MOBILITY AND BATH Medical Supplies Catalog

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1 INUED DISCONTINUED DISCONTINUED DISCON MOBILITY AND BATH Medical Supplies Catalog MAYO CLINIC STORE Solutions for Healthier Living

2 Table of Contents Walking Aids... 3 Walkers... 6 Walker Accessories... 7 Bathroom Safety Commodes/Bath Benches Transfer Benches Rolling Walkers Rolling Walker Accessories Transport Chairs Wheelchairs Ordering Information Order Form offered for the benefit and convenience of Mayo Clinic patients everywhere The Mayo Clinic Store Catalog features a variety of supplies for use. This catalog is a continuation of the service provided in the Mayo Clinic Stores and represents some of the products our physicians find most useful. Products were carefully chosen for reliability and value. As a not-for-profit organization, proceeds from products purchased in our catalog support medical education and research at Mayo Clinic. This important work helps enhance the lives and well-being of people all around the world. Established in the late 1800s by Minnesota doctors William and Charles Mayo, Mayo Clinic is now one of the world s largest group practices staffed with more than 2,000 physicians dedicated to continuing the Mayo heritage of medical excellence and to providing caring, individual attention to each patient. PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRODUCTS AND SERVICES NOT AVAILABLE AT ALL LOCATIONS. 2

3 Folding Travel Canes Lightweight adjustable canes have ergonomic wooden handles and fold easily to be taken anywhere. Walking Aids All folding canes have an adjustable height of 33" to 37", are 3/4" in diameter and have a 250 lb weight capacity. Item # Description Colors 3010 Folding cane with derby wooden handle black, bronze 3011 Folding cane with derby wooden handle white with blue flowers 3012 Folding cane with derby wooden handle green with paisley 3013 Folding cane with derby wooden handle burberry green 3014 Folding cane with derby wooden handle black with small flowers 3015 Folding cane with derby wooden handle leopard Weight 1 lb; Tip size $ Folding Seat Cane Lightweight aluminum construction. A comfortable seat and sturdy cane that is ideal for shoppers, strollers or golfers. Adjustable seat height of 18-22". Weight capacity 225 lb Seat size 8" d x 10" w Weight 2 lb Tip size $32.95 Leg Caddy The Leg Caddy is a patient-powered knee scooter useful for mobility when the foot or ankle cannot bear weight. If you cannot put weight on a foot or ankle because of injury, illness or surgery, a knee scooter may be just what you need. The Leg Caddy offers mobility necessary to remain active and independent. Knee scooters avoid underarm discomfort, balance problems and other adverse consequences of crutches and walkers. A Leg Caddy allows you to: Return to normal activity quickly Avoid injury to wrist, arm and shoulders from crutches Use your hands freely when in a parked position Protect your injured foot/ankle Have maximum mobility The Leg Caddy is available for rent for $125 per month. Patients can purchase the Leg Caddy for $500. Weight 29 lb Weight capacity 400 lb Overall dimensions 18"W x 32.25"L Handle Height Adjustment: 30.25" 37.25" Item # Patient Height TKW-13 5'4" 6'6" $ Mayo Clinic Store Order Toll-Free Fax

4 Walking Aids Designer Aluminum Offset Canes Lightweight and adjustable offset canes feature soft synthetic rubber handles and a convenient carrying strap. All designer canes have an adjustable height of 30" to 39", are 7/8" in diameter and have a 300 lb weight capacity. Item # Description Height Adjustment Weight Cap Colors 1070 Cane 30" 39" 300 lbs asst 1080 Cane Bariatric 30" 39" 500 lbs black $24.95 Designer Aluminum Straight Canes Lightweight and adjustable straight canes feature ergonomic wood handles. The attractive designer styles are fade and chip resistant. These aluminum canes are durable and fashionable. All designer canes have an adjustable height of 30" to 39", are 7/8" in diameter and have a 250 lb weight capacity. $24.95 Quad Canes Lightweight design and low center of gravity combine for greater stability and balance. The synthetic rubber offset handle rotates for use with either the left or right hand. Item # Description Height Adjustment Diameter Weight Cap Colors 5620 Small base quad cane 29" 38" 7/8" 250 lb black, bronze $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

