medical instruments for use in physical therapy and pain management being electrically heated and cooled devices for medical use, namely, back supports, ankle supports, knee braces, shoulder braces, elbow braces, neck braces, compression wraps, operating tables and stretchers; electrically heated and cooled devices for medical use, namely, helmets and medical beds featuring thermoelectric heating and cooling devices for therapeutic hypothermia treatment and targeted temperature management; therapeutic electrically heated and cooled clothing for medical purposes, namely, shirts, pants, headwear, body suits, footwear, and gloves featuring a device for thermoelectric heating and cooling for comfort using temperature control and temperature measurement; therapeutic thermoelectric heating devices and cooling devices for medical purposes specially adapted for use as a component in medical instruments for use in physical therapy and pain management and therapeutic electrically heated and cooled devices for medical use