list: 27 Spain EUR Dealer Information Contact: Customer Code: Customer Name: Address 1: City: Post code: Phone: Fax: PO: Client Information First Name: Last Name: Diagnosis: Address 1: Address 2: Postal code: City: Country: Phone: e-mail: Client Measurements Weight: Height: 1) Upper leg length: 2) Chest Depth: 3) Seat pan to elbow: 4) Arm pit height: 5) Top of shoulders: 6) Top of head: 7) Elbow to Hand: 8) Chest width: 9) Knee to Foot: 10) Hip width: kg All specifications and prices are subject to change without notice. Please note that displayed prices are only valid if ordered with the wheelchair. Any parts ordered for service or future alterations will carry different prices and warranty. Rabobank Parkstad Limburg Rekening: 1238.24.184 IBAN: NL84RABO0123824184 BIC/SWIFT: RABONL2U europe@permobil.nl Permobil Europe B.V. De Doom 22 NL 6419 CX HEERLEN Phone: +31 (0)45 564 54 90 Fax: +31 (0)45 564 54 91 Page 1 of 13
Chassis Model 105037-99-0 C500 R-NET WITH CORPUS 3G -SEAT 10km/h EUR 10,560.00 105036-99-0 C500 R-NET WITH CORPUS 3G -SEAT 7,5km/h EUR 9,573.00 User manual chassis 104867-99-0 MANUAL C500 R-NET CHASSIE SPAIN EUR - User manual seat 105367-99-0 MANUAL CORPUS 3G-SEAT R-NET ENGLAND EUR - Colour covers 102262-99-0 COVERS C500 BLACK METALLIC EUR - 102261-99-0 COVERS C500 DARK BLUE METALLIC EUR - 102263-99-0 COVERS C500 DARK GREEN METALLIC EUR - 102260-99-0 COVERS C500 RED METALLIC EUR - Hub cap 103593-99-0 HUB CAP INCL. REFLECTOR BLACK METALLIC EUR - 103539-99-0 HUB CAP INCL. REFLECTOR DARK BLUE METALLIC EUR - 103592-99-0 HUB CAP INCL. REFLECTOR DARK GREEN METALLIC EUR - 103510-99-0 HUB CAP INCL. REFLECTOR RED METALLIC EUR - 103541-99-0 HUB CAP INCL. REFLECTOR SILVER METALLIC EUR - Suspension setting 100400-99-0 SUSPENSION ADJUSTMENT 0-50KG C400/C500 EUR - 100401-99-0 SUSPENSION ADJUSTMENT 50-70KG C400/C500 EUR - 100402-99-0 SUSPENSION ADJUSTMENT 70-90KG C400/C500 EUR - 100403-99-0 SUSPENSION ADJUSTMENT 90-120KG C400/C500 EUR - 104943-99-0 SUSPENSION ADJUSTMENT 120-150 kg (220-330 lbs) EUR - Front wheels 103498-99-0 WHEELS 3.00x8" AIR FILLED TIRES EUR - 103499-99-0 WHEELS 3.00x8" SOLID TIRES EUR 131.00 104871-99-0 WHEEL 3.00-8" MUD/SNOW AIR TIRE (1 pair) EUR 131.00 Rear wheels 103557-99-0 WHEELS 2.5-3" SOLID TIRES EUR - 100394-99-0 WHEELS 210x65 AIR FILLED TIRES EUR - Drive parameters 103883-99-0 PROGR.SET: C500S R-NET 10KMH EUR - 104889-99-0 SOFTWARE C500/CORPUS R-NET BAS STD 7,5km/h ESP EUR - Accessories chassis Batteries 101989-99-0 BATTERIES, 73Ah, SET OF 2 EUR - Charger 104877-99-0 CHARGER PERMOBIL 24V/8A EU EUR - Light kit (+) 103635-99-0 LIGHT KIT C400/C500 R-NET EUR 447.00 Anti tipper (+) 105304-99-0 SUPPORT WHEEL C500 EUR 98.00 Luggage carrier (+) 101500-99-0 LUGGAGE CARRIER EUR 294.00 Transportation loops rear (+) 101515-99-0 TRANSPORT BRACKET REAR EUR 213.00 Running time meter (+) 101957-99-0 RUNNING TIME METER C400/C500 EUR 126.00 Chassis adaption Permolock C (+) 105561-99-0 PLUNGER C400/C500 C 3G EUR 466.00 Remote stop (+) 104746-99-0 REMOTE STOP R-NET/P+ EUR 517.00 User manual Remote stop (+) 104777-99-0 USER MANUAL ES REMOTE STOP EUR - Page 2 of 13
Rain cover (+) 101888-99-0 TARPAULIN/RAINCOVER FOR ALL MODLES EUR 108.00 Seat assembly Seat lift system 105140-99-0 SEAT ELEVATOR C500 C 3G EUR 1,729.00 105405-99-0 SEAT TUBE FIXED C500 C 3G EUR - Seat tilt options 105054-99-0 SEAT MOUNT FIXED C 3G EUR - 105052-99-0 SEAT TILT 30 C 3G EUR 2,013.00 105053-99-0 SEAT TILT 50 C 3G EUR 2,013.00 Mounting posetion seat 105068-99-0 SEAT MOUNT ANTERIOR -5 C 400/C500 C 3G EUR 279.00 105056-99-0 SEAT MOUNT HORIZONTAL C400/C500 C 3G EUR - Seat Model 105040-99-0 SEAT FRAME NARROW 370 DEPTH C 3G EUR - 105457-99-0 SEAT FRAME NARROW 395 DEP TH C 3G EUR - 105095-99-0 SEAT FRAME NARROW 420 DEPTH