Invacare Formula User Manual
Parts Catalog
Formula™ TRE Powered Seating
Issued: Jun 11, 2008
TDX®
Powered Wheelchairs
Yes, you can. ™
Throughout this catalog you will notice letters to draw your attention to specific footnotes which are located at the
bottom of the page or below specified charts.
Parts Catalog Usage Guide
To order call toll free 1-800-333-6900, or www.invacare.com
The information contained in this document is subject to change without notice. This catalog contains
service parts for Form No. 04-041. If you have any questions regarding this catalog, please contact one
of our Customer Service Representatives.
For Customer Service Support Call:
1-800-333-6900
For Faxed In Orders Call:
1-800-678-4682 or
1-440-366-0709
For Technical Service Call:
1-800-832-4707
Literature Can Be Found at:
www.invacare.com or
1-800-828-6272
SYMBOL DEFINITION
Examples:
A,B,C etc.
NOTE:
NLA
= Special Comments
= General information pertaining to that specific page
= No Longer Available
HARDWARE MEASUREMENTS
The measurements for the hardware will be listed as follows:
Screws, Bolts
Washers
Spacers
For your convenience, we have supplied an area for you to list your Invacare Representatives.
©2008 Invacare Corporation. Elyria, Ohio. Invacare, Yes, you can., the Blue Medallion Design, SureStep, Storm Series, TDX are registered trademarks and
Formula, Contoura, Personal Back 10, DualFlex, MKIV, MK5, EX, and TCD are trademarks of Invacare Corporation.
Otto Bock is a registered trademark owned by Otto Bock Orthopaedische Industrie GMBH & Co.. JAY Back is a registered trademark of Sunrise Medical
Diameter X Thread Count/Pitch X Length
Inside Diameter X Outside Diameter X Thickness
Inside Diameter X Outside Diameter X Length
Name Phone Numbers
HHG, Inc. Corporation.
Form No.
04-041
1
Accessories, Lateral Supports, Stealth, Conventional Recline, T/R & Recline w/ BPO Option
TWB-TPR/TWB-TPRL
Accessories, Lateral Supports, Stealth, Conventional Tilt & Tilt w/ BPO Option
TWB-RPR/TWB-RPRL
Accessories, Lateral Supports, Tarsys, Conventional Recline, T/R & Recline w/ BPO Option
TMSLM/TMSLL
Accessories, Personal Back10 (TALL Regular/TALL Plus) Mtg. Hdwr., Conventional Recline w/
BPO Option
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No.
04-041
Description
A: READ THIS FIRST (THIS CATALOG IS DIFFERENT!) ...................................................... 7
Accessories, Arm Pads, Otto Bock .......................................................................................... 144
Accessories, Back Cane Push Handle Attachments, Contoura Seating .................................. 148
Accessories, Back Cane Push Handle Attachments, Conventional Tilt and Tilt w/ BPO Option 146
Accessories, Headrest Supports, Stealth CP175/CP275/CP180/CP280 ................................. 152
Accessories, Headrest Supports, Tarsys ................................................................................. 150
Accessories, Lateral Supports, Stealth, Contoura Seating TWB-CPR/TWB-CPRL ................. 164
160
157
Accessories, Lateral Supports, Tarsys, Contoura Seating CSLM/CSLL .................................. 161
158
Accessories, Lateral Supports, Tarsys, Conventional Tilt & Tilt w/ BPO Option TMSLM/TMSLL 154
Accessories, Miscellaneous ..................................................................................................... 190
186
Accessories, Power Wheelchair Tool Kit .................................................................................. 188
Accessories, Seat and Chest Positioning Strap Mounting Hardware ....................................... 184
Accessories, Seat and Chest Positioning Straps without Mounting Hardware ........................ 182
Accessories, Vent Tray Assembly without Mounting Hardware ............................................... 174
Accessories, Vent Tray Kits ..................................................................................................... 166
Accessories, Vent Tray Mounting Hardware, Conventional & Contoura Recline Only ............ 178
Accessories, Vent Tray Mounting Hardware, Conventional Tilt and BPO Option .................... 176
2
Accessories, Vent Tray Mounting Hdwr., Conventional Tilt/Recline, (Contoura Tilt & T/R) & All
T/R w/ BPO Option
Arms, Mtg. Front/Rear Arm Socket Asbly. & Hdwr., Elevate Only For ADJASBA Seat (16"-22"
W) (After 7/4/05)
Back Canes and Spreader Bars (16"-22" Wide), Elevate Only For ADJASBA Seating (After
7/4/05)
Back Canes, Solid Straight w/o Push Handle and Mtg. Hdwr., Conventional Tilt and Tilt w/ BPO
Option
Back Canes, Spreader Bars Hdwr. (16"-22" Wide), Elevate Only For ASBA Seating (Before
7/5/05)
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No.
