with reference to fig1 to 3 a carpal tunnel syndrome therapy device 10 is provided with carpal pads 12 and a counter force pad 14 . the carpal pads 12 are supported on a pair of carpal foots 16 which in turn are attached to a pair of carpal foot yokes 18 . the counter force pad is attached to a counter force foot 20 which in turn is attached to a pair of counter force brackets 22 . the counter force brackets 22 are joined at the top by a bracket bar 23 and joined at the bottom by a counter force foot 20 . the carpal tunnel therapy device is provided with a drive assembly 24 ( shown in detail in fig4 - 11 ) which is attached to a pair of carpal tunnel brackets 26 , by way of housing tube yoke 28 and stem rod yoke 30 ( fig1 and 2 ). as best shown in fig4 - 12 , there is a drive assembly having a stem rod 36 attached to a main joint 34 which is inserted into a housing tube head 35 attached to a housing tube 38 and at the end of the housing tube there is disposed a loading screw knob 40 attached to loading screw 42 . fig4 - 7 are views of the drive assembly 24 . the tension mechanism is contained in a housing tube 38 and has a loading screw knob 40 and loading screw 42 which presses an indicator bar 52 and spring spacer 60 as best shown in fig8 and 9 . with particular reference to fig8 and 9 , the compression spring 44 fits over the spring spacer 60 onto bottom support 64 of the spring spacer 60 and chisel tip 50 fits inside and over the compression spring 44 . in turn , the chisel tip 50 abuts the keeper 37 of the main joint 34 joined to stem rod 36 . main joint 34 assembly is housed in housing head 35 . with special reference to fig6 - 7 , there is shown a sectional view , taken along lines 7 — 7 of fig6 , of the drive assembly 24 contained in the housing tube 38 , and main joint 34 , housing tube head 35 with stem rod 36 attached to joint 34 which abuts chisel tip 50 . chisel tip 50 applies pressure to the joint 34 through compression spring 44 which in turn has pressure put on it through loading screw 42 and loading screw knob 40 . as the loading screw knob 40 and loading screw 42 are tightened , more and more pressure can be applied to the compression spring 44 which in turn exerts more pressure on the stem rod 36 . the force on stem rod 36 attached to stem rod yoke 30 produces a counter force on pad 14 to apply pressure to the top of the hand 41 shown in dashed lines in fig1 . the amount of pressure is indicated by indicator screw head 54 and indicator marker 56 ( best shown in fig4 ). note that the scale is 0 - 9 with 9 indicating maximum pressure for that setting . in use the palm of the affected hand would be placed on pads 12 . the counter force pad 14 would be placed over the top of the hand using the variable height sub - assembly 69 best shown in fig1 and 13 . once the counter force pad 14 is in place over the top of the hand , added pressure can be applied to the hand incrementally using loading screw knob 40 . a more detailed method of use and protocol are set forth below . with particular reference to fig8 and 9 , an exploded view of the compression assembly 58 within the housing tube 38 is made up of two indicator bars 52 and a compression spring spacer 60 , compression spring 44 and chisel tip unit 62 composed of a chisel tip 50 and boss 63 . in operation the compression spring 44 is given tension by the loading screw 42 pressing against the bottom support 64 and the chisel tip 50 pressing against the main joint 34 in housing head 35 . the indicator bar 52 rises as the loading screw 42 presses on the bottom support 64 of spring spacer 60 of the compression assembly 58 . the compression mechanism is similar to that shown in u . s . pat . no . 5 , 558 , 624 . with special reference to fig1 , 2 and 4 , there is shown as part of the housing tube 38 a viewing slot 68 showing indicator screw 54 . in fig4 , the viewing slot 68 is accompanied by a scale 56 . the higher the number of the scale 56 , the higher will be the compression or tension on the stem rod 36 and the greater the pressure on the hand during therapy . with particular reference to fig1 through 30 , various sub - assemblies of the carpal tunnel syndrome therapy device are described . with reference to fig1 , 2 , 12 and 13 , there is provided a variable height adjustment sub - assembly 69 for the counter force 70 consisting principally of the head 35 for the housing tube 38 the head being integrally capped 71 on a first end with a collar 72 which receives a spring plunger spring 73 and over which is placed a tapped spring plunger 75 which in turn receives a threaded spring plunger button 77 into the tapped end of the spring plunger 75 . the second end of the housing tube head 35 is provided with a removable plate cap 79 with collar 78 which receives a spring plunger spring 73 , a spring plunger 75 and a spring plunger button 77 . housing tube head 35 and main joint 34 are joined and held in place by screw 76 . in use the variable height adjustment sub - assembly is mounted between two counter force brackets 22 which are provided with a contiguous series of scalloped detent openings 80 to receive the spring plunger 75 of the counter force sub - assembly . note that spring plungers 75 have a collar 74 and the housing head 35 has a collar 72 and the plate cap 79 has a collar 78 in which each of the spring plunger springs 73 are retained . to adjust the height of the counter force sub - assembly 70 , spring plunger buttons 77 on either side of the counter force sub - assembly are squeezed inward . this squeezing causes the spring plunger 75 and the spring plunger spring 73 to depress allowing narrower threaded