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F5 Corpus VSDealer Information* Contact:Dealer Code:* Dealer Name:Address:* City:* Province:* 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:Display ADP Codes on order/quote: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.comPrices effective September 1, 2017 and payable in Canadian dollars.
F5 Corpus VSCANADIAN MSRP PRICE LISTChair Model and Colors Part Number I106975-99-0DescriptionMSRP - CAF5 Base Corpus VS - F5 MPOADPCode 14,603.0014,603.00Price Includes: FWD F5 Power Base Set Up For Multiple Power Seat Function, Four-WheelIndependent Suspension System, Powered Anti-Tippers, Tie-Down Hardware for StrapSystems, Charger, Flat Free or Pneumatic Tires and a Standard Positioning Belt. Max Speed 7.5mph, Weight Capacity 300lbs, STFH 17.5".CHOOSE DRIVE TIRES: Part NumberI106999-99-0DescriptionMSRP - CAFlat Free Tire 3"W x 14"T Black - Standard TreadIncludes flat free standard tread caster wheels. I107005-99-0Pneumatic Tire 3"W x 14"T Black - Standard Tread I107315-99-0Flat Free Tire 3"W x 14"T Black - Aggressive TreadNo ChargeIncludes flat free standard tread caster wheels.No ChargeIncludes flat free aggressive tread caster wheels.OPTIONAL DRIVE TIRES: ADP CodeNo ChargePart NumberI107289-99-0DescriptionMSRP - CAPneumatic/Snow Tire 3"W x 14"T Black - Aggr TreadADP 524.00Code524.00Snow 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/RIM COLOR: Part -0I107598-99-0I107601-99-0DescriptionMSRP - CAF5 Color Kit - Sunburst OrangeF5 Color Kit - Galactic GreenF5 Color Kit - Midnight BlackF5 Color Kit - Ocean BlueF5 Color Kit - Power PinkF5 Color Kit - Radiant RedF5 Color Kit - Phantom GreyF5 Color Kit - Titan BlueF5 Color Kit - Carbon FiberF5 Color Kit - Mossy Oak Break-Up CountryADP CodeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeBase OptionsMUST CHOOSE SEAT ELEVATOR: Part Number I107087-99-0DescriptionMSRP - CAVS Power Adjustable Seat Height - 14" TravelADPCode 3,735.003,735.00SET SEAT HEIGHT: Part NumberI107435-99-0I107433-99-0DescriptionMSRP - CASet Seat Height to 17.5"Set Seat Height at 18.5"ADP CodeNo 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 Number I107031-99-0 DescriptionMSRP - CABatteries, Grp 24 (72Ah) Sealed Gel, x2, Installed965.00OPTIONAL ITEMS:Part NumberRev 2017-209/01/2017DescriptionMSRP - CAPage 2 of 15ADP 965.00CodeADP 536.00Code
F5 Corpus VSCANADIAN MSRP PRICE LISTBase OptionsOPTIONAL ITEMS: Part NumberDescriptionI107459-99-0MSRP - CAEssentials Box with ReflectorsADP 536.00Code536.00Please Note: The total backrest angle will be limited to 150 to avoid contact between backrestcomponents and the Essentials Box. I107204-99-0Essentials Box with Lights I106981-99-0 I11143 I10715LED Light Kit for F3 / 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 Version892.00Please Note: The total backrest angle will be limited to 150 to avoid contact between backrestcomponents and the Essentials Box. Must also select Light Kit.1,233.002,158.001,682.00Mounts 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.269.00Mounts to rear of Laptop Ventilator Tray. Measures 290mm W x 170mm H x 42mm D.Accomodates Pulmonetic Systems Lithium-Ion Battery Pack, CareFusion SprintPack BatterySystem, or Richardson PowerTech Vent Power Center. Custom Option.380.00WEPXMounts 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.524.00Joystick OptionsCHOOSE JOYSTICK TYPE:Part NumberDescriptionMSRP - CAADP CodePLEASE 