04-041
Description
180
Actuator Module, Recline Integrated Actuator Module (RIAM) For Recline & Tilt/Recline ....... 59
Actuator Motor, Elevate and Mounting Hardware .................................................................... 55
Actuator Motor, Recline and Mounting Hardware .................................................................... 53
Actuator Motor, Tilt and Mounting Hardware ............................................................................ 51
Arms, Mounting Hardware, Conventional & Contoura Tilt Seating .......................................... 128
Arms, Mounting Hardware, Conventional & Contoura, Recline & Tilt/Recline Seating ............ 126
Arms, Mounting Swingaway Hardware, Elevate Only For ASBA/ADJASBA Seating .............. 122
124
Arms, w/o Mounting Hardware, Adjustable Height, Elevate Only or Tilt Seating ..................... 117
Arms, w/o Mounting Hardware, Fixed Height, Elevate Only or Tilt Seating ............................. 113
Arms, w/o Mounting Hardware, Recline and Tilt/Recline ......................................................... 120
Back Cane Att. Hdwr. (16"-22" Wide), Elevate Only For ADJASBA Seating (After 7/4/05) ..... 96
93
Back Canes, Slide Blocks and Sleeves, Conventional Recline, BPO Recline & Tilt/Recline ... 100
98
90
Back Frame, Slide Blocks and Sleeves, Contoura Seating ...................................................... 102
Back, Contoura without Mounting Hardware ............................................................................ 72
Back, Conventional without Mounting Hardware ...................................................................... 67
Back, Mounting Hardware, Contoura - ADJASBA Only ........................................................... 81
3
Battery Box Hdwr., Door Asbly., Elevate Actuator Motor - Elevate For ASBA/ADJASBA, Conv.
& Contoura Seating
Battery Wire Harnesses, Sensor Proximity Switch, Extension Cables and Energy Chain, All
Elevate Systems
Frame, Seat & Seat Pan w/ Hdwr. (16"-20" W x 16"-22" D Conventional) & (16", 18", 20" W x
16"-22" D Contoura) Stg.
Frame, Seat & Seat Pan w/ Hdwr. (20"-24" W x 16"-22" D Conventional) & (20", 22", 24" W x
16"-22" D Contoura) Stg.
Frame, Seat and Seat Pan w/ Hdwr. (16"-20" W x 16"-22" D), Elevate Only For ADJASBA
Seating (After 7/4/05)
Frame, Seat and Seat Pan w/ Hdwr. (20"-22" W x 16"-22" D), Elevate Only For ADJASBA
Seating (After 7/4/05)
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No.
