United States RETAIL Price List. Effective Date: May 1, Table of Contents

United States RETAIL Price List Effective Date: May 1, 2014 Table of Contents Price List Item Page Cushion Sizing Chart 2-3 ROHO® Cushion Produ...
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United States RETAIL Price List

Effective Date: May 1, 2014

Table of Contents Price List Item

Page

Cushion Sizing Chart

2-3

ROHO® Cushion Products

4-9

Seating Accessories and Covers AGILITY™ Back Systems JetStream® Pro Back Systems Support Surface Systems and Accessories

10 11-14 15 16-20

Consumer Products

21

Terms and Conditions

22

ROHO, Inc. 100 N. Florida Avenue • Belleville, IL 62221 Toll Free: 800-851-3449 • Local: 618-277-9150 • Fax: 888-551-3449 www.roho.com • [email protected][email protected]

ROHO® SELECT® Series Cushion Sizing Chart for:

INCHES

• ROHO QUADTRO SELECT LOW PROFILE Cushion (QS) • ROHO QUADTRO SELECT® MID PROFILE™ Cushion (QS)

®

®

• ROHO QUADTRO SELECT HIGH PROFILE Cushion (QS) • ROHO CONTOUR SELECT® Cushion (CS)

®

®

B A

D

1 in.

C

1 in.

1 3/8 in.

SELECT Cushions (QS and CS) “Fits Chair” Range - INCHES Width (In.) Measured Chair Range (narrowest to widest)

Number of Cells

Depth (In.)

A

Cushion Cell to Cell

B

Cushion Base

Measured Chair Range (narrowest to widest)

Number of Cells

C

Cushion Cell to Cell

D

Cushion Base

8 1/4

10

5

8 1/4

11

8 1/4

10

5

8 1/4

10

10

11 3/4

6

10

12 3/4

10

11 3/4

6

10

11 3/4

11 3/4

13 1/4

7

11 3/4

14 1/2

11 3/4

13 1/4

7

11 3/4

13 1/2

13 1/4

15

8

13 1/4

16

13 1/4

15

8

13 1/4

15 1/4

15

16 3/4

9

15

17 3/4

15

16 3/4

9

15

17

16 /4

18 /2

10

16 /4

19 /2

16 /4

18 /2

10

16 /4

18 1/2

18 1/2

20 1/4

11

18 1/2

21 1/4

18 1/2

20 1/4

11

18 1/2

20 1/4

20 1/4

21 3/4

12

20 1/4

23

20 1/4

21 3/4

12

20 1/4

22

21 3/4

23 1/2

13

21 3/4

24 1/2

21 3/4

23 1/2

13

21 3/4

23 3/4

23 1/2

25 1/4

14

23 1/2

26 1/4

23 1/2

25 1/4

14

23 1/2

25 1/2

3

1

3

1

3

1

3

Cell to cell and edge to edge dimensions are rounded to the nearest 1/4 inch. The ISOFLO MEMORY CONTROL® will extend past the front edge of SELECT cushions. Please check price list to confirm that a size is available. Sizes vary per model.

Select the correct ROHO SELECT® Series Cushion for your wheelchair: Step 1

Measure the wheelchair seat width and depth. Note: Wheelchair manufacturers’ published seat dimensions may vary.

Step 2

Use your wheelchair seat dimensions and the table above to help you determine the number of cells in cushion width and in depth. The current version of this table is available at www.roho.com.

Step 3 Select cushion cell height:

HIGH PROFILE = 4 1/4 inches MID PROFILE = 3 1/4 inches LOW PROFILE = 2 1/4 inches CONTOUR SELECT = various cell heights

2

Standard DRY FLOATATION® Cushion Sizing Chart for:

INCHES

• ROHO LOW PROFILE® Single (1R) or Dual (2R) Compartment Cushion • ROHO HIGH PROFILE® Single (1R) or Dual (2R) Compartment Cushion • ROHO MID PROFILE™ Single (1R) or Dual (2R) Compartment Cushion • ROHO ENHANCER® Cushion (ENH)

B A

D

1 in.

C

1 in.

STANDARD Cushions (1R / 2R / ENH) “Fits Chair” Range - INCHES Width (Inches) Measured Chair Range (narrowest to widest)

Number of Cells

Depth (Inches)

A

Cushion Cell to Cell

B

Cushion Base

Measured Chair Range (narrowest to widest)

Number of Cells

C

Cushion Cell to Cell

D

Cushion Base

8 1/4

10

5

8 1/4

9 3/4

8 1/4

10

5

8 1/4

9 3/4

10

11 3/4

6

10

11 1/2

10

11 3/4

6

10

11 1/2

11 3/4

13 1/4

7

11 3/4

13 1/4

11 3/4

13 1/4

7

11 3/4

13 1/4

13 1/4

15

8

13 1/4

14 3/4

13 1/4

15

8

13 1/4

14 3/4

15

16 3/4

9

15

16 1/2

15

16 3/4

9

15

16 1/2

16 3/4

18 1/2

10

16 3/4

18 1/4

16 3/4

18 1/2

10

16 3/4

18 1/4

18 1/2

20 1/4

11

18 1/2

20

18 1/2

20 1/4

11

18 1/2

20

20 /4

21 /4

12

20 /4

21 /4

20 /4

21 /4

12

20 /4

21 3/4

21 3/4

23 1/2

13

21 3/4

23 1/2

21 3/4

23 1/2

13

21 3/4

23 1/2

23 1/2

25 1/4

14

23 1/2

25

23 1/2

25 1/4

14

23 1/2

25

25 /4

27

15

25 /4

26 /4

25 /4

27

15

25 /4

26 3/4

1

1

3

1

1

3

3

1

1

3

1

1

Cell to cell and edge to edge dimensions are rounded to the nearest 1/4 inch. Please check price list to confirm that a size is available. Sizes vary per model.

Select the correct ROHO DRY FLOATATION® Cushion for your wheelchair: Step 1

Measure the wheelchair seat width and depth. Note: Wheelchair manufacturers’ published seat dimensions may vary.

Step 2

Use your wheelchair seat dimensions and the table above to help you determine the number of cells in cushion width and in depth. The current version of this table is available at www.roho.com.

Step 3 Select cushion cell height:

HIGH PROFILE = 4 1/4 inches MID PROFILE = 3 1/4 inches

LOW PROFILE = 2 1/4 inches ENHANCER = various cell heights

3

May 1, 2014

ROHO Seat Cushion Products ®

• The following cushions are available in both custom modifications and custom sizes. • Unless otherwise noted, all cushions include cover, pump, repair kit, and operating instructions. • Contact ROHO Sales Department for additional information.

Suggested Retail

Item

ROHO QUADTRO SELECT HIGH PROFILE Cushion ®

CLASS: A1 QSSMC+

$458.00

$509.00

®

QS87C QS88C QS89C QS810C QS98C

QS99C QS910C QS911C QS912C QS108C

QS109C QS1010C QS1011C QS1012C QS119C

QS129C QS1210C

QS1211C QS1212C

QS1310C QS1311C

QS1410C+ QS1411C+

CLASS: A2 QSLGC+

E2625 E2625

Non Stock Large Size (between 101-160 cells)

CLASS: A1 $478.00

QS99HD QS910HD

QS911HD QS109HD

QS1010HD QS1011HD

QS99MPC QS910MPC

QS109MPC QS1010MPC

QS1110HD QS1111HD

ROHO® QUADTRO SELECT® MID PROFILE™ Cushion CLASS: A1

$458.00

QS88MPC QS89MPC

ROHO® QUADTRO SELECT® LOW PROFILE® Cushion CLASS: A1

$458.00 $509.00 $509.00 $603.00

QSSMLPC+ QS56LPC QS66LPC QS67LPC QS77LPC QS1210LPC

CLASS: A2

Non Stock Small Size (between 36-100 cells) QS78LPC QS89LPC QS910LPC QS1010LPC QS79LPC QS810LPC QS911LPC QS1011LPC QS87LPC QS98LPC QS108LPC QS119LPC QS88LPC QS99LPC QS109LPC QS1110LPC QS1211LPC

QS1212LPC

QS1310LPC

$509.00 $509.00 $603.00

Non-Coded

E2624

E2624

QS1111LPC

QS1311LPC

QSLGLPC+ Non Stock Large Size (between 101-160 cells)

E2625 E2625

CLASS: A2

E2609

ROHO® CONTOUR SELECT® Cushion

E2624

QSCUSTC+ Custom Cushion -with cover between 36 and 160 cells. Smaller than 36 cells or greater than 160 cells priced upon request.

CLASS: A1 $458.00

E2624

QS1110C QS1111C QS1112C

ROHO QUADTRO SELECT® HIGH PROFILE® Cushion - Heavy Duty Cover ®

HCPCS*

Non Stock Small Sizes (between 36-100 cells)

QS66C QS67C QS77C QS78C QS79C

CLASS: A1 $509.00

®

CSSMC+ Non Stock Small Size (between 48-100 cells) CS78C+ CS810C CS910C CS1010C CS88C CS98C CS911C CS1011C CS89C CS99C CS109C CS119C

CS1110C CS1111C

CS1210C

CS1311C

CLASS: A2 CSLGC+

CS1211C

CS1212C

CS1310C

Non Stock Large Size (between 101-160 cells)

CLASS: A2

CSCUSTC+ Custom Cushion (multiple valves, deleted cells, cutouts, etc.) with cover between 36 and 160 cells. Smaller than 36 cells or greater than 160 cells priced upon request.

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process. + May take up to three weeks for shipment.

E2625 E2625 E2609

4

May 1, 2014

ROHO Seat Cushion Products Con’t.

