Abstract: A dental implant that facilitate insertion and can be used in all bone types. The implant includes a body having a coronal end, and an apical end opposite the coronal end. A tapered region may be adjacent the apical end. On the apical part two or more taps are provided. The first tap is a condensing tap and the second tap is a cutting tap. The implant can have at least one variable profile helical thread that extends along the tapered region. The implant can have also micro-threads below the main threads, a gradual compressing tapered core, a self drilling apical end and a narrow coronal region.

Abstract: A dental implant system including an implant and an abutment is disclosed. The implant includes a generally cylindrical body, a central axis, a distal end for anchoring in a patient's bone and a proximal end opposing the distal end. The proximal end includes a roughened lateralized surface that surrounds an abutment-engaging region. The lateralized surface is disposed at a negative slope relative to the central axis. The abutment includes an upper portion for supporting a tooth-like prosthesis and a lower portion for engaging the abutment-engaging region of the dental implant. The diameter of the lower portion of the abutment is smaller than the diameter of the implant at its proximal end. The lower portion includes a first surface with a soft-tissue enhancing material. The first surface and the lateralized surface defining a circumferentially extending recess having a V-shaped cross-section for receiving and attachment to the soft tissue.

Abstract: The present invention relates to a connection between a post part provided for being screwed into the jawbone and an associated superstructure part to which a dental prosthesis can be fastened. The connection between the post part and the superstructure part has a rotational self-centering action, wherein at least one of the surfaces provided for this purpose has a friction-minimizing modification and/or coating.

Abstract: The invention relates to a support body for a blank, whereby the support body possesses a receiving opening for the blank that is surrounded by an inner circumferential surface, which terminates in an upper and a lower edge, and whereby a blank fixed in position within the support body is bonded to the latter by means of an adhesive agent. In order to be able to easily introduce the adhesive agent into a gap between the blank and the support body it is intended that the inner circumferential surface possesses at least one depression and/or elevation extending to accommodate the adhesive agent.

Abstract: Provided is a block body that makes it possible to quickly produce a dental prosthesis with a good accuracy. A material of the block body including SiO2 in an amount of 60.0 mass % to 80.0 mass %, Li2O in an amount of 10.0 mass % to 20.0 mass %, Al2O3 in an amount of 5.1 mass % to 10.0 mass %, wherein the block body is formed in a column, and a main crystalline phase of the block body is lithium disilicate.

Abstract: An electric toothbrush having a head part with a rotating working element is described in detail. The electric toothbrush is equipped with elements configured and arranged to cooperate in driving the working element and to change the direction of its rotating movement.

Abstract: Bird carriers and methods of restraining birds are disclosed. Each bird carrier may include a torso support, one or more leg clamps, and a head support. The head support may further include a beak receiving passage such that at least a portion of the birds' beaks are exposed. The bird carriers may restrain one or both legs and heads of the birds while supporting their torsos. Restraining the legs and the heads of the birds while supporting their torsos may produce a calming effect such that the birds exhibit significantly reduced struggling in an attempt to free themselves from the carrier.

Abstract: An injector for injecting pellets includes a main body, a delivery opening which is formed on the main body and to which a hollow-bore needle can be connected and a magazine guide formed in the main body for a magazine which, for accommodating the pellets, comprises several barrels. Each barrel includes a hollow cylindrical compartment with an open front end and an open rear end. The magazine guide brings the magazine, barrel by barrel, into an injection position, in which a plunger of the injector can be introduced into the barrel via the rear end of the barrel positioned in the injection position and moved in the direction of the delivery opening in order to deliver the pellet provided in the barrel via the delivery opening. A drawer is formed in the main body for accommodating a replacement hollow-bore needle.

Abstract: A physiological condition determination system and method can include: attaching a tag to animal tissue; emitting light into the animal tissue; detecting a first optical signal; extracting a first measurement of peripheral capillary oxygen saturation from the first optical signal; qualifying the first measurement of peripheral capillary oxygen saturation as a baseline; detecting a second optical signal with the optical sensor; extracting a second measurement of peripheral capillary oxygen saturation from the second optical signal; qualifying the second measurement of peripheral capillary oxygen saturation; storing the second measurement of peripheral capillary oxygen saturation as a tag feature set; storing a history; determining animal distress based on the difference between the second measurement of peripheral capillary oxygen saturation and the baseline; and sending an instruction to the tag.