5 Crutches Push-button height adjustment Marked height for easy adjustments 250 lb weight capacity Sold in pairs Walking Aids Item # Patient Height Weight Cap MdsV80534S 5'10" 6'6" 350 lb $39.95 MdsV80535S 5'2" 5'10" 300 lb $39.95 MdsV '6" 5'2" 250 lb $ P Adjustable and lightweight Comfortable handle designs Heavy-duty tips Sold in pairs Tip size P Item # Description Patient Height Weight Cap 7710P Adult forearm crutch 5'3" 6'2" 300 lb $ P Youth forearm crutch 4'5" 5'5" 300 lb $99.95 Cane and Crutch Accessories /10020 Item # Description Colors Cane rubber tip for 3/4" shaft black, brown $ Cane rubber tip for 5/8" shaft black $ Quad cane rubber tip for 1/2" shaft black $ Quad cane rubber tip for 5/8" shaft black $ Rubber underarm pad gray $6.45 G00017 Rubber handgrip gray $ Rubber tip gray $ BK Quad tip black $ BK Mayo Clinic Store Order Toll-Free Fax

6 Walkers Folding Walkers Heavy-duty rubber hand grips on all models Reinforced rubber tips last longer Lightweight aluminum frames User-friendly instructions included with every unit Easy-release folding mechanism 4090 Folding Walker Dual-Button Release Dual-button release provides greater security. Folds to 4" wide for easy transport and storage. Durable skid-resistant rubber tips 4090 Tip size 40024; Width between handles 17"; Overall width 23"; Weight 7 lb Item # Description Height Adjustment Diameter Weight Cap. Patient Height 4090D Adult folding walker 32" 38" 1" 300 lb 5'4" 6'2" $ Y Youth folding walker 29" 33" 1" 300 lb 5'0" 5'5" $ DW5 Adult folding walker with 5" fixed wheels 32" 38" 1" 300 lb 5'4" 6'2" $ YW5 Youth folding walker with 5" fixed wheels 29" 33" 1" 300 lb 5'0" 5'5" $ Wide adult folding walker with 5" fixed wheels 32" 38" 1" 400 lb 5'4" 6'2" $ Wide youth folding walker with 5" fixed wheels 29" 33" 1" 400 lb 4'7" 5'3" $ Walker Platform Attachments 7702 Walker Platform Attachment This walker platform attachment provides a secure platform and support using the individual's forearm and shoulder rather than grip strength. The walker handle platform can be rotated forward or backwards and attaches to most walkers. Sold by each 7702 Walker Platform Attachment $ Crutch Platform Attachment Padded attachment for people who can't bear weight on their hands Acts as a padded armrest with hand grip Attaches to crutch with supplied hardware at user defined angle for maximum comfort Adjustable strap keeps arm securely fastened Sold by each 7706 Crutch Platform Attachment $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

7 Walker Accessories 4070/4090 Series Accessories 1 1/8" Diameter - Silver 410SI 5" fixed wheels $ SI 5" swivel wheels $50.95 Walker Accessories Folding Walker Tips Black 412, 422, 4070/4090 series $ B Walker Basket Heavy gauge durable steel Attaches securely to walker with four Velcro strips Includes plastic tray Retail boxed $ T Folding Walker Tray Carry items from room to room Folds down when not in use Cup holders prevent drink spills Installs easily Retail boxed Fits the Nova 4090 Walker $34.95 Mayo Clinic Store Order Toll-Free Fax

