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Date __________________________ Customer code C-_____________________ Invoice address________________ Contact person _______________________ ________________________________ Reference __________________________ ________________________________ Other delivery address _____________ ________________________________ _____________________________________ ________________________________ _____________________________________ Invoice address = delivery address Quote Basic price for SW 35-50 cm: 3.775,- € excl. VAT Basic price for SW 55-60 cm: 4.975,- € excl. VAT Seat width D20035EL D20038EL D20040EL D20043EL D20045EL D20050EL D20055EL D20060EL D22149 35 cm 38 cm 40 cm 43 cm 45 cm 50 cm 55 cm 60 cm Seat depth A B C D E 50,0 cm 47,5 cm 45,0 cm 42,5 cm 40,0 cm For seat depth above 50 cm, see page 2 Capacity SW 35-50 cm max. 145 kg SW 55-60 cm max. 160 kg Seat height See page 10 Side upholstery (reduces SW with 2 x 2,5 cm) 129,- € = Standard equipment ELETRICAL PARTS AND FRAME Item nr. Description Price in € Standard Electrical kit with remote control 0,- Standard Push handles 30 cm, height adjustable and swingable 0,- D21071 Electrical foot supports 921,- D21072 Electrical tilt 704,- D21073 Electrical recline 739,- D41123 Holder for remote control –right (not possible to combine with a hemiplegic armrests or a tray) 214,- D41124 Holder for remote control – left (not possible to combine with a hemiplegic armrests or a tray) 214,- D21075 Recommended configuration for car transportation for users higher than 185 cm (incl. back height 60 cm, 50 cm vertical tube and headrest adapter in aluminium) 597,- D21808 Push handles 50 cm, height adjustable and swingable 189,- D81740 Push bow – height and angle adjustable 338,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 1 of 10 Version 2017-05 #7 Siehe D20824 Frame extension incl. brakes on lower frame tube 269,- D41074 Car fastener 158,- D22222 Special seat depth incl. frame extension, comfort seat plate and longer cushion – add. charge for SW 35+38 cm as the cushion is special adaptation. If combined with other options, please send us a request as some solution are only possible as special adaptations. 52,5 cm 55 cm 57,5 cm 569,- D23010 Tetra spastic kit (reinforced back hinges and manual leg supports) 596,- D28000EL 45° seat tilt, seat height + 8 cm incl. frame extension, comfort seat plate 2318,and front wheel distance busher. Special adaptation – extended delivery time. If combined with other options, please send us a request as some solution are only possible as special adaptations. D21022 Easy Care cover for seat and back, washable (not available for VB Venti or Netti Sit °C, Kyphotic or Contour) 0,- D40501 SW extension: 1,2 cm per side for standard wheels (only SW 35-45 cm) 599,- D40502 SW extension: 1,2 cm per side for DB-wheels (only SW 35-45 cm) 599,- D40503 SW extension: 2,7 cm per side for standard wheels (only SW 35-45 cm) 599,- SOLUTIONS FOR RESPIRATION MACHINES AND OTHER MEDICAL DEVICES D21186EL D21186 D21187 D42900 Universal device holder (incl. frame extender D20824) for SW 35-50 D: 34,8 cm / W: SW minus 3,6 cm / Max. capacity 10kg Universal device holder (incl. frame extender D20824) for SW 55-60 D: 34,8 cm / W: SW minus 3,6 cm / Max. capacity 10kg Cover plate for universal device – add. Level (only with D21186) D: 19,3 cm / W: SW minus 3,7 cm / H (free area): 23,7 cm Extra set of 4 mounting brackets, incl. screws 1820,1697,449,234,- BRAKES Standard D21010 D21029 D21031 D27282 D27283 User brake, brake lever 9 cm Drum brakes with quick release Brake lever extension + 6 cm, length: 15 