Permobil M300 Corpus HD User manual

Prices effective November 4, 2013 and payable in Canadian dollars.
PO#:
_
____________________________
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* Dealer Name:_____________________________
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Address:_____________________________
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* Phone#:_____________________________
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* Contact:_____________________________
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* City:_____________________________
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* Fax#:_____________________________
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* Weight:______________________________
_
*Height:______________________________
_
A) Top of Shoulders:______________________________
_
B) Chest Depth:______________________________
_
C) Chest Width:______________________________
_
D) Seat Depth:______________________________
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E) Top of Head:______________________________
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F) Elbow to Hand:______________________________
_
G) Seat Pan to Elbow:______________________________
_
H) Hip Width:______________________________
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*I) Knee to Foot:______________________________
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* Province:_____________________________
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Diagnosis:_____________________________
_
Dealer Information
Client Information
Client Measurements
Funding Source:_____________________________
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Client Age:_____________________________
_
Dealer Code:_____________________________
_
* First Name:_____________________________
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* Last Name:_____________________________
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Email Address:_____________________________
_
Permobil recommends that the client is evaluated by a
certified rehab specialist.
Please send order/quote to fax#: [phone]
Email to: [email protected]
Display ADP Codes on order/quote:
M300 Corpus 3G
Three column pricing on order/quote:
Permobil Ltd.
4 - 75 Mary St.
Aurora, Ontario
L4G 1G3
Tel: [phone]
CAN Fax: [phone]
US Fax: [phone]
www.permobil.com

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Chair Model and Colors
$7,032.90
CHOOSE BASE:
I105228-99-0 7,032.90M300 Base Corpus 3G - M300 MPO WP0000455


WP0000455
Price Includes: M300 Power Base, Shock Absorbing Suspension System, R-net Controller,
Tie-Down Hardware For Strap Systems, Charger, Flat Free Tires, and Standard Positioning
Belt. Must Choose Flat Free or Pneumatic Tires Below. Weight Capacity = 300lbs. STFH =
17.5"
I10727 2,190.967.5mph High Speed Upgrade Package - M300

Price Includes 7.5mph High Speed Motor Package. Available with R-net Electronics only.
CHOOSE DRIVE TIRES: ADP CodeMSRP - CADescriptionPart Number
I103499-99-0 No ChargeTri-Spoke Split Rim w/ Flat Free Drive Tire 3x8"

I103498-99-0 No ChargeTri-Spoke Split Rim w/ Pneumatic Tires - 3x8"

$456.96
OPTIONAL DRIVE TIRES: ADP CodeMSRP - CADescriptionPart Number
I10782 456.96Tri-Spoke Split Rim w/ Snow Tire Pneumatic 3x8"

Snow tires are designed for use in cold weather conditions. The nylon compound in these
tires remains flexible at low temperatures, but wears more easily. Therefore, the snow tires
(sold as wheel assemblies) are not recommended for year-long use and must be ordered
along with standard drive wheels.
CHOOSE SHROUD COLOR: ADP CodeMSRP - CADescriptionPart Number
I105239-99-0 No ChargeM300 Shroud - Onyx Black

I105243-99-0 No ChargeM300 Shroud - Platinum Silver

I105242-99-0 No ChargeM300 Shroud - Sublime Green

I106172-99-0 No ChargeM300 Shroud - Cobalt Blue

I106174-99-0 No ChargeM300 Shroud - Phantom Grey

I106161-99-0 No ChargeM300 Shroud - Pop Star Pink

I106173-99-0 No ChargeM300 Shroud - Purple Rain

I106162-99-0 No ChargeM300 Shroud - Volcano Red

CHOOSE HUBCAP COLOR: ADP CodeMSRP - CADescriptionPart Number Match Hubcap Color to Shroud: _____
Note: Hub caps will be matched to shroud color if no selection is made.
I10871 No ChargeSolid Color Hub Cap - Pair

Platinum Silver: _____ Onyx Black: _____ Cobalt Blue: _____ Phantom Gray: _____
Pop Star Pink: _____ Volcano Red: _____ Purple Rain: _____ Titan Blue: _____
Sublime Green: _____ Crystal Blue: _____ Vintage Wine: _____ Extreme Yellow: _____
Chili Pepper Red: _____ Green Metallic: _____
Base Options
$2,621.40
MUST CHOOSE EITHER SEAT ELEVATOR OR FIXED SEAT TUBE
:
ADP CodeMSRP - CADescriptionPart Number
I105393-99-0 2,621.40Power Adjustable Seat Height - 8" Travel

I105421-99-0 No ChargeSeat Tube Fixed

$840.48
MUST CHOOSE BATTERIES: ADP CodeMSRP - CADescriptionPart Number
IM24 SLD G FT 840.48Batteries, Grp 24 (72Ah) Sealed LA/Gel, Installed

IM34 SLDG 830.28Batteries, Grp 34 (60Ah) Sealed LA/Gel, Installed

$61.20
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I10789 61.20Seat Stabilizer Option

Page 2 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Base Options
$1,313.76
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I105428-99-0 1,313.76Enhanced Steering Perform Unit (ESP), R-net

Recommended item with switched drive inputs for improved tracking.
I105297-99-0 1,004.70LED Light Kit for M300 / M400 w/ R-net Electronics

I10715 1,465.74Compact Laptop Ventilator Tray - Corpus 3G Seat

Mounts to rear of Corpus 3G backrest hinge. Accommodates Pulmonetic Systems /
CareFusion LTV Series and similar sized Laptop Ventilators. The tray is 330mm Tall,
adjustable Width between 200mm - 330mm, and adjustable Depth between 50mm - 165mm.
Overall backrest angle limited to 150° when mounting this ventilator tray. Custom Option.
I10787 234.60Battery Tray for Laptop Ventilator Tray

Mounts to rear of Laptop Ventilator Tray. Measures 290mm W x 170mm H x 42mm D.
A
ccomodates Pulmonetic Systems Lithium-Ion Battery Pack, CareFusion SprintPack Battery
System, or Richardson PowerTech Vent Power Center. Custom Option.
I10788 331.50O2 Holder for Laptop Ventilator Tray

Mounts to Left or Right Side of Laptop Vent Tray. O2 Holder is 175mm Tall. Width infinitely
adjustable 90mm - 170mm. Depth infinitely adjustable 95mm - 125mm. Custom Option.
ID51113 456.96Programming Key for R-net - Permobil Version

I106223-99-0 667.59Stealth BPAP Vent Tray - MWD Base

Designed for BPAP systems, the tray has a 12"W x 7"D surface that can support up to 40 lbs.
A
1" lip and adjustable strap help secure contents. The tray mounts to the rear tie-down
loops, is tapered to fit between the rear swing arms and extends 1" beyond the trailing
casters.
Permolock
$1,864.56
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I104680-99-0 1,864.56Permolock C3 Locking Base Kit

Kit Includes: Permolock C3 Locking Base, Owner's Manual, Manual Release Handle, and
Vehicle Mounted Release Button. Does NOT include Dual Locking Pin Kit (I10608). Locking
Base must be installed by a NMEDA Dealer. Please provide the NMEDA Dealer and
A
ddress where the locking Base will ship to:
NAME:_____________________________________________
A
DDR:_____________________________________________
I10608 625.26Permolock C3 Dual Locking Pin Kit - C300/K300

