Abstract: A system and method for mitigating pain associated with dentistry provides a removal apparatus for removing a portion of a tooth. A desiccation apparatus flows a desiccated gas to the portion of the tooth to desiccate dentinal tubules in a region surrounding the portion of the tooth, generally preventing nerve cells within the tooth from transmitting pain signals associated with the removal. The removal apparatus has a drill head with a body having an axial opening configured to accept a dental burr. An annular passage exists between the dental burr and the body within the axial opening. A chamber in the body is in fluid communication with the axial opening, where a channel is fluidly coupled to an external port and to a source of the desiccated gas to flow the desiccated gas therethrough and expose a drilling region of the dental burr to the desiccated gas to mitigate pain.

Abstract: A torque limiting device for use with a dental drive tool including a housing defining a rotation axis and having a bore concentric with the rotation axis and a torque limiting insert. The housing has a recess for housing at least part of the torque limiting insert. The torque limiting insert includes a fixing region held within the housing and a spring region extending from the fixing region and including a locking catch protruding into the bore. The locking catch is aligned with the recess so it can be moved radially outwards into the recess in to a disengaged position. The locking catch is arranged to engage with the dental drive tool when the tool is introduced in the bore to transmit a torque applied to the housing and to deflect into the disengaged position against the force of the spring region when a predefined torque limit is reached.

Abstract: Orthodontic systems and related methods are disclosed for designing and providing improved or more effective tooth moving systems for eliciting a desired tooth movement and/or repositioning teeth into a desired arrangement. Methods and orthodontic systems include the generation of an overcorrection in the tooth-receiving cavities of an appliance worn in the dentition. The overcorrection may provide an improved and more accurately applied force or moment applied to a tooth. The overcorrected force or moment can move a tooth closer to a desired position than if not overcorrected as sufficient force can still applied to the tooth as it gets closer to the desired position. The overcorrected force or moment may also better target the root of the tooth where the biological response to tooth movement occurs. The overcorrection may be calculated in various ways as described herein.

Abstract: In one aspect, the present invention is directed to an orthodontic bracket (12), comprising: a vertical bore (32); a bendable drop-in hook (34) threaded into the vertical bore (32); and an annular magnetic object (30), in which the drop-in hook (34) is threaded into. In another aspect, the present invention is directed to an orthodontic braces arrangement, comprising: at least two distant brackets (12), each installed on a different jaw of a user; and each of the distant brackets (12) having at least one annular magnetic object (30) secured thereto by a bendable drop-in hook; wherein a distance between magnetic objects of one bracket and another bracket is less than 2 mm; thereby providing intermaxillary attraction or propulsion force, depending on a polarity orientation of the magnetic objects.

Abstract: The present disclosure provides method, systems, and devices for expanding arch of teeth. A device for expanding an arch of teeth of a patient can include a removable shell formed of a first material having a number of cavities formed therein. The number of cavities are shaped to receive teeth of a patient. A device for expanding an arch of teeth of a patient can include an arch element extending from the removable shell in a lingual direction and across an arch width of the removable shell. The arch element can be formed of the first material and a second material that is a different material than the first material, can be designed to expand an arch of the teeth of the patient, and can have a width specific to a stage of a treatment plan.

Abstract: A orthodontic braces assembly includes a plurality of first clamps. Each of the first clamps is attached to a front surface of an associated one of a plurality of a user's teeth. A plurality of second clamps is provided. Each of the second clamps is removably coupled to an associated one of the first clamps. Each of the second clamps engages a wire thereby facilitating the wire to be extended along the plurality of teeth. Each of the second clamps is removed from the associated first clamp thereby facilitating the teeth to be cleaned.

Abstract: The present disclosure discloses a traction bracket, an orthodontic system, and an orthodontic method thereof. The traction bracket includes a traction component, a main body, a cover body and a connecting component, wherein a surface of the main body is provided with a main groove, the main body is provided with a traction hole, one end of the traction hole is opened at a surface of the main body to form an inlet of a cylindrical traction component, and another end of the traction hole is opened at the main groove of the main body to form an arrestment hole, the traction component matches and is connected to the traction hole, the main body is connected to the cover body via a connecting component, and the bottom surface of the cover body matches the surface of the main body and covers the main groove. The traction component of the traction bracket according to the present disclosure can be easily installed, and is equipped with bolt accessories in two specifications, i.e.

