Motion | HELIO C2 | HELIO C2 - medsupplysales

519, J-­‐Oswald Forest, suite 101
Saint-­‐Roch-­‐de-­‐l'Achigan, QC, Canada J0K 3H0
T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
www.motioncomposites.com
HELIO C2
ORDER FORM -­‐ CANADA
Account : P O :
Ship to : Vendor : Name : Date : Address: Ordered by : City : Province : Postal Code : Email : Phone : Marked for : User manual : □ English □ Français
MODEL
1 Ultralight Folding Carbon Fiber HELIO C2 Wheelchair (250 lbs. weight capacity )
2 HD Heavy Duty package (350 lbs. weight capacity )
FRAME COLOR (with carbon finish crossbrace)
Carbon finish □
Sunkissed Orange □
Burgundy □
3
Basalt Black □
Fushia □
Steel Blue □
Charcoal □
Ferrari Red □
Saphir Blue □
4
Custom Color COLOR HIGHLIGHTS ON FRONT HANGERS 5
Black □ (standard w/color frame) Charcoal □ (standard w/Black or Carbon finish)
SEAT WIDTH
6 Seat width : 14 “ □ 1 7 Seat width : 19 “ □
SEAT DEPTH
8 Seat depth : 14 “ □ 9 Seat depth : 19 “ □ 1. Available for HD option (350 lb)
WM0000964/WAMC
$2950
WAMF
$145
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NC
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$200
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NC
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WAMA
NC
$285
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WAMB
NC
$215
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$410
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Monster Green □
Acid Green □
Blue □ 15 “ □
20 “ □1
16 “ □ 21 “ □2
17 “ □ 22 “ □2
18 “ □
15 “ □
20 “ □
16 “ □ 17 “ □ 18 “ □ Red □ White □ 1 2. Only available in HD (350 lb)
NEWTON ULTRALIGHT PACKAGE
10 Includes : Carbon fiber angle adjustable oversize footplates + Newton Infinity Ultralight rear wheels
Save $210
STRAIGHT BACK
MC-­‐BASTCA__
11 Carbon fiber back cane
NC
9 -­‐ 12" □ 12 -­‐ 15" □
15 -­‐ 18" □
18 -­‐ 21" □
Set height to :
(measured from seat sling to top of back upholstery / see drawing at the end of the order form)
8° BEND BACK
MC-­‐BA8AL__
12 Aluminium back cane
$80
13 ½ -­‐ 15" □ 15 -­‐ 18" □
18 -­‐ 21" □
MC-­‐BA8CA__
13 Carbon fiber back cane $140
13 ½ -­‐ 15" □ 15 -­‐ 18" □
18 -­‐ 21" □
Set height to :
(measured from seat sling to top of back upholstery / see drawing at the end of the order form)
ADJUSTABLE ANGLE BACK
MC-­‐BASTCA__
14 Carbon fiber back cane straight
$236
13 ½ -­‐ 15" □ 15 -­‐ 18" □
18 -­‐ 21" □
MC-­‐BA8ACA__
15 Carbon fiber back cane 8° bend
$296
13 ½ -­‐ 15" □ 15 -­‐ 18" □
18 -­‐ 21" □
16 Select back cane angle : 85° □
90° □
95° □
100° □
105° □
110° □
Set height to :
(measured from seat sling to top of back upholstery / see drawing at the end of the order form)
PUSH HANDLES
MC-­‐PH
17 Push handles, 0 -­‐ 3" height adjustable
NC
MC-­‐PHSE
18 Straight extensions, 0-­‐3" height adjustable
NC
MC-­‐SH
19 Stroller handle (only available with push handle)
WAMW
$145
Motion Composites
NW-­‐FB
20 Folding Stabilizer bar (only available with push handle)
