Esophageal management system for use in displacing an esophagus during a medical procedure
Certain aspects of the present disclosure provide methods and apparatus for managing an esophagus of a subject during a medical procedure, such as cardiac tissue ablation or bronchial tissue ablation. Managing the esophagus may include displacing the esophagus, imaging the esophagus, and/or measuring temperature at one or more locations inside the esophagus. One example esophageal management system generally includes a tube configured for insertion through a mouth and into the esophagus of the subject. The tube generally includes a first port located at a proximal end of the tube and in fluid communication with a distal portion of the tube via a first path, a second port located at the proximal end of the tube, and a third port located between the proximal end of the tube and a distal end of the tube and in fluid communication with the second port via a second path.
1. A method for monitoring esophageal temperature during a medical procedure, the method comprising:
advancing at least one optical fiber into an esophagus of a subject, wherein the at least one optical fiber comprises one or more sensors configured to measure temperature;
advancing a probe to deflect at least a portion of the esophagus from a first location to a second location;
measuring temperature with the one or more sensors of the at least one optical fiber from at least the second location;
determining if the temperature exceeds a threshold; and
outputting a control signal to perform an action based on the determination that the temperature exceeds the threshold.
2. The method of claim 1 , further comprising outputting one or more video signals for displaying the temperature measured from at least the second location inside the esophagus.
3. The method of claim 2 , wherein the one or more video signals encode one or more color-coded versions of the temperature measured from at least the second location inside the esophagus.
4. The method of claim 1 , wherein the medical procedure comprises an ablation procedure and wherein the control signal is configured to shut down an ablation energy source.
5. The method of claim 1 , wherein the at least one optical fiber comprises a plurality of sensors, and wherein the plurality of sensors comprises a plurality of fiber Bragg gratings (FBGs) having different characteristic wavelengths.
6. The method of claim 5 , wherein the plurality of FBGs are spaced along a length of the at least one optical fiber and a distance between an adjacent pair of the plurality of FBGs is in a range from 0.5 to 1.5 cm.
7. The method of claim 1 , wherein the control signal is configured to control a speaker to sound an audible alarm based on the determination that the temperature exceeds the threshold.
8. The method of claim 1 , further comprising:
in response to the temperature measured from at least the second location inside the esophagus exceeding the threshold, triggering a power off of an ablation energy source.
9. The method of claim 1 , wherein a radiopacifier is disposed at a distal portion of the at least one optical fiber.
10. The method of claim 1 , wherein the at least one optical fiber includes a plurality of optical fibers.
11. The method of claim 10 , wherein each optical fiber of the plurality of optical fibers comprise a corresponding plurality of fiber Bragg gratings (FBGs) having different characteristic wavelengths.
12. The method of claim 1 , further comprising:
controlling at least one of a direction, a displacement, and an orientation of the probe based at least in part on the temperature of the second location inside the esophagus.
13. The method of claim 1 , wherein the medical procedure comprises an ablation procedure, the method further comprising:
determining a location of an ablation catheter to perform the medical procedure.
14. The method of claim 1 , wherein the medical procedure comprises an ablation procedure, the method further comprising:
determining a distance between at least the second location and an ablation site;
determining whether the distance is greater than a minimum threshold distance;
in response to determining that the distance is lower than the minimum threshold distance, controlling the probe to deflect the portion of the esophagus from the second location to a third location.