Invacare IVC Tracer SX5 User Manual

Invacare® IVC™ Tracer® SX5 Wheelchair (Builders)

Price List and Order Form

Effective July 1, 2008
For ease of ordering, contact Customer Service Toll Free at:
800-333-6900 Fax: [phone]
To order Literature: 800-828-6282 www.invacare.com

Company Name ______________________________________________________Account # ____________________________________________

Phone ________________________P.O. # ________________________________Date_________________________________________________

Ship to Name & Address ____________________________________________________________________________________________________

HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when
submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail.

Special Note

NOTE: Existing base information (serial #) will need to be supplied to Customer Service to ensure correct configuration.

FRAME & SEAT

CHAIR TYPE

 TRSX5 Tracer SX5 Builder Wheelchair (K0003)............ 678.00

FRAME TYPE 1

 ADULT Adult 19.5.......................................................No Charge

 HEMI Hemi 17.5 .......................................................No Charge

WHEEL OPTIONS

 U1763BK 20" Composite Urethane Tires ............................. 113.00

 U1764BK 22" Composite Urethane Tires ............................. 113.00

 2244BK 24" Composite Pneumatic Tires........................... 140.00

 4244BK 24" Comp Pneumatic w/FF Inserts (E2213) ........225.00

 U2222 24" Composite Urethane Tires ........................ Standard

 U2244BK 24" Composite Urethane Treaded Tires............... 120.00

WHEELS

FRAME WIDTH & DEPTH

 WD46 14" Wide X 16" Deep (K0108)......................No Charge

 WD66 16" Wide X 16" Deep.....................................No Charge

 WD86 18" Wide X 16" Deep.....................................No Charge

 WD06 20" Wide X 16" Deep (K0006/E2201) ..........No Charge

 WD26 22" Wide X 16" Deep (K0006/E2201) ................ 142.00

ARM & BACK

ARM TYPE 3

 18FB Full Length Fixed Ht. Flip-Back 10" .............No Charge

 19FB Full Length Adj. Ht. Flip-Back 10"-14" .............. 130.00

 28FB Desk Lng Fxd Ht. Flip-Back 10" (E0973).....No Charge

 29FB Desk Lng Adj. Ht. Flip-Back 10"-14" (E0973)... 130.00

BACK TYPE

 BH16 Back Height 16" .............................................. Standard

 BH18 Back Height 18" .............................................No Charge

COLORS

UPHOLSTERY COLORS

 U240 Black Nylon Upholstery.................................. Standard

 U550 Midnight Blue Vinyl Uph .............................. No Charge

 U67 Black Vinyl.....................................................No Charge

 U86 Ruby Red Vinyl..............................................No Charge

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WHEEL OPTIONS (ONE ARM DRIVE) 4

 99457R One Arm Drive w/2244BK/FF RH (E0958)........ 589.00

 99458L One Arm Drive w/2244BK/FF LH (E0958) ........ 589.00

 9456L One Arm Drive w/U2222 LH (E0958)................. 606.00

 9456R One Arm Drive w/U2222 RH (E0958) ................606.00

HANDRIMS OPTIONS

 AHDRM Aluminum Handrims .....................................No Charge 5

 CHDRM Chrome Plated Handrims................................No Charge

 COM Composite Handrims .......................................Standard

 L8702 Omit Handrims ..............................................Less 15.00

WHEEL LOCKS

 9690B Pull To Lock Whl Locks (Std on Hemi) ........No Charge

 9691B Push To Lock Whl Locks (Std on Adult).......No Charge

 9690 Pull To Lock Disk Wheel Locks ....................No Charge

 9691 Push To Lock Disk Wheel Locks...................No Charge

POSITIONING STRAPS

SEAT POSITIONING STRAPS

 1515 Pus h B u t t o n S t y l e B u c k l e S e a t P o s S t r a p ( E 0978) .......50.00

 1321BK Hook &Loop Seat Positioning Strap (E0978)........ 40.00

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CASTERS

CASTER OPTIONS

 AT902 6" Composite Urethane 3 Spoke.................... No Charge

 AT903 8" X 1.25" Composite Urethane.....................No Charge

 1255 8" X 1" Solid Rubber Dark Grey .................... Standard

 1228 8" X 1.75" Semi Pneumatic Casters Lt Grey......... 56.00

FOOTNOTES

1

Based on 24" wheels and 8" casters, see seat-to-floor matrix.

