Invacare Storm Series, Formula Invisible Super low Tilt Parts Catalog
Parts Catalog
Invisible Super Low™ Tilt
Issued: Apr 24, 2012
Formula™
For
Storm Series® TDX®
Power 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. 03-034. 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.
© 2012 Invacare Corporation. Elyria, Ohio. Invacare, Yes, you can., the Blue Medallion Design, SureStep, Storm Series, TDX and Tarsys are registered
trademarks and Formula, Invisible Super Low, MKIV, MK5, GB, and TCD are trademarks of Invacare Corporation.
Otto Bock is a registered trademark of Otto Bock Orthopaedische Industrie GMBH & Co.. Tash is a registered trademark of Tash International Inc.. Therafin is
W/R/ Medical Electronics Co.. Bussman is a registered trademark of Cooper Industries. MIDI is a registered trademark of Littelfuse Inc.. Dynamic is a
Diameter X Thread Count/Pitch X Length
Inside Diameter X Outside Diameter X Thickness
Inside Diameter X Outside Diameter X Length
Name Phone Numbers
a registered trademark of
registered trademark of Dynamic Controls Limited.
Form No. 03-034
1
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 03-034
Description
A: READ THIS FIRST (THIS CATALOG IS DIFFERENT!) ...................................................... 6
Accessories - Arm Pads - Otto Bock ........................................................................................ 182
Accessories - Headrest Support Assembly - ABS & Metal Curved Backs ............................... 184
Accessories - Headrest Support Assembly - Back Cane Only Option ..................................... 186
Accessories - Lateral Support Assembly .................................................................................. 188
Accessories - Power Wheelchair Tool Kit ................................................................................ 194
Accessories - Seat/Chest Positioning Straps ........................................................................... 191
Arms - Adjustable Height .......................................................................................................... 70
Arms - Fixed Height .................................................................................................................. 67
Arms - Mounting Front/Rear Arm Socket Asbly. & Hdwr. - For ADJASBA Seats (After 7/4/05) 74
Arms - Mounting Swingaway Hardware - For ASBA and ADJASBA Seats ............................. 72
Backs - ABS Curved Mounting Hardware ............................................................................... 48
Backs - ABS Curved Assembly ................................................................................................ 38
Backs - Contoura without Mounting Hardware - Before 5/15/09 .............................................. 51
Backs - Curve Contoura without Mounting Hardware - After 5/14/09 ...................................... 54
Backs - Metal Curved Assembly .............................................................................................. 43
Backs - Metal Curved Mounting Hardware ............................................................................... 50
Backs - Mounting Hardware - Curve Contoura - ADJASBA Only - After 5/14/09 ..................... 60
Backs - Mounting Hardware, Contoura - ADJASBA Only - Before 5/15/09 ............................. 58
Battery Box Hardware & Door Assembly ................................................................................. 12
Battery Tray Assembly & Wire Harnesses ............................................................................... 14
2
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 03-034
Description
Canes - Back & Attaching Hardware For ADJASBA Seats (After 7/4/05) ................................ 36
Canes - Back & Attaching Hardware For ASBA Seats (Before 7/5/05) .................................... 34
Cushions - Seat - Contoura Seating - ADJASBA Only ............................................................. 62
Electronics - 4-Way Switch and Mounting Hardware ............................................................... 168
Electronics - Dual Legs Integrated Actuator Module (DLIAM) MK6i For ELRPW Front Riggings 151
Electronics - General Tilt Actuator Module (GTAM) MK6i For GB TT Controller ..................... 153