C 3G EUR - 105458-99-0 SEAT FRAME NARROW 445 DEP TH C 3G EUR - 105042-99-0 SEAT FRAME NARROW 470 DEPTH C 3G EUR - 105459-99-0 SEAT FRAME NARROW 495 DEPTH C 3G EUR - 105044-99-0 SEAT FRAME NARROW 520 DEPTH C 3G EUR - 105460-99-0 SEAT FRAME NARROW 545 DEPTH C 3G EUR - 105046-99-0 SEAT FRAME NARROW 570 DEPTH C 3G EUR - 105041-99-0 SEAT FRAME WIDE 420 DEPTH C 3G EUR - 105825-99-0 SEAT FRAME WIDE 445 DEPTH C 3G C400 C500 EUR - 105043-99-0 SEAT FRAME WIDE 470 DEPTH C 3G EUR - 105826-99-0 SEAT FRAME WIDE 495 DEPTH C 3G C400 C500 EUR - 105045-99-0 SEAT FRAME WIDE 520 DEPTH C 3G EUR - 105827-99-0 SEAT FRAME WIDE 545 DEPTH C 3G C400 C500 EUR - 105047-99-0 SEAT FRAME WIDE 570 DEPTH C 3G EUR - Seat width 105048-99-0 SEAT WIDTH 420 C 3G EUR - 105049-99-0 SEAT WIDTH 470 C 3G EUR - 105050-99-0 SEAT WIDTH 520 C 3G EUR - 105051-99-0 SEAT WIDTH 570 C 3G EUR - Seat cushion 105173-99-0 SEAT CUSHION 420x420 (17" x17") SKAI C 3G EUR - 105176-99-0 SEAT CUSHION 420x470 (17" x19") SKAI C 3G EUR - 105179-99-0 SEAT CUSHION 420x520 (17" x21") SKAI C 3G EUR - 105182-99-0 SEAT CUSHION 470x420 (19" x17") SKAI C 3G EUR - 105185-99-0 SEAT CUSHION 470x470 (19" x19") SKAI C 3G EUR - 105188-99-0 SEAT CUSHION 470x520 (19" x21") SKAI C 3G EUR - 105191-99-0 SEAT CUSHION 520x420 (21" x17") SKAI C 3G EUR - 105194-99-0 SEAT CUSHION 520x470 (21" x19") SKAI C 3G EUR - 105209-99-0 SEAT CUSHION 520x520 (21" x21") SKAI C 3G EUR - 105174-99-0 SEAT CUSHION 420x420 (17" x17") MESH BLACK C 3G EUR - 105177-99-0 SEAT CUSHION 420x470 (17" x19") MESH BLACK C 3G EUR - 105180-99-0 SEAT CUSHION 420x520 (17" x21") MESH BLACK C 3G EUR - 105183-99-0 SEAT CUSHION 470x420 (19" x17") MESH BLACK C 3G EUR - 105186-99-0 SEAT CUSHION 470x470 (19" x19") MESH BLACK C 3G EUR - 105189-99-0 SEAT CUSHION 470x520 (19" x21") MESH BLACK C 3G EUR - 105192-99-0 SEAT CUSHION 520x420 (21" x17") MESH BLACK C 3G EUR - 105195-99-0 SEAT CUSHION 520x470 (21" x19") MESH BLACK C 3G EUR - 105208-99-0 SEAT CUSHION 520x520 (21" x21") MESH BLACK C 3G EUR - 105269-99-0 SEAT CUSHION ERGO 500x600 LEATHERETTE EUR - 105270-99-0 SEAT CUSHION ERGO 550x600 LEATHERETTE EUR - 105271-99-0 SEAT CUSHION ERGO 600x450 LEATHERETTE EUR - Page 3 of 13
Seat cushion 105272-99-0 SEAT CUSHION ERGO 600x500 LEATHERETTE EUR - 105273-99-0 SEAT CUSHION ERGO 600x550 LEATHERETTE EUR - 105274-99-0 SEAT CUSHION ERGO 600x600 LEATHERETTE EUR - 105266-99-0 SEAT CUSHION ERGO 500x600 FABRIC EUR - 105267-99-0 SEAT CUSHION ERGO 550x600 FABRIC EUR - 105275-99-0 SEAT CUSHION ERGO 600x450 FABRIC EUR - 105276-99-0 SEAT CUSHION ERGO 600x500 FABRIC EUR - 105265-99-0 SEAT CUSHION ERGO 600x550 FABRIC EUR - 105268-99-0 SEAT CUSHION ERGO 600x600 FABRIC EUR - 105118-99-0 WITHOUT SEAT CUSHION C 3G EUR -131.00 Ergo support seat (+) 105219-99-0 THIGH SUPPORT ERGO (L/R) EUR - Adjustment backrest 105057-99-0 MANUAL CONTROL BACKREST 120 C 3G EUR - 105058-99-0 POWER CONTROL BACKREST 15 0 C 3G EUR 1,427.00 105059-99-0 POWER CONTROL BACKREST 18 0 C 3G EUR 1,671.00 Backrest Fixed/Bio-mech. 105066-99-0 BACKREST FIXED C 3G EUR - 105067-99-0 BACKREST SHEERING C 3G EUR 408.00 Backrest 105440-99-0 WITHOUT BACKREST NARROW ARMREST MOUNT 380-480mm EUR -166.00 105441-99-0 WITHOUT BACKREST WIDE ARM REST MOUNT 480-580mm EUR -166.00 105110-99-0 BACKREST WIDTH 360 x HEIGHT 545-670 C 3G EUR - 105111-99-0 BACKREST WIDTH 410 x HEIGHT 545-670 C 3G EUR - 105112-99-0 BACKREST WIDTH 460 x HEIGHT 545-670 C 3G EUR - 105113-99-0 BACKREST SHORT WIDTH 360 x HEIGHT470 C 3G EUR - 105114-99-0 BACKREST SHORT WIDTH 410 x HEIGHT 470 C 3G EUR - 105109-99-0 BACKREST SHORT WIDTH 460 x HEIGHT 470 C 3G EUR - Backrest height (+) 105060-99-0 BACKREST HEIGHT 545 C 3G EUR - 105061-99-0 BACKREST HEIGHT 570 C 3G EUR - 105062-99-0 BACKREST HEIGHT 595 C 3G EUR - 105063-99-0 BACKREST