8 Bathroom Safety 6081 IV Stand (2-Hook) Removable top allows for easy transport Converts from 2-hook to 4-hook with push-button release Swivel castors for easy maneuverability Locking collar allows for easy height adjustment Weighted base provides stability $44.95 Bathroom Safety Over 60% of falls occur at home with the majority in the bathroom Use an elevated toilet seat on the commode and a tub grab bar to get in and out of the bathtub A bath bench with back provides comfort and safety when bathing or showering. This should be used with a hand-held shower Use a nonskid bathmat or adhesive strips in the bathtub and on the shower floor Stool with Handle Easily reach objects out of grasp; convenient handrail steadies you Safely step up to higher beds or vehicles Non-slip textured matting and reinforced rubber tips add stability; contains latex Stool platform dimensions: 10" x 14" x 9.5" Handrail height: 34"; weight capacity: 250 lbs $ R 9350-R Rubber Bathmat Attaches securely to tub surface and helps prevent slipping Antifungal treated 16" x 28" $12.95 Grab Bars The telescoping grip offers a unique extendable handle that allows the portable grab bar to lengthen and shorten as necessary to adjust to the specific needs of the user. This portable grab bar extends where others fall short. The telescoping handle allows for a longer hand holding area without giving up safety or portability. bc201 13" grab bar grab bar suction $74.95 (fits 5" tile) bc500m Telescoping 19" to 24" grab bar $ (fits 5" tile) bc6000 Telescoping 15" to 18" grab bar $89.95 (fits 4" tile) 8 Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

9 Ivory Powder-Coated Grab Bars 1.5" wall stand-off 2.5" fixed flange Rubber gaskets Chrome Wall Grab Bars 1.5" wall stand-off 2.5" fixed flange Rubber gaskets Bathroom Safety 8200-R 08016PC-R 08018PC-R 08024PC-R 08016CH-R 08018CH-R 08024CH-R 8200R Adjustable Toilet Safety Rails One-piece mounting flange for easy width adjustment Bolts securely to toilet Height adjusts from 26" 30" Width adjusts from 18" 21" Weight capacity 250 lb $ Tub Grab Bar Made of 1" powder-coated steel tubing Rubber contact points Clamp adjusts from 3" 7" Height 12" Width 6" Weight capacity 275 lb R 9300-R Hand-Held Shower Set Mounts easily to existing shower head Extra long 88" hose Includes wall-mounted holder $28.95 $44.95 Mayo Clinic Store Order Toll-Free Fax

10 Bathroom Safety 8353-R R 5" Locking Raised Toilet Seat With Arms Seat dimensions 20" w x 16" d Width between arms 17" Aperture dimensions 8" w x 9.5" d $ Ez Adjust Bed Rail The only bed rail that adjusts in length after installation. Works well as a side rail to keep you from falling out of bed, as well as a support bar for getting in and out of bed. It adjusts from 26" to 34" to 42" with the push of a button. The rail also folds down and out of the way when it isn't in use. Can be installed on either side of the bed in between the mattress and box spring. Includes a dual safety strap that secures it to the bed frame. Works well on any size home or hospital bed rail, and at 23" high it accommodates the thicker pillow top mattresses. $ R 5" Raised Toilet Seat Extra-large hole cutout Extra-large seating area Rubber pads help prevent seat from moving Hygienic cutout $ R - 5" Raised Toilet Seat Elongated $ R #1 Retail Seller " Safety Bed Rail This bed rail works well as a side rail to keep you from falling out of bed and as a support bar for getting in and out of bed. The safety bed rail folds down and out of the way when it isn t in use. Attaches to any size home or hospital bed with included dual safety strap, and at 23" high will accommodate taller pillow top mattresses. $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

11 Bathroom Safety Moen Shower Chair DN7100 Glacier finish for a bright, pure white look Limited lifetime warranty Innovative leg design for superior stability Easy grip support handles 400 lb weight capacity Reinforced mesh material comfortable and easy to clean Ergonomic back design Anti-slip rubber feet Adjustable height (15" to 21") $ Moen Shower Bench DN7105 Glacier finish for a bright, pure white look Limited lifetime warranty Innovative leg design for superior stability Easy grip support handle 400 lb weight capacity Spacious seat with rounded end for easy transfer (25" w x 18" d) Ergonomic back design Anti-slip rubber feet Adjustable height (16.5" to 21") $ Moen Tub Grip DN7175 Glacier finish for a bright, pure white look Limited lifetime warranty Locking feature provides superior stability Large suction pads clamp tightly and eliminate movement 350 lb weight capacity Ergonomic handle with anti slip grip Fits most tubs Won't scratch or damage bath tub Adjustable width (2.75" to 5.5") $66.45 $59.95 Moen Hand-Held Shower Head DN8001ch Chrome finish to create a bright, highly reflective, cool gray metallic look Limited lifetime warranty Mayo Clinic Store Order Toll-Free Fax

