Invacare Formula - Manual (Page 109)

Solid Straight Back Canes w/o Push Handles and
Mounting Hardware
Conventional Tilt and Tilt w/ BPO Option
Item
Number Part Number Description Note
Quantity Per
Package Assembly
1128394 Kit, Back Cane w/o Push Handle, Solid Straight w/
Plug Button - Right 1 1 1 A,B
1128395 Kit, Back Cane w/o Push Handle, Solid Straight w/
Plug Button - Left 1 1 1 A,B
1128396 Kit, Back Canes w/o Push Handle, Solid Straight w/
Plug Button (Pair) 1 1 1 A
1027097 Plug Button, Black (3/4") 1 1 2
1125733 Kit, Solid Straight Back Cane w/o Push Handle,
Mounting Hardware 1 1 3 C
Washer, Flat (21/64 x 53/64 x 7/64") 1 2 4
Screw, Hex Head (5/16-18 x 1") 1 2 5
Locknut (5/16-18) 1 2 6
1079247 Washer, Flat (21/64 x 53/64 x 7/64") 1 2 4
1028478 Screw, Hex Head (5/16-18 x 1-1/4") 1 2 5
1026158 Locknut (5/16-18) 1 2 6
A - Back height from the seat pan to the top of the back cane will measure approximately 20-1/2" high.
B - After 4/3/05 ALL Solid Straight Back Canes have a hole bored out to accommodate a Push Handle Attachment Option. For
chairs manufactured before 4/4/05 it is recommended to order back canes in pairs to match.
C - Includes items 4-6
NOTE:
108
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 04-041