resolve™ cushion

Transcription

resolve™ cushion
ORDER FORM
RESOLVE™ CUSHION
Date :
2016-04-12
Send
P.O.#:
Made for (client) Last name:
First name:
Ordered by :
Establishment :
CONFIRM ORDER BY E-MAIL
Yes 
No 
Address :
SUBSCRIBE TO PHYSIPRO NEWSLETTER
Yes 
No 
Phone :
YOUR EMAIL ADDRESS
Fax :
The Resolve™ cushion is made with layers of dispersion foam, comfort foam and postural
components. This cushion is entirely customizable.
Base Price :
Includes antibacterial, flame retardant, waterproof cover and waterproof inner cover.
*Your choice of foam and postural components will be added to the cost base.
MSRP Price
™
#S2957_1 Resolve Cushion …….$417 (+ foam and postural components)  #S2957_2 Resolve Cushion equal or greater than 20"……………..$417
#S2290 Replacement cover…….…………………….…………….$150
WIDTH
CHOICE OF FOAMS
PRODUCT #
FOAMS
16
ORDER
PRICE
17
18
19
20
21
22
23
24
VR10084
Urethane (Neocor) ½"
$12
16
VR10077
Urethane (Neocor) 1"
$24
17
VR10087
Urethane (Neocor) 2"
$44
VR10085
Latex 1"
$32
VR10086
Latex 2"
$64
VR9017
Urethane foam (LXA) 1"
$38
VR9018
Urethane foam (LXA) 1½"
$43
VR9019
Urethane foam (LXA) 2"
$52
VR10074
Viscose ½"
$35
VR10073
Viscose 1"
$55
VR10110
Sunmate soft ½"
$51
VR10091
Sunmate soft 1"
$87
VR10099
Sunmate medium ½"
$51
VR10092
Sunmate medium 1"
$87
VR10111
Temper T-36 ½"
$95
THE HARD SEAT
VR10093
Temper T-36 1"
$194
OPTION WILL BE
VR10112
Temper T-38 ½"
$105
VR10095
Temper T-38 1"
$194
561818
Gel ¼"
$188
6500
Gel ½"
$394
531818
Gel ⅝"
$350
CU2020
Waffle Gel 9/16"
$599
P1616-1/2
Pebble Gel (16 x 16) ½"
$651
P1818-1/4
Pebble Gel (18 x 18) ¼"
$503
P1818-1/2
Pebble Gel (18 x 18) ½"
$651
P2222-1/4
Pebble Gel (22 x 22) ¼"
$651
P2222-1/2
Pebble Gel (22 x 22) ½"
$818
18
D
E
P
T
H
19
20
21
22
23
24
Cushion sizes ½" or ¼" sizes:
width___________" Depth___________"
INSTALLATION CHOICE

Canvas Seat

Hard Seat
NOTE : IF NO
CHOICE IS MADE
AUTOMATICALLY
S2980 ABS Reinforcement…$75
SELECTED.
The cushion is designed with a Plastazote foam base of ½".
Design process steps : bottom layer to upper layer
Physipro inc. 370, 10th South Ave., Sherbrooke (Quebec) J1G 2R7
Phone : 819 823-2252 Toll-Free: 1-800 668-2252 / Fax: (819) 565-3337 / Order: order@physipro.com
Comfort Foam
Dispersion Foam
Constructor Foam
(Included in base price)
Plastazote ½"
1
ORDER FORM
RESOLVE™ CUSHION
CUSTOMIZED SHAPE
Hemiplegic Clients
cushion is lowered on one side to keep the impaired limb
elevated, creating a crural wedge so the foot of the
functional limb can reach the floor to facilitate hand/foot
propelling.
Contoured Depth
Front Wedge
Pelvic rotation or hip dislocation can cause leg
length inequality. A choice of contoured seat depths
is available to accommodate these conditions and
for propelling with just one leg.
This cushion can be wedgeshaped in front to reduce
pressure behind the knees
and hamstrings when the
lower limbs are retracted.
Right
Lowered Right 
Lowered Left

Right -1"
Left

Right - 2" 
Left -1" 

Left -2" 
WEDGES
BASE WEDGE
PELVIC OBLIQUITY WEDGE
ANTI-THRUST WEDGE
H
W
D
S2685 Pointed………………….………$83
S2695 Flat………………………...……..$83
1"
 1 ½"
 2"
LATERAL PELVIC CUSHION
H
W
P
Left Right
 S2680 Constructa foam VELCRO……………………….$55
 S2680 Constructa foam GLUED……...….………….…$55
 S2670 All Sizes.……..…………...…$39
Height
1"  1 ½" 
Height
1"  1 ½" 
2" 
2" 
LATERAL PELVIC SUPPORT
LATERAL ADDUCTOR SUPPORT
H
W
H
H
Left Right
 S2965 : *H: 2"....................................$61
 S2970 : *H: 3"....................................$61
 S2975 : *H: 4"…….…………………..……...$61
D
Right
Left
*Nylon Cover Included
Prevents pelvis rotation
Right
*H: 3½" …................................$61
*H: 4½" ...................................$61
*H: 5½" ..................................$61
Lateral Pelvic
Support
Pelvic Obliquity
Wedge
VELCRO FASTENER
Neocor
 S2861 W: 1" D: 9½" H: 5½" …........$39
 S2866 W: 1½" D: 9½" H: 5½"...........$39
 S2871 W: 2" D: 9½" H: 5½.............$39
Left
 S2890
 S2895
 S2900
MEDIAL THIGH ABDUCTOR
H
Medial Thigh
Abductor
Lateral Adductor
support
Base Wedge
Anti-Thrust
W
 S2726 : W: 2½" *H: 3".........................$50
 S2733 : W: 3" *H: 4".........................$50
 S2736 : W: 3½" *H: 5".........................$50
*Usefull height over cushion.
* The width and depth of the wedges are determined based on the size of the seat
Anti-thrust: Reduces sliding, controls pelvic
rotation and posterior pelvic tilt.
Pelvic obliquity wedge: Decreases or
compensates pelvic obliquities.
Lateral pelvic support: Facilitates postural
installation and controls pelvic rotation.
Medial thigh abductor: Controls lower-limb
adduction.
Lateral adductor support: To prevent thigh
abduction
Base Wedge: for adding posterior/anterior or
lateral wedging underneath the seat cushion
TOTAL
$
2

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