04-041
Description
Back, Mounting Hardware, Contoura Recline & Tilt/Recline .................................................... 83
Back, Mounting Hardware, Contoura Tilt ................................................................................. 79
Back, Mounting Hardware, Conventional Recline & Tilt/Recline .............................................. 77
Back, Mounting Hardware, Conventional Tilt ........................................................................... 75
Back, Prop Rod Assembly, Contoura Tilt ................................................................................. 85
Back, Recline Shear Link Assemblies ...................................................................................... 87
Battery Box Hdwr. & Door Asbly. - Non-Elevate Conv. & Contoura Seating ............................ 15
18
Battery Support Bracket Assembly TRBKTS Option ................................................................ 20
Battery Tray Asbly. and Wire Harnesses For Vent Tray (3) 22NF Batteries ............................ 22
24
Electronics - MK5 ~PLEASE READ THIS FIRST~ .................................................................. 142
Electronics - MK6i ~PLEASE READ THIS PAGE~ .................................................................. 141
Elevate Integrated Actuator Module (EIAM) - For Elevate Actuator Motor w/ MK6i Electronics 57
Frame Finishes, Touch-Up Paints and Upholstery Options ..................................................... 8
33
35
Frame, Seat and Hardware (16"-22" Wide), Elevate Only For ASBA Seating (Before 7/5/05)
27
29
Frame, Seat Mounting Hardware, Elevate Only For ADJASBA Seating (After 7/4/05) ............ 39
4
31
Shroud Covers Before 3/1/07 (Conventional Tilt, Tilt w/ BPO or Tilt-Elevate) w/ MK6i
Electronics
Description
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No.
04-041
TABLE of CONTENTS
Frame, Seat Mounting Hardware, Elevate Only For ADJASBA Seating with TRBKTS Option
Frame, Seat Mounting Hardware, Elevate Only For ASBA Seating (Before 7/5/05) ................ 37
Frame, Seat Mounting Hardware, Recline Only For Conventional & Contoura Seating .......... 43
Frame, Seat Mounting Hardware, Tilt or Tilt/Recline For Conventional & Contoura Seating ... 45
Frame, Tilt and Mounting Hardware ......................................................................................... 47
Front Rigging ~PLEASE READ THIS FIRST~ ......................................................................... 143
Label Locations For TRBKTS Option ....................................................................................... 12
Packaging and Literature ......................................................................................................... 10
RETROFIT KITS FOR FORMULA TRE POWERED SEATING ............................................... 14
Seat Cushion Assembly, Contoura Seating ............................................................................. 64
Seat Pan and Mounting Hardware, Elevate Only For ASBA Seating (Before 7/5/05) .............. 61
41
Shroud Cover After 2/28/07, (Conventional Tilt, Tilt w/ BPO or Tilt-Elevate) w/ MK6i Electronics 137
Shroud Cover, Conventional Seating ....................................................................................... 132
134
Shroud Covers, Contoura Seating ........................................................................................... 130
Shroud Covers, Recline & Tilt/Recline Conventional or Contoura Seating w/ MK6i Electronics 139
Spreader Bar Assembly, Contoura Tilt, Recline and Tilt/Recline ............................................. 108
Spreader Bar Assembly, Conventional Recline and Tilt/Recline .............................................. 110
Spreader Bar Assembly, Conventional Tilt w/o Vent ................................................................ 106
Spreader Bar Assembly, Double For Conventional Tilt w/ Vent and Tilt w/ BPO Option ......... 104
Spring, Seat Frame Balance and Tilt Spring Assist Assemblies For Tilt and Tilt/Recline ........ 49
5
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No.
04-041
Description
TRBKTS Option Clarification Reference .................................................................................. 13
Upholstery, Back Nylon, Elevate Only For ASBA/ADJASBA Seating ...................................... 65
6
A: READ THIS FIRST (THIS CATALOG IS DIFFERENT!)
Form No.
