Posey 2789Q Twice As Tough Cuffs User Guide

: July 13, 2024
: Posey

Table of Contents

Posey 2789Q Twice As Tough Cuffs
Product Usage Instructions
FAQ
DESCRIPTION OF PRODUCT
APPLICATION INSTRUCTIONS
PRECAUTIONS
Safety Information
HOW TO TIE THE POSEY QUICK-RELEASE TIE
Documents / Resources

Posey 2789Q Twice As Tough Cuffs

Specifications

Product Name: Posey Twice-As-Tough Limb Holder
Type: Padded limb restraints with double security closure
Intended Use: For bed and stretcher use only
Model: 2789Q
Color: Regular/Blue

Product Usage Instructions

Application Instructions

Attach the female end of the quick-release buckle to the bed or stretcher.
Follow the specific steps for applying the cuffs to the patient’s wrist or ankle.

Applying the Cuffs

Wrap the neoprene piece around the wrist or ankle and secure the buckle.

Adjusting Strap Length

Adjust the connecting strap length to allow desired freedom of movement. Secure any excess strap out of reach of the patient.

Limiting Lower Limb Range of Motion

Attach the cuffs to the appropriate sides of the frame and secure them to the patient’s ankles.
Criss-cross the straps and adjust as necessary for proper fit.

Precautions

Ensure proper use of the limb holder and refer to safety guidelines provided by regulatory agencies. Use additional restraints if needed.

FAQ

Q: Can the limb holder be used for other purposes besides beds and stretchers?

A: No, the limb holder is designed for bed and stretcher use only.

Q: How should I clean the limb holder?

A: Follow the laundering instructions provided with the product for proper cleaning and maintenance.

DESCRIPTION OF PRODUCT

Padded limb restraints with double security closure. For bed and stretcher use only.

INTENDED USE

To protect patients assessed to be at risk of disrupting life-saving treatments (e.g., chronic tube pulling) or in danger of injury to themselves or others by limiting limb movement in a bed or stretcher.
Follow your hospital’s restraint policies and procedures that are compliant with USA CMS guidelines and state laws, or other governing agencies outside the USA.

CONTRAINDICATIONS

None.

APPLICATION INSTRUCTIONS

The order of either application or removal of the straps to the bed OR the cuff to the patient is to be determined by the clinician. Follow these steps to apply the device (repeat steps 1-2 on each side).

Attach the female end of the quick-release buckle (short strap) to the frame that moves with the patient (Fig. 1) (do not attach to side rail or head/footboard), out of the patient’s reach. Secure by feeding the female end through the loop in the strap. You may also wrap the connecting strap once around the frame to move the buckle out of the patient’s reach.
Insert the male end of the connecting strap into the female end of the short strap. Listen for a “snapping” sound. Pull firmly on straps to ensure a good connection. To limit unwanted adjustment, tie an overhand knot with the excess strap directly below the quick-release buckle.

APPLYING THE CUFFS: (Repeat steps 1-3 for each side):

Wrap the neoprene piece around the wrist/ankle so the buckle and connecting strap are on the ulnar side of the wrist or lateral malleolus of the ankle. Attach the black hook-and-loop pieces and pull back the black pull tab on the blue fuzzy piece, followed by the blue hook-and-loop pieces. The fuzzy piece should be sandwiched between the two pieces of hook (Fig. 2). Be sure to overlap at least one inch (3 cm).
Press the hook-and-loop closure together firmly and make sure it adheres securely. Slide ONE finger (flat) between the cuff and the inside of the patient’s wrist/ankle to ensure proper fit (Fig. 3).
Close the quick-release buckle on the cuff. Insert ONE finger (flat) under the buckle and pull the strap snugly, but not so tight as to restrict circulation (Fig. 4). Release the quick-release buckle, twist the buckle 180°, and reconnect (Fig. 5). Listen for a “snapping” sound.

ADJUSTING STRAP LENGTH: Adjust the connecting strap(s) length from the frame to allow desired freedom of movement without compromising patient or caregiver safety.
To limit unwanted adjustment, tie an overhand knot with the excess strap directly below the quick-release buckle. Ensure the remaining strap end(s) are secured and out of the reach of the patient.
TO REMOVE: Release the cuff from the patient. Release the anchor strap from the bed frame.

POSEY TWICE-AS-TOUGH LIMB HOLDER

2789Q Quick-Release Buckle Cuff (single strap; 2-piece with quick-release buckle), Regular/Blue.

TO LIMIT LOWER LIMB RANGE OF MOTION FOR LEGS (FIG. 6):

The clinician applying the strap’s criss-cross application method can determine which is applied first (cuff or strap) and which end of the restraint is criss-crossed.

Attach the cuff that is secured to the bottom right side of the frame, which moves with the patient, out of the patient’s reach to the left ankle.
Criss-cross the straps and attach the cuff secured to the bottom left side of the frame, that moves with the patient, out of the patient’s reach to the right ankle.
Adjust connecting straps as necessary.

PRECAUTIONS

A clinical assessment and decision are required when used with monitoring lines or if the patient has a wound or dislocated/fractured limb.
Check the patient regularly to ensure that circulation is not impaired. Serious injury may occur if the cuffs restrict circulation when the limb holder is applied.
WARNING: Additional or different body or limb restraints may be needed (visit tidiproducts.com).
Some patients may require additional interventions in conjunction with a restraint to prevent injury to themselves or others.
If the patient pulls violently against the bed straps.
To reduce the risk of the patient getting access to the line/wound/tube site.
To prevent the patient from flailing or bucking up and down and causing self-injury.
It is a clinical decision to decide when a restraint is no longer deemed safe.
BED SAFETY: Refer to the Food and Drug Administration (FDA), or other governing agencies outside the USA, for the most recent Hospital Bed Safety Guidelines and the bed manufacturer’s Instructions for Use.

