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VIVEVE MEDICAL, INC. - Quarter Report: 2008 September (Form 10-Q)

Table of Contents

 

 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

x                              QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

 

For the quarterly period ended September 30, 2008.

 

OR

 

o                                 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

 

For the transition period from                                   to                                      

 

Commission File Number: 1-11388

 

PLC SYSTEMS INC.

(Exact Name of Registrant as Specified in Its Charter)

 

Yukon Territory, Canada

04-3153858

(State or Other Jurisdiction of

(I.R.S. Employer Identification No.)

Incorporation or Organization)

 

 

 

10 Forge Park, Franklin, Massachusetts

02038

(Address of Principal Executive Offices)

(Zip Code)

 

Registrant’s telephone number, including area code: (508) 541-8800

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes   x    No   o

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer o

Accelerated filer o

 

 

Non-accelerated filer o

Smaller reporting company x

(Do not check if a smaller reporting company)

 

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act)  Yes   o    No    x

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

 

Class

 

Outstanding at November 12, 2008

Common Stock, no par value

 

30,331,935

 

 

 



Table of Contents

 

PLC SYSTEMS INC.

 

Index

 

Part I.

Financial Information:

 

 

 

 

 

 

 

Item 1.

Financial Statements

 

 

 

 

 

 

 

Condensed Consolidated Balance Sheets (unaudited)

3

 

 

 

 

 

 

Condensed Consolidated Statements of Operations (unaudited)

4

 

 

 

 

 

 

Condensed Consolidated Statements of Cash Flows (unaudited)

5

 

 

 

 

 

 

Notes to Condensed Consolidated Financial Statements (unaudited)

6

 

 

 

 

 

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

13

 

 

 

 

 

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

22

 

 

 

 

 

Item 4.

Controls and Procedures

22

 

 

 

 

Part II.

Other Information:

 

 

 

 

 

 

 

Item 1A.

Risk Factors

23

 

 

 

 

 

Item 6.

Exhibits

34

 

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Part I.         Financial Information

 

Item 1.        Financial Statements

 

PLC SYSTEMS INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands)

(Unaudited)

 

 

 

September 30,
2008

 

December 31,
2007

 

ASSETS

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

5,537

 

$

8,060

 

Accounts receivable, net of allowance of $36 and $23 at September 30, 2008 and December 31, 2007, respectively

 

874

 

998

 

Inventories, net

 

1,144

 

852

 

Prepaid expenses and other current assets

 

567

 

823

 

Total current assets

 

8,122

 

10,733

 

Equipment, furniture and leasehold improvements, net

 

187

 

269

 

Other assets

 

193

 

198

 

Total assets

 

$

8,502

 

$

11,200

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable

 

$

323

 

$

623

 

Accrued compensation

 

614

 

766

 

Accrued other

 

186

 

326

 

Deferred revenue

 

2,380

 

2,096

 

Total current liabilities

 

3,503

 

3,811

 

Deferred revenue

 

1,621

 

2,439

 

Commitments and contingencies

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

Preferred stock, no par value, unlimited shares authorized, none issued and outstanding

 

 

 

Common stock, no par value, unlimited shares authorized, 30,332 and 30,329 shares issued and outstanding as of September 30, 2008 and December 31, 2007, respectively

 

93,892

 

93,891

 

Additional paid in capital

 

421

 

270

 

Accumulated deficit

 

(90,616

)

(88,898

)

Accumulated other comprehensive loss

 

(319

)

(313

)

Total stockholders’ equity

 

3,378

 

4,950

 

Total liabilities and stockholders’ equity

 

$

8,502

 

$

11,200

 

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

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PLC SYSTEMS INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except per share data)

(Unaudited)

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2008

 

2007

 

2008

 

2007

 

Revenues:

 

 

 

 

 

 

 

 

 

Product sales

 

$

1,203

 

$

975

 

$

3,041

 

$

3,629

 

Service fees

 

395

 

356

 

1,035

 

1,127

 

Total revenues

 

1,598

 

1,331

 

4,076

 

4,756

 

Cost of revenues:

 

 

 

 

 

 

 

 

 

Product sales

 

647

 

258

 

1,290

 

1,406

 

Service fees

 

182

 

210

 

517

 

631

 

Total cost of revenues

 

829

 

468

 

1,807

 

2,037

 

Gross profit

 

769

 

863

 

2,269

 

2,719

 

Operating expenses:

 

 

 

 

 

 

 

 

 

Selling, general and administrative

 

619

 

830

 

2,420

 

2,919

 

Research and development

 

516

 

637

 

1,726

 

1,684

 

Total operating expenses

 

1,135

 

1,467

 

4,146

 

4,603

 

Loss from operations

 

(366

)

(604

)

(1,877

)

(1,884

)

Other income, net

 

11

 

105

 

89

 

336

 

Loss before taxes

 

(355

)

(499

)

(1,788

)

(1,548

)

Benefit from income taxes

 

(70

)

 

(70

)

 

Net loss

 

$

(285

)

$

(499

)

$

(1,718

)

$

(1,548

)

Basic and diluted loss per share

 

$

(0.01

)

$

(0.02

)

$

(0.06

)

$

(0.05

)

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

Basic and diluted

 

30,332

 

30,323

 

30,331

 

30,315

 

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

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PLC SYSTEMS INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(Unaudited)

 

 

 

Nine Months Ended
September 30,

 

 

 

2008

 

2007

 

Operating activities:

 

 

 

 

 

Net loss

 

$

(1,718

)

$

(1,548

)

 

 

 

 

 

 

Adjustments to reconcile net loss to net cash provided by (used for) operating activities:

 

 

 

 

 

Depreciation and amortization

 

79

 

75

 

Compensation expense from stock options

 

151

 

119

 

Loss on retirement of equipment

 

35

 

 

Change in assets and liabilities:

 

 

 

 

 

Accounts receivable

 

124

 

(300

)

Inventory

 

(292

)

400

 

Prepaid expenses and other assets

 

256

 

(123

)

Accounts payable

 

(300

)

15

 

Deferred revenue

 

(533

)

(172

)

Accrued liabilities

 

(292

)

343

 

Net cash used for operating activities

 

(2,490

)

(1,191

)

 

 

 

 

 

 

Investing activities:

 

 

 

 

 

Maturity of investments

 

 

4,000

 

Purchase of equipment

 

(27

)

(153

)

Net cash provided by (used for) investing activities

 

(27

)

3,847

 

 

 

 

 

 

 

Financing Activities:

 

 

 

 

 

Net proceeds from issuance of common stock

 

1

 

1

 

Net proceeds from exercise of stock options

 

 

6

 

 

 

1

 

7

 

 

 

 

 

 

 

Effect of exchange rate changes on cash and cash equivalents

 

(7

)

15

 

Net increase (decrease) in cash and cash equivalents

 

(2,523

)

2,678

 

Cash and cash equivalents at beginning of period

 

8,060

 

6,034

 

Cash and cash equivalents at end of period

 

$

5,537

 

$

8,712

 

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

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PLC SYSTEMS INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

September 30, 2008

 

1.             Business

 

PLC Systems Inc. (“PLC” or the “Company”) is a medical device company specializing in innovative technologies for the cardiac and vascular markets.  The Company pioneered and manufactures the CO2 Heart Laser System (the “Heart Laser System”) that cardiac surgeons use to perform carbon dioxide (CO2) transmyocardial revascularization, or TMR, to alleviate symptoms of severe angina.  The Company also manufactures CO2 surgical laser tubes and provides contract assembly services on general purpose CO2 lasers, which it sells to a single customer on an original equipment manufacturer (“OEM”) basis.

 

In addition, the Company has begun initial commercialization in the European Union (“EU”) of its newest product, RenalGuardTM. RenalGuard is designed to reduce the potentially toxic effects that contrast media can have on the kidneys when it is administered to patients during certain medical imaging procedures. It is believed that allowing contrast media to dwell in the kidneys can lead to contrast-induced nephropathy (“CIN”), a potentially deadly form of acute kidney injury. By inducing and maintaining a high urine flow rate before, during and after these medical imaging procedures, the Company believes the incidence rates of CIN in at-risk patients can be reduced. RenalGuard facilitates this increased urine clearance, enabling the body to more rapidly void the contrast media, thereby reducing its overall resident time and toxic effects in the kidney.

 

The Company received full U.S. Food and Drug Administration (“FDA”) approval to conduct its first human clinical trial utilizing RenalGuard under an investigational device exemption (“IDE”). This pilot clinical trial was designed to evaluate the safety of RenalGuard and its ability to accurately measure and balance fluid inputs and outputs on patients undergoing a catheterization imaging procedure where contrast media would be administered.  In February 2008, the Company submitted an IDE supplement to the FDA seeking approval to move from its pilot study to a pivotal clinical trial to study the safety and effectiveness of RenalGuard in the prevention of CIN. In March 2008, the FDA granted the Company conditional approval to begin this pivotal study. The Company is also supporting an investigator-sponsored randomized controlled trial utilizing RenalGuard that is being conducted in Milan, Italy; it is designed to determine the effectiveness of RenalGuard in preventing CIN in at-risk patients. The Company announced in July 2008 that it will delay the start of the U.S. pivotal trial until such time as it can obtain data from the clinical trial in Italy that it hopes will enable it to raise sufficient additional capital necessary to both start and complete the U.S. study.

