Fillable X850 Corpus 3G Dealer Information (Accident Compensation Corporation New Zealand)

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X850 Corpus 3G Dealer Information (Accident Compensation Corporation New Zealand)

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Dealer Information
Client Information
Client Measurements
* Contact:
Company Code:
*Shipping Location:
Address:
* City:
* State:
* Phone#:
* Fax#:
PO#:
* First Name:
* Last Name:
Diagnosis:
Address 1:
Address 2:
Postal code:
City:
Country:
Phone:
e-mail:
* Weight:
* Height:
Upper Leg Length:
Chest Depth:
Seat Pan to Elbow:
Arm Pit Height:
Top of Shoulders:
Top of Head:
Elbow to Hand:
Chest Width:
* Knee to Foot:
Hip Width:
kg
cm
cm
cm
cm
cm
cm
cm
cm
cm
cm
cm
X850 Corpus 3G
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.
Permobil New Zealand Ltd
181A McLeod Rd, Te Atatu South
Auckland 0610, New Zealand
0800 115 222
permobil.com/en-nz
Prices effective: February 22, 2021
Page 1 of 1022/02/2021
PERMNZ
Part number Description
+: Optional
Chassis
RRP
Model
106681-99-0
103028-99-0
103029-99-0
Colour covers
103174-99-0
103175-99-0
103173-99-0
Extender
103012-99-0
103011-99-0
Wheels
103017-99-0
X850 CORPUS 3G
DRIVE MOTOR PACKAGE - 10KM/H
DRIVE MOTOR PACKAGE - 15KM/H
COVERS X850 DARK BLUE METALLIC
COVERS X850 DARK GREY METALLIC
COVERS X850 RED METALLIC
POWERED WHEELBASE EXTENSION (8" / 200MM)
FIXED WHEELBASE EXTENSION
WHEELS (4 PCS) DEEP PROFILE
Accessories chassis
RRP
Batteries
101999-99-0
BATTERIES, 97Ah, SET OF 2
SET OF WHEEL (2 PCS) STUDDED TIRES
REAR VIEW MIRROR RIGHT
REAR VIEW MIRROR LEFT
Studded rear wheels (+)
106947-99-0
Rear mirror Right (+)
103101-99-0
Rear mirror Left (+)
103137-99-0
Luggage carrier (+)
LUGGAGE CARRIER X850 WITH TAIL LIGHTS
108004-99-0
103019-99-0
LUGGAGE CARRIER
CRUTCH HOLDER RIGHT
Crutch holder Right (+)
100292-99-0
Crutch holder Left (+)
100293-99-0
CRUTCH HOLDER LEFT
Rain cover (+)
101888-99-0
TARPAULIN/RAINCOVER FOR ALL MODLES (NYLON)
101899-99-0
TARPAULIN FOR X850 WITH ROLLBAR
101897-99-0
TARPAULIN/RAINCOVER YELLOW (WATERPROOF)
REMOTE STOP (2CH)
Remote stop (+)
106278-99-0
Footplate Options (+)
101892-99-0
FOOTPLATE ADJUSTABLE
Seat assembly
RRP
Seat lift system
103022-99-0
103033-99-0
Seat assembly
106782-99-0
106783-99-0
106918-99-0
Cabling (+)
100590-99-0
POWERED SEAT LIFT
SEAT HEIGHT FIXED
FIXED SEAT ANGLE
POWERED SWIVEL SEAT 2x90°
POWERED ADJ. SEAT TILT
ACTUATOR CONTROL WIRING KIT (Required when ordering 2 or more power seat functions)
Seat
RRP
Seat width
107023-99-0
107024-99-0
SEAT WIDTH SET TO 17"
SEAT WIDTH SET TO 19"
Page 2 of 10
22/02/2021
X850 Corpus 3G
Part number Description
+: Optional
Seat width
107025-99-0
107026-99-0
Seat depth
107013-99-0
107014-99-0
107015-99-0
107016-99-0
107017-99-0
107018-99-0
107019-99-0
SEAT WIDTH SET TO 21"
SEAT WIDTH SET TO 23"
SEAT DEPTH SET TO 14"
SEAT DEPTH SET TO 15"
SEAT DEPTH SET TO 16"
SEAT DEPTH SET TO 17"
SEAT DEPTH SET TO 18"
SEAT DEPTH SET TO 19"
SEAT DEPTH SET TO 20"
107452-99-0
107020-99-0
107021-99-0
Seat cushion
108663-99-0
108662-99-0
108665-99-0
108664-99-0
108667-99-0
108666-99-0
108669-99-0
108668-99-0
108671-99-0
108670-99-0
108673-99-0
108672-99-0
108675-99-0
108674-99-0
108677-99-0
108676-99-0
108679-99-0
108678-99-0
108681-99-0
108680-99-0
108683-99-0
108682-99-0
108685-99-0
108684-99-0
108687-99-0
108686-99-0
108689-99-0
108688-99-0
108691-99-0
108690-99-0
108693-99-0
108692-99-0
108695-99-0
108694-99-0
105118-99-0
Ergo support seat (+)
105219-99-0
Adjustment backrest
102221-99-0
103180-99-0
Backrest Fixed/Bio-mech.