HEIGHT 620 C 3G EUR - 105064-99-0 BACKREST HEIGHT 645 C 3G EUR - 105065-99-0 BACKREST HEIGHT 670 C 3G EUR - Backrest cushion 105149-99-0 BACKREST CUSHION 360x480 (14"x19") SKAI C 3G EUR - 105152-99-0 BACKREST CUSHION 360x545-595 (14"x22-24") SKAI EUR - 105197-99-0 BACKREST CUSHION 360x620-670 (14"x25-27") SKAI EUR - 105158-99-0 BACKREST CUSHION 410x480 (16"x19") SKAI C 3G EUR - 105161-99-0 BACKREST CUSHION 410x545-595 (16"x22-24") SKAI EUR - 105155-99-0 BACKREST CUSHION 410x620-670 (16"x25-27") SKAI EUR - 105166-99-0 BACKREST CUSHION 460x480 (18"x19") SKAI C 3G EUR - 105169-99-0 BACKREST CUSHION 460x545-595 (18"x22-24") SKAI EUR - 105172-99-0 BACKREST CUSHION 460x620-670 (18"x25-27") SKAI EUR - 105147-99-0 BACKREST CUSHION 360x480 (14"x19") MESH BLACK C 3G EUR - 105150-99-0 BACKREST CUSHION 360x545-595 (14"x22-24") MESH BLA EUR - 105153-99-0 BACKREST CUSHION 360x620-670 (14"x25-27") MESH BLA EUR - 105156-99-0 BACKREST CUSHION 410x480 (16"x19") MESH BLACK C 3G EUR - 105159-99-0 BACKREST CUSHION 410x545-595 (16"x22-24") MESH BL EUR - 105162-99-0 BACKREST CUSHION 410x620-670 (16"x25-27") MESH BLA EUR - 105164-99-0 BACKREST CUSHION 460x480 (18"x19") MESH BLACK EUR - 105167-99-0 BACKREST CUSHION 460x545-595 (18"x22-24") MESH BLA EUR - 105170-99-0 BACKREST CUSHION 460x620-670 (18"x25-27") MESH BLA EUR - 105117-99-0 WITHOUT BACKREST CUSHION C 3G EUR -164.00 Ergo support back (+) 105570-99-0 LATERAL SUPPORT LARGE (ERGO) C 3G EUR - 105569-99-0 LATERAL SUPPORT SMALL (ERGO) C 3G EUR - Width between armrests 105083-99-0 MOUNT POS BETWEEN ARMREST 380mm C 3G EUR - Page 4 of 13
Width between armrests 105084-99-0 MOUNT POS BETWEEN ARMREST 430mm C 3G EUR - 105085-99-0 MOUNT POS BETWEEN ARMREST 480mm C 3G EUR - 105086-99-0 MOUNT POS BETWEEN ARMREST 530mm C 3G EUR - 105082-99-0 MOUNT POS BETWEEN ARMREST 580mm C 3G EUR - Armrest height adjustment 105069-99-0 MOUNT POS 2 LOW ARMREST 240mm C 3G EUR - 105081-99-0 MOUNT POS 4 HIGH ARMREST 300mm C 3G EUR - Armrest holder 105070-99-0 ARMREST ASSEMBLY FIXED RIGHT C 3G EUR - 105072-99-0 ARMREST ASSEMBLY SWIVELL- ING RIGHT C 3G EUR 119.00 Armrest Left 105098-99-0 ARMREST 260 SKAI LEFT C 3G EUR - 105102-99-0 ARMREST 335 SKAI LEFT C 3G EUR - 105107-99-0 ARMREST 410 SKAI LEFT C 3G EUR - 105097-99-0 ARMREST 260 MESH BLACK LEFT C 3G EUR - 105101-99-0 ARMREST 335 MESH BLACK LEFT C 3G EUR - 105106-99-0 ARMREST 410 MESH BLACK LEFT C 3G EUR - 105119-99-0 WITHOUT ARMREST LEFT C 3G EUR -52.00 Armrest Right 105100-99-0 ARMREST 260 SKAI RIGHT C 3G EUR - 105104-99-0 ARMREST 335 SKAI RIGHT C 3G EUR - 105105-99-0 ARMREST 410 SKAI RIGHT C 3G EUR - 105099-99-0 ARMREST 260 MESH BLACK RIGHT C 3G EUR - 105103-99-0 ARMREST 335 MESH BLACK RIGHT C 3G EUR - 105108-99-0 ARMREST 410 MESH BLACK RIGHT C 3G EUR - 105120-99-0 WITHOUT ARMREST RIGHT C 3 G EUR -52.00 Adjustment legrest 105080-99-0 CONTROL MANUAL LEGREST C 3G EUR - 105079-99-0 CONTROL POWER LEGREST C 3G EUR 1,668.00 Legrest 105434-99-0 LEGREST LONG EXTENSION (205mm) C 3G EUR - 105778-99-0 LEGREST PWR ADJ LONG INCL FOOTPLATE NARROW C 3G EUR 2,003.00 105777-99-0 LEGREST PWR ADJ LONG INCL FOOTPLATE WIDE C 3G EUR 2,003.00 105779-99-0 LEGREST PWR ADJ SHORT INCL FOOTPL NARROW C 3G EUR 2,003.00 105780-99-0 LEGREST PWR ADJ SHORT INCL FOOTPLATE WIDE C 3G EUR 2,003.00 105078-99-0 LEGREST POWER TRANSFER C 3G EUR 2,551.00 105435-99-0 LEGREST SHORT EXTENSION (185mm) C 3G EUR - Footplate 105436-99-0 FOOTPLATE NARROW (160mm) LONG LEG (400-500) C 3G EUR - 105438-99-0 FOOTPLATE NARROW (160MM) SHORT LEG (300-390) C 3G EUR - 105793-99-0 FOOTPLATE NARROW PWR TRANSFER C 3G EUR - 105437-99-0 FOOTPLATE WIDE (200mm) LONG LEG (400-500) C 3G EUR - 105439-99-0 FOOTPLATE WIDE (200mm) SHORT LEG (300-390) C 3G EUR - 105792-99-0 FOOTPLATE WIDE PWR TRANSFER C 3G EUR - 