Acolytes of the Silver Flame
Icky symbiote item
Tangler Level 4 This wormlike symbiont wraps around your arm, spitting a glob of glutinous goo to entangle your enemies. Item Slot: Arm 840 gp Power (Healing Surge): Minor Action. The tangler makes an attack: Reach 3; +7 vs. Reflex; the target is restrained (save ends). If the attack roll is a 1, you are restrained (save ends).
Found on the orc just before entering Khyber