Invacare Formula - Manual (Page 74)

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.
#3 Back Cushion Assembly 16"-20" Wide
Overall
Back
Height
20" Wide
Material
Back
Height
16" Wide 17" Wide 18" Wide 19" Wide
1097401 1097400 1097399 1097398 1097397 15" 20"
1097408 1097407 1097406 1097405 1097404 16" 21"
1097415 1097414 1097413 1097412 1097411 17" 22"
1097422 1097421 1097420 1097419 1097418 18" 23"
1097429 1097428 1097427 1097426 1097425 19" 24"
1097436 1097435 1097434 1097433 1097432 20" 25"
1097443 1097442 1097441 1097440 1097439 21" 26"
Back cover and foam are sold as a back cushion assembly only. Chart reflects chair width and the actual back cushion width will be 1" wider
than the chair width.
#3 Back Cushion Assembly 21"-24" Wide
Overall
Back
Height
Material
Back
Height
21" Wide 22" Wide 23" Wide 24" Wide
1125545 1125544 1125543 1097402 15" 20"
1125548 1125547 1125546 1097409 16" 21"
1125551 1125550 1125549 1097416 17" 22"
1125554 1125553 1125552 1097423 18" 23"
1125557 1125556 1125555 1097430 19" 24"
1125560 1125559 1125558 1097437 20" 25"
1125563 1125562 1125561 1097444 21" 26"
Back cover and foam are sold as a back cushion assembly only. Chart reflects chair width and the actual back cushion width will be 1" wider
than the chair width.
73
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 04-041