 

RenalGuard is currently approved for sale in the EU as a general fluid balancing device. The RenalGuard System consists of a proprietary, closed loop, software-controlled console and accompanying single-use sets that can be used by physicians and nurses to manage patient fluid levels. RenalGuard operates by first collecting and measuring patient urine outputs and then in real-time precisely matches these urine outputs with a prescribed replacement fluid by means of intravenous infusion. With its automated matched fluid replacement capability, RenalGuard is intended to minimize the risk to patients of over- or under-hydration while also eliminating to a large degree what can otherwise be an intensive and time consuming manual fluid balancing task for physicians and nurses.

 

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The Company is establishing a distribution network in the EU with the intent to market RenalGuard for general balancing applications utilizing the device.

 

On March 20, 2007, the Company entered into a distribution agreement with Novadaq Corp. (“Novadaq”), a subsidiary of Novadaq Technologies Inc., pursuant to which the Company appointed Novadaq as its exclusive distributor in the United States for its TMR business.  The agreement amended and restated the exclusive distribution agreement between the Company and Edwards Lifesciences LLC (“Edwards”), which had been assigned by Edwards to Novadaq on the same date.  The agreement with Novadaq reflects substantially the same roles, responsibilities and financial terms as the previous agreement with Edwards.

 

2.            Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X.  Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements.  In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been included.  Operating results for the three and nine months ended
September 30, 2008 are not necessarily indicative of the results that may be expected for the year ending December 31, 2008.  These financial statements should be read in conjunction with the consolidated financial statements and footnotes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.

 

The preparation of financial statements in accordance with generally accepted accounting principles requires the Company to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

3.            New Accounting Pronouncements

 

In September 2006, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards (“SFAS”) No. 157, “Fair Value Measurements” (“SFAS No. 157”), which defines fair value, establishes guidelines for measuring fair value and expands disclosures regarding fair value measurements. SFAS No. 157 does not require any new fair value measurements but rather eliminates inconsistencies in guidance found in various prior accounting pronouncements. SFAS No. 157 is effective for fiscal years beginning after November 15, 2007. Earlier adoption is permitted, provided the company has not yet issued financial statements, including for interim periods, for that fiscal year.  The FASB has agreed to defer the effective date of SFAS No. 157 for all nonfinancial assets and liabilities, except those that are recognized or disclosed at fair value in the financial statements on a recurring basis, for one year.

 

On October 3, 2008 the FASB proposed FASB Staff Position (“FSP”) 157-d which would amend SFAS No. 157, to clarify its application in an inactive market by providing an illustrative example to demonstrate how the fair value of a financial asset is determined when the market for that financial asset is inactive.  This FSP shall be effective upon issuance, including prior periods

 

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for which financial statements have not been issued.

 

In February 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities (“SFAS No. 159”). SFAS No. 159, which includes an amendment to SFAS No. 115, “Accounting for Certain Investments in Debt and Equity Securities”, permits entities the option to measure many financial instruments and certain other items at fair value. SFAS No. 159 is effective for fiscal years beginning after November 15, 2007.  On January 1, 2008, the Company adopted SFAS 159, which did not have a material effect on its results of operations or financial condition.

 

4.             Inventories

 

Inventories are stated at the lower of cost (computed on a first-in, first-out method) or market value and include allocations of labor and overhead.  As of September 30, 2008 and December 31, 2007, inventories consisted of the following (in thousands):

 

 

 

September 30,
2008

 

December 31,
2007

 

Raw materials

 

$

715

 

$

560

 

Work in progress

 

210

 

151

 

Finished goods

 

219

 

141

 

 

 

$

1,144

 

$

852

 

 

At September 30, 2008 and December 31, 2007, inventories are stated net of a specific obsolescence allowance of $791,000 and $524,000, respectively.

 

5.             Stock-Based Compensation

 

Stock Option Plans

 

In May 2005, the Company’s shareholders approved the 2005 Stock Incentive Plan (the “2005 Plan”).  The 2005 Plan has replaced the 1997 Executive Stock Option Plan, 2000 Equity Incentive Plan, 2000 Non-Statutory Stock Option Plan and 2000 Non-Qualified Performance and Retention Equity Plan (collectively, the “Previous Plans”), under which no further awards can be granted.

 

On June 18, 2008, the Company’s shareholders approved an amendment increasing the number of shares of common stock authorized for issuance under the 2005 Plan by an additional 2,000,000 shares.  The number of stock options that may be granted under the 2005 Plan is equal to 4,156,175 shares of common stock (subject to adjustment in the event of stock splits and other similar events), plus such number of shares as may become available under the Previous Plans after the date of the adoption of the 2005 Plan because any award previously granted under any such plan expires or is terminated, surrendered or cancelled without having been fully exercised or is forfeited in whole or in part or otherwise results in any common stock not being issued, provided that such number of additional shares may not exceed 2,535,492.  Incentive stock options are issuable only to employees of the Company, while non-qualified stock options may be issued to non-employee directors, consultants and others, as well as to employees. The options granted under the Previous Plans and the 2005 Plan become exercisable either immediately upon

 

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grant, or ratably over one to four years from the date of grant, and expire ten years from the date of grant.  Under the 2005 Plan, the per share exercise price of incentive stock options may not be less than the fair market value of the common stock on the date the option is granted.  The 2005 Plan provides that the Company may not grant non-qualified stock options at an exercise price less than 85% of the fair market value of the Company’s common stock.

 

The Company grants stock options to its non-employee directors. Generally, new non-employee directors receive an initial grant of an option to purchase 30,000 shares of the Company’s common stock that vests in installments over three years.  Once the initial grant has fully vested, non-employee directors (other than the Chairman of the Board) receive an annual grant of an option to purchase 15,000 shares of the Company’s common stock that generally vests in four equal quarterly installments. The Chairman of the Board receives an annual grant of an option to purchase 30,000 shares of the Company’s common stock that generally vests in four equal quarterly installments. All such options have an exercise price equal to the fair market value of the Company’s common stock on the date of grant.

 

Options granted during 2008 and 2007 vest ratably annually over a three year period for employees and ratably quarterly over a one year period for non-employee directors.

 

The following is a summary of option activity under all plans (in thousands, except per option data):

 

 

 

Number
of
Options

 

Weighted
Average
Exercise
Price

 

Average
Remaining
Contractual
Life (Years)

 

Outstanding, December 31, 2007

 

5,298

 

$

0.96

 

 

 

Granted

 

549

 

0.37

 

 

 

Exercised

 

 

 

 

 

Forfeited

 

(68

)

0.58

 

 

 

Expired

 

(278

)

5.22

 

 

 

Outstanding, September 30, 2008

 

5,501

 

$

0.71

 

5.90

 

Exercisable, September 30, 2008

 

4,494

 

$

0.73

 

4.93

 

 

The following table summarizes unvested option activity during the nine months ended September 30, 2008:

 

 

 

Number
of
Options

 

Weighted
Average
Grant Date
Fair Value

 

 

 

(In thousands, except weighted average data)

 

Unvested, December 31, 2007

 

895

 

$

0.47

 

Granted

 

549

 

0.25

 

Vested

 

(386

)

0.45

 

Forfeited

 

(51

)

0.40

 

Unvested, September 30, 2008

 

1,007

 

$

0.36

 

 

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SFAS No. 123(R)

 

The Company records share-based compensation pursuant to SFAS No. 123 (revised 2004), “Share-based Payment”.  The Company recorded compensation expense of $54,000 and $151,000 in the three and nine months ended September 30, 2008, respectively, as compared to $49,000 and $119,000 in the three and nine months ended September 30, 2007, respectively.  As of September 30, 2008, the Company had $289,000 of total unrecognized compensation cost related to its unvested options, which is expected to be recognized over a weighted average period of 1.7 years.

 

The weighted average fair value of options issued during the nine months ended September 30, 2008 was estimated using the Black-Scholes model.

 

 

 

Nine Months Ended

 

 

 

September 30, 2008

 

September 30, 2007

 

Expected life (years)

 

5.50-6.00

 

5.50-6.00

 

Interest rate

 

2.92%-3.55%

 

4.62%-5.20%

 

Volatility

 

63.9%-73.6%

 

74.7%-77.4%

 

Expected dividend yield

 

None

 

None

 

Value of option granted

 

$0.22-$0.27

 

$0.43-$0.45

 

 

There were no options granted in the three months ended September 30, 2008 or 2007.

 

The expected life was calculated in 2008 and 2007 using the simplified method. The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of the grant for the expected term period.  Expected volatility is based exclusively on historical volatility data of the Company’s common stock.  The Company estimates an expected forfeiture rate based on its historical forfeiture activity.  Actual results, and future changes in estimates, may differ substantially from the Company’s current estimates.

 

Stock Purchase Plan

 

The Company has a 2000 Employee Stock Purchase Plan (the “Purchase Plan”) for all eligible employees whereby shares of the Company’s common stock may be purchased at six-month intervals at 95% of the closing price of the Company’s common stock on the last business day of the relevant plan period.  Employees may purchase shares having a value not exceeding 10% of their gross compensation during an offering period, subject to certain additional limitations.  Under the Purchase Plan, employees of the Company purchased 2,455 shares of common stock in the nine months ended September 30, 2008 at an average price of $0.37 per share and 5,179 shares of common stock in the year ended December 31, 2007 at an average price of $0.47. At September 30, 2008, 313,618 shares were reserved for future issuance under the Purchase Plan.