105066-99-0
105067-99-0
SEAT DEPTH SET TO 20" (WITH SWIVEL SEAT)
SEAT DEPTH SET TO 21"
SEAT DEPTH SET TO 22"
SEAT CUSHION 17"X15" VINYL
SEAT CUSHION 17"X15" STRETCH AIR
SEAT CUSHION 17"X17" VINYL
SEAT CUSHION 17"X17" STRETCH AIR
SEAT CUSHION 17"X19" VINYL
SEAT CUSHION 17"X19" STRETCH AIR
SEAT CUSHION 17"X21" VINYL
SEAT CUSHION 17"X21" STRETCH AIR
SEAT CUSHION 17"X23" VINYL
SEAT CUSHION 17"X23" STRETCH AIR
SEAT CUSHION 19"X15" VINYL
SEAT CUSHION 19"X15" STRETCH AIR
SEAT CUSHION 19"X17" VINYL
SEAT CUSHION 19"X17" STRETCH AIR
SEAT CUSHION 19"X19" VINYL
SEAT CUSHION 19"X19" STRETCH AIR
SEAT CUSHION 19"X21" VINYL
SEAT CUSHION 19"X21" STRETCH AIR
SEAT CUSHION 19"X23" VINYL
SEAT CUSHION 19"X23" STRETCH AIR
SEAT CUSHION 21"X17" VINYL
SEAT CUSHION 21"X17" STRETCH AIR
SEAT CUSHION 21"X19" VINYL
SEAT CUSHION 21"X19" STRETCH AIR
SEAT CUSHION 21"X21" VINYL
SEAT CUSHION 21"X21" STRETCH AIR
SEAT CUSHION 21"X23" VINYL
SEAT CUSHION 21"X23" STRETCH AIR
SEAT CUSHION 23"X19" VINYL
SEAT CUSHION 23"X19" STRETCH AIR
SEAT CUSHION 23"X21" VINYL
SEAT CUSHION 23"X21" STRETCH AIR
SEAT CUSHION 23"X23" VINYL
SEAT CUSHION 23"X23" STRETCH AIR
WITHOUT SEAT CUSHION
ERGO SUPPORTS SEAT CUSHION
MANUAL ADJUST. BACKREST 90-120°
POWERED ADJ. BACKREST 90-120°
BACKREST FIXED
BACKREST BIO-MECH
Backrest
107253-99-0
107254-99-0
107255-99-0
BACKREST 14"X20" (SHORT)
BACKREST 16"X20" (SHORT)
BACKREST 18"X20" (SHORT)
Page 3 of 1022/02/2021
X850 Corpus 3G
Part number Description
+: Optional
Backrest
107256-99-0
107257-99-0
107258-99-0
107259-99-0
107260-99-0
107261-99-0
BACKREST 20"X20" (SHORT)
BACKREST 14"X23"-28" (STD)
BACKREST 16"X23"-28" (STD)
BACKREST 18"X23"-28" (STD)
BACKREST 20"X23"-28" (STD)
DIRECT BACKREST ADAPTER
TUBULAR BACKREST ADAPTER
WITHOUT BACKREST SHELL
107265-99-0
107272-99-0
Backrest height (+)
105060-99-0
105061-99-0
105062-99-0
105063-99-0
105064-99-0
105065-99-0
BACKREST HEIGHT 23"
BACKREST HEIGHT 24"
BACKREST HEIGHT 25"
BACKREST HEIGHT 26"
BACKREST HEIGHT 27"
BACKREST HEIGHT 28"
Ergo support back (+)
105570-99-0
105569-99-0
106201-99-0
Backrest cushion
108639-99-0
108638-99-0
108641-99-0
108640-99-0
108643-99-0
108642-99-0
108645-99-0
Page 4 of 10
108644-99-0
108647-99-0
108646-99-0
108649-99-0
108648-99-0
108651-99-0
108650-99-0
108653-99-0
108652-99-0
108655-99-0
108654-99-0
108657-99-0
108656-99-0
108659-99-0
108658-99-0
108661-99-0
108660-99-0
105117-99-0
ERGO SUPPORTS BACK LARGE (3" DEEP)
ERGO SUPPORTS BACK SMALL (2" DEEP)
WITHOUT ERGO SUPPORTS BACK
BACKREST CUSHION 14"X20" VINYL
BACKREST CUSHION 14"X20" STRETCH AIR
BACKREST CUSHION 14"X23"-25" VINYL
