SUPERSTAND ® III

Order Form / Price List

Pediatric Multi-Position Standing System

Effective 9-1-18

SUPERSTAND YOUTH
 
Client:
Age:
Height:
Weight:
Dx:
Address:
City, St, Zip:
Phone:
Facility:
Therapist:
Phone:
 
 
PO:
Date:
Dealer:
Contact:
Address:
City, St, Zip:
Phone:
Fax:
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SUPERSTAND
Multi-Position Pediatric Standing System
SUPERSTAND YOUTH

Standard Features: Prone, Vertical and Supine capable; Hip and chest positioning pads with laterals; Headrest; Chinrest; Cotton support harness; Hands free standing angle adjustment; Width, height and depth adjustable knee system; Soft hip support pad;Individual planter-flexion, dorsi-flexion, rotation and height adjustable foot system; Adjustable heel loops; Toe straps; Adjustment lock out block and Base with 3" plastic casters.

SUPERSTAND
Client Height: Supine 26" - 48"
Prone 30" - 50"
$2,995.00
Weight Limit 125 pounds
Base: 21" wide x 40" deep
SUPERSTAND YOUTH
Client Height: Supine 26" - 48"
Prone 40" - 60"
$3,695.00
Weight Limit 150 pounds
Base: 24" wide x 48" deep
Frame Colors:
Black
Candy Red
Candy Blue
Candy Purple
Shocker Green
Neon Orange
Neon Pink
White
Razzberry
Upholstery Color:
Red
Blue
Black
Custom Upholstery:
Customer Supplied Material
Requested Color
Harness Color:
Red
Black Denim
Blue Denim
Black Vinyl
Blue Vinyl
Red Vinyl
Lateral Pads and Bracket:

Superstand is standard with 3 1/2" H x 3 1/2" D Chest Laterals and 5 1/2" H x 4"D Hip Laterals with 90 Degreee Brackets.

Superstand Youth is standard with 6 1/2"H x 4 1/2" D Chest Laterals and 6 1/2"H x 4 1/2"D Hip Laterals with 90 Degree Brackets.

Chest Pad Brackets:
90 Std.
1" Offset
2" Offset Upgrade"
Hip Pad Brackets:
90 Std.
1" Offset
2" Offset Upgrade"
 
Superstand
90 Degree
Width adjustment from 9" - 13"
1" Offset
Width adjustment from 7" - 11"
2" Offset
Width adjustment from 5" - 9"
 
Superstand Youth
90 Degree
Width adjustment from 11" - 15"
1" Offset
Width adjustment from 9" - 13"
2" Offset
Width adjustment from 7" - 11"
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Upper Extremity Positioning Tray Assembly: Multi-Position tray with individual height, depth and angle adjustment
$
499.00
Tray Options: Opaque tray overlay...$179.00 Clear tray overlay...$179.00 Tray easel...$249.00
Activity Bowl: Tray cut-out with 7" bowl
$
195.00
Padded Tray Cover: Removable padded cover
$
225.00
Size-Adjustable Knee Pads (pair): Allows knee pad width adjustment (form 2 1/2" - 4 1/2") for growth
$
365.00
D-Ring Footstraps:
$
75.00
Shoe Holders (pair): Formed ABS shoe holders with ankle and toe straps for foot positioning
$
265.00
Size: Sm(6" long x 4 1/4" wide) Med (8" long x 4 7/8" wide) Lrg (10 1/2" long x 6" wide)
Height Adjustable Pommel: Assists in maintaining lower extremity position
$
225.00
Pommel W/ Rigid Hip Pad: Height adjustable pommel with height and depth adjustable rigid hip pad
$
419.00
Steel Caster Upgrade: High performance easy rolling steel casters with lock for both swivel and roll
$
199.00
Padded Head Strap: Sheepskin-lined strap with Velcro closure
$
99.00
Client Name:
SUPERSTAND
Pediatric Multi-Position Standing System

Effective 9-1-18

SUPERSTAND YOUTH
Custom Support Pads: Use this area only if you need custom-sized support pads on your Superstand. All custom pads must be quoted for price and manufacturing time.
Chest Pad: " Wide x "High Standard Pad is 10"w x 8"h for Superstand and 12"w x 15"h for Superstand Youth.
Hip Pad: " Wide x High Standard Pad is 10"w x 7"h for Superstand and 12"w x 8"h for Superstand Youth.
Chest Laterals: " Wide x High Standard Pad is 3 1/2" d x 3 1/2" h for Superstand and 4 1/2" d x 6 1/2" h for Superstand Youth.
Hip Laterals: " Wide x High Standard Pad is 4"d x 5 1/2" h for Superstand and 4 1/2" d x 6 1/2" h for Superstand Youth.
Custom Tray Surface:
Tray: " Wide x "Deep Standard Tray is 22 1/2"w x 19"d for Superstand and 28"w x 24"d for Superstand Youth

Please supply any information for cutouts or modifications desired in this area or submit a paper or cardboard template. Additional information may be added in the special needs area below.

Client Measurements:

A: Thorax Width "
B: Hip Width "
C: Hip-to-Knee "
D: Knee-to-Heel "
E: Shoe Size  
F: Shoulder Height "
Note: All Measurements Assume Symmetrical Standing and Sitting Posture.

Special Needs:

We are proud of our proven commitment to serving the needs of our customers with the finest standing products available since1984. We encourage you to call us with your special needs, questions, or any item that we may assist with in your standing program. Our standing and positioning specialists will be happy to answer your questions or assist you with the design and fabrication of a unit that meets your needs. Please supply as much of the information in the client measurement area of this form as possible and list special needs in the following area to speed up the design process and / or response time.

Address

4202 West Sierra Madre Ave.
Fresno, CA 93722

Phone

Toll Free: (800) 82STAND / (800) 827-8263
Local: (559) 276-0991

Fax

Toll Free: (800) 800-3355
Local: (559) 276-3544