This kit includes two spring loaded pins that will be mounted underneath the base of the
wheelchair. These pins are spring loaded so they push into the wheelchair base when an
obstacle is encountered. The kit also includes spacers that may be used if the Permolock C3
Base is being mounted in a vehicle with a sloped floor. The spacers are only needed for a
C300 or K300.
Joystick Options
CHOOSE JOYSTICK TYPE: ADP CodeMSRP - CADescriptionPart Number PLEASE 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.
I105246-99-0 No ChargeR-net LED Remote Joystick Module

ID51185 1,570.80R-net Remote Colour JS w/ Mono Jacks, No Lights

ID51188 1,780.92R-net Remote Colour JS w/ Toggle Switches, No Lghts

ID51153 1,570.80R-net Remote Colour JS w/ Mono Jacks, Lights WEX1

WEX1
ID51149 1,734.00R-net Remote Colour JS w/ Toggle Switches, Lights WEX1

WEX1
I105700-99-0 1,779.90R-net Remote Color JS w/ Lights, Heavy Duty Gimble

Heavy-Duty modification enables gimble to hold up to extreme operating forces. Reinforced
housing is attached to a standard Color LCD R-net Joystick. 3" long joystick knob has 3/4"
diameter. Not compatible with alternative joystick handles.
Page 3 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Joystick Options
$1,734.00
CHOOSE JOYSTICK TYPE: ADP CodeMSRP - CADescriptionPart Number
I103814-99-0 1,734.00Compact Advanced Joystick for R-net

Compact sized joystick that does not contain an LCD Display. Contains two mono jacks for
mode & on/off. Does NOT contain a wrist support pad. If you want a wrist support pad,
p
lease select I10621, below.
I10621 220.32Add Wrist Pad to Compact Joystick Advanced

CHOOSE JOYSTICK HANDLE TYPE: ADP CodeMSRP - CADescriptionPart Number
I10045 No ChargeCone Shaped Joystick Knob - Standard

I100960-99-0 104.04Chin Cup For Joystick Knob

I100961-99-0 153.00"T" Handle For Joystick Knob

I100962-99-0 104.04"Large Ball" For Joystick Knob

I100963-99-0 139.74"Softball" For Joystick Knob

I100964-99-0 139.74"Mushroom" For Joystick Knob

I100965-99-0 139.74"Stick" For Joystick Knob

I105442-99-0 104.041.75" Black Foam Ball For Joystick Knob

IPC101B 133.62Bodypoint J/S Handle 3" U-Shaped w/ Flex-Shaft

IPC102B 133.62Bodypoint J/S Handle 4" U-Shaped w/ Flex-Shaft

IPC107B 133.62Bodypoint J/S Handle Dome Shaped, Rubber

ADP CodeMSRP - CADescriptionPart Number
I10664 No ChargeJoystick Mount Right - Fixed

I10665 No ChargeJoystick Mount Left - Fixed

I103820-99-0 393.72Retractable Joystick Mnt Right - R-net, VR2 WEPM

WEPM
I103819-99-0 393.72Retractable Joystick Mnt Left - R-net, VR2 WEPM

WEPM
I105210-99-0 273.36Mount Standard Joystick on Corpus 3G Back Hinge

Standard R-net Joystick is mounted to backrest hinge. Can be chosen instead of PN
I105408-99-0. Mount on Left: _____ Mount on Right: _____
I101260-99-0 341.70Midline Control Mount - Pilot+ & R-net WE3D

WE3D
Mount Midline on Left Armrest: _____ Mount Midline on Right Armrest: _____
I106266-99-0 600.78Stealth Gatlin Midline Mount - 8 Position

Features eight locking positions each 45° apart. Adjustments are made by pulling out on
mounting arm and rotating to desired angle. Joystick bracket sold separately (select from the
brackets listed below). Please indicate if you want it mounted on left or right armrest:
Mount Midline on Left Armrest: _____ Mount Midline on Right Armrest: _____
I106265-99-0 600.78Stealth Gatlin Midline Mount - 2 Position

Designed for easy swing away. Mount can be set to swing from horizontal to 95° or from
horizontal to 180°. Joystick bracket sold separately (select from the brackets listed below).
Please indicate if you want it mounted on left or right armrest:
Mount Midline on Left Armrest: _____ Mount Midline on Right Armrest: _____
I106267-99-0 246.84Stealth Gatlin Bracket for R-net/Compact JS Adv

I106295-99-0 246.84Stealth Gatlin Bracket for Compact Joystick

I106296-99-0 246.84Stealth Gatlin Bracket for Mini Joystick

I106297-99-0 280.50Stealth Gatlin Swivel Bracket for Omni

I10842 246.84PermoFix Joint for Gatlin (0027-7027a)

Includes a shim that allows the PERMOFix Joint to be mounted on the 1/2" Stealth Gatlin
arm. Provides an adjustable mount for a Mini Joystick or Compact Joystick.
I106268-99-0 219.30Stealth Height Adjustable Mount

Replaces standard UT panel bracket. Provides 1.75" of height adjustability to all Permobil
j
oystick mounts and Stealth Gatlin Midline mounts.
ADP CodeMSRP - CADescriptionPart Number
Page 4 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Joystick Options
ADP CodeMSRP - CADescriptionPart Number
I10411 No ChargeExpandable Controller - R-net


Must be ordered with the expandable/remote joysticks (PN: I10410, I103544-99-0, ID51040,
ID51108, ID51042, and I103814-99-0).
I10513 No ChargeHarness for Expandable Controller


Must be ordered with any Expandable Controller (I10411 or I10450)
I105225-99-0 4,386.00Co-Pilot Attendant Control R-net - Corpus 3G

I105408-99-0 1,139.34Attendant Control R-net - Corpus 3G

I106057-99-0 919.02R-net BT Mouse Module

I10582 1,523.88Output Module (IOM) for R-net Control System

This allows a user to control an external device (ex: Communication Device, ECU, Door
Opener, etc.) through the drive input (JSM, Head Array, etc.). One output module is required
for each separate external device to be controlled. Up to three output modules can be
installed on one wheelchair.
Seating System
CHOOSE SEAT MOUNTING PLATE TYPE
:
ADP CodeMSRP - CADescriptionPart Number
I105056-99-0 No ChargeStandard (0°) Tilt Mounting Plate

Range of Tilt will be 0° to +50°.
I105068-99-0 299.885° Anterior Tilt Mounting Plate

Range of Tilt will be -5° to +45°.
CHOOSE SEATING SYSTEM
:
ADP CodeMSRP - CADescriptionPart Number PLEASE NOTE:
Weight Limit 300lbs. For the Corpus 3G Seat on the M300/M400, there is a half speed
limitation when the Total Backrest Angle (TBA) > 150°. TBA = Tilt Angle + Backrest Recline
A
ngle. Example 1: 45° Tilt + 100° Recline = 145° TBA (Full Speed)
Example 2: 35° Tilt + 120° Recline = 155° TBA (Half Speed)
I10647 995.00C3G Seat w/ No Tilt & Manual Recline

Manual Recline angle limited to 120°.
I10648 7,604.10C3G Seat w/ No Tilt & 175° Power Recline

I10649 6,818.70C3G Seat w/ 50° DuraCore Tilt & Manual Recline

Manual Recline angle limited to 120°.
I10650 11,235.30C3G Seat w/ 50° DuraCore Tilt & 175° Power Recline

Seating System Options
CHOOSE SEAT FUNCTION CONTROL TYPE: ADP CodeMSRP - CADescriptionPart Number
I10418 No ChargeSingle Seat Function Control Switch for R-net