•The following cushions are available in both custom modifications and custom sizes. • Contact ROHO Sales Department for additional information.

Suggested Retail

Item

ROHO HIGH PROFILE Single Compartment Cushion ®

®

CLASS: A1

$458.00

1RSMC+ 1R66C 1R67C 1R77C 1R78C 1R79C

Non Stock Small Size (between 36-100 cells) 1R87C 1R99C 1R1010C 1R88C 1R910C 1R1011C 1R89C 1R911C 1R1012C 1R810C 1R108C 1R119C 1R98C 1R109C 1R1110C

CLASS: A1 $509.00 $509.00

1R129C 1R1210C 1R1211C

E2622

1R1111C 1R1112C

E2623

1R1411C+ 1R1511C+

CLASS: A2

E2623

ROHO® MID PROFILE™ Single Compartment Cushion

E2622

1RLGC+ Non Stock Large Size (between 101-160 cells)

CLASS: A1 $458.00

1R1212C 1R1310C 1R1311C

HCPCS*

1R77MPC 1R78MPC 1R88MPC 1R89MPC

1R99MPC 1R910MPC 1R109MPC 1R1010MPC

1R1011MPC 1R1110MPC 1R1111MPC

1R99HD 1R910HD

1R109HD 1R1010HD

1R1011HD 1R1110HD

ROHO® HIGH PROFILE® Single Compartment Cushion - Heavy Duty Cover CLASS: A1 Non-Coded

$478.00

ROHO® LOW PROFILE® Single Compartment Cushion CLASS: A1

$458.00

$509.00 $509.00

1R1111HD

1RSMLPC+ 1R66LPC 1R67LPC 1R77LPC 1R78LPC 1R79LPC

CLASS: A1 1R1210LPC

CLASS: A2 1RLGLPC+

Non Stock Small Size (between 36-100 cells) 1R87LPC 1R99LPC 1R1010LPC 1R88LPC 1R910LPC 1R1011LPC 1R89LPC 1R911LPC 1R119LPC 1R810LPC 1R108LPC 1R1110LPC 1R98LPC 1R109LPC 1R1111LPC 1R1310LPC Non Stock Large Size (between 101-160 cells)

ROHO® HIGH PROFILE® Dual Compartment Cushion CLASS: A2 $479.00

$540.00

2RSMC+ 2R88C 2R89C 2R98C 2R99C

Non Stock Small Size (between 36-100 cells) 2R910C 2R1011C 2R911C 2R119C 2R109C 2R1110C 2R1010C

CLASS: A2 2RLGC+

Non Stock Large Size (between 101-160 cells)

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process. + May take up to three weeks for shipment.

E2622

E2623 E2623 E2624

E2625

5

ROHO Seat Cushion Products Con’t.





• The following cushions are available in both custom modifications and custom sizes. • Unless otherwise noted, all cushions include cover, pump, repair kit, and operating instructions. • Contact ROHO Sales Department for additional information.

Suggested Retail

$540.00 $603.00

$479.00 $540.00 $603.00

Coded Products

Item

ROHO LOW PROFILE Dual Compartment Cushion ®

$479.00

®

CLASS: A2 2RSMLPC+ Non Stock Small Size (between 36-100 cells) 2R88LPC 2R810LPC 2R910LPC 2R1010LPC 2R119LPC 2R89LPC 2R99LPC 2R109LPC 2R1011LPC 2R1110LPC CLASS: A2 2RLGLPC+ CLASS: A2 CUSTC+

Non Stock Large Size (between 101-160 cells) Custom Cushion (multiple cell heights, multiple valves, deleted cells, cutouts, etc.) with cover between 36 and 160 cells. Smaller than 36 cells or greater than 160 cells priced upon request.

E2624

E2625 E2609

E2624

CLASS: A2 ENHLGC+

E2625

CLASS: A2 ENHSMC+ Non Stock Small Size (between 36-100 cells) ENH88C ENH98C ENH910C ENH1010C ENH1110C ENH89C ENH99C ENH109C ENH1011C

CLASS: A2

ENHCUSTC+ CLASS: A1

Item Number

$468.00

HCPCS*

ROHO® ENHANCER® Cushion

Non Stock Large Size (between 101-160 cells) Custom Cushion (multiple valves, deleted cells, cutouts, etc.) with cover between 36 and 160 cells. Smaller than 36 cells or greater than 160 cells priced upon request.

ROHO® nexus SPIRIT® Cushion

$438.00

May 1, 2014

E2609 E2622

Standard Sizes with LOW PROFILE® Support Pad (width x depth)

NS1414C 14" X 14" / 36 cm x 38 cm NS1416C 14" x 16" / 36 cm x 43 cm NS1515C 15" x 15" / 38 cm x 41 cm NS1616C 16" x 16" / 41 cm x 41 cm NS1618C 16" x 18" / 41 cm x 46 cm NS1717C 17" x 17" / 43 cm x 43 cm NS1816C 18" x 16" / 46 cm x 41 cm NS1818C 18" x 18" / 46 cm x 46 cm NS2018C 20" x 18" / 51 cm x 46 cm • Sizes listed represent chair size. Actual cushion size is approximately 1.5" / 3.8 cm deeper to allow for placement between back support canes. • The nexus SPIRIT cushion comes standard with a fluid-resistant cover. CLASS: A2 NSDUALC+ Custom option with dual valve pad NSMPC+ Custom option with MID PROFILE pad * Please specify chair size for both NSDUALC & NSMPC when ordering.

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process. + May take up to three weeks for shipment.

E2622

6

ROHO Seat Cushion Products Con’t.





May 1, 2014

• Unless otherwise noted, all cushions include cover, pump, repair kit, and operating instructions. • Contact ROHO Sales Department for additional information. Suggested Retail

$473.25

$524.00

Item

ROHO Hybrid Elite Single Compartment Cushion ®

®

CLASS: A1 Item Number 1RHY1414C 1RHY1415C 1RHY1416C 1RHY1515C 1RHY1516C 1RHY1517C 1RHY1615C 1RHY1616C 1RHY1617C 1RHY1618C 1RHY1620C 1RHY1716C 1RHY1717C 1RHY1718C 1RHY1816C 1RHY1817C 1RHY1818C 1RHY1820C 1RHY2018C 1RHY2020C

Standard Sizes (width x depth) 14" x 14" / 36 cm x 38 cm 14" x 15" / 36 cm x 38 cm 14" x 16" / 36 cm x 43 cm 15" x 15" / 38 cm x 41 cm 15" x 16" / 38 cm x 41 cm 15" x 17" / 38 cm x 43 cm 16" x 15" / 41 cm x 38 cm 16" x 16" / 41 cm x 41 cm 16" x 17" / 41 cm x 43 cm 16" x 18" / 41 cm x 46 cm 16" x 20" / 41 cm x 51 cm 17" x 16" / 43 cm x 41 cm 17" x 17" / 43 cm x 43 cm 17" x 18" / 43 cm x 46 cm 18" x 16" / 46 cm x 41 cm 18" x 17" / 46 cm x 43 cm 18" x 18" / 46 cm x 46 cm 18" x 20" / 46 cm x 51 cm 20" x 18" / 51 cm x 46 cm 20" x 20" / 51 cm x 51 cm

CLASS: A1 1RHY2218C 1RHY2220C 1RHY2418C 1RHY2420C

22" x 18" / 56 cm x 46 cm 22" x 20" / 56 cm x 51 cm 24" x 18" / 61 cm x 46 cm 24" x 20" / 61 cm x 51 cm

CLASS: A1 Item Number 2RHY1414C 2RHY1415C 2RHY1416C 2RHY1515C 2RHY1516C 2RHY1517C 2RHY1615C 2RHY1616C 2RHY1617C 2RHY1618C 2RHY1620C 2RHY1716C 2RHY1717C 2RHY1718C 2RHY1816C 2RHY1817C 2RHY1818C 2RHY1820C 2RHY2018C 2RHY2020C

Standard Sizes (width x depth) 14" x 14" / 36 cm x 38 cm 14" x 15" / 36 cm x 38 cm 14" x 16" / 36 cm x 43 cm 15" x 15" / 38 cm x 41 cm 15" x 16" / 38 cm x 41 cm 15" x 17" / 38 cm x 43 cm 16" x 15" / 41 cm x 38 cm 16" x 16" / 41 cm x 41 cm 16" x 17" / 41 cm x 43 cm 16" x 18" / 41 cm x 46 cm 16" x 18" / 41 cm x 51 cm 17" x 16" / 43 cm x 41 cm 17" x 17" / 43 cm x 43 cm 17" x 18" / 43 cm x 46 cm 18" x 16" / 46 cm x 41 cm 18" x 17" / 46 cm x 43 cm 18" x 18" / 46 cm x 46 cm 18" x 20" / 46 cm x 51 cm 20" x 18" / 51 cm x 46 cm 20" x 20" / 51 cm x 51 cm

ROHO® Hybrid Elite® Dual Compartment Cushion

$473.25

$524.00

CLASS: A1 2RHY2218C+ 2RHY2220C+ 2RHY2418C+ 2RHY2420C+

22" x 18" / 56 cm x 46 cm 22" x 20" / 56 cm x 51 cm 24" x 18" / 61 cm x 46 cm 24" x 20" / 61 cm x 51 cm

CLASS: A1 Item Number 1RHYHD+ 2RHYHD+ 1RHYHDLG+ 2RHYHDLG+

Standard Sizes (width x depth) Hybrid Elite Single Valve with Heavy Duty Cover, 20" and under Hybrid Elite Dual Valve with Heavy Duty Cover, 20" and under Hybrid Elite Single Valve with Heavy Duty Cover, 22" and over Hybrid Elite Dual Valve with Heavy Duty Cover, 22" and over

ROHO® Hybrid Elite® Cushion Heavy Duty Cover Options $555.00 $607.00

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process. + May take up to three weeks for shipment.