BACKREST CUSHION 14"X23"-25" STRETCH AIR
BACKREST CUSHION 14"X26"-28" VINYL
BACKREST CUSHION 14"X26"-28" STRETCH AIR
BACKREST CUSHION 16"X20" VINYL
BACKREST CUSHION 16"X20" STRETCH AIR
BACKREST CUSHION 16"X23"-25" VINYL
BACKREST CUSHION 16"X23"-25" STRETCH AIR
BACKREST CUSHION 16"X26"-28" VINYL
BACKREST CUSHION 16"X26"-28" STRETCH AIR
BACKREST CUSHION 18"X20" VINYL
BACKREST CUSHION 18"X20" STRETCH AIR
BACKREST CUSHION 18"X23"-25" VINYL
BACKREST CUSHION 18"X23"-25" STRETCH AIR
BACKREST CUSHION 18"X26"-28" VINYL
BACKREST CUSHION 18"X26"-28" STRETCH AIR
BACKREST CUSHION 20"X20" VINYL
BACKREST CUSHION 20"X20" STRETCH AIR
BACKREST CUSHION 20"X23"-25" VINYL
BACKREST CUSHION 20"X23"-25" STRETCH AIR
BACKREST CUSHION 20"X26"-28" VINYL
BACKREST CUSHION 20"X26"-28" STRETCH AIR
WITHOUT BACKREST CUSHION
WIDTH BETWEEN ARMRESTS SET TO 15"
WIDTH BETWEEN ARMRESTS SET TO 17"
WIDTH BETWEEN ARMRESTS SET TO 19"
WIDTH BETWEEN ARMRESTS SET TO 21"
WIDTH BETWEEN ARMRESTS SET TO 23"
WIDTH BETWEEN ARMRESTS: NARROW (15"-19")
WIDTH BETWEEN ARMRESTS: WIDE (19"-23")
ARMREST HEIGHT POS 2: 10" (FROM SEAT PAN)
ARMREST HEIGHT POS 3: 11" (FROM SEAT PAN)
ARMREST HEIGHT POS 4: 12" (FROM SEAT PAN)
ARMREST HEIGHT POS 5: 13" (FROM SEAT PAN)
105083-99-0
105084-99-0
105085-99-0
105086-99-0
105082-99-0
Mounting set armrests
107251-99-0
107252-99-0
Armrest height adjustment
106632-99-0
106633-99-0
106634-99-0
106635-99-0
Width between armrests
22/02/2021
X850 Corpus 3G
Part number Description
+: Optional
Armrest holder
105070-99-0
105072-99-0
Armrest Left
107650-99-0
107652-99-0
107630-99-0
107632-99-0
108860-99-0
105119-99-0
ARMREST HOLDERS FIXED
ARMREST HOLDERS SWIVEL
ARMREST 10", LEFT
ARMREST 13", LEFT
ARMREST 16", LEFT
ARMREST 18", LEFT
MOLDED ARMREST LEFT
WITHOUT ARMREST, LEFT
_Armrest upholstry Left - 1306 (+)
107634-99-0
ARMREST PAD TEXTILE 10" LEFT
107636-99-0
ARMREST PAD TEXTILE 13" LEFT
107638-99-0
ARMREST PAD TEXTILE 16" LEFT
107640-99-0
ARMREST PAD TEXTILE 18" LEFT
107604-99-0
ARMREST PAD GEL 10" LEFT
107606-99-0
ARMREST PAD GEL 13" LEFT
107608-99-0
ARMREST PAD GEL 16" LEFT
107610-99-0
ARMREST PAD GEL 18" LEFT
107642-99-0
ARMREST PAD VINYL (PU) 10" LEFT
107644-99-0
ARMREST PAD VINYL (PU) 13" LEFT
107646-99-0
ARMREST PAD VINYL (PU) 16" LEFT
107648-99-0
ARMREST PAD VINYL (PU) 18" LEFT
108864-99-0
MOLDED HAND PAD LARGE LEFT
108862-99-0
MOLDED HAND PAD MEDIUM LEFT
Armrest Right
107651-99-0
107653-99-0
Page 5 of 10
107631-99-0
107633-99-0
108861-99-0
105120-99-0
ARMREST 10", RIGHT
ARMREST 13", RIGHT
ARMREST 16", RIGHT
ARMREST 18", RIGHT
MOLDED ARMREST RIGHT
