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The case for the green banana: Using fruit to improve tenaculum placement simulation
Shelby Webb1, Dipti P Subramaniam1, Kristin Metcalf-Wilson1
1The Clinical Training Center for Sexual + Reproductive Health, Collaborative to Advance Health Services, School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, United States.
Contraception
|May 9, 2023
Summary
An unripe green banana effectively simulates the uterine cervix for tenaculum placement procedures. This affordable fruit offers a realistic tactile feel, making it a practical choice for medical training and simulation.
Area of Science:
- Medical simulation
- Gynecological training tools
Background:
- Accurate simulation of anatomical structures is crucial for effective medical training.
- Plastic models may not always replicate the tactile properties of biological tissues.
Purpose of the Study:
- To identify a readily available fruit that mimics the tactile characteristics of a uterine cervix.
- To evaluate fruit-based cervical simulation for tenaculum placement procedures.
Main Methods:
- Experienced clinicians assessed six different fruits for cervical simulation.
- Evaluation focused on suitability for tenaculum placement, comparing tactile properties to plastic models.
Main Results:
- An unripe (green) banana was rated highest in seven of eight evaluated characteristics.
- The green banana achieved over 70% consensus for overall simulation suitability.
- It was the only fruit to reach this level of agreement among clinicians.
Conclusions:
- A green banana provides an affordable and accessible option for cervical simulation.
- It is suitable for procedures requiring tenaculum placement on the cervix.
- This fruit-based model can enhance gynecological training realism.

