SafeStitch Medical, Inc.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM
10-KSB
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(Mark One) |
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Annual report pursuant to Section 13 or 15 (d) of the Securities Exchange Act of 1934 |
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For the fiscal year ended December 31, 2007 |
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Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 |
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For the transition period from ___to ___ |
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Commission File Number
0-19437
SAFESTITCH
MEDICAL, INC.
(formerly CELLULAR TECHNICAL SERVICES COMPANY, INC.)
(Name of Small Business Issuer as Specified in Its Charter)
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Delaware
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11-2962080 |
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(State or Other Jurisdiction of
Incorporation or Organization)
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(I.R.S. Employer Identification No.) |
4400
Biscayne Blvd. Suite 670 Miami, Florida, 33137
(Address of Principal Executive Offices) (Zip Code)
Issuers Telephone Number, Including Area Code: (305) 575-6000
Securities registered under Section 12(b) of the Exchange Act: None
Securities registered under Section 12(g) of the Exchange Act:
Common Stock, $0.001 par value per share
(Title of Class)
Check whether the issuer is not required to file reports pursuant to Section 13 or
15(d) of the Exchange Act
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Check whether the Registrant (1) has filed all reports required to be filed by Section
13 or 15(d) of the Exchange Act during the past 12 months (or for such shorter period that
the registrant was required to file such reports), and (2) has been subject to the filing
requirements for the past 90 days.
Yes x No o
Check if there is no disclosure of delinquent filers in response to Item 405 of
Regulation S-B contained herein in any form, and, no disclosure will be contained, to the
best of Registrants knowledge, in definitive proxy or information statements incorporated
by reference in Part III of this Form 10-KSB or any amendment to this Form 10-KSB
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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
The Issuer had no revenue for the fiscal year ended December 31, 2007
The aggregate market value of the Registrants common stock, par value $0.001 per
share, held by non-affiliates is approximately $13,278,656, based upon the February 6, 2008
closing price of $3.95 per share as reported on the over-the-counter bulletin board.
As of
March 20, 2008 there were 16,093,016 shares of Common Stock, $0.001 par value outstanding.
Transitional Small Business Disclosure Format
Yes o No x
SAFESTITCH MEDICAL, INC.
TABLE OF CONTENTS FOR FORM 10-KSB
2
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-KSB contains certain forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA), Section 27A of the
Securities Act of 1933, as amended (the Securities Act) and Section 21E of the Securities
Exchange Act of 1934, as amended, (the Exchange Act), about our expectations, beliefs or
intentions regarding our product development efforts, business, financial condition, results of
operations, strategies or prospects. You can identify forward-looking statements by the fact that
these statements do not relate strictly to historical or current matters. Rather, forward-looking
statements relate to anticipated or expected events, activities, trends or results as of the date
they are made. Because forward-looking statements relate to matters that have not yet occurred,
these statements are inherently subject to risks and uncertainties that could cause our actual
results to differ materially from any future results expressed or implied by the forward-looking
statements. Many factors could cause our actual activities or results to differ materially from the
activities and results anticipated in forward-looking statements. These factors include those set
forth below as well as those contained in Item 1A Risk Factors of this Annual Report on Form
10-KSB. We do not undertake any obligation to update forward-looking statements. We intend that all
forward-looking statements be subject to the safeharbor provisions of PSLRA. These forward-looking
statements are only predictions and reflect our views as of the date they are made with respect to
future events and financial performance.
Risks and uncertainties, the occurrence of which could adversely affect our business, include
the following:
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We have a history of operating losses and we do not expect to become profitable in the
near future. |
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Our technologies are in an early stage of development and are unproven. |
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Our research and development activities may not result in commercially viable products. |
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We are highly dependent on the success of our product candidates, and we cannot give any
assurance that they will receive regulatory clearance, or approval, if necessary, or be
successfully commercialized. |
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The results of previous clinical experience with devices similar to the devices that we
have licensed may not be predictive of results with our licensed products, and any clinical
trials that the U.S. Food and Drug Administration (the FDA) may require us to undertake
may not satisfy FDA requirements or the requirements of other non-U.S. regulatory
authorities. |
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We will require substantial additional funding, which may not be available to us on
acceptable terms, or at all. |
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If our competitors develop and market products that are more effective, safer or less
expensive than our future product candidates, our commercial opportunities will be
negatively impacted. |
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Our product development activities could be delayed or stopped. |
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The regulatory clearance or approval process is expensive, time-consuming and uncertain
and may prevent us or our collaboration partners from obtaining clearance, or approval, if
necessary, for the commercialization of some or all of our product candidates. |
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Even if we obtain regulatory clearances or approvals for our product candidates, the
terms thereof and ongoing regulation of our products may limit how we manufacture and
market our product candidates, which could materially impair our ability to generate
anticipated revenues. |
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Even if we receive regulatory clearances or approvals to market our product candidates,
the market may not be receptive to our products. |
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If we fail to attract and retain key management and scientific personnel, we may be
unable to successfully develop or commercialize our product candidates. |
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As we evolve from a company primarily involved in development to a company also involved
in commercialization, we may encounter difficulties in managing our growth and expanding
our operations successfully. |
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If we fail to acquire and develop other products or product candidates at all or on
commercially reasonable terms, we may be unable to diversify or grow our business. |
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We will rely on third parties to manufacture and supply our product candidates. |
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We currently do not have a marketing staff or sales or distribution organization. If we
are unable to develop our sales and marketing and distribution capability on our own or
through collaborations with marketing partners, we will not be successful in
commercializing our product candidates. |
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Independent clinical investigators and contract research organizations that we engage to
conduct our clinical trials may not be diligent, careful or timely. |
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The success of our business may be dependent on the actions of our collaborative
partners. |
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All of our current product plans are licensed to us by Creighton University. Any loss of
our rights under the agreement with Creighton University or any failure by Creighton
University to properly maintain or enforce the patents under such licenses would materially
adversely affect our business prospects. |
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An inability to find additional or other sources for our products could materially and
adversely affect us. |
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If we or Creighton University are unable to obtain and enforce patent protection for our
product candidates, our business could be materially harmed. |
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If we or Creighton University are unable to protect the confidentiality of our
proprietary information and know-how, the value of our technology and products could be
adversely affected. |
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Our commercial success depends significantly on our ability to operate without
infringing the patents and other proprietary rights of third parties. |
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Future legislative or regulatory reform of the health care system may affect our ability
to sell our products profitably. |
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Failure to obtain regulatory clearance or approval outside the United States will
prevent us from marketing our product candidates abroad. |
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Non-U.S. governments often impose strict price controls, which may adversely affect our
future profitability. |
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Our business may become subject to economic, political, regulatory and other risks
associated with international operations. |
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The market price of our common stock may fluctuate significantly. |
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Trading of our common stock is limited and trading restrictions imposed on us by
applicable regulations and by lockup agreements we have entered into with our principal
stockholders may further reduce our trading, making it difficult for our stockholders to
sell their shares. |
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Because our common stock may be a penny stock, it may be more difficult for investors
to sell shares of our common stock, and the market price of our common stock may be
adversely affected. |
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Directors, executive officers, principal stockholders and affiliated entities own a
significant percentage of our capital stock, and they may make decisions that you do not
consider to be in your best interests or in the best interests of our stockholders. |
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Compliance with changing regulations concerning corporate governance and public
disclosure may result in additional expenses. |
* * * * *
The Company files its periodic reports with the U.S. Securities and Exchange Commission (the
SEC) in compliance with the small business issuer provisions of Regulation S-B promulgated
under the Exchange Act. Generally, a small business issuer cannot file under Regulation S-B if its
annual revenues or public float exceed $25.0 million for two consecutive years. Because neither the
Companys annual revenues or public float exceeded $25.0 million for the fiscal years ended
December 31, 2006 and 2007, the Company qualifies as a Regulation S-B filer. Regulation S-B is
tailored for the small business issuer, and although it requires accurate and complete disclosure,
it does not require certain specific disclosures which are required under Regulation S-K and
Regulation S-X.
PART I
Item 1. Description of Business
Unless the context otherwise requires, all references in this Annual Report on Form 10-KSB to
the Company, SafeStitch, we, our, ours, and us refer to SafeStitch Medical, Inc., a
Delaware corporation (formerly Cellular Technical Services Company, Inc.), including our
wholly-owned subsidiaries, SafeStitch LLC, a Virginia limited liability company, and Isis
Tele-Communications, Inc., a Delaware corporation with no operating business.
General
We were originally incorporated in August 1988 as NCS Ventures Corp. under laws of the State
of Delaware, after which our name changed to Cellular Technical Services Company, Inc. (CTS). On
September 4, 2007, we completed an acquisition of SafeStitch LLC, a privately held Virginia limited
liability company (LLC), pursuant to a Share Transfer, Exchange and Contribution Agreement, dated
as of July 25, 2007 (referred to as the Share Exchange Agreement), by and among us, LLC and the
members of LLC. The Share Exchange Agreement provided for the exchange of all issued and
outstanding membership interests of LLC for 11,256,369 shares of our common stock (the Share
Exchange). We incurred customary acquisition related costs in connection with this transaction.
In January 2008, we changed our name from Cellular Technical Services Company, Inc. to SafeStitch
Medical, Inc., and, effective February 11, 2008, our trading symbol on the over-the-counter
bulletin board changed from CTSC to SFES.
At the closing of the Share Exchange, we issued an aggregate of 11,256,369 shares of our
common stock to the former members of SafeStitch in exchange for all of their membership interests
in LLC. We also granted warrants to purchase a total of 805,521 shares of our common stock to The
Frost Group, LLC and Jeffrey G. Spragens in connection with a line of credit of up to $4 million
that was provided to us simultaneously with the closing by The Frost Group, LLC and Jeffrey G.
Spragens. The Warrants have a ten year term and an assumed exercise price of $0.25 per share of
common stock. Dr. Phillip Frost has a controlling interest in The Frost Group LLC and is the
largest beneficial holder of our shares of common stock. Dr. Jane Hsiao and Steven D. Rubin, two of
our directors, also are members of The Frost Group, LLC. Jeffrey G. Spragens is our Chief Executive
Officer and President and a director. Frost Gamma Investments Trust, Dr. Phillip Frost, Dr. Jane
Hsiao, Steven D. Rubin and Jeffrey G. Spragens were also beneficial owners of membership interests
in LLC.
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Accounting Treatment
On September 4, 2007, the Company acquired LLC in a transaction accounted for as a
recapitalization of LLC pursuant to an agreement dated July 25, 2007. For accounting purposes, LLC
is treated as the continuing reporting entity. Since CTS did not have an operating business, the
transaction is not accounted for as a business combination. Instead, the transaction is accounted
for as a recapitalization of LLC and the issuance of stock by LLC (represented by the outstanding
shares of SafeStitch) at the book values of assets and liabilities of SafeStitch, which
approximates fair value with no goodwill or other intangibles recorded.
Treatment of Warrants and Options
LLC did not have any outstanding warrants or options and no warrants or options were assumed
by SafeStitch as a result of the Share Exchange, except warrants issued in connection with the line
of credit described above.
Company Overview
We are a developmental stage medical device company focused on the development of medical
devices that manipulate tissues for obesity, gastroesophageal reflux disease (GERD), Barretts
Esophagus, esophageal obstructions, upper gastrointestinal bleeding, hernia formation and other
intraperitoneal abnormalities through endoscopic and minimally invasive surgery.
We have utilized our expertise in intraperitoneal surgery to test certain of our devices in in
vivo and ex vivo animal trials and ex vivo human trials, and with certain products, in limited in
vivo human trials, and we intend to rapidly, efficiently and safely move into clinical trials for
our devices that are utilized in surgery for the treatment of obesity, GERD and esophageal
obstructions and for the treatment and diagnosis of Barretts Esophagus. Clinical trials for
certain product candidates should begin in 2008.
Our devices are designed to accomplish one or more of the following surgical goals:
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Increased effectiveness |
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Safer |
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Fewer complications |
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Reduced costs |
We believe that we can accomplish these goals by developing devices that, for example, allow
surgery to be performed endoscopically that had previously been performed through an abdominal
incision, including laparoscopically. Devices such as these reduce the need for inpatient hospital
stay, as well as the likelihood of complications and their associated costs.
We plan to leverage our strengths to further develop a pipeline of surgical devices to be
utilized in treating intraperitoneal abnormalities. These efforts may lead to our acquiring or
developing products which aid in surgery for the treatment and diagnosis of gallstones,
appendicitis, cancer of the intestinal tract, kidney cancer, trauma, reproductive disease tumors
and liver conditions.
Dr. Charles Filipi, our Medical Director, has been a pioneer in laparoscopic surgery and
endoluminal surgery at Creighton University and has been the lead physician responsible for the
development of our product candidates. He has relationships with a number of physicians who are
experts in this field and we believe that he will be able to utilize his expertise and these
relationships to facilitate device development and the opportunities mentioned above. We are also
working with leading hernia surgeons. Many of these experts are part of our medical advisory
board.
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Market Opportunity
Obesity is the major factor leading to a number of operations which we intend for our product
candidates to address. The incidence of obesity (defined as 100 pounds over ideal body weight) is
increasing rapidly despite the diet industry and increased public awareness. According to a
National Health and Nutrition Examination Survey, approximately two thirds of individuals living in
the United States are overweight. Approximately 70 million Americans, roughly 25% of the U.S.
population, are currently obese, and according to Epidemiology Review 2007 estimates, in ten years,
100 million Americans, or approximately 35% of the anticipated U.S. population, will be obese.
Obesity is not only growing in the U.S., but is becoming a problem in industrialized countries
worldwide, including China and India. The most common causes of obesity include dietary behavior,
physical inactivity, psychological issues such as anxiety and depression and socio-occupational
factors. In addition, up to 40% of the American adult population has GERD symptoms monthly. GERD
that is untreated over a long period of time can lead to complications, such as Barretts
Esophagus, a precancerous change to the thin layer of tissue lining the esophagus. Barretts
Esophagus can develop into a relatively rare, but often deadly type of cancer of the esophagus.
Another common complication is scar tissue that blocks the movement of swallowed food and drink
through the esophagus.
Alternatives available when considering obesity treatment include exercise and dieting,
prescription drugs, bariatric surgical alternatives and gastric stimulators (not expected to be
available until 2008 at the earliest). Exercise and dieting are often not successful, or, if
successful, the results are often not permanent. In addition, although there are a number of drug
alternatives currently in the market for the treatment of obesity, they often result in moderate
weight loss (typically no more than 10% of body weight).
We believe the market for our product candidates is driven by:
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The aging and heavier population; |
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An active and increased life expectancy among the aging baby-boomer generation; |
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Painful and expensive surgical procedures with a moderate to high incidence of
complications; |
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Emerging technologies to treat obesity, GERD, Barretts Esophagus and other surgical
abnormalities; and |
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An increased awareness of the benefits of minimally invasive surgery. |
Initially, we have prioritized opportunities within gastroenterology that we believe combine
attractive markets with an emerging understanding of intraluminal surgery. In that regard, our
initial key product candidates focus on obesity and obesity-related conditions that often may be
treated by bariatric surgery.
As a result of the foregoing, bariatric surgery has become more prevalent as an alternative.
Approximately 350,000 400,000 bariatric surgical procedures are performed annually worldwide.
Bariatric surgery is usually recommended for those people with a body mass index (BMI) of 35 or
higher or for those who are approximately 100 pounds overweight. Currently the most common methods
of surgery for the morbidly obese include gastric bypass, gastric banding and gastroplasty. By far,
the leading and most successful type of bariatric surgery is gastric bypass. These operations
combine the creation of a small stomach pouch to restrict food intake and the construction of
bypasses of the duodenum and other segments of the small intestine to decrease the ability to
absorb nutrients from food. Other types of bariatric surgery include gastric banding, in which a
small inflatable/dilatable band (which allows the size of the opening between the pouch and the
stomach to be adjusted) is placed around the upper part of the stomach, creating a small pouch, so
that patients feel full sooner, and vertical banding gastroplasty, or stomach stapling, in which a
band and staples are used to create a small stomach pouch. These procedures have a moderate to high
level of complications and are expensive. In addition, they involve significant incisions.
In addition, there are approximately 200,000 250,000 GERD or acid reflux surgical or
transoral procedures performed annually in the world. None of the currently available outpatient
endoscopic procedures have proven effective in reversing inflammation of the esophagus or the
amount of acid reflux. In addition, approximately
2 million esophageal dilations and 20 million endoscopies are performed annually worldwide.
All endoscopies require a bite block.
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Product Candidates
The following describes our product candidates, all of which are in development or
pre-development.