cm Brake lever extension + 16 cm, length: 25 cm One-hand-brake, right (only in combination with drum brake) One-hand-brake, left (only in combination with drum brake) 0,229,79,89,338,338,- BACK UNIT(for belts please see page 8) Standard Standard D21006 D44992 Back cushion Netti Smart - side support 12 cm - 3D cover Back height 50 cm (incl. adjustable velcro back) Back height 60 cm (incl. back extender + longer cushion) Adjustable velcro with cut for side supports 0,0,294,236,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 2 of 10 Version 2017-05 #7 D27376 D27378 D27542 D21023 D21123 D26830 D26843 D20630 D27541 D27700 D27701 D21042 D21084 Side support correction left – for Netti Smart Side support correction right – for Netti Smart Bracket upholstery for side support correction, pair Back cushion Netti STABIL - with 17 cm side support - 3D cover Back cushion Netti SUPER STABIL – with 17 cm reinforced side support - 3D cover Side support stable left - for Netti STABIL, SUPER STABIL & Kyphotic Side support stable right - for Netti STABIL, SUPER STABIL & Kyphotic Back cushion Netti KYPHOTIC – 3D/Mars cover – only back height 50 cm and for SW 35-50 cm Upholstery for side support stable, pair Firm back in aluminium, back height 50 cm Firm back in aluminium, back height 60 cm, incl. D21006 Lumbar support Back wedge Netti Dynamic FREE back (only for SW 35-50 cm) Allows up to 40° trunk movements backwards. The standard back recline can be locked in any position as the dynamic movement is blocked simultaneously, which can be appropriate during transport or positioning. Incl. frame extension D28001 and Bodypoint Evoflex pelvic stabilizer 2-point belt: Size XS M L 193,193,98,497,579,219,219,667,134,332,696,164,164,Price on request For more information and choice of gas spring, feel free to contact us or have a look at our website. If combined with other options, please send us a request as some solution are only possible as special adaptations. D82226 200N D82229 500N D82232 800N D82235 1100N D87907 D82227 300N D82230 600N D82233 900N D82236 1200N D82228 400N D82231 700N D82234 1000N D82237 1300N For Netti Dynamic System with dynamic seat unit, please see the Netti Dynamic III HD order form. Recline limiter (possible to limit in different positions from 116° 134°) for the Netti Dynamic Free back spring (to be mounted by the dealer) Libertas 15° back flexibility incl. long anti tips and frame extender (not intended for transportation in car) D82414 80N D82415 120N D82416 160N 30,- Price on request SEAT UNIT(for belts please see page 8) Standard Standard For SW 35-50 cm: Seat cushion Netti Uno Seat with 3D cover For SW 55-60 cm: Seat cushion Netti Sit with 3D cover 0,0,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 3 of 10 Version 2017-05 #7 Standard D21074 D21048 D21007 D21017 D19730 D63400 D27490 D27491 D27492 D20830 Sliding seat plate Seating plate comfort for SW 35-50 (not to be combined with sliding seat plate) Incontinence cover for seat cushion Netti SIT - Pressure relief seat cushion with incontinence layer under the 3D cover Netti SIT °C - Pressure relief seat cushion with temperature regulating features and 3D cover Netti Contour seat cushion with 3D cover, for SW 35-43 only in limited seat depths available (see spare part catalogue) and not available in SW 60 cm Vital Base Venti - anti-decubitus cushion with 3D cover Abduction block small (W: 8 x L: 14 x H: 8 cm) Abduction block medium (W: 11 x L: 15 x H: 8 cm) Abduction block large (W: 14 x L: 17 x H: 8 cm) Removable knee and thigh support 1 piece 2 pieces 0,117,212,356,497,235,- 439,235,235,235,188,- LEG SUPPORTS AND