WITHOUT ARMREST, RIGHT
_Armrest upholstry Right - 1307 (+)
107635-99-0
ARMREST PAD TEXTILE 10" RIGHT
107637-99-0
ARMREST PAD TEXTILE 13" RIGHT
107639-99-0
ARMREST PAD TEXTILE 16" RIGHT
107641-99-0
ARMREST PAD TEXTILE 18" RIGHT
107605-99-0
ARMREST PAD GEL 10" RIGHT
107607-99-0
ARMREST PAD GEL 13" RIGHT
107609-99-0
ARMREST PAD GEL 16" RIGHT
107611-99-0
ARMREST PAD GEL 18" RIGHT
107643-99-0
ARMREST PAD VINYL (PU) 10" RIGHT
107645-99-0
ARMREST PAD VINYL (PU) 13" RIGHT
107647-99-0
ARMREST PAD VINYL (PU) 16" RIGHT
107649-99-0
ARMREST PAD VINYL (PU) 18" RIGHT
108865-99-0
MOLDED HAND PAD LARGE RIGHT
108863-99-0
MOLDED HAND PAD MEDIUM RIGHT
Legrest
107366-99-0
105760-99-0
MANUAL LEGREST W. 7" LENGTH COMPENSATION (Requires powered adj. seat tilt. Not
available with powered extension wheelbase or powered swivel seat)
WITHOUT LEGREST
Accessories seat
RRP
Headrest (+)
195.00
108719-99-0
108720-99-0
107718-99-0
107717-99-0
108717-99-0
108718-99-0
BODILINK HEADREST L MAX 8 STD BACK
BODILINK HEADREST L MAX 8 LOW BACK
HEADREST ORIGINAL 14"X5" STD HOLDER, STD BACK
HEADREST ORIGINAL 14"X5" STD HOLDER, SHORT BACK
BODILINK HEADREST M MAX 8 STD BACK
BODILINK HEADREST M MAX 8 LOW BACK
22/02/2021
X850 Corpus 3G
X850 Corpus 3G
Part number Description
+: Optional
Headrest (+)
107710-99-0
107709-99-0
109003-99-0
109004-99-0
107714-99-0
107713-99-0
HEADREST ORIGINAL 10"X5" STD HOLDER, STD BACK
HEADREST ORIGINAL 10"X5" STD HOLDER, SHORT BACK
BODILINK HEADREST S MAX 8 STD BACK BODILINK
HEADREST S MAX 8 LOW BACK
HEADREST ORIGINAL 7"X4.5" STD HOLDER, STD BACK
HEADREST ORIGINAL 7"X4.5" STD HOLDER, SHORT BACK
_Facial Support Pad Left Upper - 1333 (+)
107860-99-0
SWING AWAY ASSY W. FACIAL SUPPORT STD LEFT/HIGH
107861-99-0
SWING AWAY ASSY W. FACIAL SUPPORT LONG LEFT/HIGH
_Facial Support Pad Right Upper - 1335 (+)
107941-99-0
SWING AWAY ASSY W. FACIAL SUPPORT STD RIGHT/HIGH
Page 6 of 10
107944-99-0 SWING AWAY ASSY W. FACIAL SUPPORT LONG RIGHT/HIGH
Lateral support left (+)
107720-99-0
107722-99-0
Lateral support right (+)
107721-99-0
107723-99-0
Thigh support left (+)
107392-99-0
107394-99-0
107390-99-0
107396-99-0
Thigh support right (+)
107393-99-0
107395-99-0
107391-99-0
107397-99-0
Hip support left (+)
107398-99-0
107400-99-0
107402-99-0
107404-99-0
Hip support right (+)
107399-99-0
107401-99-0
107403-99-0
107405-99-0
LATERAL SUPPORT ORIGINAL LEFT 7"X5"
LATERAL SUPPORT ORIGINAL LEFT 5"X3"
LATERAL SUPPORT ORIGINAL RIGHT 7"X5"
LATERAL SUPPORT ORIGINAL RIGHT 5"X3"
THIGH SUPPORT LEFT TEXT. (MESH) 4.5"X3.5" SMALL (B)
THIGH SUPPORT LEFT TEXT. (MESH) 8"X3.5" LARGE (C)
