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Free Form Seating

Free Form Back Kits

Everything needed for a custom back support, in one box.
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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
Free Form Seating Back Kit
Upper Thoracic Back Shell
Lower Thoracic Back Kits are available in 3 sizes.
Upper Thoracic Back Kits are now available in 5 sizes.
Lower Thoracic Back Kits
14"-20" (35cm-51cm) chair width include:
  • Free Form Shell

  • Cover (Foam or Stimulite)

  • Pair of Independent Mounts

  • 4 mm hex key

Upper Thoracic Back Kits 
14"-20" (35cm-51cm) chair width include:
  • Free Form Shell

  • Cover (Foam or Stimulite)

  • Mounting Hardware (Centre Mount or Independent Mounts)

  • 4 mm hex key

  • Package of 8 Alloy 2-Balls for reinforcement
  • 5 Extra shell modules for adding additional support if needed
  • Extended screws for mounting accessories
NEW! Reinforced Back Kits for larger clients. 

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. 

Upper Thoracic Back Kit - Reinforced
20"-24" (51cm-70cm) chair width include:
  • Free Form Shell

  • Stimulite Cover

  • 4 Independent Mounts 

  • 4 mm hex key

  • Package of 20 Alloy 2-Balls
  • 5 Extra shell modules for adding additional support if needed
  • Extended screws for mounting accessories
See how quickly and efficiently a Free Form Back Kit can be fitted:
Custom Wheelchair Seating
Custom Wheelchair Seating
Custom Wheelchair Seating
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 Seating

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

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Upper Thoracic

Upper Thoracic Back Kit Chart.png

Upper Thoracic - Reinforced

XL and XXL Back Kit size chart.png

Custom shapes and sizes are available. Please contact us for more information. 

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