Patent Document

RELATED APPLICATIONS 
       [0001]    The present application is a divisional application of U.S. patent application Ser. No. 12/987,899, filed on Jan. 10, 2011, and issuing on Mar. 22, 2016, as U.S. Pat. No. 9,289,323, which claims the benefit of priority under 35 USC §119(e) to U.S. Provisional Application No. 61/371,145, filed on Aug. 5, 2010, to U.S. Provisional Application No. 61/416,278, filed on Nov. 22, 2010, and to U.S. Provisional Application No. 61/424,044, filed on Dec. 16, 2010. 
     
    
     BACKGROUND OF THE INVENTION 
       [0002]    1. Field of the Invention 
         [0003]    The present invention is in the field of ice bags to apply against a portion of a body to remove heat from the body for therapeutic treatment. 
         [0004]    2. Description of the Related Art 
         [0005]    An ice bag (referred to as a cryotherapy device) is commonly applied to a portion of a body to remove heat from the body as part of a therapeutic treatment for sore and inflamed muscles and other tissues. In particular, the combination of rest, ice, compression and elevation is a treatment method that is most widely used for a soft tissue injury. Ideally, the ice bag is held securely against the treated body portion to provide secure contact over a large area so that heat is transferred from the body portion to the ice in the ice bag. A compression wrap is often used in combination with the ice bag to provide the secure contact and to also apply pressure to the body portion to enhance the treatment process. 
         [0006]    Applicants have found that as the ice in a conventional ice bag melts, the air trapped in the ice is released into the cavity of the ice bag and reduces the effectiveness of the compression since the compression wrap is applying pressure via the compressible air in the bag rather than solely via the incompressible ice and water that originally filled the ice bag. Although a conventional ice bag can be partially opened by partially unscrewing the filling cap to release a portion of the air in the ice bag, this procedure has been found to be difficult to accomplish without risking release of a portion of the water in the ice bag. Furthermore, the person being treated may not be able to unscrew threaded filling cap when the ice bag is located on a shoulder or other difficult to reach body portion. Thus, Applicants have determined that the conventional ice bag is unsatisfactory, and that a need thus exists for an improved ice bag for use with a compression wrap for therapeutic treatment in order to increase the depth of penetration of cold into the body portion being treated. 
       SUMMARY OF THE INVENTION 
       [0007]    An aspect of embodiments in accordance with the present invention is a system that simultaneously applies compression and cooling to a body part. An ice bag has a removable cap for inserting ice and removing water. An air release valve in the cap allows release of air from the ice bag without removing or loosening the cap. A compression wrap is a unitary sheet of elastic material having a central body with straps extending therefrom. A hole in the central body receives the neck of the ice bag, which is positioned over the body part. The unitary body and straps of the sheet apply pressure via the ice bag. Air released into the ice bag from melting ice is removed via the air release valve without disturbing the compression wrap or the cap. The compression wrap contracts to compensate for the volume of the released air, thus maintaining continuous pressure on and thermal contact with the body part. 
         [0008]    Another aspect of embodiments in accordance with the present invention is an ice bag for therapeutic treatment for use in combination with a compression wrap comprises a flexible bag having a cavity accessible via a neck portion. Preferably, the flexible bag comprises latex, silicone or other suitable material. Preferably, the flexible bag comprises a blend of medical grade (hypoallergenic) latex and an antimicrobial solution. Preferably, the flexible bag is sufficiently thin to provide rapid heat transfer from a portion of the body to which the ice bag is applied to ice within the ice bag. In the illustrated embodiment, the flexible bag has a main, box-shaped body portion that is generally rectangular (e.g., a square in one embodiment) that tapers to a generally circular neck portion. The neck portion of the flexible bag is secured to a circular, threaded connector that receives a removable cap. The threaded connector has a sufficient diameter to allow ice to be easily inserted through the opening in the uncapped connector. For example, in one embodiment, the opening through the connector into the neck of the flexible bag has a diameter generally corresponding to the diameter of a conventional drinking glass (e.g., approximately 2.75 inches). Thus, for example, the flexible bag can be filled from a conventional ice dispenser on or in a refrigerator or other ice source. Once the ice bag is filled, the removable cap is threaded into secure engagement with the connector to seal the ice bag to prevent leakage of water from the ice bag as the ice melts within the bag. 
         [0009]    Unlike the caps of conventional ice bags, the removable cap of the ice bag disclosed herein has an air valve positioned on the outer surface of the cap. The air valve is held in a closed position by the elasticity of the air valve and by any pressure with the ice bag. The air valve is easily pushed by a user to open sufficiently to allow air to be released from the ice bag, both when the ice bag is initially filled with ice and when additional air is released from melting ice. The air valve is constructed to open by only a very small amount to release air without releasing any significant amount of water. After releasing the air in the ice bag, the neck of the ice bag is positioned through an opening in a compression wrap and then positioned on the body portion to be treated with the main body portion of the ice bag against the body portion and with the neck portion extending through the opening in the compression wrap so that the cap is accessible by a user. The compression wrap is then tightened to apply pressure to the ice bag against the body portion and any additional air in the ice bag is released using the air valve. As the treatment continues and air is released from the ice within the ice bag, the person being treated or another person only has to touch the air valve gently to allow air to escape from the ice bag so that the compression wrap is able to apply pressure directly against the ice within the ice bag and thereby maintain pressure against the body portion being treated. 