HCPCS*

E2622

E2623

E2622

E2623 Non-Coded Non-Coded

7

ROHO Seat Cushion Products Con’t.

May 1, 2014



• Unless otherwise noted, all cushions include cover, pump, repair kit, and operating instructions. • Contact ROHO Sales Department for additional information. Suggested Retail

Item

HCPCS*

ROHO HARMONY Cushion ®

E2607

®

CLASS: B $315.00

Item Number Standard Sizes (width x depth) H1416C 14" x 16" / 36 cm x 41 cm H1616C 16" x 16" / 41 cm x 41 cm H1618C 16" x 18" / 41 cm x 46 cm H1716C 17" x 16" / 43 cm x 41 cm H1718C 17" x 18" / 43 cm x 46 cm H1816C 18" x 16" / 46 cm x 41 cm H1818C 18" x 18" / 46 cm x 46 cm H2018C 20" x 18" / 51 cm x 46 cm • Weight limit: 275 lbs. / 125 kg

ROHO® MOSAIC® Cushion

E2601

CLASS: B $133.00

$156.00

Item Number Standard Sizes (width x depth) MOSAIC1616C 16" x 16" / 41 cm x 41 cm MOSAIC1816C 18" x 16" or 16" x 18" / 46 cm x 41 cm or 41 cm x 46 cm MOSAIC1818C 18" x 18" / 46 cm x 46 cm The above listed MOSAIC Cushions include a standard cover. • Weight limit: 250 lbs. / 114 kg Item Number Standard Sizes (width x depth) MOSAIC1616HD 16" x 16" / 41 cm x 41 cm MOSAIC1816HD 18" x 16" or 16" x 18" / 46 cm x 41 cm or 41 cm x 46 cm MOSAIC1818HD 18" x 18" / 46 cm x 46 cm The above listed MOSAIC Cushions include a heavy duty cover. • Weight limit: 250 lbs. / 114 kg

ROHO® AirLITE® Cushion CLASS: B

$285.00

Item Number Standard Sizes (width x depth) AL1414B 14" x 14" / 36 cm x 36 cm AL1515B 15" x 15" / 38 cm x 38 cm AL1616B 16" x 16" / 41 cm x 41 cm AL1618B 16" x 18" / 41 cm x 46 cm AL1716B 17" x 16" / 43 cm x 41 cm AL1717B 17" x 17" / 43 cm x 43 cm AL1718B 17" x 18" / 43 cm x 46 cm AL1816B 18" x 16" / 46 cm x 41 cm AL1818B 18" x 18" / 46 cm x 46 cm • Weight limit: 275 lbs. / 125 kg • Does not include patch kit or pump.

CLASS: B $305.00

Item Number Standard Sizes (width x depth) AL1720B 17" x 20" / 43 cm x 51 cm AL1820B 18" x 20" / 46 cm x 51 cm AL1917B 19" x 17" / 48 cm x 43 cm AL1919B 19" x 19" / 48 cm x 48 cm AL1920B 19" x 20" / 48 cm x 51 cm AL2018B 20" x 18" / 51 cm x 46 cm • Weight limit: 275 lbs. / 125 kg • Does not include patch kit or pump.

CLASS: A2 $400.00

Item Number Custom Sizes (width x depth) ALCUSTMD Width 14" - 20" / 35.5 cm - 51 cm / ALCUSTLG Width 14" - 20" / 35.5 cm - 51 cm / • Does not include patch kit or pump.

Non-Coded

E2605

E2605

Non-Coded

Depth 14" - 18" / 35.5 cm - 45.5 cm Depth 19" - 20" / 48.5 cm - 51 cm

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process.

8

ROHO Speciality Application Cushions



• Unless otherwise noted, all cushions include cover, pump, repair kit, and operating instructions. • Contact ROHO Sales Department for additional information. Suggested Retail

May 1, 2014

Non-Coded Products

Item

ROHO® Personal Recliner Cushioning System CLASS: A3 $1030.00

Item Number RECLINERCUSTC

Description

Custom Recliner Wheelchair cushion, customized back and seat protection Made to fit per order

• Priced upon request if exceeds 320 cells overall • May take up to three weeks for shipment

$207.00

ROHO® Lumbar Support Cushion CLASS: A3

Item Number LUMBAR

Standard Sizes (width x depth) 4.25" high x 6.5" wide x 15.25" deep / 10.5 cm x 15.25 cm x 39 cm

• Custom sizes or cell variations available. Priced upon request. • Cushion does not include cover. • May take up to three weeks for shipment.

ROHO® MINI-MAX® Cushion CLASS: A3 $357.00

Item Number MINI1515C MINI1616C MINI1816C

Standard Sizes (width x depth) 15" x 15" / 38 cm x 38 cm 16" x 16" / 41 cm x 41 cm 18" x 16" / 46 cm x 41 cm

• Custom sizes available. Priced upon request.

ROHO® PACK-IT® Cushion CLASS: A3 $207.00

Item Number PACKIT

ROHO® HEAL PAD® CLASS: A3

$252.00 $134.00

Standard Sizes (width x depth) 16.25" x 9.5" / 41.5 cm x 24 cm

Item Number HEALPADPR HEALPAD

Standard Sizes Heal Pad - Pair Heal Pad - Single

• Fully adjustable. May be used for heel or elbow protection • Does not include cover

The ADAPTOR® Pad CLASS: A3 $144.00

Item Number ADAPTOR

Standard Sizes (width x depth) 9.75" X 13.5" / 25 cm x 34 cm

• Self-contained air cells can be cut in sections to fit various surface shapes • Repair kit, pump, and cover not included

ROHO® Toilet Seat Cushion CLASS: A3 $265.00

Item Number SEATTOILET

Standard Sizes

• Fits all standard toilet seats • Does not include cover

ROHO® Shower / Commode Cushion (LOW PROFILE® cells only)

$458.00

CLASS: A3

Item Number SEATCMD88LP SEATCMD89LP SEATCMD99LP SEATCMD910LP

• Custom sizes available • Does not include cover

+ May take up to three weeks for shipment.

Standard Sizes (width x depth) 14.75" x 14.75" / 37.5 cm x 37.5 cm 14.75" x 16.5" / 37.5 cm x 42 cm 16.5" x 16.5" / 42 cm x 42 cm 16.5" x 18.25" / 42 cm x 46.5 cm

9

Seating Accessories and Covers Suggested Retail

$57.00





May 1, 2014

Non-Coded Products

Item

ROHO® Contour Base (used with sling seat) CLASS: C Item Number BASE1313 BASE1515 BASE1715 BASE1717

Standard Sizes (width x depth) 13" x 13" / 33 cm x 33 cm 15.25" x 15" / 38.5 cm x 38.5 cm 17" x 15.25" / 43 cm x 38.5 cm 17" x 17.5" / 43 cm x 44.5 cm

ROHO® Planar Solid Seat Insert (used with any seat)

$47.00

$67.00

CLASS: C Item Number SI1212 SI1214 SI1414 SI1415 SI1416 SI1515 SI1516 SI1517 SI1616 SI1617 SI1618 SI1620 SI1717 SI1718 SI1818 SI1820 SI1822 SI1824 SI2020 SI2022 SI2024 SI2424 SICUST+ • Weight limit: 340 lbs / 154 kg

Standard Sizes (width x depth) 11.5" x 11.5" / 29 cm x 29 cm 11.5" x 13.5" / 29 cm x 34.5 cm 13.5" x 13.5" / 34.5 cm x 34.5 cm 13.5" x 14.5" / 34.5 cm x 37 cm 13.5" x 15.5" / 34.5 cm x 39.5 cm 14.5" x 14.5" / 37 cm x 37 cm 14.5" x 15.5" / 37 cm x 39.5 cm 14.5" x 16.5" / 38 cm x 42 cm 15.5" x 15.5" / 39.5 cm x 39.5 cm 15.5" x 16.5" / 39.5 cm x 42 cm 15.5" x 17.5" / 39.5 cm x 44.5 cm 15.5" x 19.5" / 39.5 cm x 49.5 cm 16.5" x 16.5" / 42 cm x 42 cm 16.5" x 17.5" / 42 cm x 44.5 cm 17.5" x 17.5" / 44.5 cm x 44.5 cm 17.5" x 19.5" / 44.5 cm x 49.5 cm 17.5" x 21.5" / 44.5 cm x 54.5 cm 17.5" x 23.5" / 44.5 cm x 59.5 cm 19.5" x 19.5" / 49.5 cm x 49.5 cm 19.5" x 21.5" / 49.5 cm x 54.5 cm 19.5" x 23.5" / 49.5 cm x 59.5 cm 23.5" x 23.5" / 59.5 cm x 59.5 cm (Indicate measurements needed)

Covers

$52.00 $72.00 $82.00 $72.00

CLASS: C Item Number COV- (model/size) COV-CUST (model/size) COV-HY (size) COV-HD (model/size)

$83.00 $62.00 $72.00 $56.00 $72.00

COV-HDHY (size) COV-NS (size) COV-H (size) COV-AL (size) COV-RB (size)

$12.00 $8.00 $23.00 $30.00 $30.00

CLASS: C Item Number HP20 HP45 CR1 Hook & Loop Attachment Drainage Holes

$175.00 $75.00 $5.00 $40.00

CLASS: C Item Number REPAIR LABOR A5 MRK1

$3.00 $5.00

V1 CV1

Miscellaneous Items

Description Standard Cushion Cover - Please specify cushion model and size. Custom Cushion Cover - Please specify cushion model and size. Hybrid Elite® Cushion Cover - Please specify cushion model and size. Heavy duty, fluid-resistant cover - Available to fit most standard-sized ROHO® DRY FLOATATION® seat cushions and MOSAIC® cushions. Hybrid Elite® Heavy Duty Cover nexus SPIRIT® Cushion Cover - Please specify size. HARMONY® Cushion Cover - Please specify size. AirLITE® Cushion Cover - Please specify size. Retroback® Cover - Please specify size. Description ROHO Inflation Pump - Dual Action ROHO Inflation Pump - Single Action Cushion Retainer

Repair of ROHO Products

+ May take up to three weeks for shipment.