04-041
7
To order call toll free 1-800-333-6900, or www.invacare.com
Frame Finishes and Touch-Up Paint
Color Number Part Number Bottle Size Frame Finish
Deep Purple.6 oz.103145608P
Cobalt Blue.6 oz.104631917P
Anthracite.6 oz.103337622P
Wet Black.6 oz.103145024P
Red.6 oz.103145533P
Flat Black.6 oz.104632734P
Electric Red.6 oz.104632161P
Electric Blue.6 oz.104632062P
Electric Purple.6 oz.104632266P
Teflon Black.6 oz.1101320-NLA69P
Silver VeinN/AN/A71P
Lavender.6 oz.107389684P
Jeweled Green.6 oz.1101325101P
Denim Blue.6 oz.1101327102P
Electric Teal.6 oz.1101316104P
MIdnight Blue.6 oz.1101326105P
Black PrismN/AN/A115P
Sunkissed OrangeN/AN/A116P
Tangerine RedN/AN/A117P
Fruit FusionN/AN/A118P
Bubblegum PinkN/AN/A119P
Grape MadnessN/AN/A120P
Lolly Pop BlueN/AN/A121P
Cosmic BlueN/AN/A122P
Celestial PurpleN/AN/A123P
Vivid VioletN/AN/A124P
Emerald GreenN/AN/A125P
Shamrock GreenN/AN/A126P
Grasshopper GreenN/AN/A127P
Frame Finishes, Touch-Up Paints and Upholstery Options
Form No.
04-041
8
To order call toll free 1-800-333-6900, or www.invacare.com
Frame Finishes, Touch-Up Paints and Upholstery Options
Sparkle Frame Finishes
Color Number Frame Finish
Wet Black with Twilight Sparkle88P
Upholstery Options For A.S.B.A. Seating
Nylon Color
U240 Black
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
9
Packaging and Literature
Form No.
04-041
10
To order call toll free 1-800-333-6900, or www.invacare.com
Packaging and Literature
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1036028 Carton, Cover 1 11
40131X161 Insert, Plain Pad 1 22
40131X011 Carton, Front Riggings 1 13
1015592 Bag, Poly (72" L x 35" W x 19" D) 1 14
1043198-NLA Tube, Paper 1 15
1012001 Carton, Joystick 1 16
1036027 Carton, Tray 1 27
1129590 Carton, Corner Reinforcement 1 48
00077X031 Warranty Card 1 1A
1114809 Manual, Owner's TDX w/ MK5 Electronics 1 1A
1122170 Manual, Owner's Formula TRE w/ MK6i Electronics 1 1A
A - Not Shown
Whe
n adjusting or replacing parts, please refer to your Owner's Manual for assistance.
NOTE:
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
11
Label Locations For TRBKTS Option
Form No.
04-041
12
To order call toll free 1-800-333-6900, or www.invacare.com
TRBKTS Option Clarification Reference
TRBKTS Option was introduced 12/19/05 as an On-Chair option only.
Form No.
04-041
13
To order call toll free 1-800-333-6900, or www.invacare.com
RETROFIT KITS FOR FORMULA TRE POWERED SEATING
Form No.
04-041
14
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Box Hardware and Door Assembly
Non-Elevate
For Formula Conventional and Contoura Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No.
04-041
15
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Box Hardware and Door Assembly
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1128731 Bracket, Frame Stiffener 1 11 E
1124725 Shroud, Battery Box Isolation 1 12
1125639 Block, Side Support 1 13
1124668 Shroud, Front Battery Box 1 14
1128729 Bracket, Seat Frame Mounting
LOW 0° = 18" STF; 5° = (19-3/4" STF For 16-19"
Deep) or (21-1/4" STF For 20-22" Deep)
1 15 E
1128730 Bracket, Seat Frame Mounting
TALL 0° = 19-1/4" STF; 5° = (21" STF For 16-19"
Deep) or (21-1/4" STF For 20-22" Deep)
1 15 E
1125738 Kit, Non-Elevate Battery Box Assembly Hardware 1 16 A
Cable Tie (5-5/8" Long) 1 47
Locknut (5/16-18) 1 48
Washer (5/16 x 3/4 x 1/16") 1 99
Bolt, Hex Head Cap (1/4-20 x 3/4") 1 210
Washer (1/4 x 1/2 x 1/16") 1 211
Screw, Hex Head Cap w/ Patch (5/16-18 x 7/8") 1 912
Locknut (1/4-20) 1 213
Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 214
1113357 Kit, Battery Box Door Assembly, 22NF Short 1 115 B,D
Label, 22NF Terminal Configuration Warning 1 116
Decal, Blank Logo 1 118
Decal, Invacare Medallion - Large 1 119
Locknut (1/4-20) 1 220
Sleeve, Door Pivot 1 221
Label, 22NF Battery Install/Remove 1 122
1113127 Kit, Battery Box Door Assembly, GP24 Short 1 115 B,D
Label, GP24 Terminal Configuration Warning 1 116
Decal, Blank Logo 1 118
Decal, Invacare Medallion - Large 1 119
Locknut (1/4-20) 1 220
Sleeve, Door Pivot 1 221
Label, GP24 Battery Install/Remove 1 122
1121072 Kit, Battery Box Door Assembly, 22NF Long (For
Vent)
1 115 C,D
Label, 22NF Terminal Configuration Warning 1 116
Label, 3 Battery Configuration Warning 1 117
Decal, Blank Logo 1 118
Decal, Invacare Medallion - Large 1 119
Locknut (1/4-20) 1 220
Non-Elevate
For Formula Conventional and Contoura Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
16
Battery Box Hardware and Door Assembly
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
Sleeve, Door Pivot 1 221
A - Includes items 7-14
B - Includes items 16 and 18-22
C - Includes items 16-21
D - Blank Logo Decal is no longer available and no longer required for item number 19 Invacare Medallion Decal.