Intraluminal Gastroplasty Device for Obesity (Obesity Device)
The Obesity Device is designed to perform incision-less, endoscopic bariatric surgery by
introduction through the mouth and esophagus. Bariatric surgery is generally performed through an
external abdominal incision, and sometimes laparoscopically. The traditional surgery has the
potential for significant complications, requires an in-patient hospital stay and is expensive.
Our gastroplasty devices are the most tested of our devices. These tests have established the
effectiveness of these devices. In animal tests and ex vivo human testing, the Obesity Device has
been successful in suturing and excising tissue and reducing stomach size by approximately 95%. We
presently expect to conduct the first in vivo human testing of this device in 2008. We believe that
this device will result in significantly less complications and expense, both because of the
less-invasive manner in which the procedure will be performed and the reduced recuperation time.
We believe this device to be a Class II 510k device that will require IDE (investigational device
exemption) clinical data for FDA approval.
Intraluminal Gastroplasty Device for GERD (the GERD Device)
The GERD Device contains the same features as the Obesity Device and is designed to promote
healing at the gastroesophageal junction to prevent acid reflux. In GERD patients, the esophageal
junction does not close completely and acid or bile from the stomach enters the esophagus. Both the
hydrochloric acid or bile from the stomach can damage the esophagus. Typically, surgery is
performed through either an external abdominal incision, or laparoscopically. The traditional
surgery has the potential for significant complications, requires a two-three day inpatient
hospital stay and is expensive. Like the obesity device, the GERD Device is inserted through the
mouth and esophagus. The benefits are similar to those of the Obesity Device. We believe that this
device will result in significantly more effective treatment and less complications and expense and
will permit the procedure to be performed on an outpatient basis.
We have successfully tested a prototype of this device in two patients with Creighton
University Institutional Review Board (IRB) permission. We presently expect to continue in vivo
human testing of this device in 2008. We believe this device to be a Class II 510k device that
will require IDE clinical data for FDA approval.
Barretts Excision and Ablation Device for Treatment and Diagnosis (Barretts Device)
The Barretts Device is the only device we are aware of designed to assist in both diagnosis
of and treatment of Barretts Esophagus. Barretts Esophagus is the lining of the esophagus that
imitates the stomach mucosa, beginning at the esophageal junction and migrating upward. Barretts
esophageal tissue is pre-cancerous and can result in difficulty in swallowing, spreading malignancy
and death.
Existing treatments include medication, laparoscopic surgery and cauterization. The Barretts
Device allows the mucosa to be suctioned, sliced off and tested. The device also allows for
cauterization of the affected area. If the Barretts Esophagus covers all four quadrants of the
esophagus, at least two procedures are necessary, each covering up to one half of the
circumference, as a 360° excision would create a stricture that would cause difficulty swallowing.
We expect that the procedures will be done two months apart. No incision is required, and the
procedure will be an outpatient procedure. We expect this device to be more effective and less
costly than existing procedures.
In over ten in vivo and ex vivo animal tests and five ex vivo human tests, the Barretts
Device has been successful in excision width, length, depth and contour. We presently expect to
conduct the first human testing of
the Barretts Device by the end of 2008. We believe this device to be a Class II 510k device
that will require IDE clinical data for FDA approval.
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Smart Dilator
Dilators are used when an endoscopy demonstrates the narrowing of the esophagus. Narrowing may
be treated by medication for GERD or by using a dilator to expand the esophagus. Studies indicate
that there are approximately 10,000 perforations of the esophagus per year resulting from dilation.
According to peer-reviewed literature, dilation results in a 0.5-1.0% perforation rate.
Approximately 800,000 dilations are performed in the United States each year. Untreated perforation
of the esophagus is fatal; usually within two days. Our testing has shown that there should be no
greater than two pounds of pressure on the dilator. The Smart Dilator signals the physician as to
how close he or she is to this amount of pressure through change in the color of the dilator handle
from green to yellow to red. The Smart Dilator handle also locks in place when the pressure exceeds
2.5 pounds. While there are numerous dilators on the market, none provide a safety mechanism
similar to what will be provided by the Smart Dilator.
Limited ex vivo and in vivo animal tests and ex vivo human tests were performed to assist us
in simulating the use of this product in patients and to develop specifications. We have received
Creighton University IRB approval to perform a study on the Smart Dilator. We anticipate that this
study will commence mid-2008. We believe this device to be a Class II 510k device that will
require IDE clinical data for FDA approval.
Standard Bite Block
A bite block is used to protect the endoscope used in transoral gastrointestinal procedures
and is required in all such procedures. A number of bite blocks are on the market. Our Standard
Bite Block provides a higher level of protection as it is less easily expelled from the mouth. The
Standard Bite Block is designed with a bigger lip and slightly different aperture than other bite
blocks. Because this is a Class I device, it has not been necessary to do significant testing;
however, Creighton University Medical Center has approved a bite block study which will commence
mid-2008. See -FDA Regulation of the Design, Manufacture and Distribution of Medical Devices.
This product candidate was tested for comfort in in vivo human patients. Endoscopic procedures have
not yet been attempted with this device. We believe this to be a Class I 510k exempt device.
Airway Bite Block
The Airway Bite Block has an airway built into the bite block to assist patients with larger
tongues or smaller throats, usually because of obesity, in breathing during an endoscopic
procedure. The Airway Bite Block will also be tested under IRB approval at Creighton University,
which will commence mid-2008. The Airway Bite Block will come in two sizes. This product candidate
has only been tested in a human cadaver. We believe this to be a Class I 510k exempt device.
T Fasteners for Upper GI Bleeding (T Fastener Gun)
The T Fastener Gun delivers small metal fasteners at the end of an endoscope. We believe that
our T Fastener Gun can provide full-thickness stomach wall suturing for control of gastric
bleeding. Existing devices apply energy or clips that are often too superficial, resulting in
rebleeding. The T Fastener suture end is tightened, and because it is full thickness bite, a
larger amount of tissue will compress the bleeding vessel.
The T Fastener Gun is in an early stage of development and has undergone in vivo and ex vivo
animal studies. These tests have established the feasibility of the T Fastener Gun.
Novel Surgical Fasteners for Hernia Repairs and Other Surgical Procedures (Surgical
Fasteners)
This Surgical Fastener is an absorbable or non-absorbable staple with a stapler for the repair
of inguinal or groin hernias. The staples are utilized to fix mesh in place. The mesh helps
prevent the recurrence of a hernia. The absorbable nature of the staples may reduce the incidence
of chronic postoperative pain, which affects
approximately 20% of patients. The staples will also decrease operative time as they are
easier and faster to apply. We are continuing to develop these devices.
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Novel Devices for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
Natural Orifice Transluminal Endoscopic Surgery or NOTES is a new method of operating in the
abdominal cavity without making an incision in the abdominal wall. This surgery is also referred to
as NO SCAR surgery. The natural orifices used in this type of procedure are the mouth and the
rectum and, in females, the vagina. If the mouth is used, instruments are passed through this
natural orifice out of the stomach and into the abdominal cavity.
NOTES includes surgeries for gallbladder removal, appendectomy, tubal ligation, removal of
intestinal and reproductive organ cancer and hernia repair, all through the gastric, rectal or
vaginal walls as indicated above. Surgery utilizing the NOTES approach requires stabilization of
long flexible instruments and the organs to be operated upon. SafeStitch has received a license
from Creighton University for a patent application for a magnetic gallbladder retractor that would
enable improved operative exposure for gallbladder removal, as well as other devices to assist in
NOTES procedures.
Intellectual Property
We have exclusively licensed technology, know-how and patent applications from Creighton
University for all of our product candidates. These applications include systems and techniques for
minimally invasive gastrointestinal procedures, a dilator for use with an endoscope, bite blocks
for use with an endoscope and for preserving airways of patients during endoscopy, surgical
fasteners, a T-Fastener Gun and NOTES. In addition, we have certain rights to other Creighton
University intellectual property that we have not yet defined as product candidates.
In total, we have exclusively licensed from Creighton University seven patent applications in
the United States and four foreign patent applications.
Pursuant to our exclusive license and development agreement with Creighton University, we own
all inventions conceived of and reduced to practice solely by our employees and agents, and all
patent applications and patents claiming such inventions developed without the use of any licensed
patent rights or associated know-how and Creighton University owns all inventions conceived of and
reduced to practice solely by Dr. Filipi, or any university employees or agents who work directly
with Dr. Filipi in the course of performing duties for us, and all patent applications and patents
claiming such inventions, which inventions, patent applications and all resulting licensed patent
rights are subject to the exclusive license and development agreement. Together with the university
we jointly own all inventions conceived of and reduced to practice jointly by Dr. Filipi, and/or
any university employees or agents who work directly with him and our employees or agents.
Notwithstanding, the university owns all inventions conceived of or reduced to practice under the
research and development budget, and all patent applications and patents claiming such inventions,
even if conceived of solely by our employees or agents, and such inventions, patent applications
and all resulting licensed patent rights are subject to the exclusive license and development
agreement.
Creighton University is obligated to file, prosecute and maintain all licensed patents and all
patent applications and patents disclosing and claiming inventions made in whole or in part by
university employees, agents or contractors resulting from the research and development the
university engages in on our behalf in such countries as we designate. We have the right, but not
the obligation, at our sole expense, to enforce our licensed patent rights and associated know-how
under the exclusive license and development agreement against any infringer, including the right to
file suit for patent infringement naming Creighton University as a party, and the right to settle
such suit with the universitys consent, which shall not be unreasonably withheld. The University
is entitled to 1.5% of any amount collected as a result of such judgment or settlement. In the
event that we choose not to file suit for patent infringement within 180 days after becoming aware
of infringement, Creighton University shall have the right, but not the obligation, at its sole
expense, to enforce the licensed patent rights and associated know-how against any infringer,
including the right to file suit for patent infringement naming us as a party, and the right
to settle such suit with our consent, which shall not be unreasonably withheld. The
university shall pay us 1.5% of any amount collected as a result of such judgment or settlement.
10
We believe that technological innovation is driving breakthroughs in the surgical markets that
we intend to service. We intend to adopt a comprehensive intellectual property strategy which will
blend our efforts toward focused innovation with our business development activities designed to
strategically in-source intellectual property rights.
We intend to develop, protect and defend our own intellectual property rights as dictated by
the developing competitive environment. We value our intellectual property assets and believe we
have benefited from our relationship with Creighton University and Dr. Filipi.
Licenses and Collaborative Relationships; Research and Development
Our strategy is to develop a portfolio of product candidates through a combination of internal
development and external partnerships. Collaborations are key to our strategy, and, on May 26,
2006, we entered into an exclusive worldwide license and development agreement with Creighton
University granting us the rights to license and sublicense all of our product candidates and
associated know-how, including the exclusive right to manufacture, use and sell the product
candidates. The foregoing license is exclusive even with respect to Creighton University. In
addition, for 36 months, we have an option to accept or reject for continued development any
additional devices, materials and methods used in the practice of bariatric medicine and treatment
of GERD, transoral surgical techniques and all alimentary and gastrointestinal components
associated therewith, including but not limited to the esophagus, stomach, intestines and digestive
tract, as well as such abnormalities as gastric bleeding, hernias and other medical conditions that
may benefit from such technologies.
During
such time as we sell any product licensed under this agreement, we are obligated to pay Creighton
University, on a quarterly basis, a royalty of 1.5% of the revenue
collected worldwide from such sales, less certain amounts, including, without
limitation, chargebacks, credits, taxes, duties and discounts or rebates. The agreement does not
provide for minimum royalties.
Pursuant to the agreement, Creighton University shall provide all necessary facilities,
including animal research laboratories, to accommodate Dr. Filipis research and development of any
licensed product and shall be compensated by us for use of such facilities as provided in the
research and development agreement, which is updated annually. In 2006 and 2007, we recorded an
expense of $112,016 and $321,733, respectively, in satisfaction of the indirect cost allowance
equal to 20% of the direct and personnel costs for services conducted at the university or company
facilities. Pursuant to the agreement, the university has agreed that Dr. Filipi shall devote at
least 90% of his working time during the four-year period that began May 26, 2006, and at least 50%
of his time during the two years thereafter, towards the research and development of any licensed
product under the agreement, including the development of any such product to a final design and
prototype as a commercially viable product. The agreement further provides that Dr. Filipi shall
assist us with the prosecution of any and all patent applications related to any such products
developed under the agreement.
We have agreed to invest in the aggregate, at least $2.5 million over 36 months towards
development of any licensed product, not including the first $150,000 of costs related to the
prosecution of patents, which we have done. Our failure to do so would have resulted in all rights
in the licensed patents and know-how reverting back to the university. Through December 31, 2007,
we had invested $2,709,183 in the licensed products, inclusive of our costs to date relating to
prosecution of patents. Pursuant to the agreement, we are entitled to exercise our own business
judgment and sole and absolute discretion over the marketing, sale, distribution, promotion, or
other commercial exploitation of any licensed products, provided that if we have not commercially
exploited or commenced development of a licensed patent and its associated know-how by the seventh
anniversary of the later of the date of the agreement or the date such technology is disclosed to
and accepted by us, then the licensed patent and associated know-how shall revert back to the
university, with no rights retained by us, and the university will have the right to seek a third
party with whom to commercialize such patent and associated know-how, unless we purchase one year
extensions. In addition to the expenses in connection with our agreement with Creighton
University, we have incurred research and development expenses of $1,636,000 and $748,000 for the
years ended December 31, 2007 and 2006, respectively.
11
Competition
The market for our products is highly competitive due to the large number of products
competing for market share and significant levels of commercial resources being utilized to promote
those products. Competitors include USGI Medical, TOGa devices from Satiety and StomaphyX and
EsophyX from Endo Gastric Solutions, Inc. with respect to our Obesity Device; USGI Medical, NDO
Surgical, Inc. and Medigus, Ltd. with respect to our GERD Device, Olympus Medical Equipment
Services America, Inc. and BARRX Medical, Inc. with respect to our Barretts Device, Olympus and
Wilson Cook with respect to gastrointestinal bleeding; Bard, LLC, ConMed Corporation, U.S.
Endoscopy, Omni Medical Supply, Inc. and Olympus with respect to our bite blocks and Boston
Scientific Corporation, Cook Medical Supply, Inc., Miller Medical Specialties, U.S. Endoscopy and
The Rush Incorporated with respect to our dilator. There are also a significant number of bite
blocks on the market. In addition, our ability to compete may be affected because of the failure to
educate physicians or the level of physician expertise. This may have the effect of making our
product less attractive to buyers. Among the products with which we will directly compete, we
expect to differentiate on the basis of enhanced safety, effectiveness and efficiency, as well as
lower cost, in most cases. Several medical device companies are actively engaged in research and
development of treatments for gastrointestinal abnormalities similar to the gastrointestinal
abnormalities that are targeted by our product candidates. We cannot predict the basis upon which
we will compete with new products marketed by others. Many of our competitors have substantially
greater financial, operational, sales and marketing and research and development resources than we
have.
As indicated, there are also other methods to treat obesity, such as diet, exercise and
medicine. Other competitors have developed products such as medical implants that occupy volume in
the stomach to promote the feeling of satiety (Helioscopie) or gastric sleeves to reduce food
intake.
Government Regulation of our Medical Device Development Activities
Healthcare is heavily regulated by the federal government and by state and local governments.
The federal laws and regulations affecting healthcare change constantly thereby increasing the
uncertainty and risk associated with any healthcare-related venture.
The federal government regulates healthcare through various agencies, including but not
limited to the following: (i) the FDA which administers the Food, Drug, and Cosmetic Act (FD&C
Act), as well as other relevant laws; (ii) the Centers for Medicare & Medicaid Services (CMS)
which administers the Medicare and Medicaid programs; (iii) the Office of Inspector General
(OIG), which enforces various laws aimed at curtailing fraudulent or abusive practices, including
by way of example, the Anti-Kickback Law, the Anti-Physician Referral Law, commonly referred to as
Stark, the Anti-Inducement Law, the Civil Money Penalty Law, and the laws that authorize the OIG to
exclude health care providers and others from participating in federal healthcare programs; and
(iv) the Office of Civil Rights which administers the privacy aspects of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA). All of the aforementioned are agencies
within the Department of Health and Human Services (HHS). Healthcare is also provided or
regulated, as the case may be, by the Department of Defense through its TriCare program, the
Department of Veterans Affairs under, among other laws, the Veterans Health Care Act of 1992, the
Public Health Service within HHS under the Public Health Service Act, the Department of Justice
through the Federal False Claims Act and various criminal statutes, and state governments under the
Medicaid program and their internal laws regulating all healthcare activities.
