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F5 Corpus VSDealer Information* Contact:Dealer Code:* Dealer Name:Address:* City:* Province/Postal Code:* Phone#:* Fax#:PO#:Email Address:Client InformationPermobil recommends that the client is evaluated by acertified rehab specialist.* First Name:* Last Name:Diagnosis:Funding Source:Client Age:Client Measurements* Weight:*Height:A) Top of Shoulders:B) Chest Depth:C) Chest Width:D) Seat Depth:E) Top of Head:F) Elbow to Hand:G) Seat Pan to Elbow:H) Hip Width:*I) Knee to Foot:Three column pricing on order/quote:Please send order/quote to fax#: (800) 231-3256Email to: sales@permobil.comPermobil Ltd.12 - 75 Mary St.Aurora, OntarioL4G 1G3Tel: (800) 736-0925Fax: (800) 231-3256www.permobil.caPrices effective October 21, 2019 and payable in Canadian dollars.
F5 Corpus VSCANADIAN MSRP PRICE LISTChair Model and Colors Part Number I108400-99-0MSRP- CA 15,041.00DescriptionF5 Base Corpus VS - F5 MPO15,041.00Price Includes: FWD F5 Power Base Set Up For Multiple Power Seat Function, ComfortRidePro Fully Independent Adjustable Suspension, Powered Support Wheels, Tie-Down Hardwarefor Strap Systems, Charger, Flat Free or Pneumatic Tires, a Standard Positioning Belt andPermobil Connect. Max Speed 7.5mph, Weight Capacity 300lbs, STFH 17.5".CHOOSE DRIVE TIRES: Part NumberI108414-99-0DescriptionMSRP - CAFlat Free Tire 3"W x 14"T Black - Standard Tread I108411-99-0Pneumatic Tire 3"W x 14"T Black - Standard Tread I108413-99-0Flat Free Tire 3"W x 14"T Black - Aggressive Tread I108412-99-0No ChargeIncludes flat free standard tread caster wheels.No ChargeIncludes flat free aggressive tread caster wheels.OPTIONAL DRIVE TIRES:Part NumberNo ChargeDesigned for a smooth ride on indoor and outdoor surfaces. Includes flat free standard treadcaster wheels.MSRP- CA 540.00DescriptionPneumatic/Snow Tire 3"W x 14"T Black - Aggr Tread540.00Snow tires are designed for use in cold weather conditions. The nylon compound in these tiresremains flexible at low temperatures, but wears more easily. Therefore, the snow tires (sold aswheel assemblies) are not recommended for year-long use and must be ordered along withstandard drive wheels. Does not include caster wheels.CHOOSE SHROUD COLOR: Part 08977-99-0I108978-99-0I108979-99-0DescriptionMSRP - CAF5 Color Kit - AquaF5 Color Kit - SkyF5 Color Kit - VioletF5 Color Kit - FlamingoF5 Color Kit - ChiliF5 Color Kit - CanaryF5 Color Kit - SpringF5 Color Kit - ArcticF5 Color Kit - SunsetF5 Color Kit - MidnightF5 Color Kit - GoldF5 Color Kit - BronzeF5 Color Kit - PlatinumF5 Color Kit - Carbon FiberF5 Color Kit - Mossy Oak Break-Up CountryF5 Color Kit - CDG PolyF5 Color Kit - Sugar SkullsF5 Color Kit - FireballF5 Color Kit - Water LilyNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeCHOOSE HUB CAP KIT:Part NumberDescriptionMSRP - CAHub Cap Color:Please write in Hub Cap Color below. Hub Cap Color will be matched to the Shroud Color if noselection is made.Base OptionsRev 2019-410/21/2019Page 2 of 16
F5 Corpus VSCANADIAN MSRP PRICE LISTBase OptionsMUST CHOOSE SEAT ELEVATOR: Part Number I107087-99-0MSRP- CA 3,847.00DescriptionActive Height Power Adj. Seat Height - 14" Travel3,847.00SET SEAT HEIGHT: Part NumberDescriptionI107435-99-0I107433-99-0MSRP - CASet Seat Height to 17.5"Set Seat Height at 18.5"No ChargeNo ChargeIf ordering Power Adjustable Seat Height, 1" of elevator travel is used to set seat at 18.5". I107434-99-0Set Seat Height at 19.5"No ChargeIf ordering Power Adjustable Seat Height, 2" of elevator travel is used to set seat at 19.5".MUST CHOOSE BATTERIES:Part NumberDescriptionMSRP - CABATTERY