| Effective June 2015 |
| PART # |
A.D.P. Code |
Description |
|
SESND1045 |
GELfoam |
| CUSHIONS: |
|
VerySOFT Cushion |
| V-01-1-01-SIZE |
sesvc4000 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-01-SIZE |
SESVC4500 |
Custom size and shape up-charge: up to and includes 20″w X 19″d |
| V-01-1-01-SIZE |
SESVC4510 |
Bariatric custom size or shape up-charge for cushions 20″ – 24″ width or depth, inclusive |
|
|
For sizes over 24″ – please call for a quote |
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|
|
VerySOFT – Deep Leg Troughs (VS-DLT) Cushion |
| V-01-1-02-SIZE |
SESVC4100 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-02-SIZE |
SESVC4500 |
Custom size and shape up-charge: up to and includes 20″w X 19″d |
| V-01-1-02-SIZE |
SESVC4510 |
Bariatric custom size or shape up-charge for cushions 20″ – 24″ width or depth, inclusive |
|
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For sizes over 24″ – please call for a quote |
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|
VIVE Cushion |
| V-01-1-03-SIZE |
SESVC4150 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-03-SIZE |
SESVC4500 |
Custom size and shape up-charge: up to and includes 20″w X 19″d |
| V-01-1-03-SIZE |
SESVC4510 |
Bariatric custom size or shape up-charge for cushions 20″ – 24″ width or depth, inclusive |
|
|
For sizes over 24″ – please call for a quote |
|
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|
|
VIVE-Deep Leg Troughs (VIVE-DLT) Cushion |
| V-01-1-04-SIZE |
SESVC4170 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-04-SIZE |
SESVC4500 |
Custom size and shape up-charge: up to and includes 20″w X 19″d |
| V-01-1-04-SIZE |
SESVC4510 |
Bariatric custom size or shape up-charge for cushions 20″ – 24″ width or depth, inclusive |
|
|
For sizes over 24″ – please call for a quote |
|
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|
EPIC Cushion |
| V-01-1-19-SIZE |
SE0000672 |
Std. sizes: 16×16.5, 16×18, 18×18, 18×16 |
| V-01-1-19-SIZE |
SE0000673 |
Custom cushion sizes and shapes up to 19×19 |
|
|
For larger sizes please use EPIC Plus codes |
|
|
|
|
EPIC PLUS Cushion |
| V-01-1-20-SIZE |
SE0000676 |
Std. sizes16×20, 20×16, 18×20, 20×18 |
| V-01-1-20-SIZE |
SE0000677 |
Bariatric custom size or shape for cushions 20″ – 24″ width or depth inclusive |
|
|
For smaller sizes please use EPIC codes |
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|
VerySOFT Special Edition (cushion with a solid seat insert) |
| V-01-1-05-SIZE |
SESVC4000* |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-05-SIZE |
SESVC4500* |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-01-1-05-SIZE |
SESVC4510* |
Bariatric custom size or shape up-charge, 20″ – 24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
| *add ADP code #sesnd1015-“solid seat insert” to VerySOFT code |
|
|
|
|
VerySOFT-DLT Special Edition (cushion with a solid seat insert) |
| V-01-1-06-SIZE |
SESVC4100* |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-06-SIZE |
SESVC4500* |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-01-1-06-SIZE |
SESVC4510* |
Bariatric custom size or shape up-charge, 20″ – 24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
| *add ADP code #sesnd1015-“solid seat insert” to VerySOFT Deep Leg Troughs code |
|
|
|
|
VIVE Special Edition (cushion with a solid seat insert) |
| V-01-1-07-SIZE |
SESVC4150* |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-07-SIZE |
SESVC4500* |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-01-1-07-SIZE |
SESVC4510* |
Bariatric custom size or shape up-charge, 20″ – 24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
| *add ADP code #sesnd1015-“solid seat insert” to VIVE code |
|
|
|
|
VIVE-DLT Special Edition (cushion with a solid seat insert) |
| V-01-1-08-SIZE |
SESVC4170* |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-01-1-08-SIZE |
SESVC4500* |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-01-1-08-SIZE |
SESVC4510* |
Bariatric custom size or shape up-charge, 20″-24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
| *add ADP code #sesnd1015-“solid seat insert” to VIVE Deep Leg Troughs code |
|
|
|
|
EPIC Special Edition (cushion with a solid seat insert) |
| V-01-1-21-SIZE |
SE0000672* |