THIGH SUPPORT LEFT TEXT. (MESH) 12"X3.5" XLARGE (G)
THIGH SUPPORT LEFT TEXT. (MESH) 6.5"X5" MEDIUM (J)
THIGH SUPPORT RIGHT TEXT. (MESH) 4.5"X3.5" SMALL (B)
THIGH SUPPORT RIGHT TEXT. (MESH) 8"X3.5" LARGE (C)
THIGH SUPPORT RIGHT TEXT. (MESH) 12"X3.5" XLARGE (G)
THIGH SUPPORT RIGHT TEXT. (MESH) 6.5"X5" MEDIUM (J)
HIP SUPPORT LEFT TEXT. (MESH) 6"X5.5" MEDIUM (A)
HIP SUPPORT LEFT TEXT. (MESH) 4.5"X3.5" SMALL (B)
HIP SUPPORT LEFT TEXT. (MESH) 8"X3.5" LARGE (C)
HIP SUPPORT LEFT TEXT. (MESH) 8"X8" XLARGE (D)
HIP SUPPORT RIGHT TEXT. (MESH) 6"X5.5" MEDIUM (A)
HIP SUPPORT RIGHT TEXT. (MESH) 4.5"X3.5" SMALL (B)
HIP SUPPORT RIGHT TEXT. (MESH) 8"X3.5" LARGE (C)
HIP SUPPORT RIGHT TEXT. (MESH) 8"X8" XLARGE (D)
Calf support (+)
105250-99-0
105252-99-0
Elbow support left (+)
107838-99-0
Elbow support right (+)
107839-99-0
CALF SUPPORTS L (A) 6"X5.5" (MESH)
CALF SUPPORTS S (B) 4.5"X3.5" (MESH)
ELBOW SUPPORT LEFT
ELBOW SUPPORT RIGHT
_Armrest Side Support Left Outside (+)
107863-99-0
ARMREST SIDE SUPPORT LEFT OUTSIDE
_Armrest Side Support Right Outside (+)
107840-99-0
ARMREST SIDE SUPPORT RIGHT OUTSIDE
_Armrest Side Support Left Inside (+)
107865-99-0
ARMREST SIDE SUPPORT LEFT INSIDE
_Armrest Side Support Right Inside (+)
107864-99-0 ARMREST SIDE SUPPORT RIGHT INSIDE
22/02/2021
Part number Description
+: Optional
Seatbelt (+)
100600-99-0
100519-99-0
Abduction wedge (+)
106762-99-0
Wedge backrest (+)
105410-99-0
105411-99-0
105412-99-0
105854-99-0
SAFETY BELT, AUTOTENSION LONG VERSION
SAFETY BELT, AUTOTENSION
ABDUCTION WEDGE
SHOULDER SUPPORT FOR 14" WIDE BACKREST
SHOULDER SUPPORT FOR 16" WIDE BACKREST
SHOULDER SUPPORT FOR 18" WIDE BACKREST
SHOULDER SUPPORT FOR 20" WIDE BACKREST
Seat Cushion Corpus Ergo Air (+)
106269-99-0 SEAT CUSHION CORPUS ERGO AIR 17"X17"
106270-99-0 SEAT CUSHION CORPUS ERGO AIR 17"X19"
106271-99-0 SEAT CUSHION CORPUS ERGO AIR 17"X21"
107444-99-0 SEAT CUSHION CORPUS ERGO AIR 17"X23"
106272-99-0 SEAT CUSHION CORPUS ERGO AIR 19"X17"
106273-99-0 SEAT CUSHION CORPUS ERGO AIR 19"X19"
106274-99-0 SEAT CUSHION CORPUS ERGO AIR 19"X21"
106276-99-0 SEAT CUSHION CORPUS ERGO AIR 21"X19"
106277-99-0 SEAT CUSHION CORPUS ERGO AIR 21"X21"
Support handle armrest (+)
106058-99-0
SUPPORT HANDLE ARMREST
Mounting position support handle (+)
SUPPORT HANDLE ARMREST MOUNTED AT LEFT SIDE
105007-99-0
105030-99-0
SUPPORT HANDLE ARMREST MOUNTED AT RIGHT SIDE
Support handles set (+)
105260-99-0
Stump support (+)
106497-99-0
106498-99-0
106499-99-0
106500-99-0
TRANSFER HANDLES, SET
STUMP SUPPORT SMALL (A) 6"X5.5" TEXTILE (MESH)
STUMP SUPPORT XLARGE (D) 8"X8" TEXTILE (MESH)