OPTIONS:Batteries, Grp 24 (72Ah) Sealed Gel, x2, Installed I107031-99-0OPTIONAL ITEMS: Part NumberMSRP- CA 552.00DescriptionI107459-99-0965.00Essentials Box with Reflectors552.00Please Note: The total backrest angle will be limited to 150 to avoid contact between backrestcomponents and the Essentials Box. I108417-99-0Essentials Box with Lights I108527-99-0 I11143 I10715LED Light Kit for F5Enhanced Steering Perform Unit (ESP) R-netCompact Laptop Ventilator Tray - Corpus Seat I10787Battery Tray for Laptop Ventilator Tray I10788O2 Holder for Laptop Ventilator Tray ID51113Programming Key for R-net - Permobil Version919.00Please Note: The total backrest angle will be limited to 150 to avoid contact between backrestcomponents and the Essentials Box. Must also select Light Kit.1,195.001,223.001,732.00Mounts to rear of Corpus backrest hinge. Accommodates Pulmonetic Systems / CareFusionLTV Series and similar sized Laptop Ventilators. The tray is 330mm Tall, adjustable Widthbetween 200mm - 330mm, and adjustable Depth between 50mm - 165mm. Overall backrestangle limited to 150 when mounting this ventilator tray. Custom Option. Additional driverestrictions may apply.277.00Mounts to rear of Laptop Ventilator Tray. Measures 290mm W x 170mm H x 42mm D.Accommodates Pulmonetic Systems Lithium-Ion Battery Pack, CareFusion SprintPack BatterySystem, or Richardson PowerTech Vent Power Center. Custom Option.391.00Mounts to Left or Right Side of Laptop Vent Tray. O2 Holder is 175mm Tall. Width infinitelyadjustable 90mm - 170mm. Depth infinitely adjustable 95mm - 125mm. Custom Option.540.00Joystick OptionsCHOOSE JOYSTICK TYPE:Part NumberDescriptionMSRP - CAPLEASE NOTE:For all remote joystick modules shown below, you must also select an expandable controller.For additional input devices, refer to Alterative Drive Systems Section. I107779-99-0Color Joystick Module, (CJSM) I107778-99-0Permobil Joystick ModuleRev 2019-410/21/20191,375.00This R-net color joystick features: A Large High-Resolution 3.5" VGA color display, control ofup to 4 Bluetooth devices, Infrared control, programmable buttons and a programmable switchjack; all in a compact, durable Aluminum housing.1,221.00Designed exclusively for Permobil, this R-net color joystick features: a 2.8" color display,control of up to 4 Bluetooth devices, Infrared control, programmable buttons and aprogrammable switch jack; all in a compact, durable Aluminum housing.Page 3 of 16
F5 Corpus VSCANADIAN MSRP PRICE LISTJoystick OptionsCHOOSE JOYSTICK TYPE: Part NumberI11186DescriptionMSRP - CAPermobil Joystick Module, NCNo ChargeDesigned exclusively for Permobil, this R-net color joystick features: a 2.8" color display,control of up to 4 Bluetooth devices, Infrared control, programmable buttons and aprogrammable switch jack; all in a compact, durable Aluminum housing. I107829-99-03.5mm Y-Splitter Cable for PJSM/CJSM I105700-99-0R-net Remote Colour JS w/ Lights, Heavy Duty Gimbal43.00For use with the PJSM or CJSM Mode/Profile jack. Allows 2 mechanical switches to control 4separate functions. Requires PC Programming to assign the short hold and long holdcommands to each switch. Switches sold separately.2,103.00Heavy-Duty modification enables gimbal to hold up to extreme operating forces. Reinforcedhousing is attached to a standard Colour LCD R-net Joystick. 