Description Repair Charge Diagnostic & Handling Charge Repair Patch Kit Master Repair Kit ( includesglue, swabs, sandpaper, assembled valves, alcohol wipes, small patches, large patches, and metal valves) Inflation Valve (without rubber stem) Inflation Valve (with rubber stem)

10

ROHO® AGILITY™ Back Support Systems





• All AGILITY Back Systems include attachment hardware, a cover, and operating instructions. • Contact ROHO Sales Department for additional information • AG2 = Minimum Contour, AG3 = Mid Contour, AG6 = Max Contour.

Suggested Retail

Size

Size (width x height) Item ROHO® AGILITY™ Minimum Contour Back System with Foam Only Item

(width x height)

CLASS: M

Item Number $450.00

AG2-1410F-1 14" x 10" x 13" AG2-1413F-1 14" x 16" AG2-1416F-1 14" x 18" AG2-1418F-1 14" x 10" AG2-1610F-1 16" AG2-1613F-1 16" x 13" x 16" AG2-1616F-1 16" x 18" AG2-1618F-1 16"

CLASS: M

$540.00

AG2-1410FL-1 AG2-1413FL-1 AG2-1416FL-1 AG2-1418FL-1 AG2-1610FL-1 AG2-1613FL-1 AG2-1616FL-1 AG2-1618FL-1

14" 14" 14" 14" 16" 16" 16" 16"

x x x x x x x x

10" 13" 16" 18" 10" 13" 16" 18"

AG2-1810FL-1 AG2-1813FL-1 AG2-1816FL-1 AG2-1818FL-1 AG2-2010FL-1 AG2-2013FL-1 AG2-2016FL-1 AG2-2018FL-1

18" 18" 18" 18" 20" 20" 20" 20"

x x x x x x x x

CLASS: M

$630.00

x AG2-1410A-1 14" 10" x AG2-1413A-1 14" 13" x AG2-1416A-1 14" 16" x AG2-1418A-1 14" 18" x AG2-1610A-1 16" 10" x AG2-1613A-1 16" 13" x AG2-1616A-1 16" 16" x AG2-1618A-1 16" 18"

E2611

E2613

10" 13" 16" 18" 10" 13" 16" 18"

ROHO® AGILITY™ Minimum Contour Back System with Air Only

Item Number

HCPCS

x 10" AG2-1810F-1 18" x 13" AG2-1813F-1 18" x 16" AG2-1816F-1 18" x 18" AG2-1818F-1 18" x 10" AG2-2010F-1 20" x 13" AG2-2013F-1 20" x 16" AG2-2016F-1 20" x 18" AG2-2018F-1 20"

ROHO® AGILITY™ Minimum Contour Back System with Foam and Lumbar Pad

Item Number

May 1, 2014

Coded Products

E2620

x AG2-1810A-1 18" 10" AG2-1813A-1 18" x 13" AG2-1816A-1 18" x 16" AG2-1818A-1 18" x 18" x AG2-2010A-1 20" 10" x AG2-2013A-1 20" 13" x AG2-2016A-1 20" 16" x AG2-2018A-1 20" 18"

ROHO® AGILITY™ Minimum Contour Back System with Air and Lumbar Pad CLASS: M E2615

$630.00

AG2-1410AL-1 AG2-1413AL-1 AG2-1416AL-1 AG2-1418AL-1 AG2-1610AL-1 AG2-1613AL-1 AG2-1616AL-1 AG2-1618AL-1

14" 14" 14" 14" 16" 16" 16" 16"

x x x x x x x x

10" 13" 16" 18" 10" 13" 16" 18"

AG2-1810AL-1 AG2-1813AL-1 AG2-1816AL-1 AG2-1818AL-1 AG2-2010AL-1 AG2-2013AL-1 AG2-2016AL-1 AG2-2018AL-1

18" 18" 18" 18" 20" 20" 20" 20"

x x x x x x x x

10" 13" 16" 18" 10" 13" 16" 18"

ROHO® AGILITY™ Mid Contour Back System with Air Only CLASS: M

Item Number

$640.00

AG3-1410A-1 14" x x AG3-1413A-1 14" x AG3-1416A-1 14" x AG3-1418A-1 14" AG3-1420A-1 14" x x AG3-1610A-1 16" AG3-1613A-1 16" x x AG3-1616A-1 16" x AG3-1618A-1 16" x AG3-1620A-1 16"

10" 13" 16" 18" 20" 10" 13" 16" 18" 20"

x AG3-1810A-1 18" x AG3-1813A-1 18" x AG3-1816A-1 18" x AG3-1818A-1 18" x AG3-1820A-1 18" AG3-2010A-1 20" x x AG3-2013A-1 20" AG3-2016A-1 20" x AG3-2018A-1 20" x x AG3-2020A-1 20"

E2620

10" 13" 16" 18" 20" 10" 13" 16" 18" 20"

11

ROHO® AGILITY™ Back Support Systems



• All AGILITY Back Systems include attachment hardware, a cover, and operating instructions. • Contact ROHO Sales Department for additional information. • AG2 = Minimum Contour, AG3 = Mid Contour, AG6= Max Contour.

Suggested Retail

Item

Size

May 1, 2014

Coded Products

Size

Item

(width x height)



HCPCS

(width x height)

ROHO® AGILITY™ Mid Contour Back System with Air and Lumbar Pad CLASS: M

Item Number $640.00

AG3-1410AL-1 14" x 10" x AG3-1413AL-1 14" 13" AG3-1416AL-1 14" x 16" x AG3-1418AL-1 14" 18" x AG3-1420AL-1 14" 20" x AG3-1610AL-1 16" 10" x AG3-1613AL-1 16" 13" x AG3-1616AL-1 16" 16" x AG3-1618AL-1 16" 18" x AG3-1620AL-1 16" 20"

x AG3-1810AL-1 18" 10" x AG3-1813AL-1 18" 13" x AG3-1816AL-1 18" 16" x AG3-1818AL-1 18" 18" x AG3-1820AL-1 18" 20" x AG3-2010AL-1 20" 10" x AG3-2013AL-1 20" 13" x AG3-2016AL-1 20" 16" x AG3-2018AL-1 20" 18" x AG3-2020AL-1 20" 20"

ROHO® AGILITY™ Max Contour Back System

HCPCS

CLASS: M

Item Number

$754.00

Air Only

Air and Lumbar Pad

AG6-1416A-1 14" x 16" AG6-1418A-1 14" 18" x AG6-1420A-1 14" 20" x AG6-1616A-1 16" 16" x AG6-1618A-1 16" 18" x AG6-1620A-1 16" 20" x AG6-1816A-1 18" 16" x AG6-1818A-1 18" 18" x AG6-1820A-1 18" 20" x AG6-2016A-1 20" 16" x AG6-2018A-1 20" 18" x AG6-2020A-1 20" 20" x

AG6-1416AL-1 14" x 16" AG6-1418AL-1 14" 18" x AG6-1420AL-1 14" 20" x AG6-1616AL-1 16" 16" x AG6-1618AL-1 16" 18" x AG6-1620AL-1 16" 20" x AG6-1816AL-1 18" 16" x AG6-1818AL-1 18" 18" x AG6-1820AL-1 18" 20" x AG6-2016AL-1 20" 16" x AG6-2018AL-1 20" 18" x AG6-2020AL-1 20" 20" x

ROHO® AGILITY™ CUSTOM BACK

$1,795.00 $1,895.00 $2,195.00

Item Number AG2CUSTC + AG3CUSTC+ AG6CUSTC+

Minimum Contour Mid Contour Max Contour

$415.00

$185.00

Air Only E2620 Air and LumbarE2615

E2617

14", 16", 18", 20" 14", 16", 18", 20" 14", 16", 18", 20"

10", 13", 16", 18" 10", 13", 16", 18", 20" 16", 18", 20"

ROHO® AGILITY™ Back System Lateral Pads CLASS: M

E2615

SWING-AWAY With Curved Pad AG-LATSA-M-FL AG-LATSA-M-OF AG-LATSA-M-0F1 AG-LATSA-M-OF2 AG-LATSA-L-FL AG-LATSA-L-OF AG-LATSA-L-0F1 AG-LATSA-L-OF2 AG-LATSA-X-FL AG-LATSA-X-OF AG-LATSA-X-0F1 AG-LATSA-X-OF2

Pad Size Medium Medium Medium Medium Large Large Large Large X-Large X-Large X-Large X-Large

Pad Size 4Tx4L 4Tx4L 4Tx4L 4Tx4L 4Tx5L 4Tx5L 4Tx5L 4Tx5L 5Tx5L 5Tx5L 5Tx5L 5Tx5L

Offset Type Flush Offset 1" / 2.5 cm Offset 2” / 5 cm Offset Flush Offset 1" / 2.5 cm Offset 2” / 5 cm Offset Flush Offset 1” / 2.5 cm Offset 2” / 5 cm Offset