Please choose either Push Buttons or Toggle Switches below.
I10419 1,447.38Single Seat Function Control Kit for R-net

For operation of a single seat function through the wheelchair electronics via the drive control
and/or ICS Switchbox. Order with R-net Controller or remote joystick options. Please
indicate below if you want push buttons or toggles on the ICS Switchbox.
I10585 2,411.28Multiple Seat Function Control Kit for R-net SEC1P1005

SEC1P1005
MUST be selected if ordering two or more seat functions. This device is used to operate two
or more seat functions through the wheelchair electronics via the drive control and/or ICS
switch box. Order with R-net electronics or remote joystick options. Please indicate below if
you want push buttons or toggles on the ICS Switchbox.
CHOOSE PUSH BUTTONS OR TOGGLES: ADP CodeMSRP - CADescriptionPart Number
I102798-99-0 No ChargePush Buttons on Seat Function Control Kit

I102799-99-0 257.04Toggle Switches on Seat Function Control Kit

Page 5 of 18
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M300 Corpus 3G CANADIAN MSRP PRICE LIST
Seating System Options
CHOOSE PUSH BUTTONS OR TOGGLES: ADP CodeMSRP - CADescriptionPart Number
I105409-99-0 No ChargeDo Not Install ICS Switchbox, Send as Part

CHOOSE MOUNTING POSITION OF ICS SWITCHBOX: ADP CodeMSRP - CADescriptionPart Number
I10626 No ChargeMount ICS Switchbox onto R-net Joystick Bracket

ICS Switchbox will be mounted to the same bracket as the R-net Joystick Module. If this item
is selected, the ICS Switchbox will swing away with the Joystick Module.
I104651-99-0 No ChargeMount ICS Switchbox onto Armrest

Mount on Left: _____ Mount on Right: _____
I106256-99-0 144.84Mount ICS Switchbox on Backrest

Mount on Left: _____ Mount on Right: _____
$1,139.34
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I104196-99-0 1,139.34ICS Alternative Switchbox for R-net Electronics

Not available with VR2 Electronics. Seat function interface box which accommodates up to 8
momentary switches. Provides an additional method to accessing the seat functions. You
must still order the Multiple Seat Function Control Kit if ordering this part. 1/8" mini-mono
switches not included.
I104769-99-0 1,086.30Remote Stop System - All Electronics

Consists of a Radio Frequency (RF) handheld transmitter and an RF receiver mounted on th
e
wheelchair. Each transmitter and receiver is a serialized matched pair, meaning they must be
used together. Custom charge may be required if ordering with a low backrest height or a
p
ediatric wheelchair. If ordering Remote Stop System with a K450, push handles must also
be selected.
I10750 105.06Memory Seat Program, Corpus 3G w R-net

I106209-99-0 44.00Legrest Movement Linked to Recline Electronically

Power Legrest will raise when Power Recline moves backward and will lower when back
moves forward. If Power Legrest is operated, Power Recline will NOT automatically
reposition. Feature works through ICS Switchbox and Driver Control.
I10898 No ChargeEnable Independent Repositioning Mode

Enables the Corpus 3G Independent Repositioning Mode through all standard Driver Control
Input Devices. If a Switchbox Layout with memory is chosen, IRM will be accessible through
the ICS Switchbox. For Alternative Drive Controls, an ICS Switchbox may be required to use
IRM.
Backrest Options
CHOOSE FIXED OR SLIDING BACKREST KIT: ADP CodeMSRP - CADescriptionPart Number
I105067-99-0 No ChargeSliding Backrest Kit - 5" Mechanical Shear

I105066-99-0 46.92Fixed Backrest Kit - No Mechanical Shear

CHOOSE BACKREST TYPE: ADP CodeMSRP - CADescriptionPart Number BACKREST HEIGHT NOTE:
Backrest heights are measured from the seat pan to the top of the backrest shell with the
backrest set at 90°. Ergo Backs include lateral wedges and lumbar pads.
I105113-99-0 934.32Corpus 3G Ergo Backrest - 14"W x 20"T (C3GERGBCA)

Power Recline will be limited to 150° when ordering this backrest.
I105114-99-0 934.32Corpus 3G Ergo Backrest - 16"W x 20"T (C3GERGBCA)

Power Recline will be limited to 150° when ordering this backrest.
I105109-99-0 934.32Corpus 3G Ergo Backrest - 18"W x 20"T (C3GERGBCA)

Power Recline will be limited to 150° when ordering this backrest.
I105852-99-0 934.32Corpus 3G Ergo Backrest - 20"W x 20"T (C3GERGBCA)

Power Recline will be limited to 150° when ordering this backrest.
PLEASE NOTE:
Page 6 of 18
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M300 Corpus 3G CANADIAN MSRP PRICE LIST
Backrest Options
CHOOSE BACKREST TYPE: ADP CodeMSRP - CADescriptionPart Number PLEASE NOTE:
A
ll taller backrests listed below include: lateral wedges, lumbar pads, a UT rail mounted at
the top for lateral adjustment of the headrest, and split backrest feature with height
adjustment in 1" increments. Please indicate below where you want the height set at so that
a properly sized backrest cushion can be provided.
I105110-99-0 934.32Corpus 3G Ergo Back -14"W x 23 - 28"T (C3GERGBCA)

I105111-99-0 934.32Corpus 3G Ergo Back -16"W x 23 - 28"T (C3GERGBCA)

I105112-99-0 934.32Corpus 3G Ergo Back -18"W x 23 - 28"T (C3GERGBCA)

I105853-99-0 934.32Corpus 3G Ergo Back -20"W x 23 - 28"T (C3GERGBCA)

Set Backrest at 24" _____
Set Backrest at 25" _____
Set Backrest at 26" _____
Set Backrest at 27" _____
Set Backrest at 28" _____
CHOOSE BACKREST CUSHION: ADP CodeMSRP - CADescriptionPart Number
I10659 No ChargeLeatherette Cushion - Corpus 3G Ergo Back

I10660 46.92Black Mesh Cushion - Corpus 3G Ergo Back

I105117-99-0 No ChargeOmit Backrest Cushion

$415.14
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I105782-99-0 415.14Tubular Backrest Frame - Corpus 3G (1" Canes)

Provides 1" diameter, vertical canes for mounting aftermarket backrests. Frame can be
adjusted to support backrest widths from 14" to 20". Canes are attached with 2" long
UniTrack linkage disks that can rotate to provide space for backrest hardware. Depending on
the aftermarket backrest, several inches of seat depth may be lost when mounting this
system.
I106072-99-0 415.14Direct Backrest Frame - Corpus 3G

Used to mount Jay 3, Matrx Elite, Varilite Icon, ROHO Agility and Ride Java backrests
ranging in 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 sea
t
depth may be lost due to the position and orientation of the backrest.
I10725 310.08Split Backrest Cushion - Corpus 3G

Custom Option.
I10786 96.90Tailored Backrest Cushion - Corpus 3G

Sides of cushion are trimmed to provide additional clearance for lateral trunk supports. You
must also select a backrest cushion (I10659, I10660 or I10661) when ordering this custom
option.
Seat Sizing
CHOOSE SEAT FRAME AND WIDTH SETTING: ADP CodeMSRP - CADescriptionPart Number PLEASE NOTE:
Narrow Seat Frames can be adjusted to 17"W, 19"W, or 21"W without any additional parts.
Wide Seat Frames can be adjusted to 19"W, 21"W, or 23"W without any additional parts.
Please select both the Frame Kit and Width Setting below.
I10673 No ChargeNarrow Corpus 3G Seat Frame Kit (17", 19", 21")