3" long joystick knob has 3/4"diameter. Not compatible with alternative joystick handles.CHOOSE JOYSTICK HANDLE TYPE: Part 846-99-0I105847-99-0I105848-99-0Part NumberI10664I10665I108037-99-0I108038-99-0I11232 I105210-99-0 Part Number I10411DescriptionMSRP - CACone Shaped Joystick Knob - StandardChin Cup For Joystick Knob"T" Handle For Joystick Knob"Large Ball" For Joystick Knob"Softball" For Joystick Knob"Mushroom" For Joystick Knob"Stick" For Joystick Knob1.75" Black Foam Ball For Joystick KnobBodypoint J/S Handle 3" U-Shaped w/ Flex-ShaftBodypoint J/S Handle 4" U-Shaped w/ Flex-ShaftBodypoint J/S Handle Dome Shaped, RubberDescriptionMSRP - CAJoystick Mount Right - FixedJoystick Mount Left - FixedSlimline Retractable Joystick Mount - RightSlimline Retractable Joystick Mount - LeftAdjustable Height Panel BracketMount Standard Joystick on Corpus Back Hinge323.00Standard R-net Joystick is mounted to backrest hinge. Can be chosen instead of PNI105408-99-0. Mount on Left:Mount on Right:DescriptionMSRP - CAExpandable Controller - R-netNo ChargeMust be ordered with all expandable/remote joysticks.Harness for Expandable Controller I105225-99-0 I105408-99-0 I107350-99-0Co-Pilot Attendant Control R-net - CorpusAttendant Control R-netR-net Bluetooth iDevice Module10/21/2019No ChargeNo Charge466.00466.00361.00Provides 1.77" of vertical adjustment below the armrest and 25 of angle adjustment.Compatible with all Permobil joystick mounts except for the M1 Fixed Joystick Mount. I10513 Rev 2019-4No 8.00158.00158.00No ChargeMust be ordered with any Expandable Controller.Allows input device commands (such as joystick nudges or switch clicks) to be used to operatean iPhone, iPad or iPod. By assigning each input to an iOS function, users can make phonecalls, send texts and emails and access applications. Kit includes a Bluetooth iDevice Module,an R-net Bus Cable, and two mono jack cables for direct switch inputs (switches not included).Must be ordered with a Color JSM or Omni for mode display.Page 4 of 165,185.001,346.001,087.00
CANADIAN MSRP PRICE LISTF5 Corpus VSJoystick Options Part NumberI107367-99-0MSRP- CA 1,087.00DescriptionR-net Bluetooth Mouse Module1,087.00Enables mouse control through any R-net input device. It can operate the mouse on acomputer and on select Android devices (with R-net for Android app). Kit includes a BluetoothMouse Module, an R-net Bus Cable, two mono jack cables for L/R click (switches not included)and a USB BT Adapter for user's computer. Note: BT Adapter may not work with allcomputers. Must be ordered with a Color JSM or Omni for mode display. I107368-99-0Add a second Bluetooth Mouse Module I10582Output Module (IOM) for R-net Control System1,087.00Allows R-net to simultaneously pair to a second compatible computer or Android device. Eachmodule is accessible through a separate R-net mode. Kit includes a unique Bluetooth MouseModule, an R-net Bus Cable, two mono jack cables for L/R click and a USB BT Adapter.1,801.00This allows a user to control an external device (ex: Communication Device, ECU, DoorOpener, etc.) through the drive input (JSM, Head Array, etc.). Each module can provide up to 4switch closures. May require specialty cable or wiring. Up to three output modules can beinstalled on one wheelchair.Seating SystemPOWER SEAT OPTIONS:Part Number I11112 I107029-99-0 MSRP- CA 14,209.00DescriptionPower Tilt and Power Recline - VS Seat14,209.00This item must be selected. Includes 50 Power Tilt & 180 Power Recline.Power Standing Function - VS Seat7,300.00This item must be selected. Tilt Table Stand is not available for clients over 220lbs.Seating System OptionsCHOOSE SEAT FUNCTION CONTROL TYPE:Part Number I10585 MSRP- CA 2,851.00DescriptionMultiple Seat Function Control Kit for R-netCHOOSE PUSH BUTTONS OR TOGGLES: Part ionMSRP - CAPush Buttons on Seat Function Control KitToggle Switches on Seat Function Control KitDo Not Install ICS Switchbox, Send as