Electronics - Limit Switch Harness and Mounting Hardware .................................................... 157
Electronics - MK5 SAC and Mounting Hardware ..................................................................... 159
Electronics - MK5 TAC and MK5 TRCM with Mounting Hardware After 2/27/06 ..................... 166
Electronics - MK5 TAC and MK5 TRCM with Mounting Hardware Before 2/28/06 .................. 164
Electronics - MK5 TAC and Mounting Hardware (For MK5 SAC Conversion) ......................... 161
Electronics - MK6i ~PLEASE READ THIS SECTION~ ............................................................ 150
Electronics - Quad Link (QLA) After 10/30/05 .......................................................................... 180
Electronics - Quad Link 1/13/04 Thru 10/30/05 ........................................................................ 176
Electronics - Quad Link Before 1/13/04 For 1556 Heavy Duty Joystick ................................... 174
Electronics - Quad Link Before 1/13/04 For MK5 MPJ Joystick ............................................... 172
Electronics - Quad Link Before 1/13/04 For MK5 SPJ-80 and DPJ Joystick ........................... 170
Electronics - Tilt Recline Single Switch (TRSS) ....................................................................... 155
Frames - Seat ADJASBA - Seat Pan & Hdwr. (16"-20" W x 16"-22" D) (After 7/4/05) ............. 24
Frames - Seat ADJASBA - Seat Pan & Hdwr. (20"-22" W x 16"-22" D) (After 7/4/05) ............. 26
Frames - Seat ADJASBA Mounting Hardware (After 7/4/05) ................................................... 30
3
Front Riggings - Center Mount Rigging (CTMT-F with CTMTFB One PC Flip-Up Footboard)
After 12/30/09
Front Riggings - Center Mount Rigging (CTMT-F/CTMT-FL with CTMTFB One PC Flip-Up
Footboard) Before 12/31/09
Front Riggings - Center Mount Rigging (CTMT-J/CTMT-FJ/CTMT/CTMT-F/CTMT-L/CTMT-FL)
(After 12/09/08)
Front Riggings - Center Mount Rigging Kit(CTMT-F/CTMT-FL/CTMT-FJ) For ADJASBA Seat After 7/4/05
Front Riggings - Center Mount Rigging Mtg. Hdwr. (CTMT/CTMT-L/CTMTJ) For ASBA Seat
(Before 7/5/05)
Front Riggings - Center Mount Rigging Mtg. Hdwr., (CTMT-F/CTMT-FL/CTMT-FJ) For
ADJASBA Seat (After 7/4/05)
Front Riggings - Front Rigging Hanger Assembly - Pin & Sector Style For ASBA Seats (Before
7/5/05)
Front Riggings - Front Rigging Hanger Hdwr. - Pin & Sector Style For ADJASBA Seats (After
7/4/05)
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 03-034
Description
Frames - Seat ADJASBA Mounting Hardware For TRBKTS Option ........................................ 32
Frames - Seat ASBA (Before 7/5/05) ....................................................................................... 22
Frames - Seat ASBA Mounting Hardware (Before 7/5/05) ....................................................... 28
Front Riggings - Adjustable Angle Footplate Assemblies - AT5543 ......................................... 98
Front Riggings - Calf Pads and Attaching Hardware ................................................................ 92
Front Riggings - Center Mount Rigging (CTMT/CTMT-F/CTMT-L/CTMT-FL) - Before 12/10/08 109
122
120
Front Riggings - Center Mount Rigging (CTMTJ/CTMT-FJ) - Before 12/10/08 ........................ 107
112
Front Riggings - Center Mount Rigging Kit (CTMT/CTMT-L) For ASBA Seat (Before 7/5/05) . 133
Front Riggings - Center Mount Rigging Kit (CTMTJ) For ASBA Seat (Before 7/5/05) ............. 130
136
126
128
Front Riggings - Footrest and Legrest Accessories ................................................................. 101
Front Riggings - Footrest Support Assemblies ......................................................................... 83
Front Riggings - Footrest Supports - (Hemi) - PHW93 ............................................................. 85
79
Front Riggings - Legrest Supports - Articulating (Hemi) - PHAL4A .......................................... 89
4
81
Front Riggings - Power Articulating Legrest - ELRPW Harness & Hdwr. For ADJASBA Seat
(After 7/4/05)
Front Riggings - Power Articulating Legrest - ELRPW Harness & Hdwr. For ASBA Seat (Before
7/5/05)
TABLE of CONTENTS
Page
Number
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 03-034
Description
