Read the following passage and questions, then choose the right answer from options, the answer should be one of A, B, C, D.

<passage>:
So you can stop worrying. 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. She comprises the lower two thirds (ie from the mid-chest region downwards) of a life-sized but limbless female torso made of flesh-coloured silicone rubber. She comes with a vulva, a pre-cut incision in her abdomen and, most importantly, a uterus containing a foetal head that should, in the normal way of things, be free to emerge between her legs. But this fetus is going nowhere until an obstetrician – or in this case me – can successfully grasp and pull it out. 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. The inventor of the tube and of Desperate Debra is Dr Graham Tydeman, a consultant in obstetrics and gynaecology at Victoria Hospital in Kirkcaldy, Fife. Only after he'd built Debra did he realise that she might serve a purpose beyond his original intention. His is a decade-long tale of inspired insights, thwarted aims and shifting purposes but with a good outcome. Although the Tydeman tube is still in gestation, Desperate Debra herself is now thriving. which suggests requests for push-ups during unplanned caesareans are far from uncommon. The Tydeman tube is a gadget intended to make this manoeuvre safer and more effective. Creativity and innovation have many unlikely sources. What seems to have inspired Tydeman to develop his device was the characteristic sound of a Wellington boot being pulled free of wet, muddy ground: a slurpy, sucking, gurgling noise. When an impacted foetal head is pulled free of the uterus it's often accompanied by a similar sucking noise, the result of air rushing in between the obstetrician's fingers to fill the space vacated. "What occurred to me years ago was that if the air can't get in, why not put a tube up into the vagina so that it can get in from below the baby's head." From time to time, if he felt he felt the baby might stick, Tydeman would slip a length of sterile silicone tubing through the woman's vagina and up into the womb next to the baby's head. Allowing air in by this route would release any suction forces tending to hold it where it was. Tydeman didn't do much with the idea until 10 years ago when one trainee, who was experiencing real difficulty getting heads out, prompted him to think again about the problem. Around the same time, he met professor of obstetrics Andrew Shennan and consultant midwife Annette Briley, both of the Women's Health Academic Centre at St Thomas's hospital. Between them they came up with a device – the Tydeman tube – to make pushing on the foetus more controlled while simultaneously releasing any vacuum that might be holding it in place. The instrument is made up of a rigid plastic tube opening into a softer silicone cup. Pressure to the foetal head is applied using four pads projecting forward from the cup's interior. Holding the device by the tube, the user places the cup against the part of the head exposed through the dilated cervix, and presses. This pushes the baby back up into the uterus while releasing any suction pressure that may have been holding it, so allowing the obstetrician to extract it more easily. Because pressure is distributed equally between the four pads with a greater combined surface area than that of a user's fingertips, the risk of inadvertent damage is minimised. The team found some money to employ a product designer who used computer-aided design technology and 3D printing to make a prototype. "We were at the point of getting one made in silicone," says Tydeman, "when we realised that before we started experimenting on women we really ought to test it on a simulator." No such simulator existed – so he decided to make one himself. With a grant from the Guy's and St Thomas's Charity fund they made Debra more presentable. Tydeman showed the prototype to Adam Rouilly, an established company specialising in medical models and simulators. They were impressed. A year later, the first of Debra's smartened-up sisters was on the market. So how valuable in training medical staff is a simulator like this? Very, according to Annette Briley. Imagine it's the middle of the night and an unplanned emergency caesarean is required: "Some poor junior doctor might find himself trying to manage it on his own." To have practised the knack of extracting a firmly impacted baby from a simulator is lot better than first honing your skill on a real woman. others are seized upon immediately. A proper study of the clinical effectiveness of the Tydeman tube will necessarily involve women giving birth. Assessing the value of Debra as a simulator didn't require human subjects The use of simulators to teach technical skills is now common in medical schools. You can learn to sew up a knife wound, catheterise a bladder or intubate an airway. You can practise cardiopulmonary resuscitation or ear syringing or even go through the motions of a keyhole surgical procedure. The technology required to do these things may cost a few pounds, or tens of thousands. Either way, given that most of these devices were invented during the past three or four decades, it comes as something of a surprise to learn that simulation for medical purposes can be traced back as far as the Chinese Song dynasty of 960-1279 AD. One of the treatments of choice in that era was, naturally, acupuncture. But how to teach tyro-acupuncturists where to place the needles? Simple. A life-size bronze statue dotted with small holes indicated the points of insertion. And how then to test the students' grasp of their subject? If the statute was hollow, filled with liquid and given an outer coating of wax to mask the holes, a correct needle insertion would be followed by a leak. Given the universality of childbirth it's no surprise that, then as now, the womb turns out to be the most simulated of our organs. For the benefit of 18th-century midwives and doctors-in-training, the Bologna surgeon Giovanni Antonio Galli devised a birthing simulator comprising a glass uterus supported by an artificial pelvis and containing a flexible foetus. Trainees had to deliver the baby while wearing a blindfold. Only the tutor could witness the fumbling of their hands. As the material for a convincing simulation, glass clearly has its drawbacks. But another 18th-century contraption used a pink cloth-covered mannequin comprising a female torso complete with genitalia, a set of implantable foetuses of various ages, and even – a real coup de théâtre , this – a facility for exuding suitably coloured liquids at the appropriate moment. Oddly, as medicine became more scientific, most of these devices fell by the wayside. As an academic review of these and other devices has pointed out, much of the 20th century was something of Dark Ages for simulation. Its value in professional training has had to be rediscovered: an endeavour in which inventive people like Graham Tydeman, sometimes with workshops rich in discarded junk, are still fruitfully engaged.

<question>:
What is the inspiration for the simulator's name?

<options>:
A Its emotional connotations
B Tydeman's mother
C Tydeman's wife
D Its use of literary device

<answer>:

D