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. I107778-99-0Permobil Joystick Module I11186 I107829-99-0Permobil Joystick Module, NC3.5mm Y-Splitter Cable for PJSM I105700-99-0R-net Remote Colour JS w/ Lights, Heavy Duty Gimbal1,185.00Designed exclusively for Permobil, this R-net color joystick features: control of up to 4Bluetooth devices, Infrared control, programmable buttons and a programmable switch jack; allin a compact, durable Aluminum housing.No Charge42.00For use with the PJSM Mode/Profile jack. Allows 2 mechanical switches to control 4 separatefunctions. Requires PC Programming to assign the short hold and long hold commands toeach switch. Switches sold separately.2,042.00WEX1Heavy-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 Number I10045 I100960-99-0 I100961-99-0 I100962-99-0 I100963-99-0 I100964-99-0 I100965-99-0 I105442-99-0 I105846-99-0 I105847-99-0 I105848-99-0Rev 2017-209/01/2017DescriptionMSRP - 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, RubberPage 3 of 15No 3.00153.00153.00ADP Code
CANADIAN MSRP PRICE LISTF5 Corpus VSJoystick Options Part 99-0 I106268-99-0 Part Number I10411DescriptionMSRP - CAJoystick Mount Right - FixedJoystick Mount Left - FixedRetractable Joystick Mount RightRetractable Joystick Mount LeftMount Standard Joystick on Corpus Back HingeNo ChargeNo Charge452.00452.00314.00ADP CodeWEPMWEPMStandard R-net Joystick is mounted to backrest hinge. Can be chosen instead of PNI105408-99-0. Mount on Left:Mount on Right:Adjustable Height Panel Bracket252.00Replaces standard UT panel bracket. Provides 1.75" of height adjustability to all Permobiljoystick mounts and Stealth Gatlin Midline mounts.DescriptionMSRP - CAExpandable Controller - R-netADP CodeNo ChargeMust be ordered with all expandable/remote joysticks. I10513 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 Module I107367-99-0R-net Bluetooth Mouse Module I107368-99-0Add a second Bluetooth Mouse Module I10582Output Module (IOM) for R-net Control SystemNo ChargeMust be ordered with any Expandable Controller.5,034.001,307.001,055.00Allows 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.1,055.00Enables 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.1,055.00Allows 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.1,749.00This 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 SystemCHOOSE ONE OF THE FOLLOWING: Part Number I11112 I107029-99-0 DescriptionMSRP - CAPower Tilt and Power Recline - VS SeatADPCode 13,795.0013,795.00This item must be selected. Includes 50 Power Tilt & 180 Power Recline.Power Standing Function - VS Seat7,087.00This item must be selected. Tilt Table Stand is not available for clients over 220lbs.Seating System OptionsCHOOSE SEAT FUNCTION CONTROL TYPE:Part NumberRev 2017-209/01/2017DescriptionMSRP - CAPage 4 of 15ADPCode 2,768.00
CANADIAN MSRP PRICE LISTF5 Corpus VSSeating System OptionsCHOOSE SEAT FUNCTION CONTROL TYPE: Part Number I10585DescriptionMSRP - CAMultiple Seat Function Control Kit for R-net2,768.00ADPCode 2,768.00SEC1P1005MUST 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.CHOOSE PUSH BUTTONS OR TOGGLES: Part 9-0MSRP - 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 NumberDescriptionI10626Mount ICS Switchbox onto R-net Joystick BracketMount ICS Switchbox onto Armrest Mount ICS Switchbox on BackrestMount on Left:I106256-99-0Mount on Left:Part Number I107705-99-0MSRP - CAADP CodeNo 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:ADP CodeNo Charge296.00No ChargeNo ChargeMount on Right:166.00Mount on Right:DescriptionMSRP - CAVirtual Seating Coach PackageADPCode 2,261.002,261.00The Virtual Seating Coach (VSC) Package includes a Bluetooth dongle, a USB charger, aRAM X-grip Phone Holder and access to VSC coaching and regimen management. The VSCapp can be downloaded for free from the App Store or Google Play. Requires an iPhone (iOS9 or higher) or an Android phone (OS 4. 