Page 156 - MEDIFAB_Digital_CatalogueCA

Backrest Form E 1

(Please attach to Generic Order Form)

Name: ________________ Company:_____________________ Ref:___________________

VIGOUR BACKREST (Page 19)

WHEELCHAIR VIGOUR-LO QTY VIGOUR-MID QTY VIGOUR-HI QTY VIGOUR-EX QTY
WIDTH
12” 1201 1210 (180mm) 1202 1220 (310mm) 1203 1230 (410mm) 1204 1240 (470mm)
14” 1201 1410 (205mm) 1202 1420 (360mm) 1203 1430 (460mm) 1204 1440 (540mm)
16” 1201 1610 (270mm) 1202 1620 (410mm) 1203 1630 (510mm) 1204 1640 (585mm)
17” 1201 1710 (270mm) 1202 1720 (440mm) 1203 1730 (510mm) 1204 1740 (585mm)
18” 1201 1810 (280mm) 1202 1820 (440mm) 1203 1830 (510mm) 1204 1840 (585mm)
20” 1201 2010 (280mm) 1202 2020 (440mm) 1203 2030 (510mm) 1204 2040 (585mm)

CUSTOM V9999

SPEX BACKREST ORDER CODES (Page 20)

WHEELCHAIR OPTION 1 QTY OPTION 2 QTY OPTION 3 QTY
WIDTH
Height Code Height Code Height Code
12” 14” (355mm) 1207 1214 16” (405mm) 1207 1216 18” (460mm) 1207 1218
14” 16” (405mm) 1207 1416 18” (460mm) 1207 1418 20” (505mm) 1207 1420

16” 18” (460mm) 1207 1618 20” (505mm) 1207 1620 23” (585mm) 1207 1623
17” 18” (460mm) 1207 1718 20” (505mm) 1207 1720 23” (585mm) 1207 1723
18” 18” (460mm) 1207 1818 20” (505mm) 1207 1820 23” (585mm) 1207 1823
20” 18” (460mm) 1207 2018 20” (505mm) 1207 2020 23” (585mm) 1207 2023
CUSTOM x 1207 2929

BACKREST SHELL – CUSTOM DIMENSIONS
WIDTH = HEIGHT =

ACCESSORIES:
O
Spare Outer Cover Inner Incontinence Cover Breeze Flap (Page 25)
Extra Set of 4 Backrest Clamps (Page 12) Extra Pair of Brackets (with Lock Tabs)
(e.g. for 2nd Wheelchair) (e.g. for Added Strength)

Continued.... Form E 2
rder Form
s

Form E1
156