 

6.             Revenue Recognition

 

The Company records revenue from the sale of TMR kits at the time of shipment to Novadaq.  TMR kit revenues include the amount invoiced to Novadaq for kits shipped pursuant to purchase orders received, as well as an amortized portion of deferred revenue related to a

 

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payment of $4,533,333 from Edwards, the Company’s previous exclusive U.S. TMR distributor, received in February 2004.  This payment was made in exchange for a reduction in the prospective purchase price the Company receives upon a sale of the kits.  The Company is amortizing this payment into its Consolidated Statements of Operations as revenue over a seven year period (culminating in 2010) under the units-of-revenue method as prescribed by Emerging Issues Task Force 88-18, “Sales of Future Revenue”.  The Company determined that a seven year timeframe was the most appropriate amortization period based on a valuation model it used to assess the economic fairness of the payment. Factors the Company considered in developing this valuation model included the estimated foregone revenues over a seven year period resulting from the reduction in the prospective purchase price payable to the Company, a discount rate deemed appropriate to this transaction and an estimate of the remaining economic useful life of the current TMR kit design, without any benefit being given to potential future product improvements the Company may make.  The Company reviews annually, and adjusts if necessary, the prospective revenue amortization rate for kits based on its best estimate of the total number of kits likely remaining to be shipped to hospital customers by Novadaq through 2010. The Company recorded amortization of $191,000 and $539,000 in the three and nine months ended September 30, 2008, respectively, as compared to $132,000 and $503,000 in the three and nine months ended September 30, 2007, respectively, which is included in revenues in the Consolidated Statements of Operations.

 

TMR lasers are billed to Novadaq in accordance with purchase orders that the Company receives.  Invoiced TMR lasers are recorded as other current assets and deferred revenue on the Company’s Consolidated Balance Sheet until such time as the laser is shipped to a hospital, at which time the Company records revenue and cost of revenue.

 

Under the terms of the Novadaq TMR distribution agreement, once Novadaq has recovered a prescribed amount of revenue from a hospital for the use or purchase of a TMR laser, any additional revenues earned by Novadaq are shared with the Company pursuant to a formula established in the distribution agreement. The Company only records its share of such additional revenue, if any, at the time the revenue is earned.

 

The Company records all other product revenue, including sales of TMR lasers and kits to international customers, sales of RenalGuard consoles and single-use sets and OEM sales of surgical tubes and general purpose CO2 lasers, at the time of shipment.

 

Revenues from service and maintenance contracts are recognized ratably over the life of the contract.

 

Installation revenues related to a TMR laser transaction are recorded as a component of service fees when the laser is installed.

 

7.             Loss per Share

 

In the three and nine months ended September 30, 2008 and 2007, basic and diluted loss per share have been computed using only the weighted average number of common shares outstanding during the period without giving effect to any potential future issuances of common stock related to stock option programs, since their inclusion would be antidilutive.

 

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For the three months ended September 30, 2008 and 2007, 5,501,000 and 5,298,000 shares, respectively, and for the nine months ended September 30, 2008 and 2007, 5,501,000 and 5,298,000 shares, respectively, attributable to outstanding stock options were excluded from the calculation of diluted earnings per share because the effect would have been antidilutive.  The following table sets forth the computation of basic and diluted loss per share:

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2008

 

2007

 

2008

 

2007

 

 

 

(In thousands, except per share data)

 

Basic:

 

 

 

 

 

 

 

 

 

Net loss

 

$

(285

)

$

(499

)

$

(1,718

)

$

(1,548

)

Weighted average shares outstanding

 

30,332

 

30,323

 

30,331

 

30,315

 

Basic loss per share

 

$

(0.01

)

$

(0.02

)

$

(0.06

)

$

(0.05

)

Diluted:

 

 

 

 

 

 

 

 

 

Net loss

 

$

(285

)

$

(499

)

$

(1,718

)

$

(1,548

)

Weighted average shares outstanding

 

30,332

 

30,323

 

30,331

 

30,315

 

Assumed impact of the exercise of outstanding dilutive stock options using the treasury stock method

 

 

 

 

 

Weighted average common and common equivalent shares

 

30,332

 

30,323

 

30,331

 

30,315

 

Diluted loss per share

 

$

(0.01

)

$

(0.02

)

$

(0.06

)

$

(0.05

)

 

8.             Comprehensive Loss

 

Total comprehensive loss for the three and nine months ended September 30, 2008 amounted to $293,000 and $1,724,000, respectively, as compared to $492,000 and $1,536,000 in the three and nine months ended September 30, 2007, respectively.  Comprehensive loss is comprised of net loss plus the increase/decrease in currency translation adjustment.

 

9.             Warranty and Preventative Maintenance Costs

 

The Company warranties its products against manufacturing defects under normal use and service during the warranty period.  The Company obtains similar warranties from a majority of its suppliers, including those who supply critical Heart Laser System components.  In addition, under the terms of its TMR distribution agreement with Novadaq, the Company is able to bill Novadaq for actual warranty costs, including preventative maintenance services, up to a specified amount during the warranty period.

 

The Company evaluates the estimated future unrecoverable costs of warranty and preventative maintenance services for its installed base of lasers on a quarterly basis and adjusts its warranty reserve accordingly.  The Company considers all available evidence, including historical experience and information obtained from supplier audits.

 

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Table of Contents

 

Changes in the warranty accrual were as follows (in thousands):

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2008

 

2007

 

2008

 

2007

 

Balance, beginning of period

 

$

10

 

$

60

 

$

60

 

$

60

 

Change in liability for warranties issued during the period

 

 

 

 

 

Change in liability for pre-existing warranties

 

 

 

(50

)

 

Balance, end of period

 

$

10

 

$

60

 

$

10

 

$

60

 

 

Item 2.                       Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

This quarterly report (including certain information incorporated herein by reference) contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Statements containing terms such as “believes”, “plans”, “expects”, “anticipates”, “intends”, “estimates” and similar expressions reflect uncertainty and are forward-looking statements. Forward-looking statements are based upon current plans and expectations and involve known and unknown important risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. Such important factors and uncertainties include, but are not limited to, those set forth below in Part II, Item 1A. Risk Factors, and elsewhere in this quarterly report.

 

Overview

 

On November 7, 2008, our common stock was delisted from the NYSE Alternext Market (formerly the American Stock Exchange).  Accordingly, as of November 10, 2008 our stock is quoted on the Pink Sheets. We expect that our stock will be quoted on the OTC Bulletin Board in the near future.

 

We are a medical device company specializing in innovative technologies for the cardiac and vascular markets.  We pioneered and manufacture the Heart Laser System that cardiac surgeons use to perform TMR to alleviate symptoms of severe angina. We also manufacture CO2 surgical laser tubes and provide contract assembly services on general purpose CO2 lasers.

 

In addition, in 2007 we initiated our pilot clinical safety trial for RenalGuard. RenalGuard is designed to reduce the potentially toxic effects that contrast media can have on the kidneys when it is administered to patients undergoing certain image-guided procedures, such as those performed when placing drug-eluting stents. It is believed that allowing contrast media to dwell in the kidneys can lead to CIN. By inducing and maintaining a high urine flow rate before, during and after these image-guided procedures, it is believed the incidence rates of CIN in at-risk patients can be reduced. RenalGuard facilitates this increased urine clearance enabling the body to more rapidly void the contrast media, thereby reducing its overall resident time and toxic effects in the kidney.

 

We enrolled a total of 23 patients in our initial pilot safety study. Based upon the positive safety data collected in the study and discussions we had with the FDA, we elected to stop

 

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Table of Contents

 

enrolling new patients in the pilot study in November 2007.  We submitted an IDE supplement to the FDA in February 2008 seeking approval to move from our pilot study to a pivotal clinical trial to study the safety and effectiveness of RenalGuard in the prevention of CIN. In March 2008, the FDA granted us conditional approval to begin our pivotal study. We have received approval to study RenalGuard on 246 patients at up to 30 U.S. clinical sites. In July 2008, we announced that we would delay the start of this pivotal trial until such time as we can obtain data from the clinical trial being conducted in Milan, Italy that we hope will enable us to raise sufficient additional capital necessary to conduct the U.S. study.

 

Our U.S. distributor for the Heart Laser System (Novadaq currently and Edwards prior to March 20, 2007) is our largest customer, accounting for 61% and 74% of our total revenues in the three and nine months ended September 30, 2008 and 85% in the year ended December 31, 2007, respectively.  We expect a high level of sales concentration to continue in the near future with Novadaq as our largest customer because it holds the exclusive U.S. distribution rights for our TMR products.

 

Approximately 85% and 88% of our revenues in the three and nine months ended September 30, 2008, respectively, and 87% in the year ended December 31, 2007, respectively, came from the sale and service of TMR lasers and related disposable kits. We believe that the number of opportunities for new TMR laser sales to U.S. hospital customers, and specifically sales of our HL2 laser, is likely to continue to decline in future quarters as a result of (1) a diminishing number of available hospitals that have not already implemented a TMR program that are still likely to do so in the future, and (2) continuing financial pressures that hospitals face, in particular for the funding of new capital equipment purchases, in light of ongoing cutbacks in both Medicare and private insurance reimbursement rates for all medical procedures. In addition, we have seen a recent downward trend in the price at which new TMR lasers are being sold in the U.S. market as competition for the remaining available customer’s increases. As such, we expect our U.S. TMR revenues in future quarters will be more dependent on the sale of TMR kits and service revenues, both of which we believe in the near term will continue at levels similar to that which we realized in the current third quarter of 2008.

 

Our management reviews a number of key performance indicators to assist in determining how to allocate resources and run our day to day operations. These indicators include (1) actual prior quarterly sales trends, (2) projected TMR laser and kit sales for the next four quarters, as provided by Novadaq in a rolling 12 month sales forecast, (3) projected future sales of RenalGuard consoles and single-use sets, (4) research and development progress as measured against internal project plan objectives, (5) budget to actual financial expenditure results, (6) inventory levels (both our own and Novadaq’s), and (7) short term and long term projected cash flows of the business.