I10674 No ChargeWide Corpus 3G Seat Frame Kit (19", 21", 23")

Set Seat Width at 17": ____
Set Seat Width at 19": ____
Set Seat Width at 21": ____
Set Seat Width at 23": ____
Page 7 of 18
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M300 Corpus 3G CANADIAN MSRP PRICE LIST
Seat Sizing
CHOOSE SEAT DEPTH: ADP CodeMSRP - CADescriptionPart Number PLEASE NOTE:
There 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 be
p
rovided.
I106232-99-0 No ChargeSeat Depth 14"

I106233-99-0 No ChargeSeat Depth 15"

I106239-99-0 No ChargeSeat Depth 16"

I106235-99-0 No ChargeSeat Depth 17"

I106237-99-0 No ChargeSeat Depth 18"

I106241-99-0 No ChargeSeat Depth 19"

I106242-99-0 No ChargeSeat Depth 20"

I106243-99-0 No ChargeSeat Depth 21"

I106244-99-0 No ChargeSeat Depth 22"

CHOOSE SEAT CUSHION: ADP CodeMSRP - CADescriptionPart Number NOTE:
A
Corpus II Ergonomic Seat Cushion will be provided for select seat sizes (17"W x 22"D and
23"W x 14" - 18"D).
I10651 512.00Corpus 3G Ergo Seat Cush - Leatherette (C3GERGSCA)

I10652 512.00Corpus 3G Ergo Seat Cush - Black Mesh (C3GERGSCA)

I10965 543.00Corpus Ergo Air Cushion (C3GRHOSCA)

Features ROHO Dry Floatation technology. The removable ROHO cell pad provides
adjustable skin protection while the contoured foam and thigh support wedges help maintain
p
roper positioning and stability. Includes removable stretch fabric cover. Available in widths o
f
17", 19" and 21" and depths of 17", 19" and 21".
I105118-99-0 No ChargeOmit Seat Cushion

Armrest Options
CHOOSE ARMBAR KIT AND MOUNTING POSITION: ADP CodeMSRP - CADescriptionPart Number
I105440-99-0 No ChargeNarrow Armbar Kit, Adjustable 15", 17", 19"W

I105441-99-0 No ChargeWide Armbar Kit, Adjustable 19", 21", 23"W

Set Armbar at 15"W Between Armrests:____
Set Armbar at 17"W Between Armrests:____
Set Armbar at 19"W Between Armrests:____
Set Armbar at 21"W Between Armrests:____
Set Armbar at 23"W Between Armrests:____
$313.14
CHOOSE ARMREST HEIGHT MOUNTING POSITION: ADP CodeMSRP - CADescriptionPart Number
I105081-99-0 313.14Height Adjustable Amrests

I105069-99-0 No ChargeHeight Adjustable Amrests - NC

No charge when ordering power tilt and/or recline.
SET ARMREST HEIGHT AT:____
Corpus 3G Armrests are infinitely adjustable from 7" - 15", measured from the seat pan to the
top of the arrmrest pad. No additional parts are needed to get this full range of adjustment. In
one inch increments (ex: 8", 9", etc.), please indicate where you would like the armrests set.
CHOOSE ARMREST SWIVEL LOCKED OR ENABLED: ADP CodeMSRP - CADescriptionPart Number
Page 8 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Armrest Options
CHOOSE ARMREST SWIVEL LOCKED OR ENABLED: ADP CodeMSRP - CADescriptionPart Number ARMREST MEDIAL SWIVEL NOTE:
Every Corpus 3G Armrest can flip backwards for transfers. The armrests also include a
feature that allows the armrest pads to swivel medially towards the center of the seating
system. This swivel feature can be locked out by simply moving a bolt located under the
armrest bracket. Please indicate below whether each armrest should have the swivel feature
enabled or locked.
I10645 No ChargeLeft Armrest Bracket - Medial Swivel Locked

I10646 No ChargeRight Armrest Bracket - Medial Swivel Locked

I105073-99-0 No ChargeLeft Armrest Bracket - Medial Swivel Enabled

I105072-99-0 No ChargeRight Armrest Bracket - Medial Swivel Enabled

CHOOSE ARMREST PAD RIGHT: ADP CodeMSRP - CADescriptionPart Number
I105100-99-0 No Charge4"x10" Corpus 3G Armrest Pad Right - Leatherette

I105104-99-0 No Charge4"x13" Corpus 3G Armrest Pad Right - Leatherette

I105105-99-0 No Charge4"x16" Corpus 3G Armrest Pad Right - Leatherette

I105999-99-0 No Charge4"x18" Corpus HD Armrest Pad Right - Leatherette

I105099-99-0 No Charge4"x10" Corpus 3G Armrest Pad Right - Black Mesh

I105103-99-0 No Charge4"x13" Corpus 3G Armrest Pad Right - Black Mesh

I105108-99-0 No Charge4"x16" Corpus 3G Armrest Pad Right - Black Mesh

I105995-99-0 No Charge4"x18" Corpus HD Armrest Pad Right - Black Fabric

I106486-99-0 165.544"x10" Corpus 3G Arm w/ Stealth Gel Pad - Right

I106488-99-0 170.604"x13" Corpus 3G Arm w/ Stealth Gel Pad - Right

I106490-99-0 176.654"x16" Corpus 3G Arm w/ Stealth Gel Pad - Right

I106281-99-0 182.204"x18" Corpus HD Arm w/ Stealth Gel Pad - Right

CHOOSE ARMREST PAD LEFT: ADP CodeMSRP - CADescriptionPart Number
I105098-99-0 No Charge4"x10" Corpus 3G Armrest Pad Left - Leatherette

I105102-99-0 No Charge4"x13" Corpus 3G Armrest Pad Left - Leatherette

I105107-99-0 No Charge4"x16" Corpus 3G Armrest Pad Left - Leatherette

I105998-99-0 No Charge4"x18" Corpus HD Armrest Pad Left - Leatherette

I105097-99-0 No Charge4"x10" Corpus 3G Armrest Pad Left - Black Mesh

I105101-99-0 No Charge4"x13" Corpus 3G Armrest Pad Left - Black Mesh

I105106-99-0 No Charge4"x16" Corpus 3G Armrest Pad Left - Black Mesh

I105994-99-0 No Charge4"x18" Corpus HD Armrest Pad Left - Black Fabric

I106487-99-0 165.544"x10" Corpus 3G Arm w/ Stealth Gel Pad - Left

I106489-99-0 170.604"x13" Corpus 3G Arm w/ Stealth Gel Pad - Left

I106491-99-0 176.654"x16" Corpus 3G Arm w/ Stealth Gel Pad - Left

I106303-99-0 182.204"x18" Corpus HD Arm w/ Stealth Gel Pad - Left

$302.94
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I105463-99-0 302.94Corpus 3G Arm Trough Adapter 1" - Pair

For aftermarket armrest pads. Please indicate below if they should be installed or on chair
sent as parts.
I105462-99-0 302.94Corpus 3G Arm Trough Adpater 7/8" - Pair

For aftermarket armrest pads. Please indicate below if they should be installed or on chair
sent as parts.
Install Arm Trough Adapters: _____
Send Arm Trough Adapters as Parts: _____
I100671-99-0 210.12Armrest Pouch-Right