12 Commodes/Bath Benches #1 Retail Sellers Deluxe Adjustable Bath Bench With Red Safety Handle Contoured back easily slides into seat Safety handle provides support and balance when entering and exiting the bathtub Handle can be attached to either side and additional handles can be added Large seat for more comfortable seating Multiple drainage holes Nonskid rubber tips Available in retail box Overall dimensions 17" d x 17" w Item # Description Adjustment From Seat Dimension Weight Cap 9100 Adj deluxe shower bench with back 15" 21" 16" d x 20" w 300 lb $ Adj deluxe shower bench with out back 15" 21" 16" d x 20" w 300 lb $ R Red Bathroom Safety Handle $ R Adjustable Shower Stool Great for use in small areas Height adjustment " to 20.5" Seat dimensions 13" x 13" Overall dimensions 14.5" d x 15" w s $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

13 8582 Transfer Benches 8700R 8700R Folding Commode Includes back, pail, splash guard Durable welded frame is easy to clean and maintain Powder coating resists rust Back attaches quickly with wing nuts Seat height adjustment 15.75" " Overall width 24" Width between arms 18" Seat depth to backrest 17.5" $ Heavy-Duty Commode No tools required White powder-coated aluminum frame Removable backrest Height adjustment 19.75" " Seat size 18.5" d x 23" w Overall width 33" Overall depth 21" Width between arms 26.5" Toilet seat opening 10" d x 8" w Weight 23 lb $ lb Weight Capacity No Tools Required 500 lb Weight Capacity Economy Transfer Bench With Back Removable back No tools required Nonskid suction tips Durable aluminum frame Height adjustment 18" - 22" Seat dimensions 16" d x 26" w Overall dimensions 21" d x 30" w $ Heavy-Duty Transfer Bench Aluminum anodized frame Heavy-duty blow-molded seat Removable back Height adjust 17" - 19" Overall width 21" d x 30" w Seat dimensions 16" d x 27.5" w $ Mayo Clinic Store Order Toll-Free Fax

14 Rolling Walkers The Zoom Series Zoom The Zoom 18 has a generously padded seat. All Walkers in the Zoom series include a pouch to provide more privacy and allow users to quickly fold the walker for storage or transport. Other features are large 8" tires, flip up back and self-threading height adjustment knobs. Weight 15.5 lb Handle adjustment 26.5" - 31" Seat height 18" Seat width 14" Width between handles 17.5" Overall dimensions 24.5" d x 24.5" w Color blue, red Approximate patient height 4'10" - 5'4" Wheel-Size 8" $ Zoom The Zoom 20 has a generously padded seat. All Walkers in the Zoom series include a pouch to provide more privacy and allow users to quickly fold the walker for storage or transport. Other features are large 8" tires, flip up back and self-threading height adjustment knobs. Weight 16.5 lb Handle adjustment 29.5" - 34" Seat height 20" Seat width 14" Width between handles 17.5" Overall dimensions 25.5" d x 24.5" w Color blue, red Approximate patient height 5'2" - 5'8" Wheel Size 8" $ Zoom The Zoom 22 has a generously padded seat. All Walkers in the Zoom series include a pouch to provide more privacy and allow users to quickly fold the walker for storage or transport. Other features are large 8" tires, flip up back and self-threading height adjustment knobs. Weight 16.5 lb Handle adjustment 31.5" - 36" Seat height 22" Seat width 13.5" Width between handles 17.5" Overall dimensions 26.5" d x 24.5" w Color blue, red Approximate patient height 5'5" - 6'1" Wheel Size 8" $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