Front Riggings - Legrest Supports - AT5544 ............................................................................ 87
Front Riggings - Pivot/ Slide Tube and 1650, 1350 Aluminum Footplates ............................... 96
Front Riggings - Pivot/ Slide Tube and 1651 Composite Footplates ........................................ 94
Front Riggings - Power Articulating Legrest - ELRPW (After 7/26/04) ..................................... 143
Front Riggings - Power Articulating Legrest - ELRPW (Before 7/27/04) .................................. 140
148
146
Front Riggings - Reference Chart - 70ST TAPER .................................................................... 78
Front Riggings - Reference Chart - AT5544, 70NHD, PHW93 ................................................ 76
Front Riggings - Reference Chart - PHAL4A ........................................................................... 77
Label Locations For TRBKTS Option ....................................................................................... 10
Packaging - Literature - Frame Finishes & Touch-Up Paint ..................................................... 7
Prop Rod Assembly .................................................................................................................. 20
Seat Pan & Mounting Hardware For ASBA Seats (Before 7/5/05) ........................................... 65
Tilt Actuator & Mounting Hardware .......................................................................................... 18
Tilt Assembly & Mounting Hardware ........................................................................................ 16
TRBKTS Option Clarification Reference .................................................................................. 11
5
A: READ THIS FIRST (THIS CATALOG IS DIFFERENT!)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
6
Packaging, Literature, Frame Finishes and Touch-Up Paint
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
7
Packaging, Literature, Frame Finishes and Touch-Up Paint
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1030364 Carton, Cover 1 11 A
1036028 Carton, Cover 1 11 B
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 NLA - Tube, Paper 1 15
1012001 Carton, Joystick 1 16
1030362 Carton, Tray 1 27 A
1036027 Carton, Tray 1 27 B
1115174 Carton, Corner Reinforcement 1 48
00077X031-NLA NLA - Warranty Card 1 1C
1114809 Owner's Manual, TDX w/ MK5 Electronics 1 1C
1122132-NLA NLA - Owner's Manual, Invisible Super Low Tilt with
MK6i Electronics
1 1C
See Chart Frame Finishes and Touch-Up Paint For Front
Riggings
1 1C
1164348 Mailer, Return, Mercury Free 1 1D
A - 16" wide - 20" wide models
B - 21" wide - 22" wide models
C - Not Shown
D - For Massachusetts providers only
When a
djusting or replacing parts, please refer to your Owner's Manual for assistance.
NOTE:
Frame Finishes and Touch-Up Paint For Front Riggings
Color Number Part Number Bottle Size Color
Pink Pearl.6 oz103145202P
Super Teal.6 oz103145406P
Deep Purple.6 oz103145608P
Cobalt Blue.6 oz104631917P
Anthracite.6 oz103337622P
Wet Black.6 oz103145024P
White.6 oz103144729P
Red.6 oz103145533P
Flat Black.6 oz104632734P
Electric Red.6 oz104632161P
Electric Blue.6 oz104632062P
Metallic Blue.6 oz104632464P
Teflon Black.6 oz1101320-NLA69P
Silver VeinN/AN/A71P
Evergreen with Navy.6 oz107389280P
Dark Olive with Copper.6 oz107389381P
Fruit Punch with Fucshia.6 oz107389482P
Royal Blue with Grape.6 oz107389583P
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
8
Packaging, Literature, Frame Finishes and Touch-Up Paint
Frame Finishes and Touch-Up Paint For Front Riggings
Color Number Part Number Bottle Size Color
Lavender.6 oz107389684P
Jeweled Green.6 oz1101325101P
Denim Blue.6 oz1101327102P
Mocha Frost.6 oz1101324103P
Electric Teal.6 oz1101316104P
Midnight Blue.6 oz1101326105P
Twilight SparkleN/AN/A72P
Gold SparkleN/AN/A73P
Green SparkleN/AN/A74P
Blue SparkleN/AN/A75P
Red SparkleN/AN/A76P
Wet Black with
Twilight Sparkle
N/AN/A88P
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
9
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
Label Locations For TRBKTS Option
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
10
TRBKTS Option Clarification Reference
TRBKTS Option was introduced 12/19/05 as an On-Chair option only.
