Convaid Trekker

Convaid Trekker
Canadian Retail Price List / Order Form
Account #:_____________________________________
Purchase Order #:_____________________________
Date:______________________
Contact:______________________________________________
Mark For:_________________________________________________
Bill To:
Ship To:
Address:
Address:
City/State/Zip:
Phone:
Fax:
City/State/Zip:
Email:
Phone:
Trekker Base Standard Features:
● Tilt-in-Space Base (-5 to +45 degrees)
● Reversible Seating Configuration
● Quick Release Rear Wheels
● Foot Activated Wheel Locks
● Depth Adjustable Seat Pan
● 90 Degree Fixed Front Rigging
● 90 Degree Fixed Foot Plate
***
● One-Piece Height Adjustable Push Handle (Outside Mount)
● Silver Powder Coated Frame
***
● Seat to Back Angle (80 to 110 degrees)
● Closure Strap
***
● 7 1/2" x 2" Front and 11 1/2" x 2 1/2" Rear Wheels
● Made in the USA
***
***
Standard Models:
Trekker TR12 - 904660
Trekker TR14 - 904661
Price
$2,515
$2,515
Trekker Seating Module
Back Module Options - Select one below:
Back Canes Only
Height Adjustable Solid Back System with Cushion and Hip Protector
Back Cushion:
Back Cushion - Short (12: 12x18)
Back Cushion - Short (14: 14x22)
Back Cushion - Tall (12: 12x21)
Back Cushion - Tall (14: 14x26)
Upholstery Color:
Panther Black
Royal Blue
Chocolate Brown
Forest Green
Sassy Purple
Princess Pink
Cherry Red
Aqua Blue
Apple Green
Tangerine Orange
Back Cushion Options
1" Open Cell Foam Insert Short Back
1" Open Cell Foam Insert Tall Back
1/2" Soft Cool Viscoelastic Foam Insert Short Back
1/2" Soft Cool Viscoelastic Foam Insert Tall Back
Lumbar Support
Contoured Seat Cushion
Contoured Seat Cushion - Short (12: 12x9)
Contoured Seat Cushion - Short (14: 14x13)
Contoured Seat Cushion - Long (12: 12x12)
Contoured Seat Cushion - Long (14: 14x16)
Planar Seat Cushion
Planar Seat Cushion - Short (12: 12x9)
Planar Seat Cushion - Short (14: 14x13)
Planar Seat Cushion - Long (12: 12x12)
Planar Seat Cushion - Long (14: 14x16)
Seat Cushion Options
1" Open Cell Foam Insert Short Seat
1" Open Cell Foam Insert Long Seat
1/2" Soft Cool Viscoelastic Foam Insert Short Seat*
1/2" Soft Cool Viscoelastic Foam Insert Long Seat*
*Can only be ordered with Planar Seat Cushion.
Transit Items
Transit Option (Manufacturer Installation Required)***
Head Support - Select Type Below:
Height Adjustable Curved Head Support
Adjustable Wing Head Support
Using other manufacturer's Head Support
Q'Straint Transit Lap Belt
Sure-Lok Transit Lap Belt
***
***
Price
TR12
TR14
N/C
$551
904768
904662
904769
904663
N/C
N/C
N/C
N/C
904696
N/A
904697
N/A
N/A
904698
N/A
904699
N/C
N/C
N/C
N/C
N/C
N/C
N/C
N/C
N/C
N/C
903854
903850
904189
903857
903851
903759
903855
904753
904754
904752
903854
903850
904189
903857
903851
903759
903855
904753
904754
904752
$37
$37
$68
$68
$37
904700
904701
904702
904703
904664
904704
904705
904706
904707
904664
$342
$342
$342
$342
904780
N/A
904782
N/A
N/A
904781
N/A
904783
$310
$310
$310
$310
904708
N/A
904709
N/A
N/A
904710
N/A
904711
$37
$37
$63
$63
904712
904713
904714
904715
904716
904717
904718
904719
Price
$210
TR12
904576
TR14
904576
$236
$278
$0
$95
$95
904583
904584
995681
903094
903232
904607
904608
995681
903094
903232
***The Trekker Transit option includes four manufacturer installed red wheelchair transportation anchors. The Trekker Transit model has been crash tested and conforms to
RESNA WC19 standards. Anthropomorphic Test Device weights are TR12T 75lbs/34kg and TR14T 110lbs/50kg.
The Convaid Trekker Mobility Base was tested with the Trekker Seating Module equipped with a head support and wheelchair anchored pelvic lap belt. Do not use the foot
positioners on the Convaid Trekker during transit in a motor vehicle. The performance and safety of accessories and/or other seating options not tested by Convaid is
unknown, and no warranty or claim about their performance is or can being made.
Furthermore, when being transported in a vehicle it is Convaid’s position that the wheelchair user transfer from the wheelchair into appropriate vehicle seating during
transportation. Please note that at this time, the Department of Transportation has not officially approved any tie-down system for a user while in a wheelchair, therefore
Convaid cannot recommend a transit system.
For more information on RESNA WC-19 and WC-20 standards please visit http://www.rercwts.pitt.edu/WC19.html.
