Pride Mobility Jazzy Air MED Owner's manual

Type
Owner's manual
2
INFINFB4560/RevA/15NOV2023 Page 1 of 3
Jazzy Air® MED Quick Ship Order Form
Pride® Mobility Products Corporation
401 York Avenue, Duryea, PA 18642
Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com
Account Number: ___________ Date: ________________
Provider Name: __________________________________
Contact: ________________________________________
Phone: ___________________ Fax: _________________
Email: __________________________________________
PO Number: _____________________________________
Marked for: _____________________________________
Ship to Address: _________________________________
City: _____________________ State: ______ Zip: ______
Jazzy Air®
MED 2SE-C .................................................... $7,459
Part: JAZZYAIRMED 2SE-C. HCPCS: K0831
Captain Seating
Jazzy Air®
MED 2SE-SS .................................................. $7,459
Part: JAZZYAIRMED 2SE-SS. HCPCS: K0830
Solid Seat Pan Seating
BASE MODEL
REQUIRED. Select a power base. Weight capacity: 300 lbs. More details and specications can be found at pridemobility.com/jazzy-air-med.
INTRODUCTION
This form is interactive when viewed in Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat.
HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining
the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are
MSRP. Prices, specications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available
when congured as a complete power chair. Pride Providers may contact Technical Services for accurate parts ordering.
Thank you for choosing Pride Mobility Products!
COLOR
REQUIRED. Colors shown here may dier from actual product depending on monitor/printer calibration used.
Black
Part: DGN2302764
Standard Features
Flat-free drive wheels
VR2 joystick
In-line joystick mounting bracket
Height-adjustable foot platform
Unoccupied transit loops
12″ seat elevation
Active -Trac ® suspension
Mid-wheel technology
FDA Class II Medical Device*
SEATING
REQUIRED. Select one seat. All seats include a 60″ lap belt. Seat sizes on this unit cannot exceed 2 0 W × 1 8 2 0 D .
1 6 W × 1 6 1 8 D ................... Standard
Part: MEC2007667
1 8 W × 1 8 2 0 D ................... Standard
Part: MEC2007668
2 0 W × 1 8 2 0 D .................. Standard
Part: MEC2007669
Captain Seating Depth-Adjustable Memory Seat, Limited Recline, High Back
1 6 W × 1 6 1 8 D ................... Standard
Part: MEC2201676
1 8 W × 1 8 2 0 D ................... Standard
Part: MEC2201677
2 0 W × 1 8 2 0 D .................. Standard
Part: MEC2201678
Solid Seat Pan Seating Fold-Flat Seats
NOTE: Seat backs are approximately 2″ wider than seat bases on solid seat pan seating.
Jazzy Air® MED is available exclusively to Authorized Pride Providers with a dedicated brick-and-mortar location (showroom). The Jazzy Air®
MED may be displayed on an authorized providers dedicated website for educational purposes only, may not be listed on any third-party web-
sites, and may not be sold online. The Jazzy Air® MED is not eligible to be drop-shipped to a residence. Other conditions may apply.
INFINFB4560/RevA/15NOV2023 Page 2 of 3
Weather Cover, Medium, Black .. $168
Part: ACCCOVR1022
Saddle Bag (12.5″ × 9.875) ............ $40
Part: DWR1020D010
2.1-Amp USB Charger ..............$42.99
Part: KIT2001524
Saddle Bag (11.75″ × 17″) ............... $40
Part: DWR1020D016
Cup Holder — Style C ..................... $32
Part: ACCASMB2288
Flag Holder ..................................... $65
Part: ACCASMB2629
Cell Phone Holder ...........................$74
Part: ACC2007134
ACCESSORIES
Optional.
Back-Mounted Accessories
Optional. Only one back-mounted accessory can be used at a time. Includes mounting bracket and hardware.
Rear Basket (15.25″ × 9.75″ × 9.5″) .....................................$118
Part: ACC1610772
Cane/Crutch Holder ............................................................ $110
Part: ACC1610775. HCPCS: E2207
