Model:
SB02-NB
HCPCS Code:
E2617

Custom Solid Mild Contour Back Insert, 15" to 20" in width and height, made of a ½" of HDPE (High Density Polyethylene), a mild contour foam module (Medium Package 1" Soft Sunmate on ½" Medium Sunmate), a zippered Black Neoprene (Rubatex) cover and secured by depth/angle adjustable steel mounting hardware (standard duty 4ea. L-Brackets w/4 holes, 4ea. J-Hooks w/1 countersunk hole & 4ea. horseshoe clamps for 1" tubing ). (T-Nuts installed to accept a pair of aluminum tracks for future mounting of Lateral Trunk Supports and Lateral Hip/Thigh Supports). (Contour represents a 1½" difference in foam from lateral edges of back to the center of back)

MSRP:
$1,051.62
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Firm Package: ½” Soft Sunmate on 1” Medium Sunmate Medium Package: 1” Soft Sunmate on 1/2” Medium Sunmate Soft Package: ½” Soft Sunmate on ½” Confor on 1/2” Soft Sunmate Siliconize Foam on Back Build your Own Foam Combination for Back (Must Add Foam Choices) Custom Foam and Materials to Back Oversize Height (one unit every 2” over 20”) Oversize Width (one unit every 2” over 20”) for Back Shape Customization: Curved (rounded) top of back for Back Shape Customization: Bi-Angular Back (Adjustable), w/two brackets Shape Customization: ‘I’ cut out (lateral trunk support) for Back Shape Customization: Height, Depth & Angle Adjustable Lumbar Support for Back Shape Customization: Scapular cut outs for Back Shape Customization: ‘T’ cut out (lateral trunk and/or hip supports) for Back Custom Shape for Back Customization (via foam) of Back: Full width back with foam over canes for Back Customization (via foam) of Back Contour: deep lateral contour, full height for Back Customization (via foam) of Back Contour: internal lumbar roll for Back Customization (via foam) of Back Contour: mild lateral contour, full height for Back Customization (via foam) of Back Contour: mild lateral contour at pelvic area (Up to 30% of back height) for Back Customization (via foam) of Back Contour: deep lateral contour at pelvic area (Up to 30% of back height) for Back Customization (via foam) of Back Contour: reduce foam for scapular relief for Back Custom Back Contour for Back Removable/Washable Cover Additional Removable/Washable Cover
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