Hygiene and Toileting System

Quick Reference Guide

Quick tip: All adjustment levers and buttons are bright blue, and adjustment knobs are white. Keep this in mind when trying to adjust the chair.


  • Note: Tilt-in-space is available only on the tilt-in-space frame with the gas spring. The chair can be tilted with the client seated in it. 

  • To tilt the chair:

    • Squeeze the blue lever located behind the gas spring on the right.
    • At the same time, with your other hand on the opposite corner of the backrest push the chair back and down (for reclining) or pull it up and forward (for anterior tilt).
  • The gas spring allows you to set the chair at any angle (not just preset angles) for good  positioning and client comfort. The tilt ranges from 5° forward (shown here) for easy hygiene access and for easy sit-to-stand… 

  • …to 25° back for comfortable showering and hair washing. The footrest can be angled forward for added support. 

Adjusting the height

  • Note: Adjusting the height is best done with the chair empty.

    To raise the chair, place one foot on the crosspiece and pull up with both hands.

  • To lower the chair:

    • Squeeze the two blue levers behind the front legs of the chair simultaneously and pull the chair all the way up to the highest level, then allow its weight to lower it automatically.
    • Release the levers when the chair is at the desired height. Check that both sides of the chair are at the same height.
  • Blue levers and preset stops can be found behind the front legs of the chair.  

Locking and unlocking casters

  • To lock a caster, depress  the white lever. 

  • To release the caster, kick the top of the lever or put your toe beneath it and lift up. 

Attaching and removing the backrest

  • To attach the back to the seat:

    • Standing in front of the chair, remove the armrests.  
    • With the back tilted toward you, insert the round moldings at the base of the back into the slots on the chair. 
    • Press down on the plastic ledge at the base of the backrest between the round moldings.
    • With backrest pressed down, start to rotate into position.
  • To adjust the angle of the back:

    • Pull up on the two blue levers on the sides.
    • With the levers pulled up, rotate the seat forward or back to the desired position – 6˚ forward, 6˚ back or 18˚ back – until it clicks.  
  • To remove the back from the seat, simply reverse the attachment procedure:

    • Pull up on the two blue levers.
    • Rotate the back into the forward-most position, aligning the hash marks on the side.
    • Pull up to remove. (You may need to place your knee on the seat while pulling up for leverage.)

Attaching and removing the seat to bars or bases

  • Note: When using the mounting bar to attach the backrest/seat assembly to a porcelain toilet, first angle the backrest forward. This position will give you enough room to clear the toilet's flipped-up lid and seat as you perform the next step.

  • To attach the seat to the base:

    • Insert the hooks at the back corners of the chair (see arrow) into the square holes on the base or mounting bar.

    The seat can be attached and detached with the backrest in place.

    • With the hooks seated in the holes, lower the front of the seat onto the front of the base and push until a click tells you the seat is securely latched. (You will not hear a click when attaching to a mounting bar, since the seat cannot latch to the toilet.)   
  • To remove the seat from the base:

    • Pull the two blue latches underneath the front of the seat as shown.
    • With the latches disengaged, pull up on the seat and remove. 

Adjusting the backrest angle

    • With your thumbs resting on top of the chair, pull up on the two blue levers on the sides.
    • With the levers pulled up, move the backrest forward or back until it clicks.  
  • The backrest adjusts to three positions: 6˚ forward, 6˚ back and 18˚ back.

Adjusting the seat depth

  • The seat adjusts to four different depths in 1" increments.

  • To adjust the seat depth:

    • Lift the two blue latches on the sides of the seat.
    • Slide the back and armrests configuration to the desired position until it clicks. 
  • To remove the backrest and armrests configuration from the seat for cleaning, lift the two blue latches, slide it all the way forward and remove. 

Headrest adjustments

  • To attach the headrest (and adjust the height):

    • Press in the blue button at the back of the chair.
    • Slide the headrest into the groove.
    • Adjust to desired position until it clicks. There are five settings for the headrest in 1" increments.  
  • To adjust the angle of the headrest:

    • Loosen the white oval knobs behind the headrest.
    • Adjust to the desired position and tighten.
    It’s a good idea to experiment with this adjustment to see how many different angles are available.

Lateral supports and chest strap

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

  • Each lateral support adjusts up and down, in and out. This allows adjustments independent of the other lateral support – ideal for clients who require side supports at different heights or angles.

  • To attach and adjust the lateral supports:

    • Slide the projecting arm on the lateral support into the groove on the back of the chair.
    • Loosen the white knob.
    • Adjust the lateral to the desired height.
    • Tighten the knob securely.
  • Loosen the white knob to adjust the lateral in and out and to rotate it.

  • To add a chest strap to the laterals:

    • Thread each end of the strap onto a lateral support so that the strap lies inside the lateral.
    • Slide the laterals into the grooves on the back of the chair (see previous slides). 
  • Caution: Proper positioning of the strap inside the lateral as shown is important; if the strap is placed incorrectly on the outside of the lateral it is a choking hazard. 

Anterior support/tray

  • Note: The anterior support/tray can be installed and removed by one person. Armrests must be in place to secure the anterior support, which can be used in six preset positions (one inch apart).