Oxygen Tank Holder ...........................................................$140
Part: ACC1610773. HCPCS: E2208
Walker Holder ..................................................................... $200
Part: ACC1610776
U-1 AGM Battery ....................................................................................................................................................... $140 ea. (2 required)
Part: BATLIQ1017. HCPCS: E2365
BATTERY UPGRADE
Optional. The power chair requires two batteries. U-1 batteries are automatically selected with a quick ship order.
Joystick Mounting Bracket
Optional. The Jazzy Air MED comes standard with an in-line joystick mount. An additional mount may be selected below.
Swing-Away Joystick Mounting Bracket, Left ..................... $245
Part: KIT1906945. HCPCS: E1028
Swing-Away Joystick Mounting Bracket, Right ..................$245
Part: KIT1905628. HCPCS: E1028
Swing-Away Leg Rest with 7.25″ × 6″ Foot Plates (pair) ....$162
Part: KIT2101481
Swing-Away Leg Rest with 8.5″ × 6″ Foot Plates (pair) ....$162
Part: KIT2101483
Armrest, Left (Flip-up, Height-Adjustable, Full-Length) ....$90
Part: ARM2007884. HCPCS: E0973
Armrest, Right (Flip-up, Height-Adjustable, Full-Length) ..$90
Part: ARM2007885 HCPCS: E0973
Elevating Leg Rests with 8.5″ × 6″ Foot Plates (pair) ....................................................................................................................... $325
Part: KIT2101484. HCPCS: K0195
LEGRESTS
Optional. Some adjustments may be needed upon receipt of the unit.
ARMRESTS
REQUIRED. These armrests are automatically selected with a quick ship order.
60° 9 0° Swing-Away Leg Rests
Adjustable in 5° increments.
Elevating Leg Rests
Leg Rest Accessories
Residual Limb Support, Left ...................................... $342 ea.
Part: FRMASMB5301. HCPCS: E1020
Residual Limb Support, Right ...................................$342 ea.
Part: FRMASMB5300. HCPCS: E1020
Heel Loops (pair), for Swing-Away Leg Rests ................. $53
Part: FRMASMB7873. HCPCS: E0951
Heel Loops (pair), for Elevating Leg Rests ...................... $53
Part: FRMASMB1503. HCPCS: E0951
50″ Lap Belt ............$39.90
Part: ACCBELT1000
70″ Lap Belt .............$39.90
Part: ACCBELT1003
80″ Lap Belt ............$39.90
Part: ACCBELT1004
90″ Lap Belt ............$39.90
Part: ACCBELT1001
ADDITIONAL LAP BELTS
Optional. The Jazzy Air MED comes standard with a 60″ lap belt. Additional sizes are available below.
INFINFB4560/RevA/15NOV2023 Page 3 of 3
Pride® Mobility Products Corporation
401 York Avenue, Duryea, PA 18642
Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com
© 2023 Pride Mobility Products Corp. All rights reserved.
youtube.com/
pridemobility
facebook.com/
PrideMobilityProductsCorp
twitter.com/
pridemobility
instagram.com/
PrideMobilityProducts
BRANCH PATCHES
Optional.
Air Force Patch ............................... $21
Part: ACC140240
Army Patch ..................................... $21
Part: ACC140241
Coast Guard Patch ........................ $21
Part: ACC140239
Marines Patch ................................. $21
Part: ACC140243
Navy Patch ...................................... $21
Part: ACC140244
Purple Heart Patch ........................ $21
Part: ACC140238
NOTES
Match selected seat width and depth see cushion order
form or cushion part number:
Non-matching cushion size see cushion order form or
cushion part number:
CUSHION QUICK PICK
Optional. Refer to the specic cushion order form for detailed pricing, sizes, codes, and part numbers. Check the non-matching box and attach
a cushion order form for a size other than the previously selected seat width and depth or enter part number below.
*Pride® FDA Class II Medical Devices are designed to aid individuals with mobility impairments.
  • Page 1 1
  • Page 2 2
  • Page 3 3

Pride Mobility Jazzy Air MED Owner's manual

Type
Owner's manual

Ask a question and I''ll find the answer in the document

Finding information in a document is now easier with AI