15 Zoom The Zoom 24 has a generously padded seat. All Walkers in the Zoom series include a pouch to provide more privacy and allow users to quickly fold the walker for storage or transport. Other features are large 8" tires, flip up back and self-threading height adjustment knobs. Weight 16.5 lb Handle adjustment 33.5" - 38" Seat height 24" Seat width 14" Width between handles 17.5" Overall dimensions 24.5" d x 24.5" w Color blue, red Approximate patient height 5'5" - 6'2" Wheel-Size 8" Rolling Walkers $ Cruiser Deluxe 4202 The new and improved Cruiser Deluxe is the best value in lightweight rolling walkers. This versatile lightweight walker comes with the patented Feather Touch" hand braking system, large 8" wheels, contoured removable back, wider seat with built-in seat pad and anatomical hand grips. The Cruiser Deluxe is perfect for indoor and outdoor use. (Basket included.) Weight 17.5 lb Handle height 32"- 36" Seat dimensions 17" x 12.5" Seat height 20.5" Width between handles 19" Overall dimensions 23" w x 28" d Color blue, red Approximate patient height 5'4" - 6'0" $ Cruiser Deluxe Junior 4207 The new and improved Cruiser Deluxe Junior has a lower handle adjustment (30.5") and seat height (19") than the Cruiser Deluxe. This versatile lightweight walker comes with the patented Feather Touch" hand braking system, 6" wheels, contoured removable back, wider seat with built-in seat pad and anatomical hand grips. The Cruiser Deluxe Junior is perfect for indoor and outdoor use. (Basket included.) Weight 16.5 lb Handle height 30.5" " Seat dimensions 17" x 12.5" Seat height 19" Width between handles 19" Overall dimensions 26" d x 23" w Color red Approximate patient height 4'11" - 5'5" $ Mayo Clinic Store Order Toll-Free Fax

16 Rolling Walkers Vibe Petite Rd The Vibe Petite is the lightest 4-wheeled walker available with hand brakes. This versatile walker combines a lightweight frame with our patented Feather Touch" hand braking system. Easy to lift and perfect for strolling outdoors. Weight 14 lb Handle adjustment 28.25" - 32" Seat height 18" Seat width 12" Width between handles 17.5" Overall dimensions 23.5" d x 24.5" w Approximate patient height 4'10" - 5'4" Color red Optional accessories tray, cover bag, hanging walker bag, cup holder, travel bag $ Vibe 4236 The Vibe is the lightest 4-wheeled walker available with hand brakes. This versatile walker combines a lightweight frame with our patented Feather Touch" hand braking system. Easy to lift and perfect for strolling outdoors. Weight 14.5 lb Handle adjustment 32" - 37" Seat height 22" Seat width 12" Width between handles 17.5" Overall dimensions 25" d x 24" w Overall dimensions folded 9.5" d x 24" w x 36" l Approximate patient height 5'4" - 6'1" Color blue, red Optional accessories hanging walker bag, cup holder, travel bag $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

