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Base Package

VR-2 90A Drive Control (non-expand)

300 lb 6 mph 4-pole Motor Package

ASAP II Seat Frame

13" Drive Wheels (flat free insert N/C)

Fig 1.1 Pulse™ 6 BC



Pulse™ 6 BC SEAT ONLY w/o elect.

For use to add/replace seating when

additional electronics are not required.

195NB83

195PC74

K0848

K0011

K0848

Pulse™ 6 BC SEAT ONLY w/ elec.

For use to add/replace seating when

additional electronics are required.

195EQ11

8A Dual Mode Charger (Compact) CTE

Pulse™ 6 BC BASE ONLY

For use with Aftermarket Seat frame.

1. QUICKIE Pulse™ 6 GROUP 3 CATEGORY (Select One

)

QUICKIE Pulse™ 6 BC (Group 3 K0848/K0011)

$5,765.00

Quickie Pulse™ 6 BC w/ASAPII Seat (Fig 1.1)

The

HCPCS CODES

provided are based on code verification through PDAC or our interpretation of the code definitions.

The use of

HCPCS CODES

does not ensure coverage or payment. For coverage information, verify with the appropriate payer's coverage policy.

Option # HCPCS Definition Price Option # HCPCS Definition Price

Buyer:

City,State,Zip:

Marked For:

Phone:

Ship To:

Date:

Name:

Account:

PO#:

Address:

Quickie Pulse™ 6 Group 3

(K0848, K0849, K0856

)

EIPW22, November 2012

$5,765.00

195EQ08

$750.00

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ORDERING INFORMATION PHONE: (800) 236-4215, FAX: (602) 279-0952, WEBSITE: www.southwestmedical.com

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SUBMIT

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Sommario

Pagina 1 - Quickie Pulse™ 6 Group 3

DDBase PackageVR-2 90A Drive Control (non-expand)300 lb 6 mph 4-pole Motor PackageASAP II Seat Frame 13" Drive Wheels (flat free insert N/C)Fig

Pagina 2 - STFH Matrix

  0°3° NA with +3" or +4" STFH or lift6° NA with +3" or +4" STFH or Lift/Tilt +3" STFH NA with Capt Seat

Pagina 3 - 4. ELECTRONICS

Quickie Sip n' Puff System195ID34195II01195IJ01195IH1ASL Head Array Package (Adult)195II02195IJ01ASL Head Array Package (Ped)195II03195IJ0

Pagina 4 - Seat Depth

Adjustable 12x12 to 16X19 ( A )Adjustable 16x12 to 20x20 ( B )Adjustable 18x16 to 22x22 ( C )A = ASAP II Seat Frame Adjustable from 12x12 to 16X19

Pagina 5

- Switch Mount Right- Switch Mount Left 195BP40    E0955 Plush Head Support Pad 8" E0955 Plush Head Support Pad

Pagina 6 - Arm Pad Options for ASAPII

   Arm Pad Options for ASAPII $230.00Single Post Height Adjustable - Std.195EG05$230.00195EG07 E0973$230.00Low

Pagina 7 - 14. ACCESSORIE

  ABCDEFHXXX XXX X XXXXXXXXXX     Centermount Pwr ELR w/ Articulation (F,H)$2,200.0013. HANGERS AND FOOTRES

Pagina 8 - (must be same as Base Width)

 14 16 17 18 19 20  3  5  1  1.5  2 14.5 16 17 18 19 20  3.5  5  1  1.5  2 15 16 17 18 19 20  4  5  1  1.5  2 15.

Pagina 9 - Not Available Not Available

ART SPO CUSTOM CURVED BACKRESTPosterior Positioning Backrest (E2617)EIPW22 - Effective November 20122. Back Relief 17.51617181920 4 3 4 5 6