PHONE: 800-333-6900 EMAIL: [email protected]FAX: 800-678-4682 Prices subject to change www.invacare.com FORM NO. 17-187 v2.16 - 9/23/19 PAGE 1 of 11 Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. Adobe Acrobat Reader DC Interactive functions of our new forms work best with the latest version of Adobe Acrobat Reader DC visit https://get.adobe.com/reader/ to download and install on your PC or Mac or visit Google Play/ iTunes to download the Adobe Acrobat Reader DC app for your device. * Thank you for using Invacare eForms. For additional information please visit www.invacare.com/eForms Submit Print Save Invacare ® TDX SP2 Power Wheelchair with Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics If you do not have access to Adobe Acrobat Reader DC simply print this form and complete it by hand and fax it to our Customer Service Department at: 800-678-4682 Adobe Acrobat Reader DC allows you to save this form with your content - to complete later or use as a starting point for your next form. Please note that content must be added and saved in Acrobat - saving content from completed forms in the browser may not be possible. Adobe Acrobat Reader DC allows you to submit this form electronically via your email client. Simply click the submit button below and step through the simple process.
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PHONE: 800-333-6900 EMAIL: [email protected] FAX: 800-678-4682Prices subject to change www.invacare.com FORM NO. 17-187 v2.16 - 9/23/19 PAGE 1 of 11
Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions.
Adobe Acrobat Reader DCInteractive functions of our new forms work best with the latest version of Adobe Acrobat Reader DC visit https://get.adobe.com/reader/ to download and install on your PC or Mac or visit Google Play/ iTunes to download the Adobe Acrobat Reader DC app for your device.
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Thank you for using Invacare eForms.
For additional information please visit www.invacare.com/eForms
Submit PrintSave
Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics
If you do not have access toAdobe Acrobat Reader DC simply print this form and
complete it by hand and fax it to our Customer Service Department
at:
800-678-4682
Adobe Acrobat Reader DC allows you to save this form with your
content - to complete later or use as a starting point for your next form. Please note that content must be added and saved in Acrobat - saving content from
completed forms in the browser may not be possible.
Adobe Acrobat Reader DC allows you to submit this form electronically via your email
client.
Simply click the submit button below and step through the
simple process.
Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 2 of 11
Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics
AELM Motion Concepts Add 12” Elevating Lift SeatModule to Tilt and/or Tilt & Recline System (tiltreduced to 45° with elevate option)(1) E2300 $2,495
1. Up to 250 lbs.
Modules (Must select T/R System to add Modules)
0SA 0 Degree Tilt Angle NC
5FAA 5 Degree Fixed Anterior Assist(1)(5) . NC
10FAA 10 Degree Fixed Anterior Assist(2)(5) $750
5SA 5 Degree Fixed Pre-Tilt(3) NC
8PCM 8 Degree Precline Module(4) NC
1. STF raised 2.2” (with chair tilted to level)2. STF raised 3.6” (with chair tilted to level); this module may limit
front rigging options3. STF raised 2” @ front of seat (chair at 5° tilt)4. Reduces maximum recline angle by 8°5. Chairs with anterior tilt assist will have black steel battery box door,
not a painted front shroud
Seat-To-Floor Height (Measured from front of seat, with chair level)
LOW Low Seat-To-Floor NC
MED Medium Seat-To-Floor NC
STF Heights(measured at 0° tilt)
Ultra Low MaxxPowered Positioning System
Adjustable RehabSeat non-powered
LOW 17.25” 16.5”
MED 18.25” 18.5”
TALL 19.25” 20.5”
TALL Tall Seat-To-Floor NC
Prices subject to change FORM NO. 17-187 v2.16 - 9/23/19 PAGE 4 of 11
Invacare® TDX SP2 Power Wheelchairwith Rehab Seat or Ultra Low Maxx Power Positioning System & LiNX Electronics
Back OptionsRHBK Standard Rehab Back & Cushion(4)(5) NC
RPIP Recessed Planar Interface Plate(2)(3) $125
1. Back post only, only available with tilt system2. Included with all recline systems when no back is selected. May also be use
as an interface as after market back.3. Not available on tilt only or tilt/elevate systems, for use with recline module4. ASBA-2 comes with sling, back and seat pan5. Not available with ASBA-26. Not available when ordering Matrx or high Back
