Ligature & Fall Prevention Solutions

Where Safety protocols required by Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) and the Joint Commission require removal of shoelaces for anti-ligature prevention and/or help guard against trip hazards, XTENEX® Safety Laces are the Acme; engineered to meet and exceed the unique safety requirements in shoelace alternatives in Behavioral Health Care System’s; XTENEX® delivers the highest quality solution in a reliable, durable and secure fitting technology that keeps footwear properly fitted, securely fastened, and, are simple to pull-on and slip-off.

XTENEX®  Safety Laces securely fasten all diverse footwear styles, thanks to its patented technology incorporating an elastic select-to-fit design, the elastic safety laces also adjust and respond to unique medical foot health issues, such as diabetes, neuropathy and other foot related sensitivities.


Xi4.05 Tether Belt  – XTENEX® Tether Belt System Xi4.05 Tether Belt

XTENEX® Tether Belt System converts two belt loops into an adjustable elastic waistband that is safe, secure and comfortable.

Tether Belt Attachment Options

  • Tether Tab™ (Ballistic Nylon Fabric)
  • Zip Tie Eyelet (Nylon Plastic)

Tether Tab™ with a black Xi4.05 lace attached to  belt loops to create an”elastic” waistband.


Tether Tab

The Tether Tab™ was developed with safety and comfort in mind. “We were asked to create a system that could convert a traditionally belted pant into an adjustable waistband,” said Mike Gonzalez, CEO of XTENEX.  This request turned into the Tether Tab™, which is a soft ballistic nylon loop that is attached to a belt loop and then a Xi4.05 lace is attached and adjusted so that the person wearing the belt replacement can keep their pants in place without having a belt.

Safe, secure and worry-free replacement fastening system.

“The belt thing you sent is great!

We really like it because there is no way the patients would be able to tie these together to cause self harm…”

Tory Childress / Holly Hill Hospital