Abstract: In a preferred embodiment of the disclosure, tooth attachment placement (TAP) device or for assisting a user in placing one or more appliances or attachments on one or more teeth is disclosed. The TAP device comprises single tooth jigs connected through splines. The geometry of the device is automatically designed in the treatment planning unified workstation, thereby generating a digital STL file. Then the device is created from a non-flexible biocompatible material by a 3D printer in accordance with the digital STL file. Appliance, for example, may be a bracket or a bracket shim; and the attachment may be an aligner attachment or a pad. Different embodiments of the TAP device are disclosed. Methods for verifying the accuracy of the placements of the brackets on the teeth using the TAP device are disclosed.

Abstract: An abutment assembly includes an abutment, an adjustable buffer member and an adhesive. There is an angle between an extending direction of the abutment and a Z-axis direction, and the angle is greater than or equal to 0 degrees and smaller than or equal to 30 degrees. The adjustable buffer member is closely connected to the abutment having a positioning structure. The adjustable buffer member includes an engaging structure, an inner side wall, a base portion and a grinding portion. The engaging structure is engaged with the positioning structure. The inner side wall has at least one inner annular groove corresponding to the engaging structure. The base portion has a base thickness which is smaller than or equal to 4 mm. The adhesive is connected between the abutment and the adjustable buffer member, and contained in the inner annular groove. The grinding portion is manufactured by the instrument.

Abstract: The present invention is a dental implant with an integrated scan body located between the apical and coronal portions of the implant. The scan body has a geometry permitting unequivocal determination of its position relatively to the position of the neighboring teeth, from different scanning directions.

Abstract: Integrated support devices for providing temporary primary stability to a dental prosthesis implant, each individually designed and manufactured for a specific pre-identify patient are also provided. An integrated support device can include a prosthesis interface member configured to connect to an abutment or reduced sized portion of a dental prosthesis/implant. The integrated support device also includes one or more bonding wings for connecting to the adjacent healthy teeth.

Abstract: An articulator lower tray is provided herein. The articulator lower tray as disclosed herein may include a tray body part, an abutment support protrusion parts, and a cover part. The tray body part may include abutment pin holes formed at an interval, the abutment support protrusion parts may be formed at either side of the abutment pin holes, and the cover part may be disposed to cover tops of the abutment pin holes located between the abutment support protrusion parts. The articulator lower tray may further include an abutment pin which may be inserted into one of the abutment pin holes through the cover part.

Abstract: A dental retraction elongated member, for example, a retraction cord, for placement between a tooth and its adjacent gum tissue during dental impression taking and restorative procedures includes a core coated with a thermoplastic material so that the retraction cord is resistant to shredding, tearing, and sticking to dental restorative and impression taking materials.

Abstract: This invention designs and builds multiple layers (two layers or more) of millable dental blocks or disks for milling of various dental devices, specifically denture base blocks or disks of denture base material, where milled teeth cavities to receive artificial denture tooth materials to form final dental devices, such as partial and full dentures. This invention also designs and builds multiple layers (two layers or more) of millable denture base or denture blocks or disks comprised of denture base or/and denture tooth materials to form final dental devices, such as partial and full dentures. A method for manufacturing a layered denture is provided. The invention provides a multiple layered denture base block (or disk) for milling a denture base. The invention also provides a multiple layered denture block (or disk) for milling a denture. Highly shape adjustable or shape memory polymer layer(s) may be used in these multiple layered forms.

Abstract: To provide a mill blank for dental CAD/CAM for preparing a dental restoration by being installed in a CAD/CAM device, wherein, the mill blank for dental CAD/CAM has a columnar shape, the mill blank for dental CAD/CAM has at least two recesses which includes a first recess opening to an upper surface of the mill blank for dental CAD/CAM and a second recess opening to a bottom surface of the mill blank for dental CAD/CAM and at least one notched portion in a circumference portion, the first recess and the second recess respectively include a first surface which is parallel to the upper surface and the bottom surface and a second surface which is a circumferential face concentric with the circumferential face of the mill blank for dental CAD/CAM and is vertical to the first surface, and the notched portion is composed of a surface parallel to the center axis of the columnar shape of the mill blank for dental CAD/CAM and contacts with the second surface.