17 The Max Series Mini Mack 4214 The Mini Mack offers oversized padded seats (2" - 3" wider than conventional walkers) that allow greater user comfort when resting. The Mini Mack has a lower seat height (19") for petite users. The 8" solid oversize wheels will never puncture and provide a soft ride on any terrain. (Basket included.) Weight capacity 400 lb Weight 20.5 lb Handle adjustment 30" " Seat height 19" Seat width 17" x 12.5" Width between handles 20" Overall dimensions 24.5" d x 24.5" w Overall dimensions folded 10" d x 24.5" w x 31" l Approximate patient height 4'11" - 5'5" Color blue, red Basket dimensions 7" d x 17" w x 6" l Optional accessories tray, basket cover bag, hanging walker bag, cup holder, travel bag Rolling Walkers $ lb Weight Capacity Mack 4215 The Mack walker offers oversized padded seats (2" - 3" wider than conventional walkers) that allow greater user comfort when resting. The 8" solid oversize wheels will never puncture and provide a soft ride on any terrain. (Basket included.) Weight capacity 400 lb Weight 21.5 lb Handle adjustment 34.5" - 39" Seat height 22.5" Seat width 17" x 12.5" Width between handles 20" Overall dimensions 26" d x 24.5" w Overall dimensions folded 10" d x 24.5" w x 31" l Approximate patient height 5'5" - 6'2" Color blue, red Basket dimensions 7" d x 17" w x 6" l Optional accessories tray, basket cover bag, hanging walker bag, cup holder, travel bag $ lb Weight Capacity Mighty Mack 4216 The Mighty Mack is the heaviest duty rolling walker that is functional for the user. The Mighty Mack supports up to a 600 lb weight capacity, but still fits through doorways and into cars to give the user indoor and outdoor independence. The Mighty Mack has the signature extra-wide (20") oversized padded seat. Heavy-duty bearings and 8" solid wheels provide added security and support. Weight capacity 600 lb Weight of walker 24 lb Seat dimensions 14" x 20" Seat height 22" Handle height 30.5" " Width between handles 23.5" Overall dimensions 26" d x 28" w $ Overall dimensions folded 11" d x 28" w x 33" l Approximate patient height 5'5" - 6'0" Color blue, red Basket dimensions 6" d x 16" w x 10" l Optional accessories tray, basket cover bag, cup holder, hanging walker bag 600 lb Weight Capacity Mayo Clinic Store Order Toll-Free Fax

18 Rolling Walkers Cruiser De-Light 4010 The Cruiser De-Light is the only 4-wheeled rolling walker that folds just like a standard folding walker. This versatile walker folds compactly for easy storage and transport plus features an extra-wide seat with a built-in removable seat pad. The Cruiser De-Light combines a lightweight frame with the patented Feather Touch" hand braking system. (Basket not included.) Weight capacity 250 lb Weight 16 lb Handle adjustment 34.25" " Seat dimensions 10.5" d x 15.5" w Seat height 19.5" " Width between handles 18" Overall dimensions 23" d x 27" w Overall dimensions folded 7" d x 27" w x 35" l Approximate patient height 5'4" - 6'2" Color blue Basket dimensions 7" d x 19" w x 7" l Optional accessories basket, tray, cup holder $ Traveler 4900 The Traveler is a light and maneuverable 3-wheeled walker. The solid 8" wheels will never puncture and provide a smooth ride on any terrain. Great for the person who does not require the stability of a 4-wheeled walker. (Basket, tray and pouch included.) Weight capacity 250 lb Weight 15 lb Handle adjustment 31.5"- 35.5" Overall dimensions 22" d x 26" w Overall dimensions folded 24" d x 10" w x 30" l Approximate patient height 5'4" - 6'0" Color red Basket dimensions 10" d x 10" w x 9" l Optional accessories travel walker bag, cup holder $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

19 Rolling Walker Accessories Hanging Walker Pouch Fits all folding and 4200 series walkers Water-resistant Item #4001WP $19.95 Rubber Seat Pad 1/2" thick rubber helps reduce back fatigue when resting Attaches to plastic seat with 4 screws Item #4200RS (for 4200, 4203, 4212) $26.95 Velcros to front crossbar of folding walker or backrest of 4200 series Extra storage for lightweight objects 4203RS 4001WP Rolling Walker Accessories Drink Holder Attaches easily to all rolling walkers Expands to fit different size items Folds up when not in use CH-1000 Item #CH-1000 $19.95 Plastic Food Tray (not pictured) Optional accessory on 4200 series Fits on plastic seat and rubber seat pad Can be used as a lunch or dinner tray Item #4000T $19.95 Basket Cover Bag Easy access Velcro top Water-resistant 4218P Item #4200P (for 4202/4207 basket) (for basket with inward facing hooks) $19.95 Mayo Clinic Store Order Toll-Free Fax

