NO NO

TEKNA ADVANCE VersionCARBON

Order Form English Company stamp Date

Folding frame wheelchair

User name

Responsible Wheelchair measures 36

Seat width (LS)

39

42

The seat width is measured from the outer sides of the frame, while the distance between the two side guards is 1.5 cm wider.

37,5

Seat depth (PS)

40

42,5

Footplate distance (DP) …………

(Real distance between seat and footplate) IMPORTANT NOTICE! From the footplate to the floor minimum 4cm.!! (Minimum Front height = DP + 4cm.)

 Standard

Setting Backrest Height (TS)

 Prudential

 Active

Std.Value 33,5 .............(min 24.5-max 38)

Backrestwith rake adjustable from -9° to +12°  2°  0°  4°

camber

Email: [email protected] - web: http://www.rehateamprogeo.com

Rehateam s.r.l. Vicolo Negrelli, 4 - 31040 Castagnole di Paese (TV) - Tel. +39.0422.484657 / +39.0422.480387 - Fax +39.0422.484661 / +39.0422.484684 P.IVA IT 03182520266 - C.C.I.A.A. TV n.225867 - Iscr.Trib. TV n.41690 Capitale Sociale I.V. Euro 100.000,00

The real seat depth, from the front part of the seat cloth to the backrest tube will be 1 cm more than the declared one. - calcolated with angle backrest 90° to the seat

Front height ............. (STD 49) - Rear height ............. (STD 43)

Carbon fibre front frame, crossbar and side guard - Front fork support V Design





 (max 4" caster)

Automatic Closure footplate  Footplate COMPACT, automatic Closure

RAKE AND DEPTH ADJUSTABLE

Minimum footplate distance 35cm.

 Internal

 External

Backrest

 Handle tube STD aluminium  Backrest with folding handles

02958

Casters  4" Soft  3" Sport  5" Soft  3" Active Soft (wide)

(Aluminium alloy rim)

06824

 4" Active Sport (narrow)

(Aluminium alloy rim)

01398

 4" Active Soft (wide)

(Aluminium alloy rim)

03943

 5" Active Soft (wide)

(Aluminium alloy rim)

07518

(colour: black)

06426

Special Options

 Front fork FROG LEGS

Pag. 1 / 4

TEKNA ADVANCE VersionCARBON

Order Form Date

English User name

Order

Address

Colour set: Rear wheels and forks - To be matched only with:Rear wheels Ultra-light Progeo - Standard! (22 - 24)

 Polished black

22" 24" 25" 26"

       

22" 24" 24" 22" 24" 22" 24" 22" 24" 22" 24" 22" 24" 24"

00833

Weight reduction approx. 450gr.

04383

00833 00833 00833 00833 00833 00833 00833

 22" Ultra-light Progeo - Standard!  25" Ultra-light Progeo - Standard!  26" Progeo - Standard!        

24" ULTRA-LIGHT PROGEO KEY SPORT 24" Ultra-light "Spinergy LX" 24" Ultra-light "Spinergy Flex rim" 24" Ultra-light "Spinergy LXL" 25" Ultra-light "Spinergy LX" 25" Ultra-light "Spinergy LXL" 26" Ultra-light "Spinergy LX" 24" Off-road

01685 02270

 Black hub and white blade spokes

 Hub and blade spokes black

07846 02101

 Black hub and white blade spokes

07847 02102 01392

 One arm drive - (24" rear wheels Aluminium handrim High pressure Tyre) - camber 0°  Right

 Left

02103

Rear wheel tyre  High pressure tyre

(22"-24"-25"-26")

 High pressure profile tyre

(24")

 Marathon Plus  Kik tyre Mako - Colour Black  Kik tyre Mako - Colour Grey Handrim - Wheel distance  Aluminium

with anti-puncture protection (24"-25") (24") (24")  3 cm  4 cm (22"-24"-25"-26")

01669

       

(24"-25") (24"-25") (24"-25") (24"-25") (24") (24"-25") (24")

01684

Chromed Steel Titanium Ultra Grepp Max Grepp Ergo Para SURGE LT Quad (24") Silicon cover for standard aluminium handrim Wheel locks  Bent lever push to lock

(Not available with Spinergy)

