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IMPORTANT INFORMATION

Please read all warnings and instructions 

before use. Correct application is essential for 

proper product function and to reduce the risk of 

injury or re-injury inherent with the use of any 

product. Use only on the person it was provided to by 

a healthcare professional and only for the use it was 

intended.

INTENDED USE

The DeRoyal

®

 Body Belt with Hook & Loop Closure 

is intended to be prescribed by a properly licensed 

practitioner to provide a gentle reminder for patients 

to stay in bed or wheelchair to help prevent falls or 

getting up unassisted.

CONTRAINDICATIONS

•  Do not use on a patient who is or may become 

highly aggressive or agitated. 

•  Never use on a patient whose I.V. or wound site 

could be compromised by the device.

WARNINGS

•  Improper application or use of any restraint may 

result in serious injury or death. 

•  Always secure straps to a portion of the bed that 

moves with the patient. Do not secure straps to 

bed or gurney side rails. 

•  Always keep straps out of patient’s reach. 

•  Inspect the fit of the product on the patient to 

ensure fit is proper.  

DO NOT OVERTIGHTEN.

 

Check regularly to ensure breathing is not 

compromised.

CAUTIONS

•  A physician or properly licensed practitioner (a 

“prescriber”) who is familiar with the use and 

purpose of this product must fit it to the user.  

The prescriber has a duty to provide wearing 

instructions and risks related to the use of this 

product to other healthcare practitioners treating 

the users and the users themselves, including 

duration of use. The instructions provided in this 

sheet do not supersede hospital protocol or direct 

orders of the prescriber. 

•  Inspect product for damaged or missing 

components before use.

•  Discontinue use and consult your prescriber if 

the product or its components break, become 

damaged,or cleaning is no longer sufficient. 

•  Belt should be worn over patient’s clothing.

Consult your prescriber immediately if you 

experience sensation changes, unusual reactions, 

swelling or increased pain while using this 

product.  Discontinue use if pressure injuries 

develop.

•  Take special care if the user is diabetic or 

has poor circulation as these users may have 

decreased skin sensitivity and are at greater 

risk for poor peripheral circulation and pressure 

injuries.

INSTRUCTIONS FOR USE

BED APPLICATION

1. 

Measure the circumference of the patient’s waist 

to determine the appropriate size.

2. 

Place the belt on the center of the bed at the 

patient’s waist line facing down. 

3. 

Position the patient on his or her back on top of 

the belt.

4. 

Feed the narrow side of the belt through the 

open slot on the opposite side.  Secure hook and 

loop closure in front of patient. 

NOTE:

 Do not 

over-tighten. Two fingers should fit between the 

device and the patient.

5. 

Secure straps to the portion of the bed that 

moves with the patient using quick release ties 

or quick release buckles.

WHEELCHAIR APPLICATION

1. 

Place the belt around the patient’s waist and 

feed the narrow side of the belt through the 

open slot on the opposite side. Secure hook and 

loop closure in front of patient. 

NOTE:

 Do not 

over-tighten. Two fingers should fit between the 

device and the patient.

2. 

Feed the straps between the wheelchair arm 

rests and bring behind the wheelchair. 

3. 

Cross straps behind the back of the wheelchair 

to make an “X”.

4. 

Secure the straps to the wheelchair tilt bars 

using quick release ties. Secure the straps out of 

the patient’s reach.

QUICK RELEASE TIES

Wrap the strap(s) around the anchor once. Take the 

loose end of the strap(s) and create a loop. Cross the 

BODY BELT W/ HOOK & LOOP CLOSURE

SINGLE PATIENT USE

NON-STERILE

NOT MADE WITH NATURAL RUBBER LATEX

RX ONLY

FEDERAL U.S.A. LAW RESTRICTS THIS DEVICE 

TO SALE OR USE BY OR ON THE ORDER 

OF A PHYSICIAN OR PROPERLY LICENSED 

PRACTITIONER.

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