FDA Regulation of the Design, Manufacture and Distribution of Medical Devices
The testing, manufacture, distribution, advertising and marketing of medical devices are
subject to extensive regulation by federal, state and local governmental authorities in the United
States, including the FDA, and by similar agencies in other countries. Any product that we develop
must receive all relevant regulatory clearances or approvals, as the case may be, before it may be
marketed in a particular country. Under United States law, a medical device (device) is an
article, which, among other things, is intended for use in the diagnosis of disease or other
conditions, or in the cure, mitigation, treatment or prevention of disease, in man or other
animals. See FD&C Act § 201(h). Substantially all of the devices being developed by SafeStitch
are classified as medical devices and subject to regulation by numerous agencies and legislative
bodies, including the FDA and comparable foreign counterparts.
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Devices are subject to varying levels of regulatory control, the most comprehensive of which
requires that a clinical evaluation be conducted before a device receives approval for commercial
distribution. The FDA classifies medical devices into one of three classes. Class I devices are
relatively simple and can be manufactured and distributed with general controls. Class II devices
are somewhat more complex and require greater scrutiny. Class III devices are new and frequently
help sustain life.
In the United States, a company generally can obtain permission to distribute a new device in
two ways. The first applies to any device that is substantially equivalent to a device first
marketed prior to May 1976 or to another device marketed after that date, but which was
substantially equivalent to a pre-May 1976 device. These devices are either Class I or Class II
devices. To obtain FDA permission to distribute our devices, we generally must submit a pre-market
notification application (a section 510(k) submission), and receive an FDA order finding
substantial equivalence to a predicate device (pre-May 1976 or post-May 1976 device that was
substantially equivalent to a pre-May 1976 device) and permitting commercial distribution of that
device for its intended use. A 510(k) submission must provide information supporting its claim of
substantial equivalence to the predicate device. FDA permits certain low risk medical devices to be
marketed without requiring the manufacturer to submit a premarket notification. In other
instances, FDA may require that a premarket notification not only be submitted, but also be
accompanied by clinical data. If clinical data from human experience are required to support the
510(k) submission, these data must be gathered in compliance with investigational device exemption
(IDE) regulations for investigations performed in the United States. The FDA review process for
premarket notifications submitted pursuant to section 510(k) takes on average about 90 days, but it
can take substantially longer if the agency has concerns, and there is no guarantee that the agency
will clear the device for marketing, in which case the device cannot be distributed in the United
States. Nor is there any guarantee that the agency will deem the article subject to the 510(k)
process, as opposed to the more time-consuming, resource intensive and problematic, premarket
approval (PMA) process described below.
The second, more comprehensive, approval process applies to a new device that is not
substantially equivalent to a pre-1976 product or to one that is to be used in supporting or
sustaining life or preventing impairment. These devices are normally Class III devices and can
only be marketed following approval of a PMA For example, most implantable devices are subject to
the approval process. Two steps of FDA approval generally are required before a company can market
a product in the U.S. that is subject to approval as opposed to clearance. First, a company must
comply with IDE regulations in connection with any human clinical investigation of the device,
however, those regulations permit a company to undertake a clinical study of a non-significant
risk device without formal FDA approval. Prior express FDA approval is required if the device is
a significant risk device. If there is any doubt as to whether a device is a non-significant
risk device, companies normally seek prior approval from the FDA. Second, the FDA must review
SafeStitchs PMA application, which contains, among other things, clinical
information acquired under the IDE. The FDA will approve the PMA application if it finds there is
reasonable assurance the device is safe and effective for its intended use. The PMA process takes
substantially longer than the 510(k) process.
We believe that our Obesity Device and other of the products we have licensed are
substantially equivalent, as that term is used by the FDA, to devices that have been cleared for
marketing by the FDA under the 510(k) process. However, it is uncertain at this time whether the
licensed Obesity Device or any other licensed product that we propose to manufacture and distribute
would be subject to the 510(k) process or the more elaborate PMA process, and it is also unclear
the types of clinical data, if any, that FDA might require as part of a premarket notification
under the 510(k) process or a PMA application under section 515, as the case may be. It is also
unclear whether the FDA would view the Obesity Device as a significant risk device, requiring
prior FDA approval to conduct a clinical study involving that Device. We have not yet sought FDA
approval to conduct any clinical studies of any of our licensed products in the United States and
no such studies have been conducted domestically. There is no assurance that the FDA would permit
us to conduct such clinical studies and no assurance that the FDA would agree with our study
design, statistical methods or endpoints.
Even when a clinical study has been approved by the FDA or deemed approved, the study is
subject to factors beyond a manufacturers control, including, but not limited to the fact that the
institutional review board at a given clinical site might not approve the study, might decline to
renew approval which is required annually, or might suspend or terminate the study before the study
has been completed. Also, the interim results of a study may not be satisfactory, leading the
sponsor to terminate or suspend the study on its own initiative or the FDA may terminate or
13
suspend the study. There is no assurance that a clinical study at any given site will
progress as anticipated; there may be an insufficient number of patients who qualify for the study
or who agree to participate in the study, or the investigator at the site may have priorities other
than the study. Also, there can be no assurance that the clinical study will provide sufficient
evidence to assure the FDA that the product is safe and effective, a prerequisite for FDA approval
of a PMA, or substantially equivalent in terms of safety and effectiveness to a predicate device, a
prerequisite for clearance under 510(k). Even if the FDA approves or clears a device, it may limit
its intended uses in such a way that manufacturing and distributing the device may not be
commercially feasible.
After clearance or approval to market is given, the FDA and foreign regulatory agencies, upon
the occurrence of certain events, are authorized under various circumstances to withdraw the
clearance or approval or require changes to a device, its manufacturing process or its labeling or
additional proof that regulatory requirements have been met.
A manufacturer of a device approved through the PMA is not permitted to make changes to the
device which affect its safety or effectiveness without first submitting a supplement application
to its PMA and obtaining FDA approval for that supplement. In some instances, the FDA may require
clinical trials to support a supplement application. A manufacturer of a device cleared through
the 510(k) must submit another premarket notification if it intends to make a change or
modification in the device that could significantly affect the safety or effectiveness of the
device, such as a significant change or modification in design, material, chemical composition,
energy source or manufacturing process. Any change in the intended uses of a PMA device or a
510(k) device requires an approval supplement or cleared premarket notification. Exported devices
are subject to the regulatory requirements of each country to which the device is exported, as well
as certain FDA export requirements.
A company that intends to manufacture medical devices is required to register with the FDA
before it begins to manufacture the device for commercial distribution. As a result, we and any
entity that manufactures products on our behalf will be subject to periodic inspection by the FDA
for compliance with the FDAs Quality System Regulation requirements and other regulations. In the
European Community, we will be required to maintain certain International Organization for
Standardization (ISO) certifications in order to sell products and we or our manufacturers
undergo periodic inspections by notified bodies to obtain and maintain these certifications. These
regulations require us or our manufacturers to manufacture products and maintain documents in a
prescribed manner with respect to design, manufacturing, testing and control activities. Further,
we are required to comply with various FDA and other agency requirements for labeling and
promotion. The Medical Device Reporting regulations require that we provide information to the FDA
whenever there is evidence to reasonably suggest that a device may have caused or contributed to a
death or serious injury or, if a malfunction were to occur, could cause or contribute to a death or
serious injury. In addition, the FDA prohibits us from promoting a medical device for unapproved
indications.
The FDA in the course of enforcing the FD&C Act may subject a company to various sanctions for
violating FDA regulations or provisions of the Act, including requiring recalls, issuing Warning
Letters, seeking to impose civil money penalties, seizing devices that the agency believes are
non-compliant, seeking to enjoin distribution of a specific type of device or other product,
seeking to revoke a clearance or approval, seeking disgorgement of profits and seeking to
criminally prosecute a company and its officers and other responsible parties.
Third-Party Payments, Especially Payments by Medicare and Medicaid
A. Medicare Coverage
Inasmuch as a percentage of the projected patient population that could potentially benefit
from our devices are elderly, Medicare would likely be a potential source of reimbursement.
Medicare is a federal program that provides certain hospital and medical insurance benefits to
persons age 65 and over, certain disabled persons, persons with end-stage renal disease and those
suffering from Lou Gehrigs Disease. In contrast, Medicaid is a medical assistance program jointly
funded by federal and state governments and administered by each state pursuant to which benefits
are available to certain indigent patients. The Medicare and Medicaid statutory framework is
subject to administrative rulings, interpretations and discretion that affect the amount and timing
of reimbursement made under Medicare and Medicaid.
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Medicare reimburses for medical devices in a variety of ways depending on where and how the
device is used. However, Medicare only provides reimbursement if CMS determines that the device
should be covered and that the use of the device is consistent with the coverage criteria. A
coverage determination can be made at the local level (Local Coverage Determination) by the
Medicare administrative contractor (formerly called carriers and fiscal intermediaries), a private
contractor that processes and pays claims on behalf of CMS for the geographic area where the
services were rendered, or at the national level by CMS through a National Coverage Determination.
There are new statutory provisions intended to facilitate coverage determinations for new
technologies under the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA)
§§ 731 and 942, but it is unclear how these new provisions will be implemented. Coverage
presupposes that the device has been cleared or approved by the FDA and, further, that the coverage
will be no broader than the approved intended uses of the device (i.e., the devices label) as
cleared or approved by the FDA, but coverage can be narrower. In that regard, a narrow Medicare
coverage determination may undermine the commercial viability of a device.
CMS has issued a National Coverage Determination with respect to bariatric surgery under which
CMS will cover the surgery only for treatment of co-morbidities associated with morbid obesity, and
only under the following conditions:
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Medicare beneficiary has a body-mass index of 35 or greater, |
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Medicare beneficiary has at least one co-morbidity related to obesity such as diabetes
or hypertension, |
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Medicare beneficiary has been previously unsuccessful with medical treatment for
obesity, and |
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Procedure is performed in an approved facility listed at http://www.cms.hhs.gov |
It is unclear whether the type of bariatric surgery that would rely on our primary device
would be covered under the National Coverage Determination noted above.
Seeking to modify a coverage determination, whether local or national, is a time-consuming,
expensive and highly uncertain proposition, especially for a new technology, and inconsistent local
determinations are possible. On average, according to an industry report, Medicare coverage
determinations for medical devices lag 15 months to five years or more behind FDA approval for
respective devices. Moreover, Medicaid programs and private insurers are frequently influenced by
Medicare coverage determinations. Our inability to obtain a favorable coverage determination may
adversely affect our ability to market our products and thus, the commercial viability of our
products.
B. Medicare Reimbursement Levels
Even if Medicare covers the procedure that uses our devices the level of reimbursement may not
be sufficient for commercial success. The Medicare reimbursement levels for covered procedures are
determined annually through two sets of rulemakings, one for outpatient departments of hospitals
under the Outpatient Prospective Payment System (OPPS) and the other, for procedures in
physicians offices under the Resource-Based Relative Value Scales (RBRVS) (the Medicare fee
schedule). If the use of a device is covered by Medicare, a physicians ability to bill a Medicare
patient more than the Medicare allowable amount is significantly constrained by the rules limiting
balance billing. For covered services in a physicians office, Medicare normally pays 80% of the
Medicare allowable amount and the beneficiary pays the remaining 20%, assuming that the beneficiary
has met his or her annual Medicare deductible and is not also a Medicaid beneficiary. For services
performed in an outpatient department of a hospital, the patients co-payment under Medicare may
exceed 20%, depending on the service and depending on whether CMS has set the co-payment at greater
than 20%. Usually, Medicaid pays less than Medicare, assuming that the state covers the service.
In addition, private payors, including managed care payors, increasingly are demanding discounted
fee structures and the assumption by healthcare providers of all or a portion of the financial
risk. Efforts to impose greater discounts and more stringent cost controls upon healthcare
providers by private and public payors are expected to continue.
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Significant limits on the scope of services covered or on reimbursement rates and fees on
those services that are covered could have a material adverse effect on our ability to
commercialize our devices and therefore, on our liquidity and financial condition.
Anti-Fraud and Abuse Rule
There are extensive federal and state laws and regulations prohibiting fraud and abuse in the
healthcare industry that can result in significant criminal and civil penalties that can materially
affect us. These federal laws include, by way of example, the following:
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The anti-kickback statute (Section 1128B(b) of the Social Security Act) prohibits
certain business practices and relationships that might affect the provision and cost of
healthcare services reimbursable under Medicare, Medicaid and other federal healthcare
programs, including the payment or receipt of remuneration for the referral of patients
whose care will be paid by Medicare or other governmental programs; |
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The physician self-referral prohibition (Ethics in Patient Referral Act of 1989, as
amended, commonly referred to as the Stark Law, Section 1877 of the Social Security Act),
which prohibits referrals by physicians of Medicare or Medicaid patients to providers of a
broad range of designated healthcare services in which the physicians (or their immediate
family members) have ownership interests or with which they have certain other financial
arrangements. |
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The anti-inducement law (Section 1128A(a)(5) of the Social Security Act), which
prohibits providers from offering anything to a Medicare or Medicaid beneficiary to induce
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The False Claims Act (31 U.S.C. § 3729 et seq.), which prohibits any person from
knowingly presenting or causing to be presented false or fraudulent claims for payment to
the federal government (including the Medicare and Medicaid programs); and |
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The Civil Monetary Penalties Law (Section 1128A of the Social Security Act), which
authorizes the United States Department of Health and Human Services to impose civil
penalties administratively for fraudulent or abusive acts. |
Sanctions for violating these federal laws include criminal and civil penalties that range
from punitive sanctions, damage assessments, monetary penalties, imprisonment, denial of Medicare
and Medicaid payments or exclusion from the Medicare and Medicaid programs, or both. These laws
also impose an affirmative duty on those receiving Medicare or Medicaid funding to ensure that they
do not employ or contract with persons excluded from the Medicare and other government programs.
Many states have adopted or are considering legislative proposals similar to the federal fraud
and abuse laws, some of which extend beyond the Medicare and Medicaid programs, to prohibit the
payment or receipt of remuneration for the referral of patients and physician self-referrals
regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also
adopted or are considering legislative proposals to increase patient protections, such as limiting
the use and disclosure of patient specific health information. These state laws also impose
criminal and civil penalties similar to the federal laws.
In the ordinary course of their business, medical device manufacturers and suppliers have been
and are subject regularly to inquiries, investigations and audits by federal and state agencies
that oversee these laws and regulations. Recent federal and state legislation has greatly
increased funding for investigations and enforcement actions, which have increased dramatically
over the past several years. This trend is expected to continue. Private enforcement of
healthcare fraud also has increased due in large part to amendments to the civil False Claims Act
in 1986 that were designed to encourage private persons to sue on behalf of the government. These
whistleblower suits by private persons, known as qui tam relators, may be filed by almost anyone,
including present and former patients
or nurses and other employees, as well as competitors. HIPAA, in addition to its privacy
provisions, created a series of new healthcare-related crimes.
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As federal and state budget pressures continue, federal and state administrative agencies may
also continue to escalate investigation and enforcement efforts to root out waste and to control
fraud and abuse in governmental healthcare programs. A violation of any of these federal and state
fraud and abuse laws and regulations could have a material adverse effect on a suppliers liquidity
and financial condition. A investigation into the use of a device by physicians may dissuade
physicians from either purchasing or using the device. This could have a material adverse effect
on our ability to commercialize our devices.
The Privacy Provisions of HIPAA
HIPAA, among other things, protects the privacy and security of individually identifiable
health information by limiting its use and disclosure. HIPAA directly regulates covered
entities, such as healthcare providers, insurers and clearinghouses, and indirectly regulates
business associates, with respect to the privacy of patients medical information. All entities
that receive and process protected health information are required to adopt certain procedures to
safeguard the security of that information. It is uncertain whether we would be deemed to be a
covered entity under HIPAA and it is unlikely that we, based on our current business model, would
be a business associate. Nevertheless, we will likely be contractually required to physically
safeguard the integrity and security of any patient information that we receive, store, create or
transmit. If we fail to adhere to our contractual commitments, then our physician or hospital
customers may be subject to civil monetary penalties, which could adversely affect our ability to
market our devices.
Manufacturing
We have no commercial manufacturing facilities and we currently do not intend to build
commercial manufacturing facilities of our own in the foreseeable future. We intend to enter into
agreements with various third parties for the formulation and manufacture of our products. We have
entered into agreements with several third party manufacturers for the manufacture of prototypes
for certain of our products. These suppliers and their manufacturing facilities must comply with
FDA regulations, current quality system regulations (referred to as QSRs), which include current
good manufacturing practices, or cGMPs, and to the extent laboratory analysis is involved, current
good laboratory practices, or cGLPs. We have recently acquired our own prototype lab located in
Miami, Florida, where we make prototypes for testing, including for limited use in animal or human
clinical testing.
