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Posey Twice-as-Tough™ Hobble User Manual

Application instructions, Rx only twice-as-tough leg hobble

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Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com

Phone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5014

MDSS GmbH

Schiffgraben 41

D-30175 Hannover, Germany

EC REP

ApplicAtion

instructions

• NEVER allow a restrained patient to walk without

assistance. The patient is at risk of injury from a fall or

harm from others.

• Check the patient regularly to ensure that:

Circulation is not impaired. Serious injury may occur if

the cuffs restrict circulation.

Cuffs are secure. Death or serious injury to the patient or

others may occur if the patient can remove the cuffs.

Posey Keys MUST be readily available to staff at all times. In

an emergency, it is difficult to cut the cuffs with scissors to

free the patient.
NOTE: Keep excess strap out of reach to prevent patient

from pulling strap and damaging or opening lock.

ApplicAtion instructions

MONITORING
• Posey recommends constant direct supervision for

patients deemed to be at risk of injury to themselves or

others. For times when direct supervision is not possible,

monitor by line of sight or by a video/audio device.

• NEVER allow a patient to have access to any tool, utensil,

or object that might be used to unlock or damage cuffs.

• Be aware that a sudden mood swing may cause agitated

or aggressive behavior. Contact the medical team AT ONCE

if this occurs. No level of monitoring may avoid the risk of

serious injury to highly agitated or aggressive patients.

• Before each use, check cuffs and straps for cracks, tears,

and/or excessive wear or stretch; cracked or broken

buckles or locks; and/or that hook and loop adheres

securely, as these may allow patient to remove cuff.

Discard if device is damaged.

• If you have any questions about patient safety, ask the

appropriate medical authority for alternatives.

Follow these steps to apply device (repeat steps 1-7 on the

other ankle):

1. Position the cuff behind the patient’s

ankle with the opening to the front.

The connecting strap with label

“FRONT” should be visible from the

front (fig. 1).

2. Wrap the neoprene piece around the

ankle. Attach the black hook and

loop pieces together followed by the

red hook and loop pieces. The fuzzy

loop piece should be sandwiched

between the two pieces of hook

(fig. 2). Be sure to overlap the piece

at least one inch (3 cm).

3. Press the hook and loop closure

together firmly and make sure it adheres securely.

4. Pass the end of the cuff strap over the top of the cuff and

through the lock.

5. Pull the strap snug and close the buckle.

6. Check for proper fit by inserting one finger between the cuffs

and the patient’s ankles. The cuffs must be snug enough to

prevent escape, but not interfere with circulation.

7. Check that the lock “clicks” shut. If a lock is not completely

closed, it can pop open. Before leaving the patient’s side,

test the lock by trying to open it without the key.

AdditionAl sAfety And lAundering

instructions on other side

Applicable Products:

REF

2801

description of product: Twice-As-Tough Leg Hobble with Locking Cuffs.

rx only

twice-As-tough leg hoBBle

© 2009 Posey Company. All rights reserved.

I9271 060609

posey twice-As-tough

leg hoBBle

REF

2801

REF

1074 Posey Universal Key

fig. 2

fig. 1

2801

AdVerse reActions

• Severe emotional, psychological, or physical problems may occur: if the applied device is

uncomfortable; or if it severely limits movement. If the patient is likely to cause injury to him/

herself or others, get help from a qualified medical authority to find an alternate intervention or

method of restraint.

indicAtions for use:
• Patients who require a device to limit leg movement by securing ankles with connected locking

cuffs.

contrAindicAtions:

NEVER use on a patient:

With a dislocation or fracture on the restrained limb; or

If an IV or wound site could be compromised by the device.

See the Posey Catalog for other options for such a patient.

DO NOT use this device on a patient who is or becomes: suicidal; highly aggressive or

combative; self-destructive; or deemed to be an immediate risk to others, UNLESS the patient

is under constant supervision.

To Unlock Cuffs:

1. Insert the Posey Key into the lock

and turn counterclockwise. This will

prevent jamming (fig. 3).

NOTE: Universal Posey Keys fit all

Posey locks. To order extra keys,

contact Posey at 1.800.447.6739,

press 5, and ask for Cat. #1074.

Posey Keylock

Counterclockwise

TO OPEN

TURN

TO

OPEN

fig. 3