01041 01751

00016 00017 00834 00632

Oval countour with a rubber insert

06427 00693

Available for measures (22"-24"-25"-26")

04050

 Straight lever Push to lock  Straight lever Pull to lock

 Sport brake OUT-FRONT

06428

 Brake with extension lever push to lock

01949

 Brake with extension lever pull to lock

03372

Mudguard  Carbon fibre mudguard  Removable mudguard

03960

Armrests  Swing away armrests

(Swing away, removable and height adjustable armrest)

00694

 Pad STANDARD  Ergonomic pad (30x6 cm.) Pag. 2/ 4

04104

Email: [email protected] - web: http://www.rehateamprogeo.com

Rehateam s.r.l. Vicolo Negrelli, 4 - 31040 Castagnole di Paese (TV) - Tel. +39.0422.484657 / +39.0422.480387 - Fax +39.0422.484661 / +39.0422.484684 P.IVA IT 03182520266 - C.C.I.A.A. TV n.225867 - Iscr.Trib. TV n.41690 Capitale Sociale I.V. Euro 100.000,00

Bright silver Bright anthracite Bright orange Bright fuchsia Bright blue Bright red Bright lime Pearl white Rear wheels  24" Ultra-light Progeo - Standard!

TEKNA ADVANCE VersionCARBON

Order Form Date

English User name

Order

Address

Optional Only one optional devices for side can be chosen Exclude the installation of :  Transit wheels

00836

Anti-tippers -Tipping aid - Crutches support

Exclude the installation of Transit wheels (inside rotation to reduce the encumbrance)

 Right  Left

00023

 Right  Left

00025

 Right  Left

00838

 Push handles for companion

(Removable and height adjustable)

01048

 Tetraclip

(Quick release axle for quadriplegic)

03947

 Tipping aid

 Crutches support

00024

01046

00837

 Pad for front frame protectors

07058

 Safety pelvic belt

03972

 Harness

04103

 Lumbar support

(to insert in the backrest upholstery)

00013

 Swing away lateral support

 Right  Left

02097

Not available with Posture backrest PHYSIO

Spoke guards Black Spoke guards Transparent Spoke guards Progeo design Spoke guards Dragon

(22"-24") (22"-24") (22"-24") (22"-24")

01043

(only with aluminium handrim)

03378

   

Additional Kit  24" Off-road rear wheels

PHYSIO - Posture backrest  Aluminum shell - Lateral retaining STANDARD 7,5cm

02098

00835 00019 02106

Std. Backrest upholstery not provided

Height  25 Height  52

 33

 41

05309

Lateral retaining wing  Aluminum shell - Lateral retaining DEEP 15cm

 A=high

 B=low

Height  25  33  41 H25 not available for seat width 39-42-45-48

05310

Height  52

05311

Lateral retaining wing  Carbon shell - Lateral retaining STANDARD 7,5cm

05308

Height  25

 33

 A=high

 41

Lateral retaining wing

05312

 A=high

COVER  Cover with fabric-cover of backrest’s rear side and high refraction fabric hems

 B=low

 B=low

Email: [email protected] - web: http://www.rehateamprogeo.com

Rehateam s.r.l. Vicolo Negrelli, 4 - 31040 Castagnole di Paese (TV) - Tel. +39.0422.484657 / +39.0422.480387 - Fax +39.0422.484661 / +39.0422.484684 P.IVA IT 03182520266 - C.C.I.A.A. TV n.225867 - Iscr.Trib. TV n.41690 Capitale Sociale I.V. Euro 100.000,00

 Anti-tipper with rapid hookup

Pag. 3/ 4

TEKNA ADVANCE VersionCARBON

Order Form Date

English User name

Order

Address

 SWING AWAY - Lateral support  Large (17,5x11,5)  Small (14x9,5)

 Right  Right

 Left  Left

05646 05642

05647 05643

Not available with Physio backrest with lateral retaining DEEP and in carbon backrest

 Headrest adjustable - Double ball mounting system

 Large (34x14)  Small (28x14)

05648

0  0

05173

 Classic H 7 cm.





 Sport H 5 cm.

 Silver H 3,5 cm.