         [0010]    The air valve comprises a compressible plug that fits within a hole formed in the removable cap. The compressible plug includes an inner flange and an outer flange. Once positioned within the hole in the cap, the inner flange of the compressible plug statically engages the inner surface of the cap and blocks the release of air and water from the ice bag. The air valve further comprises an air release button that fits in blind bore having a closed end within the compressible plug. The air release button is movable against the closed end of the blind bore to move the inner flange of the compressible plug away from the inner surface of the cap thereby providing an opening between the inner flange and the cap to allow air within the ice bag to escape from the ice bag. When the ice bag is under pressure from the compression wrap or from pressure applied by a user, air within the ice bag is forced from the ice bag through the air valve so that the interior of the bag comprises mostly water and ice. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0011]    Embodiments in accordance with aspects of the present invention are described below in connection with the attached drawings in which: 
           [0012]      FIG. 1  illustrates a perspective view of an ice bag in accordance with embodiments of the invention; 
           [0013]      FIG. 2  illustrates a perspective view of the ice bag of  FIG. 1  with the cap removed so that ice can be added to the ice bag or water removed from the ice bag; 
           [0014]      FIG. 3  illustrates an elevational cross-sectional view of the ice bag of  FIG. 1  taken along the section line  3 - 3  in  FIG. 1 ; 
           [0015]      FIG. 4  illustrates an enlarged elevational view of the neck of the ice bag, the connector and the cap of  FIG. 3 ; 
           [0016]      FIG. 5  illustrates an exploded perspective view of the ice bag of  FIG. 1 ; 
           [0017]      FIG. 6  illustrates an enlarged perspective view of the air release button of  FIG. 4 ; 
           [0018]      FIG. 7  illustrates an enlarged perspective view of the air release valve of  FIG. 4 ; 
           [0019]      FIG. 8  illustrates a perspective view of the air release valve of  FIG. 7  rotated to show the rib structure beneath the upper portion of the valve; 
           [0020]      FIG. 9  illustrates an enlarged perspective view of the top of the cap of  FIG. 4  showing the air release valve and air release button extending from the outer (top) surface of the cap; 
           [0021]      FIG. 10  illustrates an enlarged perspective view of the bottom of the cap of  FIG. 4  showing the extension of the air release valve through the inner (bottom) surface of the cap; 
           [0022]      FIG. 11  illustrates an elevational cross-sectional view of the cap of  FIG. 5  taken along the section line  11 - 11  in  FIG. 5 ; 
           [0023]      FIG. 12  illustrates a plan view of a compression wrap for securing the ice bag of  FIGS. 1-11  to a person&#39;s hip; 
           [0024]      FIG. 13  illustrates a plan view of a compression wrap for securing the ice bag of  FIGS. 1-11  to a person&#39;s knee; 
           [0025]      FIG. 14  illustrates a plan view of a compression wrap for securing the ice bag of  FIGS. 1-11  to a person&#39;s left shoulder; 
           [0026]      FIG. 15  illustrates a plan view of a compression wrap for securing the ice bag of  FIGS. 1-11  to a person&#39;s right shoulder; 
           [0027]      FIG. 16  illustrates a plan view of a compression wrap for securing a first ice bag of  FIGS. 1-11  to the front of a person&#39;s left shoulder and for securing a second ice bag of  FIGS. 1-11  to the back of the person&#39;s left shoulder; 
           [0028]      FIG. 16  illustrates a plan view of a compression wrap for securing a first ice bag of  FIGS. 1-11  to the front of a person&#39;s left shoulder and for securing a second ice bag of  FIGS. 1-11  to the back of the person&#39;s left shoulder; 
           [0029]      FIGS. 17A and 17B  illustrate the application of two ice bags to a person&#39;s left shoulder using the compression wrap of  FIG. 16  wherein  FIG. 17A  illustrates a front view and  FIG. 17B  illustrates a rear view; 
           [0030]      FIG. 18  illustrates a plan view of a compression wrap for securing a first ice bag of  FIGS. 1-11  to the front of a person&#39;s right shoulder and for securing a second ice bag of  FIGS. 1-11  to the back of the person&#39;s right shoulder; and 
           [0031]      FIG. 19  illustrates a perspective view of an alternative embodiment of the outer collar ring of  FIGS. 1-5  in which the outer collar ring includes a flange to further secure the ice bag with the compression wraps of  FIGS. 12-16   
       
    
    
     DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS 
       [0032]    The ice bag system and compression wrap system is disclosed herein with respect to exemplary embodiments. The embodiments are disclosed for illustration of the fastening system and are not limiting except as defined in the appended claims. 
         [0033]      FIGS. 1-11  illustrate an ice bag  100  in accordance with an exemplary embodiment of the invention. The ice bag comprises a lower, box-like main body portion  110 . In the illustrated embodiment, the body portion has a generally square bottom portion  112 , which transitions to a generally four-sided pyramidal- shaped upper portion  114 . The upper portion transitions (tapers inwardly) to a cylindrical neck portion  116 . The square shape of the bottom portion provides more surface area for placement against a body portion of a person being treated with cold and compression therapy. The ice bag preferably comprises latex or other suitable flexible waterproof material. In one embodiment, the ice bag comprises silicone, such as, medical grade silicone. In a particularly preferred embodiment, the ice bag comprises a blend of medical grade (hypoallergenic) latex and an antimicrobial solution. For example, in one embodiment, the latex material is processed by leaching to remove antigens (proteins) that can cause allergic reactions. The antimicrobial solution is added to the blend to inhibit the growth of bacteria, mold, fungi and other microbes to provide a sanitary ice bag. In the illustrated embodiment, the latex (or other suitable material) has a thickness that is selected to be sufficiently thin to provide a high temperature transfer rate. For example, in the illustrated embodiment, the material has a thickness of 0.015 inch (15 mils). Thus, heat from the portion of the body to which the ice bag is applied is rapidly transferred to the ice within the ice bag to cool the portion of the body in a more effective manner than thicker ice bag materials on the market. 
         [0034]    The cylindrical neck portion  116  of the main body portion  110  of the ice bag  100  is terminated in a female threaded connector  120 . As shown in more detail in the cross-sectional views of  FIGS. 3 and 4  and the exploded view of  FIG. 5 , the connector comprises an outer collar ring  122  and an inner receiver ring  124 . The outer collar ring is positioned around the outside of the neck of the ice bag, and the inner receiver ring is positioned inside the neck of the ice bag. As shown in  FIG. 4 , the outer collar ring and the inner receiver ring are forced together to secure an upper portion  126  of the neck of the ice bag between the two rings so that the two rings form the female connector. A inner surface  130  of the outer collar ring and an outer surface  132  of the inner receiver ring have mating ridges so that connector cannot be readily removed from the upper portion of the neck of the ice bag and so that the a secure watertight seal is formed between the neck of the ice bag and the connector. 
         [0035]    The inner receiver ring  124  of the female threaded connector  120  includes an inner cylindrical bore  134  that includes a female thread  136  formed thereon. The outer collar ring has a ridged outer surface  138  that is easy to grip. 