Page 1 of 2
12/19/2014
Canadian Retail Price List / Order Form
Convaid Trekker
Pelvic Positioning
2-Point Pelvic Positioning Belt
3-Point Pelvic Positioning Belt w/ Adjustable Crotch Strap ^^
4-Point Pelvic Positioning Belt - XS Bodypoint®
4-Point Pelvic Positioning Belt - S Bodypoint®
4-Point Pelvic Positioning Belt - M Bodypoint®
4-Point Pelvic Positioning Belt w/Security Cover - XS Bodypoint®
4-Point Pelvic Positioning Belt w/Security Cover- S Bodypoint®
4-Point Pelvic Positioning Belt w/Security Cover - M Bodypoint®
Width Adjustable Lateral Pelvic Support - Left (Hip Guide)
Width Adjustable Lateral Pelvic Support - Right (Hip Guide)
Price
$47
$51
$158
$158
$158
$185
$185
$185
$121
$121
$152
$152
TR12
904559
904017T
904681
904682
904683
904684
904685
904686
904667
904668
904611
904612
TR14
904559
904017T
904681
904682
904683
904684
904685
904686
904669
904670
904613
904614
Foot & Leg Positioning
Angle Adjustable Elevating Leg Rest (Left)
Angle Adjustable Elevating Leg Rest (Right)
Angle Adjustable Foot Support - Reversible - Flip Up
Medial Knee Abductor - Small
Medial Knee Abductor - Medium
Foot Positioners - Small 7" - 10" (pair)**
Foot Positioners - Medium 8" - 11" (pair)**
Foot Positioners - Large 9" - 12" (pair)**
Shoe Holders w/ Padded Straps - Small, Therafin (pair)**
Shoe Holders w/ Padded Straps - Medium, Therafin (pair)**
Calf Panel
**Cannot be used during transit.
Price
$131
$131
$116
$170
$170
$164
$164
$164
$197
$197
$64
TR12
904756
904757
904568
904557
904591
904771
904772
904773
904679
904680
904580
TR14
904758
904759
904596
904557
904591
904771
904772
904773
904679
904680
904580
Trunk Positioning
H-Harness w/ Padded Covers^^^
Extended Strap Vest (Butterfly Harness) - EI Therafin
Extended Strap Vest (Butterfly Harness) - S Therafin
Extended Strap Vest (Butterfly Harness) - M Therafin
Width Adjustable Thoracic Lateral Support (Left)****
Width Adjustable Thoracic Lateral Support (Right)****
^^^Requires the Height Adjustable Solid Back System and 3-Point Belt.
****Requires the Height Adjustable Solid Back System.
Price
$137
$185
$185
$185
$152
$152
TR12
904695
904676
904677
904678
904760
904761
TR14
904695
904676
904677
904678
904760
904761
Head Supports
Height Adjustable Curved Head Support****
Adjustable Wing Head Support****
Universal Head Support Mounting Plate (Accomodates most manufacturer's head supports)
****Requires the Height Adjustable Solid Back System.
Price
$236
$278
$58
TR12
904583
904584
904672
TR14
904607
904608
904672
Frame Option
Recline System (80 to 170 degrees)
Height Adjustable Push Handle (Inside Mount)
Price
$504
N/C
TR12
904673
904687
TR14
904674
904687
Tire Options
12 1/2" Rear Solid Knobby Tire
7.5" x 2" Front, 12.5" Rear Pneumatic Knobby Tire
Price
$209
$314
TR12
904117
904118
TR14
904117
904118
Medical Support Accessories
IV Pole (height adjustable and collapsible)°
O2 Tank Holder
LTV Ventilator Holder (Includes female Dovetail Bracket)°
Ventilator/Suction/Hard Tray
°Requires Rear Anti-Tip Tubes.
Price
$158
$184
$473
$473
TR12
904566
904565
904671
904567
TR14
904566
904565
904671
904595
Accessories
Upper Extremity Support Tray - Fixed (Hardware Included)*^
Padded Tray Cover*°°
Headrest Cover (Canopy)****
Extended Headrest Cover - No Windows (Canopy)****
Extended Headrest Cover - with Windows (Canopy)****
Caster Locks
Rear Anti-Tip Tubes
Under Seat Storage Basket
Medical Necessity Storage Basket
Utility Bag
Replacement Cushion Covers: Select Color____________
Seat Cushion - Short (12: 12x9; 14: 14x12)
Seat Cushion - Long (12: 12x12; 14: 14x16)
Back Cushion - Short (12: 12x18; 14: 14x21)
Back Cushion - Long (12: 12x21; 14: 14x26)
*Cannot be used during transit.
°°Requires Upper Extremity Support Tray.
****Requires the Height Adjustable Solid Back System.
^Not available with arm rests.
Price
$362
$68
$239
$268
$310
$99
$121
$126
$310
$40
TR12
904556
904586
904572
904690
904573
904689
904649
904581
904582
904531
TR14
904590
904610
904599
904691
904600
904689
904649
904605
904606
904531
$342
$342
$342
$342
904563
904762
904763
904764
904593
904765
904766
904767
Width Adjustable Lateral Pelvic Support with Armrest - Left (Hip Guide with Armrest)
Width Adjustable Lateral Pelvic Support with Armrest - Right (Hip Guide with Armrest)
^^Trekker Seat Cushion Required.
HCPCS codes are provided for your convenience and are NOT to be considered billing or legal advice. Providers are responsible for insuring that appropriate billing
codes are used when submitting claims. Proper use of HCPCS codes does not insure coverage or payment. Contact the appropriate payer for coverage information.
Standard Domestic Shipping Rate: $40 • For expedited shipping rates, please call 1-888-CONVAID
www.convaid.com
2830 California St., Torrance, CA 90503 • 1-888-CONVAID (266-8243), 310-618-0111 • Fax: 310-618-2166
Prices in USD & subject to change, ex works Torrance, California.
Effective: 1/1/2015
Page 2 of 2
Rev 1
12/19/2014