I100672-99-0 210.12Armrest Pouch-Left

Page 9 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Armrest Options
$225.42
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I10705 225.42Corpus 3G Armrest Side Support - Right Outer

Custom Option. Leatherette Pad (2"T x 8.5"L). Not compatible with Stealth Elbow Support,
except when ordered with an 18" armrest.
I10706 225.42Corpus 3G Armrest Side Support - Left Outer

Custom Option. Leatherette Pad (2"T x 8.5"L). Not compatible with Stealth Elbow Support,
except when ordered with an 18" armrest.
I10707 225.42Corpus 3G Armrest Side Support - Right Inner

Custom Option. Leatherette Pad (2"T x 8.5"L). Recommend 2" wider width between the
armrest to ensure armrests will flip-up.
I10708 225.42Corpus 3G Armrest Side Support - Left Inner

Custom Option. Leatherette Pad (2"T x 8.5"L). Recommend 2" wider width between the
armrest to ensure armrests will flip-up.
I106264-99-0 145.86Stealth 3" x 10" Elbow Support, 3G/HD - Right

Must also select PN I10881.
I106263-99-0 145.86Stealth 3" x 10" Elbow Support, 3G/HD - Left

Must also select PN I10882.
I10881 246.84Adjustable Elbow Support Hardware - Right

I10882 246.84Adjustable Elbow Support Hardware - Left

Legrest Options
I10948 695.00Corpus 3G Manual Adj Legrest Elevation

I10949 No ChargeCorpus 3G Manual Adj Legrest Elevation - NC

No charge when ordering power tilt and/or recline.
I105400-99-0 3,093.66Power Elevating Center Mount Legrests - 170°

Includes mechanical articulation.
A
DDITIONAL POWER OPTIONS: ADP CodeMSRP - CADescriptionPart Number PLEASE NOTE
If choosing the Power Extending Legrest or the Power Transfer Legrest, footplate height can
be adjusted from 12"-16". For the Power Transfer Legrest, there is no pre-set position within
the range. Footplate height is determined solely by user adjustment.
I10889 3,360.90Power Extending Legrest Corpus 3G

Provides 4" of independent legrest extension. Restricts ability to adjust each footplate
independently. Compatible with Manual and Power Elevating Legrests.
I105078-99-0 3,697.50Power Transfer Legrest - Corpus 3G

A
single input command extends the footplate to the ground and then raises the seat for
easier transfer. Footplate can be extended up to 27" from seat pan to footplate. Compatible
with Manual and Power Elevating Legrests. Seat elevator is required for full functionality.
Please Note: Calf support pads are only available as a custom option. Customization may
also be required when ordered with a 5° anterior tilt mounting plate.
$330.48
CHOOSE FOOTPLATE STYLE: ADP CodeMSRP - CADescriptionPart Number
I10711 330.482pc Wide Corpus 3G Footplates - 9"D x 7.5"W

I10712 No Charge2pc Narrow Corpus 3G Footplates - 9"D x 6"W

I105793-99-0 No Charge1pc Narrow Power Transfer Footplate - 10"D x 13"W

Footplate is 13"W in front, 8"W in back. Only compatible with Power Transfer Legrest.
FOOTPLATE HEIGHT POSITION: ADP CodeMSRP - CADescriptionPart Number SET FOOTPLATE HEIGHT AT:____
This is measured from the SEAT PAN to the top of the FOOTPLATE, when the legrest
assembly is at 90°. DO NOT INCLUDE CUSHION THICKNESS IN YOUR MEASUREMENT.
In one inch increments, please indicate desired footplate height. NOTE: Standard Corpus 3G
footplate height range is 6" - 17". Calf Pads are not available at heights less than 9".
Page 10 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Legrest Options
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I105252-99-0 No ChargeUT Calf Support Kit (B) w Mesh Cover & Adj Hardware

3.5"W x 4.5"T Pad.
I105258-99-0 No ChargeUT Calf Support Kit (J) w Mesh Cover & Adj Hardware

5"W x 6.5"T Pad.
I105250-99-0 No ChargeUT Calf Support Kit (A) w Mesh Cover & Adj Hardware

5.5"W x 6"T Pad.
I105256-99-0 341.70UT Calf Support Kit (H) w Mesh Cover & Adj Hardware

7"W x 7"T Curved Pad.
I105254-99-0 341.70UT Calf Support Kit (D) w Mesh Cover & Adj Hardware

8"W x 8"T Pad.
I106530-99-0 357.50Stealth Gel Pads - Narrow Footplates (Pair)

I106225-99-0 368.50Stealth Gel Pads - Wide Footplates (Pair)

Accessories
MUST CHOOSE POSITIONING BELT: ADP CodeMSRP - CADescriptionPart Number
I10400 No ChargeBodypoint Non-Padded Hip Belt, UniTrack - Medium

I10404 125.46Bodypoint Padded Hip Belt UniTrack - Medium

I10402 102.00Bodypoint Non-Padded Hip Belt, UniTrack - Large

I10408 171.36Bodypoint Padded Hip Belt UniTrack - Large

I100519-99-0 259.08Positioning Belt Retractable

I100600-99-0 281.52Positioning Belt Retractable Long

$540.60
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I105291-99-0 540.60Headrest Corpus 3G Back, 10"W x 5"T, Leatherette

Must also select PN I10552.
I105290-99-0 540.60Headrest Corpus 3G Back, 10"W x 5"T, Black Fabric

Must also select PN I10552.
I105212-99-0 446.76Headrest Corpus 3G Back, Ergo Shape, Black Fabric

Must also select PN I10552.
I10180 217.26Universal Headrest Adapter

Will be sent as part if ordering sling back upholstery or a Stealth Headrest on a Corpus 3G.
Please Note: Recline is limited to 160° or less (depending on backrest height) when ordering
a Universal Headrest Adapter on a 23" or 24" tall Corpus 3G backrest.
I10552 115.26Adj Removable - Headrest Hardware (1 Each) SEHND0020

SEHND0020
I103070-99-0 325.38UT Amp. Support Pad (H) w/ Mesh Cover - (1 Each) SEFND0005

SEFND0005
7"W x 7"T Curved Pad. Must also select PN I10553.
I103071-99-0 325.38UT Amp. Support Pad (D) w/ Mesh Cover - (1 Each) SEFND0005

SEFND0005
8"W x 8"T Flat Pad. Must also select PN I10553.
I10553 115.26Adj Removable - Amp Support Hardware (1 Each)

Please indicate if you would like the amputation support mounted on the right or left side of
the seat frame:
Mount Amp Suppt on Left: _____ Mount Amp Suppt on Right: _____
I106104-99-0 264.79UT Hip Suppt (B) w/ Mesh Cover - High (Pair)

4.5"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.
I106103-99-0 264.79UT Hip Suppt (A) w/ Mesh Cover - High (Pair)

6"W x 5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.
I103094-99-0 430.44UT Thigh/Hip Suppt (J) w/ Mesh Cover - High (Pair) SELND0015

SELND0015
6.5"W x 5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.
I103095-99-0 430.44UT Thigh/Hip Suppt (C) w/ Mesh Cover - High (Pair) SELND0015

SELND0015
8"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.
Page 11 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Accessories
$430.44
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I102977-99-0 430.44UT Thigh/Hip Suppt (G) w/ Mesh Cover - High (Pair) SELND0015

SELND0015
12"W x 3.5"T Pad w/ 4" Tall Mounting Bracket. Must also select PN I10550.
I10550 115.26Adj Removable - Thigh Support Hardware (Pair)

