New Revolutionary Technology at UPMC Chautauqua WCA

The i•Logic™ Electromagnetic Navigation Bronchoscopy (ENB)™
Helps Doctors Detect Lung Disease & Lung Cancer at Early Stage

i•Logic™ Electromagnetic Navigation Bronchoscopy (ENB)™

Early and precise diagnosis and staging of lung cancer and other thoracic cancers is important for successful treatment. The new i•Logic™ from superDimension uses Electromagnetic Navigation Bronchoscopy (ENB)™ System to reach far into the lungs in a minimally invasive way to diagnose and prepare to treat suspicious lesions and gives physicians a ground-breaking tool in the fight against lung disease and lung cancer.

The Challenge of Traditional Bronchoscopy

What is it?: Bronchoscopy is a procedure where the major air passages of the lungs are examined through a thin lighted tube called a bronchoscope. This allows a physician to evaluate the lungs and collect small tissue samples (biopsy) to diagnose lung disease and lung cancer. What are its limitations?: Traditional bronchoscopy cannot reach the distant regions of the lung, where more than two-thirds of all lung lesions are found. ENB uses GPS-like technology to navigate a unique set of catheters deep into the lungs. ENB guides and steers the catheters through complex airways, enabling physicians to diagnose, stage and prepare to treat distal lesions in one procedure.

What is Electromagnetic Navigation Bronchoscopy?

Electromagnetic Navigation Bronchoscopy (ENB) extends the reach the bronchoscope to regions deep within the lung enabling physicians to locate small lung lesions for diagnostic testing and potential treatment. The system uses natural airway access, and implements proprietary software and electromagnetic technology.

What are the Benefits of superDimension™?

Electromagnetic Navigation Bronchoscopy (ENB) is typically an outpatient procedure and minimizes the need for more invasive surgical procedures to access lung lesions in the distant regions of the lung. These invasive procedures may require an inpatient hospital stay or cause complications such as collapsed lung (pneumothorax). ENB also provides the ability to detect lung disease and lung cancer earlier, even before symptoms are evident, enhancing treatment options for patients.

What Happens During Electromagnetic Navigation Bronchoscopy™?

A physician locates a lesion (spot) that is found deep in the lung on an X-Ray, a CT-Scan or PET-CT. The patient’s CT is loaded into planning software that creates a 3D roadmap of the lungs. A bronchoscope is placed through the patient’s mouth and into the airways of the lungs. Next, the i•Logic catheters are placed in the bronchoscope channel. The electromagnetic sensors in the i•Logic catheters will then guide the physician to the target lesion. Once at the target lesion, the locatable guide catheter is removed and the extended working channel catheter remains. Biopsy tools can now be placed through the extended working channel to collect tissue samples for testing and diagnosis. After the ENB procedure the patient will be observed until they are awake enough to return home.

Frequently Asked Questions

Why Would a Patient Need an i·Logic™ Electromagnetic Navigation Bronchoscopy (ENB)™?
An abnormal finding or lesion in the distant part of the lung has been found on an X-ray, CT-Scan or PET-CT Scan that may be caused by infection, inflammation or cancer. Small lesions in the outer area of the lung are difficult to reach for diagnosis and treatment. Traditional bronchoscopy frequently fails to reach the outer areas of the lungs often leaving only more invasive surgical options for diagnosis.

An i·Logic Electromagnetic Navigation Bronchoscopy procedure will allow a physician to locate, test, diagnose and potentially treat the lung lesion even in the outer areas of the lungs.

How Does Electromagnetic Navigation Bronchoscopy Differ From Traditional Bronchoscopy?
Electromagnetic Navigation Bronchoscopy transforms traditional bronchoscopy into a high-tech outpatient procedure. ENB uses Global Positioning System (GPS) like technology to navigate a unique set of catheters to a lesion deep in the lungs. The electromagnetic system guides and steers the unique catheters through complex airways beyond the reach of a traditional bronchoscope.

ENB minimizes the need for more invasive surgical procedures to be used to access the lung lesion, which often require an inpatient hospital stay and greater potential for complications such as pneumothorax (collapsed lung).

How Many Patients Have Had an i·Logic Electromagnetic Navigation Bronchoscopy?
As of December 2010, more than 19,000 patients have had the procedure at over 300 leading medical facilities across the United States.

What are the Risks to Having an i·Logic Electromagnetic Navigation Bronchoscopy?
There are no additional risks beyond those associated with traditional bronchoscopic procedures, which is generally a safe procedure. Also, because electromagnetic navigation bronchoscopy is a minimally-invasive procedure and uses the patient’s natural airways, there is a reduced potential for complications that are often caused during more invasive surgical procedures.

Who Performs the Procedure?
Electromagnetic navigation bronchoscopies are typically performed by a specialty physician, such as a Pulmonologist or Thoracic Surgeon.

Is this Procedure Done in a Hospital?
Electromagnetic Navigation Bronchoscopy is usually performed in an outpatient center. Nearly all people will go home the day of the procedure, without requiring an overnight hospital stay.

How Long Does the Procedure Take?
The procedure may last between 30 minutes to two hours.

Watch this video on how superDimension™ works

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Meet Our Physician Provider:

David DiMarco, M.D., P.C.,  F.A.C.C., F.C.C.P.

David DiMarco, M.D., P.C., F.A.C.C., F.C.C.P.
Board-Certified General and Thoracic Surgeon

Albany Medical College, 1979



Ask your doctor if the i•Logic System may be right for you.

For more information on the new technology and how it can aid in the fight against lung disease/lung cancer, contact David DiMarco, M.D., at (716) 483-1361, 69 E. Fairmount Avenue, Lakewood, NY 14750. Office hours: Monday through Friday, 9:00 a.m. – 5:00 p.m.

This technology was made possible by the generous supporters and volunteers of the Italian American Association who completed a 3-year, $150,000 pledge to the hospital to underwrite the purchase of the minimally-invasive lung navigation system. To learn more about the Italian American Association and how you can support their causes, go to