c/w fitting hardware
14" or smallerSR002
Basic back & seat
c/w fitting hardware
15" or largerSR004
Basic back
c/w fitting hardwareSR030
Basic seat
c/w fitting hardwareSR029 / SPECIAL NOTES
NONE REQUIRED
SEAT To BACKDESCRIPTIONPART NOPRICE £
Standard Hinge Flush
Standard Hinge 1½” Inset
Flat Flip Back Hinge FlushSR006
Flat Flip Back Hinge 1½” Inset SR007 / SPECIAL NOTES
NONE REQUIRED
SEAT BASEDESCRIPTIONPART NOPRICE £
Grid Seat (2"x2"x2")SR044
"I" Cut OutSR043
Custom ContouredSR042
Anti ThrustSR001
WedgeSR068
AsymmetricalSR041
Notched for BackpostsSTANDARD NC
Pelvic ObliquitySR101
Sunmate per inchSR088
Pudgee per inchSR089
Gel InsertSR092
Foam in place (Bowl)SR063
Inco LinerSR054
Spare CoverSR056
Special request -Quote
Please remember 1½" of seat is lost to backrest / SPECIAL NOTES
NONE REQUIRED
SEAT BACKDESCRIPTIONPART NOPRICE £
Dynamic extension relief forksSR008
Curved by WoodSR003
Curved by FoamSR094
Bi-AngularSR039
Rotational Bi-AngularSR095
"I" BackSR036
"T" BackSR037
Sacrum WedgeSR005
Grid Back (2"x2"x2")SR040
Adjustable Lumbar SupportSR091
Shoulder strap cutoutsSR102
Sunmate per inchSR062
Pudgee per inchSR090
Foam in place (Bowl)SR063
Inco LinerSR054
Spare CoverSR057
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
LATERAL HIP/THIGH SUPPORTS (Pairs)
DESCRIPTIONPART NOPRICE £
Removable Thigh SupportSR010
Fixed Thigh SupportSR064
Removable Thigh/Armrest SupportSR011
Fixed Thigh/Armrest SupportSR100
Contoured suit seat shapeSR012
Contoured armrestSR031
Pair of spacers ½”SR019
Pair of spacers ¼"SR096
Double Brackets (13" or over)SR013
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
Invoice To: / Client detail
CLIENT/USER DIMENSION DETAILS
(Max carrying weight 114Kg (18st/252 lb)
LeftRight
A
B
C
DD1
E
F
G
H
I
J
K
L
M
N
O
Male Female
Weight
Age
BASIC INSERTS
ABack Height
A-1Trunk Pad Height
BBack Width
T-1Width Between Trunk Pads
H-1Width Between Hip Pads (Rear)
H-2Width Between Hip Pads (Front)
CFull Seat Depth
C-1User Seat Depth
DSeat Width
MOUNTING HARDWARE Information:BACK TO SEAT HARDWARE Information:
Wheelchair Tubing Type: Round Square ExtrusionType: Flush 1½" Offset
Size:SEAT ¾" 7/8" 1" Other Flat flip back brackets SR006/7 (Flush/offset)
BACK ¾" 7/8" 1" OtherPlease remember 1½" of seat is lost to backrest / WHEELCHAIR
Manufacturer
Model
Size
Manual Power
Invoice To / Client Detail
SOLID SEATS
Invoice To:
/Client detail
SOLID BACKS
Invoice To / Client DetailLATERAL HIP/THIGH SUPPORTS
Fixed Detachable Custom Pad to Suit Seat Shape
StraightContouredArmpad
W W W
H W1
T* H
H1
Note: T* is only needed if ordering thickness other than standard
LATERAL THORACIC SUPPORTS (Standard ½" thick)
Flat Curved
Custom Pad Size
RHT
Standard Pad SizeD
DH
3 x3(Ch Small)H
4 x3(Ch Std)T*
4 x 4 (Ad Small) LFT
D
5 x 5 x 4(Ad Std)
H
T*