 

Critical Accounting Policies and Estimates

 

Our financial statements are based on the application of significant accounting policies, many of which require us to make significant estimates and assumptions (see Note 2 to the Consolidated Financial Statements).  We believe that the following are some of the more material judgment areas in the application of our accounting policies that currently affect our financial condition and results of operations.

 

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Table of Contents

 

Inventories

 

Inventories are stated at the lower of cost (computed on a first-in, first-out method) or market value and include allocations of labor and overhead.  A specific obsolescence allowance is provided for slow moving, excess and obsolete inventory based on our best estimate of the net realizable value of inventory on hand taking into consideration factors such as (1) actual trailing 12 month sales, (2) expected future product line demand, based in part on sales forecast input received from Novadaq, and (3) service part stocking levels which, in management’s best judgment, are advisable to maintain in order to meet warranty, service contract and time and material spare part demands.  Historically, we have found our reserves to be adequate.

 

Accounts Receivable

 

Accounts receivable is stated at the amount we expect to collect from the outstanding balance.  We continuously monitor collections from customers, and we maintain a provision for estimated credit losses based upon historical experience and any specific customer collection issues that we have identified.  Historically, we have not experienced significant losses related to our accounts receivable. Collateral is not generally required. If the financial condition of our customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances may be required.

 

Research and Development

 

Research and development costs are expensed as incurred.

 

Warranty and Preventative Maintenance Costs

 

We warranty our products against manufacturing defects under normal use and service during the warranty period.  We obtain similar warranties from a majority of our suppliers, including those who supply critical Heart Laser System components.  In addition, under the terms of our TMR distribution agreement with Novadaq, we are able to bill Novadaq for actual warranty costs, including preventative maintenance services, up to a specified amount during the warranty period.

 

We evaluate the estimated future unrecoverable costs of warranty and preventative maintenance services for our installed base of lasers on a quarterly basis and adjust our warranty reserve accordingly.  We consider all available evidence, including historical experience and information obtained from supplier audits.

 

Revenue Recognition

 

We record revenue from the sale of TMR kits at the time of shipment to Novadaq.  TMR kit revenues include the amount invoiced to Novadaq for kits shipped pursuant to purchase orders received, as well as an amortized portion of deferred revenue related to a payment of $4,533,333 from Edwards, our previous exclusive U.S. TMR distributor, received in February 2004.  This payment was made in exchange for a reduction in the prospective purchase price we receive upon a sale of the kits.  We are amortizing this payment into our Consolidated Statements of Operations as revenue over a seven year period (culminating in 2010) under the units-of-revenue method as prescribed by Emerging Issues Task Force 88-18, “Sales of Future Revenue”.

 

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Table of Contents

 

We determined that a seven year timeframe was the most appropriate amortization period based on a valuation model we used to assess the economic fairness of the payment. Factors we considered in developing this valuation model included the estimated foregone revenues over a seven year period resulting from the reduction in the prospective purchase price payable to us, a discount rate deemed appropriate to this transaction and an estimate of the remaining economic useful life of the current TMR kit design, without any benefit being given to potential future product improvements we may make. We review annually, and adjust if necessary, the prospective revenue amortization rate for kits based on our best estimate of the total number of kits likely remaining to be shipped to hospital customers by Novadaq through 2010. We recorded amortization of $191,000 and $539,000 in the three and nine months ended September 30, 2008, respectively, as compared to $132,000 and $503,000 in the three and nine months ended September 30, 2007, respectively, which is included in revenues in our Consolidated Statements of Operations.

 

TMR lasers are billed to Novadaq in accordance with purchase orders that we receive.  Invoiced TMR lasers are recorded as other current assets and deferred revenue on our Consolidated Balance Sheet until such time as the laser is shipped to a hospital, at which time we record revenue and cost of revenue.

 

Under the terms of the TMR distribution agreement, once Novadaq has recovered a prescribed amount of revenue from a hospital for the use or purchase of a TMR laser, any additional revenues earned by Novadaq are shared with us pursuant to a formula established in the distribution agreement. We only record our share of such additional revenue, if any, at the time the revenue is earned.

 

We record all other product revenue, including sales of TMR lasers and kits to international customers, sales of RenalGuard consoles and single-use sets and OEM sales of surgical tubes and general purpose CO2 lasers, at the time of shipment.

 

Revenues from service and maintenance contracts are recognized ratably over the life of the contract.

 

Installation revenues related to a TMR laser transaction are recorded as a component of service fees when the laser is installed.

 

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Table of Contents

 

Results of Operations

 

Results for the three and nine months ended September 30, 2008 and 2007 and the related percent of revenues were as follows:

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2008

 

2007

 

2008

 

2007

 

 

 

$

 

%

 

$

 

%

 

$

 

%

 

$

 

%

 

 

 

(dollars in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total revenues

 

$

1,598

 

100

%

$

1,331

 

100

%

$

4,076

 

100

%

$

4,756

 

100

%

Total cost of revenues

 

829

 

52

 

468

 

35

 

1,807

 

44

 

2,037

 

43

 

Gross profit

 

769

 

48

 

863

 

65

 

2,269

 

56

 

2,719

 

57

 

Selling, general & administrative

 

619

 

39

 

830

 

62

 

2,420

 

59

 

2,919

 

62

 

Research & development

 

516

 

32

 

637

 

48

 

1,726

 

42

 

1,684

 

35

 

Total operating expenses

 

1,135

 

71

 

1,467

 

110

 

4,146

 

102

 

4,603

 

97

 

Loss from operations

 

(366

)

(23

)

(604

)

(45

)

(1,877

)

(46

)

(1,884

)

(40

)

Other income

 

11

 

1

 

105

 

8

 

89

 

2

 

336

 

7

 

Loss before taxes

 

(355

)

(22

)

(499

)

(37

)

(1,788

)

(44

)

(1,548

)

(33

)

Benefit from income taxes

 

(70

)

(4

)

 

 

(70

)

(2

)

 

 

Net loss

 

$

(285

)

(18

)%

$

(499

)

(37

)%

$

(1,718

)

(42

)%

$

(1,548

)

(33

)%

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended
September 30,

 

Increase (decrease)

 

Nine Months Ended
September 30,

 

Increase (decrease)

 

 

 

2008

 

2007

 

over 2007

 

2008

 

2007

 

over 2007

 

 

 

$

 

$

 

$

 

%

 

$

 

$

 

$

 

%

 

 

 

(dollars in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product sales

 

$

1,203

 

$

975

 

$

228

 

23

%

$

3,041

 

$

3,629

 

$

(588

)

(16

)%

Service fees

 

395

 

356

 

39

 

11

 

1,035

 

1,127

 

(92

)

(8

)

Total revenues

 

1,598

 

1,331

 

267

 

20

 

4,076

 

4,756

 

(680

)

(14

)

Product cost of sales

 

647

 

258

 

389

 

151

 

1,290

 

1,406

 

(116

)

(8

)

Service fees cost of sales

 

182

 

210

 

(28

)

(13

)

517

 

631

 

(114

)

(18

)

Total cost of revenues

 

829

 

468

 

361

 

77

 

1,807

 

2,037

 

(230

)

(11

)

Gross profit

 

769

 

863

 

(94

)

(11

)

2,269

 

2,719

 

(450

)

(17

)

Selling, general & administrative expenses

 

619

 

830

 

(211

)

(25

)

2,420

 

2,919

 

(499

)

(17

)

Research & development expenses

 

516

 

637

 

(121

)

(19

)

1,726

 

1,684

 

42

 

2

 

Total operating expenses

 

1,135

 

1,467

 

(332

)

(23

)

4,146

 

4,603

 

(457

)

(10

)

Loss from operations

 

(366

)

(604

)

238

 

(39

)

(1,877

)

(1,884

)

7

 

 

Other income

 

11

 

105

 

(94

)

(90

)

89

 

336

 

(247

)

(74

)

Loss before taxes

 

(355

)

(499

)

144

 

(29

)

(1,788

)

(1,548

)

(240

)

(16

)

Benefit from income taxes

 

(70

)

 

(70

)

100

 

(70

)

 

70

 

(5

)

Net loss

 

$

(285

)

$

(499

)

$

214

 

(43

)%

$

(1,718

)

$

(1,548

)

$

(170

)

(11

)%

 

17



Table of Contents

 

Product Sales

 

Disposable TMR kit revenues, the largest component of product sales in the three months ended September 30, 2008, decreased by $49,000, or 8%, as compared to the three months ended September 30, 2007.  Domestic TMR kit revenues decreased $77,000 related to a lower volume of kit shipments to Novadaq offset in part by (1) an increase in the average selling price of TMR kits, and (2) increased disposable revenue amortization of $59,000.  International TMR kit revenues increased $28,000 in the three months ended September 30, 2008 as compared to the three months ended September 30, 2007.

 

In the nine months ended September 30, 2008, disposable TMR kit revenues increased by $76,000, or 4%, as compared to the nine months ended September 30, 2007. Domestic TMR kit revenues increased $22,000 related to (1) an increase in the average selling price of TMR kits, and (2) increased disposable revenue amortization of $36,000.  These increases were offset in part by a decrease in the number of TMR kits sold to Novadaq.  International TMR kit revenues increased $54,000 in the nine months ended September 30, 2008 as compared to the nine months ended September 30, 2007. We expect that our kit shipments to Novadaq in the fourth quarter of 2008 and in subsequent quarters during 2009 will be similar to that which we shipped in the three months ended September 30, 2008.