20 Transport Chairs Lightweight Transport Chairs 329B/R-19 Blue/Red Lightweight aluminum frame (19 lb) makes loading easier Fixed full-length arms Quick release fold-down back Padded upholstery and armrests Locking rear wheels Removable footrests Seat belt included for added safety Nonskid footplates with heel loops Red metallic finish for added style Only 19 lb $ B/R Lightweight aluminum frame (22 lb) makes loading easier 12" rear wheels provide more comfortable ride Fixed full-length arms Quick release fold-down back Padded upholstery and armrests Locking rear wheels Removable footrests Nonskid footplates with heel loops Blue or red metallic finish for added style Seat belt included for added safety Hand brakes provide optimum safety and control $ Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

21 Nova Lightweight Wheelchair The Lightweight Wheelchair by Nova is the perfect chair for everyday use. It comes equipped with flip back desk arms, as well as elevating leg rests. It also features flame retardant black nylon upholstery. Industry compatible accessories are also available. Wheelchairs Frame Model 7180LE 7200LE Seat width 18" 20" Seat height 20" 20" Weight - without footrest 33 lb 33 lb Weight capacity 300 lb 300 lb 7180LE - $ LE - $ Mayo Clinic Store Order Toll-Free Fax

22 Ordering Information Order Processing All orders are processed when payment is received. Therefore, if you are paying by check your order may be delayed for up to one week. Items are shipped immediately if participating insurance coverage is available and required documentation is complete. Back Orders Our fill rates are among the highest in the industry. It is our policy to pay freight on back orders. Returns & Exchanges We will accept returns on most products purchased within 30 days for a merchandise refund or exchange. Products beyond 30 days from date of purchase, special orders and shipping and/or handling charges are not returnable or refundable.» All merchandise returns or exchanges must have the original receipt and are subject to inspection and must be in resalable condition and contain the original packing materials, manuals and blank warranty cards. Any merchandise deemed unsuitable for resale will not be accepted for exchange or refund.» Due to health regulations, sanitary and safety concerns, merchandise that has come into direct contact with the human body or has been worn cannot be returned or exchanged. Contact Customer Service at for complete details prior to placing your order.» Mayo Clinic Store will only pay return shipping costs if returned items shipped due to our error.» Refunds will be issued via original payment method.» Return Merchandise Authorization (RMA) number must be obtained from our Customer Service Department for any and all returns.! To obtain your RMA number, simply call toll-free at during our hours of operation.! Item(s) being returned must be returned within 10 days of receiving your Return Merchandise Authorization number. To view catalog online, go to Medicare Claim Filing Policy Mayo Clinic Store will file a Medicare B claim form on your behalf. However, YOU AND YOUR PHYSICIAN MUST provide us with the following information:» Name and address of the Medicare recipient» Medicare number» Date of birth» Your doctor s prescription for the item (signed and dated on or before the date of your order) with:» Doctor s National Provider Identifier Number» Diagnosis code and description Please mail the necessary papers and information with your order. Inquiries about reimbursement should be made through your Medicare office. Please allow 10 to 12 weeks for reimbursement. Please Note» Mayo Clinic Store does not guarantee Medicare reimbursement. Reimbursement is based on Medicare s assessment of the patient s need. Reimbursement amount is determined by Medicare and may vary from state to state. This may be less than the purchase amount.» Medicare will send the explanation of benefits and any reimbursement directly to the beneficiary.» Certain items in this catalog may require a Certificate of Medical Necessity (CMN) to be completed by the patient s doctor. We will send the appropriate CMN to your doctor once we have received the prescription. Please note that a claim requiring a CMN takes longer to process.» Please be aware: Medicare may change the allowable without notice to you. Private Insurance Claim Filing Policy If you have private insurance, we will gladly file a claim to your insurance company. At the time of your order, you will need to provide us with your insurance information, policy number, date of birth and diagnosis information. Prices are subject to change without notice. Products and Services not available at all locations. Order by Telephone Call toll-free prompt #1. Our customer service representatives are available Monday through Friday, from 8 a.m. to 5 p.m. Central time. Please have your VISA, MasterCard, American Express or Discover Card available. Order by Fax Fax your order to hours a day, seven days a week. Can t Find It? We Have It! If you are unable to find what you re looking for, kindly contact our friendly sales team and we ll find it for you. 22 Mayo Clinic Store Proceeds from products purchased support medical research and education at Mayo Clinic.