FLATL Left Fixed Mount Lateral Trunk Support(1) E0956 $100
MAXX Lateral Trunk Supports
Select Left Trunk Support SizeL-XS Size XS (3.25x4.25”) NC
L-S Size S (3.25x5.25”) NC
L-M Size M (3.75x5.75”) NC
L-L Size L (4.25x6.5”) NC
FLATR Right Fixed Mount Lateral Trunk Support(1) E0956 $100
Select Right Trunk Support Pad Size
R-XS Size XS (3.25x4.25”) NC
R-S Size S (3.25x5.25”) NC
R-M Size M (3.75x5.75”) NC
R-L Size L (4.25x6.5”) NC
1. Not compatible with “deep” Matrx backs or sling back
Swing Away Trunk Support Hardware(4)
LMSA Left - MAXX Style Swing Away HDW(1)E1028 $195
1. Up to 2.75” medial offset2. Recommended for all backs except rehab back, PB and elite deep backs3. Medial offset depends on back thickness4. Must choose fixed mount and pads
RMSA Right - MAXX Style Swing Away HDW(1)E1028 $195
ATL2 Pair – Additional Telescoping Link(2)(3)
(up to 5 ½” medial offset) $150
PBLS-L Matrx Standard LateralFixed - Left (7.5x5”)E0956 $100
PBOL-L Matrx Offset Lateral Fixed Left E0956 $110
PBLS-R Matrx Standard LateralFixed - Right (7.5x5”)E0956 $100
PBOL-R Matrx Offset Lateral Fixed Right E0956 $110
Left Trunk Support Pad
L-XS-SW Size XS (3.25x4.25”) E0956 $100
L-S-SW Size S (3.25x5.25”) E0956 $100
L-M-SW Size M (3.75x5.75”) E0956 $100
L-L-SW Size L (4.25x6.5”) E0956 $100
Right Trunk Support Pad
R-XS-SW Size XS (3.25x4.25”) E0956 $100
R-S-SW Size S (3.25x5.25”) E0956 $100
R-M-SW Size M (3.75x5.75”) E0956 $100
R-L-SW Size L (4.25x6.5”) E0956 $1001. Must choose swing away hardware below
MMA Medium Multi Axis Footplate (5.25”W x 8”D) K0040 $450
Multi Axis Adjustable Angle Footplates (Sold as Pairs)
PHL Heel Loop E0951 $40
LMA Large Multi Axis Footplate (6.25”W x 8”D) K0040 $450
ELECTRONICS
REM110SS LiNX Drive Only Remote with egg switch andmounting hardware to operate single actuator(One Drive Function) NC
Non-Expandable
Non-Expandable Single Actuator Joystick(1)
REM210SS LED Non-Expandable Remote – Allows throughthe drive control operation of single actuator(requires STTDC), includes egg switch andmounting hardware (Three Drive Functions) NC
STTDC Function key for operation of single actuatorthrough the drive control(3) E2310 $1,795
REM110 LiNX Drive Only Remote(2)
(One Drive Function) NC
Non-Expandable Single Drive Joystick(1)
REM110MS LiNX Drive Only Remote with 4-way toggle or 4-way push button switch, with mounting hardware, to operate two actuators (One Drive Function) NC
REM210MS LED Non-Expandable Remote – Allows throughthe drive control operation of two actuators(requires MTTDC), includes 4-way toggle or 4-way push button switch with mounting hardware (Three Drive Functions) NC
MTTDC Function key for operation of two or moreactuators through the drive control(2) E2311 $2,995
1. Lights are not available with non expandable remote2. Standard with rehab seat. Not available on K0856 or K08613. Required with REM210SS4. Required with REM210MS5. Choose switch or toggle
Non-Expandable Dual Actuator Joystick(1)(5)
NEXC Non-expandable controller NC
EXPC Expandable Controller E2377 $700
Expandable
PWH Harness Req. for Exp. System E2313 $450
G-TRAC-LX LiNX G-TRAC Module K0108 $995
REM211 LED Expandable Remote(1)(2)(6) Standard
REM216 LED Expandable Remote with Lights(1)(3)(6) $350
REM400 Color 3.5” Touch Screen Remote(4)(5)(6) $1,000
REM500 LiNX Color 3.5” Touch Screen(4)(5)(6)
Display Only (No Driver Control) $1,500
STTDC Function Key Single Actuator Systems EnabledJoystick Operation of one Actuator E2310 $1,795
MTTDC Function Key Multiple Actuator Systems Enabled Joystick Operation of Multiple Actuators E2311 $2,995
1. Up to 6 actuators, 3 drive functions, not available with specialty drive controls2. Not available with lights & indicators3. Must pick lights & indicators4. Can control lights, must choose5. 6 Actuators and drive functions6. Must choose expandable and PWH7. Adds 2 toggle switches to REM400
Expandable (continued)
LEFT Left Handed Joystick Mount(1) NC
Mounting for Driver Controls
QUAD Quad Link swing-away, height adjustable E1028 $235
RIGHT-Q Right Handed Joystick Mount NC
LEFT-Q Left Handed Joystick Mount NC
1. Right handed joystick is standard
2PB Dual Push Button $150
Powered Seating Switches - Single Actuator Systems
PBMT Push Button Mounting Kit NC
ASL300A Egg Switch $156
1. Requires expandable electronics
2SW Dual Toggle $250
FWTM 4-way toggle Switch NC
Powered Seating Switches - Multiple Actuator Systems