         [0036]    The female threaded connector  120  receives a cap  140 . The cap comprises an upper gripping portion  142  and a lower engagement portion  144 . The lower engagement portion is cylindrical and has a male thread  146  formed on an outer surface  148 . The male thread engages the female thread  132  of the inner receiver ring  124  so that the cap is securable to the female threaded connector. The upper gripping portion of the cap and the ridged outer surface  134  of the outer collar ring enable a user to securely engage the cap with the inner receiver ring. A flange  150  on the outer perimeter of the cap also firmly engages a top surface  152  of the inner receiver ring. The engagement of the threads and the engagement of the flange with the top surface form a waterproof seal between the cap and the inner receiver ring. Thus, any water that forms in the ice bag when ice melts is prevented from leaking from the ice bag. 
         [0037]    As shown in more detail in  FIGS. 9 and 10 , the upper gripping portion  142  of the cap  140  has an upper (outer) surface  160  and a lower (inner) surface  162 . The upper gripping portion is perforated with a hole  164  ( FIG. 5 ) that is generally centered with respect to the upper surface. As shown in more detail in the cross-sectional view of  FIG. 11 , the hole has multiple diameters. A first portion  166  of the hole proximate to the upper surface has a larger diameter (e.g., 0.48 inch) and extends to a depth of approximately 0.115 inch. The hole tapers inward below the first portion so that a second portion  168  of the hole proximate the lower surface has a smaller diameter of approximately 0.25 inch. 
         [0038]    The hole  164  of the upper gripping portion  142  of the cap  140  receives an air release valve  180 , which is shown in enlarged detail in  FIGS. 7 and 8 . A generally disk-shaped upper portion  182  of the air release valve has a diameter sized to fit within the first (upper) portion of the hole with a clearance gap  184  between the outer circumference of the upper portion of the air release valve and the inner circumference of the upper portion of the hole, as shown in  FIG. 9 . As shown in  FIG. 8 , the lower surface of the upper portion of the air release valve includes a plurality of ribs  184  that form an X-shaped pattern. The gaps between the ribs provide a fluid communication path beneath the upper portion of the air release valve to the clearance around the upper portion of the air release valve. 
         [0039]    The air release valve  180  further includes a generally cone-shaped lower portion  186 , which is inverted so that the lower portion has an upper base  188 . The upper base of the lower portion is sized to be larger than the second (lower) portion  168  of the hole  164 . A middle portion  190  of the air release valve extends between the upper portion and the base of the lower portion. As illustrated in  FIGS. 7 and 8 , the middle portion preferably has a generally X-shaped cross section with fillets between bars  192  that form the X shape. 
         [0040]    The cone-shaped lower portion  186  of the air release valve  180  is forced through the second portion  168  of the hole  164  of the upper gripping portion  142  of the cap  140 . The extended length of the lower portion of the air release valve is grippable by a manual or automated tool so that the lower portion can be pulled through the hole sufficiently far that the upper base  186  of the lower portion passes entirely through hole. The elastic material of the air release valve allows the upper base to compress sufficiently to pass through the hole. Once pulled through the hole, the upper base expands so that the air release valve cannot be removed from the hole. In the preferred embodiment, the length of the middle portion  190  of the air release valve is selected to be less than the distance from the bottom of the first portion  166  of the hole to the lower surface  162  of the upper gripping portion. Accordingly, the middle portion of the air release valve is stretched when the air release valve is inserted in the hole. After the air release valve is inserted, the middle portion retracts toward the original length and forces the upper base of the lower portion against the lower surface of the upper gripping portion. Accordingly, the middle portion functions as a biasing spring to hold the base of the lower portion against the lower surface of the cap. The base of the lower portion thus functions as a flange that precludes removal and that also seals the second portion of the hole as shown in  FIG. 10 . As indicated above, the middle portion has a generally X-shaped cross section. The X-shaped cross section reduces the material that must be stretched during the installation process and also reduces the pressure required to operate the air release valve in the manner described below. After installation, a lower portion  192  ( FIG. 7 ) of the air release valve is removed to truncate the cone shape as shown in  FIG. 8 . 
         [0041]    As shown in more detail in  FIG. 7 , the disk-shaped upper portion  182  of the air release valve  180  has a generally convex upper surface  200 . The upper surface has a round recess  202  that has a depth of approximately 0.125 inch. A blind central bore  204  extends downwardly from the bottom of the recess to a depth of approximately 0.325 inch. 
         [0042]    The air release valve  180  receives an air release button  210  having a disk-shaped upper portion  212  sized to fit into the round recess  202  and having an extended cylindrical lower portion  214  sized to fit into the blind central bore  204 . In particular, the cylindrical lower portion of the air release button extends approximately 0.37 inch below the disk-shaped portion and is tapered (approximately 1 degree) inwardly. The lower portion of the air release button includes a pair of diametrically opposed barbs  216 . After installing the air release valve in the cap  140 , the air release button is inserted into round recess and the central bore of the air release valve as shown in the cross-sectional view of 
         [0043]      FIG. 4 . The two barbs hinder or prevent the removal of the air release button after installation. 
         [0044]    As shown in  FIG. 4 , the upper portion  212  of the air release button  210  is displaced from the bottom of the recess  202  of the air release valve  180 . When the air release button is pushed, the upper portion of the air release button moves downward within the recess; however, the lower end of the extended lower portion  214  pushes against the bottom of the blind central bore  204  of the air release valve. Because of the reduced cross section of the middle portion  190  of the air release valve, the middle portion functions as a spring that stretches to allow the top  188  of the cone-shaped lower portion  186  of the air release valve to move away from the lower (inner) surface  162  of the cap  140 , thus opening a small gap (not shown) that allows air to be released from the ice bag  100 . The spacing between the elements of the X-shaped cross section of the middle portion allows the air to flow through the hole  164 , and the spacing between the ribs  184  allows the air to flow below the upper portion  182  to the clearance around the upper portion and to thereby flow out of the top portion of the hole. The gap formed between the air release valve and the lower surface of the cap is sufficiently small that little or no water is released from the ice bag. Furthermore, the intended use of the ice bag will not cause water to be near the air release valve to be released through the gap. The elastic material of the air release valve requires very little pressure on the top of the air release button to form a gap sufficient to release air from the ice bag. When pressure is released from the top of the air release button, middle portion of the air release valve again functions as a spring to force the top of the cone-shaped bottom portion against the inner surface of the cap to again seal the hole. 