STUMP SUPPORT LARGE (H) 7"X7" TEXTILE (MESH)
STUMP SUPPORT MEDIUM (J) 6.5"X5" TEXTILE (MESH)
Mounting position stump support (+)
STUMP SUPPORT MOUNTED AT LEFT SIDE
105009-99-0
105008-99-0
STUMP SUPPORT MOUNTED AT RIGHT SIDE
_2nd
Amputation support legrest (+)
Page 7 of 10
106497-99-0
STUMP SUPPORT SMALL (A) 6"X5.5" TEXTILE (MESH)
106498-99-0
STUMP SUPPORT XLARGE (D) 8"X8" TEXTILE (MESH)
106499-99-0
STUMP SUPPORT LARGE (H) 7"X7" TEXTILE (MESH)
106500-99-0 STUMP SUPPORT MEDIUM (J) 6.5"X5" TEXTILE (MESH)
Table adjust angel (+)
108510-99-0
108505-99-0
108511-99-0
108506-99-0
108512-99-0
108507-99-0
108513-99-0
108508-99-0
_Bracket Table (+)
107295-99-0
TABLE,REMOVABLE ANGLE ADJ LEFT, WIDTH 13"
TABLE,REMOVABLE ANGLE ADJ RIGHT, WIDTH 13"
TABLE,REMOVABLE ANGLE ADJ LEFT, WIDTH 15"
TABLE,REMOVABLE ANGLE ADJ RIGHT, WIDTH 15"
TABLE,REMOVABLE ANGLE ADJ LEFT, WIDTH 17"
TABLE,REMOVABLE ANGLE ADJ RIGHT, WIDTH 17"
TABLE,REMOVABLE ANGLE ADJ LEFT, WIDTH 19"
TABLE,REMOVABLE ANGLE ADJ RIGHT, WIDTH 19"
BRACKET ADDITIONAL POSITION TABLE
Table small for armrest mount (+)
105686-99-0
COLLEGE TABLE,LEFT
105831-99-0
COLLEGE TABLE RIGHT
22/02/2021
X850 Corpus 3G
Part number Description
+: Optional
Roll bar (+)
103171-99-0
Incontinence protection (+)
107454-99-0
107136-99-0
107137-99-0
107138-99-0
107455-99-0
107456-99-0
107139-99-0
107140-99-0
107141-99-0
107142-99-0
107144-99-0
107145-99-0
107146-99-0
107147-99-0
107149-99-0
107150-99-0
107151-99-0
Armrest pouch Right (+)
107339-99-0
Armrest pouch Left (+)
107338-99-0
Seat frame pouch (+)
107340-99-0
Bag hooks (+)
105563-99-0
Back pack (+)
102059-99-0
Foot straps (+)
103427-99-0
103104-99-0
Lumbar support (+)
101972-99-0
Crutch holder (+)
105223-99-0
ROLL BAR LOW
INCONTINENCE PROTECTION 17"X15"
INCONTINENCE PROTECTION 17"X17"
INCONTINENCE PROTECTION 17"X19"
INCONTINENCE PROTECTION 17"X21"
INCONTINENCE PROTECTION 17"X23"
INCONTINENCE PROTECTION 19"X15"
INCONTINENCE PROTECTION 19"X17"
INCONTINENCE PROTECTION 19"X19"
INCONTINENCE PROTECTION 19"X21"
INCONTINENCE PROTECTION 19"X23"
INCONTINENCE PROTECTION 21"X17"
INCONTINENCE PROTECTION 21"X19"
INCONTINENCE PROTECTION 21"X21"
INCONTINENCE PROTECTION 21"X23"
INCONTINENCE PROTECTION 23"X19"
INCONTINENCE PROTECTION 23"X21"
INCONTINENCE PROTECTION 23"X23"
ARMREST POUCH, RIGHT BLACK
ARMREST POUCH, LEFT BLACK
SEATFRAME POUCH BLACK
BACKPACK HOOKS, SET UNITRACK
BACK PACK
FOOTSTRAPS WITHOUT PADS (SET OF 2)
FOOTSTRAPS WITH PADS (SET OF 2)
LUMBAR SUPPORT,AIR
CRUTCH HOLDER C3G
Page 8 of 10
Mount. pos. crutch holder (+)
105029-99-0
CRUTCH HOLDER MOUNTED AT LEFT SIDE