1. 2 or higher).Mount VSC to Left Armrest:To provide access, USB Charger and Phone Holder may require relocation.Mount VSC to Right Armrest: To provide access, USB Charger and Phone Holder may require relocation.I104196-99-0ICS Alternative Switchbox for R-net Electronics1,307.00Seat 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. I107088-99-0Remote Stop System - F/M Series I10750 I106209-99-0Memory Seat Program, Corpus w/ R-netLegrest Movement Linked to Recline Electronically I10898Enable Independent Repositioning Mode1,439.00Consists of a Radio Frequency (RF) handheld transmitter and an RF receiver mounted on thewheelchair.121.0049.00Power 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.No 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 ONE OF THE FOLLOWING: Part NumberI107030-99-0I105066-99-0Rev 2017-209/01/2017DescriptionMSRP - CASliding Backrest Kit - 5" Mechanical ShearFixed Backrest Kit - No Mechanical ShearPage 5 of 15No Charge53.00ADP Code
CANADIAN MSRP PRICE LISTF5 Corpus VSBackrest OptionsCHOOSE ONE OF THE FOLLOWING: Part NumberI11120 I106532-99-0 I106533-99-0 I106534-99-0 I106535-99-0DescriptionMSRP - CABACKREST NOTE:Ergo Backs include: lateral wedges, lumbar pads, a 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 .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 Backrest at 23"Set Backrest at 24"Set Backrest at 25"Set Backrest at 26"Set Backrest at 27"Set Backrest at 28"CHOOSE ONE OF THE FOLLOWING:Part Number I10659 I10660 I105117-99-0OPTIONAL ITEMS: Part NumberI106072-99-0ADP CodeNo SRP - CALeatherette Cushion - Corpus Ergo BackBlack Mesh Cushion - Corpus Ergo BackOmit Backrest CushionDescriptionNo Charge55.00No ChargeMSRP - CADirect Backrest Frame - CorpusADP CodeADP 477.00Code477.00Used 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 I10786Tailored Backrest Cushion - Corpus355.00Custom Option.111.00Sides of cushion are trimmed to provide additional clearance for lateral trunk supports. Mustalso select a backrest cushion when ordering this custom option.Seat SizingCHOOSE ONE OF THE FOLLOWING: Part 99-0DescriptionMSRP - CASet Seat Width at 17":Set Seat Width at 19":Set Seat Width at 21":Set Seat Width at 23":ADP CodeNo ChargeNo ChargeNo ChargeNo ChargeCHOOSE ONE OF THE FOLLOWING:Part NumberDescriptionMSRP - CAPLEASE NOTE: I107013-99-0 I107014-99-0 I107015-99-0 I107016-99-0 I107017-99-0Rev 2017-209/01/2017There 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"No ChargeNo ChargeNo ChargeNo ChargeNo ChargePage 6 of 15ADP Code
