This ivory diptych is carved with scenes from the New Testament and made probably in about 1350-1375, probably in France. The scenes start in the lower left corner and can be read across both leaves of the diptych. These represent the Annunciation, the Visitation, the Nativity, the Adoration of the Magi, the Presentation, the Crucifixion, Christ with Mary in the Garden and the Coronation of the Virgin.

The devotional diptych is in many ways the object type most associated with the notion of Gothic ivory carving. The earliest examples probably date to the 1240s; these are complex, large and ambitious works that emerged, somewhat surprisingly, with no obvious precursors. The owners of ivory diptychs sometimes appear within their images. Such portraits indicate that they were special requests on the part of their commissioners, and they parallel the similar figures that appear in manuscripts and panel paintings of the period. The iconography of Gothic diptychs oscillated between two poles. The first of which is the desire to present narratives (Life of Christ and Virgin Mary) for envisaging. The second was the use of non-narrative images to form the focus of devotion.