trotter - inspired by drive€¦ · phone: fax: e-mail: ship to address: trotter mobility chair...
TRANSCRIPT
-
ACCESSORIES
UPHOLSTERY COLORS
Lateral Support & Scoli Strap
Contoured Headwings
Rear Anti-TippersFull Torso Vest PoziformAnkle Positioners
Headrest Extension
Angle Adjustable Footplates
Upper Extremity Support
Trotter Mobility Chair
Curb Assist foot pedalJet Fighter Blue Punch Buggy PinkFire Truck Red
The Trotter pediatric mobility chair offers parents and caregivers a lightweight, foldable alternative
to heavier wheelchair-style mobility bases. Available in three fun colors, the new generation.
The Trotter features padded seat & back upholstery, and can easily grow with your child with
an adjustable seat depth. The Trotter also features an Adjustable Tension Positioning™ (ATP™) versatile back support system for improved posture, comfort and positioning.
STANDARD MODEL FEATURES• Newly designed padded seat & back upholstery, available in three fun colors• New titanium-colored folding frame with closure strap that holds the chair
shut when folded
• Adjustable Tension Positioning (ATP) straps for multi-purpose back support and customization to individual seating needs
• Adjustable seat depth and seat-to-back angle• Crash tested (WC-19) for transit with optional transit brackets• 8” front casters and 10” rear wheels with toggle lock• Curb-assist foot pedal facilitates curbside navigation• Poziform five-point harness with padded breathable covers• Canopy & Under Seat Carrier are now included
Shown with optional accessories
www.inspiredbydrive.com
http://www.inspiredbydrive.comhttp://www.inspiredbydrive.com/product/poziform/http://www.inspiredbydrive.com/
-
ORDER FORM
Dealer: Marked For: Account #:
Date: PO#: Ordered By:
Phone: Fax: E-mail:
Ship to address:
Trotter Mobility Chair
BASE UNIT 12” WIDTH 14” WIDTH 16” WIDTH 18” WIDTH
Fire Truck Red TR-1200-FR TR-1400-FR TR-1600-FR TR-1800-FR
Jet Fighter Blue TR-1200-JB TR-1400-JB TR-1600-JB TR-1800-JB
Punch Buggy Pink TR-1200-PP TR-1400-PP TR-1600-PP TR-1800-PP
Included as standard Canopy Canopy Canopy Canopy
Included as standard Under Seat Carrier Under Seat Carrier Under Seat Carrier Under Seat Carrier
Weight Capacity / Weight Capacity for Transit 75 lb / 75 lb 100 lb / 100 lb 170 lb / 165 lb 250 lb / 165 lb
Seat Width 12” 14” 16” 18”
Seat Depth with 3” Seat Extension Rail 9” - 16” 10” - 17” 11” - 18” 12” - 19”
Seat-to-Back Angle 80º - 95º 80º - 95º 80º - 95º 80º - 95º
Seat Angle 20˚ 20˚ 20˚ 20˚
Seat-to-Footplate Height (leg length) 4” - 20” 4” - 20” 4” - 20” 4” - 20”
Seat-to-Floor Height at 90º (rear/front) 19” / 22” 19” / 22” 19” / 22” 19” / 22”
Back Height 24” 24” 24” 24”
Push Handle Height 41.5” 41.5” 41.5” 41.5”
Folded Height 16” 16.5” 17” 17.5”
Overall/Folded Length 45” 45” 45” 45”
Overall Width (outside rear wheels) 20.5” 22.5” 24.5” 26.5”
Product Weight 33 lb 34 lb 35 lb 36 lb
HCPCS E1236 E1236 E1236 E1236
HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims. Referenced HCPCS codes are also not guarantee of payment.
ACCESSORIES
Headrest Extension Fire Truck Red TR-A1201-FR TR-A1401-FR TR-A1601-FR TR-A1801-FR
Add 8” - 12” Jet Fighter Blue TR-A1201-JB TR-A1401-JB TR-A1601-JB TR-A1801-JB
(E0966) Punch Buggy Pink TR-A1201-PP TR-A1401-PP TR-A1601-PP TR-A1801-PP
Angle Adjustable Footplates (K0040) TR-A7100S TR-A7100S TR-A7100L TR-A7100L
Ankle Positioners, Side Release (E0951) PAP-200S PAP-200M PAP-200L PAP-200XL
Ankle Circumference 6” - 7.5” 7” - 9” 8.5” - 11” 11” - 13”
Calf Panel, Soft Padded Nylon (K0108) PCP-280S PCP-280S PCP-280M PCP-280L
Poziform Contoured Chest Harness (E0960) PCHT-120S PCHT-120M PCHT-120L PCHT-120XL
Full Torso Vest TR 8025 Fit all sizes of Trotter
Lateral Support & Scoli Strap (E0956) TR-A8027 Can be pulled to one side for scoliosis correction
Contoured Headwings (E0955) TR-A8022 Fit all sizes of Trotter
Anti-Tippers (E0971) TR-A7200 Fit all sizes of Trotter
Medical Necessity Storage Bag TR 8023 Fit all sizes of Trotter
Upper Extremity Support (E0950) TR 8024 Fit all sizes of Trotter
Bus Transit Tie-Downs* TR 8029 *Must use with Headrest Extension
* Transit Tie-Downs must be used with Headrest Extension to be in complaince with WC-19.
Prices listed are subject to change without notice. © 2020 Inspired by Drive. All rights reserved. All trademarks stated herein are the properties of their respective companies. T: 800.454.6612 | F: 310.305.1718 | www.inspiredbydrive.com | [email protected] APRIL 2020
| FAX: 310-305-1718www.inspiredbydrive.com
$1,810
$1,810
$1,810
N/C
N/C
$120
$120
$120
$175
$130
$85
$160
$217
$135
$160
$75
$63
$218
$139
Button 9: Button 8: Button 7: Page 2:
Button 8: Page 2:
Text Field 30: Text Field 29: Text Field 28: Text Field 27: Text Field 26: Text Field 25: Text Field 24: Text Field 23: Text Field 22: Text Field 21: Check Box 608: OffCheck Box 6029: OffCheck Box 6032: OffCheck Box 6035: OffCheck Box 609: OffCheck Box 6028: OffCheck Box 6031: OffCheck Box 6034: OffCheck Box 6010: OffCheck Box 6027: OffCheck Box 6030: OffCheck Box 6033: OffCheck Box 6011: OffCheck Box 6044: OffCheck Box 6053: OffCheck Box 6062: OffCheck Box 6012: OffCheck Box 6043: OffCheck Box 6052: OffCheck Box 6061: OffCheck Box 6013: OffCheck Box 6042: OffCheck Box 6051: OffCheck Box 6060: OffCheck Box 6014: OffCheck Box 6041: OffCheck Box 6050: OffCheck Box 6059: OffCheck Box 6064: OffCheck Box 6040: OffCheck Box 6049: OffCheck Box 6058: OffCheck Box 6017: OffCheck Box 6038: OffCheck Box 6047: OffCheck Box 6056: OffCheck Box 6018: OffCheck Box 6037: OffCheck Box 6046: OffCheck Box 6055: OffCheck Box 6020: OffCheck Box 6021: OffCheck Box 6022: OffCheck Box 6023: OffCheck Box 6024: OffCheck Box 6025: OffCheck Box 6026: OffButton 4: