The pear had more than one implementation, with the most popular being oral use. The pear was also used in the rectum and vagina. The pear was expanded by force of the screw to the maximum aperture of their segments. The inside of the cavity in question was irremediably mutilated, nearly always fatally. The pointed prongs at the end of the segments served better to rip into the throat or the intestines.
When applied vaginally, the spikes wreaked havoc on the poor woman's cervix. The vaginal use was devised for women who had been found guilty of sexual union with the devil or his familiars.