portion 81 of spring plunger button 77 to line up with scalloped openings 80 allowing free movement up or down of counter force pad 14 held on counter force brackets 22 . once the proper height is attained , the spring plunger buttons 77 can be released and the spring plunger spring 73 expands to cause the spring plunger 75 to re - engage the scalloped openings 80 in the counter force brackets 22 . with reference to fig1 , 2 and 14 - 23 , the pads 12 of the carpal tunnel syndrome therapy device 10 are attached to bracket 26 through foot yoke 18 . there are two symmetrical foot yoke sub - assemblies 84 . each sub - assembly 84 is composed of a foot yoke 18 , a foot yoke pivot pin 86 , foot yoke torsion spring 88 , a lateral adjustment screw 90 and lateral adjustment screw housing 91 . to assemble the foot yoke sub - assembly 84 to bracket 26 , foot yoke pin 86 is partially inserted into opening 85 of yoke as shown in fig1 and 17 . bracket 26 with opening 95 ( best shown in fig2 ) is inserted into slot 83 and pin 86 is further inserted through opening 95 of bracket 26 . spring 88 is then inserted into yoke 18 ( fig1 ) and slot 87 of pin 86 is lined up with diametric fold 89 of spring 88 as best shown in cross - sectional view of fig1 . pin 86 is inserted further to protrude through opening 81 on the opposite side of yoke 18 . as shown in fig1 and 20 , lateral adjusting screw 90 is inserted through opening 59 into tapped hole 92 of the foot yoke pin 86 . the tangential tail 82 of spring 88 buts against the inner wall 53 of the foot yoke 18 to provide spring tension to the foot yoke . once the yoke 18 is on the bracket 26 , the lateral adjusting screw housing can be attached with a fixed screw 98 or other securing means . adjusting lateral screw 90 provided in each yoke sub - assembly adjusts the pads 12 to accommodate the width of the palm of the hand . spring 88 serves to spring - load the yoke in an outward direction left and right , respectively and functions to counteract outward spreading that takes place when downward force is applied . with reference to fig2 - 30 , the carpal tunnel syndrome therapy device is provided with spread connector 93 attached to brackets 26 to adjust the spread of the brackets and accordingly the pair of yokes 18 and pads 12 attached thereto . the main components of the spread connector assembly 93 are the spread connector outer tube 94 , spread connector spring 96 and spread connector inner tube 97 . as shown in fig2 - 30 , the spread connector assembly 93 is made by inserting spring 86 over inner tube 97 ( fig2 - 28 ) and inserting both completely into outer tube 94 ( fig2 and 30 ). the spread connector assembly is placed on bracket 26 through slots 65 and 67 and are held in place by a fixed screw 98 , of course other fasteners known in the art could be used . the spread connector serves to adjust the spread or spacing of the brackets 26 and to spread or close to accommodate the spread of the carpal pads 12 . the spread connector also by virtue of the spring 96 holds the brackets inward and accordingly accomplishes presenting the carpal pads at the correct angularity at the initial fitting . the stem rod 36 and housing tube 38 are attached to bracket 26 with stem rod yoke 30 held in place by a pivot pin 99 . pivot pins 99 are also employed to position the spread connector assembly 93 on brackets 26 . while pivot pins have been used herein , other holding means such as rivets or bolts could be used . with reference to fig3 a - 31e , there is shown the use of the carpal tunnel syndrome therapy device . as noted , at the start of therapy , the scale 56 is set at zero . the palm of the hand is placed on carpal pads 12 and the counter force pads 14 are placed over the top of the hand by using the variable height adjusting mechanism 69 ( described in fig1 - 13 ). once the hand is set between the carpal pad 12 and counter force pad 14 , pressure can be applied by using loading screw knob 40 ( fig3 b and 31 c ). on an on - going basis pressure is increased using loading screw knob 40 and the amount of pressure can be viewed in scale 56 . the amount of pressure indicated is graduated as see scale of 0 - 9 , with 9 being the greater pressure . this pressure action is designed to further spread the carpal tunnel area . the carpal tunnel therapy device is primarily intended to be a passive therapy device in that it is to be worn for extended periods of time to thereby relieve carpal tunnel area and thereby prevent invasive surgery . in fig3 a - 31e , the vertical arrows show the height adjustment for the counter force pads 14 and the horizontal arrows show the direction of spread of the spread connector . the therapy device of this invention is designed to be used 1 - 3 times a day for 30 - 60 minutes in each session . the treatment programs begin with lower pressure or tension on the device and progressing to higher pressure as tolerated to relieve the pain , stress , numbness brought about by the carpal tunnel syndrome . obviously , many modifications may be made without departing from the basic spirit of the present invention . accordingly , it will be appreciated by those skilled in the art that within the scope of the appended claims , the invention may be practiced other than has been specifically described herein .
a therapeutic device for applying graded compression to the hand to remedy the symptoms of carpal tunnel syndrome . the device is a passive therapy device which receives the palm of the hand and applies graduated pressure to the top of the hand to relieve carpal tunnel region of the hand by spreading the area of the carpal tunnel .