         [0045]    The ice bag  100  shown in  FIGS. 1-11  is advantageously used with improved compression wraps shown in  FIGS. 12-18 . In particular,  FIG. 12  illustrates a compression wrap  300  for securing the ice bag to a person&#39;s hip.  FIG. 13  illustrates a compression wrap  310  for securing the ice bag to a person&#39;s knee.  FIGS. 14-18  illustrate embodiments of shoulder compression wraps. 
         [0046]    The hip compression wrap  300  of  FIG. 12  comprises a continuous sheet  350  of commercially available L-foam neoprene (polychlorphene (CR) foam), or a material with similar properties. The sheet is strong, soft and elastic (stretchable). The sheet has a thickness of approximately 2 millimeters. The sheet is shaped to have a pattern comprising a generally rectangular central body portion  352  having a width W1 and a height H2. As used herein, the “width” refers to the horizontal dimension and the “height” refers to the vertical dimension when the compression wrap is oriented as shown in  FIG. 12 . 
         [0047]    A hole  354  is formed through the central body portion  352  approximately at the center. In the illustrated embodiment, the hole has a diameter of approximately 1.75 inches. 
         [0048]    Four securing straps extend from the central body portion  352 . A first strap  360  extends to the left from the top of central body portion, and a second strap  362  extends to the right from the top of the central body portion. Each of the first strap and the second strap has a respective width W2 and a respective height H2. The upper edges of the first strap and the second strap are aligned with the upper edge of the central body portion so that the overall width of the sheet  350  from the left end of the first strap to the right end of second strap is W3, where W3 is equal to W1+(2×W2). 
         [0049]    The exposed surface of the first strap  360  has a generally rectangular section  364  of the loop (fuzzy) portion of a hook and loop fastening system positioned proximate to the left end. The rectangular section of the loop portion is secured thereon by gluing, by stitching or by another suitable method. The obverse (unexposed side) of the second strap  362  has a generally rectangular section  366  (shown in hidden lines) of the hook portion of a hook and loop fastening system proximate the right end. The rectangular section of the hook portion is secured thereon by a suitable method. In the illustrated embodiment, the rectangular section of the loop portion on the first strap is wider than the rectangular section of the hook portion on the second strap to allow the engagement to be adjusted, as discussed below. An exemplary suitable hook and loop fastening system is a VELCRO® brand fastening system available from Velcro USA Inc.; however, hook and loop fastening systems from other manufacturers may also be used. 
         [0050]    A third strap  370  extends to the left from the bottom of the central body portion  352 , and a fourth strap  372  extends to the right from the bottom of the central body portion. Each of the third strap and the fourth strap has a respective width W4 and a respective height H3. The lower edges of the third strap and the fourth strap are aligned with the upper edge of the central body portion so that the overall width of the sheet  350  from the left end of the third strap to the right end of fourth strap is W5, where W5 is equal to W1+(2×W4). 
         [0051]    The exposed surface of the third strap  370  has a generally rectangular section  374  of the loop portion of a hook and loop fastening system positioned proximate the left end. The rectangular section of the loop portion is secured thereon by gluing, by stitching or by another suitable method. The obverse (unexposed side) of the fourth strap  372  has a generally rectangular section  376  (shown in hidden lines) of the hook portion of a hook and loop fastening system positioned proximate the right end. The rectangular section of the hook portion is secured thereon by a suitable method. In the illustrated embodiment, the rectangular section of the loop portion on the third strap is wider than the rectangular section of the hook portion on the fourth strap to allow the engagement to be adjusted, as discussed below. 
         [0052]    The lower edges of the first strap  360  and the second strap  362  are spaced apart from the upper edges of the third strap  370  and the fourth strap  372 , respectively, by a height H4. Accordingly, the overall height H1 of the main body portion is substantially equal to the sum of the heights H2, H3 and H4. 
         [0053]    The dimensions of the hip compression wrap  310  can be varied in accordance with ranges of sizes of persons for whom the hip compression wrap is intended. For example, in one exemplary embodiment, the widths and heights have the following approximate dimensions: W1˜13 inches; W2˜13.5 inches; W3˜40 inches; W4˜8 inches; W5˜29 inches; H1˜15 inches; H2˜4 inches; H3˜4 inches; and H4˜7 inches. 
         [0054]    As illustrated in  FIG. 12 , the four straps of the hip compression wrap  300  are generally perpendicular to the central body portion  352 . Preferably, the perpendicular intersections the central body portion with the lower edges of the first strap  360  and the second strap  362  and with the upper edges of the third strap  370  and the fourth strap  372  are rounded to form fillets  390 . The fillets function to inhibit tearing of the sheet  350  when the straps and the central body portion are stretched as discussed below. Preferably, the outer vertices of the four straps are also rounded. 
         [0055]    Preferably, the outer edges forming the outer boundaries of the straps  360 ,  362 ,  370 ,  372  and the central body portion  352  of the sheet  350  of the hip compression wrap and the inner edge of the sheet defining the hole  354  are reinforced by trimming the edges with elastic webbing (not shown), which is commercially available from a number of sources. The elastic webbing is sewn to the sheet proximate the edges in a conventional manner using elastic thread, which is also commercially available. 
         [0056]    In the illustrated embodiment, the central body portion  352  has an optional identification label  392  formed thereon. 
         [0057]    When used to provide pressure to the ice bag  100  placed on a person&#39;s hip, the neck portion  116  of the ice bag is pushed through the hole  354  in the central body portion  352 . The elasticity of the sheet  350  allows the hole to stretch to accommodate the slightly larger diameter of the neck portion and to retain the neck portion securely therein. After filling the ice bag with ice, the cap  140  is secured to the threaded connector  120 . The air release button  210  is initially depressed and pressure is applied to the ice bag to remove a substantial portion of any air that entered the bag while the cap was opened. The generally square bottom portion  112  of the ice bag is then positioned against the person&#39;s hip. The first strap  360  and the second strap  362  are extended around the waist of the person with the loop section  364  on the first strap positioned beneath the hook section  366  on the second strap. The lengths of the first strap and the second strap are preferably selected so that both straps are stretched to extend around the waist. After adjusting the positions of the first and second straps, the hook section is engaged with the loop section to secure the two straps to the person&#39;s waist. 
         [0058]    After securing the first strap  360  and the second strap  362  at the person&#39;s waist, the central body portion  350  is stretched downward to position along the outside of the person&#39;s hip. The third strap  370  and the fourth strap  372  are stretched around the person&#39;s leg below the hip with the loop section  374  of the third strap positioned beneath the hook section  376  of the fourth strap. After adjusting the positions of the third and fourth straps, the hook section is engaged with the loop section to secure the two straps to the person&#39;s leg. 