Abstract: The present disclosure pertains to membranous tissue grafts comprising one or more pre-made attachment points. The one or more pre-made attachment points may include pre-made markings and/or pre-made suture holes. The membranous tissue grafts can be in the form of a tube. The membranous tissue grafts can also be rectangular in shape and can be used in a nerve repair by wrapping the severed or damaged nerve. In some embodiments, the membranous tissue grafts are suitable for repairing severed nerves that have a short gap or no gap with a gap of less than 5 mm between the severed stumps. Accordingly, methods are provided for repairing a damaged or severed nerve by implanting the membranous tissue grafts on to the damaged or severed nerve.

Abstract: Packaging systems and methods are disclosed for storing a bioprosthetic device comprising a bioprosthetic tissue and maintaining a target relative humidity across a temperature range. The packaging system includes a sealed package defining an internal space having an internal volume, and a humidity control device and bioprosthetic device within the internal space. The humidity control device includes a barrier defining an enclosed space and a humidity control solution comprising glycerol in the enclosed space. At least a portion of the barrier comprises a gas-permeable membrane. The target relative humidity is provided within the internal volume of the sealed package and the control device maintains the target relative humidity across the temperature range by selectively liberating and absorbing water vapor.

Abstract: A percutaneous transluminal angioplasty device, comprising an elongated catheter, an interventional device operably coupled to the proximal end of the catheter, a filter operably coupled to the distal end of the catheter, the filter movable between a collapsed and deployed position, and an actuator wire for deploying the collapsing the filter. At least a portion of the actuator wire extends within the catheter. The filter comprises a filter chassis comprising a movable collar a fixed collar and a tubular braided scaffolding coupled between the movable collar and the fixed collar. The filter chassis also comprises a filter membrane coupled to the tubular braided scaffolding.

Abstract: In some aspects, the present disclosure pertains to self-expanding emboli-capturing centering devices for centering a medical instrument in a conduit within a patient. The centering devices comprise (a) an elongate shaft, (b) a self-expanding centering member having an open distal end and an inner surface forming a central lumen with a flared distal portion, the centering member being configured such that a fluid flowing in a distal-to-proximal direction that is received by the open distal end flows proximally along the flared distal portion of the central lumen before exiting the central lumen through one or more openings in a proximal portion of the centering member, and (c) a filter material configured to filter the fluid received by the open distal end of the centering member. Other aspects of the present disclosure pertain to systems and methods employing such centering devices.

Abstract: An embolic protection device includes an expandable and contractible filter that can be supported by one or more struts. The struts can be connected to the filter or interwoven into the filter, so as to assist in the expansion and contraction of the filter. In one embodiment, the proximal ends of the struts connect to a joint that is fixed in position relative to a delivery wire, while the distal end of the filter connect to a joint that slides relative to the delivery wire.

Abstract: A filter (10) includes a proximal end (1), a distal end (2) and a main filter body connected between the proximal end (1) and the distal end (2). The main filter body has a first filter unit (3) and a second filter unit (4), both being conical mesh structures, as well as multiple intermediate connection posts (5) connecting the first filter unit and the second filter unit. The intermediate connection posts (5) have provided thereon support posts (6). A support post (6) includes a transition segment (61) extending from an intermediate connection post (5) to a blood vessel wall, and a support segment bent and extending from the transition segment (61), and at least partially abutting the blood vessel wall. The support segment has a main body (62) bent and extending from the end of the transition segment (61) and a flexible segment (63) bent and extending from the main body (62).

Abstract: This document provides implantable intraluminal stent graft medical devices. In some embodiments, the stent graft devices provided herein are implantable in bodily conduits that have side branches, and the stent graft devices are operable to allow the flow of fluids between the conduit and the side branches. In some embodiments, the walls of the stent graft devices provided herein include compliant channels which allow for fluid communication between the interior and the exterior of the stent graft devices. In some embodiments, the compliant channels are configured to inhibit or reduce tissue ingrowth, tissue bridging, and/or endothelialization.

Abstract: The present invention is a phakic intraocular lens for implantation between an iris and a crystalline lens. The phakic intraocular lens includes a diffraction grating 5 disposed in a lens central part 2 and having circular, coaxial grooves formed thereon, and a support part 3 disposed outside the diffraction grating 5 and supporting the diffraction grating 5. A hole 6 is formed in the center of the diffraction grating 5.

