Account No: _______________________________________________
Drop Ship/Ship To: ____________________________________________
Date: _____________________________________________________
Name: _______________________________________________________
P.O. #: ____________________________________________________
ddress: _____________________________________________________
Buyer: ____________________________________________________
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029PC1
K0011
Quickie P-200 $7,095.00
Batteries
Frame Color
136A48
E2363
Gp 24 Gel Cell (Pair)
$390.00
029C2 Black NC
Battery Charger
029C10 Black Opal NC 029BJ1 8 A Battery Charger Bench Top NC
029C1 Blue NC 029BJ1 8 A Battery Charger Compact NC
029C38 Blue Opal NC 029BJ3 Omit Battery Charger -$40.00
029C12 Blue Velvet NC
029C36 Candy Blue NC 029DW1 10" Mag Pneumatic NC
029C35 Candy Red NC 029DW2
K0093
10" Mag Pneumatic w/Insert $240.00
029C39 Candy Turquoise NC 029DW10 12" Mag Pneumatic NC
029C6 Forest Green NC 029DW11
K0093
12" Mag Pneumatic w/Insert $260.00
029C4 Midnight Purple NC
029C37 Orange NC
Caster Wheel
029C5 Pearl Pink NC 029CW21 8" Pneumatic NC
029C40 Razzleberry NC 029CW20
K0097
8" Airless Insert $125.00
029C11 Toxic Green NC
029C8 Yellow NC
Frame Mount Hanger
2
Custom Colors
029H27 Swing Away NC
029C41 Berry Vibrations $250.00 029H19
E0990
Elevating $270.00
029C20 Graphite $250.00 029H32 Omit Hanger -$15.00
029C15 Purple Chase $250.00
Extension Tube
2
029C42 Stars & Stripes $250.00 029E28 Swing Away NC
029C43 Mossy Oak Camouflage $250.00
Foot Plate
Seat Height
3
029F1 Composite w/Heel Loops NC
029HT11
18-1/2"
NC 029F3
Adult Angle Adjust w/Heel Loops
$210.00
029HT13
19-1/2"
$155.00
K0040
Angle Adjustable Footplate $165.00
E0951
Heel Loop $45.00
Joystick
029F7 Omit Foot Plate and Extension Tube -$15.00
029J5
E2320
Qtronix Remote NC
Footrest Accessories
029J4
E2320
Qtronix Remote w/ 1/8" Jacks
$160.00
K0038
Leg Strap, Black $30.00
Joystick Mount Hardware
029A110
E0952
Toe Loop
$45.00
029JM1 Fixed Arm NC
029JM2
E1028
Swing Away Arm $235.00
FOOTNOTES:
029JM3
E1028
Center Mount Swin
Awa
Arm $235.00
1
Two sin
le switches required to operate both the on/off and mode select
Hand Mount
functions.
029HM1 Right NC
2
Not available with Seat Mount Hangers
029HM2 Left NC
3
Seat Height measured a 3° of Pre-Set Frame Angle
Height Adjustable Mount
4
Only available with adult angle adjustable footplates.
029HI01 Fixed Mount NC
5
Extension tube range from seat to footplate is 14" to 18" with
029HI02 Adjustable Mount $95.00
Frame Mount Swing-away Hangers.
Joy Stick Handle
6
Extension tube range from seat to footplate is 15" to 19" with
029JH3 Stick Handle NC
Frame Mount Swing-away Hangers.
029JH4
E2323
T-Handle $75.00
029JH1
E2323
Ball Handle $75.00
029JH2
E2323
Foam Ball Handle $75.00
Quickie P200 with Perfect Fit Seating
ORDERING INFORMATION PHONE: (800) 456-8168 Opt 3, FAX: (800) 333-9011, WEBSITE: www.sunrisemedical.com
CCOUNT INFORMATION
QUICKIE P200 BATTERIES
PROPER USE OF HCPCS CODES DOES NOT ENSURE COVERAGE OR PAYMENT. FOR COVERAGE INFORMATION , VERIFY THE APPROPRIATE PAYER'S COVERAGE POLICY.
FOOTREST
ELECTRONICS
EIP2, Effective January 2006
DRIVE WHEEL
CASTERS
Specifications are subject to change without notice. Copyright @ 2005, Sunrise Medical. (7.05) Quickie P200 W/ PF - Page 1 of 4 100551 Rev. A.