106154-99-0 WITHOUT FOOTPLATES EUR - Program Parameters seat ICS master 105332-99-0 SOFTWARE C500/CORPUS 3G BASIC ICS DATA EUR - 105836-99-0 SOFTWARE C500S/CORPUS 3G R-NET BASIC ICS DATA EUR - Parameters user weight 103966-99-0 PROGR.SET: USER WEIGHT: 0-50KG EUR - 103773-99-0 PROGR.SET: USER WEIGHT: 51-75KG EUR - 103774-99-0 PROGR.SET: USER WEIGHT: 76-100KG EUR - 103775-99-0 PROGR.SET: USER WEIGHT: 101-120KG EUR - 103967-99-0 PROGR.SET: USER WEIGHT: 121-135KG EUR - Parameters seat lift 105336-99-0 SOFTWARE C500/CORPUS 3G R-NET SEAT ELEV SWITCHES EUR - 105334-99-0 SOFTWARE C500/CORPUS 3G R-NET FIXED TUBE EUR - Page 5 of 13
Parameters seat tilt 105342-99-0 SOFTWARE CORPUS 3G R-NET EXCL SEAT TILT EUR - 105340-99-0 SOFTWARE CORPUS 3G R-NET POWER SEAT TILT 30 EUR - 105341-99-0 SOFTWARE CORPUS 3G R-NET POWER SEAT TILT 50 EUR - Parameters seat mounting (+) 105504-99-0 SOFTWARE CORPUS 3G R-NET SEAT TILT -5 ADAPTER EUR - Parameters Seat depth 105348-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 370mm EUR - 105349-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 420mm EUR - 105350-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 470mm EUR - 105640-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 495mm EUR - 105325-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 520mm EUR - 105641-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 545mm EUR - 105326-99-0 SOFTWARE CORPUS 3G R-NET SEAT DEPTH 570mm EUR - Parameters backrest 105337-99-0 SOFTWARE CORPUS 3G R-NET MANUAL RECLINE BACKREST EUR - 105338-99-0 SOFTWARE CORPUS 3G R-NET POWER RECLINE BACKR 150 EUR - 105339-99-0 SOFTWARE CORPUS 3G R-NET POWER RECLINE BACKR 180 EUR - Parameters legrest 105345-99-0 SOFTWARE CORPUS 3G R-NET MAN CTRL LEGREST EUR - 105347-99-0 SOFTWARE CORPUS 3G R-NET POWER LEGREST STD EUR - _Program software adjust fooplate (+) 105343-99-0 SOFTWARE CORPUS 3G R-NET LEGREST POWER EXT EUR - _Program software Transfer footplate (+) 105344-99-0 SOFTWARE CORPUS 3G R-NET LEGREST RA EUR - Accessories seat Headrest (+) 105445-99-0 HEADREST SHORT BACK FABRI C C 3G EUR 215.00 105444-99-0 HEADREST SHORT BACK SKAI C 3G EUR 215.00 105291-99-0 HEADREST LEATHERETTE C 3G EUR 215.00 105290-99-0 HEADREST FABRIC C 3G EUR 215.00 105212-99-0 HEADREST ERGO FABRIC C 3G EUR 358.00 105374-99-0 HEADREST ERGO SHORT BACK FABRIC C 3G EUR 358.00 Lateral support (+) 105213-99-0 LATERAL SUPPORT mod A (SMALL) FABRIC C 3G EUR 261.00 105215-99-0 LATERAL SUPPORT E 220x150 FABRIC C 3G EUR 272.00 105217-99-0 LATERAL SUPPORT F 220x90 FABRIC C 3G EUR 267.00 Thigh support (+) 103095-99-0 THIGH SUPPORTS TEXTILE (MESH) 200x90 LARGE (C) EUR 341.00 103094-99-0 THIGH SUPPORTS TEXTILE (MESH) 165x120 MEDIUM (J) EUR 335.00 103092-99-0 THIGH SUPPORTS TEXTILE (MESH) 110x90 SMALL (B) EUR 329.00 102977-99-0 THIGH SUPPORTS TEXTILE (MESH) 300x90 XLARGE (G) EUR 346.00 Hip support (+) 103077-99-0 HIP SUPPORTS SMALL (B) 110x90 TEXTILE (MESH) EUR 329.00 103079-99-0 HIP SUPPORTS MEDIUM (A) 150x140 TEXTILE (MESH) EUR 335.00 103081-99-0 HIP SUPPORTS LARGE (C) 200x90 TEXTILE (MESH) EUR 341.00 103083-99-0 HIP SUPPORTS X LARGE (D) 200x200 TEXTILE (MESH) EUR 346.00 Calf support (+) 105252-99-0 CALF REST B 110x90 FABRIC C 3G EUR 203.00 105258-99-0 CALF REST J 165x120 FABRIC C 3G EUR 227.00 105250-99-0 CALF REST A 150x140 FAB- RIC C 3G EUR 266.00 105256-99-0 CALF REST H 170x175 (CONTOUR) FABRIC C 3G EUR 253.00 105254-99-0 CALF REST D 200x200 FAB- RIC C 3G EUR 316.00 Seatbelt (+) 100518-99-0 SAFETY BELT,BUCKLE EUR 49.00 100519-99-0 SAFETY BELT,AUTOTENSION EUR 118.00 100600-99-0 SAFETY BELT,AUTOTENSION LONG VERSION EUR 118.00 100529-99-0 SAFETY BELT,4-POINT EUR 202.00 Page 6 of 13