Fixed With Flat Pad AG-LATFX-M-FL AG-LATFX-M-OF AG-LATFX-L-FL AG-LATFX-L-OF AG-LATFX-X-FL AG-LATFX-X-OF

Pad Size Medium Medium Large Large X-Large X-Large

Pad Size 4Tx4L 4Tx4L 4Tx5L 4Tx5L 5Tx5L 5Tx5L

Offset Type Flush Offset Flush Offset Flush Offset

HCPCS

E1028 + E0956

E0956

12

ROHO® AGILITY™ Back Support Systems



• All AGILITY Back Systems include attachment hardware, a cover, and operating instructions. • Contact ROHO Sales Department for additional information. • AG2 = Minimum Contour, AG3 = Mid Contour

Suggested Retail

Item

Size



May 1, 2014

Non-Coded Products

Size

(width x height)

Item

(width x height)

x 14" 10" 14" x 13" x 14" 16" 14" x 18" x 16" 10" x 16" 13" x 16" 16" x 16" 18" x 18" 10" x 18" 13" x 18" 16" x 18" 18" x 20" 10" 20" x 13" 20" x 16" x 20" 18" x 14" 10" x 14" 13" x 14" 16" x 14" 18" x 14" 20" x 16" 10" x 16" 13" x 16" 16"

COV-AG3-1618 COV-AG3-1620 COV-AG3-1810 COV-AG3-1813 COV-AG3-1816 COV-AG3-1818 COV-AG3-1820 COV-AG3-2010 COV-AG3-2013 COV-AG3-2016 COV-AG3-2018 COV-AG3-2020 COV-AG6-1416 COV-AG6-1418 COV-AG6-1420 COV-AG6-1616 COV-AG6-1618 COV-AG6-1620 COV-AG6-1816 COV-AG6-1818 COV-AG6-1820 COV-AG6-2016 COV-AG6-2018 COV-AG6-2020

x 16" 18" x 16" 20" x 18" 10" x 18" 13" x 18" 16" x 18" 18" x 18" 20" x 20" 10" x 20" 13" x 20" 16" x 20" 18" x 20" 20" x 14" 16" x 14" 18" x 14" 20" x 16" 16" x 16" 18" x 16" 20" x 18" 16" x 18" 18" x 18" 20" x 20" 16" x 20" 18" x 20" 20"

ROHO® AGILITY™ Back Replacement Covers - Standard CLASS: C

Item Number

$70.00

COV-AG2-1410 COV-AG2-1413 COV-AG2-1416 COV-AG2-1418 COV-AG2-1610 COV-AG2-1613 COV-AG2-1616 COV-AG2-1618 COV-AG2-1810 COV-AG2-1813 COV-AG2-1816 COV-AG2-1818 COV-AG2-2010 COV-AG2-2013 COV-AG2-2016 COV-AG2-2018 COV-AG3-1410 COV-AG3-1413 COV-AG3-1416 COV-AG3-1418 COV-AG3-1420 COV-AG3-1610 COV-AG3-1613 COV-AG3-1616

ROHO® AGILITY™ Minimum Contour Replacement Foam CLASS: C

Item Number No Cut Out

$60.00

x AG2FO-1410 14" 10" x AG2FO-1413 14" 13" x AG2FO-1416 14" 16" x AG2FO-1418 14" 18" x AG2FO-1610 16" 10" x AG2FO-1613 16" 13" x AG2FO-1616 16" 16" x AG2FO-1618 16" 18" x AG2FO-1810 18" 10" x AG2FO-1813 18" 13" x AG2FO-1816 18" 16" x AG2FO-1818 18" 18" x AG2FO-2010 20" 10" x AG2FO-2013 20" 13" x AG2FO-2016 20" 16" x AG2FO-2018 20" 18"

Item Number With Cut Out

x AG2FC-1410 14" 10" x AG2FC-1413 14" 13" x AG2FC-1416 14" 16" x AG2FC-1418 14" 18" x AG2FC-1610 16" 10" x AG2FC-1613 16" 13" x AG2FC-1616 16" 16" AG2FC-1618 16" x 18" x AG2FC-1810 18" 10" AG2FC-1813 18" x 13" x AG2FC-1816 18" 16" x AG2FC-1818 18" 18" x AG2FC-2010 20" 10" x AG2FC-2013 20" 13" x AG2FC-2016 20" 16" x AG2FC-2018 20" 18"

13

ROHO® AGILITY™ Back Support Systems



• All AGILITY Back Systems include attachment hardware, a cover, and operating instructions. • Contact ROHO Sales Department for additional information. • AG2 = Minimum Contour, AG3 = Mid Contour, AG6= Max Contour.

Suggested Retail

Item

Size

Item

(width x height)

May 1, 2014



Size

(width x height)

HCPCS

ROHO® AGILITY™ Mid Contour Replacement Foam CLASS: C

Non-Coded

Item Number With Cut Out

$60.00

x AG3FC-1410 14" 10" x AG3FC-1413 14" 13" x AG3FC-1416 14" 16" x AG3FC-1418 14" 18" x AG3FC-1420 14" 20" x AG3FC-1610 16" 10" x AG3FC-1613 16" 13" x AG3FC-1616 16" 16" AG3FC-1618 16" x 18" x AG3FC-1620 16" 20"

x AG3FC-1810 18" 10" AG3FC-1813 18" x 13" x AG3FC-1816 18" 16" x AG3FC-1818 18" 18" x AG3FC-1820 18" 20" x AG3FC-2010 20" 10" x AG3FC-2013 20" 13" x AG3FC-2016 20" 16" x AG3FC-2018 20" 18" x AG3FC-2020 20" 20"

ROHO® AGILITY™ Max Contour Replacement Foam CLASS: C

Item Number With Cut Out

$70.00

AG6FC-1416 AG6FC-1418 AG6FC-1420 AG6FC-1616 AG6FC-1618 AG6FC-1620 AG6FC-1816 AG6FC-1818 AG6FC-1820 AG6FC-2016 AG6FC-2018 AG6FC-2020

Non-Coded

x 14" 16" x 14" 18" x 14" 20" x 16" 16" x 16" 18" x 16" 20" x 18" 16" x 18" 18" x 18" 20" x 20" 16" x 20" 18" x 20" 20"

ROHO® AGILITY™ Back Support System Replacement Components

$200.00 $200.00

CLASS: C AGCCBAL STANDARD CANE CLAMP, AGILITY BACK LEFT AGCCBAR STANDARD CANE CLAMP, AGILITY BACK RIGHT - One-piece cane clamp fits 3/4" to 1" (2 to 3 cm) diameter canes AGCCBAR-LG LARGE CANE CLAMP, AGILITY BACK RIGHT AGCCBAL-LG LARGE CANE CLAMP, AGILITY BACK LEFT

$20.00 $10.00

AG-LUMBAR AG-WRENCH

$100.00 $100.00

- One-piece cane clamp fits greater than 1" and less than 1.25" (2.5 to 3.0 cm) circular diameter canes, canes with a squared key feature, or oval canes

LUMBAR PAD, AGILITY BACK ALLEN WRENCH, 4 MM AGILITY BACK

ROHO® Privacy Shield $55.00

Item Number PS14 PS16 PS18 PS20

Width 10" 13" 15" 17"

Height 14" 14" 14" 14"

Fits Wheelchair Sizes (width x depth) 13" - 15" 15.5" - 17" 17.5" - 19" 19.5" - 21"

ROHO® Retroback® Wheelchair Back Support CLASS: B $328.00

Non-Coded

Item Number Fits Wheelchair Sizes (width x depth) RETRO16C 15"-16" x 16"-18" / 38-40.5 cm x 40.5-45.5 cm RETRO18C 17"-18" x 16"-19" / 43-45.5 cm x 40.5-45.5 cm RETRO20C 19"-20" x 16"-20" / 48.5-51 cm x 40.5 to 45.5 cm • Does not include patch kit or pump

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process.

E2611

14

JetStream Pro Back Support System



®



May 1, 2014

• All JetStream Pro Back Systems include attachment hardware, a cover, and operating instructions. • Contact ROHO Sales Department for additional information. Suggested Retail

$758.00

$811.00

Item

JetStream Pro Standard Back Support System ®

(All Standard Backs are 16.25"/41.5 cm in height.) CLASS: D Fixed Model - Item Number Width of Wheelchair

E2611

Adjustable Model - Item Number Width of Wheelchair

E2611

JSP14SF JSP15SF JSP16SF JSP17SF JSP18SF

14" / 35.5 cm 15" / 38 cm 16" / 40.5 cm 17" / 43 cm 18" / 45.5 cm

JSP14SFA 13" to 14.5" / 33 to 37 cm JSP15SFA 14" to 15.5" / 35.5 to 39.5 cm JSP16SFA 15" to 16.5" / 38 to 42 cm JSP17SFA 16" to 17.5" / 40.5 to 44.5 cm JSP18SFA 17" to 18.5" / 43 to 47 cm Note: 13" and 19" custom sizes available for Adjustable models only. Priced upon request.