PartCHOOSE MOUNTING POSITION OF ICS SWITCHBOX: Part NumberI10626DescriptionMount ICS Switchbox onto R-net Joystick BracketMount ICS Switchbox onto Armrest I106256-99-0Mount ICS Switchbox on Backrest Part NumberI104196-99-0 I107088-99-0Rev 2019-410/21/2019No Charge305.00No ChargeMSRP - CANo ChargeICS Switchbox will be mounted to the same bracket as the R-net Joystick Module. If this itemis selected, the ICS Switchbox will swing away with the Joystick Module. I104651-99-0OPTIONAL ITEMS:2,851.00MUST be selected if ordering two or more seat functions. This device is used to operate twoor more seat functions through the wheelchair electronics via the drive control and/or ICSswitch box. Order with R-net electronics or remote joystick options. Please indicate below ifyou want push buttons or toggles on the ICS Switchbox.Mount on Left:Mount on Left:No ChargeMount on Right:171.00Mount on Right:MSRP- CA 1,346.00DescriptionICS Alternative Switchbox for R-net Electronics1,346.00Seat function interface box that accommodates up to 8 momentary switches. Provides anadditional method for accessing the seat functions. 1/8" mini-mono switches not included.Remote Stop System - F/M SeriesConsists of a 315MHz Radio Frequency (RF) handheld transmitter and an RF receivermounted on the wheelchair.Page 5 of 161,482.00
CANADIAN MSRP PRICE LISTF5 Corpus VSSeating System OptionsOPTIONAL ITEMS: Part NumberMSRP- CA 125.00DescriptionI10750I106209-99-0Memory Seat Program, Corpus w/ R-netLegrest Movement Linked to Recline Electronically125.0050.00Power Legrest will raise when Power Recline moves backward and will lower when backmoves forward. If Power Legrest is operated, Power Recline will NOT automatically reposition.Feature works through ICS Switchbox and Driver Control. I10898Enable Independent Repositioning ModeNo ChargeIRM allows for sequential movement of power seat functions into a posterior position (35 tilt,115 recline, 135 legrest) and returns to upright position (5 tilt, 100 recline, 110 legrest).This can be accessed using a standard drive control or a single switch. On the PermobilJoystick Module, IRM is accessible through the mode/profile jack (long switch hold). Pleasesee the Alt Drive Accessories section for switch options.Backrest OptionsCHOOSE FIXED OR SLIDING BACKREST KIT: Part NumberI107030-99-0I105066-99-0DescriptionMSRP - CASliding Backrest Kit - 5" Mechanical ShearFixed Backrest Kit - No Mechanical ShearCHOOSE BACKREST TYPE: Part NumberI11120 I106532-99-0 I106533-99-0 I106534-99-0 I106535-99-0DescriptionMSRP - CABACKREST NOTE:No ChargeErgo Backs include: lateral wedges, foam lumbar pads*, UT rail mounted at the top for lateraladjustment of the headrest, and split backrest feature with height adjustment in 1" increments.Please indicate backrest height below so that a properly sized backrest cushion can beprovided. Note: Backrest heights are measured from the seat pan to the top of the backrestshell with the backrest set at 90 . * Foam lumbar pads not included with Solid Backs.Corpus Ergo Back - 14"W x 23" - 28"T (C3GERGBCA)Corpus Ergo Back - 16"W x 23" - 28"T (C3GERGBCA)Corpus Ergo Back - 18"W x 23" - 28"T (C3GERGBCA)Corpus Ergo Back - 20"W x 23" - 28"T (C3GERGBCA)Set Corpus Backrest at 23"Set Corpus Backrest at 24"Set Corpus Backrest at 25"Set Corpus Backrest at 26"Set Corpus Backrest at 27"Set Corpus Backrest at 28"CHOOSE BACKREST CUSHION: Part NumberI11335 I11336Description I11258Stretch-Air Cushion - Corpus Ergo BackNo ChargeIncludes Dual Density Backrest Foam with Stretch-Air breathable fabric cover.MSRP- CA 1,155.00DescriptionROHO AGILITY Max Contour Back System - 