  • To attach the anterior support (tray):

    • Slide it on the armrests.
    • Pull forward the blue latch located on the underside of the anterior support.
    • Then slide the anterior support onto the armrests to the desired position, until it clicks. 
  • To remove the anterior support (tray), pull forward the blue latch on the underside of the tray and slide it forward. 

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 medium and large HTS.

  • Note: The hip guides are not identical; one is for the left and one for the right. Find  the small rib (that matches the notch in the hip guide hole, where the armrests go) and place this toward the back. 

  • To attach the hip guides:

    • Remove the armrests.
    • Insert the base of the armrest through the hole in the corresponding hip guide, with the blue hip guide pad and the screws of the armrest facing inside. 
    • Press the blue lever on the back of the armrest and slide the whole assembly into the armrest hole until it clicks.


  • Abductor in place.

  • To attach the abductor:

    • Press the blue latch and insert the arm of the abductor into the slot in the front of the chair.
    • Slide in until it clicks. 
  • The abductor can also hold the deflector in place. 


  • To attach the deflector, insert the tab into the grooves in the seat pad, as shown. 

  • The deflector properly attached. 

  • The deflector held in place by the abductor, an optional combination for added security.

  • To attach the splash guard:

    • Attach the seat belt by sliding the ends into the slots on the back corners of the chair.
    • Place the seat belt between the ridges on the outside of the splash guard (as shown).
    • Insert the splash guard into the opening of the seat pad.
    • Adjust seatbelt so that the entire assembly rests securely against the client.  
  • The splash guard correctly attached. 

  • The splash guard in place.


  • To adjust the angle of the footboard:

    • Push up on the blue buttons on the insides of the footboard uprights.
    • Tilt the footboard to the desired angle (the footboard angle adjusts in five 10° increments, from 10° back to 30° forward).
  • To adjust the height of the footboard:

    • Depress the blue buttons at the front of the footboard upright supports.
    • Slide the footboard up or down to the desired position (eight positions available in ¾" increments). 
  • Flip up the footboard to facilitate transfers. The footboard can also serve as a step for a client up to 150 lbs. 

Ankle straps

  • To attach the ankle straps:

    • Push the tail end of the strap through the horizontal slot on the footboard as shown. 
    • Twist the tail end to fit through the vertical slot. This will secure the ankle strap.
  • Ankle straps correctly attached to the footboard. 

    • With the ankle straps firmly in place, attach them to the client’s ankles. 

Attaching and adjusting seat belt

  • Note: The seat belt consists of three separate and detachable lengths: two sides and the middle.

    To attach the seat belt:

    • Slide the ends of the seat belt into the corresponding slots on the back corners of the chair.
    • Adjust length for client comfort.
    • For smaller clients, thread the seat belt through the inside of the backrest supports, as shown.
    • The small HTS includes a set of hooks below the seat to provide snug support for the smallest clients. Thread the seat belt straps through the hooks before securing the seat belt around the client.

Changing to butterfly harness

  • To secure the butterfly harness (with the seat belt already attached):

    • Drape the butterfly harness over the back of the chair as shown.
    • Remove the middle portion of the seat belt from the two sides. 
    • Attach the sides of the seat belt into the fasteners on the butterfly harness.
    • Attach the shoulder strap fasteners of the butterfly harness onto the buckles at the back of the backrest. 
    • To adjust, tighten the seat belt portion of the butterfly harness before tightening the upper straps.

Tub base

  • To attach the seat to the tub base:

    • Insert the hooks at the back corners of the seat into the square holes on the top of the tub base (as shown).
    • Lower the front of the seat onto the front of the base and push until it clicks and the seat is securely latched.
  • Seat correctly attached to the tub base. 

  • While tub base is in use, the seat back and headrest can be adjusted to the ideal angle for bathing and hair washing. 

  • To remove the seat from the base:

    • Pull the two blue latches underneath the front of the seat.
    • With the latches depressed, pull up on the seat and remove. 

Portability base with bag

  • Note: The bag comes with the two pieces that make up the portability base. The bag can also accommodate the seat, backrest, and armrests.

  • To assemble the Rifton HTS with the portability base:

    • Unfold the two pieces of the base.
    • Attach the shorter ends of the pieces.
    • Place the assembled base around the toilet.
    • Insert the hooks at the back corners of the seat into the square holes on the top of the portability base (as shown). 
    • Lower the front of the seat onto the front of the base and push until it clicks and the seat is securely attached.
  • To remove the seat from the base:

    • Pull the two blue latches underneath the front of the seat.
    • With the latches depressed, pull up on the seat and remove.
    • Pull the two sides of the base apart, collapse and insert back into the bag.

Calf rest

  • To attach the calf rest:

    • Attach the calf rest above the footboard. It should be removed if the footboard is in the top position.
    • Attach the calf rest to the footboard uprights. With the padding toward the client, wrap the webbing straps around the uprights and engage both buckles at the back.
    • Adjust the two straps so that the assembly is snug around the uprights.
  • The calf rest properly installed on the footboard

Attaching the seat and back pads

  • To attach the seat pad, line up the blue pins on the pad’s underside with the corresponding holes in the chair. Snap the pins into the holes.

  • To attach the back pad, stretch it over the backrest of the chair as shown. The back pad is held in place by a rim that fits snugly around the edges of the backrest.