105028-99-0
CRUTCH HOLDER MOUNTED AT RIGHT SIDE
Holder oxygen bottle (+)
105224-99-0
HOLDER OXYGEN BOTTLE C3G
CUP HOLDER
Cup holder (+)
106210-99-0
Cellphone holder (+)
106806-99-0
PHONE HOLDER X-GRIP
Tablet holder (+)
106972-99-0
TABLET HOLDER X-GRIP
22/02/2021
X850 Corpus 3G
Part number Description
+: Optional
User control
RRP
User control
103024-99-0
103025-99-0
Joystick holder (+)
107753-99-0
102855-99-0
101612-99-0
102835-99-0
CONTROL PANEL WITH SMALL JOYSTICK
CONTROL PANEL WITH BIG JOYSTICK (Heavy duty option)
PANELHOLDER RETRACTABLE (PARALLEL MOTION) X850
PANELHOLDER SWING AWAY L=13" LEFT / LOW
PANELHOLDER SWING AWAY L=13" RIGHT / LOW
WITHOUT PANELHOLDER
Panel holder bracket C 3G (+)
105141-99-0 BRACKET JOYSTICK HOLDER
Height adjustable holder (+)
HEIGHT ADJUSTABLE JOYSTICK HOLDER
HEIGHT ADJUSTABLE LEFT JOYSTICK HOLDER
108005-99-0
107963-99-0
107960-99-0
HEIGHT ADJUSTABLE RIGHT JOYSTICK HOLDER
Mounting position joystick (+)
JOYSTICK MOUNTED AT LEFT SIDE
105032-99-0
105031-99-0
JOYSTICK MOUNTED AT RIGHT SIDE
Tumble switches for switchbox (+)
100524-99-0
TUMBLE SWITCHES FOR SWITCH BOX SEAT FUNCTIONS
Joystick knobs (+)
101165-99-0
105846-99-0
105847-99-0
105848-99-0
101166-99-0
100962-99-0
100960-99-0
100964-99-0
100963-99-0
100965-99-0
100961-99-0
105442-99-0
JOYSTICK KNOB BALL SMALL
JOYSTICK KNOB BODYPOINT 3" U-SHAPED
JOYSTICK KNOB BODYPOINT 4" U-SHAPED
JOYSTICK KNOB BODYPOINT RUBBER DOME
JOYSTICK KNOB STANDARD
JOYSTICK KNOB BALL BIG
JOYSTICK KNOB CHIN CUP
JOYSTICK KNOB MUSHROOM
JOYSTICK KNOB SOFT BALL
JOYSTICK KNOB STICK
JOYSTICK KNOB T-GRIP
JOYSTICK KNOB SOFT BALL BLACK (CONE)
Attendant control
RRP
Attendant control (+)
104697-99-0
107310-99-0
JOYSTICK ATTENDANT X850 SMALL JOYSTICK (Mounted on the chassis)
JOYSTICK ATTENDANT X850 SMALL JOYSTICK (Mounted on the backrest)
Mounting position attendant control (+)
JOYSTICK ATTENDANT MOUNTED AT LEFT SIDE
105017-99-0
105016-99-0
JOYSTICK ATTENDANT MOUNTED AT RIGHT SIDE
Page 9 of 1022/02/2021
X850 Corpus 3G
Additional order instructions
LAPSTACKER - Add a Adaptdefy LapStacker Set. There is only one configuration for Permobil Powerchairs.
Complete the LapStacker order form.
Part number Description
+: Optional
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 10 of 1022/02/2021
X850 Corpus 3G
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X850 Corpus 3G Dealer Information (Accident Compensation Corporation New Zealand)

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Completed 16 January 2022

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