Seatbelt (+) 104514-99-0 BELT 2-POINT LARGE NONPAD BODYPOINT INCL BRACK UT EUR 99.00 104516-99-0 BELT 2-POINT LARGE PADDED BODYPOINT INCL BRACK UT EUR 142.00 104518-99-0 BELT 2-POINT MEDIUM NONPA D BODYPOINT INCL BRACK UT EUR 92.00 104520-99-0 BELT 2-POINT MEDIUM PADDE D BODYPOINT INCL BRACK UT EUR 134.00 Mounting position Seatbelt roll (+) 105010-99-0 MOUNT POS SEATBELT ROLL RIGHT EUR - 105011-99-0 MOUNT POS SEATBELT ROLL LEFT EUR - Seat stabiliser 105464-99-0 SEAT SUPPORT FOR TILT -5 C400/C500 C3G EUR - 105323-99-0 SEAT SUPPORT C 3G EUR - 105465-99-0 SEAT SUPPORT NO TILT -5 C400/C500 C 3G EUR - 105466-99-0 SEAT SUPPORT NO TILT C400/C500 C 3G EUR - Wedge backrest (+) 105410-99-0 WEDGE NARROW BACKREST C 3 G EUR 87.00 105411-99-0 WEDGE STD BACKREST C 3G EUR 87.00 105412-99-0 WEDGE WIDE BACKREST C 3G EUR 87.00 Support handles set (+) 105260-99-0 SUPPORT HANDLES SET (pair) C 3G EUR 141.00 Stump support (+) 103067-99-0 STUMP SUPPORT SMALL (A) 150x140 TEXTILE (MESH) EUR 131.00 103068-99-0 STUMP SUPPORT MEDIUM (J) 165x120 TEXTILE (MESH) EUR 136.00 103070-99-0 STUMP SUPPORT LARGE (H) 170x175 TEXTILE (MESH) EUR 141.00 103071-99-0 STUMP SUPPORT XLARGE (D) 200x200 TEXTILE (MESH) EUR 147.00 Mounting position stump support (+) 105009-99-0 MOUNT POS AMPUTATION SUPP -ORT LEFT EUR - 105008-99-0 MOUNT POS AMPUTATION SUPP -ORT RIGHT EUR - Push handles back (+) 105292-99-0 PUSH HANDLES C 3G EUR 182.00 Table Swing able (+) 105262-99-0 TABLE SWING AWAY SIDE CUT R-NET C 3G 600 EUR 452.00 105263-99-0 TABLE SWING AWAY SIDE CUT R-NET C 3G 650 EUR 452.00 Mounting position table (+) 105021-99-0 MOUNT POS TABLE SWINGABLE LEFT EUR - 105020-99-0 MOUNT POS TABLE SWINGABLE RIGHT EUR - Table adjust angel (+) 105221-99-0 TABLE ADJUSTABLE ANGLE 350mm C 3G EUR 384.00 105222-99-0 TABLE ADJUSTABLE ANGLE 400mm C 3G EUR 384.00 105220-99-0 TABLE ADJUSTABLE ANGLE 450mm C 3G EUR 384.00 103426-99-0 TABLE,ANGLE ADJUST. 1-SIDE FIXATION EUR 426.00 _Table small armrest (+) 105686-99-0 TABLE SMALL LEFT MOUNT C 3G EUR 229.00 105831-99-0 TABLE SMALL RIGHT MOUNT C 3G EUR 229.00 Incontinence protection (+) 102808-99-0 INCONTINENCE PROTECTION 430x360/430x410 EUR 46.00 102807-99-0 INCONTINENCE PROTECTION 430x460/430x510/430x560 EUR 49.00 102809-99-0 INCONTINENCE PROTECTION 480x410 EUR 49.00 102806-99-0 INCONTINENCE PROTECTION 480x460/480x510/480x560 EUR 55.00 Armrest pouch Right (+) 100671-99-0 ARMREST POUCH,RIGHT EUR - Armrest pouch Left (+) 100672-99-0 ARMREST POUCH,LEFT EUR - Seat frame pouch (+) 102588-99-0 SEATFRAME POUCH EUR 30.00 Bag hooks (+) 105563-99-0 BAG HOOKS OPEN UNITRACK EUR 32.00 Back pack (+) 102059-99-0 BACK PACK INCL. HOOKS EUR 294.00 Foot straps (+) Page 7 of 13
Foot straps (+) 103427-99-0 FOOTSTRAPS WITHOUT PADS EUR 29.00 103104-99-0 FOOTSTRAPS WITH PADS EUR 65.00 Lumbar support (+) 101972-99-0 LUMBAR SUPPORT,AIR EUR 148.00 Crutch holder (+) 105223-99-0 CRUTCH HOLDER C 3G EUR 116.00 Mount. pos. crutch holder (+) 105029-99-0 MOUNT POS CRUTCH HOLDER LEFT EUR - 105028-99-0 MOUNT POS CRUTCH HOLDER RIGHT EUR - Holder oxygen bottle (+) 105224-99-0 OXYGEN HOLDER C 3G EUR 212.00 User control User control 105700-99-0 JOYSTICK R-NET CJSM HEAVY DUTY EUR 585.00 103544-99-0 JOYSTICK R-NET STANDARD EUR - 105246-99-0 CONTROL PANEL LED R-NET EUR - 104923-99-0 CONTROL PANEL COLOUR DIS- PLAY R-NET EUR 106.00 103543-99-0 JOYSTICK R-NET WITH TOGGLESWICH ON/OFF - MODE EUR 213.00 103814-99-0 JOYSTICK COMPACT ADV. R-NET EUR 497.00 105293-99-0 TABLESTEERING R-NET FLIP- OVER PANEL C 3G 600 EUR 1,086.00 105294-99-0 TABLESTEERING R-NET FLIP- OVER PANEL C 3G 650 EUR 1,086.00 101352-99-0 NON STANDARD STEERING EUR - Parameters Disbale JS Menu Memory Recall (+) 104907-99-0 SOFTWARE DISABLE SEAT MEMORIES RECALL VIA JS EUR - Parameters Disbale JS Menu Memory Save (+) 104927-99-0 SOFTWARE DISABLE SEAT MEMORIES SAVE VIA JS EUR - Parameters Disbale JS Menu