Abstract: To provide a mill blank for dental CAD/CAM containing a ceramic material for preparing a dental restoration by being installed in a CAD/CAM device, wherein, the mill blank for dental CAD/CAM comprises a ceramic portion in which a dental restoration is cut out and a resin portion which joins with a CAD/CAM device, the mill blank for dental CAD/CAM has a columnar shape, the resin portion is provided at a side surface of the ceramic portion and has a cylindrical shape or a belt shape, a ceramic portion side of the resin portion contacts with the side surface of the ceramic portion, the ceramic portion has a columnar shape, the ceramic portion has a protrusion part, an upper surface and a bottom surface of the columnar shape of the ceramic portion are parallel to each other, the mill blank for dental CAD/CAM has at least two recesses which includes a first recess and a second recess in a circumference portion, the first recess and the second recess respectively include a first surface which is parallel to the upp

Abstract: The present disclosure relates to a dental root post for restoration of a tooth, and a damping dental post key for implanting the dental root post. The dental post is configured to give enhanced retention to a tooth core as well as for final restoration materials and dental end caps and crowns. The dental post can be divided into a head portion configured to reconstruct the tooth core and rotate the dental root post during insertion and a root portion having different features depending on a depth required for the restoration. The root portion can have a set of grooves, a set of threads and a shape configured to distribute masticatory loading stress during mastication.

Abstract: The present disclosure relates to a damping dental post key configured to implant a dental root post for restoration of a tooth. The dental post key includes a body for handling and a post carrier having a key shape with respect to a head portion of the dental root post. During implantation of the dental post, rotation of the body compresses a set of springs in contact with the post carrier reducing a reaction force to a tooth root. In this way a limited force will be applied and a root fracture can be prevented. Further, the dental post key can be configured to have a fixed movement in a counterclockwise direction to remove the dental post and a free quarter-cycle movement with effort in a clockwise direction.

Abstract: A electric toothbrush comprises a handle and a brush head. A motor is arranged in the handle and a transmission rod is arranged in the brush head. The motor has a rotating shaft, which extends from a casing of the motor. A transmission connection member is arranged between the transmission rod and the rotating shaft of the motor, one end of the transmission connection member is connected with the rotating shaft, the other end is connected with the transmission rod. A sealing member surrounding the rotating shaft is arranged at the rotating shaft extending position of the outer surface of the casing. The sealing member extends from the outer surface of the casing of the motor to the transmission connection member, and a gap between the inside of the sealing member and the rotating shaft constitutes a first cavity. A second cavity is formed between the sealing member and a sleeving cavity of the transmission connection member.

Abstract: An incontinence clamp is provided. The incontinence clamp includes an upper clamp arm and a lower clamp arm. Each of the upper and lower clamp arms include a first end, a second end, an inner surface and an outer surface. The inner surfaces face each other. A hinge pivotally connects the first ends of the upper and lower clamp arms together. An upper guide is coupled to the inner surface of the upper clamp arm and a lower guide is coupled to the inner surface of the lower clamp arm. A connector releasably connects the second ends of the upper clamp arm and the lower clamp arm together.

Abstract: An intravascular filter assembly has an expanded state for capturing thrombi in a patient's blood vessel, a first a collapsed state for removal from the patient's blood vessel in a first direction and a second collapsed state for removal from the patient's blood vessel in a second direction. A plurality of first struts extends from a first axial side of a fixed hub, and a plurality of second struts extends from the opposite axial side of the fixed hub. An axially movable hub has a first position radially surrounding the tubular body, a second position axially spaced apart from the fixed hub along the first struts, and a third position axially spaced apart from the fixed hub along the second struts. The first struts are collapsed when the movable hub is in the second position, and the second struts are collapsed when the movable hub is in the third position.

Abstract: Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.

Abstract: An apparatus includes a delivery catheter having a deployable dynamic valve that dynamically opens and closes in response to relative fluid pressure thereabout, particularly while in an anatomical lumen. The valve is maintained in a collapsed configuration during introduction to a treatment site. The valve is adapted to automatically move from the collapsed configuration to a deployed configuration at the treatment site.

Abstract: A stabilization tool supports a blood vessel for suturing during cardiovascular surgery. The support vessel may typically be part of an artificial graft used in replacing an aortic arch. The stabilization tool has a central shaft with a mounting element at a first end. A plurality of retractable arms have their distal ends affixed to a second end of the central shaft. The retractable arms are movable between a nested position flanking the central shaft and a range of extended positions wherein proximal ends of the retractable arms are spaced away from the central shaft. A closing ring is slidable over the retractable arms from a deployed position adjacent the second end of the central shaft to a retracted position spaced away from the second end to move the retractable arms.