HELIO C2 Orderform CAN EN 3.9.1.xlsx
Feb 01, 2014 1$175
of 6
T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
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SEATING CUSHION
21 2" Cushion 22 3" Cushion 23 nXt FIT cushion series (See nXt FIT pricelist on last page)
24 Omit Cushion
BACK UPHOLSTERY
25 Slip on back upholstery
26 Adjustable tension back upholstery
27 Omit Back upholstery
RIGID BACK
28 nXt back series (See nXt back pricelist on last page)
FLIP BACK ARMREST (Convertible to “T" armrest)
29 Desk Length :
8 -­‐ 12" □
30 Full Length :
8 -­‐ 12" □
“T" ARMREST
31 Desk Length :
8 -­‐ 12" □
32 Full Length :
8 -­‐ 12" □
SWING AWAY ARMREST
33 Tubular arm pad
34 Desk length arm pad
(Footplate mounted to hanger tube)
$135
NC
MC-­‐BU
MC-­‐BUA
WAMD/WAME $162
$-­‐15
10 -­‐ 14" □
10 -­‐ 14" □
MC-­‐ARFBDL__
$348
MC-­‐ARFBFL__
$348
10 -­‐ 14" □
10 -­‐ 14" □
MC-­‐ARTDL__
$300
MC-­‐ARTFL__
$300
MC-­‐ARSATU
$250
MC-­‐ARSADL
$250
8 -­‐ 11"
8 -­‐ 11"
13.5 -­‐ 21"
13.5 -­‐ 21"
13 -­‐ 18"
8"-­‐14"
8" x 11"
Left □
Right □
Right □
Motion Composites
HELIO C2 Orderform CAN EN 3.9.1.xlsx
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See pricelist
FOOTPLATES
45 Standard (Composites)
46 Adjustable angle oversize (Aluminium)
47 Adjustable angle oversize (Carbon fiber with rubber inserts)
48 One piece adjustable angle flip-­‐up (Aluminium)
49 One piece adjustable angle flip-­‐up (Carbon fiber with rubber inserts)
50 Length adjustable heel loop (not available with one piece footplate)
51 Calf strap
52 Padded calf strap
T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
MC-­‐SC3
NC
42 Elevating legrest with calf pad 14 -­‐ 20"
Left □
43 Length modification outside of specified range
Set length to: STUMP SUPPORT (Height and angle adjustable)
44 Swing away stump support : $115
See pricelist
SIDE GUARDS
35 Plastic side guards (removable) 36 Carbon fiber side guards (fixed)
37 Carbon fiber mud guards (removable) SWING-­‐IN/SWING-­‐OUT FOOTREST
Set lenght to :
38 60° Swing-­‐in/swing-­‐out footrest
39 70° Swing-­‐in/swing-­‐out footrest
40 90° Swing-­‐in/swing-­‐out footrest
90° Sing-­‐in/swing-­‐out footrest front mount
41
MC-­‐SC2
MC-­‐GASIPL
WAMV
$190
MC-­‐GASICA
WAMV
$210
MC-­‐GAMUCA
WAMV
$450
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MC-­‐FRSWAL6
$55
MC-­‐FRSWAL7
NC
MC-­‐FRSWAL9
NC
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MC-­‐FRSWAL9F
NC
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$202
$65
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SEFND0005
$375
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NC
MC-­‐FPAL
WAMJ
$138
MC-­‐FPCA
WAMJ
$320
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MC-­‐FRELAL__
MC-­‐FRSSAL__
WAMK
MC-­‐FPST
MC-­‐FPOPAL
$190
MC-­‐FPOPCA
$380
MC-­‐FPSTHL
NC
MC-­‐FPSTCS
$36
MC-­‐FPSTPS
$58
Feb 01, 2014 2 of 6
CASTER
53
3"□ 4"□ Composite wheel w/ PU tire (1" width)
54
5"□ 6"□ 55 Pneumatic