Note: T* is only needed if ordering other than standard foam thickness. / ABDUCTOR/POMMEL/MEDIAL THIGH SUPPORTS
W
D
Y
H
Standard cover Darlexx
LATERAL/POSTERIOR/ANTERIOR HEAD SUPPORTS ROCK & LOCK STANDARD
StandardOccipitalCurvedPlush
SR016 SR025 SR045
STANDARD Sizes: 6" SMALL 8" MED 10" LARGE
W x HNote: Pad is measured anterior LOBE to LOBE
CUSTOM Size: W x H
Flat 3 Piece Pads Standard
SR017 Sides: 3"H x 5"W
Centre: 3"H x 5"W
Custom Large
HR HC HL Sides: 3.5"H x 6"W
WR WC WL Centre: 6"H x 5.5"W
Flat 3 Piece Pads With Ear Cutouts Standard
SR046Sides: 1.5"-3"H x 5"W
Centre: 4"H x 4.5"W
Custom Large
HRHL Sides: 1.75"-3.5"H x 6"W
HR1 HC HL1 Centre: 6"H x 5.5"W
WRWC WL
WR1WL1
Invoice To / Client Detail
THORACIC SUPPORTS (Pairs)
DESCRIPTIONPART NOPRICE £
Fixed PadSR020
Fixed Winter/SummerSR021
Swingaway Winter/SummerSR022
Swingaway fixedSR023
4 Pad ThoracicSR061
Thick 1" PadsSR034 FOC
Pair of spacers 1"SR028
Pair of spacers ½”SR019
Pair of spacers ¼"SR096
1” Extension blockSR067
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
ABDUCTOR / POMMEL / MEDIAL THIGH SUPPORTS
DESCRIPTIONPART NOPRICE £
Dropdown / RemovableSR009
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
HEADREST
DESCRIPTIONPART NOPRICE £
Rock & lock c/w standard flat padSR014
Std mount c/w standard flat padSR015
Occipital PadSR016
Curved PadSR025
Plush Cushion PadSR045
Over Ear 3 Piece PadsSR046
3 Piece Adjustable PadsSR017
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
FEET/LEGS
DESCRIPTIONPART NOPRICE £
Padded Shoe StrapsSR052Velcro Buckle
Shoe Holders S/M/LSR051Velcro Buckle
Toe LoopsSR053Velcro Buckle
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
ACCESSORIES – All belts are for positioning – not vehicle transportation
DESCRIPTIONPART NOPRICE £
Pelvic Belt Centre Pull (1½" or 2")SR033
Pelvic Belt padded U/chSR098
Standard VestSR048
Dynamic Shoulder Strap U/chSR049
Shoulder StrapsSR032
Shoulder strap padded U/chSR097
Dynamic Vest U/chSR047
Chest Strap (Between Thoracics)SR050Velcro Buckle
Chest strap padded U/chSR099
Special Request-Quote / SPECIAL NOTES
NONE REQUIRED
UPHOLSTERY
DESCRIPTION
Sides/Back Seating ColourStd grey fleck
Surface Seating ColourStd black Darlexx
Pads ColourStd black Darlexx
Thread ColourStd silver
Inscription (Max 15 letters)0
Script Block / SPECIAL NOTES
NONE REQUIRED
ADDITIONAL HARDWARE
DESCRIPTIONPART NOPRICE £
Aluminium Mounting Extrusion 3"LSR026
Aluminium Mounting Extrusion 7"LSR027
Other / SPECIAL NOTES
NONE REQUIRED
PRICING
DESCRIPTIONPART NOPRICE £
Carriage Charge (System)SR500
Carriage Charge (Spares)SR501
Labour Charge - POA
Other / SPECIAL NOTES
NONE REQUIRED
R J Mobility Limited reserve the right to amend specifications without prior notice.
Please refer to Scott Seating parts & guidance manual for diagrams & detailed descriptions.
Scott Seating Prescriber FormPage 1 Of 6RJ Mobility Ltd