Conventional back without mounting hardware – Invacare Formula User Manual
Page 71
Conventional Back without Mounting Hardware
NOTE: Extruded back canes come in one back height only. Back cane material height for extruded back
canes measure approximately 20-1/2". Overall back height from the seat pan to top of the extruded back
cane is approximately 22-1/2". Only the Back Assembly needs to be replaced when changing back
heights.
NOTE: Hook Fastener Adhesive Kit must be ordered when a Back Pan or Back Assembly is requested.
This will allow the Loop Fastener Adhesive on the Back Cover to attach properly.
Item
Number
Part Number
Description
Note
Quantity Per
Package Assembly
See Chart
#1 Back Assembly without Hardware 16"-20" Wide
1
1
1
See Chart
#1 Back Assembly without Hardware 21"-24" Wide
1
1
1
See Chart
#2 Back Pan with Vinyl Edge Trim 16"-20" Wide
1
1
2
See Chart
#2 Back Pan with Vinyl Edge Trim 21"-24" Wide
1
1
2
See Chart
#3 Back Cushion Assembly 16"-20" Wide
1
1
3
See Chart
#3 Back Cushion Assembly 21"-24" Wide
1
1
3
1125723
Kit, Hook Fastener w/ Adhesive Back
1
1
4
A
1125724
Trim, Edge, Cut-To-Length, Vinyl Black (96" L)
1
1
5
A - Hook Fastener Adhesive kit is used to attach the Back Cover to the Back Pan and must be ordered when a new Back Pan
or Back Assembly is requested.
NOTE:
#1 Back Assembly without Hardware 16"-20" Wide
Overall
Back
Height
20" Wide
Material
Back
Height
16" Wide
17" Wide
18" Wide
19" Wide
1125568
1125567
1125566
1125565
1125564
15"
20"
1125577
1125576
1125575
1125574
1125573
16"
21"
1125586
1125585
1125584
1125583
1125582
17"
22"
1125595
1125594
1125593
1125592
1125591
18"
23"
1125604
1125603
1125602
1125601
1125600
19"
24"
1125613
1125612
1125611
1125610
1125609
20"
25"
1125622
1125621
1125620
1125619
1125618
21"
26"
#1 Back Assembly without Hardware 21"-24" Wide
Overall
Back
Height
Material
Back
Height
21" Wide
22" Wide
23" Wide
24" Wide
1125572
1125571
1125570
1125569
15"
20"
1125581
1125580
1125579
1125578
16"
21"
1125590
1125589
1125588
1125587
17"
22"
1125599
1125598
1125597
1125596
18"
23"
70
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 04-041