Julius Marold 4 This is a well built device. My wife now uses it in her nursing home and the care givers like the feel of it. The only slightly negative comment I have would be the hand brakes are mis adjusted. This is important with solid rubber tires. Since the chair came without a maintenance book, it would take a little while to figure out how to get the hand brakes aligned properly. Since they weren't touching the wheels, I left them as delivered. I do like the chair and consider it worth the cost.