Std. sizes: 16×16.5, 16×18, 18×18, 18×16 |
| V-01-1-21-SIZE |
SE0000673* |
Custom cushion sizes or shapes up to 19×19 |
| *add ADP code #sesnd1015-“solid seat insert” to EPIC code |
|
|
|
|
EPIC PLUS Special Edition (cushion with a solid seat insert) |
| V-01-1-22-SIZE |
SE0000676* |
Std. sizes16×20, 20×16, 18×20, 20×18 |
| V-01-1-22-SIZE |
SE0000677* |
Bariatric Custom sizes or shapes for sizes up to 24X24 |
| *Add ADP code #sesnd1015-“solid seat insert” to EPIC Plus code |
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|
|
| DROP-SEATS: Integrated cushion and drop seat, includes the Ez-Zip DRY N COOL cover and 4 drop clips |
|
Ez-Zip VerySOFT |
| V-02-1-01-SIZE |
SESVC4030 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-02-1-01-SIZE |
SESVC4520 |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-02-1-01-SIZE |
SESVC4530 |
Bariatric custom size or shape up-charge, 20″-24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
|
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|
|
Ez-Zip VerySOFT-DLT |
| V-02-1-02-SIZE |
SESVC4120 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-02-1-02-SIZE |
SESVC4520 |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-02-1-02-SIZE |
SESVC4530 |
Bariatric custom size or shape up-charge, 20″-24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
|
|
|
|
Ez-Zip VIVE |
| V-02-1-3-SIZE |
SESVC4160 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-02-1-3-SIZE |
SESVC4520 |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-02-1-3-SIZE |
SESVC4530 |
Bariatric custom size or shape up-charge, 20″-24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
|
|
|
|
Ez-Zip VIVE-DLT |
| V-02-1-4-SIZE |
SESVC4180 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-02-1-4-SIZE |
SESVC4520 |
Custom Upcharge for custom sizes and shapes up to and includes 20″w X 19″d |
| V-02-1-4-SIZE |
SESVC4530 |
Bariatric custom size or shape up-charge, 20″-24″ width or depth inclusive |
|
|
For sizes over 24″ – please call for a quote |
|
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|
|
Ez-Zip Epic |
| V-02-1-19-SIZE |
SE0000674 |
Std. sizes: 16×16.5, 16×18, 18×18, 18×16 |
| V-02-1-19-SIZE |
SE0000675 |
Custom sizes or shapes up to 19×19 |
|
|
For Larger sizes use EPIC Plus codes |
|
|
|
|
Ez-Zip EPIC PLUS |
| V-02-1-20-SIZE |
SE0000678 |
Std. sizes16×20, 20×16, 18×20, 20×18 |
| V-02-1-20-SIZE |
SE0000679 |
Bariatric custom size or shape, 20″-24″ width or depth inclusive |
|
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For Smaller sizes use EPIC codes |
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|
| DROP-CLIPS: Securing hardware that mounts to mobility device (max 8″) |
| V-07-0-SIZE |
SEICF191L |
0″ drop clip |
| V-07-0-SIZE |
SEICF191L |
1″ drop clip |
| V-07-0-SIZE |
SEICF191L |
2″ drop clip |
|
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|
| REPLACEMENT COVERS: |
|
DRY N’COOL Covers for Cushions |
| V-06-0-01-SIZE |
SESND1050 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-06-0-01-SIZE |
SESND1055 |
Custom Upcharge for custom sizes and shapes up to 19″ (inclusive) width or depth |
| V-06-0-01-SIZE |
SESND1060 |
Custom Upcharge for bariatric sizes and/or shapes |
|
|
|
|
DRY N’COOL Covers for Special Edition Cushions |
| V-06-0-05-SIZE |
SESND1050 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-06-0-05-SIZE |
SESND1055 |
Custom Upcharge for custom sizes and shapes up to 19″ (inclusive) width or depth |
| V-06-0-05-SIZE |
SESND1060 |
Custom Upcharge for bariatric sizes and/or shapes |
|
|
|
|
Ez-Zip DRY N’COOL Covers for Drop-Seats |
| V-08-0-01-SIZE |
SESND1050 |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-08-0-01-SIZE |
SESND1055 |
Custom Upcharge for custom sizes and shapes up to 19″ (inclusive) width or depth |
| V-08-0-01-SIZE |
SESND1060 |
Custom Upcharge for bariatric sizes and/or shapes |
|
|
|
|
Wipe N’Dry Covers for Cushions |
| V-09-0-05-SIZE |
SEMCF106L |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-09-0-05-SIZE |
SEMCF106L |
Custom size: up to 19″ (inclusive) width or depth |
| V-09-0-05-SIZE |
SEMCF106L |
Custom size: 20″ to 22″ width or depth |
|
|
For sizes over 22″ – please call for a quote |
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|