I100978-99-0 321.30Abductor Kit - Leatherette SESND1043

SESND1043
Must also select PN I10555.
I10555 115.26Adj Removable - Abductor Hardware (1 Each)

I10783 895.56Hand Heater Kit with Buddy Button

Kit includes Hand Heater (2"H x 1.5"W x 2.75"D), Buddy Button, Power Cable with XLR Plug
and PERMOfix Mounting Adapter. Heater has three temp/fan speed settings. For best
results, a hand cone (I10784 or I10785) is recommended to trap heat around the user's
hand(s). To ensure best positioning for the user, heater will NOT be mounted when chair is
received.
I10784 517.14One-Hand Cone Kit with PERMOfix Mounting Set

Clear plastic dome (5.5"W x 13.5"L x 8"H) with forearm opening at one end. Kit includes
PERMOfix mounting hardware to attach cone to end of armrest. To ensure best positioning
for the user, cone will NOT be mounted when wheelchair is received.
I10785 406.98Two-Hand Cone Kit with Mounting Pins

Clear plastic triangular dome (15"W x 12.5"L x 8"H) with two forearm openings. Use with
Upper Extremity Support is recommended. Kit includes four pins to secure cone to tray
surface. Pins remove without tools for easy transfers. To ensure the best positioning for the
user, cone will NOT be mounted.
I105260-99-0 446.76Transfer Handles, Corpus 3G Seat

I105292-99-0 393.72Push handles, Corpus 3G Seat

I106210-99-0 78.54Self-Leveling Cup Holder

I103044-99-0 68.34Cup/Cell Phone Holder

I105805-99-0 83.64Medical Necessities Bag Hooks

Please Note: Recline is limited to 165° or less (depending on backrest height) when ordering
with 23" or 24" tall Corpus 3G backrest.
I102059-99-0 236.64Medical Necessities Bag

Includes 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 3G backrest.
I105144-99-0 163.20Bodypoint Monoflex Large Chest Support Belt Kit

21.5"L x 4.5"W Pad Size. Item will be shipped as parts.
I105143-99-0 163.20Bodypoint Monoflex Medium Chest Support Belt Kit

18.25"L x 4"W Pad Size. Item will be shipped as parts.
I105145-99-0 163.20Bodypoint Monoflex X-Lrge Chest Support Belt Kit

24.5"L x 5"W Pad Size. Item will be shipped as parts.
I10843 396.78Upper Extremity Support Small, Angle Adj. C3G

Must also select PN I10556.
Mount on Left: _____ Mount on Right: _____
I105221-99-0 396.78Upper Extremity Support Angle Adjustable. 14" W

Must also select PN I10556.
I105222-99-0 396.78Upper Extremity Support Angle Adjustable. 16" W

Must also select PN I10556.
I105220-99-0 396.78Upper Extremity Support Angle Adjustable. 18" W

Must also select PN I10556.
I105262-99-0 396.78Upper Extremity Support Joystick Cutout 16" W

Must also select PN I10556.
I105263-99-0 396.78Upper Extremity Support Joystick Cutout 18" W

Must also select PN I10556.
I103426-99-0 396.78Upper Extremity Support Angle Adjust - UniTrack SETND0010

SETND0010
Side mounted tray that attaches to the UniTrack Accessory Rail. Dimensions are: 19.5"W x
13"D. Can only be ordered with chairs that offer the UniTrack System. Must also select PN
I10556.
Page 12 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Accessories
$115.26
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I10556 115.26Adj Removable - Tray Hardware (1 Each)

I105224-99-0 288.66Oxygen holder

I105223-99-0 299.88Crutch holder

Stealth Accessories
$365.16
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I106291-99-0 365.16Stealth Comfort Plus Headrest - 8"W

Must also select I10721.
I106259-99-0 365.16Stealth Comfort Plus Headrest - 10"W

Must also select I10721.
I106261-99-0 365.16Stealth Comfort Plus Headrest - 14"W

Must also select I10721.
I10721 246.84Adj Stealth Headrest Hardware - Each (TWB480)

Please select the headrest post length below:
Standard length (10"): _____ Short length (6"): _____
I106314-99-0 562.02Stealth Swng Away Egg Sw for Comfort Plus Headrest

Includes Black Egg Switch and Stealth Comfort Plus Swing Away Hardware (CPS9-R).
Please indicate if you want switch mounted on left or right side of headrest:
Mount Switch on Left: _____ Mount Switch on Right: _____
I106316-99-0 645.15Stealth Swing Away Tash Micro Lite for Cmfrt Plus

Includes Tash Micro Lite Switch and Stealth Comfort Plus Swing Away Hardware (CPR9-R).
Please indicate if you want switch mounted on left or right side of headrest:
Mount Switch on Left: _____ Mount Switch on Right: _____
I10809 331.50Stealth Swing Away Facial Supprt Hdw for Cmfrt Plus

Must also select support pad (I10813, I10814, I10815). Please indicate if you want it mounte
d
on left or right side of headrest:
Mount Hardware on Left: _____ Mount Hardware on Right: _____
I106284-99-0 129.54Stealth #900 Support Pad (4.5" x 2") - Cmfrt Plus

I106305-99-0 359.04Stealth 3" x 5" Lateral Supports - Standard Hdwr

Must also select I10723. Contains the THIN, 3-link TWBSTL Stealth mounting hardware,
which allows armrests to be flipped back for transfers. Works with Corpus 3G backrest shells
only.
I106279-99-0 359.04Stealth 3" x 5" Lateral Supports - Short Hdwr

Must also select I10723. Contains the THIN, 2-link TWBTL Stealth mounting hardware, which
allows armrests to be flipped back for transfers. Works with Corpus 3G backrest shells only.
I106308-99-0 359.04Stealth 4" x 6" Lateral Supports - Standard Hdwr

Must also select I10723. Contains the THIN, 3-link TWBSTL Stealth mounting hardware,
which allows armrests to be flipped back for transfers. Works with Corpus 3G backrest shells
only.
I106280-99-0 359.04Stealth 4" x 6" Lateral Supports - Short Hdwr

Must also select I10723. Contains the THIN, 2-link TWBTL Stealth mounting hardware, which
allows armrests to be flipped back for transfers. Works with Corpus 3G backrest shells only.
I10723 512.04Adj Removable Stealth Lateral Hardware (Pair)

Alternative Drive Systems
$2,641.80
A
LTERNATIVE PROPORTIONAL JOYSTICK SYSTEMS
:
ADP CodeMSRP - CADescriptionPart Number
I10751 2,641.80Mini-Joystick for Omni / IOM (9-pin connector)

Operating Force = 13 g Neutral to Full Deflection = 5mm
I103893-99-0 1,289.28Compact Joystick for Omni / IOM (9-pin connector)

Operating Force = 220 g Neutral to Full Deflection = 28mm Joystick includes two 3.5mm
mono jacks for Mode and On/Off. Includes Standard Joystick Knob and 1.75" (42mm) Foam
Ball Knob.
Page 13 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Alternative Drive Systems
$1,474.92
A
LTERNATIVE PROPORTIONAL JOYSTICK SYSTEMS
:
ADP CodeMSRP - CADescriptionPart Number
I103894-99-0 1,474.92Compact Joystick LITE for Omni / IOM (9-pin conn)

