 What is the inspiration for the simulator's name?
I've pushed my gloved hand inside and managed to slide my fingers between the baby's head and the surrounding uterine tissue. Debra – Desperate Debra to use her full trade name – is a simulator designed to help doctors practise their skill at dealing with impacted foetuses: babies that get stuck trying to exit the womb by the normal route. The clever and sophisticated simulator I'm playing with started life as a lash-up in an obstetrician's home workshop: a Heath Robinson-style contraption barely recognisable as a model of the human body. But it wasn't at that stage intended as a simulator for training medical staff. Its sole purpose was to test the effectiveness of a novel device called a Tydeman tube. Paradoxically, although the testing equipment, Debra, is now commercially available, the device it was intended to test has yet to reach the market. For the baby's head to get stuck on the way out may not be usual, but it's by no means a rarity. "Some of the babies will be so close to coming out by the normal route," says Tydeman, "that it's then difficult to get them back up and remove them through the hole in the woman's tummy." "There are strong opinions about why it happens and what to do, but very little research evidence," says Tydeman, adding that many of these opinions are contradictory. By slipping a hand round and below it they can easily guide the baby out.
 Its use of literary device
 Its emotional connotations  Tydeman's mother  Tydeman's wife  Its use of literary device