16" Tall1,155.00Backrest can be installed at a height (seat pan to top of AGILITY) between 22" and 25".Specify Shell Width (14", 16", 18", 20"W):ROHO AGILITY Max Contour Direct Mount - 18" Tall I11260ROHO AGILITY Max Contour Direct Mount - 20" Tall10/21/2019No ChargeIncludes Dual Density Backrest Foam. I11259Rev 2019-41,104.001,104.001,104.001,104.00MSRP - CALeatherette Cushion - Corpus Ergo BackCHOOSE ONE OF THE FOLLOWING:Part NumberNo Charge55.001,155.00Backrest can be installed at a height (seat pan to top of AGILITY) between 22" and 26".Specify Shell Width (14", 16", 18", 20"W):Backrest can be installed at a height (seat pan to top of AGILITY) between 24" and 27".Specify Shell Width (14", 16", 18", 20"W):Page 6 of 161,155.00
CANADIAN MSRP PRICE LISTF5 Corpus VSBackrest OptionsCHOOSE ONE OF THE FOLLOWING:Part NumberDescriptionMSRP - CASet AGILITY Backrest at 22"Set AGILITY Backrest at 23"Set AGILITY Backrest at 24"Set AGILITY Backrest at 25"Set AGILITY Backrest at 26"Set AGILITY Backrest at 27"CHOOSE ONE OF THE FOLLOWING: Part NumberI107488-99-0MSRP- CA 473.00DescriptionPermobil 3" x 5" Lateral Supports - Pair I107489-99-0Permobil 5" x 7" Lateral Supports - Pair I107490-99-0Adj/Removable Lateral Link Hardware - PairOPTIONAL ITEMS: Part NumberI106072-99-0473.00Must also select I107490-99-0. Only compatible with Corpus Ergo backrest shells. BackrestLateral Wedges will be omitted.648.00MSRP- CA 491.00DescriptionDirect Backrest Frame - Corpus491.00Used to mount ROHO Agility, Jay 3, Matrx Elite, Varilite Icon and Ride Java backrests rangingin width from 14" to 20". Slotted brackets and 1" UniTrack linkage disks provide a close,adjustable mount. Backrest pitch can be tuned by rotating the linkage disks. Some seat depthmay be lost due to the position and orientation of the backrest. I10725Split Backrest Cushion - Corpus Tailored Backrest Cushion - CorpusI10786473.00Must also select I107490-99-0. Only compatible with Corpus Ergo backrest shells. BackrestLateral Wedges will be omitted.366.00Custom Option.114.00Sides of cushion are trimmed to provide additional clearance for lateral trunk supports. Mustalso select a backrest cushion when ordering this custom option.Seat SizingCHOOSE SEAT WIDTH:Part Number I107023-99-0 I107024-99-0 I107025-99-0 I107026-99-0DescriptionMSRP - CASet Seat Width at 17":Set Seat Width at 19":Set Seat Width at 21":Set Seat Width at 23":No ChargeNo ChargeNo ChargeNo ChargeCHOOSE SEAT DEPTH:Part NumberDescriptionMSRP - CAPLEASE NOTE: I107013-99-0 I107014-99-0 I107015-99-0 I107016-99-0 I107017-99-0 I107018-99-0 I107019-99-0 I107020-99-0 I107021-99-0Rev 2019-410/21/2019There are three seat depth kits, each providing three seat depth settings: (1) 14" - 16", (2) 17" 19" and (3) 20" - 22". Please select the required seat depth and the appropriate kit will beprovided.Seat Depth 14"Seat Depth 15"Seat Depth 16"Seat Depth 17"Seat Depth 18"Seat Depth 19"Seat Depth 20"Seat Depth 21"Seat Depth 22"No ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargePage 7 of 16
CANADIAN MSRP PRICE LISTF5 Corpus VSSeat SizingCHOOSE SEAT CUSHION:Part NumberDescriptionMSRP - CANOTE:A Corpus II Ergonomic Seat Cushion will be provided for select seat sizes. I11337 I11338 I10965Corpus Ergo Cushion - Leatherette CoverCorpus Ergo Cushion - Stretch-Air CoverCorpus Ergo Air Cushion (C3GRHOSCA) I11113Incontinence Cover for Ergo Cushion I11166 I11168 I11170ROHO QUADTRO SELECT HIGH PROFILEROHO HIGH PROFILE Single CompartmentROHO HIGH PROFILE Sensor Ready I107505-99-0ROHO Smart Check Device I11173Incontinence Cover for ROHO Cushion I105118-99-0Omit Seat Cushion623.00623.00661.00Features