Abstract: The present disclosure describes methods of treating an injury in a subject using placental tissue streamers, engineered tissue placental tissue hybrids, suture placental tissue hybrids, placental tissue patch hybrids, and tissue hybrids, and the use of these compositions to repair, treat, or support an injury or degenerative process in a subject.

Abstract: A device is provided for retaining a tendon, such as, but not limited to, a flexor digitorum tendon onto an associated bone such as, but not limited to, the plantar aspect of a proximal phalangeal base for correction of a toe contracture. The tendon retention device is defined by a tack and a sleeve. The tack is configured for press-fit or instrument aided reception into the tendon and associated bone to retain the tendon against the associated bone. The sleeve has an internally threaded bore for threaded reception onto a threaded shaft of the tack from the opposing side of the associated bone. The sleeve further has a head with an anti-loosening feature or anti-loosening features such as, but not limited to, tangs and/or cutouts, that engage the associated bone to aid in preventing the sleeve from working loose from the bone and/or unthreading from the tack.

Abstract: The present disclosure provides devices and methods for treating breasts. The devices can include an acellular tissue matrix having a predefined shape that allows for complete or enhanced coverage of an anterior portion of a breast implant or tissue expander or to support an implant and/or surrounding tissues.

Abstract: A prosthetic capsular device configured to be inserted in an eye includes a housing structure and a ring structure. The housing structure includes a first side, a second side opposite the first side, a third side, a fourth side opposite the third side, a posterior side including a refractive surface, an anterior side opposite the posterior side, and a longitudinal axis. The first side, the second side, the third side, the fourth side, the posterior side, and the anterior side at least partially define a cavity configured to contain an intraocular device (e.g., an IOL). The anterior side includes an opening. The ring structure includes a ring structure portion extending radially outward from proximate one of an end of the first side and an end of the second side.

Abstract: Embodiments of the invention relate to a flexible, shape-shifting optic adapted to cooperate with a zonular capture haptic system and produce accommodation power both by shape shifting and axial shifting. The optic is designed as a small, thin walled optic vesicle comparable in size to current rigid monofocal IOL optics.

Abstract: An occlusion device intended for blocking perivalvular leak channels that are found following heart valve implantation between the heart valve and the surrounding tissue. The occlusion device has a stent and a covering that is attached to the stent surface. A blocking fabric extends across the lumen of the stent to block blood flow. The stent pattern and wall structure provide for small radius of curvature bends to fill narrow channels that cause the perivalvular leaks.

Abstract: Anchoring or docking devices configured to be positioned at a native valve of a human heart and to provide structural support for docking a prosthetic valve therein. The docking devices can have coiled structures that define an inner space in which the prosthetic valve can be held. The docking devices can have enlarged end regions with circular or non-circular shapes, for example, to facilitate implantation of the docking device or to better hold the docking device in position once deployed. The docking devices can be laser-cut tubes with locking wires to assist in better maintaining a shape of the docking device. The docking devices can include various features to promote friction, such as frictional cover layers. Such docking devices can have ends configured to more securely attach the cover layers to cores of the docking devices.

Abstract: A replacement mitral valve prosthesis includes a support structure and a valve body having three flexible leaflets. The support structure preferably includes an internal valve frame and an external sealing frame. The valve frame supports the flexible leaflets. The sealing frame is adapted to conform to the shape of the native mitral valve annulus. The sealing frame may be coupled to an inlet end of the valve frame, an outlet end of the valve frame, or both. A plurality of anchors are coupled to the outlet end of the valve frame. The anchors extend radially outwardly for placement behind native leaflets. The prosthesis preferably includes a skirt disposed along an exterior of the external sealing frame. The prosthesis is collapsible for delivery into the heart via a delivery catheter. The prosthesis is configured to self-expand for deployment in the heart when released from the delivery catheter.