ACCESSORIES Standard D24005 D21080 D80087 D21008 D21081 D20828 D20827 D21044 D21041 D24000 D21745 D41617 D23014 D21293 D86900 D86901 D28453 Manual adjustable leg supports with automatic length adjustment, angle adjustable foot plates, calf supports and knee upholstery Universal leg supports with knee angle adjustment, adjustable below 90° for contract leg situations Reinforced leg supports Depth adjustable hinge for footplates (5 cm in all) – mounted (cannot be used on reinforced leg supports D21080) Gas spring for adjustable leg rests Extra abduction for leg rests (+5 cm, not available for SW 43 + and for SW 60 cm only with footboard) Amputation support, left (double-sided amputation support only in combination with frame extender D20824) Amputation support, right (double-sided amputation support only in combination with frame extender D20824) Foot board, adjustable Foot box upholstered Calf supports hinged (possible to swing underneath the chair) (in some tilt positions the calf support are not fully operational) Calf support bracket upholstery, pair Calf support upholstery extra soft, pair Foot fixation, pair Calf strap with upholstery (incl. std. calf supports) Bodypoint calf strap M Bodypoint calf strap L Foot plate upholstery (not for footboard or footbox), pair Bodypoint ankle huggers 0,117,488,444,175,380,356,356,197,469,165,49,190,132,79,162,162,269,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 4 of 10 Version 2017-05 #7 D82296 D82298 D44863 S (L: 17-20 cm) D44864 M (L: 19-23 cm) D44865 L (L: 22-29 cm) D44904 XL (L: 28-33 cm) Netti Dynamic angle adjustable leg rests DUAL with calf supports and footboard, 100N. Standard adjustment piece 300 mm (lower leg length 45-60 cm) Adjustment piece 214 mm (lower leg length 30-45 cm) 213,213,223,244,Price on request For more information, feel free to contact us. If combined with other options, please send us a request as some solution only are possible as special adaptations. D82318 D82319 Netti Dynamic angle adjustable leg rests DUAL with calf supports and footboard, 100N. Adjustable for different thigh lengths. Standard adjustment piece 300 mm (lower leg length 45-60 cm) Adjustment piece 214 mm (lower leg length 30-45 cm) Price on request For more information, feel free to contact us. If combined with other options, please send us a request as some solution only are possible as special adaptations. ARM SUPPORTS & ACCESSORIES Standard Standard Standard D29398 D80735 D21014 D21015 D21077 D21078 D21079 D21927 D41649 D41650 D23003 D22185 D22186 Arm support height adjustable and swingable (39,5 cm) For SW 35-50 cm: Arm pads 385 x 58 mm For SW 55-60 cm: Arm pads 420 x 80 mm Reinforced arm support brackets (not to be combined with SW extension) Reinforced arm rests (skirt guard in aluminium und arm pads 420 x 80 mm) Arm support extended with 5 cm (44,5 cm) Arm support extended with 10 cm (49,5 cm) Arm pads 420 x 80 mm for SW 35 - 50 cm Arm pads 445 x 70 mm Arm pads 525 x 80 mm Arm pads curved at the back 524 x 79 mm Arm pad upholstery extra soft (for arm pads 385 x 58 mm) – 3D cover (not to be combined with a tray) Arm pad upholstery extra soft (for arm pads 420 x 80 mm) – 3D cover (not to be combined with a tray) Hemiplegic cushion Arm support hemiplegic left (not to be combined with a tray) Arm support hemiplegic right (not to be combined with a tray) 0,0,0,254,687,464,464,112,112,112,148,99,123,196,296,296,- MAIN WHEEL Standard For SW 35-50: 24 x 1" PU Possible front wheels SH1 46,0 cm 5, 6, 7‘‘ SH2 49 cm 7, 8‘‘ 0,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 5 of 10 Version 2017-05 #7 Standard D20831 D20832 D22006 D22008 D22007 