The Extra Wide Tall-Ette Elevated Toilet Seat from IndeMedical.com raises the height of your existing toilet bowel 4". Contoured, soft foam arm rests are designed to assist the user in sitting down or rising from the seat. This elevated toilet seat is ideal for those who need extra assistance as a result lower extremity weakness or poor balance. Legs are height adjustable and eliminates the need for a commode or toilet safety frame. Aluminum frame or steel frame available. Aluminum frame comes with Slip-In Lok-In-El Bracket. Steel frames features a Bolt-Down Lok-In-El Bracket.