referring now to fig1 a perspective view of an ankle calf exerciser / phlebo pump is generally shown at 10 . exerciser 10 has a generally t - shaped housing 12 which can be supported upon a wheeled cart 14 for easy transport thereof if desired . housing 12 includes a handle 16 extending upwardly from a top surface thereof to facilitate transport by hand , or to facilitate shifting the device upon a surface while orienting the device to the patient &# 39 ; s feet for use . a pair of foot rest plates or paddles 20 are each rotatably supported by a respective , laterally extending shoulder portion 22 of housing 12 . shoulder 22 has a concentric opening with the paddle journaled for rotation therethrough . more particularly , each foot paddle 20 is seen to include an integral arm 24 perpendicularly extending from the inner side edge of the foot rest . these arms are rotatably coupled to and supported by the respective shoulder 22 . each foot paddle 20 is seen to include a slipper 28 fixedly mounted thereon , and which may include a velcro ® strap adapted to selectively secure a patient &# 39 ; s foot to the respective foot paddle 20 . referring now to fig2 a drive motor 30 is shown in phantom for imparting a reciprocating and alternating motion to each foot paddle 20 . a pair of drive members 32 are each coupled to motor 30 at one end , and are coupled at an opposing end to one foot paddle arm 24 as will be discussed shortly in regards to fig4 . motor 30 supported by , and positioned within , housing 12 to form a leverage point . referring now to fig3 an end view of exerciser 10 is shown . a speed select control knob 36 is provided at the front side of housing 12 to selectively set the operational speed of motor 30 , and consequently the reciprocation frequency of paddles 20 . motor 30 is preferably comprised of a 1 / 26 horsepower 120 volt ac powered motor , wherein switch 36 comprises a variable potentiometer to effect the rpm setting . referring now to fig4 a detailed view of the driving assembly for foot paddles 20 is shown . motor 30 , which is fixedly secured to and disposed within housing 12 as previously discussed , includes a rotatable cam 40 extending through the top end thereof . cam 40 is driven by the motor and includes a bolt 42 disposed offset from , but parallel to , an axis of cam 40 . accordingly , bolt 42 travels a concentric circular path as cam 40 is rotated . each drive member 32 is comprised of a elongated rod coupled to , and extending between , cam bolt 42 and a respective foot paddle cam 46 . a proximal end 50 of each member 32 is comprised of a flexible rubber swivel mount 52 having an opening defined therethrough for axially receiving bolt 42 as shown . a distal end 54 of each member 32 is also formed of flexible rubber , and includes a swivel mount 56 having an opening defined therethrough for receiving a fastening bolt 58 . bolt 58 secures the distal end 54 of member 32 to an integral lobed portion 60 of respective cam 46 . a middle segment 62 of each member 32 is comprised of a rigid tubular material , such as aluminum . the midsection segment 62 can be of a selected length , and interchanged from sleeves 64 to affect the overall length of member 32 , thus providing a fine adjustment for the arcuate path of travel of the respective foot pad 20 . each cam 46 is journaled for rotation about a shaft 66 laterally extending between each cam member 46 . cam member 46 is also seen to include an integral cylindrical portion 70 . cylindrical portion 70 is rotatably supported by and disposed through shoulder 22 of housing 12 , as previously discussed in reference to fig1 . each foot paddle arm 24 is securingly connected to respective segment 70 via a plurality of bolts 72 . the distal end of each arm 24 extends perpendicularly from an inside edge 76 of respective foot paddle 20 at a location proximate , but inward from , a heel portion 78 of paddle 20 . arm 24 is integral to foot paddle 20 , as shown . also shown in fig4 is the reciprocating and out - of - phase relationship of each foot paddle 20 to the other . specifically , when the left paddle is extended to its maximum position in a clockwise direction , the other or right foot paddle 20 is rotated to its maximum counterclockwise position , as shown . this reciprocating and alternating relationship is established since the lobed portion 60 of each cam member 46 is disposed generally opposite the other about shaft 66 , as shown . thus , as motor cam 40 and bolt 42 are rotated 180 degrees from that position shown in fig4 thus causing each member 32 to be motioned toward motor 30 , the left cam 46 will rotate in the counterclockwise direction while the right cam 46 will rotate in the clockwise direction , where the converse applies . in summary , motor 30 and each segment 70 of paddle cam member 46 are supported by housing 12 . cam members 46 , including cylindrical portion 70 , are secured to respective foot paddle 20 such that rotation of cam 46 imparts corresponding rotation of the respective foot paddle 20 about shaft 66 . referring now to fig5 the relationship of each member 32 to one another and the respective foot paddle cams 46 can be seen . specifically , when the left foot paddle 20 is fully rotated forwardly , as shown , the