Patient Restraints: Non-Locking Twice-As-Tough Cuffs (D-Ring Closure)

Posey® Twice-As-Tough® Cuffs (Non-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 used in medical (NVNSD) and behavioral health (VSD) treatments.

These heavy-duty restraint cuffs are gentle on skin. Neoprene fabric, nylon straps, and reinforced stitching provide extra strength* and durability.


All Twice-As-Tough Cuffs on this page use D-rings to secure the patient cuff and anchor strap:

  • Each D-ring comprises two metal rings
  • Adjustable cuff circumference and strap length

Non-Locking Twice-As-Tough D-Ring Cuffs

The Twice-As-Tough Cuffs presented in the table below, which can be used for the patient’s wrists and/or ankles, feature one of the following anchor strap configurations for bed/stretcher attachment:

  • Single anchor strap for simple application and adjustment
  • Double strap allows you to decrease patient movement by attaching two straps at different anchor points on a bed/stretcher (i.e., triangulation) or enhance security by attaching two straps at the same anchor point on a bed/stretcher
  • Description
  • 2790
    D-Ring Cuff (Double Strap with D-Ring); Regular/Blue
    Cuff: 13.25” L x 2.5" W; Strap: 47" L
  • 2791
    D-Ring Cuff (Single Strap with D-Ring); Large/Red
    Cuff: 17" L x 2.5" W; Strap: 49" L

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

Non-Locking Twice-As-Tough D-Ring Connected Cuff

The Twice-As-Tough Cuffs restraint in the table below, meanwhile, is specifically intended to be used for the patient’s wrists. It is a “connected” one-piece Limb Holder that utilizes fixed positions to reduce movement and increase stability:

  • Designed for use with a stretcher only
  • For patient’s wrists; often used in conjunction with SKU 2797 for patient’s ankles
  • Description
  • 2796
    Stretcher D-Ring Connected Cuff (Single Strap with D-Ring); Regular Wrist/Blue
    Wrist Cuff: 12.5” L x 2.5” W; Strap: 89" L

Accessories: Posey Universal Anchor Strap (SKU 2370).

Instructional Videos