Seat Functions (+) 104917-99-0 SOFTWARE DISABLE SEAT POSITIONING VIA JS EUR - Joystick holder (+) 103473-99-0 PANELHOLDER VR2/R-NET STD L=335 EUR - 103474-99-0 PANELHOLDER VR2/R-NET L=435 EUR - 104302-99-0 PANELHOLDER PAR. SW. AWAY VR2/R-NET L/R EUR - 102835-99-0 WITHOUT PANELHOLDER EUR - User manual CJ/CJA (+) 104582-99-0 USER MANUAL EU COMPACT JOYSTICK ADVANCED EUR - Mounting position joystick (+) 105032-99-0 MOUNT POS CONTROLBOX LEFT EUR - 105031-99-0 MOUNT POS CONTROLBOX RIGHT EUR - Mounting centre steering (+) 105023-99-0 MOUNT POS TABLE STEERING FLIPOVER LEFT EUR - 105022-99-0 MOUNT POS TABLE STEERING FLIPOVER RIGHT EUR - Switch box 102798-99-0 SWITCH BOX WITH PUSH BUTTONS EUR - 102799-99-0 SWITCH BOX WITH TOGGLE SWITCHES EUR - 104621-99-0 WITHOUT SWITCH BOX EUR - Bracket switch box (+) 103470-99-0 BRACKET SWITCH BOX BACKREST EUR - 103469-99-0 BRACKET SWITCH BOX JOYSTICK EUR - 104651-99-0 BRACKET SWITCH BOX UNITRACK ARMREST EUR - Mounting position switch box (+) 105027-99-0 MOUNT POS SWITCH KIT LEFT EUR - 105026-99-0 MOUNT POS SWITCH KIT RIGHT EUR - 105409-99-0 SWITCHBOX NOT MOUNTED EUR - Layout switch box (+) 103744-99-0 SWITCHBOX LAYOUT "A" EUR - 103786-99-0 SWITCHBOX LAYOUT "B" EUR - Page 8 of 13
Layout switch box (+) 103787-99-0 SWITCHBOX LAYOUT "C" EUR - 103745-99-0 SWITCHBOX LAYOUT "D" EUR - 105832-99-0 LAYOUT "L" SWITCH BOX EUR - 105833-99-0 LAYOUT "M" SWITCH BOX EUR - Indication level switch box (+) 103746-99-0 SWITCHBOX INDICATION LEVEL 1 EUR - 103747-99-0 SWITCHBOX INDICATION LEVEL 2 EUR - 103748-99-0 SWITCHBOX INDICATION LEVEL 3 EUR - 103749-99-0 SWITCHBOX INDICATION LEVEL 4 EUR - External charger socket (+) 104164-99-0 CHARGER SOCKET EXTERNAL MOUNTED ON ACC. RAIL EUR 193.00 104163-99-0 CHARGER SOCKET EXTERNAL MOUNTED ON THE ARMREST EUR 193.00 104165-99-0 CHARGER SOCKET EXTERNAL MOUNTED UNDER SEAT FRAME EUR 193.00 Mounting position charger socket (+) 105013-99-0 MOUNT POS CHARGER SOCKET LEFT EUR - 105012-99-0 MOUNT POS CHARGER SOCKET RIGHT EUR - Key (+) 104620-99-0 LOCKING KEY R-NET EUR 28.00 Joystick knobs (+) 101165-99-0 JOYSTICK KNOB BALL SMALL EUR 12.00 100962-99-0 JOYSTICK KNOB BALL BIG EUR 15.00 100960-99-0 JOYSTICK KNOB CHIN CUP EUR 15.00 100964-99-0 JOYSTICK KNOB MUSHROOM EUR 26.00 100963-99-0 JOYSTICK KNOB SOFT BALL EUR 26.00 100965-99-0 JOYSTICK KNOB STICK EUR 26.00 100961-99-0 JOYSTICK KNOB T-GRIP EUR 40.00 105442-99-0 JOYSTICK SOFTBALL BLACK WITH CONE EUR 23.00 Attendant control Attendant control (+) 106050-99-0 JOYSTICK ATTENDANT COLOR R-NET DISPLAY COMPL VS EUR 919.00 105408-99-0 ATTENDANT CONTROL R-NET INCL BRACKET C 3G EUR 887.00 105413-99-0 ATTENDANT CONTROL STD R-NET INCL BRACKET C 3G EUR 813.00 105407-99-0 ATTENDANT CONTROL TOGGLE R-NET INCL BRACKET C 3G EUR 1,017.00 105225-99-0 ATTENDANT CONTROL CO-PILO T R-NET INCL BRACK./PANEL EUR 2,434.00 User manual CO-pilot (+) 104595-99-0 USER MANUAL ES CO-PILOT RNET EUR - Emergency switch (+) 101792-99-0 EMERGENCY STOP SWITCH EUR 103.00 Bracket switch box (+) 103470-99-0 BRACKET SWITCH BOX BACKREST EUR - Special controls Type special control (+) 103895-99-0 MD CONTROL: JS COMPACT EUR 530.00 103896-99-0 MD CONTROL: JS COMPACT (LOW FORCE) EUR 639.00 104902-99-0 MD EC JOYSTICK COMPACT TILT SENSOR EUR 572.00 103824-99-0 MD CONTROL: MINI JOYSTICK EUR 994.00 103826-99-0 MD CONTROL: VIC FINGER JOYSTICK EUR 1,159.00 104660-99-0 MD CONTROL: ONE SWITCH EUR 27.00 103832-99-0 MD CONTROL: TWO SWITCHES EUR 250.00 103828-99-0 MD CONTROL: HEAD SWITCHES EUR 2,054.00 103830-99-0 MD CONTROL: FOUR SWITCHES EUR 250.00 104203-99-0 MD CONTROL: FIVE SWITCHES EUR 250.00 103829-99-0 MD CONTROL: SIP&PUFF EUR 2,062.00 104127-99-0 MD CONTROL: TABLET INCL TABLE 600x500 EUR 3,013.00 104128-99-0 MD CONTROL: TABLET WITHOUT MOUNT. AND TABLE EUR 2,430.00 104659-99-0 MD WITHOUT CONTROL EUR - Page 9 of 13
