Patient Restraints: Locking Twice-As-Tough Cuffs (Buckle Closure)

Posey® Twice-As-Tough® Cuffs (Locking) are designed to limit the movement of wrists and/or ankles in patients assessed to be at risk of disrupting life-saving treatment, pulling lines/tubes, exacerbating skin conditions, compromising wound site integrity, or self-injury. They are considered Hard Restraints and are primarily used in behavioral health (VSD) treatments.

These heavy-duty restraint cuffs are gentle on skin and can be used for the patient’s wrists and/or ankles. Neoprene fabric, nylon straps, and reinforced stitching provide extra strength* and durability.


The Twice-As-Tough Cuffs restraint on this page features the following:

  • Key lock on the strap that anchors the restraint system to a bed/stretcher offers an extra measure of security (one-piece anchor strap for simple application and adjustment)
  • Quick-release buckle to secure the patient cuff (intuitive, plastic two-point press buckle; fast cuff application and release; adjustable cuff circumference)
  • Replacement/spare keys available (SKU 1074)

Heavy-Duty Restraint Cuffs with a Buckle

  • Description
  • 2792Q
    Quick-Release Buckle Cuff (Single Strap with Lock); Regular/Blue
    Cuff: 11.88" L x 2.5" W; Strap: 55" L

Sold by the pair. Accessories: Posey Universal Anchor Strap (SKU 2370); Posey Universal Key (SKU 1074).

Instructional Videos


*Twice-As-Tough Cuffs are pull tested to 300 lbs.

CMS defines two different types of behavior that could warrant the use of restraint or seclusion: Non-Violent, Non-Self-Destructive (NVNSD) behavior and Violent, Self-Destructive (VSD) behavior;