CANADIAN MSRP PRICE LISTF5 Corpus VSSeat SizingCHOOSE ONE OF THE FOLLOWING: Part 9-0I107021-99-0MSRP - CASeat Depth 19"Seat Depth 20"Seat Depth 21"Seat Depth 22"CHOOSE ONE OF THE FOLLOWING:Part NumberADP CodeNo ChargeNo ChargeNo ChargeNo ChargeDescriptionMSRP - CAADP CodeNOTE: A Corpus II Ergonomic Seat Cushion will be provided for select seat sizes.I10651I10652I10965Corpus Ergo Cushion - Leatherette (C3GERGSCA)Corpus Ergo Cushion - Black Mesh (C3GERGSCA)Corpus Ergo Air Cushion 001267Features 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". I11113Incontinence Cover for Ergo Cushion I105118-99-0Omit Seat Cushion192.00SEMCF106LMade 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.No ChargeArmrest OptionsCHOOSE ONE OF THE FOLLOWING:Part NumberDescriptionMSRP - CAADP CodePLEASE NOTE: I106543-99-0 I106544-99-0Narrow Armbar Kit can be adjusted from 15"W to 19"W between the armrest pads without anyaddtional 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 ONE OF THE FOLLOWING:Part Number I105069-99-0 I11175DescriptionMSRP - CAHeight Adjustable Armrests - NCSET ARMREST HEIGHT AT: I105071-99-0I105070-99-0No ChargeNo 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 ONE OF THE FOLLOWING:Part NumberADP CodeDescriptionMSRP - CALeft Armrest Bracket - FixedRight Armrest Bracket - FixedADP CodeNo ChargeNo ChargeCHOOSE ONE OF THE FOLLOWING: Part 99-0Rev 2017-209/01/2017DescriptionMSRP - 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 - LeatherettePage 7 of 15No ChargeNo ChargeNo ChargeNo ChargeADP Code
CANADIAN MSRP PRICE LISTF5 Corpus VSArmrest OptionsCHOOSE ONE OF THE FOLLOWING: Part -0DescriptionMSRP - CA4"x10" Corpus Armrest Pad Right - Black Fabric4"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/ Stealth Gel Pad - Right4"x13" Corpus Arm w/ Stealth Gel Pad - Right4"x16" Corpus Arm w/ Stealth Gel Pad - Right4"x18" Corpus HD Arm w/ Stealth Gel Pad - RightCHOOSE ONE OF THE FOLLOWING:Part Number I105098-99-0 I105102-99-0 I105107-99-0 I105998-99-0 I107213-99-0 I106046-99-0 I107215-99-0 I105994-99-0 I106487-99-0 I106489-99-0 I106491-99-0 I106303-99-0DescriptionMSRP - 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/ Stealth Gel Pad - Left4"x13" Corpus Arm w/ Stealth Gel Pad - Left4"x16" Corpus Arm w/ Stealth Gel Pad - Left4"x18" Corpus HD Arm w/ Stealth Gel Pad - LeftCHOOSE ONE OF THE FOLLOWING: Part NumberDescriptionChest Support Small - 10"W x 5.75"TI107176-99-0Chest Support Medium - 12"W x 5.75"T I107174-99-0 I107203-99-0Fixed Chest Support HardwareAdj Removable Chest Support HardwareOPTIONAL ITEMS:Part Number351.00Must select Fixed or Adj Removable Hardware below.Chest Support Large - 14"W x 5.75"T ADP 330.00Code330.00Must select Fixed or Adj Removable Hardware below. I107175-99-0 ADP CodeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo ChargeNo Charge191.00197.00202.00210.00MSRP - CAI107177-99-0ADP CodeNo ChargeNo ChargeNo ChargeNo Charge191.00197.00202.00210.00363.00Must select Fixed or Adj Removable Hardware below.DescriptionNo Charge340.00MSRP - CAI107339-99-0I107338-99-0I107840-99-0Armrest Pouch - RightArmrest Pouch - LeftUT Armrest Side Support - Right OuterI107863-99-0UT Armrest Side Support - Left Outer252.00252.00361.00Includes 2"T x 6.5"W tapered pad. I107864-99-0UT Armrest Side Support - Right Inner I107865-99-0UT Armrest Side Support - Left Inner I107839-99-0UT Elbow Support - Right I107838-99-0UT Elbow Support - LeftRev 2017-209/01/2017361.00Includes 2"T x 6.5"W tapered pad.361.00Includes 2"T x 6.5"W tapered pad. May need to increase width between the armrests to ensurearmrests will flip-up.361.00Includes 2"T x 6.5"W tapered pad. May need to increase width between the armrests to ensurearmrests will flip-up.194.00Must also select PN I10881.194.00Must also select PN I10882.Page 8 of 15ADP 252.00Code