Operating Force = 50 g Neutral to Full Deflection = 17mm Joystick includes two 3.5mm
mono jacks for Mode and On/Off. Includes Standard Joystick Knob and 1.75" (42mm) Foam
Ball Knob.
A
LT PROPORTIONAL JOYSTICK MOUNTING HARDWARE: ADP CodeMSRP - CADescriptionPart Number NOTE:
Please see the PERMOfix Mounting Solutions, within the Alt Drive Accessories section, for
additional mounting options.
I104690-99-0 238.68Alt. JS Adjustable Mount Kit - Armrest

Mount in front of Left Arm: _____ Mount in front of Right Arm: _____
I104695-99-0 760.92Alt. JS Adjustable Mount Kit - Midline

Mount on Left Arm: _____ Mount on Right Arm: _____
I104143-99-0 811.92Alt. JS Adjustable Mount Kit - Chin Boom

Swing-Away / Removable Chin Boom mounted on right of backrest shell. Custom charge
may be applied if ordering lower backrest heights.
I10752 579.36Alt. JS Adjustable Mount Kit - Haims Harness, Lrg

For neck width up to 19cm.
I10753 579.36Alt. JS Adjustable Mount Kit - Haims Harness, Sml

For neck width up to 14cm.
I10754 579.36Alt. JS Adjustable Mount Kit - Haims Harness, Peds

For neck width up to 10cm.
I10068 4,409.46Alt. JS Adj. Mount Kit - Power SwingAway Chin Boom

Includes power swing away mount off the backrest with adjustable mounting hardware.
Custom charge may be applied if ordering lower backrest heights.
I10797 533.46Stealth Sw Away Chin Boom for Comfort Plus Headrest

Includes Stealth Comfort Plus Swing Away Hardware, 18" boom and bracket for attaching a
Mini Joystick or Compact Joystick. Please indicate which bracket to include and if you want
boom mounted on left or right side of headrest:
Mini Joystick Bracket: _____ Compact Joystick Bracket: _____
Mount Boom on Left: _____ Mount Boom on Right: _____
$240.72
A
LT PROPORTIONAL JOYSTICK ACCESSORIES: ADP CodeMSRP - CADescriptionPart Number
I104904-99-0 240.72Dual Switches for Compact Joystick - Fixed Mount

Includes two pushbutton switches mounted on rigid Switches can be used for Mode & On/Off.
Switch operation force = 130 g
Mount at front of Joystick: _____ Mount at rear of Joystick: _____
Mount at left of Joystick: _____ Mount at right of Joystick: _____
I104641-99-0 436.56Dual Switches for Compact Joystick - Gooseneck Mnt

Includes two pushbutton switches mounted on adjustable gooseneck arms. Switches are
p
ositioned on Left and Right sides of Compact Joystick. Switches can be used for Mode &
On/Off. Switch operation force = 130 g
$4,778.70
TOTAL CONTROL HEAD ARRAY SYSTEM: ADP CodeMSRP - CADescriptionPart Number
I10966 4,778.70Permobil Head Array - 3-Switch System

Features an occipital pad sensor and two adjustable arms configured with sensors, switches
or pads. Each arm must be specified in the following sections to complete 3-Switch System.
A
dditional arms and sensors can be added to create a 5-Switch system. ESP recommended.
**Choose Omni Control Module (3-Sw/5-Sw) or R-net Input Module (5-Sw only) separately.
CHOOSE OCCIPITAL PAD SIZE (REQUIRED)
I105920-99-0 No ChargeSmall Occipital Pad for Head Array - 4.25"W x 3"H

I105921-99-0 No ChargeLarge Occipital Pad for Head Array - 6"W x 4"H

.
CHOOSE OCCIPITAL PAD MOUNT (REQUIRED):
Page 14 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Alternative Drive Systems
TOTAL CONTROL HEAD ARRAY SYSTEM: ADP CodeMSRP - CADescriptionPart Number
I10847 No ChargeFixed Mount for Occipital Pad - Head Array

I105936-99-0 428.40Adj. Swivel Mount for Head Array Occipital Pad

Enables Occipital Pad to be angled up/down and left/right independent of the lateral arms.
CHOOSE BACKREST MOUNTING HARDWARE (REQUIRED):
I105927-99-0 265.20Stealth TWB480 Backrest Mounting Hdwr with Links

Please select the length of the vertical stem below:
Standard length (10"): _____ Short length (6"): _____
I105941-99-0 438.60Stealth TWB480 Backrest Mtng Hdwr with Flipback

I105925-99-0 224.40Stealth HMO475 Backr Mtng Hdwr w 17mm Ball

I106319-99-0 477.36Stealth TWB480 Backrest Mnt Hdwr w SubOcptl Mount

I106282-99-0 96.90Stealth 600 SubOccipital Pad - 8.5"W x 2.75"H

.
CHOOSE LEFT ARM PACKAGE (REQUIRED):
I10859 No ChargeAdd Left Lateral Arm w Proximity Sensor

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
I10860 No ChargeAdd Left Lateral Arm w Egg Switch

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
CHOOSE RIGHT ARM PACKAGE (REQUIRED):
I10972 No ChargeAdd Right Lateral Arm w Proximity Sensor

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
I10973 No ChargeAdd Right Lateral Arm w Egg Switch

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
SELECT LEFT ARM PACKAGE (OPTIONAL)
I10976 617.10Add Left Lateral Arm w Proximity Sensor

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
I10977 499.80Add Left Lateral Arm w Egg Switch

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
I10978 408.00Add Left Lateral Arm w Pad (No Sensor or Switch)

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
SELECT RIGHT ARM PACKAGE (OPTIONAL):
I10979 617.10Add Right Lateral Arm w Proximity Sensor

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
I10980 499.80Add Right Lateral Arm w Egg Switch

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
Page 15 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Alternative Drive Systems
$408.00
TOTAL CONTROL HEAD ARRAY SYSTEM: ADP CodeMSRP - CADescriptionPart Number
I10981 408.00Add Right Lateral Arm w Pad (No Sensor or Switch)

Choose Lateral Arm Adjustment Range and Attachment Position:
Short (5.5" - 8"): ______ Long (9" - 13.5"): ______
Upper Attachment: ______ Lower Attachment: ______
$1,549.38
SIP & PUFF SYSTEMS
:
ADP CodeMSRP - CADescriptionPart Number
I10573 1,549.38Sip & Puff System for Omni WEX5

WEX5
Requires Omni Control Module. Cannot use this part with an Input Module. Includes breath
tube kit.
I10574 2,062.44Sip & Puff System with Fiber Optic Opti-Stop WEX5

WEX5
Requires Omni Control Module. Cannot use this part with an Input Module. Includes breath
tube kit.
I10762 240.72Adjustable Mounting Hrdw - Sip & Puff

Required when selecting PN I10573 or I10574.
$2,750.94
A
LTERNATIVE PROPORTIONAL CONTROL SYSTEMS: ADP CodeMSRP - CADescriptionPart Number
I10763 2,750.94VIC Proportional Finger Control for Omni / IOM

The VIC CCD translates small finger movements into proportional driving commands.
I10764 240.72VIC Adjustable Mount Kit - Armrest

Mount in front of Left Arm: _____ Mount in front of Right Arm: _____
I10765 760.92VIC Adjustable Mount Kit - Midline

Mount on Left Arm: _____ Mount on Right Arm: _____
I10317 4,825.62Proportional Tablet Control for Omni / IOM