         [0059]    The hip compression wrap  300  applies pressure to the ice bag  100 . As the ice within the ice bag melts, which reduces the total volume of ice and water within the ice bag, the elasticity of the compression wrap causes the compression wrap to continue to force the ice bag against the person&#39;s hip. As the ice melts and releases entrapped air into the ice bag, the air may provide a cushioning effect to reduce the force applied against the hip. The air within the bag is easily removed by pressing on the air release button  210  on the exposed cap  140 . As the air is released from the ice bag, the elasticity of the compression wrap maintains the pressure on the hip so that ice remains in thermal contact with the hip through the wall of the ice bag. 
         [0060]    The knee compression wrap  312  of  FIG. 13  functions similarly to the hip compression wrap  310  and comprises a sheet  400  of L-foam neoprene as described above, or a similar material. The shape of the neoprene sheet is configured for the knee of a person. In particular, a central body portion  402  of the sheet has a width W11 and a height H11. A hole  404  is formed at the approximate center of the central body portion. The hole in the knee compression wrap has a diameter similar to the diameter of the hole in the hip compression wrap, which is approximately 1.75 inches. 
         [0061]    Three straps extend generally perpendicularly from the central body portion  402  of the knee compression wrap  312 . A first strap  410  extends to the left from the left side of the central body portion proximate to the top of the central body portion and has a width W12. A second strap  412  extends to the left from the left side of the central body portion proximate to the bottom of the central body portion and has a width W13. A third strap  414  extends to the right from the right side of the central body portion and is generally centered with respect to the right side of the central body portion. The third strap has a width W14. The knee compression wrap has an overall width W15, which is the sum of the width W11 of the central body portion, the width W12 of the first strap and the width W14 of the third strap. In the illustrated embodiment, the width W13 of the second strap is shorter than the width W12 of the first strap. 
         [0062]    In the illustrated embodiment of the knee compression wrap  312 , the three straps are tapered. The first strap  410  has a height H12 at the intersection with the left side of the central body portion  402  and tapers to a height H13 at the left end. The second strap  412  has a height H14 at the intersection with the left side of the central body portion and tapers to a height H15 at the left end. The third strap  414  has a height H16 at the intersection with the right side of the central body portion and tapers to a height H17. The first strap and the second strap are spaced apart by a height H18 at the left side of the central body portion. The respective left ends of the first strap and the second strap are spaced apart in a vertical direction by a height H19. Note however that the left ends of the two straps are not aligned. 
         [0063]    The dimensions of the knee compression wrap  312  can be varied in accordance with ranges of sizes of persons for whom the knee compression wrap is intended. For example, in one exemplary embodiment, the widths and heights have the following approximate dimensions: W11˜8.5 inches; W12˜9.5 inches; W13˜8.25 inches; W14˜7 inches; W15˜25 inches; H11˜8.5 inches; H12˜2.75 inches; H13˜2 inches; H14˜2.75 inches; H15˜2 inches; H16˜2.75 inches; H17˜2.25 inches; H18˜3 inches; and H19˜3.75 inches. 
         [0064]    In the illustrated embodiment, the intersection of the lower edge of the first strap  410  with the left side of the central body portion  402 , the intersection of the upper edge of the second strap  412  with the left side of the central body portion and the intersections of the upper edge and the lower edge of the third strap  414  with the right side of the central body portion are rounded with fillets  420 . In addition, the intersection of the upper edge of the first strap with the top of the central body portion and the intersection of the lower edge of the second strap with the bottom of the central body portion are curved with fillets  422 . As discussed above, the fillets function to inhibit tearing of the sheet  400  when the straps and the central body portion are stretched as discussed below. Preferably, the outer vertices of the three straps and upper right and lower left vertices of the central body portion are also rounded. In preferred embodiments, the outer edges of the sheet  400  defining the central body portion and the straps and the inner edge of the sheet defining the hole  404  are reinforced as described above. 
         [0065]    The obverse (hidden) surface of the first strap  410  of the knee compression wrap  312  has a generally rectangular section  430  of the hook portion of a hook and loop fastening system positioned proximate to the left end. The rectangular hook section is secured thereon by gluing, by stitching or by another suitable method. The obverse surface of the second strap  412  of the knee compression wrap has a generally rectangular section  432  of the hook portion of a hook and loop fastening system positioned proximate to the left end. The rectangular hook section is secured thereon by a suitable method. The obverse surface of the third strap  414  of the knee compression wrap has a generally rectangular section  434  of the hook portion of a hook and loop fastening system positioned proximate to the right end. The rectangular hook section is secured thereon by a suitable method. 
         [0066]    The exposed side of the central body portion has three generally rectangular sections of the loop portions of hook and loop fastening systems positioned proximate the left side of the central body portion. An upper loop section  440  is generally aligned with the hook section  440  on the first strap  410 . A lower loop section  442  is generally aligned with the hook section  432  on the second strap  412 . A middle loop section  444  is generally aligned with the hook section  434  on the third strap  414 . 
         [0067]    The exposed side of the second strap  362  has a generally rectangular section  366  (shown in hidden lines) of the hook portion of a hook and loop fastening system secured thereon by a suitable method. In the illustrated embodiment, the rectangular section of the loop portion is wider than the rectangular section of the hook portion to allow the engagement to be adjusted, as discussed below. 
         [0068]    The knee compression wrap  312  functions similarly to the hip compression wrap  310 . After filling the ice bag  100  with ice and inserting the neck portion  116  of the ice bag through the hole  404 , the cap  140  is attached and the air release button  210  is depressed to release air in the ice bag. The bottom portion  112  of the ice bag is positioned against the person&#39;s knee. The third strap  414  is stretched behind the person&#39;s knee, and the hook section  434  proximate to the end of the third strap is engaged with the middle loop section  444  on the central body portion  402 . The first strap  410  is stretched around the person&#39;s leg above the knee, and the hook section  430  proximate to the end of the first strap is engaged with the upper loop section  440  on the central body portion. The second strap  412  is stretched around the person&#39;s leg below the person&#39;s knee, and the hook section  432  proximate to the end of the second strap is engaged with the lower loop section  442  on the central body portion. 