2

20" and 22" widths have 300 lb wt limit, standard with 1228 casters, 24" rear

wheels and CHDRM handrims.

3

Arms are Flipback non-removable.

NOTE: All specifications and dimensions are approximate.

For the most current pricing information go to www.invacare.com.

FOOTNOTES

4

Not available with amputee attachment.

5

Not available with U2222 rear wheels.

6

Available with 24" rear wheels only.

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Invacare® IVC™ Tracer® SX5 Wheelchair

Accessories and Options

ACCESSORIES

BACK ACCESSORIES

 STC Stencil Back Upholstery......................................... 29.00

 1160 Carrying Pocket...................................................... 54.00

MISCELLANEOUS ACCESSORIES

 1360 Adjustable Rear Anti-Tipper For 8" Casters.......... 82.00

 1360A Adj Rear Anti-Tipper For 6" Casters (E0971)....... 82.00

 9357L Amputee Attachment (E0971) ............................... 95.00

 1329BK Toggle Wheel Lock Extension (8") (E0959) ......... 39.00

 1335 Non-Folding Device (E0961)..................................40.00

 1514 Overhead Anti-Theft Device...................................46.00

 1497 Oxygen Holder Package Assembly...................... 151.00

 1496 IV/Oxygen Holder Package Assembly (E2208).. 158.00

 2218 IV Rod/Bracket, Telescoping (E2208/K0105)..... 148.00

 EXT2 Seat Extension Kit 2" (K0105).......................No Charge

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FRONT RIGGING OPTIONS

FRONT RIGGING

 T93HE Hemi Footrests w/o heel loop, Composite Ftpl ......65.00 10

 T93HA Hemi Footrests Aluminum Footplates ....................93.00

 T93HC Hemi Footrests.........................................................93.00

 T94HE Hemi Elevating Legrest Composite Footplates

Black Plastic Calf Pad (E0990/K0195)................ 110.00

 T94HA Hemi Elev. Lgrt Aluminum Ftpl (E0990/K0195) 180.00

 T94HC Hemi Elevating Legrests (E0990/K0195)............ 180.00

 AHL4A Hemi Smartleg Articulating Lgrt Alum Ftpl (K0053) 320.00

 AHL4C Hemi Smartleg Art. Lgrt Comp Ftpl (K0053)..... 320.00

 AHS4A Hemi Smartleg Art. Lgrt-14" W Chairs (K0053)....... 320.00

 T93HS Hemi Footrests Aluminum Footplates 14" W........ 90.00

 T94HS Hemi Legrests Aluminum Footplates 14" W....... 175.00

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Seat Widths 14", 16",18",20" or 22"
Overall Width Seat Width plus 81/2"
Seat Depth 16"
Overall Depth 31/8" (18 x 16 without Front Riggings)
Back Heights 16" or 18"
Seat-to-Floor 17½" or 19½"
Weight Limit 250 lbs. (300 lbs. on 20" or 22" widths)
Chair Weight 34 3/4" (18 x 16 without Front Riggings)
Shipping Weight 44 1/4 lbs.

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Specifications

FOOTREST/LEGREST ACCESSORIES

 1820 Non-Removable Device......................................... 12.00

 1346 Heel Loops...............................................................39.00

The Tracer SX5 Wheelchair is also available in several stock

configurations that can ship immediately. Please see QuickShip

order form 06-026.

FOOTNOTES

7

Not available on 20" and 22" widths.

8

Not available with One Arm Drive.

9

Not available on 14" and 22" widths.

10

Not available with 14" wide.

11

All calfpads are black.

12

Already included on swingaway footrests, T93HA, T93HC.

Invacare Corporation
USA

One Invacare Way
Elyria, OH USA
44035-4190
800-333-6900

www.invacare.com
All rights reserved. Trademarks are identified by the symbols ™ and ®. All
trademarks are owned by or licensed to Invacare Corporation unless otherwise
noted.
©2008 Invacare Corporation

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Form No. 02-076