E - Chairs manufactured before 8/30/04 must have items 1 and 5 ordered together in order for the mounting holes to line up
properly
NOTE:
Non-Elevate
For Formula Conventional and Contoura Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No.
04-041
17
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Box Hardware, Door Assembly, Elevate Actuator
Motor
Elevate
For ASBA/ADJASBA, Conventional and Contoura Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No.
04-041
18
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Box Hardware, Door Assembly, Elevate Actuator
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1122258 Elevating Actuator Assembly 1 11
1124653 Bracket, Elevate 1 12
1124670 Plate, Battery Box Bottom 1 13
1124721 Shroud w/ Warning Decals, Elevate Battery Box 1 14
1079203 Decal, Warning Pinch Point 1 25
1124668 Shroud, Front Battery Box 1 16
1125739 Kit, Battery Box Assembly Hardware Elevate 1 17 A
Screw, Hex Head Cap w/ Patch (5/16-18 x 7/8") 1 28
Washer, Flat (21/64 x 53/64 x 7/64") 1 29
Screw, Socket Head Cap (1/4-20 x 3/4") 1 310
Bolt, Hex Head Cap (1/4-20 x 3/4") 1 311
Washer (1/4 x 1/2 x 1/16") 1 312
Screw, Hex Head (1/4-20 x 1-5/8") 1 413
Screw, Phillips Pan Head (#10-32 x 5/8") 1 414
Bracket, Front Upper Seat 1 115
Bracket, Front Lower Seat 1 116
Screw, Hex Head Cap with Patch (5/16-18 x 3/4") 1 217
Package, Cable Ties (5-5/8" Long) 1 218
Locknut (1/4-20) 1 619
Washer, Flat (3/16 x 5/8 x 1/16") 1 420
Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 221
1125776 Kit, Battery Box Door Elevate Assembly, 22NF
Short
1 122 B,C
Label, 22NF Terminal Configuration Warning 1 123
Decal, Blank Logo 1 124
Decal, Invacare Medallion - Large 1 125
Locknut (1/4-20) 1 226
Sleeve, Door Pivot 1 227
Decal, Battery Install Warning 1 128
A - Includes items 8-21
B - Includes items 23-28
C - Blank Logo Decal is no longer available and no longer required for item number 25 Invacare Medallion Decal.
NOTE:
Motor
Elevate
For ASBA/ADJASBA, Conventional and Contoura Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
19
Battery Support Bracket Assembly
For TRBKTS Option
Form No.