JetStream Pro® Mid Back Support System

$811.00

HCPCS*

(All Mid Backs are 13”/33 cm in height.) CLASS: D Adjustable Model - Item Number Width of Wheelchair JSP14MFA JSP15MFA JSP16MFA JSP17MFA JSP18MFA Weight limit: 250 lb / 114 kg

Non-Coded

13" to 14.5" / 33 to 37 cm 14" to 15.5" / 35.5 to 39.5 cm 15" to 16.5" / 38 to 42 cm 16" to 17.5" / 40.5 to 44.5 cm 17" to 18.5" / 43 to 47 cm

JetStream Pro® Low Back Support System

$623.00

$675.00

(All Low Backs are 10"/25.5 cm in height.) CLASS: D Fixed Model - Item Number Width of Wheelchair JSP14LF JSP15LF JSP16LF JSP17LF JSP18LF

14" / 35.5 cm 15" / 38 cm 16" / 40.5 cm 17" / 43 cm 18" / 45.5 cm

Adjustable Model - Item Number Width of Wheelchair

JSP14LFA 13" to 14.5" / 33 to 37 cm JSP15LFA 14" to 15.5" / 35.5 to 39.5 cm JSP16LFA 15" to 16.5" / 38 to 42 cm JSP17LFA 16" to 17.5" / 40.5 to 44.5 cm JSP18LFA 17" to 18.5" / 43 to 47 cm Note: 13" & 19" custom sizing available for Adjustable models only. Priced upon request.

JetStream Pro® Lateral Supports+ $247.00 $247.00 $155.00 $155.00 $155.00 $155.00 $247.00 $155.00 $155.00

CLASS: D Item Number

E2611

E2611

Non-Coded

Description

JSPLATSTDSWRTLG JSP STD-LAT Swing Away Right Large Pad JSPLATSTDSWLFLG JSP STD-LAT Swing Away Left Large Pad JSPLATSTDSTRTLG JSP STD-LAT Stationary Right Large Pad JSPLATSTDSTLFLG JSP STD-LAT Stationary Left Large Pad JSPLATSTDRTAC JSP STD-LAT Stationary Right Active Pad JSPLATSTDLFAC JSP STD-LAT Stationary Left Active Pad JSPLATLOWSWLG JSP LOW-LAT Swing Away Large Pad JSPLATLOWSTLG JSP LOW-LAT Stationary Large Pad JSPLATLOWSTAC JSP LOW-LAT Stationary Active Pad + Use on the JetStream Pro Adjustable Models only.

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process.

15



Support Surface Products

May 1, 2014

• Contact ROHO Sales Department for additional information. NOTE: Shipping charges are billed to customer at the time of shipment for all items on pages 16-20. Suggested Retail

Item Number

Size

(width x depth x height) ®

CLASS: S The ORIGINAL non-powered, adjustable, zoned, Group II pressure-reducing air mattress overlay Construction: Flame-resistant neoprene rubber. Weight: 8 lbs. / 3.6 kg per section. Weight Limit: No weight limit if properly sized to user

$3,600.00

MATTSYSC

$3,600.00

MATTSYS2PC

$4,550.00

BARI39SYSC+

$4,550.00

BARI42SYSC+

$5,510.00

BARI48SYSC+

$5,800.00

BARI54SYSC+

$6,200.00

BARI60SYSC+

Standard ROHO DRY FLOATATION Mattress System (4 sections) with Reusable Cover

33.75" x 75" x 3.25" / 86 cm x 190.5 cm x 8.5 cm

Standard ROHO DRY FLOATATION Mattress System (4 sections) with Enclosure Cover

39.5" x 75" x 3.25" / 100.5 cm x 190.5 cm x 8.5 cm

39" wide ROHO DRY FLOATATION Mattress System/ Includes: 4 MATTSECT, 1 BARI310SYS with cover

E0371

41.5" x 75" x 3.25" / 105.5 cm x 190.5 cm x 8.5 cm

42" wide ROHO DRY FLOATATION Mattress System/ Includes: 4 MATTSECT, 1 BARI410SYS with cover

E0371

48.5" x 75" x 3.25" / 123 cm x 190.5 cm x 8.5 cm

48" wide ROHO DRY FLOATATION Mattress System/ Includes: 4 MATTSECT, 2 BARI410SYS with cover

54.5" x 75" x 3.25" / 138.5 cm x 190.5 cm x 8.5 cm

54" wide ROHO DRY FLOATATION Mattress System/Includes: 4 MATTSECT, 4 MATTSECTCUST (11x10 cells) with cover

60" x 75" x 3.25" / 152.5 cm x 190.5 cm x 8.5 cm

60" wide ROHO DRY FLOATATION Mattress System/ Includes: 4 MATTSECT, 4 MATTSECTCUST (14x10 cells) with cover

ROHO® DRY FLOATATION® Neonatal / Isolette/Nesting Pad/ Footboard+ CLASS: S

$1,100.00

Item Number NEONATALSECT

$1,100.00

NESTINGPAD

E0371

E0371 E0371 E0371

Non-Coded

Size (width x depth x height) Description 14.75" x 26.75" x 2.25" / Neonatal / Isolette 38.5 cm x 68 cm x 5.5 cm

**Two Neonatal / Isolette sections form one complete pediatric mattress system.

14.75" x 26.75" x 3.25" / 37.5 cm x 68 cm x 8.5 cm FOOTBOARDCUST+ 10" x 34" / 25 cm x 86 cm

Multi air cells designed for infants Footboard

ROHO® DRY FLOATATION® O.R. Pad CLASS: S

$3,200.00

E0371

33.75" x 75" x 3.25" / 86 cm x 190.5 cm x 8.5 cm

* All DRY FLOATATION Systems come standard with one reusable cover.

$1,100.00

HCPCS*

Description

ROHO DRY FLOATATION Mattress Overlay ®

Item Number ORPAD

Non-Coded

Size (width x depth x height) Description 20" x 71" x 2.25" / DRY FLOATATION O.R. Pad 51 cm x 180.5 cm x 5.5 cm (3 Sections - 2 OREND & 1 ORMDL)

ROHO® SOFFLEX®2 Mattress Overlay CLASS: S

Group II non-powered overlay designed for individuals who are at risk for skin/soft tissue breakdown. Construction: Polyurethane/ Weight: 6.5 lbs. / 3 kg per system. Weight Limit:330 lbs. / 150 kg.

$1,340.00

Item Number SFLX2SYSC

$1,340.00

SFLX2SYS2PC

Size (width x depth x height) Description 36" x 81.75" x 3.5" / SOFFLEX2 Mattress Overlay System 91.5 cm x 207.5cm x 9 cm (3 sections) with Reusable Cover 36" x 81.75" x 3.5"/ 91.5 cm x 207.5cm x 9 cm

SOFFLEX2 Mattress Overlay System (3 sections) with Enclosure Cover

ROHO® SOFFLEX®2 Mattress Replacement System

E0371 E0371

CLASS: S

$2,000.00 $2,000.00 $2,200.00 $2,200.00 $2,400.00 $2,400.00 $2,600.00 $2,800.00 Priced upon request

Group II non-powered mattress replacement system designed for individuals who are at risk for skin/soft tissue breakdown. Construction: Combination polyurethane cellular technology with integrated 5 inch foam base/ Weight: 28 lbs Weight Limit: 650 lbs. Item Number Size (width x depth x height)

SLFX2MRS-3680 SLFX2MRS-3684 SLFX2MRS-3980 SLFX2MRS-3984 SLFX2MRS-4280 SLFX2MRS-4284 SLFX2MRS-4880 SLFX2MRS-4884 SFLX2MRS-CUST

36" X 80" X 8.5" / 91.5 cm x 203 cm x 21.5 cm 36" X 84" X 8.5" / 91.5 cm x 213.5 cm x 21.5 cm 39" X 80" X 8.5" / 99 cm x 203 cm x 21.5 cm 39" X 84" X 8.5" / 99 cm x 213.5 x 21.5 cm 42" X 80" X 8.5" / 106.5 cm x 203 cm x 21.5 cm 42" X 84" X 8.5" / 106.5 cm x 213.5 cm x 21.5 cm 48" X 80" X 8.5" / 122 cm x 203 cm x 21.5 cm 48" X 84" x 8.5" / 122 cm x 213.5 cm x 21.5 cm Contact ROHO for additional size inquiries

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process. + May take up to three weeks for shipment.

E0373

16



Support Surface Products Con’t.

May 1, 2014

• Contact ROHO Sales Department for additional information. • Shipping charges are billed to customer at time of shipment for all items on pages 16-20.

Suggested Retail

Item Number

Size

(width x depth x height)

Description

HCPCS*

ROHO® PRODIGY® Mattress Overlay CLASS: S

$425.00 $2,500.00

$200.00

$1,000.00

E0197

Group I non-powered overlay designed for individuals who are at risk for breakdown and/or have a Stage I or II ischemic ulcer. Construction: Polyvinyl / Weight: 9.5 lbs. / 4.5 kg per system; Weight Limit: 300 lbs. / 136 kg. 36" x 81" x 3.5" / PRODIGYSYS PRODIGY Mattress Overlay System 91.5 cm x 205.5 cm x 9 cm (3 sections)

PRODIGYCS

Insert Pads IP2134

PRODIGY Mattress Overlay / Case (6 complete systems)

CLASS: N

19.5" x 34" x 3.25" / 49.5 cm x 86.5 cm x 8.5 cm

Parts and Accessories CLASS: N

Non-Coded

Foam Insert Pad

Non-Coded Section

MATTSECT

ROHO DRY FLOATATION Mattress Section

$1,000.00

19.25" x 33.75" x 3.25" / 49 cm x 86 cm x 8.5 cm

MATTSECT1610

ROHO DRY FLOATATION Mattress Section 16 cells by 10 cells

$1,000.00

19.25" x 30" x 3.25" / 49 cm x 76.5 cm x 8.5 cm

MATTSECT1710

ROHO DRY FLOATATION Mattress Section 17 cells by 10 cells

$1,100.00

19.25 x 31.75" x 3.25" / 49 cm x 80.5 cm x 8.5 cm

MATTSECTMOD

Custom

Includes snaps on all sides; to be used with Bariatric Mattress Section

$400.00

BARI310EA

Bariatric Mattress Kit Single Section (3 x 10 cells)