Abstract: Docking devices can be configured to be positioned at a native valve of a human heart to provide structural support for docking a prosthetic valve. The docking devices generally have coiled structures that define an inner space in which the prosthetic valve can be held. Some docking devices can be adjusted from a first wider configuration which facilitates easier advancement of the docking device around the valve anatomy, to a second narrower configuration after the docking device has been delivered to more securely hold the prosthetic valve. The docking device may also be better held in position at the native valve after adjustment to the narrower configuration. Some docking devices include a stabilization segment or double coil configuration, where a main coil region is configured to securely hold a prosthetic valve, while a stabilization coil region is configured to more stably hold the docking device at the native valve.

Abstract: A prosthetic heart valve includes a collapsible stent and a valve assembly disposed within the stent. A first cuff is disposed adjacent the stent. A second cuff having a distal edge facing the outflow end of the stent is disposed about the stent radially outward of the first cuff and the stent. The stent may include a plurality of fingers each having a first end coupled to a corresponding cell of the stent and a free end adapted to extend radially outward of the corresponding cell. The distal edge of the second cuff may be coupled to the fingers at spaced locations around the circumference of the stent to position the distal edge radially outward from the corresponding cells at the spaced locations. Various stent struts may be tapered to reduce the stent circumference in the collapsed condition, and to improve the fatigue resistance and/or bendability of the stent.

Abstract: A stented valve having at least one leaflet made of pericardium or other material having a relatively thin profile at the annulus. The leaflets are attached via chords to a stent frame, where the chords are positioned to mimic the native valve anatomy and functionality. In particular, the valves of one exemplary embodiment of the invention are sized to replace a mitral valve and therefore the chords are arranged to prevent prolapse of the leaflets into the atrium. The stented valve has a relatively short height at its annulus due to the positioning of the chords. In addition, the stented valve is capable of being crimped to a small enough size that it can be delivered to the implantation site via transcatheter delivery systems and methods.

Abstract: A valve prosthesis assembly for implantation into a native valve site. The valve prosthesis assembly includes a valve prosthesis with a prosthetic valve component and a frame. The frame of the valve prosthesis includes a central portion supporting the prosthetic valve component, the central portion being configured to fit within an annulus of the native valve site, and an inflow portion configured to engage an upstream side of the annulus and restrict movement of the valve prosthesis in a downstream direction of blood flow at the native valve site. The valve prosthesis assembly also includes a separate support flange configured to be attached to the frame after the valve prosthesis has been deployed in situ and a plurality of anchors configured to attach the support flange to the frame and configured to embed into the annulus to anchor the frame of the valve prosthesis to the native valve.

Abstract: A prosthetic heart valve includes a frame, a valve component, and a skirt. The frame has first and second end portions, a central longitudinal axis extending between the first and second end portions, and a plurality of struts interconnected by a plurality of joints. The joints comprise a rotational axis perpendicular to the longitudinal axis. The frame is movable between an expanded configuration and a compressed configuration. The struts comprise diagonal struts relative to the longitudinal axis when the frame is in the expanded configuration. The valve component has a plurality of leaflets. Adjacent leaflets are attached together and to the frame at commissures of the frame. The leaflets extend from the commissures in a triangular configuration and are attached to adjacent diagonal struts of the frame. The skirt is configured for reducing paravalvular leakage and attached to the diagonal struts of the frame to which the leaflets are attached.

Abstract: Support frames and medical devices are described. An example medical device comprises an expandable support frame with first and second leaflets attached to the support frame. Each of the first and second leaflets defines a domed radius that is equal to or less than the radius of the expandable support frame when the expandable support frame is in an expanded configuration and the leaflets are subjected to fluid pressure sufficient to affect closure of the valve orifice.

Abstract: A method of delivering a rigid intravascular device to a target location in a patient's heart includes positioning a distal tip of an elongated member of the intravascular device delivery system in a right atrium of a heart and moving the distal tip of the elongated member into a left atrium of the heart. The method includes advancing an inner steerable catheter of the elongated member longitudinally distally relative to an outer sleeve of the elongated member a first longitudinal distance; deflecting at least a portion of the inner steerable catheter a first deflection amount; then advancing an inner steerable catheter of the elongated member longitudinally distally relative to an outer sleeve of the elongated member a second longitudinal distance; and then deflecting at least a portion of the inner steerable catheter a second deflection amount.

Abstract: An intravascular device delivery system includes an elongated member with a distal end cap and a delivery disc that are longitudinally movable using a disc handle. A main body of the disc handle is configured to move the distal end cap and a movable body of the disc handle is configured to move the delivery disc. The movable body is movable relative to the main body, and the main body and movable body are movable together.

