Free Form Seating

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
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" chair width) include:
  • Free Form Shell

  • Cover (Foam or Stimulite)

  • Pair of Independent Mounts

  • 4 mm hex key

Upper Thoracic Back Kits 
(14"-20"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” 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" 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 Back Kit can be fit:
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" deep.

Lower Thoracic

Upper Thoracic

Upper Thoracic - Reinforced

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

tel: +1.250.537.2177      toll free: 1.800.537.1724      fax: +1.250.537.1998       sales@symmetric-designs.com      www.freeformseating.com

Our products should only be prescribed and fitted by qualified health care professionals. Our products are not transport tested or approved for transport and we do not recommend they are used during transport. Custom wheelchair seating cannot be transport approved. Use of our products is at the user or caregiver's own risk. Users of our products should be supervised at all times.

Failure to comply with these warnings could result in serious bodily harm.