 

TMR laser revenues increased $186,000, or 83%, in the three months ended September 30, 2008, as compared to the three months ended September 30, 2007.  International TMR laser revenues increased $305,000 due to the sale of two lasers to new customers.  Domestic TMR laser revenues decreased $119,000 as a result of (1) a decrease in the number of new TMR lasers sold, and (2) a lower average selling price on the new TMR lasers sold.

 

TMR laser revenues decreased $515,000, or 41%, in the nine months ended September 30, 2008 as compared to the nine months ended September 30, 2007. Domestic TMR laser revenues decreased $844,000 as a result of a (1) a decrease in the number of new TMR lasers sold, and (2) a lower average selling price on the new TMR lasers sold.  International TMR laser revenues increased $329,000 due to the sale of two lasers to new customers and the sale to a hospital of a previously installed laser system.

 

Other product sales increased $91,000, or 62%, in the three months ended September 30, 2008 as compared to the three months ended September 30, 2007.  This overall increase is a result of (1) $71,000 of new international RenalGuard revenues, and (2) an increase of $20,000 in manufacturing contract assembly product revenues.

 

Other product sales decreased $149,000, or 23%, in the nine months ended September 30, 2008 as compared to the nine months ended September 30, 2007.  This overall decrease is a result of (1) a decrease of $191,000 in manufacturing contract assembly product revenues, and (2) a decrease of $100,000 of revenues from Edwards related to the discontinued Optiwave 980 product line.  These decreases were offset in part by $142,000 of new international RenalGuard revenues.

 

18



Table of Contents

 

Service Fee Revenues

 

Service fees increased $39,000, or 11%, in the three months ended September 30, 2008 as compared to the three months ended September 30, 2007. Domestic service fees increased $12,000 due to increased service spare part billings offset in part by a decrease in billable service calls in the three months ended September 30, 2008 as compared to the 2007 period. International service fees increased $27,000 in the three months ended September 30, 2008 as compared to the 2007 period.

 

Service fees decreased $92,000, or 8%, in the nine months ended September 30, 2008 as compared to the nine months ended September 30, 2007. Domestic service fees decreased $77,000 due to decreases in billable service calls and service contract billings offset in part by increased service spare part billings in the nine months ended September 30, 2008 as compared to the 2007 period. International service fees decreased $15,000 in the nine months ended September 30, 2008 as compared to the 2007 period.

 

Gross Profit

 

Gross profit was $769,000, or 48% of total revenues, in the three months ended September 30, 2008 as compared with gross profit of $863,000, or 65% of total revenues, in the three months ended September 30, 2007.  The decrease in gross profit is due to (1) higher cost of sales related to both higher period manufacturing expenses and a $182,000 increase in our inventory reserve, (2) a decrease in both the number and the average selling prices of new domestic TMR lasers sold, and (3) a decrease in the number of domestic TMR kits sold.  These decreases were offset in part by (1) an increase in international TMR lasers sold, (2) an increase in the average selling price of domestic TMR kits, (3) higher revenues from service, (4) new international RenalGuard revenue, and (5) higher disposable revenue amortization.

 

Gross profit was $2,269,000, or 56% of total revenues, in the nine months ended September 30, 2008 as compared with gross profit of $2,719,000, or 57% of total revenues, in the nine months ended September 30, 2007. The decrease in gross profit is due to (1) higher cost of sales related to both higher period manufacturing expenses and a $244,000 increase in our inventory reserve, (2) a decrease in both the number and the average selling prices of new domestic TMR lasers sold, (3) a decrease in the number of domestic TMR kits sold, and (4) lower revenues from contract assembly services.  These decreases were offset in part by (1) an increase in the average selling price of domestic TMR kits, (2) an increase in international TMR lasers sold, (3) new international RenalGuard revenues, (4) a reduction in our warranty accrual, and (5) higher disposable revenue amortization.

 

Selling, General and Administrative Expenses

 

Selling, general and administrative expenditures decreased 25% and 17% in the three and nine months ended September 30, 2008, respectively, as compared to the three and nine months ended September 30, 2007.  In the three months ended September 30, 2008, there were decreases in (1) compensation related costs, (2) overall spending on sales and marketing activities related to RenalGuard, and (3) international expenses as compared to the three months ended September 30, 2007. These decreases were partially offset by an increase in bad debt expense.  In the nine months ended September 30, 2008, there were decreases in (1) compensation related costs, (2) overall spending on sales and marketing activities related to RenalGuard, and (3) corporate and legal expenditures, which had included fees incurred in connection with the transfer of the U.S.

 

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Table of Contents

 

TMR distribution agreement and the origination of RenalGuard clinical trial contracts in the nine months ended September 30, 2007.

 

Research and Development Expenses

 

Research and development expenditures decreased 19% and increased 2% in the three and nine months ended September 30, 2008, respectively, as compared to the three and nine months ended September 30, 2007.  In the three months ended September 30, 2008, the decrease was primarily related to decreases in TMR-related clinical costs and RenalGuard product development, offset in part by increased RenalGuard clinical costs and the write-off of certain capitalized development equipment as compared to the three months ended September 30, 2007.

 

In the nine months ended September 30, 2008, the increase was due to increased RenalGuard-related clinical costs and the write-off of certain capitalized development equipment offset in part by decreases both in TMR-related clinical costs and RenalGuard product development as compared to the nine months ended September 30, 2007.

 

Other Income

 

Other income decreased $94,000 and $247,000 in the three and nine months ended September 30, 2008, respectively.  Interest income decreased $84,000 and $237,000 in the three and nine months ended September 30, 2008, respectively, due to lower average investable balances and lower interest rates on those investable balances in the three and nine months ended September 30, 2008 as compared to the three and nine months ended September 30, 2007.  In the three and nine months ended September 30, 2008, we recorded a $10,000 unrealized loss from foreign currency transactions.

 

Benefit from Income Taxes

 

In the three and nine months ended September 30, 2008, we recorded a $70,000 benefit from income taxes due to the reversal of an income tax reserve that was no longer required to be utilized for its potential tax exposure.

 

Net Loss

 

In the three months ended September 30, 2008 and 2007, we recorded a net loss of $285,000 and $499,000, respectively. In the three months ended September 30, 2008, the decreased loss was due to lower operating expenses and a benefit from income taxes, offset in part by lower gross margin dollars and lower interest income, as compared to the three months ended September 30, 2007.

 

In the nine months ended September 30, 2008 and 2007, we recorded a net loss of $1,718,000 and $1,548,000, respectively.  In the nine months ended September 30, 2008, the increased loss was due to lower gross margin dollars and lower interest income, offset in part by lower operating expenses and a benefit from income taxes, as compared to the nine months ended September 30, 2007.

 

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Table of Contents

 

Kit Shipments

 

We generally view disposable kit shipments to end users as an important metric in evaluating our business, although we believe that specific short-term factors not indicative of long-term trends can sometimes affect shipments of disposable kits in any given quarter.  Domestic kit shipments referenced in the table below relate to sales by Novadaq to hospital end users.  International kit shipments relate to sales by us directly to our international distributors or hospital end users.

 

Disposable kit shipments to end users were as follows:

 

 

 

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

 

 

2008

 

2007

 

%
Increase
(Decrease)
Over
2007

 

2008

 

2007

 

%
Increase
(Decrease)
Over
2007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Domestic (by U.S. Distributor)

 

398

 

313

 

27

 

1,120

 

1,194

 

(6

)

International

 

36

 

2

 

1,700

 

86

 

32

 

169

 

Total

 

434

 

315

 

38

 

1,206

 

1,226

 

(2

)

 

Because a significant number of the total TMR procedures performed each year by cardiac surgeons are done in combination with open-heart bypass surgery, we believe any future growth in the number of TMR procedures will be partly dependent on the number of bypass surgeries performed in the future, which we believe have the potential to grow modestly over the next few years.

 

Liquidity and Capital Resources

 

Cash and cash equivalents totaled $5,537,000 as of September 30, 2008, a decrease of $2,523,000 from $8,060,000 as of December 31, 2007.  We have no debt obligations. We believe that our existing cash resources will meet our working capital requirements through at least the next 12 months.

 

Cash used for operating activities in the nine months ended September 30, 2008 was $2,490,000 due to our net loss and unfavorable working capital changes, offset in part by non-cash depreciation and amortization, compensation related to stock options and a loss on retirement of equipment.  We received $1,000 from the issuance of common stock related to proceeds from our employee stock purchase plan. We used $27,000 for the purchase of equipment.  The effect of exchange rate changes used an additional $7,000.

 

In the near term we do not expect that our TMR product sales to Novadaq will change significantly. Therefore we will be largely dependent on our ability to increase our revenues through the sale of our RenalGuard product into international markets. Should sales of RenalGuard not increase sufficiently, our liquidity and capital resources will be negatively impacted.

 

Additionally, unanticipated decreases in operating revenues or increases in expenses or changes or delays in third-party reimbursement to healthcare providers using our TMR products

 

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would adversely impact our cash position and require further cost reductions or the need to obtain additional capital.