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
11
Battery Box Hardware and Door Assembly
For Formula Invisible Super Low Tilt Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
12
Battery Box Hardware and Door Assembly
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1133027-NLA Kit, Battery Box Hardware, 22NF Short Super Low 1 11 A
NLA - Shroud, Battery Box 1 12
Tie Wrap (11-1/2" L) 1 23
Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 24
Screw, Socket Head (#10-32 x 1/2") 1 25
1120248-NLA Kit, Battery Box Door Assembly, 22NF Short Super
Low
1 16 B,C
Label, 22NF Terminal Configuration Warning 1 17
NLA - Label, 22NF Battery Install/Remove 1 18
NLA - Decal, Blank Logo 1 19
Decal, Invacare Medallion - Large 1 110
Locknut (1/4-20) 1 211
NLA - Sleeve, Door Pivot 1 212
A - Includes items 2-5
B - Blank Logo Decal is no longer available and no longer required for item number 10 Invacare Medallion Decal.
C - Includes items 7-12
NOTE:
For Formula Invisible Super Low Tilt Seating
The Battery Boxes are non-serviceable parts. Call Technical Services for assistance (1-800-832-4707)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
13
Battery Tray Assembly and Wire Harnesses
22NF Batteries
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
14
Battery Tray Assembly and Wire Harnesses
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1120263-NLA NLA - Harness, Battery Wire with Terminal
Hardware,
22NF, Rear
1 11 A,B
1121124 Battery Strap Assembly, 22NF and GP24 1 32
1120264-NLA NLA - Harness, Battery Wire w/ Terminal Hardware,
22NF, Front
1 13 A,B
16721X000 Locknut (1/4-20) 1 44
1096799 Screw, Hex Flange Whiz Lock (1/4-20 x 7/8") 1 25
98007X005 Tie Wrap (11-1/2" L) 1 66
1117186 Bracket, Battery Tray Stop, Black 1 17
90017X000 Screw, Phillips Pan Head (#10-32 x 5/16") 1 28
1120265-NLA NLA - Battery Tray Assembly, 22NF 1 19 C
50000X121 Strap, Battery Lift 1 110
1120237 Harness, Battery Extension 1 111
A - Individual components are not available for the battery wire harnesses
B - Includes items 4-6
C - Includes items 2 and 6-8
NOTE:
22NF Batteries
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
15
Tilt Assembly and Mounting Hardware
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
16
Tilt Assembly and Mounting Hardware
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1120175 Roller, Cam 1 21
1120214-NLA NLA - Roller, Cam, Seat Support 1 12
1018248 Nut (5/16-18) 1 23
1108437 Bumper, Rubber (1" Diameter x 5/8") 1 24
1120184 Mounting, Lower Pivot 1 15
1100023 Screw, Button Head w/ Patch (1/4-20 x 1/2") 1 46
1028410 Screw, Socket Button Head (1/4-20 x 7/8") 1 27
1120196 Sleeve, Pivot Joint, Front 1 28
1120169-NLA NLA - Bearing, Flange 1 29
1025195 Locknut (1/4-20) 1 510
1120195-NLA NLA - Spacer, Front Pivot Joint, Black 1 511
1071955 Screw, Socket Button Head (5/16-18 x 3/4") 1 212
1068039 Pin, Pull 1 113 A
1114308 Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 114
1039860 Screw, Hex Head w/ Patch (5/16-18 x 3/4") 1 415
1079247 Washer, Flat (21/64 x 53/64 x 7/64") 1 416
1120229-NLA NLA - Rail, Side - Right 1 117
1113341-NLA NLA - Nut, Strap 1 218
1120230-NLA NLA - Rail, Side - Left 1 119
1120224 Screw, Shoulder Hex Socket Head (3/8" x 5/8",
5/16-18)
1 220
1120194 Link, Front 1 121
1072692 Lockwasher, Split (5/16") 1 222
1124299 Key, Ball Point T-Handle (3/16" Hex) 1 123 B
A - Pull Pin no longer used as of 11/12/04, see page titled "Prop Rod Assembly"
B - The T-Handle Hex Key is used to remove item 12 (Socket Button Head Cap Screw). Item 5 (Lower Pivot Mounting) can
then be raised up to provide clearance to remove the batteries.
