TOMTAR MR-LG Wheelchair
Completing the form on paper
Simply print out the order form, check the relevant component boxes to configure the product, sign the form and send it to us at: Fax: +49 7248.9186 – 86
Completing the form on a computer or tablet
lf you open the document in Acrobat, a menu bar highlighted in colour appears at the top edge. lf the option „Highlight Existing Fields“ is activated, all writeable and selectable fields will be displayed.
- Circular selection fields indicate that a selection has to be made within the chosen selection.
- Circular filled selection fields indicate that these options are included in the standard.
- Square selection fields are not subject to any conditions and are freely selectable and deselectable
Save the order form locally on your computer under a free selectable name and send it to our customer service via email / fax :
- [email protected]
- fax: +49 7248.9186 – 86
Printing errors, mistakes and changes to prices and products reserved. © DIETZ Gmbh REHA-PRODUKTE, Karlsbad This catalogue may be reprinted, in part or in full, only subject to the prior written consent of DIETZ GmbH, Karlsbad. You can find our general terms and conditions at: https://shop.dietz-group.de/allgemeine-geschaeftsbedingungen-agb
TOMTAR MR-LG
Ligthweight wheelchair
| TECHNICAL DATA | TOMTAR MR-LG |
| Colour frame | Mangan Grey Metallic |
| Seat width (mm) | 390 / 420 / 450 / 480 / 510 |
| Seat depth (mm) | 400 / (440) |
| Seat height (mm) | 510 (460 / 485) |
| Back height* (mm) | 390 – 480 |
| Overall width (mm) | 590 / 620 / 650 / 680 / 710 |
| Overall heigth* (mm) | 945 – 1030 |
| Overall length* (mm) | 1050 – 1110 |
| Overall length without legrests (mm) | 800 |
| Overall width folded (mm) | 310 |
| Armrest height* (mm) | 220 (235 / 250) |
| Armrest width* (mm) | 45 |
| Lower leg length* (mm) | 360 – 510 |
| Rear wheels (inch) | 24 |
| Front wheels (inch) | 7 |
| Max. user weight (kg) | 130 |
| Weight (kg)** | 15,8 |
Product details Basic configuration
- Corrosion resistant aluminium frame
- Drive wheels PU 24“ incl. quick release, aluminium push rims
- Swivel wheels 7“ PU
- S ide panels swiveling backwards and removable
- Armrests adjustable in desk- and long length and in height (30 mm)
- Legrests swiveling sideways / removable
- Footrests height and angel adjustable, with heel strap (velcro)
- Seat depth adjustable 400 > 440 mm
- Adjustable back (velcro)
- Push handles height adjustable
- Comfort backrest upholstery
- Wheelchair with drum brake selectable
- Crash test certified according to ISO 7176-19; Approved for passenger transport in a vehicle
- adjustable
- Seat width 45 with legrests, without drum brake
Order form TOMTAR MR-LG
Details to your order
| Healthcare supply store | ||
| Customer no. | ||
| Order | Offer based on selling price | Offer based on purchase price |
| Name of patient/commission | ||
| Delivery address | ||
| Comments | ||
| Company stamp | ||
| Date, signature | ||
Key dimensions and specifications
Together with the height and weight of the user, these are the key dimensions allowing us to align the wheelchair perfectly to the needs of the user
| Age of customer | ||
| Height (cm) | ||
| Weight (kg) | ||
| 1 | Seat width (cm) | |
| 2 | Seat depth (cm) Length of upper leg less two finger breadths | |
| 3 | Height of upholstered backrest (cm) From seat surface to below the shoulder blades | |
| 4 | Lower leg length (cm) For the correct height of the foot plate | |
| 5 | Seat height, front (cm) Length of lower leg + sufficient clearance between foot plate and ground (at least 4 cm) | |
| 6 | Seat height, back (cm) Depends on front seat height, seat angle and seat depth |
Designation Seat width
SELECT THE RIGHT SEAT WIDTH
| Seat width (cm) | 39 | 42 | 45 | 48 | 51 | |
| With locking brake | ||||||
| Item no* | 109039 | 109042 | 109045 | 109048 | 109051 | |
