Free Form Back Kits
Everything needed for a custom back support, in one box.
Complex Seating. Simplified.
Custom contoured backrests are easily and effectively accomplished with a Free Form Backrest Kit.
HCPCS Coded E2617 and E2609.
The shell can be increased or decreased in size to accomplish even support. The width between the lateral supports, lumbar curve and upper thoracic region can all be quickly and easily fitted to the client.
Free Form Back Kits are an excellent solution for a scoliosis, kyphosis, weight fluctuations, and anyone who requires a custom moulded backrest.
Lower Thoracic Back Shell
Lower Thoracic Back Kits are available in 3 sizes.
Upper Thoracic Back Shell
Upper Thoracic Back Kits are now available in 5 sizes.
Lower Thoracic Back Kits
14"-20" (35cm-51cm) chair width include:
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Free Form Shell
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Cover (Foam or Stimulite)
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Pair of Independent Mounts
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4mm Hex Key
Upper Thoracic Back Kits
14"-20" (35cm-51cm) chair width include:
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Free Form Shell
-
Cover (Foam or Stimulite)
-
Mounting Hardware (Centre Mount or Independent Mounts)
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4mm Hex Key
-
Package of 8 Alloy 2-Balls for reinforcement
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5 Extra shell modules for adding additional support if needed
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Extended screws for mounting accessories
Upper Thoracic Back Kit - Reinforced
20"-24" (51cm-70cm) chair width include:
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Free Form Shell
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Stimulite Cover
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4 Independent Mounts
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4 mm Hex Key
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Package of 20 Alloy 2-Balls
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5 Extras shell modules for adding additional support if needed
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Extended screws for mounting accessories
Custom Seating, all in one box, now available for wheelchairs up to 24” (61cm) wide!
These custom moldable back supports offer extra reinforcement and are an excellent solution for larger clients that need customized positioning.
These two new Back Kits come standard with a Stimulite™ cover that provides excellent heat and moisture dissipation. The Stimulite™ cover also retains its honeycomb structure and pressure redistribution qualities, even with prolonged and high compression.
See how quickly and efficiently a Free Form Back Kit can be fitted:
Now HCPCS coded in the USA E2617 and E2609
Custom fabricated wheelchair back or seat, any size, any mounting hardware.
New option for Free Form Back Kits:
Free Form Back Kit Sizing
Note: Shell width and height measurements are when shell is flat and before contouring.
If ordering based on wheelchair width, lateral supports are typically 4" - 6" (10cm-15cm) deep.
Lower Thoracic
FFCUST-LB01 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 18 - 20" | 46 - 51 cm |
Back Height | 16 ½" | 42 cm |
Back Width | 27" | 69 cm |
FFCUST-LB02 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 16 - 18" | 41 - 46 cm |
Back Height | 14" | 36 cm |
Back Width | 23" | 58.5 cm |
FFCUST-LB03 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 14 - 16" | 36 - 41 cm |
Back Height | 11 ½" | 29.5 cm |
Back Width | 18 ¾" | 47.5 cm |
Upper Thoracic
FFBCUST01 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 18 - 20" | 46 - 51 cm |
Back Height | 18 ½" | 47 cm |
Back Width | 29" | 73 cm |
FFBCUST02 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 16 - 18" | 41 - 46 cm |
Back Height | 16 ½" | 42 cm |
Back Width | 26 ½" | 67 cm |
FFBCUST03 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 14 - 16" | 36 - 41 cm |
Back Height | 14 ½" | 37 cm |
Back Width | 21 ½" | 55 cm |
FFBCUST04 | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 12 - 14" | 31 - 36 cm |
Back Height | 12.5" | 32 cm |
Back Width | 17" | 43 cm |
Upper Thoracic - Reinforced
FFBCUST-XXL | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 22 - 24" | 55 - 61 cm |
Back Height | 21" | 53 cm |
Back Width | 34" | 87 cm |
FFBCUST-XL | Imperial | Metric |
|---|---|---|
Fits Wheelchair Width | 20 - 22" | 50 - 55 cm |
Back Height | 19" | 48 cm |
Back Width | 29" | 74 cm |