Sales & Marketing
We currently do not have sales or marketing personnel. In order to commercialize any products
that are approved for commercial sale, we must either build a sales and marketing infrastructure or
collaborate with third parties with sales and marketing experience. We may build our own sales and
marketing infrastructure to market some of our product candidates targeting gastrointestinal
specialists in certain regions or collaborate with companies established in this industry to market
and sell certain of our products, if cleared or approved, as the case may be. Such collaborations
could take the form of joint ventures or sales, marketing or distribution agreements. We intend to
distribute our products through companies established in the industry.
Employees
As of December 31, 2007, we had eight full-time employees, four of whom hold advanced
degrees. We plan to add to our headcount in key functional areas that will allow us to further the
development of our product candidates. None of our employees are represented by a collective
bargaining agreement.
Glossary of Terms
Barretts Esophagus is a complication of severe chronic GERD involving changes in the cells
of the tissue that line the bottom of the esophagus. These cells become irritated when the
contents of the stomach back up (refluxes), resulting in a small, but definite, increased risk of
cancer of the esophagus. The diagnosis results upon
seeing (through endoscopy) an orange esophageal lining (mucosa) that extends a short distance
(usually less than 2.5 inches) up the esophagus from the gastroesophageal junction and findings of
intestinal type cells (goblet cells) seen on histological examinations of biopsy tissue.
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Bariatric relates to the branch of medicine that deals with the treatment of obesity and
allied diseases.
Endoscopic is a procedure utilizing an illuminated, usually fiber-optic flexible or rigid
tubular instrument, for visualizing the interior of a hollow organ or part (such as the esophagus)
for diagnostic or therapeutic purposes that typically has one or more channels to enable passage of
instruments.
Ex vivo means outside of a living animal or human.
Gastroplasty is surgical treatment of the stomach used to decrease the size of the stomach.
GERD is gastrointestinal reflux disease, a highly variable chronic condition that is
characterized by periodic episodes of acid reflux usually accompanied by heartburn and that may
result in histopathologic changes in the esophagus.
Histological relates to the tissue changes characteristic of disease or that affect a part
of or accompany a disease.
Intraluminal within the lumen of a hollow organ. Hollow organs include the esophagus.
stomach and small and large intestines, as well as the heart, arteries, veins, ureter and urethra.
Intraperitoneal refers to within the abdominal cavity.
In vivo means inside of a living animal or human.
Laparoscopic is surgery utilizing a small incision to examine the abdominal cavity.
Lumen is the central opening in a hollow organ.
Medical device is an article, which, among other things, is intended for use in the
diagnosis of disease or other conditions, or in the cure, mitigation, treatment or prevention of
disease, in man or other animals.
Transoral refers to procedures originating through the mouth.
Transluminal is the egress of instrumentation through the intestinal wall.
Item 1A. Risk Factors.
An investment in our company involves a significant level of risk. Investors should carefully
consider the risk factors described below together with the other information included in this
Annual Report on Form 10-KSB. If any of the risks described below occurs, or if other risks not
identified below occur, our business, financial condition, and results of operations could be
materially adversely affected.
We have a history of operating losses and we do not expect to become profitable in the near
future.
We are a pre-clinical stage medical device company with a limited operating history. We are
not profitable and have incurred losses since our inception. We do not anticipate that we will
generate revenue from the sale of products for the foreseeable future. We have not yet submitted
any products for clearance or approval by regulatory authorities and we do not currently have
rights to any product candidates that have been cleared or approved for marketing in our territory.
We continue to incur research and development and general and administrative expenses related to
our operations. Our net losses for the years ended December 31, 2007 and 2006 and for the partial
year from September 15, 2005 until December 31, 2005 were ($3,041,000), $(1,059,000) and $(75,000),
respectively. As
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of December 31, 2007, we had an accumulated deficit of ($4,177,000). We expect to continue to
incur losses for the foreseeable future, and we expect these losses to increase as we continue our
research activities and conduct development of, and seek regulatory clearances and approvals for,
our product candidates, and prepare for and begin to commercialize any cleared or approved
products. If our product candidates fail in clinical trials or do not gain regulatory clearance or
approval, or if our product candidates do not achieve market acceptance, we may never become
profitable. Even if we achieve profitability in the future, we may not be able to sustain
profitability in subsequent periods.
Our technologies are in an early stage of development and are unproven.
We are engaged in the research and development of intraluminal medical devices that manipulate
tissues for the treatment of intraperitoneal abnormalities, including obesity, GERD, Barretts
Esophagus, esophageal obstructions, upper gastrointestinal bleeding and hernia formation. The
effectiveness of our technologies is not well-known in, or accepted generally by, the clinical
medical community. There can be no assurance that we will be able to successfully employ our
technologies as surgical, therapeutic or diagnostic solutions for any intraperitoneal
abnormalities. Our failure to establish the efficacy and safety of our technologies would have a
material adverse effect on our business.
Our product research and development activities may not result in commercially viable
products.
Our product candidates are all in very early stages of development and are prone to the risks
of failure inherent in medical device product development; but none of our products has been
studied in clinical trials. We will likely be required to undertake significant clinical trials to
demonstrate to the FDA that our licensed devices are either safe and effective for their intended
uses or are substantially equivalent in terms of safety and effectiveness to an existing, lawfully
marketed non-PMA device. We may also be required to undertake clinical trials by non-U.S.
regulatory agencies. Clinical trials are expensive and uncertain processes that may take years to
complete. Failure can occur at any point in the process, and early positive results do not ensure
that the entire clinical trial will be successful. Product candidates in clinical trials may
fail to show desired efficacy and safety traits despite early promising results. A number of
companies in the medical device industry have suffered significant setbacks in advanced clinical
trials, even after obtaining promising results at earlier points.
The results of previous animal trials and pre-clinical trials may not be indicative of future
results, and our current and planned clinical trials may not satisfy the requirements of the FDA or
other non-U.S. regulatory authorities.
The results of previous animal trials and pre-clinical and clinical trials of similar devices
may not be predictive of future results, and our current and planned clinical trials may not
satisfy the requirements of the FDA or other non-U.S. regulatory authorities.
Positive results from limited in vivo and ex vivo animal trials we have conducted or from
pre-clinical studies and early clinical experience with similar devices should not be relied upon
as evidence that later-stage or large-scale clinical trials will succeed. We will be required to
demonstrate with substantial evidence through well-controlled clinical trials that our product
candidates either (i) are safe and effective for their intended uses or (ii) are substantially
equivalent in terms of safety and effectiveness to devices that are already marketed under Section
510(k).
Further, our product candidates may not be cleared or approved, as the case may be, even if
the clinical data are satisfactory and support, in our view, clearance or approval. The FDA or
other non-U.S. regulatory authorities may disagree with our trial design and our interpretation of
the clinical data. In addition, any of these regulatory authorities may change requirements for
the clearance or approval of a product candidate even after reviewing and providing comment on a
protocol for a pivotal clinical trial that has the potential to result in FDA approval. In
addition, any of these regulatory authorities may also clear or approve a product candidate for
fewer or more limited uses than we request or may grant clearance or approval contingent on the
performance of costly post-marketing clinical trials. In addition, the FDA or other non-U.S.
regulatory authorities may not approve the labeling claims necessary or desirable for the
successful commercialization of our product candidates.
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We are highly dependent on the success of our initial product candidates, especially the
Obesity Device, the GERD Device and the Barretts Device, and we cannot give any assurance that any
of them will receive regulatory clearance or be successfully commercialized.
We are highly dependent on the success of our initial product candidates, especially the
Obesity Device, the GERD Device and the Barretts Device. We cannot give any assurance that the
FDA will permit us to clinically test the devices, nor can we give any assurance that these
products will receive regulatory clearance or approval or be successfully commercialized, for a
number of reasons, including, without limitation, the potential introduction by our competitors of
more clinically-effective or cost-effective alternatives or failure in our sales and marketing
efforts, or our failure to obtain positive coverage determinations or reimbursement. Any failure
to obtain clearance or approval of our products or to successfully commercialize them would have a
material and adverse effect on our business.
We will require substantial additional funding, which may not be available to us on acceptable
terms, or at all.
We intend to advance multiple product candidates through clinical and pre-clinical
development. We will need to raise substantial additional capital to engage in our clinical and
pre-clinical development and commercialization activities.
Our future funding requirements will depend on many factors, including but not limited to:
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our need to expand our research and development activities; |
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the rate of progress and cost of our clinical trials; |
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the costs associated with establishing a sales force and commercialization capabilities; |
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the costs of acquiring, licensing or investing in businesses, products, product
candidates and technologies; |
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the costs and timing of seeking and obtaining FDA and other non-U.S. regulatory
clearances and approvals; |
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the economic and other terms and timing of our existing licensing arrangement and any
collaboration, licensing or other arrangements into which we may enter in the future; |
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our need and ability to hire additional management and scientific and medical personnel; |
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the effect of competing technological and market developments; |
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our need to implement additional internal systems and infrastructure, including
financial and reporting systems; and |
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our ability to maintain, expand and defend the scope of our intellectual property
portfolio. |
Until we can generate a sufficient amount of product revenue to finance our cash requirements,
which we may never do, we expect to finance future cash needs primarily through public or private
equity offerings, debt financings or strategic collaborations. We do not know whether additional
funding will be available on acceptable terms, or at all. If we are not able to secure additional
funding when needed, we may have to delay, reduce the scope of or eliminate one or more of our
clinical trials or research and development programs. To the extent that we raise additional funds
by issuing equity securities, our stockholders may experience significant dilution, and debt
financing, if available, may involve restrictive covenants. To the extent that we raise additional
funds through collaboration and licensing arrangements, it may be necessary to relinquish some
rights to our product candidates or grant licenses on terms that may not be favorable to us.
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If our competitors develop and market products that are more effective, safer or less
expensive than our future product candidates, our commercial opportunities will be negatively
impacted.
The life sciences industry is highly competitive, and we face significant competition from
many medical device companies that are researching and marketing products designed to address the
intraperitoneal abnormalities we are endeavoring to address. We are currently developing medical
devices that will compete with other medical devices that currently exist or are being developed.
Products we may develop in the future are also likely to face competition from other medical
devices and therapies. Many of our competitors have significantly greater financial, manufacturing,
marketing and product development resources than we do. Large medical devices companies, in
particular, have extensive experience in clinical testing and in obtaining regulatory clearances or
approvals for medical devices. These companies also have significantly greater research and
marketing capabilities than we do. As indicated, there are also other methods to treat obesity,
such as diet, exercise and medicine. Other competitors have developed products such as medical
implants that occupy volume in the stomach to promote the feeling of satiety (Helioscopie) or
gastric sleeves to reduce food intake. Some of the medical device companies we expect to compete
with include USGI Medical, TOGa Devices from Satiety, StomaphyX and EsophyX from EndoGastric
Solution, Inc., NDO Surgical, Inc., Medigus, Ltd., Bard, LLC, Olympus Medical Equipment Services
America, Inc., BARRX Medical, Inc., Boston Scientific Corporation, ConMed Corporation, Cook Medical
Supply, Inc., Miller Medical Specialties, U.S. Endoscopy, The Rush Incorporated and a number of
bite block manufacturers. In addition, many other universities and private and public research
institutions are or may become active in research involving surgical devices for gastrointestinal
abnormalities and minimally invasive surgery.
We believe that our ability to successfully compete will depend on, among other things:
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the results of our clinical trials; |
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our ability to recruit and enroll patients for our clinical trials; |
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the efficacy, safety and reliability of our product candidates; |
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the speed at which we develop our product candidates; |
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our ability to commercialize and market any of our product candidates that may receive
regulatory clearance or approval; |
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our ability to design and successfully execute appropriate clinical trials; |
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the timing and scope of regulatory clearances or approvals; |
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appropriate coverage and adequate levels of reimbursement under private and governmental
health insurance plans, including Medicare; |
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our ability to protect intellectual property rights related to our products; |
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our ability to have our partners manufacture and sell commercial quantities of any
approved products to the market; and |
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acceptance of future product candidates by physicians and other health care providers. |
If our competitors market products that are more effective, safer, easier to use or less
expensive than our future product candidates, if any, or that reach the market sooner than our
future product candidates, if any, we may not achieve commercial success. In addition, the medical
device industry is characterized by rapid technological change. It may be difficult for us to stay
abreast of the rapid changes in each technology. If we fail to stay at the forefront of
technological change, we may be unable to compete effectively. Technological advances or products
developed by our competitors may render our technologies or product candidates obsolete or less
competitive.
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Our product development activities could be delayed or stopped.
We do not know whether our other planned clinical trials will be completed on schedule, or at
all, and we cannot guarantee that our planned clinical trials will begin on time or at all. The
commencement of our planned clinical trials could be substantially delayed or prevented by several
factors, including:
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limited number of, and competition for, suitable patients that meet the protocols
inclusion criteria and do not meet any of the exclusion criteria; |
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limited number of, and competition for, suitable sites to conduct our clinical trials,
and delay or failure to obtain FDA approval, if necessary, to commence a clinical trial; |
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delay or failure to obtain sufficient supplies of the product candidate for our clinical
trials; |
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requirements to provide the medical device required in our clinical trial at cost, which
may require significant expenditures that we are unable or unwilling to make; |
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delay or failure to reach agreement on acceptable clinical trial agreement terms or
clinical trial protocols with prospective sites or investigators; and |
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delay or failure to obtain institutional review board, or IRB, approval or renewal to
conduct a clinical trial at a prospective or accruing site, respectively. |
The completion of our clinical trials could also be substantially delayed or prevented by
several factors, including:
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slower than expected rates of patient recruitment and enrollment; |
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failure of patients to complete the clinical trial; |
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unforeseen safety issues; |
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lack of efficacy evidenced during clinical trials; |
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termination of our clinical trials by one or more clinical trial sites; |
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inability or unwillingness of patients or medical investigators to follow our clinical
trial protocols; and |
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inability to monitor patients adequately during or after treatment. |
Our clinical trials may be suspended or terminated at any time by the FDA, other regulatory
authorities, the IRB for any given site, or us. Any failure or significant delay in completing
clinical trials for our product candidates could materially harm our financial results and the
commercial prospects for our product candidates.
The regulatory approval process is expensive, time consuming and uncertain and may prevent us
or our collaboration partners from obtaining approvals for the commercialization of some or all of
our product candidates.
The research, testing, manufacturing, labeling, approval, selling, marketing and distribution
of medical devices are subject to extensive regulation by the FDA and other non-U.S. regulatory
authorities, which regulations differ from country to country. We are not permitted to market our
product candidates in the United States until we receive a clearance letter under the 510(k)
process or approval of a PMA from the FDA, depending on the nature of the device. We have not
submitted an application or premarket notification for or received marketing clearance or approval
for any of our product candidates. Obtaining approval of any PMA can be a lengthy, expensive and
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uncertain process. While the FDA normally reviews and clears a premarket notification in three
months, there is no guarantee that our products will qualify for this more expeditious regulatory
process, which is reserved for Class I and II devices, nor is there any assurance, that even if a
device is reviewed under the premarket notification process (510(k) process), that the FDA will
review it expeditiously or determine that the device is substantially equivalent to a lawfully
marketed non-PMA device. If the FDA fails to make this finding, then we cannot market the device.
In lieu of acting on a premarket notification, the FDA may seek additional information or
additional data which would further delay our ability to market the product. In addition, failure
to comply with FDA, non-U.S. regulatory authorities or other applicable U.S. and non-U.S.
regulatory requirements may, either before or after product clearance or approval, if any, subject
our company to administrative or judicially imposed sanctions, including:
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restrictions on the products, manufacturers or manufacturing process; |
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adverse inspectional observations (Form 483), warning letters or non-warning letters
incorporating inspectional observations; |
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civil and criminal penalties; |
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injunctions; |
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suspension or withdrawal of regulatory clearances or approvals; |
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product seizures, detentions or import bans; |
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voluntary or mandatory product recalls and publicity requirements; |
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total or partial suspension of production; |
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imposition of restrictions on operations, including costly new manufacturing
requirements; and |
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refusal to clear or approve pending applications or premarket notifications. |
Regulatory approval of a PMA, PMA supplement or clearance pursuant to a premarket notification
is not guaranteed, and the approval or clearance process, as the case may be, is expensive and,
may, especially in the case of the PMA application, take several years. The FDA also has
substantial discretion in the medical device clearance process or approval process. Despite the
time and expense exerted, failure can occur at any stage, and we could encounter problems that
cause us to abandon clinical trials or to repeat or perform additional pre-clinical studies and
clinical trials. The number of pre-clinical studies and clinical trials that will be required for
FDA clearance or approval varies depending on the medical device candidate, the disease or
condition that the medical device candidate is designed to address, and the regulations applicable
to any particular medical device candidate. The FDA can delay, limit or deny clearance or approval
of a medical device candidate for many reasons, including:
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a medical device candidate may not be deemed safe or effective, in the case of a PMA
application; |
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a medical device candidate may not be deemed to be substantially equivalent to a
lawfully marketed non-PMA device in the case of a premarket notification; |
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FDA officials may not find the data from pre-clinical studies and clinical trials
sufficient; |
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the FDA might not approve our third-party manufacturers processes or facilities; or |
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the FDA may change its clearance or approval policies or adopt new regulations. |
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Failure to recruit and enroll patients for clinical trials may cause the development of our
product candidates to be delayed.
