The Ayre spatula is a device used to collect
Pap smear
The Papanicolaou test (abbreviated as Pap test, also known as Pap smear (AE), cervical smear (BE), cervical screening (BE), or smear test (BE)) is a method of cervical screening used to detect potentially precancerous and cancerous processes in t ...
. It is a wooden spatula with U shaped openings on one side and a flat surface on another. The broad end is for vaginal sample collection and the narrow end is for cervical sample collection. It is rotated 360 degrees in the vagina to obtain the cells to be sent for Pap smear examination. Recent studies have shown that long-tipped spatulas (
Aylesbury device) or a
cytobrush A cytobrush is a plastic tool used to obtain cells from the cervix during the procedure of a pap smear
The Papanicolaou test (abbreviated as Pap test, also known as Pap smear (AE), cervical smear (BE), cervical screening (BE), or smear test (BE)) ...
along with an extended-tip spatula are better than an Ayre spatula in collecting
endocervical cells.
However, the Ayre spatula continues to be used for cervical sample collection in lower-income countries. The Ayre spatula is introduced into the cervix after exposing the external os using a
speculum. The
cytology
Cell biology (also cellular biology or cytology) is a branch of biology that studies the structure, function, and behavior of cells. All living organisms are made of cells. A cell is the basic unit of life that is responsible for the living and ...
specimens are obtained by rotating the spatula firmly over the
ectocervix
The cervix or cervix uteri (Latin, 'neck of the uterus') is the lower part of the uterus (womb) in the human female reproductive system. The cervix is usually 2 to 3 cm long (~1 inch) and roughly cylindrical in shape, which changes during ...
and quickly transferring the cells to a slide or jar.
The Ayre spatula was invented by
James Ernest Ayre and
Georgios Papanikolaou
Georgios Nikolaou Papanikolaou (or George Papanicolaou ; el, Γεώργιος Ν. Παπανικολάου ; 13 May 1883 – 19 February 1962) was a Greek physician who was a pioneer in cytopathology and early cancer detection, and inventor of ...
. Ayre was granted a patent for it in 1949 and donated the profits from sales of the spatula to the
American Cancer Society
The American Cancer Society (ACS) is a nationwide voluntary health organization dedicated to eliminating cancer. Established in 1913, the society is organized into six geographical regions of both medical and lay volunteers operating in more than ...
.
References
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Surgical instruments
Gynaecology