ROHO Dry Floatation technology. The removable ROHO cell pad provides adjustableskin protection while the contoured foam and thigh support wedges help maintain properpositioning and stability. Includes removable stretch fabric cover. Available in widths of 17", 19"and 21" and depths of 17", 19" and 21", as well as 17" x 23". Not Available in 21" x 17"198.00Made from a stretch Dartex fabric and suitable for all Ergo cushions including the Corpus ErgoAir. The cover is cut to the contours of the Ergo cushion and is designed to be used as anouter layer of protection. Cover size will be matched to cushion size. Sent as a part. PartNumber will be provided on the quote / order confirmation based on the Seat Width and SeatDepth selected.769.00630.00630.00Single compartment cushion designed to work with Smart Check Device I107505-99-0. Notavailable in all seat widths and depths.295.00Sensing device that allows users to setup and maintain proper inflation pressure in ROHOSensor Ready cushions. Only available when ordered with a ROHO Sensor Ready cushion.144.00Cover size will be matched to ROHO cushion size. Sent as a part.No ChargeArmrest OptionsCHOOSE ARMBAR KIT AND MOUNTING POSITION:Part NumberDescriptionMSRP - CAPLEASE NOTE: I106543-99-0 I106544-99-0Narrow Armbar Kit can be adjusted from 15"W to 19"W between the armrest pads without anyadditional parts. Wide Armbar Kit can be adjusted from 19"W to 23"W between the armrestpads without any additional parts. Please select both Armbar Kit and Width Setting below.Narrow Armbar Kit, Inf Adjustable 15"W - 19"WWide Armrest Kit, Inf Adjustable 19"W - 23"WNo ChargeNo ChargeRequired when selecting a 20" wide backrest.Set the Width Between the Armrests to:Must be wider than backrest width to ensure proper fit. Please round to nearest 1".CHOOSE ARMREST HEIGHT MOUNTING POSITION:Part Number I105069-99-0DescriptionHeight Adjustable Armrests - NCSET ARMREST HEIGHT AT:MSRP - CANo ChargeCorpus VS Armrests are infinitely adjustable from 9" - 15", measured from the seat pan to thetop of the arrmrest pad. No additional parts are needed to get this full range of adjustment. Inone inch increments (ex: 9", 10", etc.), please indicate where you would like the armrests set.CHOOSE ARMREST PAD RIGHT:Part Number I105100-99-0 I105104-99-0 I105105-99-0 I105999-99-0 I107212-99-0Rev 2019-410/21/2019DescriptionMSRP - CA4"x10" Corpus Armrest Pad Right - Leatherette4"x13" Corpus Armrest Pad Right - Leatherette4"x16" Corpus Armrest Pad Right - Leatherette4"x18" Corpus HD Armrest Pad Right - Leatherette4"x10" Corpus Armrest Pad Right - Black FabricPage 8 of 16No ChargeNo ChargeNo ChargeNo ChargeNo Charge
CANADIAN MSRP PRICE LISTF5 Corpus VSArmrest OptionsCHOOSE ARMREST PAD RIGHT: Part nMSRP - CA4"x13" Corpus Armrest Pad Right - Black Fabric4"x16" Corpus Armrest Pad Right - Black Fabric4"x18" Corpus HD Armrest Pad Right - Black Fabric4"x10" Corpus Arm w/ Permobil Gel Pad - Right4"x13" Corpus Arm w/ Permobil Gel Pad - Right4"x16" Corpus Arm w/ Permobil Gel Pad - Right4"x18" Corpus HD Arm w/ Permobil Gel Pad - RightCHOOSE ARMREST PAD LEFT: Part DescriptionMSRP - CA4"x10" Corpus Armrest Pad Left - Leatherette4"x13" Corpus Armrest Pad Left - Leatherette4"x16" Corpus Armrest Pad Left - Leatherette4"x18" Corpus HD Armrest Pad Left - Leatherette4"x10" Corpus Armrest Pad Left - Black Fabric4"x13" Corpus Armrest Pad Left - Black Fabric4"x16" Corpus Armrest Pad Left - Black Fabric4"x18" Corpus HD Armrest Pad Left - Black Fabric4"x10" Corpus Arm w/ Permobil Gel Pad - Left4"x13" Corpus Arm w/ Permobil Gel Pad - Left4"x16" Corpus Arm w/ Permobil Gel Pad - Left4"x18" Corpus