6" x 1 ¼" □
FROG LEGS SOFT ROLL
56
4" x 1 ½ "
57 Composite wheel Soft-­‐Roll© by Frog Legs1
5" x 1 ½ "
58
6" x 1 ½ "
59 Ultra light aluminium court wheel by Frog Legs1 4" x 1" □
CASTER OPTIONS
60 Caster Pin Locks (Available with +1" or +2" Stem bolt ONLY)
61 Frog Legs suspension forks (Not available with caster pin locks)
7"□ 8"□ 8" x 1 ¼" □
5" x 1" □
MC-­‐WFCO__
$50
MC-­‐WFCO__
NC
MC-­‐WFPN__
$120
FL-­‐WFSR4
$85
FL-­‐WFSR5
$95
FL-­‐WFSR6
$105
FL-­‐WFUL__
$128
WAMS
MC-­‐WFPL__
$220
$475
MC-­‐FOSU
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1: Soft-­‐Roll© by Frog Legs are casters that absorb vibrations
FRONT Seat-­‐to-­‐floor Height -­‐ Please circle your choice
Forks
4"
P1
P2
3" caster
4" caster
5" caster
6" caster
7" caster
8" caster
Stem bolt length
Stem bolt length
Stem bolt length
Stem bolt length
Stem bolt length
Stem bolt length
STD
+1"
+2"
STD
+1"
+2"
13
14
15
13 1/2"
14 1/2"
15 1/2"
15 1/2"
14
15
16
13 1/2" 14 1/2"
STD
14 1/2"
+1"
+2"
STD
+1"
+2"
STD
+1"
+2"
STD
+1"
+2"
15 1/2" 16 1/2"
P1
5"
P2
13 3/4" 14 3/4" 15 3/4" 14 1/4"
P3
14 1/4"
15 1/4" 16 1/4" 14 3/4" 15 3/4" 16 3/4"
P4
14 3/4" 15 3/4" 16 3/4" 15 1/4" 16 1/4"
15 1/4" 16 1/4" 14 3/4" 15 3/4" 16 3/4" 15 1/4" 16 1/4"
17 1/4" 15 3/4" 16 3/4" 17 3/4"
17 1/4" 15 3/4" 16 3/4" 17 3/4"
P1
7"
P2
16 1/4"
P3
16 3/4" 17 3/4"
P4
P5
16 3/4" 17 3/4"
16 3/4" 17 3/4"
18 3/4"
18 3/4"
17 1/4" 18 1/4" 16 3/4" 17 3/4"
18 3/4"
17 1/4" 18 1/4" 16 3/4" 17 3/4"
18 3/4" 17 1/4" 18 1/4" 19 1/4"
18 3/4" 19 3/4" 18 1/4" 19 1/4"
20 1/4"
18 3/4" 19 3/4" 18 1/4" 19 1/4" 20 1/4" 18 3/4" 19 3/4"
20 3/4"
18 3/4" 19 3/4" 18 1/4" 19 1/4" 20 1/4" 18 3/4" 19 3/4" 20 3/4" 19 1/4" 20 1/4"
21 1/4"
REAR WHEELS
62 Mag
22" □ 63 Newton Spoke 22" □ 64 Newton Infinity
20" □
22" □
65 Spinergy Spox 22" □ 66 Spinergy LX 22" □
18 3/4" 17 1/4" 18 1/4" 19 1/4" 17 3/4"
24" □
24" □
24" □
24" □
24" □
TIRES
67 Soft Urethane 1 3/8 " 20" 24" □
□ 22" □
24" □
68 Soft Urethane HP 1" 69 Pneumatic 1 3/8 " 20" □ 22" □
24" □ 20" □
22" □
24" □ 70 Pneumatic HP 1" 71 Pneumatic HP Plus 1" Shwable Marathon 24" □ T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
17 1/4" 18 1/4" 16 3/4" 17 3/4"
16 1/4"
18 3/4" 17 1/4" 18 1/4" 19 1/4" 17 3/4"
17 1/4" 18 1/4" 19 1/4" 17 3/4"
WHEEL SIZES
20" wheel
22" wheel
24" wheel
25" wheel
Motion Composites
26" wheel
16 1/4"
25" □
25" □
25" □
26" □
26" □
26" □
MC-­‐WRMA__
$125
NW-­‐WRSP__
NC
NW-­‐WRIN__
$300
SP-­‐WRSP__
$800
SP-­‐WRLX__
$900
SX-­‐TISU__
25" □
25" □
25" □
25" □
SX-­‐TISUHP__
26" □
26" □
26" □
KE-­‐TIPN__
NC
$110
NC
SW-­‐TIRRHP__
$80
SW-­‐TIMAHP__
$168
REAR Seat-­‐to-­‐floor Height
Height available +-­‐ 1/4"
12 ½ " to 17"
13 ½ " to 18" Specify desired height:
14 ½ " to 19"
15" to 19 ½"
15 ½" to 20"
HELIO C2 Orderform CAN EN 3.9.1.xlsx
Feb 01, 2014 3 of 6
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HANDRIM
Assembly
Available
72 Aluminium anodized
20", 22", 24", 25", 26"
regular □
73 Plastic coated