         [0069]    When secured as described above, the first strap  410 , the second strap  412  and the third strap  414  of the knee compression wrap  312  allow the person&#39;s knee to flex comfortably. In particular, the first strap and the second strap are positioned sufficiently far apart that the material between the two straps stretches to accommodate the additional distance when the flexure of the lower leg moves the second strap farther away from the first strap. At the same time, the independently secured third strap retains the center of the central body portion  402  with the hole  404  in the correct position over the knee. 
         [0070]    The knee compression wrap  312  applies pressure to force the bottom portion  112  of the ice bag  100  against the person&#39;s knee. As the ice within the ice bag melts, the air release button  210  is depressed to release the air originally entrapped within the ice so that pressure is maintained against the ice in the ice bag. 
         [0071]    Although described as a knee compression wrap, the compression wrap  312  can be adapted to provide compression and heat removal for other body parts. For example, the dimensions of the knee compression wrap are easily reduced and the proportions adjusted as needed to provide a compression wrap for a person&#39;s elbow, wrist, ankle, foot or other body part. For smaller joints and other body parts, the size of the ice bag  100  may also be reduced in order to concentrate the pressure and heat removal on the smaller body parts. 
         [0072]      FIG. 14  illustrates an embodiment of a shoulder compression wrap  500  for applying a single ice bag  100  of  FIGS. 1-11  to the left shoulder of a person. A corresponding embodiment  600  for the right shoulder is shown in  FIG. 15 . 
         [0073]    As used in the following description, horizontal and vertical refer to the landscape orientation of the embodiment in  FIG. 14 . 
         [0074]    The shoulder compression wrap  500  of  FIG. 14  comprises a single integral sheet  510  of L-foam neoprene or other suitable material formed in the pattern shown in  FIG. 14 . Preferably, the shoulder compression wrap comprises material having a thickness of approximately 5 millimeters to provide greater strength over a larger surface area. 
         [0075]    The sheet  510  includes a includes a central body portion  520  that is generally formed with multiple curves to allow the compression wrap to be positioned comfortably on the person&#39;s shoulder proximate to the person&#39;s neck and to allow the compression wrap to be stretched without tearing the material. In the illustrated embodiment, in the absence of the various curves and fillets, the central body portion has a generally rectangular shape as generally outlined by a set of phantom lines defining a right edge  522 , a left edge  524 , an upper edge  526  and a lower edge  528 . The central body portion has a length L31 defined generally between the right edge and the left edge; and has a width W31 defined generally between the upper edge and the lower edge. The phantom outline is for descriptive purposes only and does not represent actual boundaries of the central body portion of the compression wrap. The central body portion and the straps described below are formed from a continuous sheet such that no well-defined boundaries exist where the central body portion transitions to the straps. 
         [0076]    The central body portion  520  includes a hole  530  located within a central region of the central body portion. The hole receives the neck portion  116  of the ice bag as described above. When secured to a person as described below, the ice bag is positioned generally on top of the person&#39;s left shoulder. In the illustrated embodiment, the hole has a diameter of approximately 1.75 inches. An upper physical edge  532  of the center body portion includes a smooth curved indentation  534  (relative to the phantom upper edge  526 ) to provide clearance around the person&#39;s neck when the compression wrap  500  is secured to the person&#39;s left shoulder so that the otherwise straight edge of the compression wrap is not applied against the person&#39;s neck. 
         [0077]    A first strap  540  extends upward and to the right from an upper portion of the right edge  522  of the central body portion  520  at an angle A31 of approximately 21 degrees with respect to horizontal. The first strap has a length L32 and a width W32. A first generally rectangular section  542  of a loop portion of a hook and loop fastening system is positioned on the first strap in general alignment with the direction of the length of the first strap. A portion of the rectangular section of the loop portion may extend onto the central body portion as shown. The rectangular section is secured to the first strap and the central body portion by a suitable method as discussed above with respect to the other embodiments. 
         [0078]    A second strap  550  extends to the left from a lower portion of the left edge  524  of the central body portion  520 . The second strap is generally horizontal with the lower edge of the second strap generally aligned with the lower edge  528  of the central body portion. In the illustrated embodiment, the second strap has a length L33 and a width W33. A first generally rectangular section  552  of a hook portion (shown in hidden lines) of a hook and loop fastening system is positioned on the obverse (hidden) side of the second strap near the left end of the second strap and in general alignment with the direction of the length of the second strap. The rectangular hook portion section is secured to the second strap by a suitable method as discussed above. 
         [0079]    A third strap  560  extends up and to the left from an upper portion of the left edge  524  of the central body portion  520  at an angle A32 of approximately 8 degrees with respect to horizontal. The third strap has a length L34 and a width W34. The lower edge of the third strap transitions to the central body portion via a large curved fillet section  562  to avoid creating a sharp intersection with the central body portion. A second generally rectangular section  564  of a hook portion (shown in hidden lines) of a hook and loop fastening system is positioned on the obverse (hidden) side of the third strap near the left end of the third strap and in general alignment with the direction of the length of the third strap. The second rectangular hook section is secured to the third strap by a suitable method as discussed above. 
         [0080]    A second generally rectangular section  570  of the loop portion of a hook and loop fastening system is positioned on the central body portion  520  between the hole  530  and the lower edge  528  of the central body portion. In the illustrated embodiment, the second loop portion section is oriented with a longer side generally parallel to the lower edge of the central body portion. 
         [0081]    As illustrated, prior to stretching, the left shoulder compression wrap  500  has an overall width W35 and an overall length L35. 
         [0082]    The dimensions of the left shoulder compression wrap  500  can be varied in accordance with ranges of sizes of persons for whom the shoulder compression wrap is intended. For example, in one exemplary embodiment, the widths and heights have the following approximate dimensions prior to stretching of the shoulder compression wrap: W31˜15 inches; W32˜5.3 inches; W33˜3.4 inches; W34˜4.7 inches; W35˜17.4 inches L31˜12 inches; L32˜4.1 inches; L33˜9.1 inches; L34˜24 inches; and L35˜42 inches. In view of the elasticity of the neoprene sheet  510 , the foregoing dimensions can vary. Furthermore, the relative lengths and widths of the straps and the central body portion can have different proportions than the exemplary dimensions. 