23 Order Form MAYO CLINIC STORE 21 2ND STREET SW, SUITE 1-50 ROCHESTER, MN ORDER TOLL-FREE: FAX YOUR ORDER: SHIP TO NAME ORDERED BY NAME DAYTIME PHONE STREET ADDRESS (CANNOT DELIVER TO P.O. BOX) CITY/STATE/ZIP COUNTRY (IF OTHER THAN U.S.) DAYTIME PHONE ADDRESS (OPTIONAL) PATIENT NAME (IF DIFFERENT FROM ABOVE) MAYO CLINIC PATIENT ID # (IF APPLICABLE) REMOVE PAGE ALONG DASHED LINE TO FAX ORDER FORM PRODUCT INFORMATION ITEM # PRODUCT DESCRIPTION SIZE PRICE EACH* QTY. TOTAL *PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRODUCTS AND SERVICES NOT AVAILABLE AT ALL LOCATIONS. METHOD OF PAYMENT CHECK OR MONEY ORDER ENCLOSED (MAKE PAYABLE TO MAYO CLINIC STORE) PRICE TOTALS SUBTOTAL $ CHARGE (SELECT CARD TYPE BELOW) VISA MASTERCARD AMERICAN EXPRESS DISCOVER TAX (IF APPLICABLE) TAXES MAY VARY PER STATE $ CREDIT CARD NUMBER EXPIRES SHIPPING (IF APPLICABLE) $ SIGNATURE TOTAL $ PLEASE CHECK IF YOU WOULD LIKE US TO FILE YOUR MEDICARE CLAIM. SHIPPING AND HANDLING (CONTINENTAL U.S.) ORDERS TOTALING UP TO $125 WILL HAVE A FLAT $9.95 SHIPPING CHARGE (BULK ITEMS EXTRA). ORDERS OF MORE THAN $125 WILL BE SHIPPED FREE OF CHARGE. WE CAN PROVIDE PREMIUM SHIPPING SERVICES INCLUDING NEXT DAY AND SECOND DAY. CHARGES FOR PREMIUM SHIPPING SERVICES WILL BE ADDED TO THE INVOICE. INTERNATIONAL ORDERS WILL BE CHARGED ACCORDING TO THE DESTINATION. Mayo Clinic Store Order Toll-Free Fax

24 Solutions for Healthier Living call to order a free catalog below... Our convenient store locations and hours call ~ 8:00 a.m. to 5:00 p.m. Central time ~ Monday through Friday Mayo Clinic Store Siebens Building, Subway Level Rochester, Minnesota Mayo Clinic Store Mastectomy and Compression Products Kahler Plaza, Subway Level Rochester, Minnesota Mayo Clinic Store Sleep Apnea Supply Gonda Building, 17th Floor Rochester, Minnesota Mayo Clinic Store Hope and Healing Eisenberg Building Subway Level Rochester, Minnesota Mayo Clinic Store Flower of Hope 5881 E. Mayo Blvd #3-105 Phoenix, Arizona Mayo Clinic Store Mayo Clinic Health System Albert Lea 404 West Fountain Street Albert Lea, Minnesota Mayo Clinic Store Mayo Clinic Health System Austin 1000 First Drive NW Austin, Minnesota Mayo Clinic Store Mayo Clinic Health System Fairmont 800 Medical Center Drive Fairmont, Minnesota Mayo Clinic Store Mayo Clinic Health System La Crosse th Street South La Crosse, Wisconsin Mayo Clinic Store Mayo Clinic Health System Mankato 1400 Madison Ave., Suite 100A Mankato, Minnesota Mail-Order Service Rochester, Minnesota Proceeds from products purchased support medical research and education at Mayo Clinic. This catalog is intended for the use of patients and employees of Mayo Clinic. MC rev0616

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