Sur Fit Natura® Colostomy Barrier With 1 3 8 1¾ Inch Stoma Opening, 1 Box of 10 Ultrasound Lotions Gels Accs just set the ramp in Autoclavable Up to 325 just set the ramp in the desired position and it's ready to use * The handrails (36 H) have to be bolted onto the ramp * Made of durable aluminum so it will not rust rot or deteriorate from the outdoor elements making this the perfect ramp to improve access to your home or business * Slip resistant surface * The ramp measures 6'L x 36 W * Weight capacity: 850lbs * Perfect for wheelchairs & scooters * Specific Gravity Overall Dimensions 5 x 5 Skin barriers swell up or turtleneck to further protect the stoma and peristomal skin