$1,800.00

6.5" x 19.25" x 3.25" / 16.5 cm x 49 cm x 8.5 cm

BARI310SET

Bariatric Kit System (4 sections)

$400.00

6.5" x 75" x 3.25" / 16.5 cm x 190.5 cm x8.5cm

BARI410EA

Bariatric Mattress Kit Single Section (4 x 10 cells)

$1,800.00

8.25" x 19.25" x 3.25" / 21 cm x 49 cm x 8.5 cm

BARI410SET

Bariatric Kit System (4 sections)

$708.00

8.25" x 75" x 3.25" / 21 cm x 190.5 cm x 8.5 cm

SFLX2EA

SOFFLEX2 Mattress Overlay - Single Section

$160.00

27.5" x 36" x 3.5" / 75 cm x 91.5 cm x 9 cm

PRODIGYEA

27" x 36" x 3.5" / 68.5 cm x 91.5 cm x 9 cm 18.25" x 20" x 2.25" / 46 cm x 51 cm x 5.5 cm 20" x 35" x 2.25" / 51 cm x 89 cm x 5.5 cm

PRODIGY Mattress Overlay - Single Section

$700.00

OREND

$1,300.00

ORMDL

$200.00

Mattress Overlay Covers COV-MR3680

36" x 80" / 91 cm x 203 cm

End Section of O.R. Pad Middle Section of O.R. Pad

CLASS: N

Reusable Mattress System Cover

Non-Coded Section

*Fits over a standard bed mattress and a standard ROHO DRY FLOATATION, PRODIGY, or SOFFLEX2 Mattress Overlay System.

$240.00

COV-BMR4080**

Reusable Mattress System Cover - Bariatric

$240.00

40" x 80" / 101 cm x 203 cm

COV-BMR4880**

Reusable Mattress System Cover - Bariatric

$250.00

48" x 80" / 122 cm x 203 cm

COV-BMR6080**

60" x 80" / 152.5cm x 203 cm

Reusable Mattress System Cover - Bariatric

**Fits over standard bed mattress and standard ROHO DRY FLOATATION Mattress Overlay System.

$280.00

COV-MRCUST

$260.00

COV-MR2PCSTD-N

ROHO DRY FLOATATION Mattress Overlay Enclosure Cover

$260.00

33.75” x 75” x 3.25” / 86 cm x 190.5 cm x 8.5 cm

COV-MR2PCSTD-P

ROHO PRODIGY and SOFFLEX2 Mattress Overlay Enclosure Cover

$180.00

36” x 81.75” x 3.5” / 91.5 cm x 207.5 cm x 9 cm

SNAPSETTERMETAL

Press-n-Snap Tool for assembly of bariatric sections

$0.16

65135

Metal Snap Post - Cap

$0.16

65140

Metal Snap - Socket

$0.16

65145

Metal Snap - Stud

Custom Mattress ReusableCover - Specify size

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process. + May take up to three weeks for shipment.

17



Support Surface Products Con’t.

• Contact ROHO Sales Department for additional information. • Shipping charges are billed to customer at time of shipment for all items on pages 16-20. Suggested Retail

May 1, 2014

Coded Products

Item

SelectAir Low Air Loss Therapy Systems:

HCPCS*

®

CLASS: S

Item Number

Description

$4,400.00

SASTDSYS

E0277

$3,700.00

SAOVERLAYSYS

SelectAir® Mattress System Standard System includes: SelectAir pump (SASTDPUMP), mattress with foot pillow (SASTDMATT), zippered cover with foot pillow (SASTDCOV), and a 1" foam pad (SASTDFOAM1).

$4,400.00

SASTDSYSK008

E0277

$5,000.00

SAMAXSYS

SelectAir® Non - Footed Matress System System includes: SelectAir pump (SASTDPUMP), non-footed mattress (SANOFTMATT), non-footed zippered cover (SANOFTCOV), and a 1" foam pad (SASTDFOAM1).

$5,000.00

SAMAXSYSK010

$4,100.00

SAHYOVMATT109

$7,200.00

SABARISYS39

$7,500.00

SABARISYS42

$7,900.00

SABARISYS48

$8,300.00

SABARISYS54

$8,700.00

SABARISYS60

SelectAir® Overlay System Standard System includes: SelectAir pump (SASTDPUMP), 4" overlay mattress (SAOVERLAYMATT) and an overlay mattress sheet (SAOVERLAYSHEET).

E0372

SelectAir MAX® Mattress Replacement System System includes: SelectAir Max pump (SAMAXPUMP), mattress with foot pillow (SASTDMATT), zippered cover with foot pillow (SASTDCOV), and a 1" foam (SASTDFOAM1).

E0277

HybridSelect® Mattress Overlay with HealFloat® System includes: SelectAir Hybrid pump (SAHYBPUMP), Hybrid Mattress (SAHYBMATT), Hybrid Sheet (SAHYBSHEET) and a 10 x 9 ROHO® HIGH PROFILE® Cushion (1R109C).

E0372

SelectAir MAX® Non - Footed Matress Replacement System System includes: SelectAir Max pump (SAMAXPUMP), mattress with foot pillow (SASTDMATT), zippered cover with foot pillow (SASTDCOV), and a 1" foam (SASTDFOAM1).

E0277

BariSelect® 39" Bariatric Mattress System System includes: BariSelect pump (SABARIPUMP), 39" mattress (SA39MATT), 39" zippered cover (SA39COV), and a 35" foam pad (SABARIFOAM).

E0277

BariSelect® 48" Bariatric Mattress Replacement System System includes: BariSelect pump (SABARIPUMP), 48" mattress (SA48MATT), 48" zippered cover (SA48COV), and a 35" foam pad (SABARIFOAM).

E0277

BariSelect® 60" Bariatric Mattress Replacement System System includes: BariSelect pump (SABARIPUMP), 60" mattress (SA60MATT), 60" zippered cover (SA60COV), and a 35" foam pad (SABARIFOAM).

E0277

BariSelect® 42" Bariatric Mattress Replacement System System includes: BariSelect pump (SABARIPUMP), 42" mattress SA42MATT), 42" zippered cover (SA42COV), and a 35" foam pad (SABARIFOAM).

E0277

BariSelect® 54" Bariatric Mattress Replacement System System includes: BariSelect pump (SABARIPUMP), 54" mattress (SA54MATT), 54" zippered cover (SA54COV), and a 35" foam pad (SABARIFOAM).

E0277

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process.

18



Support Surface Products Con’t. • Contact ROHO Sales Department for additional information. • Shipping charges are billed to customer at time of shipment for all items on pages 16-20. Suggested Retail

May 1, 2014

Non-Coded Products

Item

SelectProtect® Safety Enhancement System

SelectProtect easily fits pre-existing standard SelectAir and SelectAir Max Systems or can be ordered separately. CLASS: S

$4,800.00 $5,350.00 $5,400.00 $6,000.00

Item Number Select Protect Systems (HCPCS E0277) SASPSTDSYS SASPSTDSYSK008 SASPMAXSYS SASPMAXSYSK010

SelectProtect® Accessories

CLASS: N

$700.00 $700.00 $700.00 $475.00 $580.00 $600.00 $100.00 $100.00

Item Number Select Protect (Only) SAPROTECTSTD SAPROTECTSHORT SAPROTECTNOFT Select Protect Replacement Covers and Bolsters SASTDCOVSP SASHORTCOVSP SANOFTCOVSP SAPROTSHBOL SAPROTFTBOL

SelectAir Mattress System Standard with Select Protect SelectAir Non-Footed Mattress System with Select Protect SelectAir Max Mattress System with Select Protect SelectAir Max Non-Footed Mattress System with Select Protect Description SelectProtect Standard Complete Cover with bolsters SelectProtect Short Complete Cover with bolsters SelectProtect Non-Footed Complete Cover with bolsters SelectProtect Standard Cover with Foot pillow SelectProtect Short Cover with Foot pillow SelectProtect Non-Footed Cover Replacement Shoulder Bolster (foam) Replacement Foot Bolster (foam)

SelectAir® Low Air Loss Therapy System Replacement Parts + Accessories

CLASS: N

$2,250.00 $3,000.00 $3,000.00 $4,000.00 $1,100.00 $900.00 $1,100.00 $700.00 $1,400.00 $1,500.00 $1,600.00 $1,700.00 $1,850.00 $425.00 $580.00 $550.00 $400.00 $790.00 $800.00 $810.00 $820.00 $830.00 $250.00 $400.00 $370.00 $250.00 $325.00 $125.00 $200.00 $90.00 $450.00 $60.00 $40.00 $40.00 $80.00

Description

Item Number SASTDPUMP SAMAXPUMP SAHYBPUMP SABARIPUMP SASTDMATT SA2SHORTMATT SANOFTMATT SAHYBMATT SA39MATT SA42MATT SA48MATT SA54MATT SA60MATT SASTDCOV SASHORTCOV SANOFTCOV SA2PCCOV SA39COV SA42COV SA48COV SA54COV SA60COV SAMATTSHEET SAOVERLAY SHEET SAHYBSHEET SASTDFOAM1 SABARIFOAM SABAG SABARIBAG SASMLBAG SACONTROL SAFILTER SAHANDLE SAHOSE SAPOWERCORD

Description SelectAir pump SelectAir Max pump SelectAir Hybrid pump SelectAir BariSelect pump Standard mattress with foot pillow Short/Short mattress with foot pillow Standard non-footed mattress HybridSelect Mattress 39" Mattress 42" Mattress 48" Mattress 54" Mattress 60" Mattress Standard cover with foot pillow Short cover with foot pillow Standard non-footed cover 2 piece cover with foot pillow 39" Mattress cover 42" Mattress cover 48" Mattress cover 54" Mattress cover 60" Mattress cover Sheet (with straps) for mattress replacement Overlay mattress sheet Sheet for HybridSelect Mattress Foam pad for standard width mattress Foam pad for bari width mattress System carry bag (without silk screen) Bariatric system carry bag (without silk screen) Small system carry bag (without silk screen) Hand control for bari Filter, package of 6 Handle Hose Power cord

19

Support Surface Products Con’t.







