A thin, flattened, specifically shaped piece of cane called a reed needs to be inserted in the mouthpiece before the tool can be played. Different notes are produced as the player moves his palms over metal keys which open and shut air holes in the clarinet's body. An instrument similar to the clarinet—a cylindrical cane tube played with a cane reed—was in use in Egypt as early as 3000 B. C. Instruments of this type were used around the Near East into modern times, and other clarinet prototypes were played in Spain, parts of Eastern Europe, and in Sardinia. A folk tool present in Wales throughout the eighteenth century, called the hompipe or pibgorn, was very corresponding to Greek and Middle Eastern cane single reed contraptions, but it was made from bone or of elder wood. Through the Middle Ages and up to the seventeenth century such single reed instruments were played across Europe, but they were almost completely peasant or folk devices. The modern clarinet seems to have been originated by a Nuremberg instrument maker, Johann Cristoph Denner, someday around 1690. Denner was a celebrated manufacturer of recorders, flutes, oboes, and bassoons. His early clarinets the word is a diminutive of the Italian word for trumpet, clarino looked much like recorders, made in three parts and with the addition of two keys to close the holes. A clarinet with a flared bell, just like the modern clarinet, could have been made by Denner's son.