We may encounter delays if we are unable to recruit and enroll and retain enough patients to
complete clinical trials. Patient enrollment depends on many factors, including the size of the
patient population, the nature of the protocol, the proximity of patients to clinical sites and the
eligibility criteria for the trial. Delays in patient enrollment are not unusual. Any such delays
in planned patient enrollment may result in increased costs, which could harm our ability to
develop products.
Even if we obtain regulatory clearances or approvals for our product candidates, the terms of
clearances or approvals and ongoing regulation of our products may limit how we manufacture and
market our product candidates, which could materially impair our ability to generate anticipated
revenues.
Once regulatory clearance or approval has been granted, the cleared or approved product and
its manufacturer are subject to continual review. Any cleared or approved product may only be
promoted for its indicated uses. In addition, if the FDA or other non-U.S. regulatory authorities
clear or approve any of our product candidates, the labeling, packaging, adverse event reporting,
storage, advertising and promotion for the product will be subject to extensive regulatory
requirements. We and the manufacturers of our products are also required to comply with the FDAs
Quality System Regulation, which include requirements relating to quality control and quality
assurance, as well as the corresponding maintenance of records and documentation. Moreover, device
manufacturers are required to report adverse events by filing with the FDA Medical Device Reports,
which are publicly available. Further, regulatory agencies must approve our manufacturing
facilities before they can be used to manufacture our products, and these facilities are subject to
ongoing regulatory inspection. If we fail to comply with the regulatory requirements of the FDA and
other non-U.S. regulatory authorities, or if previously unknown problems with our products,
manufacturers or manufacturing processes are discovered, we could be subject to administrative or
judicially imposed sanctions, including:
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restrictions on the products, manufacturers or manufacturing process; |
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adverse inspectional observations (Form 483), warning letters, non-warning letters
incorporating inspectional observations; |
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civil or criminal penalties or fines; |
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injunctions; |
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product seizures, detentions or import bans; |
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voluntary or mandatory product recalls and publicity requirements; |
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suspension or withdrawal of regulatory clearances or approvals; |
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total or partial suspension of production; |
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imposition of restrictions on operations, including costly new manufacturing
requirements; and |
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refusal to clear or approve pending applications or premarket notifications. |
In addition, the FDA and other non-U.S. regulatory authorities may change their policies and
additional regulations may be enacted that could prevent or delay regulatory clearance or approval
of our product candidates. We cannot predict the likelihood, nature or extent of government
regulation that may arise from future legislation or administrative action, either in the United
States or abroad. If we are not able to maintain regulatory compliance, we would likely not be
permitted to market our future product candidates and we may not achieve or sustain profitability.
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Even if we receive regulatory clearance or approval to market our product candidates, the
market may not be receptive to our products.
Even if our product candidates obtain regulatory clearance or approval, resulting products may
not gain market acceptance among physicians, patients, health care payors and/or the medical
community. We believe that the degree of market acceptance will depend on a number of factors,
including:
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timing of market introduction of competitive products; |
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safety and efficacy of our product; |
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prevalence and severity of any side effects; |
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potential advantages or disadvantages over alternative treatments; |
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strength of marketing and distribution support; |
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price of our future product candidates, both in absolute terms and relative to
alternative treatments; and |
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availability of coverage and reimbursement from government and other third-party payors. |
If our future product candidates fail to achieve market acceptance, we may not be able to
generate significant revenue or achieve or sustain profitability.
The coverage and reimbursement status of newly cleared or approved medical devices is
uncertain, and failure to obtain adequate coverage and adequate reimbursement could limit our
ability to market any future product candidates we may develop and decrease our ability to generate
revenue from any of our existing and future product candidates that may be cleared or approved.
There is significant uncertainty related to the third-party coverage and reimbursement of
newly cleared or approved medical devices. Normally, surgical devices are not directly covered;
instead, the procedure using the device is subject to a coverage determination by the insurer. The
commercial success of our existing and future product candidates in both domestic and international
markets will depend in part on the availability of coverage and adequate reimbursement from
third-party payors, including government payors, such as the Medicare and Medicaid programs,
managed care organizations and other third-party payors. Government and other third-party payors
are increasingly attempting to contain health care costs by limiting both coverage and the level of
reimbursement for new products and, as a result, they may not cover or provide adequate payment for
our existing and future product candidates. These payors may conclude that our product candidates
are not as safe or effective as existing devices or that procedures using our devices are not as
safe or effective as the existing procedures using other devices. These payors may also conclude
that the overall cost of the procedure using one of our devices exceeds the overall cost of the
competing procedure using another type of device, and third-party payors may not approve our
product candidates for coverage and adequate reimbursement. The failure to obtain coverage and
adequate reimbursement for our existing and future product candidates or health care cost
containment initiatives that limit or restrict reimbursement for our existing and future product
candidates may reduce any future product revenue.
If we fail to attract and retain key management and scientific personnel, we may be unable to
successfully develop or commercialize our product candidates.
We will need to expand and effectively manage our managerial, operational, financial,
development and other resources in order to successfully pursue our research, development and
commercialization efforts for our existing and future product candidates. Our success depends on
our continued ability to attract, retain and motivate highly qualified management and pre-clinical
and clinical personnel. The loss of the services of any of our senior management, particularly
Jeffrey G. Spragens, Dr. Stewart B. Davis and Dr. Charles Filipi, could delay or prevent the
development or commercialization of our product candidates. We do not maintain key man insurance
policies on the lives of these individuals or the lives of any of our other employees. We employ
these individuals on an at-
will basis and their employment can be terminated by us or them at any time, for any reason
and with or without notice. We will need to hire additional personnel as we continue to expand our
research and development activities and build a sales and marketing function.
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We have scientific and clinical advisors who assist us in formulating our research,
development and clinical strategies. These advisors are not our employees and may have commitments
to, or consulting or advisory contracts with, other entities that may limit their availability to
us. In addition, our advisors may have arrangements with other companies to assist those companies
in developing products or technologies that may compete with ours.
We may not be able to attract or retain qualified management and scientific personnel in the
future due to the intense competition for qualified personnel among medical device and other
businesses. If we are not able to attract and retain the necessary personnel to accomplish our
business objectives, we may experience constraints that will impede significantly the achievement
of our research and development objectives, our ability to raise additional capital and our ability
to implement our business strategy. In particular, if we lose any members of our senior management
team, we may not be able to find suitable replacements in a timely fashion or at all and our
business may be harmed as a result.
As we evolve from a company primarily involved in development to a company also involved in
commercialization, we may encounter difficulties in managing our growth and expanding our
operations successfully.
As we advance our product candidates through research and development, we will need to expand
our development, regulatory, manufacturing, marketing and sales capabilities or contract with third
parties to provide these capabilities for us. As our operations expand, we expect that we will need
to manage additional relationships with such third parties, as well as additional collaborators and
suppliers. Maintaining these relationships and managing our future growth will impose significant
added responsibilities on members of our management. We must be able to: manage our development
efforts effectively; manage our clinical trials effectively; hire, train and integrate additional
management, development, administrative and sales and marketing personnel; improve our managerial,
development, operational and finance systems; and expand our facilities, all of which may impose a
strain on our administrative and operational infrastructure.
Furthermore, we may acquire additional businesses, products or product candidates that
complement or augment our existing business. Integrating any newly acquired business or product
could be expensive and time-consuming. We may not be able to integrate any acquired business or
product successfully or operate any acquired business profitably. Our future financial performance
will depend, in part, on our ability to manage any future growth effectively and our ability to
integrate any acquired businesses. We may not be able to accomplish these tasks, and our failure to
accomplish any of them could prevent us from successfully growing our company.
If we fail to acquire and develop other products or product candidates at all or on
commercially reasonable terms, we may be unable to diversify or grow our business.
We intend to continue to rely on in-licensing as the source of our products and product
candidates for development and commercialization. The success of this strategy depends upon our
ability to identify, select and acquire medical device product candidates. Proposing, negotiating
and implementing an economically viable product acquisition or license is a lengthy and complex
process. We compete for partnering arrangements and license agreements with other medical device
companies and academic research institutions. Our competitors may have stronger relationships with
third parties with whom we are interested in collaborating and/or may have more established
histories of developing and commercializing products. As a result, our competitors may have a
competitive advantage in entering into partnering arrangements with such third parties. In
addition, even if we find promising product candidates, and generate interest in a partnering or
strategic arrangement to acquire such product candidates, we may not be able to acquire rights to
additional product candidates or approved products on commercially reasonable terms that we find
acceptable, or at all.
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We expect that any product candidate to which we acquire rights will require additional
development efforts prior to commercial sale, including extensive clinical testing and clearance or
approval by the FDA and other non-U.S. regulatory authorities. All product candidates are subject
to the risks of failure inherent in medical device
product development, including the possibility that the product candidate will not be shown to
be sufficiently safe and effective for approval by regulatory authorities. Even if the product
candidates are cleared or approved, we cannot be sure that they would be capable of economically
feasible production or commercial success.
We rely on third parties to manufacture and supply our product candidates.
We do not own or operate manufacturing facilities for clinical or commercial production of our
product candidates, other than a prototype lab. We have no experience in medical device
manufacturing, and we lack the resources and the capability to manufacture any of our product
candidates on a commercial scale. If our future manufacturing partners are unable to produce our
products in the amounts that we require, we may not be able to establish a contract and obtain a
sufficient alternative supply from another supplier on a timely basis and in the quantities we
require. We expect to depend on third-party contract manufacturers for the foreseeable future.
Our product candidates require precise, high quality manufacturing. Any of our contract
manufacturers will be subject to ongoing periodic unannounced inspection by the FDA and other
non-U.S. regulatory authorities to ensure strict compliance with quality system regulation
(referred to as QSR), including current Good Manufacturing Practice, or cGMP, and other applicable
government regulations and corresponding standards. If our contract manufacturers fail to achieve
and maintain high manufacturing standards in compliance with QSR, we may experience manufacturing
errors resulting in patient injury or death, product recalls or withdrawals, delays or
interruptions of production or failures in product testing or delivery, delay or prevention of
filing or approval of marketing applications for our products, cost overruns or other problems that
could seriously harm our business.
Any performance failure on the part of our contract manufacturers could delay clinical
development or regulatory clearance or approval of our product candidates or commercialization of
our future product candidates, depriving us of potential product revenue and resulting in
additional losses. In addition, our dependence on a third party for manufacturing may adversely
affect our future profit margins. Our ability to replace an existing manufacturer may be difficult
because the number of potential manufacturers is limited and the FDA must approve any replacement
manufacturer before it can begin manufacturing our product candidates. Such approval would require
additional non-clinical testing and compliance inspections. It may be difficult or impossible for
us to identify and engage a replacement manufacturer on acceptable terms in a timely manner, or at
all.
We currently have no marketing staff and no sales or distribution organization. If we are
unable to develop our sales, marketing and distribution capability on our own or through
collaborations with marketing partners, we will not be successful in commercializing our product
candidates.
We currently have no marketing, sales or distribution capabilities. If our product candidates
are approved, we intend to establish our sales and marketing organization with technical expertise
and supporting distribution capabilities to commercialize our product candidates, which will be
expensive and time-consuming. Any failure or delay in the development of our internal sales,
marketing and distribution capabilities would adversely impact the commercialization of these
products. With respect to our existing and future product candidates, we may choose to collaborate
with third parties that have direct sales forces and established distribution systems, either to
augment our own sales force and distribution systems or in lieu of our own sales force and
distribution systems. To the extent that we enter into co-promotion or other licensing
arrangements, our product revenue is likely to be lower than if we directly marketed or sold our
products. In addition, any revenue we receive will depend in whole or in part upon the efforts of
such third parties, which may not be successful and are generally not within our control. If we are
unable to enter into such arrangements on acceptable terms or at all, we may not be able to
successfully commercialize our existing and future product candidates. If we are not successful in
commercializing our existing and future product candidates, either on our own or through
collaborations with one or more third parties, our future product revenue will suffer and we may
incur significant additional losses.
Independent clinical investigators and contract research organizations that we engage to
conduct our clinical trials may not be diligent, careful or timely.
We will depend on independent clinical investigators to conduct our clinical trials. Contract
research organizations may also assist us in the collection and analysis of data. These
investigators and contract research organizations will not be our employees and we will not be able
to control, other than by contract, the amount of
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resources, including time that they devote to products that we develop. If independent
investigators fail to devote sufficient resources to the clinical trials, or if their performance
is substandard, it will delay the approval or clearance and commercialization of any products that
we develop. Further, the FDA requires that we comply with standards, commonly referred to as good
clinical practice, for conducting, recording and reporting clinical trials to assure that data and
reported results are credible and accurate and that the rights, integrity and confidentiality of
trial subjects are protected. If our independent clinical investigators and contract research
organizations fail to comply with good clinical practice, the results of our clinical trials could
be called into question and the clinical development of our product candidates could be delayed.
Failure of clinical investigators or contract research organizations to meet their obligations to
us or comply with federal regulations could adversely affect the clinical development of our
product candidates and harm our business.
The success of our business may be dependent on the actions of our collaborative partners.
An element of our strategy may be to enter into collaborative arrangements with established
multinational medical device companies which will finance or otherwise assist in the development,
manufacture and marketing of products incorporating our technology. We anticipate deriving some
revenues from research and development fees, license fees, milestone payments and royalties from
collaborative partners. Our prospects, therefore, may depend to some extent upon our ability to
attract and retain collaborative partners and to develop technologies and products that meet the
requirements of prospective collaborative partners. In addition, our collaborative partners may
have the right to abandon research projects and terminate applicable agreements, including funding
obligations, prior to or upon the expiration of the agreed-upon research terms. There can be no
assurance that we will be successful in establishing collaborative arrangements on acceptable terms
or at all, that collaborative partners will not terminate funding before completion of projects,
that our collaborative arrangements will result in successful product commercialization or that we
will derive any revenues from such arrangements. To the extent that we are not able to develop and
maintain collaborative arrangements, we would need substantial additional capital to undertake
research, development and commercialization activities on our own.
If we are unable to obtain and enforce patent protection for our products, our business could
be materially harmed.
Our success depends, in part, on our ability to protect proprietary methods and technologies
that we develop or license under the patent and other intellectual property laws of the United
States and other countries, so that we can prevent others from unlawfully using our inventions and
proprietary information. However, we may not hold proprietary rights to some patents required for
us to commercialize our proposed products. At present, we do not hold any patents and none of the
technology we license has been patented. Because certain U.S. patent applications are confidential
until patents issue, such as applications filed prior to November 29, 2000, or applications filed
after such date which will not be filed in foreign countries, third parties may have filed patent
applications for technology covered by our pending patent applications without our being aware of
those applications, and our patent applications may not have priority over those applications. For
this and other reasons, we or our third-party collaborators may be unable to secure desired patent
rights, thereby losing desired exclusivity. If licenses are not available to us on acceptable
terms, we will not be able to market the affected products or conduct the desired activities,
unless we challenge the validity, enforceability or infringement of the third party patent or
otherwise circumvent the third party patent.
Our strategy depends on our ability to rapidly identify and seek patent protection for our
discoveries. In addition, we will rely on third-party collaborators to file patent applications
relating to proprietary technology that we develop jointly during certain collaborations. The
process of obtaining patent protection is expensive and time-consuming. If our present or future
collaborators fail to file and prosecute all necessary and desirable patent applications at a
reasonable cost and in a timely manner, our business will be adversely affected. Despite our
efforts and the efforts of our collaborators to protect our proprietary rights, unauthorized
parties may be able to obtain and use information that we regard as proprietary.
The issuance of a patent does not guarantee that it is valid or enforceable. Any patents we
have obtained, or obtain in the future, may be challenged, invalidated, unenforceable or
circumvented. Moreover, the United States Patent and Trademark Office ( the USPTO) may commence
interference proceedings involving our patents or patent applications. Any challenge to, finding of
unenforceability or invalidation or circumvention of, our patents or
patent applications would be costly, would require significant time and attention of our
management and could have a material adverse effect on our business. In addition, court decisions
may introduce uncertainty in the enforceability or scope of patents owned by medical device
companies.