         [0083]    The left shoulder compression wrap  500  of  FIG. 19  is used with the ice bag  100  of  FIGS. 1-11  to apply pressure to and to extract heat from the person&#39;s left shoulder. After filling and closing the ice bag  100 , the cap  140  and neck portion  116  of the ice bag are pushed through the hole  530  in the compression wrap. The ice bag is then positioned on the top of the person&#39;s left shoulder with the body portion  520  generally on top of the person&#39;s left shoulder such the end of the first strap  540  is draped over the back of the person&#39;s left shoulder and such that the end of the second strap  550  is draped over the front of the person&#39;s left shoulder. The second strap is stretched to pass beneath the person&#39;s left underarm so that the first hook portion section  552  on the end of the second strap is positioned to engage the second loop portion section  570  on the body portion. The third strap  560  is then stretched and pulled across the person&#39;s chest, around the person&#39;s right side and back across the person&#39;s upper back until the second hook section  564  on the free end of the third strap is positioned for engagement with the first loop portion section  542  on the first strap. It should be understood that since the central body portion and the three straps comprise a single integral sheet of neoprene, the entire shoulder compression wrap stretches to allow each hook portion section to engage the respective loop portion section. The curves and fillets on the central body portion proximate the straps allow the central body portion to stretch without tearing as might happen if the central body portion were to be formed with sharp corners. Preferably, the outer edges of the sheet  510  defining the central body portion and the straps and the inner edge of the sheet defining the hole are advantageously reinforced as describe above. 
         [0084]    The compression wrap  500  can be worn on the shoulder for extended periods without requiring readjustment of the straps. In particular, as the ice melts within the ice bag  100 , the entrapped air released from the ice enters the ice bag and creates a volume of air that acts as a cushion to diffuse the pressure applied against the ice bag. When the user senses that the pressure applied by the ice bag is lower, the user simply depresses the air release button  210 , as described above. The air release button is easily accessible at the top of the person&#39;s shoulder. The tension in the stretched straps  540 ,  550 ,  560  and central body portion  520  of the compression wrap causes the compression wrap to shrink and force the air out of the ice bag thus removing the cushioning effect caused by the air. The user again benefits from the pressure applied directly against the ice bag and thus against the user&#39;s shoulder. 
         [0085]      FIG. 15  illustrates a right shoulder compression wrap  600 , which is the mirror image of the left shoulder compression wrap  500  of  FIG. 14 . The right shoulder compression wrap is constructed in the same manner as described above and operates in the same manner as the left shoulder compression wrap. Accordingly, the foregoing description applies to  FIG. 15  except for the references to left and right. 
         [0086]      FIG. 16  illustrates an embodiment of a shoulder compression wrap  700  for applying two of the ice bags  100  of  FIGS. 1-11  to the left shoulder of a person. A corresponding embodiment  800  for the right shoulder is shown in  FIG. 18 . Unlike the single ice bag shoulder compression wrap  500  of  FIG. 14 , which positions the ice bag on top of the person&#39;s shoulder, the shoulder compression wrap of  FIGS. 16 and 17  positions a first ice bag over a forward portion of the shoulder and positions a second ice bag over a rearward portion of the shoulder. The pressure applied to the two ice bags by the single compression wrap squeezes the shoulder between the two ice bags to enhance the pressure applied to the shoulder and to assure thermal transfer of heat from the shoulder to the ice bags. 
         [0087]    As used in the following description, horizontal and vertical refer to the landscape orientation of the embodiment in  FIG. 16 . 
         [0088]    The shoulder compression wrap  700  of  FIG. 16  comprises a single integral sheet  710  of L-foam neoprene or other suitable material formed in the pattern shown in  FIG. 16 . Preferably, the shoulder compression wrap comprises material having a thickness of approximately 5 millimeters to provide greater strength over a larger surface area. 
         [0089]    The sheet  710  includes a includes a central body portion  720  that is generally formed with multiple curves to allow the compression wrap to be positioned comfortably on the person&#39;s shoulder proximate to the person&#39;s neck and to allow the compression wrap to be stretched without tearing the material. In the illustrated embodiment, in the absence of the various curves and fillets, the central body portion has the general shape of a six-sided polygon as indicated by a phantom outline  722 . As discussed above, the phantom outline is for descriptive purposes only and does not represent actual boundaries of the compression wrap. Prior to stretching of the material, the central body portion has a width W41 at the left end in  FIG. 16  and a length L41. 
         [0090]    An upper edge  730  of the central body portion  720  has an indentation  732  formed therein to accommodate placement of the upper edge proximate to a person&#39;s neck. The central body portion further includes a first hole  734  and a second hole  736 , each of which has a diameter of approximately 1.75 inches in the illustrated embodiment. The first hole is positioned to the left of a reference line  738  and the second hole is positioned to the right of the reference line. The reference line extends approximately from the midpoint of the indentation and is shown for descriptive purposes only. When the compression wrap  700  is positioned on a person&#39;s left shoulder with the indentation positioned proximate the person&#39;s neck, the reference line would be generally aligned with the top of the person&#39;s shoulder with the first hole being positioned on the front of the person&#39;s shoulder above the person&#39;s chest and with the second hole positioned on the rear of the person&#39;s shoulder on the person&#39;s upper back. When lying flat as shown in  FIG. 16 , the first hole and the second hole are spaced apart by approximately 9 inches. 
         [0091]    The upper portion of the right edge of the central body portion transitions to a first strap  740 . The first strap is generally oriented upward and to the right at an angle A41 of approximately 25 degrees with respect to horizontal. In the illustrated embodiment, the first strap has a width W42 and a length L42 (measured from the boundary of the phantom outline). A generally rectangular section  742  of a loop portion of a hook and loop fastening system is positioned on the first strap in general alignment with the direction of the length of the first strap. The rectangular section of the loop portion extends onto the central body portion as shown. The rectangular section is secured to the first, short strap and the central body portion by a suitable method as discussed above with respect to the other embodiments. 
         [0092]    The right portion of the lower edge of the central body portion  720  transitions to a second strap  750 . The second strap is generally oriented down and to the right at an angle A42 of approximately 15 degrees with respect to vertical. In the illustrated embodiment, the second strap has a width W43 and a length L43 (measured from the boundary of the phantom outline). A generally rectangular section  752  of a hook portion (shown in hidden lines) of a hook and loop fastening system is positioned on the obverse (hidden) side the second strap in general alignment with the direction of the length of the second strap. The rectangular hook section is secured to the second strap by a suitable method as discussed above. 