HD Arm w/ Permobil Gel Pad - LeftMUST CHOOSE CHEST SUPPORT AND HARDWARE: Part NumberI107177-99-0DescriptionChest Support Small - 10"W x 5.75"TChest Support Medium - 12"W x 5.75"T Chest Support Large - 14"W x 5.75"T I107174-99-0 I107203-99-0OPTIONAL ITEMS: Part NumberNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo Charge197.00203.00208.00216.00MSRP- CA 340.00340.00Must select Fixed or Adj Removable Hardware below. I107176-99-0I107175-99-0No ChargeNo ChargeNo Charge197.00203.00208.00216.00362.00Must select Fixed or Adj Removable Hardware below.374.00Must select Fixed or Adj Removable Hardware below.Fixed Chest Support HardwareAdj Removable Chest Support HardwareNo Charge350.00MSRP- CA 9-0Armrest Pouch - RightArmrest Pouch - LeftUT Armrest Side Support - Right Outer I107863-99-0UT Armrest Side Support - Left Outer I107864-99-0UT Armrest Side Support - Right Inner260.00260.00372.00Includes 2"T x 6.5"W tapered pad.372.00Includes 2"T x 6.5"W tapered pad. I107865-99-0UT Armrest Side Support - Left Inner I107839-99-0UT Elbow Support - Right I107838-99-0UT Elbow Support - Left I10881Adjustable Elbow Support Hardware - RightRev 2019-410/21/2019372.00Includes 2"T x 6.5"W tapered pad. May need to increase width between the armrests to ensurearmrests will flip-up.372.00Includes 2"T x 6.5"W tapered pad. May need to increase width between the armrests to ensurearmrests will flip-up.200.00Must also select PN I10881.200.00Must also select PN I10882.Page 9 of 16291.00
CANADIAN MSRP PRICE LISTF5 Corpus VSArmrest OptionsOPTIONAL ITEMS: Part NumberMSRP- CA 291.00DescriptionI10882Adjustable Elbow Support Hardware - Left291.00Legrest OptionsCORPUS VS LEGREST AND KNEE SUPPORT: Part Number I107760-99-0MSRP- CA 3,754.00DescriptionCorpus VS Power Legrest Elevation - 180 3,754.00Includes power articulation. I106965-99-0 Corpus VS Stand and Drive Package I107038-99-0 Knee Support - Corpus VS I11129 Adj Removable Knee Support Hardware (1 Each)1,394.00Includes Powered Support Wheel, which are required for safe operation of the chair for boththe stand and stand and drive operation.215.00Select when ordering Corpus VS Legrest. Must also select I11129.314.00.CHOOSE FOOTPLATE STYLE: Part ionMSRP - CA1pc Corpus VS Footplate - 9"D x 16.5"W2pc Wide Corpus VS Footplates - 9"D x 7.5"W2pc Narrow Corpus VS Footplates - 9"D x 6"WNo ChargeNo ChargeNo Charge.FOOTPLATE HEIGHT POSITION:Part NumberDescriptionMSRP - CASET FOOTPLATE HEIGHT AT:This is measured from the SEAT PAN to the top of the FOOTPLATE, when the legrestassembly is at 90 . DO NOT INCLUDE CUSHION THICKNESS IN YOUR MEASUREMENT.In one inch increments, please indicate desired footplate height. NOTE: Corpus footplateheight range is 6"-17" and Corpus VS height range is 9"-17". Height may need to be reducedfor shipping. Calf Pads are not available at heights less than 9".OPTIONAL ITEMS: Part NumberI107211-99-0DescriptionMSRP - CAVS Calf Support Kit (J) w Mesh Cover & Adj HardwareNo Charge5"W x 6.5"T Pad. Compatible with footplate heights of 10" - 18". I106190-99-0VS Calf Support Kit (A) w Mesh Cover & Adj Hardware I106188-99-0VS Calf Support Kit (H) w Mesh Cover & Adj Hardware I106186-99-0VS Calf Support Kit (D) w Mesh Cover & Adj Hardware Stealth Gel Pads - Narrow Footplates (Pair)Stealth Gel Pads - Wide Footplates (Pair)411.00423.00Bodypoint Non-Padded Hip Belt - MediumBodypoint Padded Hip Belt - MediumBodypoint Non-Padded Hip Belt - LargeBodypoint Padded Hip Belt - LargeBodypoint Padded Hip Belt "Airplane" Latch - MedBodypoint Padded Hip Belt "Airplane" Latch - LargeNo 06225-99-0No Charge5.5"W x 6"T Pad. Compatible with footplate heights of 10" - 18".433.007"W x 7"T Curved Pad. Compatible with footplate heights of 11" - 18".433.008"W x 8"T Pad. Compatible with footplate heights of 12" - 18".Accessories I104518-99-0 I104520-99-0 I104514-99-0 I104516-99-0 I108267-99-0 I108266-99-0HEADREST OPTIONS:Part NumberRev 2019-410/21/2019MSRP- CA 452.00DescriptionPage 10 of 16