Wipe N’Dry Covers for Special Edition Cushions |
| V-09-0-05-SIZE |
SEMCF106L |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-09-0-05-SIZE |
SEMCF106L |
Custom size: up to 19″ (inclusive) width or depth |
| V-09-0-05-SIZE |
SEMCF106L |
Custom size: 20″ to 22″ width or depth |
|
|
For sizes over 22″ – please call for a quote |
|
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|
Ez-Zip Wipe N’Dry Covers for Drop-Seats |
| V-10-0-01-SIZE |
SEMCF106L |
Std. sizes: 16×16.5, 16×18, 16×20, 18×18, 18×16, 18×20, 20×16, 20×18 |
| V-10-0-01-SIZE |
SEMCF106L |
Custom size: up to 19″ (inclusive) width or depth |
| V-10-0-01-SIZE |
SEMCF106L |
Custom size: 20″ to 22″ width or depth |
|
|
For sizes over 22″ – please call for a quote |
|
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|
| BACK SUPPORT: |
|
VIVA Back Support |
| V-03-0-15-SIZE |
SEBVC0015 |
VIVA, Standard sizes: 16″w & 18″w wheelchairs |
| V-03-0-15-SIZE |
SEBVC0020 |
VIVA, Custom Sizes and Shapes |
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VIRTUOSO Back Support |
| V-03-0-14-SIZE |
SEBVC0005 |
VIRTUOSO, Standard Sizes: 16″w & 18″w wheelchairs |
| V-03-0-14-SIZE |
SEBVC0010 |
VIRTUOSO, Custom Sizes and Shapes |
|
SELND0005 |
Adjustable Lateral Support Bracket, 5″w X 6″d |
|
V08099 |
Adjustable Lateral Support Bracket, Custom Size |
|
V08104 |
Adjustable Lateral Support Padding, 4″w X 6″d |
|
V08109 |
Adjustable Lateral Support Padding, Custom Size and Shapes |
|
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|
|
VISCOUNT Tall Back Support |
| V-03-0-13-SIZE |
SEBVC0030 |
Standard sizes, 16″w & 18″w wheelchair |
| V-03-0-13-SIZE |
SEBVC0030 |
Custom size *Call for details |
|
|
|
| HALF LAP TRAY |
|
V.G. Half Lap Tray- padded, flip-down, 3/8″ |
| V-04-0-18-L/R |
SETND0015 |
Modular tray |
| V-04-0-18-L/R |
SETND0035 |
Removable pad for the tray |
| V-04-0-18-L/R |
SETND0020 |
Custom size *Call for details |
|
|
|
| FULL LAP TRAYS – 1/4″ thick, clear |
|
V.G. Full Lap Tray, strap-on |
| V-04-0-17-14-SIZE |
SETND0005 |
Std. size for 16″w w/c & 18″w w/c |
|
SETND0035 |
Elbow pad, each (x2) |
| V-04-0-17-14-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes up to 19″w (inclusive) w/c |
| V-04-0-17-14-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes for 20″ to 22″ wide w/c |
|
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For sizes over 22″ – please call for a quote |
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|
V.G. Full Lap Tray, slide-on |
| V-04-0-16-14-SIZE |
SETND0005 |
Std. size for 16″w w/c & 18″w w/c |
|
SETND0035 |
Elbow pad, each (x2) |
| V-04-0-16-14-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes up to 19″w (inclusive) w/c |
| V-04-0-16-14-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes for 20″ to 22″ wide w/c |
|
|
For sizes over 22″ – please call for a quote |
|
|
|
| FULL LAP TRAYS – 3/8″ thick, clear |
|
V.G. Full Lap Tray, strap-on |
| V-04-0-16-38-SIZE |
SETND0005 |
Std. size for 16″w w/c & 18″w w/c |
|
SETND0035 |
Elbow pad, each (x2) |
| V-04-0-16-38-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes up to 19″w (inclusive) w/c |
| V-04-0-16-38-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes for 20″ to 22″ wide w/c |
|
|
For sizes over 22″ – please call for a quote |
|
|
|
|
V.G. Full Lap Tray, slide-on |
| V-04-0-17-38-SIZE |
SETND0005 |
Std. size for 16″w w/c & 18″w w/c |
|
SETND0035 |
Elbow pad, each (x2) |
| V-04-0-17-38-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes up to 19″w (inclusive) w/c |
| V-04-0-17-38-SIZE |
SETND0010 |
Custom Upcharge for custom sizes and shapes for 20″ to 22″ wide w/c |
|
|
For sizes over 22″ – please call for a quote |
|
|
|
| ARM SUPPORTS |
|
V.G., Adjustable Arm-Trough, Custom |
| V-05-0-00-L/R |
SETND0020 |
Half lap tray – size only (for shape, call for a quote) |
|
SEAND0005 |
Arm Support |
|
SEAND0010 |
Add-on for a custom size arm support |
|
SEAND0015 |
Hand support |
|
SEAND0030 |
Pressure relief foam |
|
|
|
|
V.G., Adjustable Arm-Trough, Custom |
| V-05-0-00-L/R |
setnd0020 |
Half lap tray – size only (for shape, call for a quote) |
|
seand0005 |
Arm support |
|
seand0010 |
Add-on for a custom size arm support |
|
seand0015 |
Hand support |
|
seand0030 |
Pressure relief foam |