Abstract: Accommodating intraocular lenses and methods of use. The accommodating intraocular lenses include peripheral regions that are adapted to be more responsive to certain types of forces than to other types of forces. For example, the accommodating intraocular lenses can include haptics that are stiffer in an anterior-to-posterior direction than in a radial direction.

Abstract: Described embodiments are directed toward centrally-opening, leaflet valve devices and systems for transcatheter delivery having a two-piece valve body as well as methods of making and delivering the two-piece valve devices. A transcatheter valve includes a collapsed configuration and an expanded configuration. The transcatheter valve can further include an everted configuration and a non-everted configuration.

Abstract: An implantable prosthetic valve includes an annular metallic frame and a valve assembly supported within the frame. The annular support frame is constructed with three longitudinal support beams of fixed length and web-like constructions that extend between and connect the support beams. The support beams are spaced apart in a substantially equidistant manner. The web-like constructions allow the annular support frame to be radially collapsible and expandable. Each support beam preferably has a column of pre-formed openings or bores extending along a length of the support beam. The valve assembly includes three valve leaflets, wherein each leaflet has opposing side portions and each side portion is paired with an adjacent side portion of an adjacent leaflet to form a commissure. The three commissures are secured to three respective support beams with stitching that extends through the leaflets and through the pre-formed openings or bores.

Abstract: A synthetic heart valve is made from a valve graft of synthetic material and more particularly expanded polytetrafluoroethylene (ePTFE). The valve graft has an upper portion defined by a first thickness and a lower portion defined by a second thickness which is greater than the first thickness. The valve graft is formed into a cylindrical sleeve having a diameter and a folded region. A flexible stent overlays the cylindrical sleeve, wherein a series of leaflets are formed in the lower portion of the sleeve, the leaflets defining a semicircular perimeter. The leaflets are sutured to the cylindrical sleeve and the cylindrical sleeve is sutured to the flexible stent, the stent having a plurality of bent cylindrical wire segments that are welded together and in which the sleeve is sutured to the wire, including the welded areas of the stent. The formed valve can be implanted using a balloon catheter.

Abstract: Various systems, devices and methods associated with the placement of a dock or anchor for a prosthetic valve. The anchor can take the form of an anchor having multiple coils. The distal end portion of the anchor can be spaced radially outwardly from the next adjacent coil to help direct the anchor around native leaflets of a native valve. Various methods include different procedures for delivering the anchor and prosthetic valve.

Abstract: A transcatheter atrio-ventricular valve prosthesis for functional replacement of an atrio-ventricular valve in a connection channel, having a circumferential connection channel wall structure, between atrial and ventricular chambers of a heart, including an inner device to be disposed in the interior of the connection channel, the inner device having a circumferential support structure which is radially expandable and having a valve attached to the circumferential support structure, and an outer device to be disposed on the exterior of the connection channel, wherein the outer device at least partly extends around the inner device at a radial distance to the inner device, wherein the inner and outer devices form a securing mechanism for securing the circumferential connection channel wall structure therebetween.

Abstract: A delivery system for side-delivery of a prosthetic valve includes a compression device defining a lumen having a first perimeter at a proximal end that is larger than a second perimeter of the lumen at a distal end. A loading device is coupleable to the compression device and defines a lumen having substantially the second perimeter. A distal end of the loading device includes a first gate that is movable between an open state and a closed state to at least partially occlude the lumen of the loading device. A delivery device defines a lumen having substantially the second perimeter. A proximal end of the delivery device is coupleable to the distal end of the loading device and includes a second gate movable between an open state and a closed state to at least partially occlude the lumen of the delivery device.

Abstract: A catheter that comprises a sheath that is connected at opposing ends to concentric tubes that move relative to each other in a manner that alternatively covers and exposes a medical device loaded onto the catheter. A portion of the sheath is arranged so as to invert upon itself so that axial movement of one tube relative to the other simultaneously moves the inversion point over or away from the device, alternatively covering or exposing the device.

Abstract: A prosthetic heart valve includes a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end. The stent is formed of a plurality of struts. A cuff is coupled to the stent. The cuff has one or more features configured to reduce abrasion and/or perivalvular leakage.