The Tablet Control is a unique drive input which enables a user to control a power wheelchai
r
in a very similar manner to a mouse being controlled by a touchpad on a laptop computer.
The dimensions of the Tablet Control Pad are: 30cm Wide x 24cm Long x 4cm Thick Kit also
includes: Buddy Button Switch, and Tablet Control Mounting Bracket.
I10767 2,720.34Proportional Foot Control

Mount on Left: _____ Mount on Right: _____
I10766 240.72Adjustable Mounting Hrdw - Foot Control

Required when selecting PN I10767.
I10638 5,121.42RIM Control - SwitchIT for Omni

Requires Omni Control Module. Cannot use this part with an Input Module.
I10770 240.72Adjustable/Removable Hardware - RIM Control

Required when selecting PN I10638.
Alt Drive Systems Setup
$2,159.34
CHOOSE OMNI OR INPUT MODULE
(
REQUIRED
)
:ADP CodeMSRP - CADescriptionPart Number
ID51154IR 2,159.34Omni Control Module for R-net w/ Infrared

Mount in front of Left Arm: _____ Mount in front of Right Arm: _____ Please specify
which type of alternative drive input you will be using if not ordering the input device from
Permobil. Input Device: ___________________________
I10577 115.26Adjustable Swing-Away Hardware - Omni

Required when selecting Part Number ID51154IR.
I10581 1,523.88Input Module (IOM) for R-net Control System

This device allows a proportional or switched drive input to be connected to an R-net Control
System without the use of an Omni. It must be ordered in conjunction with an R-net Remote
Joystick. It does NOT support any of the following input devices: Sip-n-Puff, 3-Switch Head
A
rray or RIM control.
CHOOSE MOUNTING POSITION OF SEAT CONTROL SWITCHBOX: ADP CodeMSRP - CADescriptionPart Number
I10080 No ChargeMount Seat Control Switchbox on Backrest

Page 16 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Alt Drive Systems Setup
CHOOSE MOUNTING POSITION OF SEAT CONTROL SWITCHBOX: ADP CodeMSRP - CADescriptionPart Number
I10079 No ChargeMount Seat Control Switchbox on Left

I10078 No ChargeMount Seat Control Switchbox on Right

Alt Drive Accessories
$269.50
PERMOFIX MOUNTING SOLUTIONS
:
ADP CodeMSRP - CADescriptionPart Number
I106655-99-0 269.50PERMOfix UniTrack Fixed Mount Kit

Includes two base joints, two 4" rods and one 8" rod.
I106656-99-0 473.00PERMOfix UniTrack Removable Mount Kit

Includes quick release mount and thigh support hardware, two base joints and three different
length rods.
I106658-99-0 506.00PERMOfix UniTrack Fixed Omni Mount Kit

Used to mount Omni to UniTrack rail under armrest or on the seat frame. Includes Omni
mounting module, four additional modules, two 8" rods and one 4" rod.
$351.90
PERMOFIX SWITCH ASSEMBLIES
:
ADP CodeMSRP - CADescriptionPart Number
I105907-99-0 351.90Proximity Sensor + Swivel Assm - Not Mounted

Swivel assembly allows sensor to be mounted with PERMOfix or directly to lateral arm of
Total Control Head Array. Since Proximity Sensors require power, they CANNOT be used as
On/Off switches.
I105919-99-0 234.60Egg Switch + Swivel Mount Assm - Not Mounted

Swivel assembly allows switch to be mounted with PERMOfix or directly to lateral arm of
Total Control Head Array.
I105912-99-0 142.80Solid Lateral Pad+Swivel Joint - Not Mounted

Swivel assembly allows pad to be mounted with PERMOfix or directly to lateral arm of Total
Control Head Array.
I106675-99-0 123.00Oval Plate + Swivel Assm - No Switch - Not Mounted

Blank plate provides mounting option for Micro Lite, Buddy Button or other switch options.
Swivel assembly allows pad to be mounted with PERMOfix or directly to lateral arm of Total
Control Head Array.
$155.04
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
IMICROSWITCH 155.04Microlite Switch Qty: _____

IBUDDYBUTTON 116.28Buddy Button Qty: _____

I5808 113.22Mini Cup Switch Qty: _____

IZTS-P 540.60Proximity Switch Qty: _____

IMINIJOY5SW 919.02Mini Joystick 5 Switch OC

I10771 260.10Touch Contact with CR2032 Battery Qty: _____

I10772 481.44Dome Switch, Backrest Mnt w Gooseneck Qty: _____

Mount on Left: _____ Mount on Right: _____
Mounts at top of backrest shell. Custom charge may be applied if ordering with short backres
t
heights. Kit Includes: One PERMOfix joint with Flat Plate, two PERMOfix joints with 45°
swivel adjustment, one 150mm rod, one 200mm rod and one 225mm gooseneck switch with
1.2m cable and mounting clamp.
I10846 724.20Dome Switch, Backrest Swg Awy Mnt w Gsneck Qty:____

Mount on Left: _____ Mount on Right: _____
w 90° Swing-Away Function. Mounts at top of back. Custom charge applies if ordered with
short back. Kit Includes: One PERMOfix joint with Flat Plate, one PERMOfix joint with 45°
swivel adjustment, two 6" rods, one 90° Swing-Away joint, one 9" gooseneck switch w 50"
cable and mounting clamp.
I105935-99-0 32.643.5mm Ext. Cable for Sensor/Switch, 0.3m Long

I105931-99-0 36.723.5mm Ext. Cable for Sensor/Switch, 1m Long

I105932-99-0 40.803.5mm Ext. Cable for Sensor/Switch, 2m Long

I105933-99-0 44.883.5mm Ext. Cable for Sensor/Switch, 3m Long

Page 17 of 18
Rev 2013-4 11/4/2013

M300 Corpus 3G CANADIAN MSRP PRICE LIST
Alt Drive Accessories
$36.72
OPTIONAL ITEMS: ADP CodeMSRP - CADescriptionPart Number
I105934-99-0 36.723.5mm Y-splitter Cable for Sensor/Switch

A
llows two Proximity Sensors/Mechanical Switches to connect to the same direction jack.
Notes & Additional Instructions:
Order Acknowledgement:
I, _________________________, am an agent of the medical equipment provider named on this order form and I have the authority to contract for the
purchase of powered wheelchairs and related parts on behalf of said provider. I acknowledge that I have reviewed this order and that it is complete and
accurate to the best of my knowledge. I further acknowledge that any changes to this order after submission of this order form are subject to the returns policy
and may carry additional charges.
Chair Order Policy:
You are highly encouraged to contact Permobil Sales with ANY questions regarding proper completion of our order forms at 1-800-736-0925. The order cannot
be processed without the following:
-A client name or code, the client’s measurements, the client’s weight
-The order form must also be signed by a person authorized by your company to acknowledge the items selected. Permobil, LTD. is not
responsible for configuration or size discrepancies resulting from customer errors on the order form.
-Order confirmations will be provided by Permobil summarizing the items selected. Please review this carefully.
-Once the order is shipped, any changes are subject to the returns policy and may be prohibited.
Date:
Title:
Printed Name:
Signed:
NOTE: All specifications and prices are subject to change without notice. Please note that prices displayed are only valid if ordered with the wheelchair. Any
parts ordered for service or future alterations will carry different pricing and warranty. MID PROFILE® Cushion is a registered trademark of the The ROHO
Group. The ADP codes provided are not intended to be billing or legal advice, rather our interpretation of the code definitions. Use of the codes does not
ensure coverage or payment for the item. For coverage information, verify the policy of the appropriate payer.
Page 18 of 18
Rev 2013-4 11/4/2013