Order form
Version 1/11 20110908 / M400
Corpus3G /

User

/ Contact/Dealer / Quote address /

Delivery address / Invpice address

Name : / Namn: / Namn
Address: / Address: / Address:
City/State: / City/State / City/State:
Phone: / Phone/ Fax : / Phone/ Fax :
Order Quote / PO#:: / PO#::
M400 Corpus3G (10km/h) M400S Corpus3G (12km/h) Inkl: Elektronik Rnet..
Colors Chassis Black Onyx Titan Blue Red metallic Bright Green Silver metallic
Colors Hubcap Black Onyx Titan Blue Red metallic Bright Green Silver metallic
Suspension Adjustment
A: 0-90kg B: 91-136kg
User weight
0-50kg 51-75kg 76-100kg 101-120kg 121-136kg
Seat
Mesh grey Mesh black Leatherette (Seat width 570 only with black mesh and leatherette)

Width = 420

/ Width = 470 / Width = 520 / Width = 570
Depth
370
420
470
520
570
Backrest

Fixed Shear reduction

/

Mesh grey Mesh black

Leatherette

/

Without cushion

Height / Width= 360 / Width= 410 / Width= 460
470
545-670
With height 545-670 choose mounting height 545 570 595 620 645 670
Wedge backrest
Armrest
Length /
Right: Black mesh Gray mesh
Leatherette
/
Left Black mesh Gray mesh
Leatherette
260
360
410
Armrest: Fixed Swivel
Mounting: / Width between armrest 380 430 480 530 580 / Height High Low
Legrest
Short extension (185mm)
/
Long extension (205mm)
Long (>360mm) + Small footplate (160mm)
/
Short (<350mm) + Small footplate (160mm)
Drive control
Control panel R-net Standard
/
Control panel R-net – color display
Control panel R-net – with toggle
/
Control panel R-net – LED
Mounting: Armrest Backrest Left Right
Panelholder 335mm
/
Panelholder 435mm
/
Panelholder Retractable
Switchbox Toggle Push button Mounting Panel Backrest Armrest Left Right
Alternative control See Order form Additional Accessories
Drive wheels
Pneumatic / Solid / Mud/snow pneumatic
Electrical functions
Seat elevator / Backrest recline 150° Backrest recline 180° / Legrest
Seat tilt 30° 50° With 50°m which mounting position (-5° - 45°) (0°-50°)
Standard Accessories
Table / Incontinence protection
Table angle adjustable / 103426-99-0 / 450x420/450x450 / 102808-99-0
(500x332mm) Mounted to seat frame / 450x500/450x530/450x560 / 102807-99-0
500x560/500x530/500x500 / 102806-99-0
Table swing away (cut out for panel) Mounting Left Right / 500x450 / 102809-99-0
600 mm / 105264-99-0 / Accessories seat
650 mm / 105261-99-0 / Support handles set / 105260-99-0
Table swing away (cut out for panel) / Push handles C3G / 105292-99-0
600 mm / 105262-99-0 / Lumber support inflatable / 101972-99-0
650 mm / 105263-99-0 / Foot strap padded / 103104-99-0
Foot strap non padded / 103427-99-0
Table angle adjustable / Oxygen holder / 105224-99-0
350 mm / 105221-99-0 / Crutch holder Mount Right Left / 105223-99-0
400 mm / 105222-99-0 / Accessories Chassis Lights not compatible with Compact Joystick standard or backrest width 520/570mm in combination with tilt -5°.
450 mm / 105220-99-0
Storage back pack not compatible with short backrest, crutch holder, oxygen holder or Co-Pilot. / Batteries 60Ah (10km/h) / 105595-99-0
Batteries 73Ah (12km/h) / 105594-99-0
Back pack incl. bag hooks / 102059-99-0 / Charger / 104750-99-0
Bag hooks / 105563-99-0 / Bag for charger / 104753-99-0
Armrest pouch / Light kit / 105297-99-0
For mounting Right Left Center seat frame / Supports Calf support not compatible with short legrest
Calf support (1pair) B 110x90 / 105252-99-0
Transport in car / A 150x140 / 105250-99-0
Plunge / 104626-99-0 / J 120x165 / 105258-99-0
H 170x175 / 105256-99-0
Extra control system / D 200x200 / 105254-99-0
Attendant control R-Net incl. bracket / 105408-99-0 / Thigh support (1pair) B 110x90 / 103092-99-0
Attendant control CoPilot / J 120x165 / 103094-99-0
Belt 4-point belt not compatible with short back rest / C 200x90 / 103095-99-0
Belt buckle / 100518-99-0 / G 300x90 / 102977-99-0
Belt self-adjusting / 100519-99-0 / Hip support (1pair) B 110x90 / 103077-99-0
Belt self-adjusting long / 100600-99-0 / A 150x140 / 103079-99-0
Belt 4-point / 100529-99-0 / C 200x90 / 103081-99-0
Hip belt padded Bodypoint / D 200x200 / 103083-99-0
M (38 X 1520) / 104520-99-0 / Amputation support (1st) Mounting R L
L (50 X 1650) / 104516-99-0 / A 150x140 / 103067-99-0
Hip belt non padded Bodypoint / J 120x165 / 103068-99-0
M / 104518-99-0 / H 170x175 / 103070-99-0
L / 104514-99-0 / D 200x200 / 103071-99-0
Mountings position belt Right Left / Head rest
Joystick handles / VS/Corpus fabric, high back / 105212-99-0
Funnel / 100960-99-0 / VS/Corpus fabric, low back / 105374-99-0
”T” / 100961-99-0 / “Old model” Fabric / 105290-99-0
Ball 30 mm / 101165-99-0 / “Old model” Leatherette / 105291-99-0
Ball 38 mm / 100962-99-0 / Lateral support 1pair)
Soft ball / 100963-99-0 / A 150x140 / 105213-99-0
Mushroom / 100964-99-0 / F 220x90 / 105217-99-0
Stick / 100965-99-0 / E 220x150 / 105215-99-0

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