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Our pending patent applications may not result in issued patents. The patent position of
medical device companies, including ours, is generally uncertain and involves complex legal and
factual considerations. The standards that the USPTO and its foreign counterparts use to grant
patents are not always applied predictably or uniformly and can change. There is also no uniform,
worldwide policy regarding the subject matter and scope of claims granted or allowable in medical
device patents. Accordingly, we do not know the degree of future protection for our proprietary
rights or the breadth of claims that will be allowed in any patents issued to us or to others. The
legal systems of certain countries do not favor the aggressive enforcement of patents, and the laws
of foreign countries may not protect our rights to the same extent as the laws of the United
States. Therefore, the enforceability or scope of our owned or licensed patents in the United
States or in foreign countries cannot be predicted with certainty, and, as a result, any patents
that we own or license may not provide sufficient protection against competitors. We may not be
able to obtain or maintain patent protection for our pending patent applications, those we may file
in the future, or those we may license from third parties, including Creighton University.
We cannot assure you that any patents that will issue, that may issue or that may be licensed
to us will be enforceable or valid or will not expire prior to the commercialization of our product
candidates, thus allowing others to more effectively compete with us. Therefore, any patents that
we own or license may not adequately protect our product candidates or our future products.
If we are unable to protect the confidentiality of our proprietary information and know-how,
the value of our technology and products could be adversely affected.
In addition to patent protection, we also rely on other proprietary rights, including
protection of trade secrets, know-how and confidential and proprietary information. To maintain the
confidentiality of trade secrets and proprietary information, we will seek to enter into
confidentiality agreements with our employees, consultants and collaborators upon the commencement
of their relationships with us. These agreements generally require that all confidential
information developed by the individual or made known to the individual by us during the course of
the individuals relationship with us be kept confidential and not disclosed to third parties. Our
agreements with employees also generally provide and will generally provide that any inventions
conceived by the individual in the course of rendering services to us shall be our exclusive
property. However, we may not obtain these agreements in all circumstances, and individuals with
whom we have these agreements may not comply with their terms. In the event of unauthorized use or
disclosure of our trade secrets or proprietary information, these agreements, even if obtained, may
not provide meaningful protection, particularly for our trade secrets or other confidential
information. To the extent that our employees, consultants or contractors use technology or
know-how owned by third parties in their work for us, disputes may arise between us and those third
parties as to the rights in related inventions.
Adequate remedies may not exist in the event of unauthorized use or disclosure of our
confidential information. The disclosure of our trade secrets would impair our competitive position
and may materially harm our business, financial condition and results of operations.
We will rely heavily on licenses from third parties.
All of the patent applications in our patent portfolio are not owned by us, but are licensed
from one third party. Presently, we rely solely on technology licensed from Creighton University
for all of our products and may license additional technology from other third parties in the
future. Such license agreements give us rights for the commercial exploitation of the patents
resulting from the patent applications, subject to certain provisions of the license agreements.
Failure to comply with these provisions could result in the loss of our rights under these license
agreements. Our inability to rely on these patent applications which are the basis of our
technology would have a material adverse effect on our business.
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We presently license patent rights to all of our technology from one third party owner. If we
or this third party owner does not properly maintain or enforce the patent applications underlying
any such licenses, our competitive position and business prospects will be harmed.
We have obtained licenses from Creighton University for all of our current products in
development. In addition, we hope to enter into additional licenses of third party intellectual
property in the future.
Our success will depend in part on the ability of us or our licensors to obtain, maintain and
enforce patent protection for our licensed intellectual property and, in particular, those patents
to which we have secured exclusive rights in our field. We or our licensors may not successfully
prosecute the patent applications which are licensed to us. Even if patents issue in respect of
these patent applications, we or our licensors may fail to maintain these patents, may determine
not to pursue litigation against other companies that are infringing these patents, or may pursue
such litigation less aggressively than we would. Without protection for the intellectual property
we have licensed, other companies might be able to offer substantially identical products for sale,
which could adversely affect our competitive business position and harm our business prospects.
Some jurisdictions may require us or Creighton University to grant licenses to third parties.
Such compulsory licenses could be extended to include some of our product candidates, which may
limit our potential revenue opportunities.
Many countries, including certain countries in Europe, have compulsory licensing laws under
which a patent owner may be compelled to grant licenses to third parties. In addition, most
countries limit the enforceability of patents against government agencies or government
contractors. In these countries, the patent owner may be limited to monetary relief and may be
unable to enjoin infringement, which could materially diminish the value of the patent. Compulsory
licensing of life-saving products is also becoming increasingly popular in developing countries,
either through direct legislation or international initiatives. Such compulsory licenses could be
extended to include some of our product candidates, which may limit our potential revenue
opportunities.
Our commercial success depends significantly on our ability to operate without infringing the
patents and other proprietary rights of third parties.
Other entities may have or obtain patents or proprietary rights that could limit our ability
to manufacture, use, sell, offer for sale or import products or impair our competitive position. In
addition, to the extent that a third party develops new technology that covers our products, we may
be required to obtain licenses to that technology, which licenses may not be available or may not
be available on commercially reasonable terms, if at all. If licenses are not available to us on
acceptable terms, we will not be able to market the affected products or conduct the desired
activities, unless we challenge the validity, enforceability or infringement of the third party
patent or circumvent the third party patent, which would be costly and would require significant
time and attention of our management. Third parties may have or obtain valid and enforceable
patents or proprietary rights that could block us from developing products using our technology.
Our failure to obtain a license to any technology that we require may materially harm our business,
financial condition and results of operations.
If we become involved in patent litigation or other proceedings related to a determination of
rights, we could incur substantial costs and expenses, substantial liability for damages or be
required to stop our product development and commercialization efforts.
Third parties may sue us for infringing their patent rights. Likewise, we may need to resort
to litigation to enforce a patent issued or licensed to us or to determine the scope and validity
of proprietary rights of others. In addition, a third party may claim that we have improperly
obtained or used its confidential or proprietary information. Furthermore, in connection with our
third-party license agreements, we generally have agreed to indemnify the licensor for costs
incurred in connection with litigation relating to intellectual property rights. The cost to us of
any litigation or other proceeding relating to intellectual property rights, even if resolved in
our favor, could be substantial, and the litigation would divert our managements efforts. Some of
our competitors may be able to sustain the costs of complex patent litigation more effectively than
we can because they have substantially greater resources. Uncertainties resulting from the
initiation and continuation of any litigation could limit our ability to continue our operations.
30
If any parties successfully claim that our creation or use of proprietary technologies
infringes upon their intellectual property rights, we might be forced to pay damages, potentially
including treble damages, if we are found to have willfully infringed on such parties patent
rights. In addition to any damages we might have to pay, a court could require us to stop the
infringing activity or obtain a license. Any license required under any patent may not be made
available on commercially acceptable terms, if at all. In addition, such licenses are likely to be
non-exclusive and, therefore, our competitors may have access to the same technology licensed to
us. If we fail to obtain a required license and are unable to design around a patent, we may be
unable to effectively market some of our technology and products, which could limit our ability to
generate revenues or achieve profitability and possibly prevent us from generating revenue
sufficient to sustain our operations.
Medicare legislation and future legislative or regulatory reform of the health care system may
affect our ability to sell our products profitably.
In the United States, there have been a number of legislative and regulatory proposals, at
both the federal and state government levels, to change the healthcare system in ways that could
affect our ability to sell our products profitably, if approved. To the extent that our products
are deemed to be durable medical equipment or DME they may be subject to distribution under the
new Competitive Acquisition regulations, this could adversely affect the amount that we can seek
from payors. Non-DME devices used in surgical procedures are normally paid directly by the
hospital or health care provider and not reimbursed separately by third-party payors. As a result,
these types of devices are subject to intense price competition that can place a small manufacturer
at a competitive disadvantage.
We are unable to predict what additional legislation or regulation, if any, relating to the
health care industry or third-party coverage and reimbursement may be enacted in the future or what
effect such legislation or regulation would have on our business. Any cost containment measures or
other health care system reforms that are adopted could have a material adverse effect on our
ability to commercialize our existing and future product candidates successfully.
Failure to obtain regulatory approval outside the United States will prevent us from marketing
our product candidates abroad.
We intend to market certain of our existing and future product candidates in non-U.S. markets.
In order to market our existing and future product candidates in the European Union and many other
non-U.S. jurisdictions, we must obtain separate regulatory approvals. We have had limited
interactions with non-U.S. regulatory authorities, the approval procedures vary among countries and
can involve additional testing, and the time required to obtain approval may differ from that
required to obtain FDA approval. Approval or clearance by the FDA does not ensure approval by
regulatory authorities in other countries, and approval by one or more non-U.S. regulatory
authorities does not ensure approval by regulatory authorities in other countries or by the FDA.
The non-U.S. regulatory approval process may include all of the risks associated with obtaining FDA
approval or clearance. We may not obtain non-U.S. regulatory approvals on a timely basis, if at
all. We may not be able to file for non-U.S. regulatory approvals and may not receive necessary
approvals to commercialize our existing and future product candidates in any market.
Non-U.S. governments often impose strict price controls, which may adversely affect our future
profitability.
We intend to seek approval to market certain of our existing and future product candidates in
both the U.S. and in non-U.S. jurisdictions. If we obtain approval in one or more non-U.S.
jurisdictions, we will be subject to rules and regulations in those jurisdictions relating to our
product. In some countries, particularly countries of the European Union, each of which has
developed its own rules and regulations, pricing is subject to governmental control. In these
countries, pricing negotiations with governmental authorities can take considerable time after the
receipt of marketing approval for a medical device candidate. To obtain reimbursement or pricing
approval in some countries, we may be required to conduct a clinical trial that compares the
cost-effectiveness of our existing and future product candidates to other available products. If
reimbursement of our future product candidates is unavailable or limited in scope or amount, or if
pricing is set at unsatisfactory levels, we may be unable to achieve or sustain profitability.
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Our business may become subject to economic, political, regulatory and other risks associated
with international operations.
Our business is subject to risks associated with conducting business internationally, in part
due to a number of our suppliers being located outside the U.S. Accordingly, our future results
could be harmed by a variety of factors, including:
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difficulties in compliance with non-U.S. laws and regulations; |
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changes in non-U.S. currency exchange rates and currency controls; |
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changes in a specific countrys or regions political or economic environment; |
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trade protection measures, import or export licensing requirements or other restrictive
actions by U.S. or non-U.S. governments; |
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negative consequences from changes in tax laws; and |
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difficulties associated with staffing and managing foreign operations, including
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The market price of our common stock may fluctuate significantly.
The market price of our common stock may fluctuate significantly in response to numerous
factors, some of which are beyond our control, such as:
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the announcement of new products or product enhancements by us or our competitors; |
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developments concerning intellectual property rights and regulatory approvals; |
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variations in our and our competitors results of operations; |
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changes in earnings estimates or recommendations by securities analysts, if our common
stock is covered by analysts; |
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developments in the medical device industry; |
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the results of product liability or intellectual property lawsuits; |
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future issuances of common stock or other securities; |
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the addition or departure of key personnel; |
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announcements by us or our competitors of acquisitions, investments or strategic
alliances; and |
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general market conditions and other factors, including factors unrelated to our
operating performance. |
Further, the stock market in general, and the market for medical device companies in
particular, has recently experienced extreme price and volume fluctuations. Continued market
fluctuations could result in extreme volatility in the price of our common stock, which could cause
a decline in the value of our common stock. Price volatility of our common stock might be worse if
the trading volume of our common stock is low.
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Some or all of the restricted shares of our common stock issued to former stockholders of
SafeStitch in connection with the Share Exchange or held by other of our stockholders may be
offered from time to time in the open market pursuant to an effective registration statement or
Rule 144, and these sales may have a depressive effect on the market for our common stock.
We have identified material weaknesses in our internal control over financial reporting that
may prevent us from being able to accurately report our financial results or prevent fraud, which
could harm our business and operating results, the trading price of our stock and our access to
capital.
Our management, with the participation of our Chief Executive Officer and Chief Financial
Officer, evaluated the effectiveness of the design and operation of the Companys disclosure
controls and procedures (as defined in Exchange Act Rules 13a-15(e) or 15d-15(e)) as of December
31, 2007. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer
concluded that, as of that date, the Companys disclosure controls and procedures were not
effective at a reasonable assurance level because of the identification of the material weakness in
our internal control over financial reporting described above and in more detail in Item 8A(T) -
Controls and Procedures.
Upon identification of the material weakness, management advised our Audit Committee of the
issues encountered and managements key decisions relating to remediation efforts. Under the
direction of our Chief Executive Officer and Chief Financial Officer, we developed a plan to
remediate the material weakness. Our Audit Committee reviewed, advised and concurred with
managements plan of remediation, which includes the addition of employees who are trained in the
preparation of financial statements in accordance with GAAP and who have the experience necessary
to ensure that we have in place appropriate internal control over financial reporting.
Section 404 of the Sarbanes-Oxley Act of 2002 requires that we establish and maintain an
adequate internal control structure and procedures for financial reporting and assess on an
on-going basis the design and operating effectiveness of our internal control structure and
procedures for financial reporting. We are committed to continuously improving our internal control
over financial reporting, in order that we fully satisfy the requirements of Section 404 of the
Sarbanes-Oxley Act.
In connection with the audits of, and the issuance of a report
on, our consolidated financial statements for the years ended December 31, 2007 and 2006,
our independent registered public accounting firm, Eisner LLP, also communicated to our management and
Audit Committee that certain matters involving our internal controls amounted to a material
weakness, as defined by Rule 12b-2 under the Securities Exchange Act of 1934, as amended (referred
to as the Exchange Act). Eisner LLP was not engaged to perform an audit of our internal control over financial reporting.
Eisner LLPs audits include consideration of internal control over financial reporting as a basis for designing
audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the
effectiveness of our internal control over financial reporting. Accordingly, Eisner LLP did not express such an opinion.
This material weakness derived from our failure to maintain a sufficient
complement of personnel with the appropriate level of knowledge, experience and training in the
application of accounting principles generally accepted in the U.S. (referred to as GAAP) and in
internal control over financial reporting commensurate with our financial reporting obligations
under the Exchange Act. We did not maintain effective controls over the presentation of our
consolidated financial statements and related disclosures in preparing our consolidated financial
statements
If we are unable to conclude that our internal control over financial reporting is effective
at any such time that we are required to attest to them, our ability to obtain additional financing
on favorable terms could be materially and adversely affected, which, in turn, could materially and
adversely affect our business, our financial condition and the market value of our securities.
33
Trading of our common stock is limited and trading restrictions imposed on us by applicable
regulations and by lockup agreements we have entered into with our principal stockholders may
further reduce our trading, making it difficult for our stockholders to sell their shares.
Trading of our common stock is currently conducted on the National Association of Securities
Dealers, Inc.s, OTC Bulletin Board, or OTC BB. The liquidity of our common stock is limited, not
only in terms of the number of shares that can be bought and sold at a given price, but also as it
may be adversely affected by delays in the timing of transactions and reduction in security
analysts and the medias coverage of us, if at all.
Approximately 70% of the outstanding shares of our common stock are subject to lockup
agreements which limit sales for a two-year period ending September 4, 2009. These factors may
result in lower prices for our common stock than might otherwise be obtained and could also result
in a larger spread between the bid and ask prices for our common stock. In addition, without a
large float, our common stock is less liquid than the stock of companies with broader public
ownership and, as a result, the trading prices of our common stock may be more volatile. In the
absence of an active public trading market, an investor may be unable to liquidate his investment
in our common stock. Trading of a relatively small volume of our common stock may have a greater
impact on the trading price of our stock than would be the case if our public float were larger. We
cannot predict the prices at which our common stock will trade in the future.
Future sales of common stock could reduce our stock price.
Sales by stockholders of substantial amounts of our shares of common stock, the issuance of
new shares of common stock by us or the perception that these sales may occur in the future, could
materially and adversely affect the market price of our common stock. As described herein,
substantially all of the former members of SafeStitch LLC, who received an aggregate of 11,256,369
shares of our common stock in connection with our acquisition of SafeStitch LLC, entered into
lock-up agreements with respect to such shares. Under the lock-up agreements, these former members
of SafeStitch LLC may not directly or indirectly sell or otherwise transfer the shares of our
common stock issued to them in connection with our acquisition of SafeStitch LLC during the
two-year period ending September 4, 2009.
On September 4, 2009, the lock-up agreements entered into in connection with our acquisition
of SafeStitch LLC will expire, which will allow an aggregate of 11,256,369 shares of our common
stock, or approximately 70% of our currently outstanding shares of common stock, to be available
for sale on the public market, subject in most cases to the limitations of Rule 144 under the
Securities Act of 1933, as amended.