Abstract: Disclosed herein are devices for improving coaption of the mitral valve leaflets to reduce or eliminate mitral valve regurgitation. The devices may be used to perform mitral valve annuloplasty, or to serve as a docking station for a transcatheter prosthetic heart valve. The various embodiments of devices are configured for percutaneous and, in some cases, transvascular delivery. Delivery systems useful for routing the devices to the mitral valve are also disclosed, including catheters, balloons and/or mechanical expansion systems. The devices themselves include at least one tissue penetrating member. Methods of delivery include partially embedding the devices in the mitral valve annulus via at least one tissue penetrating member. Tissue penetrating members may be embedded into the tissue in a simultaneous or a nearly simultaneous fashion. Upon embedding, the devices employ various expansion and/or contraction features to adjust the mitral valve diameter.

Abstract: An interventional curvature device for temporarily adjusting the structure of a heart during a heart valve repair procedure in order to enhance the effectiveness of the heart valve repair procedure. The curvature device is adjustable between a collapsed configuration with a profile suitable for delivery of the device to a coronary sinus and great cardiac vein of a patient, and an expanded configuration for lodging of the device at the coronary sinus and great cardiac vein. The curvature device has a distal section that anchors within the great cardiac vein, and a proximal section that anchors within the coronary sinus. A tether is coupled to the distal end of the device and extends through the device and past the proximal end. An increase in tension in the tether increases the curvature of the device.

Abstract: A heart valve sizer and sizer cover are provided for determining the size of a heart valve annulus. The valve sizer can include a handle, a shaft extending distally from the handle, a sizing element coupled to the distal end of the shaft, the sizing element being movable between a first retracted position and a second expanded position, and a sizer cover. The sizer cover can be formed from a continuous sheet of material configured to surround at least a portion of the sizing element of the heart valve sizer so as to guard against entanglement of the sizing element with structures of a human heart.

Abstract: A bone implant includes a body having a porous structure and having a size and shape configured for fitting to a bone, preferably in a bone defect. The porous structure is comprised of regularly arranged elementary cells whose interior spaces form interconnected pores, the elementary cells are formed by basic elements arranged in layers, wherein the basic elements are shaped like tetrapods, the tetrapods in each layer being arranged in parallel orientation and being positioned in-layer rotated with respect to tetrapods of an adjacent layer. The layers with rotated and non-rotated tetrapods are alternatingly arranged. Thereby a porous structure can be achieved which features improved mechanical characteristics, leading to improved biocompatibility.

Abstract: A sacroiliac joint implant includes an implant structure formed from an elongated base member, an elongated first side member, and an elongated second side member, with an internal support structure extending in an implant plane from the base member to each of the first side member and the second side member. Three or more fusion passages are defined in an area between the base member, first side member, and second side member. Each fusion passage defines a respective open area through the implant to facilitate bone growth across the sacroiliac joint when the implant is properly implanted in the joint.

Abstract: A surgical implant for total wrist replacement (TWR) includes a carpal portion and a radial portion to fully encompass both sides of the articulated joint defining wrist movement. The carpal portion is defined by a unitary structure that defines a fused form of the scaphoid, lunate and triquetrum, and bears against the radial portion for permitting articulated motion. The radial portion replaces a distal portion of the natural radius adjacent the wrist, and has the form of a “T” to combine a bearing surface with a stem adapted for implantation in the natural radius. The stem engages a receptacle or bore formed in a truncated end of the natural radius. Both the radial portion and the carpal portion patient-specific members are formed from image scans of the patient's own skeletal structures, and incorporate inverted, contralateral images of healthy structure based on an assessment of deformation in the replaced joint.

Abstract: A unitary intervertebral device, having no moving components is provided for non-fusion articulation and fusion applications. The interbody articulating device allows for limited flexion and rotation between the implant and an adjacent vertebrae, helping to preserve or restore near-normal motion between adjacent vertebrae. Rotational motion is achieved through one or more protrusions incorporated into the spinal interbody device. In one articulating form, a first protrusion extends perpendicularly from one bearing surface of the interbody device to form a rotational protrusion, while at least a second protrusion extends from the opposite bearing surface of the interbody device to form a non-rotational protrusion. In another form, a single protrusion extends axially from one bearing surface of the interbody device to form a spike or anchoring, rotating protrusion, while the opposite bearing surface may be slightly rounded and/or comprising a bone-ingrowth promoting surface.