 

We believe we will incur losses at least through 2010.  We cannot be certain that we will be able to raise the additional capital necessary to start and conduct the pivotal clinical trial in the U.S. that is necessary to obtain regulatory approval to market RenalGuard in the U.S., or that future sales, if any, of RenalGuard will justify these investments.  There can be no assurance that the future capital we will need to implement our business plan will be available on terms and conditions acceptable to us, especially considering the current uncertainty in the global credit markets.  As a result of the current financial market conditions, we have deferred the commencement of the U.S. pivotal trial, and should additional financing not be available on terms and conditions acceptable to us, or if we are unable to sufficiently increase sales of our products, we will need to further curtail our RenalGuard program and take additional actions that will adversely impact our ability to continue to realize assets and satisfy liabilities in the normal course of business.  The consolidated financial statements set forth in this report do not include any adjustments to reflect the possible future effects of these uncertainties.

 

Off-Balance Sheet Arrangements

 

None.

 

Item 3.        Quantitative and Qualitative Disclosures about Market Risk

 

A portion of our operations consists of sales activities in foreign jurisdictions.  We manufacture our products exclusively in the U.S. and sell our products in the U.S. and abroad. As a result, our financial results could be affected by factors such as changes in foreign currency exchange rates or weak economic conditions in the foreign markets in which we distribute our products.  Our operating results are exposed to changes in exchange rates between the U.S. dollar and foreign currencies, especially the Euro. When the U.S. dollar strengthens against the Euro, the value of foreign sales decreases. When the U.S. dollar weakens, the functional currency amount of sales increases. No assurance can be given that foreign currency fluctuations in the future will not adversely affect our business, financial condition and results of operations, although at present we do not believe that our exposure is significant, as international sales represented 17% and 3% of our consolidated sales in the nine months ended September 30, 2008 and the year ended December 31, 2007, respectively. We do not hedge any balance sheet exposures and intercompany balances against future movements in foreign exchange rates.

 

Our interest income and expense are sensitive to changes in the general level of U.S. and foreign interest rates. In this regard, changes in U.S. and foreign interest rates affect the interest earned on our cash and cash equivalents.  We do not believe that a 10% change to the applicable interest rates would have a material impact on our future results of operations or cash flows.

 

Item 4.        Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

Our management, with the participation of our chief executive officer and chief financial officer, evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2008.  The term “disclosure controls and procedures”, as defined in Rules 13a-15(e) and 15d-15(e)

 

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under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms.  Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure.  Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.  Based upon the evaluation of our disclosure controls and procedures as of September 30, 2008, our chief executive officer and chief financial officer concluded that, as of such date, our disclosure controls and procedures were effective at the reasonable assurance level.

 

Changes in Internal Control over Financial Reporting

 

No change in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the fiscal quarter ended September 30, 2008 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 

Part II.  Other Information

 

Item 1A.       Risk Factors

 

The risks and uncertainties described below are not the only risks we face.  Additional risks and uncertainties not presently known to us or currently deemed immaterial may also impair our business operations.  If any of the following risks actually occur, our financial condition and operating results could be materially adversely affected.

 

We expect to incur significant operating losses in the near future.

 

We expect to incur net losses in future quarters, at least through 2010.  We cannot provide any assurance that we will be successful with our business strategy, that we will be able to raise sufficient capital to conduct our pivotal clinical trial of RenalGuard in the U.S. or that if such a clinical trial is completed, that RenalGuard will receive FDA approval or commercial acceptance, or that we will ever return to profitability.

 

Our company may be unable to raise needed capital.

 

As of September 30, 2008, we had cash and cash equivalents totaling $5,537,000. Based upon our current operating plan, we anticipate that our existing capital resources should be sufficient to meet our working capital requirements for at least the next 12 months; however, we will need to raise additional capital for the future in order to implement our business plan.  As a result of current capital market conditions, we have deferred the commencement of the U.S. pivotal trial for RenalGuard, and should additional financing not be available on terms and conditions acceptable to us, or if we are unable to sufficiently increase sales of our products, we

 

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will need to further curtail our RenalGuard program and take additional actions that will adversely

impact our ability to continue to realize assets and satisfy liabilities in the normal course of business.  To the extent that we raise additional capital by issuing equity or convertible securities, ownership dilution to our shareholders will result.  To the extent that we raise additional capital through the incurrence of debt, our activities may be restricted by the repayment obligations and other restrictive covenants related to the debt.

 

The commencement of our planned U.S. pivotal clinical trial to study the safety and effectiveness of RenalGuard in preventing contrast-induced nephropathy is dependent upon our ability to raise sufficient additional capital to fund the completion of the study.

 

Although we have received conditional FDA approval to commence our pivotal clinical trial in the U.S. to study the safety and effectiveness of RenalGuard in preventing contrast-induced nephropathy, we will need to raise additional capital to fund the cost of completing the study. We can provide no assurance that we will be able to raise the necessary capital to complete this trial or that such capital will be available on terms and conditions acceptable to us, especially considering the current uncertainty in the global credit markets.

 

Our company is currently dependent upon one principal customer.

 

Pursuant to the terms of our TMR distribution agreement with Novadaq, Novadaq is our exclusive distributor for our HL2 laser and TMR kits in the U.S.  As a result of this exclusive arrangement, our U.S. distributor (Novadaq currently and Edwards prior to March 20, 2007) accounted for 61% and 74% of total revenues in the three and nine months ended September 30, 2008, respectively, and 85% in the year ended December 31, 2007, and we expect Novadaq to account for the significant majority of our revenue in the near future.  As a result of this expected concentration of sales with Novadaq, we bear an increased financial risk of timely sales collection if, for any reason, Novadaq’s business condition should suffer.

 

We are dependent upon Novadaq in the U.S. to increase our TMR revenues.

 

Novadaq’s sales organization is responsible for selling a number of different products, including our TMR products.  We are largely dependent upon the success of Novadaq’s sales and marketing efforts in the U.S. to increase the installed base of HL2 lasers and TMR procedural volumes and thus kit revenues.  If our relationship with Novadaq does not progress, or if Novadaq’s sales and marketing strategies fail to generate increased sales of our products in the future, our business, financial condition and results of operations will be seriously harmed.

 

Our company is currently dependent upon one principal product line to generate revenues.

 

We currently sell one principal product line, the Heart Laser Systems, which accounts for the majority of our total revenues.  Approximately 85% and 88% of our revenues in the three and nine months ended September 30, 2008, respectively, and 87% in the year ended December 31, 2007, were derived from the sales and service of our Heart Laser Systems.  This absence of a diversified product line means that we are directly and materially impacted by changes in the market for Heart Laser Systems. We believe that the number of opportunities for new TMR laser sales to U.S. hospital customers, and specifically sales of our HL2 laser, is likely to continue to decline in future quarters as a result of (1) a diminishing number of available hospitals that have

 

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not already implemented a TMR program that are still likely to do so in the future, and (2) continuing financial pressures that hospitals face, in particular for the funding of new capital equipment purchases, in light of ongoing cutbacks in both Medicare and private insurance reimbursement rates for all medical procedures. In addition, we have seen a recent downward trend in the price for new TMR lasers in the market, as competition for the remaining available customers increases. These market factors and our dependency on revenues related to sales of the Heart Laser System pose a serious risk to our ongoing ability to generate sufficient cash to fund our operations, which may seriously harm our business, financial condition and results of operations in future quarters.

 

Our company is dependent upon certain suppliers.

 

Some of the components for our Heart Laser Systems, most notably the power supply and certain optics and fabricated parts for the HL2, are only available from one supplier, and we have no assurance that we will be able to secure any of our sole-sourced components from additional suppliers.  We are dependent upon our sole suppliers to perform their obligations in a timely manner.  In the past, we have experienced delays in product delivery from our sole suppliers and, because we do not have an alternative supplier to produce these products for us, we have little leverage to enforce timely delivery. Any delay in product delivery or other interruption in supply from these suppliers could prevent us from meeting our commercial demands for our products, which could have a material adverse effect on our business, financial condition and results of operations.  Furthermore, we do not require significant quantities of any components because we produce a limited number of our products each year.  Our low-quantity needs may not generate substantial revenue for our suppliers.  Therefore, it may be difficult for us to continue our relationships with our current suppliers or establish relationships with additional suppliers on commercially reasonable terms, if at all, and such difficulties may seriously harm our business, financial condition and results of operations.

 

We are dependent upon our key personnel and may need to hire additional key personnel in the future.

 

Our ability to operate our business successfully depends in significant part upon the retention and motivation of certain key technical, regulatory, production and managerial personnel and consultants and our ongoing ability to hire and retain additional qualified personnel in these areas. Competition for such personnel is intense, particularly in the Greater Boston area. We cannot be certain that we will be able to attract such personnel and the loss of any of our current key employees or consultants could have a significant adverse impact on our business.

 

In order to compete effectively, our current and future products need to gain commercial acceptance.

 

Our current TMR products may never achieve widespread commercial acceptance.  To be successful, we and Novadaq need to:

 

·                  demonstrate to the medical community in general, and to heart surgeons and cardiologists in particular, that TMR procedures are effective, relatively safe and cost effective;

 

·                  support third-party efforts to document the medical processes by which TMR

 

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                        procedures relieve angina;

 

·                  train more heart surgeons to perform TMR procedures using the Heart Laser Systems; and

 

·                  maintain and expand third-party reimbursement for the TMR procedure.

 

To date, only a limited number of heart surgeons have been trained in the use of TMR using the Heart Laser Systems.  We are dependent upon Novadaq to expand related marketing and training efforts in the U.S. for the use of our products.

 

The Heart Laser Systems have not yet received widespread commercial acceptance.  We believe that concerns over the lack of a consensus view about the reason or reasons why a TMR procedure relieves angina in patients who undergo the procedure has limited demand for and use of the Heart Laser Systems. Until there is consensus, if ever, on the medical processes by which TMR procedures relieve angina, we believe some hospitals will delay the implementation of a TMR program.

