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Each of these E-Z Reach bowel management tools features a handle which can secure to a flail hand with a comfortable vinyl strap. All are designed for use on an elevated toilet seat. Suitable for right or left handed use. Digi-Sert: digital bowel stimulator features 1/2" in diameter tapered Delrin tip with moveable retaining washer which adjusts for depth of penetration. Also called a DigiSert or Digital Bowel Stimulator.