20", 22", 24", 25", 26"
narrow* □
74 High friction plastic coated foam*
22", 24", 26"
75 Natural Fit-­‐ Standard grip* (oval aluminium handrim w/thumb piece)
22", 24", 26"
76 Surge LT handrim* (oval aluminium handrim w/ a rubber high friction strip)
22", 24"
77 Omit handrim
NC
MC-­‐HAAL
MC-­‐HAPC
WAMO
$130
MC-­‐HAHF
WAMO
$200
OU-­‐HANF
$320
OU-­‐HASULT
$360
NC
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* Not available with Mag wheels
AXLE
78 Quick release axle
79 Permanent axle
80 Quad release axle
81 AMPUTEE ADJUSTABLE AXLE PLATE (may interfere with swing away armrest)
MC-­‐AXQR
WAMU
NC
NC
MC-­‐AXPE
MC-­‐AXQU
WAMU
$150
MC-­‐AXAM
WAMT
$165
REAR WHEEL CAMBER ANGLE
82 0° camber
83 3° camber
84 6° camber (not available with amputee axle plate)
NC
NC
$120
WHEEL LOCK
85 Push to lock 86 Pull to lock 87 6" removable extension handle
88 Grade aid push to lock (suggested with pneumatic or high pressure tire)
89 Scissor brakes
NC
MC-­‐WLPL
NC
$32
MC-­‐WLEX
MC-­‐WLGR
POSITIONING BELT (2 points seatbelt attachment hardware is included with the helio C2)
90 Velco adjustable
91 Auto buckle
92 Additionnal attachment hardware for 4 points seatbelt
ACCESSORIES
93 Anti tippers
94 Unoccupied transit tie down
95 Cane Carrier Left □ Right □ 96 Spoke guards*
Available : 20", 22", 24", 26"
97 Footrest neoprene impact guard
98 Seat pouch
99 Velcro™ Closing Strap
## Helio T-­‐Shirt S □
M □
L □
XL □
MC-­‐WLPS
WAMR
MC-­‐WLSC
$312
MC-­‐PBVA
$32
MC-­‐PBAB
$40
MC-­‐PBAH
$8
MC-­‐ACAT
$75
MC-­‐ACTTD
NC
$85
MC-­‐ACCC__
MC-­‐ACSG
XXL □
$120
WAMP
$124
MC-­‐ACFINE
$50
MC-­‐GOSP
$75
MC-­‐ACCS
$51
MC-­‐TSHEBK__
$25
* Not available with Mag wheels
TOTAL
NOTES
Motion Composites
T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
HELIO C2 Orderform CAN EN 3.9.1.xlsx
Feb 01, 2014 4 of 6
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CENTER OF GRAVITY
Choose position of rear wheel axle plate:
Measure distance X from front of back post to center of axle receiver.
Most stable
X =
Most responsive 3/4"
1"
1/4"
1/2"
3/4"
2"
1/4"
1/2"
3/4"
3"
1/4"
1/2"
3/4"
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Possible conflict between a seat depth under 16’’ and a center of gravity over 2.5’’.
Possible conflict between a 26’’ rear wheel and a center of gravity over 2.5’’.
BACK UPHOLSTERY HEIGHT
BACK UPHOLSTERY HEIGHT
3" of adjustability
The slip-­‐on or adjustable tension back upholstery is attached
to the push handle offering 3" of height adjustment with increment of 1/2".
Back upholstery height
Rigid backs are attached to the back cane and the height
of the push handle is adjusted independently.
Motion Composites
T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
HELIO C2 Orderform CAN EN 3.9.1.xlsx
Feb 01, 2014 5 of 6
Motion Composites
T.450 588-­‐6555 1 866 650-­‐6555 F.450 588-­‐0200
HELIO C2 Orderform CAN EN 3.9.1.xlsx
Feb 01, 2014 6 of 6
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