D22002 D21035 D22010 D22009 D22013 For SW 55-60: 24 x 1 3/8" HD flexel SH1 46,0 cm SH2 49 cm Possible front wheels 7‘‘ 7, 8‘‘ Main wheel w/one hand drive (24x1 3/8 DB) - left 0 Main wheel w/one hand drive (24x1 3/8 DB) – right Max. capacity 150kg – for SW 55+60 cm only as special adaptation Main wheels size: 1 3/8, flexel for SW 35-50 cm Main wheels pneumatic – only 24 x 1 3/8 available Main wheels 22 x 1" flexel SH1 43,5 cm SH2 46,5 cm Possible front wheels 5, 6’’ 7, 8‘‘ Main wheels 20 x 1‘‘ PU SH1 40,5 cm SH2 43,5 cm Possible front wheels 3” 5, 6, 7‘‘ DB wheels 12½“ flexel SH1 47 cm SH2 50 cm Possible front wheels 5, 6, 7’’ 7, 8‘‘ Main wheels 26 x 1 3/8" flexel SH1 48,5 cm SH2 51,5 cm Possible front wheels 6, 7, 8‘‘ 8” (Max. capacity 145 kg) Hand and spoke protector, transparent, pair Push rim cover, pair 0,1647,- 59,59,132,137,345,137,- 138,112,- FRONT WHEELS Standard Standard D21021 D21012 D22003 D22005 D21026 D20664 SW 35-50 cm: Front wheels: 7" – 175 x 33 PU SW 55-60 cm: Front wheels: 7" – 175 x 45 flexel Front wheels: 7" – 175 x 45 flexel for SW 35 – 50 cm Front wheels: 7" – 175 x 45 pneumatic Front wheels: 5" – 125 x 27 PU (max. capacity 145 kg) Front wheels: 6“ – 150 x 30 PU (max. capacity 145 kg) Front wheels: 8" – 200 x 50 flexel Front wheel distance busher to simplify foot propelling (ideal in combination with D24005) 0,0,79,79,79,79,79,158,- HEAD SUPPORTS & ACCESSORIES FOR HEAD SUPPORTS D82025 D20575 D82566 D20574 D20573 D82746 A B C D E Head support adapter aluminium (not to be combined with stabilizer for head rest) Head support A, with side support Head support A with side support and head band Head support B, small, oval Head support C, large, square Netti Dynamic head support C incl. head support adapter in aluminium If combined with other options, please send us a request, as some solutions are F 224,210,255,210,210,Price on request NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 6 of 10 Version 2017-05 #7 only possible as special adaptations. For more information, feel free to contact us. D20576 D27575 D27576 D21027 D21028 D21054 D23004 D23012 D23013 D23015 D23017 D23023 Head support D, comfort (pressure distributive) Head support E with adjustable side supports Head support F with cheek support Head support adjustment tube (horizontal) + 10 cm, length 25 cm Head support adjustment tube (horizontal) + 23 cm, length 38 cm Head support adjustment tube (vertical) + 10 cm, length 50 cm Comfort cushion for head rest type C – removable with Mars cover Easy Care cover for head support type A, B, C – removable 3D cover for head support type A, B, C – removable Grey head support cushion with Mars cover Stabilizer for head support -SW 35-50 (recommended for car transportation) Stabilizer for head support -SW 55-60 (recommended for car transportation) 268,434,434,79,89,79,162,79,79,214,258,- Universal tray for SW 35 - 50 cm (for SW 50 and arm pad D21077, please choose tray D21063) Universal tray for SW 55 + 60 cm (necessary for SW 50 with arm pad D21077) Tray reinforced for SW 35-50 cm (not possible for SW 50 if combined with D21077) Tray swingable for SW 35-50 cm (not possible for SW 50 if combined with D21077) Tray lockable for SW 35-50 cm (not possible for SW 50 if combined with D21077) Upholstery for tray Half tray, upholstered, left Half tray, upholstered, right 195,- 308,- TRAYS D21059 D21063 D21050 D24001 D24002 D21052 D23006 D23005 238,356,242,242,113,383,383,- VARIOUS ACCESSORIES D21087 D21239 D42269 D41987 Clinic-Kit (tools and star wheels) Tool kit Wheelchair bag Intravenous rack 106,89,140,298,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 7 of 10 Version 