 

If we are unable to achieve widespread commercial acceptance of the Heart Laser Systems, our business, financial condition and results of operations will be materially and adversely affected.

 

Our newest product, RenalGuard, has only had limited testing in a clinical setting and we may need to modify it in the future to be commercially acceptable.

 

We have only completed the first generation product design for RenalGuard and we have only been able to perform a limited amount of testing of this device in a clinical hospital setting as part of our recently completed initial pilot human clinical study. We may need to make substantial modifications to the design, features or functions of our device in order for it to eventually obtain FDA approval or otherwise to meet customer expectations in the EU where we are currently marketing it. These changes may not be able to be completed in a timely fashion, if at all. Should any such modifications prove to be significantly more costly or time consuming to engineer than we estimate, our ability to bring this product to market may be severely and negatively impacted.

 

Our potential future success in marketing RenalGuard in the EU as a CIN prevention device and our ability to raise additional capital in the future will be largely dependent on the timely outcome of the current investigator-sponsored clinical trial of RenalGuard being conducted at the Centro Cardiologico Monzino (CCM) in Milan, Italy.

 

We currently are supporting an investigator-sponsored clinical trial at the CCM where RenalGuard is being compared in an equivalency study to that of an overnight hydration protocol in terms of its safety and effectiveness in preventing CIN in at-risk patients. We believe our ability to raise additional capital to fund our U.S. pivotal study of RenalGuard, as well as our ability to successfully market RenalGuard in the EU and gain widespread market adoption for our system as a CIN prevention device, is largely dependent upon the CCM study results, specifically a favorable finding that RenalGuard is equivalent to overnight hydration in terms of safely preventing CIN in the at-risk patients studied.

 

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We can provide no assurance that the CCM study will be completed in a timely fashion, if at all, or that should it be completed, that it will produce the desired result of showing that RenalGuard is equivalent to overnight hydration in the study population. If the study shows that RenalGuard is not at least equivalent to overnight hydration in terms of its safety or effectiveness in preventing CIN, then our ability to raise additional capital in the future to complete our U.S. pivotal trial, fund our operations and implement our business plan will be materially and adversely affected.

 

Our planned U.S. pivotal clinical trial of RenalGuard will, if we can successfully raise the necessary capital to commence and complete it, take us a significant amount of time to complete, if we can complete it at all, and the results of this clinical trial may not show sufficient safety and efficacy for us to either obtain FDA approval or otherwise be able to successfully market and sell the product.

 

Our business strategy to grow our revenues and profitability is largely dependent upon our success in the timely completion of our U.S. pivotal clinical trial of RenalGuard. We hope to be able to demonstrate through this clinical trial that RenalGuard is safe and effective in preventing CIN.

 

We can provide no assurance that when studied in humans, RenalGuard will be shown to be safe or effective in preventing CIN, or that the degree of any positive safety and efficacy results will be sufficient to either obtain FDA approval or otherwise successfully market our product. Furthermore, the completion of our planned clinical trial is dependent upon many factors, some of which are not entirely within our control, including, but not limited to, our ability to successfully recruit investigators, the availability of patients meeting the inclusion criteria of our clinical study, the competition for these particular study patients amongst other clinical trials being conducted by other companies at these same study sites, the ability of the sites participating in our study to successfully enroll patients in our trial, and proper data gathering on the part of the investigating sites.

 

Should our U.S. pivotal clinical trial take longer than we expect to complete, our competitive position relative to existing preventative measures, or relative to new devices, drugs or therapies that may be developed, could be seriously harmed and our ability to successfully fund the completion of the trial and bring RenalGuard to market may be adversely affected.

 

We will need to build a direct sales and marketing organization or otherwise enter into distribution arrangements in order to market RenalGuard in the U.S, if and when it is approved for sale, and in the EU, as we prepare for a sales launch in this market in 2009.

 

We currently do not have a direct sales force. Instead, we market our TMR products through Novadaq in the U.S. and through independent distributors outside the U.S.  We do not plan to use Novadaq or our current international TMR distributors to market RenalGuard when it becomes commercially available. We will need to either build an internal direct sales and marketing organization or find new distribution partners to successfully market RenalGuard.

 

If we choose to build a direct sales force, we may not be able to attract qualified individuals with the requisite training or experience to sell our product. In addition, we would need to devote substantial management time instituting policies, procedures and controls to oversee and effectively manage this new part of our organization, which could adversely impact

 

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our daily operations and would require us to invest significant financial resources, the cost of which could be prohibitive.

 

If we instead choose to pursue an indirect distribution strategy, which is our current plan for the EU market, we may not be able to identify suitable distribution partners with sufficient industry experience, brand recognition, sales capacity and willingness or ability to maximize sales. Further, we may not be able to negotiate distribution agreements with terms and conditions that are acceptable to us, including ensuring that our product receives adequate sales force focus and attention.

 

Rapid technological changes in our industry could make our products obsolete.

 

Our industry is characterized by rapid technological change and intense competition.  New technologies and products and new industry standards will develop at a rapid pace, which could make our current and future planned products obsolete. The advent of new devices and procedures and advances in new drugs and genetic engineering are especially concerning competitive threats.  Our future success will depend upon our ability to develop and introduce product enhancements to address the needs of our customers.  Material delays in introducing product enhancements may cause customers to forego purchases of our products and purchase those of our competitors.

 

Many potential competitors have substantially greater financial resources and are in a better financial position to exploit marketing and research and development opportunities.

 

We must receive and maintain government clearances or approvals in order to market our products.

 

Our products and our manufacturing activities are subject to extensive, rigorous and changing federal and state regulation in the U.S. and to similar regulatory requirements in other major international markets, including the EU and Japan.  These regulations and regulatory requirements are broad in scope and govern, among other things:

 

·                  product design and development;

 

·                  product testing;

 

·                  product labeling;

 

·                  product storage;

 

·                  premarket clearance and approval;

 

·                  advertising and promotion; and

 

·                  product sales and distribution.

 

Furthermore, regulatory authorities subject a marketed product, its manufacturer and the manufacturing facilities to continual review and periodic inspections.  We are subject to ongoing FDA requirements, including required submissions of safety and other post-market information

 

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and reports, registration requirements, Quality Systems regulations and recordkeeping requirements. The FDA’s Quality Systems regulations include requirements relating to quality control and quality assurance, as well as the corresponding maintenance of records and documentation.  Depending on its activities, Novadaq may also be subject to certain requirements under the Federal Food, Drug, and Cosmetic Act and the regulations promulgated thereunder, and state laws and registration requirements covering the distribution of our products. Regulatory agencies may change existing requirements or adopt new requirements or policies that could affect our regulatory responsibilities or the regulatory responsibilities of a distributor like Novadaq.  We may be slow to adapt or may not be able to adapt to these changes or new requirements.

 

Later discovery of previously unknown problems with our products, manufacturing processes or our failure to comply with applicable regulatory requirements may result in enforcement actions by the FDA and other international regulatory authorities, including, but not limited to:

 

·                  warning letters;

 

·                  patient or physician notification;

 

·                  restrictions on our products or manufacturing processes;

 

·                  voluntary or mandatory recalls;

 

·                  product seizures;

 

·                  refusal to approve pending applications or supplements to approved applications that we submit;

 

·                  refusal to permit the import or export of our products;

 

·                  fines;

 

·                  injunctions;

 

·                  suspension or withdrawal of marketing approvals or clearances; and

 

·                  civil and criminal penalties.

 

Should any of these enforcement actions occur, our business, financial condition and results of operations could be materially and adversely affected.

 

To date, we have received the following regulatory approvals for our products:

 

Heart Laser Systems

 

United States — We received FDA approval to market the HL1 Heart Laser System in August 1998 and the HL2 Heart Laser System in January 2001.  However, although we have received FDA approval, the FDA:

 

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·                  has restricted the use of the Heart Laser Systems by not allowing us to market these products to treat patients whose condition is amenable to conventional treatments, such as heart bypass surgery, stenting and angioplasty; and

 

·                  could impose additional restrictions or reverse its ruling and prohibit use of the Heart Laser Systems at any time.

 

In addition, as a condition of our original FDA approval for our TMR products, we were required by the FDA to perform a postmarket surveillance study. The FDA requested that we submit a PMA Postapproval Study report summarizing this postmarket surveillance study. As part of this report, the FDA requested that we analyze and discuss the adverse event and mortality rates seen in the postmarket study and compare these results to the premarket study which was presented as part of our initial FDA PMA application. We filed this postapproval study report with the FDA on February 28, 2007.  On August 18, 2008, we received a letter from the FDA informing us that we had satisfied our postapproval study requirements with the submission of our final report.

 

Europe — We received the CE Mark from the European Union for the HL1 and HL2 in March 1995 and February 2001, respectively.  However:

 

·                  the European Union could impose additional restrictions or reverse its ruling and prohibit use of the Heart Laser Systems at any time; and

 

·                  France has prohibited, and other European Union countries could prohibit or restrict, use of the Heart Laser Systems.

 

Japan — Our HL1 Heart Laser System received marketing approval from the Japanese Ministry of Health, Labor and Welfare (“MHLW”) in May 2006. However, the MHLW could impose restrictions in the future or reverse its ruling and prohibit use of the Heart Laser Systems at any time.

 

In addition, it is unclear what impact the introduction of the HL2 into the U.S. and other international markets will have on the ability of our Japanese distributor to market our older, first generation HL1 in Japan. Although our Japanese distributor has indicated to us that it plans to seek MHLW approval in the future to market our newer HL2, we can provide no assurance that the distributor will be successful in obtaining the necessary approvals or how long it may take to secure the required approvals.