Basic set special control (+) 103822-99-0 MD EC BASIC SET R-NET EUR 3,355.00 103984-99-0 MD EC/RF BASIC SET R-NET EUR 3,808.00 Holder (+) 105566-99-0 HARNESS FOR CHIN CONTROL EUR 441.00 104302-99-0 PANELHOLDER PAR. SW. AWAY VR2/R-NET L/R EUR - 104689-99-0 PERMOFIX HOLDER CENTRE MOUNTED COMPACT JOYSTICK EUR 209.00 104695-99-0 PERMOFIX HOLDER CENTRE MOUNTED MINI JOYSTICK EUR 123.00 104692-99-0 PERMOFIX HOLDER COMPACT JOYSTICK EUR 158.00 104693-99-0 PERMOFIX HOLDER COMPACT JOYSTICK + DISPLAY EUR 242.00 104690-99-0 PERMOFIX HOLDER MINI JOYSTICK EUR 78.00 104691-99-0 PERMOFIX HOLDER MINI JOYSTICK + DISPLAY EUR 208.00 104143-99-0 HOLDER CHINSTEERING EUR 392.00 102835-99-0 WITHOUT PANELHOLDER EUR - Holder Display (+) 104694-99-0 PERMOFIX HOLDER DISPLAY EUR 165.00 Panel holder bracket C 3G (+) 105141-99-0 PANEL HOLDER BRACKET C 3G EUR - Mounting position input device (+) 105025-99-0 MOUNT POS DL/MD CONTROL LEFT EUR - 105024-99-0 MOUNT POS DL/MD CONTROL RIGHT EUR - User manual MagicDrive (+) 102880-99-0 USER MANUAL EU MAGICDRIVE+ EC EUR - User manual Tablet Control (+) 103432-99-0 USER MANUAL EU TABLET CONTROL EUR - User manual MagicDrive head control (+) 104633-99-0 USER MANUAL EU HEAD CONTROL EUR - On/off switch (+) 101208-99-0 MD EXTERNAL ON/OFF SWITCH EUR 229.00 104904-99-0 SWITCH DOUBLE FOR COMP JOYSTICK MD EC R-NET OMNI EUR 169.00 104641-99-0 SWITCH KIT FOR COMPACT JS (CHIN) EUR 263.00 101766-99-0 BUDDY BUTTON BLACK 63 MM EUR 72.00 101767-99-0 BUDDY BUTTON RED 63 MM EUR 72.00 101768-99-0 BUDDY BUTTON YELLOW 63 MM EUR 72.00 101770-99-0 CUP SWITCH 45 MM EUR 72.00 101772-99-0 GRASP SWITCH EUR 109.00 101769-99-0 MICRO LIGHT SWITCH EUR 72.00 101771-99-0 MINI CUP SWITCH 24 MM EUR 72.00 Function select switch (+) 101222-99-0 MD SCAN SELECT SWITCH EUR 177.00 101207-99-0 MD SCAN SELECT TOUCH CONTACT EUR 288.00 101766-99-0 BUDDY BUTTON BLACK 63 MM EUR 72.00 101767-99-0 BUDDY BUTTON RED 63 MM EUR 72.00 101768-99-0 BUDDY BUTTON YELLOW 63 MM EUR 72.00 101770-99-0 CUP SWITCH 45 MM EUR 72.00 101772-99-0 GRASP SWITCH EUR 109.00 101769-99-0 MICRO LIGHT SWITCH EUR 72.00 101771-99-0 MINI CUP SWITCH 24 MM EUR 72.00 Joystick knobs (+) 101165-99-0 JOYSTICK KNOB BALL SMALL EUR 12.00 100962-99-0 JOYSTICK KNOB BALL BIG EUR 15.00 100960-99-0 JOYSTICK KNOB CHIN CUP EUR 15.00 100964-99-0 JOYSTICK KNOB MUSHROOM EUR 26.00 100963-99-0 JOYSTICK KNOB SOFT BALL EUR 26.00 100965-99-0 JOYSTICK KNOB STICK EUR 26.00 100961-99-0 JOYSTICK KNOB T-GRIP EUR 40.00 105442-99-0 JOYSTICK SOFTBALL BLACK WITH CONE EUR 23.00 MD Accessories Attendant control (+) Page 10 of 13
Attendant control (+) 101206-99-0 MD ATTENDANT/DUAL CONTROL EUR 947.00 IR-mouse receiver (+) 101215-99-0 MD IR MOUSE RECEIVER USB EUR 454.00 EC cable right mouse click (+) 102563-99-0 MD EC ADAPT. CABLE DIN PLUG EUR 58.00 102562-99-0 MD EC ADAPT. CABLE 3.5MM JACK PLUG EUR 58.00 IR receiver (+) 102565-99-0 MD EC IR RECEIVER 8 CHANNEL / BOX EUR 809.00 EC joystick switchbox (+) 102551-99-0 MD EC JOYSTICK SWITCH BOX EUR 213.00 Emergency switch (+) 101792-99-0 EMERGENCY STOP SWITCH EUR 103.00 _Drive Link EC Touch Contact (+) 105550-99-0 DL/MD EC TOUCH CONTACT EUR 167.00 Powered swing away steering (+) 101210-99-0 POWERED SWING AWAY CHIN / SIPP&PUF UNIT EUR 2,124.00 EC Messenger (+) 102560-99-0 MD EC MESSENGER EUR 983.00 EC Output module (+) 102569-99-0 MD EC OUTPUT MODULE A0 EUR 439.00 102570-99-0 MD EC OUTPUT MODULE A1 EUR 439.00 EC programming (+) 102568-99-0 MD EC PROGRAMMING KIT EUR 887.00 EC Talker (+) 102559-99-0 MD EC TALKER EUR 983.00 _Drive Link EC IR phone soundstation (+) 105855-99-0 DL/MD EC IR PHONE SOUND S TATION 2 EUR 1,344.00 EC external speaker (+) 102558-99-0 MD EC EXTERNAL SPEAKER EUR 67.00 EC Microphone (+) 102556-99-0 MD EC MICROPHONE ON GOOSE NECK EUR 291.00 EC Easy Mobile (+) 102555-99-0 MD EC EASY MOBILE EUR 1,883.00 User manual EC Easy Mobile (+) 103381-99-0 USER MANUAL EU EASY MOBILE EUR - Supplementary accessories Compact joystick (+) 103892-99-0 JOYSTICK COMPACT LIGHT R- NET EUR 499.00 103817-99-0 JOYSTICK COMPACT R-NET EUR 390.00 User manual CJ (+) 104591-99-0 USER MANUAL EU COMPACT JOYSTICK EUR - _Joystick Mini R-Net (+) 105289-99-0 JOYSTICK MINI R-NET EUR 1,426.00 _Manual Mini Joystick (+) 105279-99-0 MANUAL MINI JOYSTICK R-NET SPAIN EUR - Chest support table (+) 101303-99-0 CHEST SUPPORT FOR TABLE CII/VII VINYL EUR 180.00 Bluetooth mouse (+) 106057-99-0 MOUSE CONTROL BLUETOOTH I NCL 2 CABLE ADAPT R-NET EUR 410.00 104688-99-0 BLUETOOTH MOUSE CONTROL EUR 321.00 Switch set Chin control (+) 104641-99-0 SWITCH KIT FOR COMPACT JS (CHIN) EUR 263.00 Buddy button 63 mm Black (+) 101766-99-0 BUDDY BUTTON BLACK 63 MM EUR 72.00 Page 11 of 13
Buddy button 63 mm Red (+) 101767-99-0 BUDDY BUTTON RED 63 MM EUR 72.00 Buddy button 63 mm Yellow (+) 101768-99-0 BUDDY BUTTON YELLOW 63 MM EUR 72.00 Micro light (+) 101769-99-0 MICRO LIGHT SWITCH EUR 72.00 Cup (+) 101770-99-0 CUP SWITCH 45 MM EUR 72.00 Mini cup (+) 101771-99-0 MINI CUP SWITCH 24 MM EUR 72.00 Grasp (+) 101772-99-0 GRASP SWITCH EUR 109.00 Switchbox alternative (+) 104196-99-0 SWITCH BOX ALTERNATIVE ICS 8-INPUT EUR 172.00 _Remote button interface (+) 104696-99-0 REMOTE BUTTON INTERFACE R -NET EUR 677.00 Program Parameters Accessories Rnet/MagicDrive (+) 104280-99-0 PROGR.SET: C500S R-NET MD PROP JS 10KMH EUR - 104278-99-0 PROGR.SET: C500 R-NET MD PROP JS 7,5KMH ESP EUR - 104286-99-0 PROGR.SET: C500S R-NET MD SWITCH 10KMH EUR - 104285-99-0 PROGR.SET: C500 R-NET MD SWITCH 7,5KMH ESP EUR - Compact Joystick CJA (+) 104260-99-0 PROGR.SET: C500S R-NET COMP JS ADV 10KMH EUR - 104258-99-0 PROGR.SET: C500 R-NET COMP JS ADV 7,5KMH ESP EUR - Compact Joystick (+) 104255-99-0 PROGR.SET: C500S R-NET COMP JS 10KMH EUR - 104253-99-0 PROGR.SET: C500 R-NET COMP JS 7,5KMH ESP EUR - LED JS panel (+) 105245-99-0 SOFTWARE CONTROL PANEL LE D R-NET EUR - 105768-99-0 SOFTWARE DISABLE PROFILE 7 EUR - _Program software Mini Joystick (+) 105609-99-0 SOFTWARE C500 R-NET MINI- JS 7,5km/h ESP EUR - 105611-99-0 SOFTWARE C500S R-NET MINI -JS 10km/h ESP EUR - Co-Pilot (+) 104275-99-0 PROGR.SET: C500S R-NET CO-PILOT EUR - 104274-99-0 PROGR.SET: C500 R-NET CO-PILOT 7,5KMH ESP EUR - Permolock Permolock (+) 102840-99-0 PERMOLOCK C EUR 1,583.00 User manual Permolock (+) 104622-99-0 USER MANUAL EU PERMOLOCK C EUR - 105670-99-0 MANUAL PERMOLOCK C GERMANY EUR - 105672-99-0 MANUAL PERMOLOCK C ITALY EUR - 105673-99-0 MANUAL PERMOLOCK C PORTUGAL EUR - 105671-99-0 MANUAL PERMOLOCK C SPAIN EUR - Release lever (+) 102841-99-0 MANUAL RELEASE FOR PERMOLOCK C EUR 170.00 Car seat adapter (+) 102839-99-0 CAR SEAT ADAPTER PERMOLOCK C EUR 318.00 Quicklock holder release lever (+) 102859-99-0 QUICKLOCK HOLDER RELEASE LEVER EUR 54.00 Spacer kit (+) 102864-99-0 SPACER KIT PERMOLOCK C EUR 7.00 Install kit fixed (+) Page 12 of 13
Install kit fixed (+) 101411-99-0 PERMOLOCK SNAP IN KIT EUR 145.00 Extension cable Permolock (+) 104232-99-0 EXTENSION CABLE FOR PERMOLOCK C,C3 EUR 54.00 Chair Order Policy: For other options and special adaptations, please call Permobil for further details. Please also refer to Permobil s Delivery Policy for further information. Your order cannot be processed without the following: - The client s name - The client s measurements - The client s weight For your ordering, please sign below with date and company stamp. Signature: Date: Company Stamp: An order confirmations will be provided by Permobil summarizing the items selected. Please review this carefully. Page 13 of 13