NOTE:
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
17
Tilt Actuator and Mounting Hardware
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
18
Tilt Actuator and Mounting Hardware
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1120223 Pin, Quick Release with Lanyard ( 3/8" ) 1 11
1028410 Screw, Socket Button Head (1/4-20 x 7/8") 1 12
1025195 Locknut (1/4-20) 1 13
1120173 Actuator Motor w/o Hardware 1 14 A
1120221 Spacer, Ball Screw (7/8 x 1-1/4 x 3/16") 1 15
1120231-NLA NLA - Bracket, Lower Screw Pivot 1 16
1012371 Washer, Nylon (3/8 x 7/8 x 1/16") 1 17
1100023 Screw, Button Head w/ Patch (1/4-20 x 1/2") 1 18
A - Actuator does not includes items 5-8
NOTE:
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
19
Prop Rod Assembly
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
20
Prop Rod Assembly
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1144604-NLA Kit, Prop Rod Assembly 1 11 A
Clip, Adjustable Finger Grip (#28) 1 12
Washer, Flat (5/32 x 3/8 x 1/32") 1 13
Lockwasher (1/8" x 3/4" x 1/16") 1 14
Nut, Hex Lock (#6-32) 1 15
Rod, Prop 1 16
Screw, Phillips Pan Head Tap (#10-32 x 1/2") 1 17
Clamp, Strap 1 18
Locknut (#10-32) 1 19
Screw, Phillips Pan Head Tap (6-32 x 3/8") 1 110
A - Includes items 2-10
NOTE:
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
21
ASBA Seat Frame
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
See Chart #1 Seat Frame with Hardware 1 11 A
1029501 Plug Button, Black (1") 1 22
1090768 Kit, Lock Handle w/Rivets (Pair) 2 13
47471X074 Spring, Arm Lock 1 24
1028594 Pin, Arm Lock, Black 1 25
A - Includes seat frame and items 2-5
NOTE:
#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
(Before 7/5/05)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
22
ASBA Seat Frame
#1 Seat Frame with Hardware
Chair Width 16"-17" Deep 18" - 19" Deep 20" - 21" Deep 22" Deep
111834611183371118328111831922" Wide
(Before 7/5/05)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
23
ADJASBA Seat Frame, Seat Pan and Hardware
(16"-20" Wide) x (16"-22" Deep) (After 7/4/05)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
24
ADJASBA Seat Frame, Seat Pan and Hardware
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1120288 Frame, Center Seat, Black 1 11 D
1122475 Crossbar, Seat Frame (16" - 20" W) 1 42
1122647 Rail, Seat Frame (16 - 20" D For Formula TRE and
16 - 19" D For ADJASBA)
1 23
1122677 Rail, Seat Frame (20 - 22" D Formula TRE) (19 -
22" D ADJASBA)
1 23
1124386 Pan, Seat with Hook and Loop Fasteners (16 - 20"
W) x (16 - 20" D For Formula TRE) & (16 - 19" D
For ADJASBA)
1 14
1124666 Pan, Seat, with Hook and Loop Fasteners (16 - 20"
W) x (20 - 22" D For Formula TRE) & (19 - 22" D
For ADJASBA)
1 14
1043082 Hook Fastener with Adhesive Back (2" W x 18" L) 1 25 A
1044580 Loop Fastener with Adhesive Back (2" W x 18" L) 1 25 A
1043084 Hook Fastener with Adhesive back (2" W x 22" L) 1 25 B
1044584 Loop Fastener with Adhesive back (2" W x 22" L) 1 25 B
1135501 Kit, Seat Frame Assembly Hardware 1 16 C
Screw, Hex Head w/ Patch (1/4-20 x 3/4") 1 87
Washer (1/4 x 1/2 x 1/16") 1 28
Spacer, Coved (1/4 x 11/16 x 1/2") 1 49
Screw, Socket Button (1/4-20 x 3/4") 1 210
Pin, Roll (3/16 x 1") 1 211
1114823 Decal, Seat Adjustment Warning 1 212
A - For 16"-19" deep seats
B - For 19"-22" deep seats
C - Includes items 7-11
D - When ordering Center Seat Frame (item 1), also order 2 ea. Seat Adjustment Warning Decal (item 12).