respective member 32 extends above pivot shaft 66 while the member 32 corresponding to the right foot paddle 20 is disposed under shaft 66 , as shown . when motor cam 40 is rotated 180 degrees from that shown , thus rotating bolt 42 180 degrees , the left foot paddle will become vertical while the right foot peddle will be fully extended forwardly . one key feature of the present invention is that the proximal end 50 of each member 32 includes the rubber swivel mount 52 and the distal swivel mount 56 . thus , the proximal and distal ends of each member 32 can flex slightly as cam 40 and bolt 42 rotate in a circular path . the ends of members 32 remain secured to the bolt 42 and respective bolt 58 , but can rotate thereabout . these rubber swivel mounts allow each member 32 to be flexed slightly in the lateral direction without snapping . these rubber swivel mounts also electrically isolate the foot paddles 20 from motor 30 . the rubber swivel mounts do not necessitate a high degree of tolerance for fitting these mechanical components to one another . thus , the apparatus is easy to assemble , and properly functions without paying particular attention to the component tolerances . in operation , motor 30 will operate to continuously rotate cam 40 , and thus bolt 42 , in the clockwise direction at a predetermined speed established by switch 36 . as bolt 42 rotates in a circular path , each member 32 , which are tied together at a common point by bolt 42 , will be caused to impart in a corresponding longitudinal movement and reciprocate . since each member 32 is rotatingly coupled to the corresponding foot paddle cam 46 by respective bolt 58 , each cam 46 and consequently foot paddle 20 will correspondingly reciprocate therewith . lobed portion 60 of each cam 46 extends radially outward from the axis of shaft 66 such that neither of members 32 will interfere with shaft 66 during rotation of each cam 46 . each cam 46 includes bearings at 73 to provide a smooth non - binding coupling of cam 42 about shaft 66 . the particular path of travel of each foot paddle 20 can be selectively chosen by implementing segment 62 of a proper length . for instance , implementing a segment 62 longer in length from that shown will cause the left paddle to reside in a more horizontal position at one extreme while not achieving vertical when rotated to the other extreme . referring now to fig6 each foot paddle 20 can be seen to be rotated in phantom about an axis of pin 66 such that when a patient adapts one &# 39 ; s foot thereto , only the ankle will be flexed , and the knee and hip will remain stationary . this is due to the fact that arm 24 extends from foot rest 20 at a midsection thereof , rather than from proximate the heel portion of member 20 . the achilles heel of one &# 39 ; s foot would be disposed proximate this arm 24 . in summary , a simple but effective driving mechanism is provided for reciprocating a pair of foot paddles . a minimal amount of parts are required to alternating reciprocate each of the foot members 20 . only a pair of linkages are required , each extending between motor 30 and the cams of the foot paddles . each of these driving members has a rubber swivel mount at each end thereof to allow flexure of each member without snapping while imparted in a longitudinal movement . thus , close tolerances of these parts is not required . the lengths of each driving member can be selectively defined by segments 62 to determine the arcuate path of travel of each foot paddle 20 . the foot paddles reciprocate in an alternating relationship with one another . the arm of each foot paddle is coupled to the midsection of the foot rest such that only the ankle of the patient &# 39 ; s foot is flexed . the speed of the motor 30 can be selected between 0 and 60 rpm , and is selectable by the patient or the physician . slippers integrally disposed on each paddle 20 comfortably secure the patient &# 39 ; s foot to the paddles for therapy . this invention has been described herein in considerable detail in order to comply with the patent statutes and to provide those skilled in the art with the information needed to apply the novel principles and to construct and use such specialized components as are required . however , it is to be understood that the invention can be carried out by specifically different equipment and devices , and that various modifications , both as to the equipment details and operating procedures , can be accomplished without departing from the scope of the invention itself .
an ankle calf exerciser / phlebo pump adapted to reduce the development of deep vein thromboses , leg edema , muscular atrophy and ankle joint stiffness in postoperative orthopedic patients . an efficient and simple driving mechanism is provided from imparting an alternating and reciprocating movement of a pair of foot paddles . the foot paddles are coupled to the driving mechanism such that only the patient &# 39 ; s ankles will be flexed while the knee and hip remains stationary . this device is ideally suited for patients with hip fractures , and hip replacement with prosthesis . the speed of paddle reciprocation can be selected , as can the arcuate path of travel of the foot paddles by adjusting the length of a driving rod .