CANADIAN MSRP PRICE LISTF5 Corpus VSArmrest OptionsOPTIONAL ITEMS: Part NumberDescriptionI10881I10882MSRP - CAAdjustable Elbow Support Hardware - RightAdjustable Elbow Support Hardware - LeftADP 283.00Code283.00283.00Legrest OptionsCHOOSE ONE OF THE FOLLOWING: Part Number I107178-99-0DescriptionMSRP - CACorpus VS Power Legrest Elevation - 180 Includes 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) es powered anti-tippers, which are required for safe operation of the chair for both thestand and stand and drive operation.209.00Select when ordering Corpus VS Legrest. Must also select I11129.305.00.CHOOSE ONE OF THE FOLLOWING:Part NumberADPCode 3,645.003,645.00DescriptionMSRP - 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"WADP CodeNo Charge379.00379.00.CHOOSE ONE OF THE FOLLOWING:Part NumberDescriptionMSRP - CAADP CodeSET 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 NumberDescriptionMSRP - CAI107211-99-0UT Calf Support Kit (J) w Mesh Cover & Adj HardwareI106190-99-0UT Calf Support Kit (A) w Mesh Cover & Adj HardwareADP CodeNo Charge5"W x 6.5"T Pad. Compatible with footplate heights of 10" - 18". I106188-99-0UT Calf Support Kit (H) w Mesh Cover & Adj Hardware UT Calf Support Kit (D) w Mesh Cover & Adj HardwareI106186-99-0 I106530-99-0 I106225-99-0No Charge5.5"W x 6"T Pad. Compatible with footplate heights of 10" - 18".420.007"W x 7"T Curved Pad. Compatible with footplate heights of 11" - 18".420.008"W x 8"T Pad. Compatible with footplate heights of 12" - 18".Stealth Gel Pads - Narrow Footplates (Pair)Stealth Gel Pads - Wide Footplates (Pair)399.00411.00Bodypoint Non-Padded Hip Belt - MediumBodypoint Padded Hip Belt - MediumBodypoint Non-Padded Hip Belt - LargeBodypoint Padded Hip Belt - LargeNo Charge144.00116.00197.00Accessories I104518-99-0 I104520-99-0 I104514-99-0 I104516-99-0CHOOSE ONE OF THE FOLLOWING: Part NumberI107470-99-0Rev 2017-2DescriptionMSRP - CAPermobil 7"W Headrest w/ Link HardwareMust also select I107480-99-0 or I107481-99-0.09/01/2017Page 9 of 15439.00SERND0030SERND0030SERND0030ADP 439.00CodeSEH1P0005
CANADIAN MSRP PRICE LISTF5 Corpus VSAccessoriesCHOOSE ONE OF THE FOLLOWING: Part NumberI107469-99-0DescriptionMSRP - CAPermobil 10"W Headrest w/ Link HardwarePermobil 14"W Headrest w/ Link Hardware I107480-99-0 I107481-99-0Adj/Removable Headrest Link Hardware - StandardAdj/Removable Headrest Link Hardware - Extended I106331-99-0Permobil 10"W Headrest, Leatherette I106333-99-0Permobil Ergo Shape Headrest, Black Fabric I10552 I107499-99-0Adj/Removable Headrest HardwareUniversal Headrest Adapter Description133.00250.00SEHND0020ADP F203LMust also select I107490-99-0. Only compatible with Corpus backrest shells.DescriptionMSRP - CAUT Hip Suppt (B) w/ Mesh Cover - High (Pair)ADP 304.00Code304.004.5"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550. I103094-99-0UT Thigh/Hip Suppt (J) w/ Mesh Cover - High (Pair) I103095-99-0UT Thigh/Hip Suppt (C) w/ Mesh Cover - High (Pair) UT Thigh/Hip Suppt (G) w/ Mesh Cover - High (Pair)304.006"W x 5.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN 156.5"W x 5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.8"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.12"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550. 