 

RenalGuard

 

We presently have approval to market RenalGuard only in the EU. We must receive either FDA approval or clearance before we can market RenalGuard in the United States. Other countries may require their own approvals prior to our being able to market RenalGuard in those countries.

 

The process of obtaining and maintaining regulatory approvals and clearances to market a medical device can be costly and time consuming, and we cannot predict when, if ever, such approvals or clearances will be granted. Pursuant to FDA regulations, unless an exemption is available, the FDA permits commercial distribution of a new medical device only after the device

 

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has received 510(k) clearance or is the subject of an approved PMA application. The FDA will clear marketing of a medical device through the 510(k) process only if it is demonstrated that the new product is substantially equivalent to other 510(k)-cleared products.

 

At the present time we are not aware of any clear predicates with substantially the same proposed indications for use that would enable us to conclude that RenalGuard is likely to be cleared by the FDA as a 510(k) device. Therefore, we believe RenalGuard most likely will need to go through the PMA application process.

 

Because the PMA application process is more costly, lengthy and uncertain than the 510(k) process and must be supported by extensive data, including data from preclinical studies and human clinical trials, we cannot predict when RenalGuard may eventually come to market in the U.S. Should we be unable to obtain FDA approval for RenalGuard, or should the approval process take longer than we anticipate, our future revenue growth prospects will be materially and adversely affected.

 

Changes in third party reimbursement for TMR procedures or our inability to obtain third party reimbursement for RenalGuard could materially affect future demand for our products.

 

Demand for medical devices is often affected by whether third party reimbursement is available for the devices and related procedures.  Currently Medicare coverage is provided for TMR when it is performed as a sole therapy treatment.  In addition, when two or more medical procedures are performed in combination with each other, Medicare rules generally allow hospitals to bill for whichever of the two procedures carries the higher reimbursement amount. Therefore, in situations where sole therapy TMR reimbursement rates exceed that provided for bypass surgery alone, if hospitals perform a combination procedure where both bypass surgery and adjunctive TMR are performed on a patient, the hospital is able to bill for the higher TMR procedure reimbursement payment. In these instances, the doctor also can bill an additional amount for performing multiple procedures.

 

Certain private insurance companies and health maintenance organizations also currently provide reimbursement for TMR procedures performed with our products and physician reimbursement codes have been established for both surgical procedures.

 

No assurance can be given, however, that these payers will continue to reimburse healthcare providers who perform TMR procedures using our products now or in the future.  Further, no assurance can be given that additional payers will reimburse healthcare providers who perform TMR procedures using our products or that reimbursement, if provided, will be timely or adequate.

 

Should third party insurance reimbursement for TMR procedures be reduced or eliminated in the future, our business, financial condition and results of operations would be materially and adversely affected.

 

Furthermore, we know of no existing Medicare coverage or other third party reimbursement that would be available to either hospitals or physicians that would help defray the additional cost that would result from the future purchase and/or use of our RenalGuard System. We also can provide no assurance that we will ever be able to obtain Medicare coverage

 

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or other third party reimbursement for the use of RenalGuard, which could materially and adversely affect the potential future demand for this product.

 

In addition, the market for our all our products could be adversely affected by future legislation to reform the nation’s healthcare system or by changes in industry practices regarding reimbursement policies and procedures.

 

Securing intellectual property rights for RenalGuard is critical to our future business plans, but may prove to be difficult or impossible for us to obtain.

 

We have filed nine patent applications with the U.S. Patent and Trademark Office related to RenalGuard and other intellectual property in the general field of preventing contrast-induced nephropathy and acute renal failure. Securing patent protection over our intellectual property ideas in this field is, we believe, critical to our plans to successfully differentiate and market RenalGuard and grow our future revenues. We can provide no assurance, however, that we will be successful in securing any patent protection for our intellectual property ideas in this field or that our efforts to obtain patent protection will not prove more difficult, and therefore more costly, than we are otherwise expecting. Furthermore, even if we are successful in securing patent protection for some or all of our intellectual property ideas in this field, we cannot predict when in the future any such potential patents may be issued, how strong such patent protection will prove to be, or whether these patents will be issued in a timely enough fashion to afford us any commercially meaningful advantage in marketing RenalGuard against other potentially competitive devices.

 

Asserting and defending intellectual property rights may impact our results of operations.

 

In our industry, competitors often assert intellectual property infringement claims against one another.  The success of our business depends upon our ability to successfully defend our intellectual property.  Future litigation may have a material impact on our financial condition even if we are successful in marketing our products. We may not be successful in defending or asserting our intellectual property rights.

 

An adverse outcome in any litigation or interference proceeding could subject us to significant liabilities to third parties and require us to cease using the technology that is at issue or to license the technology from third parties.  In addition, a finding that any of our intellectual property is invalid could allow our competitors to more easily and cost-effectively compete with us.  Thus, an unfavorable outcome in any patent litigation or interference proceeding could have a material adverse effect on our business, financial condition or results of operations.

 

The cost to us of any patent litigation or interference proceeding could be substantial.  Uncertainties resulting from the initiation and continuation of patent litigation or interference proceedings could have a material adverse effect on our ability to compete in the marketplace.  Patent litigation and interference proceedings may also absorb significant management time.

 

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We may be subject to product liability lawsuits; our insurance may not be sufficient to cover damages.

 

We may be subject to product liability claims.  Such claims may absorb significant management time and could degrade our reputation and the marketability of our products.  If product liability claims are made with respect to our products, we may need to recall the implicated product, which could have a material adverse effect on our business, financial condition and results of operations. In addition, although we maintain product liability insurance, we cannot be sure that our insurance will be adequate to cover potential product liability lawsuits. Our insurance is expensive and in the future may not be available on acceptable terms, if at all. If a successful product liability claim or series of claims exceeds our insurance coverage, it could have a material adverse effect on our business, financial condition and results of operations.

 

We are subject to risks associated with international operations.

 

A portion of our product sales is generated from operations outside of the U.S.  Establishing, maintaining and expanding international sales can be expensive.  Managing foreign operations is difficult and products may not receive market acceptance.  Risks of doing business outside the U.S. include, but are not limited to, the following: agreements may be difficult to enforce and receivables difficult to collect through a foreign country’s legal system; foreign customers may have longer payment cycles; foreign countries may impose additional withholding taxes or otherwise tax our foreign income, impose tariffs or adopt other restrictions on foreign trade; U.S. export licenses may be difficult to obtain; and the protection of intellectual property rights in foreign countries may be more difficult to enforce.  There can be no assurance that our international business will grow or that any of the foregoing risks will not result in a material adverse effect on our business or results of operations.

 

Because we are incorporated in Canada, you may not be able to enforce judgments against us and our Canadian directors.

 

Under Canadian law, you may not be able to enforce a judgment issued by courts in the U.S. against us or our Canadian directors. The status of the law in Canada is unclear as to whether a U.S. citizen can enforce a judgment from a U.S. court in Canada for violations of U.S. securities laws. A separate suit may need to be brought directly in Canada.

 

Our stock price has historically fluctuated and may continue to fluctuate significantly in the future, which may result in losses for our investors. There is limited trading volume in our common stock.

 

On November 7, 2008, our common stock was delisted from the NYSE Alternext Market (formerly the American Stock Exchange).  Accordingly, as of November 10, 2008 our stock is quoted on the Pink Sheets. We expect that our stock will be quoted on the OTC Bulletin Board in the near future.  Our stock price has been and may continue to be volatile. Some of the factors that may affect our stock price are:

 

·                  the limited trading of our common stock on either the Pink Sheets or the OTC Bulletin Board;

 

·                  announcements relating to the global credit markets or our ability as a company to raise additional capital;

 

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·                  the status of our clinical trials for RenalGuard;

 

·                  the announcement of new products, services or technological innovations by us or our competitors;

 

·                  actual or anticipated quarterly increases or decreases in revenue, gross margin or earnings, and changes in our business, operations or prospects;

 

·                  speculation or actual news announcements in the media or industry trade journals about our company, our products, the TMR or CIN prevention procedures or changes in reimbursement policies by Medicare and/or private insurance companies;

 

·                  announcements relating to strategic relationships or mergers;

 

·                  conditions or trends in the medical device industry;

 

·                  changes in the economic performance or market valuations of other medical device companies; and

 

·                  general market conditions or domestic or international macroeconomic and geopolitical factors unrelated to our performance.

 

The market price of our stock may fall if shareholders sell their stock.

 

Certain current shareholders hold large amounts of our stock, which they could seek to sell in the public market from time to time.  Sales of a substantial number of shares of our common stock within a short period of time would cause our stock price to fall.  In addition, the sale of these shares could impair our ability to raise capital through the sale of additional stock.

 

Item 6.                   Exhibits

 

Exhibit
Number

 

Description of Document

 

 

 

 

 

31.1

 

Certification of Principal Executive Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

 

 

31.2

 

Certification of Principal Financial Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

 

 

32.1

 

Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

 

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Table of Contents

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

PLC SYSTEMS INC.

 

 

 

 

Date:  November 14, 2008

By:

/s/ James G. Thomasch

 

James G. Thomasch

 

Chief Financial Officer
(Principal Financial Officer and Chief
Accounting Officer)

 

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Table of Contents

 

EXHIBIT INDEX

 

Exhibit
Number

 

Description of Document

 

 

 

 

 

31.1

 

Certification of Principal Executive Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

 

 

31.2

 

Certification of Principal Financial Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

 

 

32.1

 

Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

 

36