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This seat is used; it serves as an excellent option for in-home patient care. It is in very good condition. The heavy-duty toilet seat riser by Drive Medical features a "worm screw" mechanism and a locking plate to ensure a secure and firm fit. It is constructed from a high-strength molded plastic frame that provides enhanced sturdiness and durability. Additionally, it incorporates tool-free removable armrests with black foam padding running the full length of the armrests to offer extra comfort.