Invacare Formula Mobility Aid User Manual


 
Conventional Back without Mounting Hardware
NOTE: Extruded back canes come in one back height only. Back cane material height for extruded back
canes measure approximately 20-1/2". Overall back height from the seat pan to top of the extruded back
cane is approximately 22-1/2". Only the Back Assembly needs to be replaced when changing back
heights.
NOTE: Hook Fastener Adhesive Kit must be ordered when a Back Pan or Back Assembly is requested.
This will allow the Loop Fastener Adhesive on the Back Cover to attach properly.
Item
Number
Part Number
DescriptionNote
Quantity Per
Package Assembly
See Chart #1 Back Assembly without Hardware 16"-20" Wide 1 11
See Chart #1 Back Assembly without Hardware 21"-24" Wide 1 11
See Chart #2 Back Pan with Vinyl Edge Trim 16"-20" Wide 1 12
See Chart #2 Back Pan with Vinyl Edge Trim 21"-24" Wide 1 12
See Chart #3 Back Cushion Assembly 16"-20" Wide 1 13
See Chart #3 Back Cushion Assembly 21"-24" Wide 1 13
1125723 Kit, Hook Fastener w/ Adhesive Back 1 14 A
1125724 Edge Trim, Vinyl Black (96" Long) Cut-To-Length 1 15
A - Hook Fastener Adhesive kit is used to attach the Back Cover to the Back Pan and must be ordered when a new Back Pan
or Back Assembly is requested.
NOTE:
71
To order call toll free 1-800-333-6900, or www.invacare.com
Form No.
04-041