         [0093]    The upper portion of the left edge of the central body portion transitions to a third strap  760 . The third strap is generally oriented up and to the left at an angle A43 of approximately 7 degrees with respect to horizontal. In the illustrated embodiment, the third strap has a width W44 and a length L44 (measured from the boundary of the phantom outline). A generally rectangular section  762  of a hook portion (shown in hidden lines) of a hook and loop fastening system is positioned on the obverse (hidden) side the third strap in general alignment with the direction of the length of the third strap. The rectangular hook section is secured to the third strap by a suitable method as discussed above. 
         [0094]    A lower left corner portion  780  of the central body portion  720  is formed as a large curve. A generally rectangular section  782  of a loop portion of a hook and loop fastening system is positioned on the lower left corner portion and is oriented at approximately 45 degrees to the horizontal along a radius extending from the approximate midpoint of the curve forming the corner portion. The rectangular section is secured to the central body portion by a suitable method as discussed above. 
         [0095]    As illustrated, prior to stretching, the shoulder compression wrap  700  has an overall width W45 and an overall length L45. 
         [0096]    The dimensions of the shoulder compression wrap  700  can be varied in accordance with ranges of sizes of persons for whom the shoulder compression wrap is intended. For example, in one exemplary embodiment, the widths and heights have the following approximate dimensions: W41˜16 inches; W42˜5 inches; W43˜5 inches; W44˜5 inches; W45˜29 inches; L41˜30.25 inches; L42˜2.5 inches; L43˜11.75 inches; L44˜23.5 inches; and L45˜56.75 inches. In view of the elasticity of the neoprene sheet  710 , the foregoing dimensions can vary. Furthermore, the relative lengths and widths of the straps and the central body portion can have different proportions than the exemplary dimensions. 
         [0097]    As illustrated in  FIGS. 17A and 17B , the shoulder compression wrap  700  of  FIG. 16  is used by filling a first ice bag  100 A and a second ice bag  100 B with ice and positioning the respective neck  210  of the first ice bag through the first hole  734  in the central body portion  720  and positioning the respective neck of the second ice bag through the second hole  736  in the central body portion. The volume of ice in each ice bag may be adjusted as desired by the user. The first ice bag is positioned in front of the person&#39;s left shoulder above the person&#39;s chest, and the second ice bag is positioned behind the person&#39;s left shoulder on the person&#39;s upper back. As discussed above, the indentation  732  is positioned along the person&#39;s neck. In general, the compression wrap is draped on the person&#39;s left shoulder such that the reference line  738  would be along the top of the person&#39;s shoulder. 
         [0098]    While holding the two ice bags  100  in the selected positions in front of and behind the person&#39;s shoulder, the second strap  750  is pulled beneath the person&#39;s left underarm and is stretched until the hook section  752  on the free end of the second strap is positioned for engagement with the loop section  782  on the lower left corner portion  780  of the central body portion  720 . The third strap  760  is then stretched and pulled across the person&#39;s chest, around the person&#39;s right side and back across the person&#39;s upper back until the hook section  762  on the free end of the third strap is positioned for engagement with the loop section  742  on the first strap  740 . It should be understood that since the central body portion and the three straps comprise a single integral sheet of neoprene, the entire shoulder wrap stretches to allow each hook section to engage the respective loop section. The large curves on the central body portion proximate the straps allow the central body portion to stretch without tearing as might happen if the central body portion were to be formed with sharp corners. The outer edges of the sheet  710  and the edges of the sheet around the holes  734 ,  736  are advantageously reinforced as describe above. 
         [0099]    When the two ice bags  100 A,  100 B are positioned as shown in  FIGS. 17A and 17B , the bottom portions of the ice bags form an upside-down V-shape with the vertex of the “V” positioned at the top of the shoulder in the region around the clavicle and the acromioclavicular (AC) joint. 
         [0100]    The compression wrap  700  can be worn on the shoulder for extended periods without requiring readjustment of the straps. In particular, as the ice melts within the ice bags  100 , the entrapped air released from the ice enters the ice bags and creates respective volumes of air that act as cushions to diffuse the pressure applied against the ice bags. When the user senses that the pressure applied between the two ice bags is lower, the user simply depresses the air release button  210  on each ice bag, as described above. The air release buttons are easily accessible near the top of the person&#39;s shoulder. The tension in the stretched straps and central body of the compression wrap causes the compression wrap to shrink and force the air out of the ice bags thus removing the cushioning effect caused by the air. The user again benefits from the pressure applied directly against the ice bags and thus against the user&#39;s shoulder. 
         [0101]      FIG. 18  illustrates a right shoulder compression wrap  800 , which is the mirror image of the left shoulder compression wrap  700  of  FIG. 16 . The right shoulder compression wrap is constructed in the same manner as described above and operates in the same manner as the left shoulder compression wrap. Accordingly, the foregoing description applies to  FIG. 18  except for the references to left and right. 
         [0102]      FIG. 19  illustrates an outer collar ring  900  in accordance with a further embodiment in which the outer collar ring includes an upper portion  910 , which corresponds to the outer collar ring  122  of  FIGS. 1-5 . The outer collar ring in  FIG. 19  further includes an extended cylindrical lower portion  920  which supports a flange  930 . As illustrated, the flange has a diameter that is substantially larger than the cylindrical lower portion and is larger than the upper gripping portion  142  of the cap  140  of the ice bag  100 . Although the respective holes in the compression wraps of  FIG. 11-20  are intended to stretch to accommodate upper gripping portion of the cap and the outer ring of the ice bag  100  and then shrink to provide a snug fit around the neck portion  116  of the ice bag, the elasticity of the portion of the compression wrap surrounding the hole may not always be sufficient to cause the hole to shrink to a sufficiently small diameter to securely retain the neck portion of the ice bag. In other cases, the elasticity of the hole may be too great and may cause the material surrounding the hole to apply too much pressure to the flexible neck portion of the ice bag. The extended cylindrical lower portion provides a solid barrier to preclude closure of the neck portion of the ice bag. The flange provides a large surface area that is much less likely to pass through the hole in the compression wrap even when the hole does not shrink to a sufficiently small diameter after upper gripping portion of the cap of the ice bag is inserted through the hole. 
         [0103]    As various changes could be made in the above constructions without departing from the scope of the invention, it is intended that all the matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative and not in a limiting sense.

Technology Category: a