Safety Information

Safety Information for the Use of Posey® Restraining Products

For RX PRODUCTS ONLY. Federal law (USA) restricts RX devices to sale by or on the order of a physician. For use in a licensed healthcare facility only.
STAFF TRAINING: TIDI offers in-service training aids at no charge. Contact TIDI online at www.tidiproducts.com or call toll-free at 1.800.521.1314.
BEFORE APPLYING ANY RESTRAINT: Follow your hospital’s restraint policies and procedures that are compliant with USA CMS guidelines and state laws or other governing agencies outside the USA.

ADDITIONAL WARNINGS:

ALWAYS monitor patients per facility policy. Improper application or use of any restraint may result in serious injury or death. Be aware that constant monitoring may be required for:
- Aggressive or agitated patients.
- Patients in a supine position; ensure that being in this position would not cause any complications for those who are at risk of vomiting while being restrained.
NEVER alter or repair this product. ALWAYS Inspect before each use: Check for broken stitches or parts; torn, cut, or frayed material; or locks, buckles, or hook-and-loop fasteners that do not hold securely. DO NOT use soiled or damaged products. Doing so may result in serious injury or death. Dispose of damaged products per facility policy for BIOHAZARDOUS material.
ALWAYS secure straps to a part of the frame that moves with the patient (not foot/headboard or side rails), out of the patient’s reach, using quick-release ties (see drawing below) or buckles. These allow easy release in the event of an accident or fire.
Test to make sure straps cannot tighten, loosen, or slip and create excess slack. If this occurs, the patient may slide off the chair or bed, increasing the risk of serious injury or suffocation. Restraint release is an important part of facility fire and disaster drills.
- Straps can be cut with scissors in an emergency.
NEVER secure the restraint strap to the side rail or head/footboard.
NEVER use Posey products on toilets, or on any chair or furniture that does not allow proper application as directed in the Application Instructions. DO NOT use it at home.
NEVER expose this product to open flame, fire, smoking materials, or high heat sources. Some products may melt ignite and burn. The facility smoking/no smoking policy should be strictly enforced.
NEVER use a Posey product as a seat belt in a moving vehicle. Posey products are not designed to withstand the force of a crash or sudden stop.
Test Zippers or hook-and-loop fasteners before each use. DISCARD the device if it does not fasten securely.

LAUNDERING INSTRUCTIONS (if applicable):

Fasten all buckles and locks to reduce the risk of damage during wash and dry cycles. DO NOT put buckles or locks through extractors. For maximum life, launder in a laundry bag.
Stainless Steel Locks: Posey recommends that locks be treated with a dry-film lubricant (silicone) after each cleaning.
For best results, spray a small amount into the lock. Work the action of the lock with a key several times to ensure that all the surfaces are well-lubricated.
Before laundering, zip up and turn the product inside out to protect the zipper.
Hook-and-loop fasteners may collect lint after repeated use or laundering, reducing grip strength.
Fasten the “hook” to the “loop” before laundering to help prevent lint buildup. As needed, use a stiff-bristle brush to remove lint from the “hook” side.
These products, other than foam products, can be machine washed under CDC guidelines for material soiled with blood or bodily fluid.
For non-contaminated material, use lower temperature wash and dry cycles to extend product life.

For foam products:

Make sure products are completely dry before use.

STORAGE AND HANDLING:

This device is designed for use in normal indoor environments.
This device may be stored in ambient warehouse temperatures at normal humidity levels. Avoid excess moisture or high humidity that may damage product materials.

HOW TO TIE THE POSEY QUICK-RELEASE TIE

Wrap strap once around the frame that moves with the patient (do not attach to side rail or head/footboard), leaving at least an 8” (20 cm) tail. Fold the loose end in half to create a loop and cross it over the other end.
Insert the folded strap where the straps cross over each other as if tying a shoelace. Pull on the loop to tighten.
Fold the loose end in half to create a second loop.
Insert the second loop into the first loop.
Pull on the loop to tighten. Test to make sure the strap is secure and will not slide in any direction.
Repeat on the other side. Practice quick-release ties to ensure the knot releases with one pull on the loose end of the strap.

Report any serious incident related to device use to TIDI Products and the Member State Competent Authority.
Translations of this document in French, Spanish, Dutch, German, Italian, and Portuguese are located at www.tidiproducts.com/IFU.
DISPOSAL: Dispose of the product according to local or facility guidelines if the product is worn or damaged.
TIDI Products, LLC
570 Enterprise Drive, Neenah, WI 54956 USA
Phone: 1.800.521.1314
International: +1.920.751.4036
www.tidiproducts.com
MDSS GmbH Schiffgraben 41
30175 Hannover, Germany
UK Responsible Person
Emergo Consulting (UK) Limited c/o Cr360 – UL International Compass House, Vision Park Histon Cambridge CB249BZ
United Kingdom
© 2023 TIDI Products, LLC. All rights reserved. Posey is a registered trademark of TIDI Products, LLC.

Documents / Resources

| Posey 2789Q Twice As Tough Cuffs [pdf] User Guide
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