsDesigned for chairs that accom-modate wheels with quick-release axles, the Morph wheel folds to nearly half its size for travel in air-plane or car. Morph wheels weigh 7.5 lbs. each, and feature solid tires and polypropylene handrims. The wheel measures 24" unfolded.

Morph Wheels by Maddak(973) 628-7600morphwheels.com

WX2.5 WheelsContinuous carbon fi ber spokes span the full diameter of these wheels to reduce stresses encountered by active chair users. Available in 24" and 25" diameters, the wheels weigh 2.5 lbs. (24" size) and provide great lateral stiff ness. Compatible with 4- or 6-tab handrims, the wheels fi t standard .5"-diameter axles.

Topolino Technology(203) 778-4711topolinotech.com

ultralights & accessories marketplace

http://www.iconwheelchairs.com

http://www.invacare.com

http://www.karmanhealthcare.com

http://www.morphwheels.com

http://www.out-front.com


http://www.tilite.com

http://www.topolinotech.com

AtlantaMarch 14-16, 2014

Georgia World Congress Cntr.

New York MetroMay 2 - 4, 2014

New Jersey Conv. & Expo Cntr.

ChicagoJune 27-29, 2014

Schaumburg Conv. Cntr.

HoustonAugust 1-3, 2014

Reliant Center

BostonSeptember 20-22, 2013Boston Conv./Exhib. Center

San JoseNovember 22-24, 2013

San Jose Conv. Center

Los AngelesFeb. 28-Mar. 2, 2014

Los Angeles Conv. Center

http://www.abilitiesexpo.com

The C500 Corpus® 3G is designed for the collage of life… busy streets, meetings, lunches, entertainment and nightlife. With its independent suspension, the powerful C500 provides a smooth ride over a variety of terrains from sidewalks to grassy parks, while the Corpus 3G seating system offers the ultimate in comfort for your exciting lifestyle.

Permobil.com

http://www.permobil.com

september 2013 • vol. 12 no. 9 serving the seating...

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