Because our common stock may be a penny stock, it may be more difficult for investors to
sell shares of our common stock, and the market price of our common stock may be adversely
affected.
Our common stock may be a penny stock if, among other things, the stock price is below $5.00
per share, it is not listed on a national securities exchange or approved for quotation on the
Nasdaq Stock Market or any other national stock exchange or it has not met certain net tangible
asset or average revenue requirements. Broker-dealers who sell penny stocks must provide purchasers
of these stocks with a standardized risk-disclosure document prepared by the Securities and
Exchange Commission (SEC). This document provides information about penny stocks and the nature
and level of risks involved in investing in the penny-stock market. A broker must also give a
purchaser, orally or in writing, bid and offer quotations and information regarding broker and
salesperson compensation, make a written determination that the penny stock is a suitable
investment for the purchaser and obtain the purchasers written agreement to the purchase.
Broker-dealers must also provide customers that hold penny stock in their accounts with such
broker-dealer a monthly statement containing price and market information relating to the penny
stock. If a penny stock is sold to an investor in violation of the penny stock rules, the investor
may be able to cancel its purchase and get its money back.
If applicable, the penny stock rules may make it difficult for investors to sell their shares
of our common stock. Because of the rules and restrictions applicable to a penny stock, there is
less trading in penny stocks and the market price of our common stock may be adversely affected.
Also, many brokers choose not to participate in penny stock transactions. Accordingly, investors
may not always be able to resell their shares of our common stock publicly at times and prices that
they feel are appropriate.
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Directors, executive officers, principal stockholders and affiliated entities own a
significant percentage of our capital stock, and they may make decisions that you do not consider
to be in the best interests of our stockholders.
As of the closing of the Share Exchange, our directors, executive officers, principal
stockholders and affiliated entities beneficially owned, in the aggregate, over 80% of our
outstanding voting securities. As a result, if some or all of them acted together, they would have
the ability to exert substantial influence over the election of our board of directors and the
outcome of issues requiring approval by our stockholders. This concentration of ownership may also
have the effect of delaying or preventing a change in control of our company that may be favored by
other stockholders. This could prevent transactions in which stockholders might otherwise recover a
premium for their shares over current market prices.
Compliance with changing regulations concerning corporate governance and public disclosure may
result in additional expenses.
There have been changing laws, regulations and standards relating to corporate governance and
public disclosure, including the Sarbanes-Oxley Act, new regulations promulgated by the SEC and
rules promulgated by the American Stock Exchange (AMEX), the other national securities exchanges
and the NASDAQ. These new or changed laws, regulations and standards are subject to varying
interpretations in many cases due to their lack of specificity, and, as a result, their application
in practice may evolve over time as new guidance is provided by regulatory and governing bodies,
which could result in continuing uncertainty regarding compliance matters and higher costs
necessitated by ongoing revisions to disclosure and governance practices. As a result, our efforts
to comply with evolving laws, regulations and standards are likely to continue to result in
increased general and administrative expenses and a diversion of management time and attention from
revenue-generating activities to compliance activities. Our directors, Chief
Executive Officer and Chief Financial Officer could face an increased risk of personal liability in
connection with the performance of their duties. As a result, we may have difficulty attracting and
retaining qualified board of directors members and executive officers, which could harm our
business. If our efforts to comply with new or changed laws, regulations and standards differ from
the activities intended by regulatory or governing bodies, we could be subject to liability under
applicable laws or our reputation may be harmed.
Item 2. Description of Property
Our principal corporate office is located at 4400 Biscayne Blvd, Suite 670, Miami, Florida.
We rent this space from Frost Real Estate Holdings, LLC, which is a company controlled by Dr.
Phillip Frost, our largest beneficial stockholder. We lease approximately 2,900 square feet under
the lease agreement, which is for a five-year term that began on January 1, 2008, and requires
annual rent of approximately $91,000, which amount increases by approximately 4.5% per year.
We currently lease approximately 462 square feet of office space in Omaha, Nebraska. This
facility includes one administrative office. Dr. Filipi, our Medical Director and one of the
members of our Board of Directors, is based in Omaha, Nebraska.
We have leased a warehouse in Miami, Florida, which is used as our prototype lab. The lease
term began on January 1, 2008 and extends for a period of twelve months.
Item 3. Legal Proceedings
We are presently a plaintiff in a securities fraud and appraisal action in respect of our
ownership of 191,118 shares of common stock of True Position, Inc., a Delaware corporation
(referred to as True Position). This action was filed November 13, 2007 in the United States
District Court for the District of Connecticut, and we and other plaintiffs party to the suit seek
damages and other relief totaling $80 million.
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In August 2007, we were informed that that Liberty TP Acquisition, Inc., which held an
aggregate of no less than 90% of True Positions outstanding capital stock, was being merged into
True Position. As a result of the
merger, all of the issued and outstanding shares of common stock of True Position were
cancelled, and True Positions minority stockholders, including ourselves, became entitled to
receive $3.5116 in cash in exchange for each share held. We and other minority stockholders
considered that the consideration payable in respect of our shares under the merger was not
representative of the true value of our shares of True Position stock.
We have joined with certain other minority stockholders of True Position in bringing the
aforementioned appraisal and securities fraud action, and, on August 10, 2007, we entered into a
joint shareholder litigation governance and funding agreement (referred to as the funding
agreement) with such stockholders. Under the funding agreement, we have agreed to a fund a portion
of the litigation expenses in connection with the appraisal and securities fraud action. To date,
we have contributed approximately $45,000, and we anticipate that we will be called upon to fund at
least a similar, and possibly significantly greater, amount during our 2008 fiscal year. The
extent to which we will be called upon to contribute additional funds is determined in part by the
majority vote of those stockholders party to the funding agreement. We may elect to terminate our
participation in the funding agreement upon ten days written notice to the administrative agent
under the agreement. Upon termination, we would no longer be required to fund any amounts not
already paid by us under the funding agreement, but we would lose all rights to participate under
the funding agreement, including access to any additional work-product created after the date of
termination. Additionally, if we elect to terminate our participation under the funding agreement,
our portion of any proceeds from a favorable disposition of the litigation may be reduced. The
outcome of this litigation is not now known, nor can it be reasonably predicted at this time.
Item 4. Submission of Matters to a Vote of Security Holders
On November 13, 2007, certain of our stockholders holding an aggregate of approximately 79% of
our issued and outstanding common stock, approved an amendment to our Restated Certificate of
Incorporation to (i) change our name from Cellular Technical Services Company, Inc. to SafeStitch
Medical, Inc., (ii) increase the number of authorized shares of all classes of our capital stock,
(iii) eliminate the classification and staggering of our Board of Directors, (iv) delete the
provision restricting our ability to acquire common stock from certain of our stockholders holding
5% or more of our outstanding voting securities, (v) delete all supermajority voting requirements,
(vi) delete the provision setting forth compromise procedures in the event of insolvency and (vii)
delete immaterial provisions. Additionally, the same stockholders approved the adoption by our
Board of Directors of the SafeStitch Medical, Inc. 2007 Incentive Compensation Plan. In accordance
with the relevant provisions of the Delaware General Corporation Law, the foregoing actions were
approved by the stockholders pursuant to a written consent in lieu of a special meeting of
stockholders.
The foregoing is merely a summary of those matters submitted to a stockholder vote during the
fourth quarter of our fiscal year ended December 31, 2007, and is qualified in its entirety by the
full text of our Definitive Information Statement on Schedule 14C, filed with the SEC on December
7, 2007, which is incorporated by reference in this Item 4 to our Annual Report on Form 10-KSB.
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PART II
Item 5. Market for Common Equity, Related Stockholder Matters and Small Business Issuer Purchases of Equity Securities
The following table sets forth the reported high and low sales prices of our common stock, for
the fiscal quarters indicated, as reported on the on the over-the-counter bulleting board
(OTCBB). During the indicated periods, our trading symbol on the OTCBB was CTSC, but it has
since changed to SFES, effective February 11, 2008.
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|
|
|
|
|
|
Prices |
|
|
|
High |
|
|
Low |
|
2007 |
|
|
|
|
|
|
|
|
First Quarter |
|
$ |
1.95 |
|
|
$ |
1.28 |
|
Second Quarter |
|
|
2.20 |
|
|
|
1.55 |
|
Third Quarter |
|
|
3.25 |
|
|
|
1.60 |
|
Fourth Quarter |
|
|
5.00 |
|
|
|
2.95 |
|
|
2006 |
|
|
|
|
|
|
|
|
First Quarter |
|
$ |
2.70 |
|
|
$ |
2.00 |
|
Second Quarter |
|
|
2.87 |
|
|
|
2.48 |
|
Third Quarter |
|
|
2.65 |
|
|
|
1.72 |
|
Fourth Quarter |
|
|
1.92 |
|
|
|
1.20 |
|
As
of March 20, 2008, there were 172 record holders of our common stock, and we estimate
that there are in excess of 3,000 beneficial owners of our common stock.
We paid no dividends or made any other distributions in respect of our common stock during our
fiscal years ended December 31, 2007 and 2006, and we have no plans to pay any dividends or make
any other distributions in the future.
In connection with our acquisition of SafeStitch LLC, we entered into a Note and Security
Agreement with both The Frost Group, LLC, a Florida limited liability company whose members include
Frost Gamma Investments Trust, a trust indirectly controlled by Dr. Phillip Frost, the largest
beneficial holder of our common stock, as well as Dr. Jane H. Hsiao and Steven D. Rubin, two of our
directors, and Jeffrey G. Spragens, our Chief Executive Officer and President and a director for
$4.0 million in total available borrowings. Under this credit facility, we may distribute stock
dividends in respect of our common stock, but we may not pay cash dividends in respect of our
common stock.
EQUITY COMPENSATION PLAN INFORMATION
Our 1996 Stock Option Plan authorized the grant of both incentive (ISO) and non-qualified
stock options up to a maximum of 335,000 shares of our common stock to employees of SafeStitch
(including officers and directors who are employees) and consultants to SafeStitch. The exercise
price, term and vesting provision of each option grant was fixed by our Compensation Committee with
the provision that the exercise price of an ISO may not be less than the fair market value of our
common stock on the date of grant, and the term of an ISO may not exceed ten years. We did not
grant any options under this plan during the years ended December 31, 2007 and 2006. As of December
31, 2007, there are no options available under the plan. This plan has been terminated, and no
additional awards will be made under our 1996 Stock Option Plan.
Our Board of Directors and a majority of our stockholders approved the SafeStitch Medical,
Inc. 2007 Incentive Compensation Plan (the 2007 Plan) on November 13, 2007, which is now our only
compensation plan in effect. We have reserved a total of 2,000,000 shares of our common stock for
issuance under the 2007 Plan, subject to adjustment for a stock split, or any future stock dividend
or other similar change in our common stock or our capital structure. As of December 31, 2007, no
options to purchase shares of common stock had yet been granted under the 2007 Plan. A more
detailed summary of the 2007 Plan is contained in Note D to our consolidated financial statements
set forth under Item 7 to this Annual Report on Form 10-KSB. The full text of the 2007 Plan was
filed with the SEC on December 7, 2007 as Annex B to our Definitive Information Statement on
Schedule 14C, and is incorporated herein by reference.
37
The following table provides information about our equity compensation plans as of December
31, 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of securities |
|
|
|
|
|
|
|
|
|
|
remaining available for |
|
|
|
|
|
|
|
|
|
|
future issuance under |
|
|
Number of securities to |
|
Weighted-average |
|
equity compensation |
|
|
be issued upon exercise |
|
exercise price of |
|
plans (excluding |
|
|
of outstanding options, |
|
outstanding options, |
|
securities reflected in |
|
|
warrants and rights |
|
warrants and rights |
|
column (a)) |
|
|
(a) |
|
(b) |
|
(c) |
Equity compensation
plans approved by
security holders(1)
|
|
|
|
|
|
|
|
|
|
|
2,000,000 |
|
Equity compensation
plans not approved
by security holders
|
|
|
88,667 |
(2) |
|
$ |
2.60 |
(2) |
|
|
Total
|
|
|
88,667 |
(3)(4) |
|
$ |
2.60 |
|
|
|
2,000,000 |
|
|
|
|
(1) |
|
SafeStitch Medical, Inc. 2007 Incentive Compensation Plan. |
|
(2) |
|
On September 11, 2007, we issued to Dr. Stewart Davis, our COO and Secretary, an
aggregate of 88,667 options (outside the 2007 Plan) to purchase our common stock at a strike
price of $2.60 per share. This grant was made in accordance with that certain employment
letter agreement, dated May 16, 2007, by and between Dr. Davis and SafeStitch LLC, which we
have since acquired, and in consideration for Dr. Davis continued service as our COO and
Secretary. 25% of such options were immediately exercisable with another 25% becoming
exercisable on September 11th of each of 2008, 2009 and 2010; provided, however, that all
options shall become immediately exercisable in the event of a change of control of
SafeStitch. |
|
(3) |
|
On March 18, 2008, we issued an aggregate of 95,500 options to purchase our common
stock under the SafeStitch Medical, Inc. 2007 Incentive Compensation Plan, each at a strike
price of $3.10 per share. These options were issued as follows: each of our independent and
non-employee directors, Kevin Wayne, Kenneth Heithoff, Dr. Jane Hsiao, Steven Rubin and
Richard Pfenniger, received 10,000 options, except that Dr. Hsiao, Mr. Rubin and Mr. Pfenniger
received an additional 5,000, 1,000 and 1,000 options, respectively, for their respective
service as chairman of our Board of Directors, Compensation Committee and Audit Committee; and
the remaining 33,500 options were issued to new and existing employees and consultants,
including 5,000 to Jeffrey G. Spragens, our President and Chief Executive Officer, and 10,000
to Dr. Stewart B. Davis, our Chief Operating Officer and Secretary. |
|
(4) |
|
On March 24, 2008, we issued to new employees an aggregate of 53,000 options to
purchase our common stock under the SafeStitch Medical, Inc. 2007 Incentive Compensation Plan,
each at a strike price of $3.00 per share. |
Item 6. Managements Discussion and Analysis or Plan of Operation.
This Annual Report on Form 10-KSB contains certain forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA), Section 27A of the
Securities Act of 1933, as amended (the Securities Act) and Section 21E of the Securities
Exchange Act of 1934, as amended, (the Exchange Act), about our expectations, beliefs or
intentions regarding our product development efforts, business, financial condition, results of
operations, strategies or prospects. You can identify forward-looking statements by the fact that
these statements do not relate strictly to historical or current matters. Rather, forward-looking
statements relate to anticipated or expected events, activities, trends or results as of the date
they are made. Because forward-looking statements relate to matters that have not yet occurred,
these statements are inherently subject to risks and uncertainties that could cause our actual
results to differ materially from any future results expressed or implied by the forward-looking
statements. Many factors could cause our actual activities or results to differ materially from the
activities and results anticipated in forward-looking statements. These factors include those set
forth below as well as those contained in Item 1A Risk Factors of this Annual Report on Form
10-KSB. We do not undertake any obligation to update forward-looking statements. We intend that all
forward-looking statements be subject to the safeharbor provisions of PSLRA. These forward-looking
statements are only predictions and reflect our views as of the date they are made with respect to
future events and financial performance.
Overview
We are a developmental stage medical device company focused on the development of medical
devices that manipulate tissues for obesity, gastroesophageal reflux disease (GERD), Barretts
Esophagus, esophageal
obstructions, upper gastrointestinal bleeding, hernia formation and other intraperitoneal
abnormalities through endoscopic and minimally invasive surgery.
38
We have utilized our expertise in intraperitoneal surgery to test certain of our devices in in
vivo and ex vivo animal trials and ex vivo human trials, and with certain products, in limited in
vivo human trials, and we intend to rapidly, efficiently and safely move into clinical trials for
our devices that are utilized in surgery for the treatment of obesity, GERD and esophageal
obstructions and for the treatment and diagnosis of Barretts Esophagus. Clinical trials for
certain product candidates should begin in 2008.
Immediately prior to the consummation of our acquisition of SafeStitch LLC, a privately held
Virginia limited liability company, on September 4, 2007, we had no business operations. Under the
name Cellular Technical Services Company, Inc. (the Company, during the time so named, CTSC), we
previously developed, marketed, distributed and supported a diversified mix of products and
services for the telecommunications industry. On November 9, 2002, CTSC ceased its product
development efforts, and on December 11, 2002 adopted a plan to wind down all operations related to
its historical business, which process it completed in December 2005. Between that time and the
consummation of our acquisition of SafeStitch LLC, all of our staff and administrative positions
were eliminated. As such, immediately prior to the Share Exchange, we were a company with primarily
only cash and cash equivalents and no operations.