0

 36x41 00035

 38x38 00036

 38x41 01052

 41x46 00840

 46x41 00698

 46x46 00038

 36x41 00056

 38x38 00696

 38x41 00032

 41x46 01050

 46x41 00034

 46x46 01051

 36x41 00854

 38x38 00707

 38x41 00083

 41x46 00085

 46x41 01074

 46x46 01075

 36x41 00053

 38x38 00054

 38x41 01060

 41x46 00057

 46x41 01062

 46x46 00846

 41x41 00641

 41x46 01353

 46x41 00642

 41x41 00037

 41x41 00033

Email: [email protected] - web: http://www.rehateamprogeo.com

Rehateam s.r.l. Vicolo Negrelli, 4 - 31040 Castagnole di Paese (TV) - Tel. +39.0422.484657 / +39.0422.480387 - Fax +39.0422.484661 / +39.0422.484684 P.IVA IT 03182520266 - C.C.I.A.A. TV n.225867 - Iscr.Trib. TV n.41690 Capitale Sociale I.V. Euro 100.000,00

Not available for Physio backrest’s height 25 and with carbon shell

 41x41 01073

 41x41 01061

 46x46 01022

Width cm. ………… Depth cm. …………



00064



04066

Note

TÜV GM Certified Product - Italia Certified company normative UNI EN ISO 9001 Pag. 4 / 4

Wheelchair : TEKNA ADVANCE VersionCARBON - Rev. 2017.0

Prices in EURO - VAT excluded

Important notice! Send this page only if any optional have been chosen



standard

(supplied if no requests are indicated)

Pag. 4 / 4

Wheelchair : TEKNA ADVANCE VersionCARBON - Rev. 2017.0

to be added to the price list

Printed on 12/2016

 on request  optional

(without extra charge) (cost to be added at the basic price)

Enclosure to wheelchair order form Tekna Advance VersionCARBON REFERENCE TABLES Front height

4"

SPORT

3"

max 54

max 55

SMALL

Rehateam s.r.l. Vicolo Negrelli, 4 - 31040 Castagnole di Paese (TV) - Tel. +39.0422.484657 / +39.0422.480387 - Fax +39.0422.484661 / +39.0422.484684 P.IVA IT 03182520266 - C.C.I.A.A. TV n.225867 - Iscr.Trib. TV n.41690 Capitale Sociale I.V. Euro 100.000,00

FORK

2

With closed frame (95°) max 5" caster With closed frame (90°) max 5" caster With closed frame (85°) max 4" caster Casters

max 56

max 57

Rear height Rear wheels

5"

22"

24"

25"

26"

H min

min. 36

min. 38

min. 39

min. 40

H max

max 44

max 48

max 49

max 51

6"

max 58

max 59

The size of the fork will be defined only by Rehateam Progeo in accordance with wheelchair final configuration.

3

Footplate option

Footplate distance

Footplate COMPACT, automatic Closure

min. 35

Calculated with the best configuration and with the footplates positioned on inside. IMPORTANT NOTICE! From the footplate to the floor minimum 4cm.!! (Minimum Front height = DP + 4cm.)

4

Rear wheels Model

Features

22" Ultra-light Progeo - Standard!

(not available in anthracite color)

24" Ultra-light Progeo - Standard!

(available for all coulors)

24" ULTRA-LIGHT PROGEO KEY SPORT

(silver hub, black rim and 16 spokes)

24" Ultra-light "Spinergy LX"

(silver hub, black rim and spokes)

24" Ultra-light "Spinergy LXL"

(black hub and rim, 18 white blade spokes) - (black hub, rim and 18 spokes)

24" Ultra-light "Spinergy Flex rim"

(silver hub, black rim and spokes) - (integrated aluminium/rubber handrim - encumbrance reduction up to 3cm. - all tyre)

24" Off-road

(colour: black) - (aluminium handrim - tyre Off-road)

25" Ultra-light "Spinergy LX"

(silver hub, black rim and spokes)

25" Ultra-light "Spinergy LXL"

(black hub and rim, 18 white blade spokes)

26" Progeo - Standard!

(colour: black)

26" Ultra-light "Spinergy LX"

(silver hub, black rim and 18 spokes)

Email: [email protected] - web: http://www.rehateamprogeo.com

1

Wheelchair : TEKNA ADVANCE VersionCARBON - Rev. 2017.0 Printed on 12/2016