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 Mount I107222-99-0USB Charger I105805-99-0Medical Necessities Bag Hooks09/01/2017SEH1P0005Must also select I107490-99-0. Only compatible with Corpus backrest shells.UT Hip Suppt (A) w/ Mesh Cover - High (Pair)Rev 2017-2513.00MSRP - CAPermobil 3" x 5" Lateral Supports - Pair I106103-99-0I102977-99-0SEH1P0005Please 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.Adj/Removable Lateral Link Hardware - Pair 621.00Must also select PN I10552. I107490-99-0I106104-99-0305.00329.00Must also select PN I10552.Permobil 5" x 7" Lateral Supports - PairPart NumberSEH1P0005Includes an additional 3" link to extend headrest pad range. I107489-99-0OPTIONAL ITEMS:439.00Must also select I107480-99-0 or I107481-99-0.CHOOSE ONE OF THE FOLLOWING:I107488-99-0SEH1P0005Must also select I107480-99-0 or I107481-99-0. I107468-99-0Part NumberADP 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.209.00Provides up to 1.5A (at 5V) to charge most smartphones and tablets. The charger features anisolated circuit design for improved safety; and by pulling power from the ICS, prevents batterydrainage when the chair is powered off. Includes mounting hardware and ICS connector.Please select armrest for mounting, keeping in mind that charger may need to be relocated.Mount on left armrest: Mount on right armrest:96.00Please Note: Recline is limited to 165 or less (depending on backrest height) when orderingwith 23" or 24" tall Corpus backrest.Page 10 of 15
CANADIAN MSRP PRICE LISTF5 Corpus VSAccessoriesOPTIONAL ITEMS: Part NumberI102059-99-0DescriptionMSRP - CAMedical Necessities BagIncludes hardware to attach bag to backrest. Please Note: Recline is limited to 165 or less(depending on backrest height) when ordering with a 23" or 24" tall Corpus backrest. I105840-99-0Bodypoint Monoflex Medium Chest Support Belt Kit I105839-99-0Bodypoint Monoflex Large Chest Support Belt Kit I105850-99-0Bodypoint Monoflex X-Lrge Chest Support Belt Kit Upper Extremity Support Small, Angle 4.00WEPX18.25"L x 4"W Pad Size. Item will be shipped as a part.21.5"L x 4.5"W Pad Size. Item will be shipped as a part.24.5"L x 5"W Pad Size. Item will be shipped as a part.Must also select PN I10556.Mount on Left:Mount on Right: I105221-99-0Upper Extremity Support Angle Adjustable. 14" W I105222-99-0Upper Extremity Support Angle Adjustable. 16" W I105220-99-0Upper Extremity Support Angle Adjustable. 18" W I106197-99-0Upper Extremity Support Angle Adjustable 20"W Adj Removable - Tray Hardware (1 Each)Oxygen holderCrutch holderI10556I105224-99-0I105223-99-0ADP 272.00Code272.00Must also select PN I10556.Must also select PN I10556.Must also select PN I10556.Must also select PN I11156.Alternative Drive SystemsALTERNATIVE PROPORTIONAL JOYSTICK SYSTEMS: Part NumberI10751DescriptionMini-Joystick for Omni / IOM (9-pin connector)Compact Joystick for Omni / IOM (9-pin connector) I103894-99-0Compact Joystick LITE for Omni / IOM (9-pin conn)1,479.00Operating Force 220 g Neutral to Full Deflection 28mm Joystick includes two 3.5mmmono jacks for Mode and On/Off. Includes Standard Joystick Knob and 1.75" (42mm) FoamBall Knob.1,692.00Operating Force 50 g Neutral to Full Deflection 17mm Joystick includes two 3.5mm monojacks for Mode and On/Off. Includes Standard Joystick Knob and 1.75" (42mm) Foam BallKnob.ALT PROPORTIONAL JOYSTICK MOUNTING HARDWARE:DescriptionMSRP - CANOTE:Please see
F5 Corpus VS CANADIAN MSRP PRICE LIST Base Options 536.00 OPTIONAL ITEMS: Part Number Description MSRP - CA ADP Code I107459-99- Essentials Box with Reflectors 536.00 Please Note: The total backrest angle will be limited to 150 to avoid contact between backrest components and the Essentials Box. I107204-99- Essentials Box with Lights 892.00
