This particular prisoner was already bolted on each of her nipples. This horizontal bolt made a perfect structure for the vertical nipple-clamps to attach firmly and painfully.
She had already been restrained in maximum security transport. That is, rather than having the D-ring belted around her waist in the front, the D-ring was at the small of her back, and her handcuffs ran through them behind her.
This, coupled with leg-irons and a transport connector between her cuffs and irons, caused an involuntary sexual response when she was perp-walked out of the jury room, and through the public area to the waiting prisoner van in front of the court-house.
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