May 1, 2014

• Contact ROHO Sales Department for additional information. • Shipping charges are billed to customer at time of shipment for all items on pages 16-20. Suggested Retail

HCPCS*

Item

SYSTEMS

CLASS: S Item Number

Description

$1,780.00

FUSXC80

Fusion XC™ 80” Dynamic Dispersion® Replacement System. Closed, non-convertible system. Cover is fire retardent and non-removable.

E0373

$1,780.00

FUSXC84

Fusion XC™ 84” Dynamic Dispersion® Replacement System. Closed, non-convertible system. Cover is fire retardent and non-removable.

E0373

$3,360.00

FUS1K80

Fusion 1K™ Dynamic Dispersion® Replacement System 80” with quilted, fire retardant cover.

E0373

$3,360.00

FUS1K84

Fusion 1K™ Dynamic Dispersion® Replacement System 84” with quilted, fire retardant cover.

E0373

$7,000.00

FUS2K80

Fusion 2K™ Dynamic Dispersion® Replacement System 80” with full low air loss and quilted, fire retardant cover.

E0373

$7,000.00

FUS2K84

Fusion 2K™ Dynamic Dispersion® Replacement System 84” with full low air loss and quilted, fire retardant cover.

E0373

COVERS

Non-Coded

CLASS: N $500.00

FUSCOVTOP80

Fusion quilted top cover - for 80” and 84” FUSION 1K and 2K.

$500.00

SAPROTECTYOU2

Universal Perimeter Protection Cover. 80” X 6” X 36”

INSERTS $220.00

CLASS: N

Non-Coded

FUSFOAMINS

Fusion foam heal insert (foot) with cover - dual density.

$600.00

FUSDD

Fusion 1K System 80” or 84” with quilted, fire retardant cover.

$600.00

FUSLAL

3 Section Low Air Loss, connected.

PARTS & ACCESSORIES

CLASS: N

$840.00

FOAMBASE80

Fusion Foam Base 80” x 36” with nylon, non-skid base cover.

$840.00

FOAMBASE84

Fusion Foam Base 84” x 36” with nylon, non-skid base cover.

$140.00

FUSAIRINSERT

Air Insert for HealFloat®

$300.00

FUSHEALFOAM2

Foam with HealFloat® Cutout with Cover - with ROHO Polyvinyl insert (ROHO insert not pictured)

Non-Coded

* Decisions about how to code a product are the responsibility of the provider/supplier. Since Medicare coding is subject to change, the provider should always confirm the HCPCS code and coverage criteria as part of the client assessment process.

20

Consumer Products





• Unless otherwise noted, all cushions include cover, pump, patch kit and operating instructions.

Suggested Retail

$93.00 $154.00

$89.95 $82.95

$124.95 $109.95 $99.95

Item

LTV Scooter / Office / Car Cushion ®

CLASS: H LTVC

LTVBLK

May 1, 2014

Non-Coded Products

Size

18" x 16" / 45.5 cm x 40.5 cm - Black Quilted Fabric Cover 18" x 16" / 45.5 cm x 40.5 cm - Black UltraLeather™ Cover

Sleepmatterzzz Original Pillow with Original Cover ®

CLASS: H

SMP2RCRBQ SMP2RCRB

25" x 14" / 63.5 cm x 35.5 cm - Dual Valve, Queen

Sleepmatterzzz Classic Pillow CLASS: H

®

19" x 14" / 48.5 cm x 35.5 cm - Dual Valve, Standard

SMP2RCRCLSK

15" x 33" / 38 cm x 84 cm - Dual Valve, King

SMP2CRCRCLSQ

15" x 28" / 38 cm x 71 cm - Dual Valve, Queen

SMP2RCRCLS

15" x 23" / 38 cm x 58.5 cm - Dual Valve, Standard

21

Terms and Conditions

May 1, 2014

1. Definitions: i. “Buyer” shall mean the purchaser of any ROHO Products. ii. “Intellectual Property” means all copyrights, trademarks, trade names, patents, trade and corporate names, trade secrets, know how, formulas, technical information and other intellectual property rights concerning the Products. iii. “Person” shall mean an individual, association, joint venture, partnership, corporation, limited liability company, organization or other entity. iv. “Product” shall mean any goods sold by ROHO. v. “ROHO” shall mean ROHO, Inc., an Illinois corporation, all of its subsidiaries, its successors and assigns. 2. To the extent that the terms of any written agreement, signed by both ROHO and Buyer, are inconsistent with the provisions appearing hereon, the provisions of such executed agreement shall control. Except as provided herein, the provisions appearing hereon may not be altered or amended in any way except in writing signed by both ROHO and Buyer. ROHO’s acceptance of any purchase order for Product submitted by Buyer to ROHO is expressly limited to Buyer’s acceptance of all of the provisions hereof and any provisions contained in any document heretofore or hereafter submitted by Buyer to ROHO, which are in addition to or different from the provisions hereof, shall not become a part of the agreement between ROHO and Buyer unless said provisions are expressly agreed to in writing by ROHO; nor shall ROHO’s filling of any purchase order submitted by Buyer for Products be construed as an acceptance of any such additional or different provisions.

3. Buyer’s right to market, promote, sell or otherwise distribute ROHO Products is non-exclusive. Buyer agrees not to market, promote sell, or otherwise distribute ROHO Products outside of the United States, its territories and possessions.

4. Buyer agrees, at all times, to comply with the Product operations manual and other documents and guidelines produced and distributed by ROHO and shall not use, sell or otherwise distribute any Product for any purpose or use for which Product has not been designed or contrary to manufacturer and/or ROHO specifications. Buyer shall deliver all Products sold with its applicable operations manual, other documents and guidelines and all applicable accessories. Buyer agrees that all individuals dealing with the Products on its behalf will be trained in the selection of the appropriate Product and the individual setup and/or adjustment of the Products. Buyer shall insure that its customers and/or the customers’ caregiver fully understand how to perform said setup and/or adjustments, all instructions and all warnings associated with the use of the Product and the fact that the use of any Product for any purpose or in any manner other than which it has been designed or any use inconsistent with the operations manual is strictly prohibited. Buyer shall inform all of its customers about ROHO’s standard Product warranties. Buyer shall not make any representations or statements inconsistent with the Product’s operations manual, documents, guidelines and ROHO’s standard Product warranties.

5. Buyer shall indemnify and hold ROHO, its officers, directors, employees, successors and assigns, harmless from any liability for any claim or action made upon or brought against ROHO, etc., by any Person, of whatever form or nature, including attorneys fees and other costs of legal defense, which may be sustained or incurred as a result of any acts or omissions of Buyer, or any of its directors, officers, employees or agents, including but not limited to: i. Breach of any provision of these terms and conditions; ii. Negligence or other tortuous actions; iii. Representations or statements for Product usage or alterations not specifically authorized in writing by ROHO; and iv. Violations of any laws, orders, regulations or ordinances.

Buyer shall, at its own expense, maintain comprehensive general liability insurance for bodily injury or death and property damage. This requirement shall in no way limit the liability of Buyer to ROHO. Buyer is responsible for any claims of damage or injury attributable to Buyer’s actions.

6. Buyer recognizes that the Intellectual Property is an asset owned by ROHO and remains the property of ROHO. Buyer shall not: i. Use or permit the use of the Intellectual Property for any purpose other than as provided herein; ii. Permit any other Person to use the Intellectual Property; iii. Transfer or encumber the Intellectual Property; iv. Make or allow to be made any changes or alterations in the Intellectual Property, operations manual or other Product documents and guidelines; v. Remove, alter or deface any patent numbers, trade names, trademarks, notices, serial numbers, labels, tags, warning labels or other idetifying marks, symbols or legends impressed on or affixed to any Product or container or package; vi. Disclose to others any information it receives from ROHO which is not generally known and available in the industry; or vii. Misrepresent ROHO or the Products.

7. The agreement between ROHO and Buyer is an Illinois contract and shall be governed by Illinois laws. ROHO and Buyer consent to the jurisdiction and venue of the Court sitting in St. Clair County, Illinois and waive the defense of inconvenient forum.

8. Pricing subject to change at ROHO's discretion with a 30-day notice.

22

ROHO, Inc. 100 N. Florida Avenue • Belleville, IL 62221 Toll Free: 800-851-3449 • Local: 618-277-9173 • Fax: 618-277-6518 www.roho.com • [email protected][email protected] © 2013 ROHO, Inc. The following are trademarks and registered trademarks of ROHO, Inc.: AGILITY™, ADAPTOR®, AIRLITE®, CONTOUR SELECT®, DRY FLOATATION®, ENHANCER®, HEAL PAD®, HIGH PROFILE®, Hybrid Elite®, HARMONY®, JetStream Pro®, LOW PROFILE®, MID PROFILE™, MINI-MAX®, MOSAIC®, nexus SPIRIT®, PACK-IT®, QUADTRO SELECT®, RETROBACK®, ROHO®, and shape fitting technology®. ROHO, Inc. has a policy of continual product improvement and reserves the right to amend specifications presented in this document. The current version of this document is available on our website at www.roho.com.

LITD02087 (revised 11/14) SP 5/14

© 2014 ROHO, Inc.