| Price* | 750,00 | 750,00 | 750,00 | 750,00 | 800,00 | |
| With drum + locking brake | ||||||
| Item no* | 109139 | 109142 | 109145 | 109148 | 109151 | |
| Price* | 900,00 | 900,00 | 900,00 | 900,00 | 950,00 | |
Selection Item no. Designation Notice EUROS
SELECT THE RIGHT SEAT HEIGHT
| Standard | Seat heigth 51 cm | assembled | 0,00 |
| 999949 | Seat heigth 48,5 cm | assembled | 25,00 |
| 999946 | Seat heigth 46 cm | assembled | 25,00 |
| The modification can be done by your specialist retailer without any additional material. | |||
OPTION WHEELBASE EXTENSION
| 196243 | Conversion to the extended wheelbase of 6,5 cm | assembled | 42,00 |
SELECT LEGRESTS
| Standard | Standard legrest / left, foot plates height- & angle adjustable | assembled | 0,00 |
| Standard | Standard legrest / right, foot plates height- & angle adjustable | assembled | 0,00 |
| 196098 | Amputee legrest, left | assembled | 120,90 |
| 196097 | Amputee legrest, right | assembled | 120,90 |
| 198079 | Elevating legrest, SW 39, left | assembled | 159,00 |
| 198080 | Elevating legrest, SW 39, right | assembled | 159,00 |
| 198081 | Elevating legrest, SW 42-45, left | assembled | 159,00 |
| 198082 | Elevating legrest, SW 42-45, right | assembled | 159,00 |
| 198083 | Elevating legrest, SW 48-51, left | assembled | 159,00 |
| 198084 | Elevating legrest, SW 48-51, right | assembled | 159,00 |
Order form TOMTAR MR-LG
OPTIONS OF POSITIONING
| Standard | Push handles (pair), height adjustable | assembled | 0,00 |
| Standard | Adjustable back (Velcro) | assembled | 0,00 |
SIDE PANELS WITH ARMRESTS
| Standard | Side panels, length adjustable (desk + long) and height adjustable (pair) | assembled | 0,00 |
| 196244 | Side panels, (pair) angled PU pad, height adjustable without tools | assembled | 163,00 |
HEMI – ARMRESTS
| 196311 | HEMI armrest, handpiece flat left, PU, 360° rotatable | 465 mm (length) | 381,00 |
| 196314 | HEMI armrest, handpiece flat right, PU, 360° rotatable | 465 mm (length) | 381,00 |
| 196312 | HEMI armrest, handpiece ergo left, PU, 360° rotatable | 477 mm (length) | 404,00 |
| 196313 | HEMI armrest, handpiece ergo right, PU, 360° rotatable | 477 mm (length) | 404,00 |
| 196310 | HEMI extension forearm shell, PU | 70 mm (length) | 70,00 |
| 404076 | Wheelchair set consisting of: Walking stick holder for 1-2 sticks, anti-tip wheels right and left, lap belt with 2-point seat belt lock „Press“ | 133,60 |
BASIC MODEL OPTIONS ACCORDING TO SEAT WIDTH
| 470060 | Activity tray (SW 39 – 45 cm) | 104,00 | |
| 470061 | Activity tray (SW 48 – 51 cm) | 126,00 |
| 196252 | Headrest with mounting (SW 42 – 51 cm) | 375,00 |
| 196236 | Anti-tipp – wheel, left | assembled | 43,00 |
| 196237 | Anti-tipp – wheel, right | assembled | 43,00 |
| 196240 | Brake lever extension, park brake, pair | assembled | 33,00 |
| 198069 | Spoke guard with fittings, transparent for drive wheel 24˝ | assembled | 88,00 |
| 402114 | Lap belt with press lock metal, 1800 mm adjustable in length | not suitable for car use | 29,00 |
| 196238 | Lap belt for seat width 39 – 45 (length 725-985 mm) | 29,00 | |
| 196239 | Lap belt for seat width 48 + 51 (length 985 – 1290 mm) | 29,00 |
| 190053 | Infusion holder, stainless steel with two arm holder of plastic, ca. 100 cm | 152,00 |
| 196256 | Push rim cover silicon, 24“ wheel, black/grooved | 64,00 | |
| 196257 | Push rim cover silicon, 24“ wheel, black/smooth | 64,00 |
| 196259 | Folding lock, black | 59,00 |
| 268 | Back print with customer logo/designation If you would like an individual back print, please contact us! | on request |
Produktgroup: Manual wheelchair Product: TOMTAR MR-LG DIETZ GmbH Reutäckerstraße 12 76307 Karlsbad
[email protected]
www.dietz-group.de
TOMTAR ist a registered trademark belonging to Dietz GmbH
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