04-041
20
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Support Bracket Assembly
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1139537 Kit, Battery Support Bracket Assembly - For 22NF
Batteries
1 11 A
Screw, Hex Head Cap w/ Patch (1/4-20 x 1/2") 1 42
Locknut (1/4-20) 1 43
Bracket, Battery Support, Black 1 14
1139538 Kit, Battery Support Bracket Assembly - For GP24
Batteries
1 11 A
Screw, Hex Head Cap w/ Patch (1/4-20 x 1/2") 1 42
Locknut (1/4-20) 1 43
Bracket, Battery Support, Black 1 14
1139539 Kit, Battery Support Bracket Assembly - For
Invisible Super Low Tilt System w/ 22NF Batteries
1 11 B
Bracket, Battery Support, Black 1 14
Screw, Hex Head Cap w/ Patch (1/4-20 x 1/2") 1 45
1139540 Kit, Battery Support Bracket Assembly - For Vent
"Ready" System w/ 22NF Batteries
1 11 A
Screw, Hex Head Cap with Patch (1/4-20 x 5/8") 1 42
Locknut (1/4-20) 1 43
Bracket, Battery Support, Black 1 14
1139541 Kit, Battery Support Bracket Assembly - For Vent
"Option" System w/ 22NF Batteries
1 11 B
Bracket, Battery Support, Black 1 14
Screw, Hex Head Cap w/ Patch (1/4-20 x 1/2") 1 45
1139867 Kit, Battery Support Bracket Assembly - For Elevate
"Option" System w/ 22NF Batteries
1 11 B
Bracket, Battery Support, Black 1 14
Screw, Hex Head Cap w/ Patch (1/4-20 x 1/2") 1 45
A - Includes items 2-4
B - Includes items 4 and 5
NOTE:
For TRBKTS Option
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
21
Battery Tray Assembly and Wire Harnesses For Vent Tray
(3) 22NF Batteries
Form No.
04-041
22
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Tray Assembly and Wire Harnesses For Vent Tray
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1120363 Battery Wire Harness with Terminal Hardware,
22NF Rear
1 11 B,A
1120362 Battery Wire Harness with Terminal Hardware,
22NF - Front
1 12 B,A
1121143 Battery Wire Harness with Terminal Hardware,
22NF Vent
1 13 B,A
16721X000 Locknut (1/4-20) 1 64
1095502 Package, Cable Ties (11-1/2" Long) 10 15
1096799 Screw, Hex Flange Whiz Lock (1/4-20 x 7/8") 1 46
1121124 Battery Strap Assembly, 22NF and GP24 1 27
1121125 Battery Strap Assembly For Vent, 22NF 1 18
1117186 Bracket, Battery Tray Stop, Black 1 19
90017X000 Screw, Phillips Pan Head (#10-32 x 5/16") 1 210
1121142 Battery Tray Assembly, TDX 22NF For Vent 1 111 C
1121029 Kit, Vent Battery Harness Assembly with Hardware 1 112 D
Vent Battery Harness 1 113
Vent Battery Extension Harness 1 114
Screw, Phillips Pan Head (#8-16 x 5/8") 1 215
Cable Tie (5-5/8" Long) 1 416
Grommet, Rubber 1 117
1139531 Kit, Vent Battery Harness Assembly with Hardware
For TRBKTS Option
1 112 D
Vent Battery Harness 1 113
Vent Battery Extension Harness For TRBKTS
Option
1 114
Screw, Phillips Pan Head (#8-16 x 5/8") 1 215
Cable Tie (5-5/8" Long) 1 416
Grommet, Rubber For TRBKTS Option 1 117
1095503 Package, Cable Ties (5-5/8" Long) 10 116
1055747 Grommet, Rubber 1 117
1137236 Grommet, Rubber For TRBKTS Option 1 117
A - Individual components are not available for the battery wire harnesses
B - Includes items 4-6
C - Includes items 7-10
D - Includes items 13-17
NOTE:
(3) 22NF Batteries
Form No.
04-041
23
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Wire Harnesses, Sensor Proximity Switch,
Extension Cables and Energy Chain
For All Elevate Systems
Form No.
