Invacare Formula Parts Catalog 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
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 Note
Part Number
1 See Chart
1 See Chart
2 See Chart
2 See Chart
3 See Chart
3 See Chart
4 A 1125723
5 1125724
NOTE: 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.
Overall Material
Back Back
Height Height
20" 15"
21" 16"
22" 17"
23" 18"
24" 19"
25" 20"
26" 21"
Overall
Back
Height
20"
21"
22"
23"
Form No. 04-041
Description
#1 Back Assembly without Hardware 16"-20" Wide
#1 Back Assembly without Hardware 21"-24" Wide
#2 Back Pan with Vinyl Edge Trim 16"-20" Wide
#2 Back Pan with Vinyl Edge Trim 21"-24" Wide
#3 Back Cushion Assembly 16"-20" Wide
#3 Back Cushion Assembly 21"-24" Wide
Kit, Hook Fastener w/ Adhesive Back
Trim, Edge, Cut-To-Length, Vinyl Black (96" L)
#1 Back Assembly without Hardware 16"-20" Wide
16" Wide
1125564
1125573
1125582
1125591
1125600
1125609
1125618
#1 Back Assembly without Hardware 21"-24" Wide
Material
Back 21" Wide
Height
15" 1125569
16" 1125578
17" 1125587
18" 1125596
To order call toll free 1-800-333-6900, or www.invacare.com
heights.
17" Wide 18" Wide
1125565 1125566
1125574 1125575
1125583 1125584
1125592 1125593
1125601 1125602
1125610 1125611
1125619 1125620
22" Wide
1125570
1125579
1125588
1125597
70
Quantity Per
Package Assembly
1
1
1
1
1
1
1
1
19" Wide 20" Wide
1125567 1125568
1125576 1125577
1125585 1125586
1125594 1125595
1125603 1125604
1125612 1125613
1125621 1125622
23" Wide 24" Wide
1125571 1125572
1125580 1125581
1125589 1125590
1125598 1125599
1
1
1
1
1
1
1
1