Abstract: Mitral valve prolapse and mitral regurgitation can be treating by implanting in the mitral annulus a transvalvular intraannular band. The band is positioned so that it extends transversely across a coaptive edge formed by the closure of the mitral valve leaflets, to inhibit prolapse into the left atrium. At least one marginal chordae is severed, to permit leaflet closure against the band.

Abstract: Disclosed is an adjustable wedge for insertion into a bone. The adjustable wedge can include a first arm, a second arm, and an adjustment member. The first arm can have a first end and a second end. The second arm can have a third end and a fourth end. The third end of the second arm can be movably connected to the first end of the first arm. The adjustment member can be in contact with the first arm and the second arm. The adjustment member can be configured to cause an increase or a decrease in a distance between the second end and the fourth end.

Abstract: A low-profile intercranial device including a low-profile static cranial implant and a functional neurosurgical implant. The low-profile static cranial implant and the functional neurosurgical implant are virtually designed and interdigitated prior to physical assembly of the low-profile intercranial device.

Abstract: A method of forming an implant having a porous tissue ingrowth structure and a bearing support structure. The method includes depositing a first layer of a metal powder onto a substrate, scanning a laser beam over the powder so as to sinter the metal powder at predetermined locations, depositing at least one layer of the metal powder onto the first layer and repeating the scanning of the laser beam.

Abstract: A medical implant includes a body and a porous structure attached to the body. A boss integral with the body extends outwardly from a surface of the body. The porous structure has a surface that cooperates with the boss of the body to prevent pullout of the body from the porous structure. In fabricating the medical implant, the body and the porous structure are formed separately and subsequently secured together.

Abstract: The present disclosure relates to a three-dimensionally (3D) printed tissue engineering scaffold for tissue regeneration and a method for manufacturing the 3D printed tissue engineering scaffold. The 3D printed tissue engineering scaffold may be fabricated at least in part from a composite material having an insoluble component and soluble component. The three-dimensional tissue scaffolds of the disclosure may be fabricated via a rapid prototyping machine. In some instances, the three-dimensional shape of the fabricated tissue engineering scaffold may correspond to a three-dimensional shape of a tissue defect of a patient.

Abstract: A surgical navigation module comprising: (a) a microcomputer; (b) a tri-axial accelerometer; (c) a tri-axial gyroscope; (d) at least three tri-axial magnetometers; (e) a communication module; (f) an ultrawide band transceiver; and, (g) at least four ultrawide band antennas.

Abstract: Systems and methods for joint preparation and fusion are disclosed. The system includes a cutting device having a handle, and rigid blade member. The blade member may include cutting edges on first and second sides, and may be curved in one or more planes. The blade member may be deployed to project outside of an outer tube, and the cutting device may be rotated to create a circular cavity. In a method of use, a cannula provides access to a procedure site such as a joint. A pathway to the joint is created, and the cutting device is inserted and deployed to undercut a cavity in the joint. A fusion device may be implanted across the joint to provide compression and fuse the joint. The system may also include instrumentation for creating access to a joint, bone graft insertion and implant insertion.

Abstract: A femur supporting device includes a femoral stem having a plurality of inclined passages. The femoral stem includes an inner side and an outer side. Each inclined passage includes an outlet in the inner side and an inlet in the outer side. Each inclined passage inclines upward from the inlet to the outlet. A plurality of supporting rods extends through the inclined passages. A first engaging end of each supporting rod extends out of the outlet of one of the inclined passages. A second engaging end of each supporting rod extends out of the inlet of one of the inclined passages. The first engaging end of each supporting rod is engaged with one of a plurality of first engaging portions in a trochanter head. The second engaging end of each supporting rod is engaged with one of a plurality of second engaging portions of a fixing unit.

Abstract: A femoral component (101) for a knee prosthesis, the femoral component (101) comprising: a body portion (103) having: a lateral portion (109) and a medial portion (111) when in an implanted configuration, wherein a parasagittal plane is located at the intersection between the lateral portion (109) and the medial portion (111); and a patella track (105) extending anterior-posteriorly around the body portion (103), wherein the patella track (105) comprises a first patella track portion (105a) that is directed laterally away from the parasagittal plane as it extends towards a posterior end of the patella track (105).