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A cross brace attached with aircraft rivets and 1 inch steel tube manufacturing give this heavy duty bariatric footstool with hand rail by Drive Medical the strength you require. A hand rail attached to the stool only adds extra support. It can withstand a weight capacity of up to 500 pounds. The non-skid ribbed rubber platform and reinforced rubber tips on the legs provide a stable surface. The product is protected by a limited lifetime warranty.