Abstract: A surgical implant having a surface treatment which contains primary cavities and secondary cavities. The primary cavities are larger than the secondary cavities and the primary cavities have an average length ranging from 20-500 micrometers. The surface treatment includes recasted material adjacent to a plurality of the primary cavities.

Abstract: An interbody spinal implant for implantation in a disc space between adjacent vertebral bodies, and an insertion instrument facilitating such implantation is provided. The spinal implant includes a body portion and an extended end portion, where at least the body portion can include a biconvex upper and lower surfaces. And the insertion instrument is engageable to a proximal end portion of the interbody spinal implant to facilitate insertion of the interbody spinal implant into the disc space.

Abstract: A multi-section expandable device includes an expansion module, a first push member and a second push member disposed at front and rear ends of the expansion module, and a bolt screwedly connected to the first and second push members. When the bolt is tightened, the first push member and the second push member are pushed to approach each other so as to push the expansion module to generate a first-stage expansion and a second-stage expansion. The first-stage expansion enables the expansion module to expand laterally so as to adjust its width. The second-stage expansion is performed after the expansion module is laterally expanded to have a maximum width, so that the expansion module is longitudinally expanded to adjust its height. The multi-section expandable device not only has better support effect, but also avoids the wear of the contact surfaces of the vertebrae.

Abstract: A device for introducing an implant (1) into blood vessels or hollow organs of the human or animal body. The device includes an implant (1), an insertion wire (14) and a release tube (13), wherein the implant (1) is deformable so that it fits into a microcatheter (8) and expands once the external constraint of the microcatheter (8) disappears, adapting to the diameter of the blood vessel or hollow organ, wherein a holding element (2) is arranged on the insertion wire (14) and the holding element (2) has at its periphery at least one groove (3) set into the holding element (2), running along the circumference of the holding element (2) and forming tracks in the form of curved lines, wherein the implant (1) has holding wired (5) extending proximally, which are fitted into the grooves (3).

Abstract: A trial acetabular cup having a signal generating device located thereon.

Abstract: A cutting device is provided that includes an expandable tube having a base and a hollow interior for receiving the implant therein. The expandable tube includes cutting segments extending from the base and terminating to form a distal end of the expandable tube. At least one of the cutting segments has a cutting end with cutting teeth at the distal end of the expandable tube. Spring shaped sections are provided that extend the cutting segments. A method for removing an implant from a target bone is also provided based on the cutting device. A system for removing material directly surrounding an outer surface of an implant in an intramedullary canal of a target bone is also provided based on the cutting device and a sheath. A retractable opening is formed of leaflets at a distal end of the sheath, and a proximal end opposite the distal end.

Abstract: The disclosure herein relates to various surgical methods for implanting a prosthesis in a patient. In particular, in some embodiments, a surgical method for preparing a knee of a patient to implant a customized knee prosthesis comprising: identifying epiphysary axis (2) of the patient tibia (1) by connecting the center of the tibial plateau with the center of the growth plate remnant on a preoperative planning; and performing a tibial cut (3) perpendicular to the epiphysary axis (2) of the tibia (1).

Abstract: Apparatus for producing strips of bone fibre comprising a vice for securing a section of rigid bone with which said apparatus is used, said vice defining a containment area and having a compression axis with which a longitudinal axis of said bone is substantially aligned in use, an arm for reciprocal linear movement along a movement axis between a rearward position and a forward position, said movement axis being parallel with said compression axis and spaced therefrom in a lateral plane, a first drive mechanism for moving said arm along said movement axis in a reciprocal manner, and a cutting head comprising a first row of cutting teeth, which cutting head is mounted to a first end of said arm with said first row of cutting teeth coincident with said containment area and disecting said lateral plane, and a method of producing a DBM fibres product using such apparatus.

Abstract: Methods, systems, devices and apparatuses to support the walls of one or more blood vessels and perfuse blood through the one or more blood vessels. The stent device allows perfusion through one or more vessels. The stent device includes a tubular member. The tubular member has a single body that includes a main body lumen, a bypass lumen and one or more branch lumens. The tubular member is configured to be inserted into the aorta. The main body lumen is configured to expand and support a vessel wall of the aorta and the one or more branch lumens are configured to connect to one or more extension grafts that extend within one or more branch vessels. The stent device includes multiple rings of stents. The multiple rings of stents are positioned within the tubular member and are configured to be expandable to expand the tubular member to support the tubular member against the vessel walls.