2017-05 #7 BELT OPTIONS FROM BODYPOINT AND NETTI Belts and accessories for seat unit [A] [B] D86282 D20845 D86902 D86891 D86892 D45040 D45276 D86893 D86894 D60001 [C] [D] [E] [F] Belt bracket kit – seat [A] Hip belt, with upholstery and car belt lock [B] Bodypoint 2-point pelvic stabiliser Evoflex incl. mounting kit [C] XS (L: 20-28 cm) M (L: 23-38 cm) L (L: 33-48 cm) - only up to SW 50 cm Security cover for 2-point pelvic stabilizer (XS, M, L) Bodypoint 2-point pelvic stabiliser for SW 55-65 cm incl. mounting kit [F] Bodypoint 4-point pelvic stabiliser incl. mounting kit [D] M (L: 28-36 cm) L (L: 33-48 cm) – only up to SW 50 Abduction belt [E] 98,107,282,- 58,323,417,- 497,- Belts and accessories for back unit [A] D86890 D20881 D41645 D86895 D86896 D86898 D86899 [B] [C] [D] [E] H-harness adaptor kit (recommended for all upper body harnesses) [A] H-belt, with upholstery and car belt lock [B] Belt cross harness [C] Bodypoint Stayflex chest support without zipper [D] M (Shoulder width 33-41 cm) L (Shoulder width 41-48 cm) Bodypoint Pivofit shoulder harness [E] M (Shoulder width 33-41 cm) L (Shoulder width 41-48 cm) 250,175,175,246,- 246,- NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 8 of 10 Version 2017-05 #7 NETTI CUSTOMIZED Netti has many years of experience in developing customized solutions. Feel free to contact us for a quote concerning your individual solution. CUSTOM MADE – most wanted special adapted items (price on request) Reinforced foot plates, aluminium Extra-long calf supports (please state length) Back cushion with special side support Please describe your current case and how a possible solution could look. If you have any picture or video material, we would also like to see this. To offer the best solution, please describe the user in the best possible way, e.g. such as any given diagnosis, user weight and/or the exact pattern movement of the user. Please write the exact measurements and draw the wished solution for the requested accessories e.g. by using the drawings underneath. Please inform us if there are any special circumstances in the living area that has an influence for the chair: e.g. the total possible width _______ cm and length ______ cm of the chair. TECHNICAL DATA Tilt (seat) Recline (back) Total width of the wheelchair -9° to +20° 90° to 126° Seat width + 22 cm (std. wheels/DB-wheels) / +19 cm (12‘‘ DBwheels) NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 9 of 10 Version 2017-05 #7 Total length Total height Distance arm support to seatplate Weight of wheelchair Frame colour Cover variants 102 cm with leg rests 105 cm Min: 18,5 cm/ max. 32,5 cm App. 39 kg (without cushion) Silver Stretchable & flexible cover 3D Easy Care antibacterial cover, washable Seat height – WITHOUT seat cushion (measured from floor to seat plate) (with gliding seat plate. With Comfort plate the seat height is 1,5 cm lower) Please notice, that not all seat widths have a max load of 160 kg. Leg rests Manual adjustable leg rests Universal leg rests Min. calf length 32 cm 36 cm Max. calf length 68 cm 50 cm Measurements A Hip width/Seat width ___________ cm B Thigh length / seat depth ___________ cm C Arm rest height ___________ cm D Leg length / seat height ___________ cm E Backrest height ___________ cm F Trunk width ___________ cm NORWAY: Alu Rehab AS | Bedriftsvegen 23 | N-4353 Klepp stasjon | [email protected] | Phone +47 51 78 62 20 DENMARK: Alu Rehab ApS | Kløftehøj 8 | DK-8680 Ry | [email protected] | Phone +45 87887300 All prices are list prices excl. VAT| Right for changes reserved | Valid until a new pricelist is published | Page 10 of 10 Version 2017-05 #7