NOTE:
(16"-20" Wide) x (16"-22" Deep) (After 7/4/05)
Form No. 03-034
25
To order call toll free 1-800-333-6900, or www.invacare.com
ADJASBA Seat Frame, Seat Pan and Hardware
(20"-22" Wide) x (16"-22" Deep) (After 7/4/05)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
26
ADJASBA Seat Frame, Seat Pan and Hardware
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1120288 Frame, Center Seat, Black 1 11 D
1120283 Crossbar, Seat Frame (20" - 24" W) 1 42
1122647 Rail, Seat Frame (16 - 20" D For Formula TRE and
16 - 19" D For ADJASBA)
1 23
1122677 Rail, Seat Frame (20 - 22" D Formula TRE) (19 -
22" D ADJASBA)
1 23
1124388 Pan, Seat, with Hook and Loop Fasteners (20 - 24"
W) x (16 - 20" D For Formula TRE) & (16 - 19" D
For ADJASBA)
1 14
1124667 Pan, Seat with Hook and Loop Fasteners (20 - 24"
W) x (20 - 22" D For Formula TRE) & (19 - 22" D
For ADJASBA)
1 14
1043082 Hook Fastener with Adhesive Back (2" W x 18" L) 1 25 A
1044580 Loop Fastener with Adhesive Back (2" W x 18" L) 1 25 A
1043084 Hook Fastener with Adhesive back (2" W x 22" L) 1 25 B
1044584 Loop Fastener with Adhesive back (2" W x 22" L) 1 25 B
1135501 Kit, Seat Frame Assembly Hardware 1 16 C
Screw, Hex Head w/ Patch (1/4-20 x 3/4") 1 87
Washer (1/4 x 1/2 x 1/16") 1 28
Spacer, Coved (1/4 x 11/16 x 1/2") 1 49
Screw, Socket Button (1/4-20 x 3/4") 1 210
Pin, Roll (3/16 x 1") 1 211
1114823 Decal, Seat Adjustment Warning 1 212
A - For 16"-19" deep seats
B - For 19"-22" deep seats
C - Includes items 7-11
D - When ordering Center Seat Frame (item 1), also order 2 ea. Seat Adjustment Warning Decal (item 12).
NOTE:
(20"-22" Wide) x (16"-22" Deep) (After 7/4/05)
Form No. 03-034
27
To order call toll free 1-800-333-6900, or www.invacare.com
ASBA Seat Frame Mounting Hardware
(Before 7/5/05)
Form No. 03-034
To order call toll free 1-800-333-6900, or www.invacare.com
28
ASBA Seat Frame Mounting Hardware
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
1116983 Screw, Hex Head w/ Patch (5/16-18 x 1-1/2") 1 41 A
1070412 Screw, Hex Head (5/16-18 x 2-1/4") 1 22 B
1116983 Screw, Hex Head w/ Patch (5/16-18 x 1-1/2") 1 22 B
1087640 Spacer (3/8 x 7/8 x 11/16") 1 23 C
1026158 Locknut (5/16-18) 1 44
1120243 Hardware, ASBA Seat Mounting (0 Degree Setting) 1 15 D
1120244-NLA NLA - ASBA Seat Mounting Hardware, 5 Degree
Setting
1 15 E
A - Only 2 ea. Screws required for chairs with 5 degree setting.
B - Part no. 1084565 used on chairs with 5 degree setting. Part no. 1116983 used on chairs with 0 degree setting.
C - Used on chairs with 5 degree setting only.
D - Includes 4 ea. of items 1 and 4.
E - Includes items 1-4
NOTE:
(Before 7/5/05)
Form No. 03-034
29
To order call toll free 1-800-333-6900, or www.invacare.com
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