Abstract: A line pull assembly for a prosthetic delivery device includes a rail assembly defining a rail cavity, a longitudinal axis and a hand-gripable slider assembly. The slider is mounted to the rail assembly for sliding movement along it. The slider has a body slidably mounted to the rail assembly, the body having an inner body portion within the rail cavity. A line receiver for receiving a pullable line sits within the inner body portion. A release ring is mounted around the rail assembly and is operably connected to the inner body portion. The slider is locked against sliding movement until the release ring is moved the unlocked position. In the unlocked position, the inner body portion is slideably moveable by sliding movement of the release ring to transfer a pulling force through the line receiver.

Abstract: In some embodiments, a system and/or method may include an external spinal brace system. The system may include a plurality of support mechanisms including at least first and second support mechanisms. The first support mechanism may be coupled, during use, to the second support mechanism such that the first and second support mechanisms are inhibited from decoupling. In some embodiments, the system may include a coupling system. The coupling system may couple the plurality of support mechanisms to a subject such that the plurality of support mechanisms are positioned, during use, along at least a portion of the subject's spine. In some embodiments, the external brace system applies a posterior distraction force to the subject.

Abstract: A rhinoplasty appliance is provided that may be custom-molded to a patient's nasal anatomy, including the nostrils, to maintain the corrected contour of the nostrils after rhinoplastic surgery. The rhinoplasty appliance may include a support wire; a first and second wire flanges; a first and second nostril insertion portions, each having a passage and an aperture to permit flow of air and drainage; a connecting structure to maintain the position of the nostril insertion portions in relation to each other, and to provide support and protection for the columella. The first and second wire flange may help to secure the rhinoplasty appliance in position on the patient's face, and improve retention of the first and second nostril insertion portions in the patient's nostrils. The support wire may be provided as added support for the connecting structure.

Abstract: The present invention relates a bag for capturing bodily fluids. The bag comprises a body, wherein the body is a resealable body having a resealing means configured at one edge thereof, the resealing means include a press fit seal; a capturing means coupled to the body for capturing the bodily fluid and allow the bodily fluid to be collected within the body, wherein the capturing means is a catheter, and the bodily fluid that the catheter captures is urine; an absorbing means disposed within the body to receive the bodily fluid and convert the bodily fluid into a gel, thereby preventing the leakage out of the body, wherein the absorbing means is an absorbent pad, and the absorbent pad is made of super absorbent polymers; and a strap means for making the bag wearable on the human body.

Abstract: An ostomy appliance including an ostomy pouch with a filter and a center pleated panel to protect the filter, facilitate deodorization and deter ballooning.

Abstract: A stoma adapter is described that is especially suited to a recessed stoma or a flush stoma. The stoma adapter effectively extends the discharge passage from the stoma, protects peristomal skin, and forms a bridge at the interface between the stoma and an ostomy appliance. The stoma adapter contains a substantially unobstructed discharge passage, at least for effluent flowing in a discharge direction. The stoma adapter includes a seal for sealing against the bowel wall. The stoma adapter has collapsing, expanding, flexible and reinforced designs.

Abstract: An oral appliance that includes tongue positioning structures which are useful in treating snoring, OSA and related disorders. The invention provides a passive tongue location device which includes cavities located on the internal surface adjacent the tongue, the cavities operatively providing a retentive effect on the tongue when it is in its relaxed state. Further, the present invention provides an oral device adapted to operatively enhance the operation of a sleeping user's airway, including a carrier adapted to be positioned over at least some of the lower teeth of the user and having an interior projection over at least part of the gums of a user, the projection defining a pair of opposed cavities, the cavities being shaped and operatively adapted so that the tongue of the sleeping user will passively engage the cavities.

Abstract: A mandibular protrusion device which comprises a maxillary dental tray, a mandibular dental tray and at least two lateral links. Each one of the lateral links has a first end removably engageable with the maxillary dental tray and a second end removably engageable with the mandibular dental tray. The maxillary dental tray, mandibular dental tray and the lateral links have complementary male and female members configured to be engageable and disengageable from one another in at least one engagement/disengagement configuration that is not reached when the device is worn or in normal use.