04-041
24
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Wire Harnesses, Sensor Proximity Switch,
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1124657 Bracket, Wire Harness Mounting 1 11
1114308 Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 42
1124654 Bracket, Upper Energy Chain Mounting 1 13
1124655 Bracket, Lower Energy Chain Mounting 1 14
1122586 Sensor, Proximity Switch 1 15
1125742 Kit, Sensor Proximity/Actuator Switch Mounting
Hardware
1 16 A
Nut, Hex Keps (#4-40) 1 27
Washer, Plain (1/8 x 5/16 x 1/32) 1 28
Screw, Phillips Pan Head (#4-40 x 3/8") 1 29
1125745 Kit, Energy Chain with Mounting Hardware 1 110 F
Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 211
1024001 Sensor, Actuator Switch 1 112
1123277 Cable, Joystick Extension 48" 1 113
1125743 Kit, Battery Harness with Mounting Hardware,
Elevate
1 114 B
Nut, Keps (#6-32) 1 615
Screw, Phillips Pan Head (#6-32 x 7/8") 1 616
Cable Tie (5-5/8" Long) 1 318
Washer (1/4 x 1/2 x 1/16") 1 419
1141968 Kit, Battery Harness with Mounting Hardware,
Elevate with TRBKTS option
1 114 C
Nut, Keps (#6-32) 1 615
Screw, Phillips Pan Head (#6-32 x 7/8") 1 416
Screw, Phillips Pan Head (#6-32 x 1-1/8") 1 217
Cable Tie (5-5/8" Long) 1 318
Washer (1/4 x 1/2 x 1/16") 1 419
Spacer (1/4 x 5/8 x 3/8") 1 220
1125740 Kit, Rear Battery Harness with Terminal Hardware 1 121 D
Locknut (1/4-20) 1 222
Cable Tie (11-1/2" Long) 1 423
Screw, Hex Flange Whiz Lock (1/4-20 x 7/8") 1 124
1125741 Kit, Front Battery Harness with Terminal Hardware 1 125 E
Locknut (1/4-20) 1 226
Cable Tie (11-1/2" Long) 1 427
Screw, Hex Flange Whiz Lock (1/4-20 x 7/8") 1 228
1126173 Harness, Elevate Actuator Extension
1 129
Extension Cables and Energy Chain
For All Elevate Systems
Form No.
04-041
25
To order call toll free 1-800-333-6900, or www.invacare.com
Battery Wire Harnesses, Sensor Proximity Switch,
A - Includes items 7-9
B - Includes the Battery Harness and items 15, 16, 18 and 19
C - Includes the Battery harness and items 15-20
D - Includes the Rear Battery Harness and items 22-24
E - Includes the Front Battery Harness and items 26-28
F - Includes the Energy Chain and item 11
NOTE:
Extension Cables and Energy Chain
For All Elevate Systems
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
26
#1 Seat Frame with Hardware
Chair Width 16"-17" Deep 18" - 19" Deep 20" - 21" Deep 22" Deep
111834011183311118322111831316" Wide
111834111183321118323111831417" Wide
111834211183331118324111831518" Wide
111834311183341118325111831619" Wide
111834411183351118326111831720" Wide
111834511183361118327111831821" Wide
111834611183371118328111831922" Wide
NOTE: Seat frame includes items 2-5
Seat Frame and Hardware
(16"-22" Wide)
Elevate Only For ASBA Seating (Before 7/5/05)
Form No.
04-041
To order call toll free 1-800-333-6900, or www.invacare.com
27
Seat Frame and Hardware
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
See Chart #1 Seat Frame with Hardware 1 11
1029501 Plug Button, Black (1") 1 22
1090768 Kit, Lock Handle w/Rivets (both LT & RT side) 2 13
47471X074 Spring, Arm Lock 1 24
1028594 Pin, Arm Lock 1 25
(16"-22" Wide)
Elevate Only For ASBA Seating (Before 7/5/05)
Form No.
04-041
28
To order call toll free 1-800-333-6900, or www.invacare.com
ADJASBA Seat Frame, Seat Pan and Hardware
(16"-20" Wide) x (16"-22" Deep) After 7/4/05
Form No.
04-041
29
To order call toll free 1-800-333-6900, or www.invacare.com
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