Hygiene and Toileting System


Use the slides below to learn more about the components available to customize the HTS to an adaptive toilet chair, a freestanding commode or shower unit to meet your client’s needs. Looking for help with client-assist transfers? Don’t miss the Support Station.

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Seat and back pads

  • New! The soft seat pad, designed with egg crate geometry underneath and gentle contours on top, alleviates pressure points and provides softer, more comfortable support. It features a larger hole to ensure access to hygiene. Made of tough, waterproof, closed-cell foam, it is easy to clean.

    Available for the Z130 Large and Z120 Medium only.

  • New! The large soft seat pad.

  • Waterproof molded foam pads are easily removed for cleaning.

  • Rear-open seat pad – The unique design of the seat pad opening – open to the rear – facilitates access for caregivers to perform the necessary cleaning.

  • Rear-closed seat pad – Another option features a closed seat back and narrower hole, designed for users who need more support when sitting.

  • No-hole seat pad – In response to customer requests we are offering a no-hole seat pad for additional support.

  • The no-hole seat pad comes with a rigid hole filler for the medium and large HTS.

  • The HTS with seat and back pads

Push handles

  • A set of push handles allows the caregiver to easily move a client seated in the HTS.

  • A set of push handles attach to the back of the HTS.


  • The curved headrest provides support for clients with limited head control and adjusts in several directions: height, anterior/posterior position, up or down.

  • Tilting the headrest backward allows for comfortable showering and hair washing.

  • The headrest as it appears on the HTS

Butterfly harness

  • The butterfly harness provides maximum anterior support, security and freedom of movement for clients who have limited trunk control while sitting.

  • The small butterfly harness

  • The butterfly harness on the HTS

  • The butterfly harness in use

Anterior support/Tray

  • The padded anterior support/tray promotes the forward leaning positioning that best facilitates the toileting process.







  • The tray in use – promoting the forward positioning for which it’s designed.


  • New! The laterals can swing away quickly and smoothly for easy transfers.

  • The swing-away laterals on the HTS in use.

  • Independently adjustable laterals secure clients with limited trunk control. Laterals come in two sizes.

    Small: 5" x 4"

    Large: 6" x 5"

  • With the addition of a chest strap to the laterals, clients without upper torso control gain added trunk support and security to help correct spinal alignment.

Hip guides

  • New! Large hip guides with thicker pads. Pads 1" thicker than standard hip guides allow a seat width adjustment 2" narrower.

    Pad Dimensions: 11" x 3"

    Available for the Z120 medium and Z130 large HTS.

  • The large hip guides with thick pads offer better positioning for a client with tall, slender build.

    Available for the medium and large HTS.

  • Hip guides reduce the seat width, allowing for years of use as the client grows. They align the torso to aid trunk control and provide spine alignment. They adjust in two increments and can be removed with the armrests for transfer.

    Pad dimensions:
    Small: 7" x 3"
    Large: 11" x 3"

  • Hip guides as they attach to the HTS.


  • The pan facilitates off-toilet functionality with its generous capacity.

  • The pan’s durable plastic construction with a pour spout makes clean-up simple

  • The pan is attached to the HTS by sliding it in from the back. Its extra depth insures it will not spill, even when the chair is tilted.

    Small 2½ quarts, medium 4 quarts, large 5 quarts

Bowl adapter

  • The bowl adapter accommodates situations where the hole in the HTS isn’t fully over the hole in the toilet.

  • Inserted at the front edge of the hole under the seat pad, the bowl adapter ensures accurate positioning of the HTS over a wall-hung toilet. It can also be used with the large HTS to create a secure fit over a round-front toilet.


  • New! The dynamic deflector provides the ultimate degree of containment. Held in place by the standard abductor mounting, the dynamic deflector is made with soft, flexible foam and engineered to fit snugly and comfortably while conforming to the movements of the user so everyone stays clean and dry during the toileting process.

    Abductor block: 6½ x 4½ x 4"
    Deflector extends 6½" in front of abductor
    Total length of assembly: 11¼"

    Available for the Z120 medium and Z130 large HTS only.

  • The dynamic deflector installed in place on the HTS.

  • Deflectors keep caregiver and client clean during urination. 

  • Options include a low deflector built into the seat cover,

  • a removable soft standard deflector (requires seat pad for attaching)

  • and a splash guard that is held in place by the seat belt.

  • Removable deflectors are easy to attach.

  • The soft plastic of the splash guard is comfortable for the client while providing an extra measure of security for the caregiver.


  • By separating the knees and helping to control leg muscles, the abductor prevents scissoring of the legs and promotes good joint and body alignment.

    Small: 3" x 5" x 5", large: 4" x 5½" x 5½"

  • Made of soft skin foam, it also connects to the standard deflector to maintain cleanliness during urination.

  • The abductor attaches easily to the HTS.

    The abductor can be flipped upsided down and latched in place out of the way for transfers.

Calf rest

  • The attachable calf rest enhances the client’s comfort and sense of security when the footboard is extended and angled upward.

Ankle straps

  • Ankle straps attach to the footboard.

  • Ankle straps secure the feet of those with limited muscle control and excursion movement, enabling a moderate range of movement while improving independence in postural control.


  • The footboard supports client’s feet at the optimal height and angle. 

  • The footboard adjusts up to 5" in 1" increments.

  • The footboard angle adjusts in five 10° increments, from 10° back to 30° forward.

  • Flipping the footboard up gives the client room for sit-to-stand transfers. 

Large casters

  • The large casters improve mobility by clearing higher thresholds or other obstacles. They add approximately 1" to the height from floor.

Tub base

  • The tub base adds even more versatility to the already versatile HTS. The small and medium HTS seats attach to the tub base for comfortable showering and hair washing in the bathtub, eliminating the need to purchase a separate showering chair.

  • The reduced footprint accommodates narrow and wide tub bottoms alike.

  • The HTS attached to the tub base.

Portability kit

  • The portability kit gives clients greater independence – and their families greater freedom to travel – by enabling them to take the HTS on the road. The HTS eliminates contact with public toilets for better hygiene.

  • Lightweight folding frame and carry bag (for small and medium sizes) make toileting possible while traveling.

  • The HTS Portability kit fully assembled.