CANADIAN MSRP PRICE LISTF5 Corpus VSAccessoriesHEADREST OPTIONS: Part NumberI107470-99-0MSRP- CA 452.00DescriptionPermobil 7"W Headrest w/ Link Hardware I107469-99-0Permobil 10"W Headrest w/ Link Hardware I107468-99-0Permobil 14"W Headrest w/ Link Hardware I107480-99-0 I107481-99-0Adj/Removable Headrest Link Hardware - StandardAdj/Removable Headrest Link Hardware - Extended Adj/Removable BodiLink Headrest Hardware Max8I108721-99-0 I11307Swing Away Facial Pad Assembly 4"L x 2"T I11308Swing Away Facial Pad Assembly 6"L x 2"T Provide Headrest Receiver for AGILITY Backrest500.00Mount on Upper Left: Mount on Upper Right:500.00Mount on Upper Left: Mount on Upper Right:No ChargeSelect for AGILITY backs and third party backs ordered off chair. I10552 I107499-99-0Adj/Removable Headrest HardwareUniversal Headrest Adapter640.00Not available with ROHO AGILITY Back Systems. Must also select PN I10552.137.00258.00Please Note: Recline is limited to 160 or less (depending on backrest height) when ordering aUniversal Headrest Adapter on a 23" or 24" tall Corpus backrest.MSRP- CA 313.00DescriptionUT Hip Suppt (B) w/ Mesh Cover - High (Pair)313.004.5"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550. I106103-99-0UT Hip Suppt (A) w/ Mesh Cover - High (Pair) I103094-99-0UT Thigh/Hip Suppt (J) w/ Mesh Cover - High (Pair) I103095-99-0UT Thigh/Hip Suppt (C) w/ Mesh Cover - High (Pair) I102977-99-0UT Thigh/Hip Suppt (G) w/ Mesh Cover - High (Pair) I10550 I105260-99-0 I105292-99-0 I106210-99-0 I106806-99-0 I107100-99-0Adj Removable - Thigh Support Hardware (Pair)Transfer Handles, Corpus SeatPush Handles, Corpus SeatRAM Self-Leveling Cup HolderRAM X-Grip Phone HolderRAM X-Grip 10" Tablet Holder w/Swing Away Mount10/21/2019705.00Mount on Upper Left: Mount on Upper Right:Permobil 10"W Headrest, LeatheretteRev 2019-4614.00Mount on Upper Left: Mount on Upper Right: I106331-99-0 440.00Must be selected when ordering any of the Swing Away Chin Boom assemblies.Swing Away Microlight AssemblyI106104-99-0314.00339.00Includes an additional 3" link to extend headrest pad range. I11306Part Number452.00Must also select I107480-99-0 or I107481-99-0.Swing Away Egg Switch AssemblyOPTIONAL ITEMS:452.00Must also select I107480-99-0 or I107481-99-0. I11305I11276452.00Must also select I107480-99-0 or I107481-99-0.313.006"W x 5.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.508.006.5"W x 5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.508.008"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.508.0012"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.Compatible with most 10" screen tablets with or without a protective case. Includes adjustableswing away mount. Note: Customization may be required if ordered along with an Omni.Page 11 of 16137.00528.00No Charge91.0091.00504.00
CANADIAN MSRP PRICE LISTF5 Corpus VSAccessoriesOPTIONAL ITEMS: Part NumberI107222-99-0MSRP- CA 215.00DescriptionUSB Charger215.00Provides up to 1.5A (at 5V) to charge most smartphones and tablets. The charger features anisolated circui
F5 Corpus VS Three column pricing on order/quote: Permobil Ltd. 12 - 75 Mary St. Aurora, Ontario L4G 1G3 Tel: (800) 736-0925 Fax: (800) 231-3256 www.permobil.ca. F5 Corpus VS CANADIAN MSRP PRICE LIST Chair Model and Colors Part Number Description MSRP - CA .
