Patient Restraints: Locking Twice-As-Tough Cuffs (Hook & Loop 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.

Note that the Twice-As-Tough Cuffs restraint presented on this page is specifically intended to be used for the patient’s ankles. Neoprene fabric, nylon straps, and reinforced stitching provide extra strength* and durability.

This heavy-duty restraint is gentle on skin. It is a “connected” one-piece Limb Holder that utilizes fixed positions to reduce movement and increase stability:
  • Bed application only
  • For patient’s ankles; often used in conjunction with SKU 2794 for patient’s wrists
  • Key lock on the strap that anchors the restraint system to a bed offers an extra measure of security (one-piece anchor strap for simple application and adjustment)
  • Hook-and-loop fastener to secure the patient cuff (2” width provides increased strength between hook and loop; press to apply, peel to release; adjustable cuff circumference)
  • Replacement/spare keys available (SKU 1074)

Heavy-Duty Locking Restraint Cuffs with Hook and Loop (Connected)

  • Description
  • 2795
    Hook & Loop Connected Cuff (Single Strap with Lock); Large Ankle/Red
    Ankle Cuff: 17" L x 2.5" W; Strap: 52" L

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;