Most notably, a golden fistula was used during a Papal Mass prior to the liturgical reforms proceeding the Second Vatican Council.[2] It is seldom used nowadays, although the modern Mass of Paul VI still allows for the fistula to be used, according to the General Instruction of the Roman Missal no. 245: "The Blood of the Lord may be consumed either by drinking from the chalice directly, or by intinction, or by means of a tube or a spoon."[3]