After the termination of CTSCs operations, the Companys board of directors and management
focused on redeploying the remaining residual assets of CTSC and the board of directors had been
studying the potential strategic directions for and identifying potential business opportunities.
The Companys objective was to redeploy its assets and actively pursue new business opportunities.
On April 12, 2005, CTSC completed its sale of 2.1 million shares of our common stock,
constituting approximately 45% our then issued and outstanding shares of capital stock, on a fully
diluted basis, to a small group of investors led by Frost Gamma Investments Trust, a trust
controlled by Dr. Phillip Frost, a director of CTSC until the Share Exchange. Dr. Jane Hsiao and
Richard C. Pfenniger, Jr., directors of CTSC both before and after the Share Exchange, also led the
investment. The stock sale was made pursuant to the terms of a securities purchase agreement and
letter agreement, each dated April 12, 2005. The investors paid CTSC an aggregate purchase price of
$1.575 million, or $0.75 per share. CTSC also agreed to appoint three designees of the investors to
its board of directors.
On September 4, 2007, we completed the acquisition of SafeStitch LLC pursuant to a Share
Transfer, Exchange and Contribution Agreement, dated as of July 25, 2007 (referred to as the Share
Exchange Agreement), by and among us, SafeStitch LLC and the members of SafeStitch LLC.
At the closing of the transaction contemplated by the Share Exchange Agreement (the Share
Exchange), we issued an aggregate of 11,256,369 shares of our common stock to the former members
of SafeStitch LLC in exchange for all of their membership interests in SafeStitch LLC. We also
granted warrants to purchase a total of 805,521 shares of our common stock to The Frost Group, LLC
and Jeffrey G. Spragens in connection with a line of credit of up to $4 million that was provided
to us simultaneously with the closing by The Frost Group, LLC and Jeffrey G. Spragens. The warrants
have a ten year term and an assumed exercise price of $0.25 per share of common stock. Dr. Phillip
Frost has a controlling interest in The Frost Group LLC and is the largest beneficial holder of our
shares of common stock. Dr. Jane Hsiao and Steven D. Rubin, two of our directors, are also members
of The Frost Group, LLC. Jeffrey G. Spragens is our Chief Executive Officer and President and a
director. Frost Gamma Investments Trust, Dr. Phillip Frost, Dr. Jane Hsiao, Steven D. Rubin and
Jeffrey G. Spragens were also beneficial owners of membership interests in SafeStitch LLC. We
incurred customary acquisition related costs in connection with the share exchange.
In January 2008, we changed our name from Cellular Technical Services Company, Inc. to
SafeStitch Medical, Inc., and, on February 11, 2008, our trading symbol on the OTCBB changed from
CTSC to SFES. We intend to apply for the listing of our common stock on the American Stock
Exchange during our 2008 fiscal year.
39
Critical Accounting Policies and Estimates
Our discussion and analysis of our financial condition and results of operations are based
upon our consolidated financial statements, which have been prepared in accordance with accounting
principles generally accepted in the United States. The preparation of these financial statements
requires us to make estimates and judgments that affect the reported amounts of assets,
liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On
an on-going basis, we evaluate our estimates, including those related to revenue recognition,
product returns, bad debts, inventories, investments, including the carrying value of our long term
investment, property and equipment, intangible assets, contingencies and litigation. We base our
estimates on historical experience and on various other assumptions that are believed to be
reasonable under the circumstances, the results of which form the basis for making judgments about
the carrying values of assets and liabilities that are not readily apparent from other sources. A
more detailed discussion on the application of these and other accounting policies can be found in
Note B in the Notes to the Consolidated Financial Statements set forth in Item 7 of this Annual
Report on Form 10-KSB for the year ended December 31, 2007. Actual results may differ from these
estimates under different assumptions or conditions.
Accounting Treatment
Our acquisition of SafeStitch in accordance with the Share Exchange Agreement has been
accounted for as a recapitalization of SafeStitch. For accounting purposes, SafeStitch is treated
as the continuing reporting entity. Because we did not have an operating business, the transaction
is not accounted for as a business combination. Instead, the transaction is accounted for as a
recapitalization of SafeStitch and the issuance of stock by SafeStitch (represented by our
outstanding shares of common stock) at the book values of our assets and liabilities, which
approximates fair value with no goodwill or other intangibles recorded.
Treatment of Warrants and Options
SafeStitch did not have any outstanding warrants or options and no warrants or options were
assumed by CTS as a result of the Share Exchange, except warrants issued in connection with the
line of credit described above.
Amendment to Certificate of Incorporation
On January 8, 2008, we filed our Amended and Restated Certificate of Incorporation (our
Certificate of Incorporation) with the Secretary of State of the State of Delaware. The
following summarizes the amendments to our Certificate of Incorporation, which became effective on
January 8, 2008:
|
|
|
we changed our name from Cellular Technical Services Company, Inc. to SafeStitch
Medical, Inc., which more appropriately describes our business; |
|
|
|
|
we increased the aggregate number of shares of all classes of capital stock that we
may issue from 35,000,000 to 250,000,000, which is composed of 225,000,000 shares of
common stock, par value $0.001 per share, and 25,000,000 shares of preferred stock, par
value $0.01 per share; |
|
|
|
|
we eliminated the staggering of our Board of Directors with the effect that all
directors on the Board comprise a single class; therefore, all positions on our Board
of Directors may be subject to an election in any given year; |
|
|
|
|
we provided that any vacancy occurring on our Board of Directors, including any
vacancy created by reason of an increase in the number of directors, shall be filled
for the unexpired term by the concurring vote of a majority of the directors then in
office, whether or not a quorum, and any director so chosen shall hold office for the
remainder of the full term of the director whose departure caused the vacancy and until
such directors successor shall have been elected and qualified; |
40
|
|
|
in order that we have maximum flexibility to acquire our own capital stock, we
eliminated the restrictive provision that had been contained in our Certificate of
Incorporation that required the
affirmative vote of the holders of a majority of the total number of
the outstanding shares of our common stock prior to our purchase of any common stock from (i) any person
who or which is the beneficial owner, directly or indirectly, of five percent (5%) or
more of the voting power of our outstanding common stock and (ii) who or which has
beneficially owned such common stock for less than two years; |
|
|
|
|
we eliminated all supermajority voting provisions contained in our Certificate of
Incorporation, which required a two-thirds vote of stockholders to change the structure
of the Board of Directors, remove a Director, amend our bylaws or amend those
provisions set forth in our Certificate of Incorporation which require such
supermajority approval. Following the amendment, a simple majority is now sufficient to
take the foregoing actions; |
|
|
|
|
in an attempt to address instances of financial hardship, our Certificate of
Incorporation contained a provision providing for certain compromise procedures in the
event it became necessary for us to reorganize or restructure. This provision, which
would have involved the intervention of a Delaware court of equity, could have
potentially bound the Company or otherwise limited our options in the event of
financial difficulty. As amended, our Certificate of Incorporation no longer contains
such a provision, which allows us maximum flexibility should financial hardship ever
arise; and |
|
|
|
|
we deleted non-material provisions from our Certificate of Incorporation, including
the name of our original incorporator. |
Overall, we believe that our Certificate of Incorporation, as amended, including the
authorization of additional share capital, will enhance our ability to grow our business and
respond to potential mergers and acquisitions. We cannot assure you, however, that the several
amendments to our Certificate of Incorporation will result in our effecting a merger or acquisition
or otherwise make us more attractive to acquisition candidates or potential investors.
Results of Operations
Our losses totaled $4,177,000 from September 15, 2005 (inception) through December 31, 2007.
Such losses included $3,041,000 and $1,059,000 for the years ended December 31, 2007 and 2006,
respectively. At December 31, 2007, we had an accumulated deficit of $4.2 million. Since we do
not generate revenue from any of our product candidates, we expect to continue to generate losses
in connection with the continual clinical development of our products and development activities
relating to our technologies. Such research and development activities are budgeted to expand over
time and will require further resources if we are to be successful. As a result, we believe our
operating losses are likely to be substantial over the next several years.
Year Ended December 31, 2007 Compared to Year Ended December 31, 2006
Research and Development expenses were $1,636,000 for the year ended December 31, 2007 an
increase of $888,000 compared with the same period in 2006, resulting from an increase in the
amount of research being performed, as we moved further into our research activities. We expect
research and development expenses to continue to increase as we enter into a more advanced stage of
clinical trials for our product candidates.
General and Administrative costs were $1,135,000 for year ended December 31, 2007 an increase
of $897,000, related to the increase in staffing and operating costs and $66,000 in stock-based
compensation. General and administrative expense consists primarily of salaries and other related
costs, including share-based compensation expense for persons serving as our executive, finance,
accounting and administration personnel. Other general and administrative expense includes
facility-related costs not otherwise included in research and development expense, and professional
fees for legal and accounting services. We expect that our general and administrative expense will
increase as we add additional personnel and continue to comply with the reporting and other
obligations applicable to public companies.
Interest
Income increased $15,000 in the 2007 period due to higher invested cash balances.
41
Interest expenses increased during the 2007 period due to the accrual of interest on members
loan balances.
Liquidity
As a result of our significant research and development expenditures and the lack of any
approved products to generate product sales revenue, we have not been profitable and have generated
operating losses since inception. Additionally, in connection with our involvement as a plaintiff
in the True Position litigation, we incurred costs of approximately $45,000 during our 2007 fiscal
year, which reduced cash flow and will continue so long as we stay involved in the litigation. We
do not expect to have any current source of revenues. To date, we have funded our operations
primarily with proceeds from the private placement of stock and credit facilities available to us.
However, our management believes that our cash balance as of December 31, 2007 of approximately
$0.6 million, together with our $4.0 million line of credit is sufficient to fund our current cash
flow requirements through at least the next twelve months. Our management has currently budgeted
expenditures of approximately $4.0 million for our 2008 fiscal year, which will fund the final
development and initial marketing of three of our product candidates, as well as continuing
research and development on our gastroplasty (GERD and obesity) and Barretts devices.
Plan of Operations 2008
Through the end of our 2008 fiscal year, we plan the following, although there is no assurance
all of it will be completed:
|
|
|
FDA Registration of standard and airway bite blocks. |
|
|
|
|
Continued product development of gastroplasty device for obesity and GERD. |
|
|
|
|
Manufacturing of gastroplasty devices for clinical trials and engineering
(performance, validation) testing. |
|
|
|
|
Feasibility trial of gastroplasty device and commencement of multicenter US and
international trials. |
|
|
|
|
Continued product development of Barretts Excision Device. |
|
|
|
|
Final product development of smart dilator and application for FDA approval. |
|
|
|
|
Initial marketing and commercialization of standard and airway bite blocks and smart
dilator. |
|
|
|
|
Institutional Review Board (IRB) clinical evaluation trials for standard and airway
bite blocks and smart dilator. |
|
|
|
|
Early development efforts on hernia device and NOTES devices, of which we have
existing intellectual property and licenses. |
Future Funding Requirements
We expect to incur losses from operations for the foreseeable future. We expect to incur
increasing research and development expenses, including expenses related to the hiring of personnel
and additional clinical trials. We expect that general and administrative expenses will also
increase as we expand our finance and administrative staff, add infrastructure, and incur
additional costs related to being a public company, including the costs of directors and officers
insurance, investor relations programs and increased professional fees.
42
We believe that our existing cash and cash equivalents and the $4.0 million credit facility
available to us will be sufficient to enable us to fund our operating expenses and capital
expenditure requirements for at least the next 12 months. We have based this estimate on
assumptions and the above-described Plan of Operations that are subject to change and may prove to
be wrong, and we may be required to use our available capital resources sooner
than we currently expect. Because of the numerous risks and uncertainties associated with the
development and commercialization of our product candidates, we are unable to estimate the amounts
of increased capital outlays and operating expenditures associated with our current and anticipated
clinical trials.
Our future capital requirements will depend on many factors, including the progress and
results of our clinical trials, the duration and cost of discovery and preclinical development, and
laboratory testing and clinical trials for our product candidates, the timing and outcome of
regulatory review of our product candidates, the costs involved in preparing, filing, prosecuting,
maintaining, defending and enforcing patent claims and other intellectual property rights, the
number and development requirements of other product candidates that we pursue and the costs of
commercialization activities, including product marketing, sales and distribution.
We will need to finance our future cash needs through public or private equity offerings, debt
financings or corporate collaboration and licensing arrangements. We currently do not have any
commitments for future external funding. We may need to raise additional funds more quickly if one
or more of our assumptions prove to be incorrect or if we choose to expand our product development
efforts more rapidly than we presently anticipate. We may also decide to raise additional funds
even before we need them if the conditions for raising capital are favorable. The sale of
additional equity or debt securities will likely result in dilution to our shareholders. The
incurrence of indebtedness would result in increased fixed obligations and could also result in
covenants that would restrict our operations. Additional equity or debt financing, grants or
corporate collaboration and licensing arrangements may not be available on acceptable terms, if at
all. If adequate funds are not available, we may be required to delay, reduce the scope of or
eliminate our research and development programs, reduce our planned commercialization efforts or
obtain funds through arrangements with collaborators or others that may require us to relinquish
rights to certain product candidates that we might otherwise seek to develop or commercialize
independently.
43
Item 7. Financial Statements
The following financial statements of SafeStitch Medical, Inc. are included as required to be
filed by Item 7 of Regulation S-B, under the Exchange Act.
|
|
|
|
|
Report of Independent Registered Public Accounting Firm |
|
|
45 |
|
|
|
|
|
|
Consolidated Balance Sheet at December 31, 2007 |
|
|
46 |
|
|
|
|
|
|
Consolidated Statements of Operations for the years ended December 31,
2007 and 2006 and for the period from September 15, 2005 (inception)
through December 31, 2007 |
|
|
47 |
|
|
|
|
|
|
Consolidated Statements of Stockholders Equity for the period from
September 15, 2005 (inception) through December 31, 2007 |
|
|
48 |
|
|
|
|
|
|
Consolidated Statements of Cash Flows for the years ended December 31,
2007 and 2006 and for the period from September 15, 2005 (inception)
through December 31, 2007 |
|
|
49 |
|
|
|
|
|
|
Notes to Consolidated Financial Statements |
|
|
50 |
|
|
|
|
|
|
Safestitch
LLC |
|
|
59 |
|
|
|
|
|
|
Report of Independent Registered Public Accounting Firm |
|
|
60 |
|
|
|
|
|
|
Balance Sheets as of December 31, 2006 and 2005 |
|
|
61 |
|
|
|
|
|
|
Statements of Operations for the year ended December 31, 2006 and for
the period from September 15, 2005 (Inception) to December 31, 2005 |
|
|
62 |
|
|
|
|
|
|
Statements of Members Equity for the year ended December 31, 2006 and
for the period from September 15, 2005 (Inception) to December 31,
2005 |
|
|
63 |
|
|
|
|
|
|
Statements of Cash Flows for the year ended December 31, 2006 and for
the period from September 15, 2005 (Inception) to December 31, 2005 |
|
|
64 |
|
|
|
|
|
|
Notes to Financial Statements |
|
|
65 |
|
44
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Board of Directors and Stockholders
SafeStitch Medical, Inc
We have audited the accompanying consolidated balance sheet of SafeStitch Medical, Inc.
(formerly known as Cellular Technical Services Company, Inc.)(a development stage company) (the
Company) as of December 31, 2007, and the related statements of operations, stockholders equity,
and cash flows for the years ended December 31, 2007 and 2006 and for the period from September 15,
2005 (inception) through December 31, 2007. These financial statements are the responsibility of
the Companys management. Our responsibility is to express an opinion on these financial statements
based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting
Oversight Board (United States). Those standards require that we plan and perform the audit to
obtain reasonable assurance about whether the financial statements are free of material
misstatement. We were not engaged to perform an audit of the Companys internal control over
financial reporting. Our audits include consideration of internal control over financial reporting
as a basis for designing audit procedures that are appropriate in the circumstances, but not for
the purpose of expressing an opinion on the effectiveness of the Companys internal control over
financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in the financial statements. An audit
also includes assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation. We believe that our
audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material
respects, the consolidated financial position of the Company as of December 31, 2007 and the
consolidated result of their operations and cash flows for years ended December 31, 2007 and 2006
and for the period from September 15, 2005 (inception) through December 31, 2007, in conformity
with accounting principles generally accepted in the United States of America.
/s/ Eisner LLP
New York, New York
March 26, 2008
45
SAFESTITCH MEDICAL, INC.
(A Developmental Stage Company)
CONSOLIDATED BALANCE SHEET
(in 000s, except share and per share data)
|
|
|
|
|
|
|
December 31, |
|
|
|
2007 |
|
CURRENT ASSETS |
|
|
|
|
Cash and cash equivalents |
|
$ |
631 |
|
Prepaid Expenses |
|
|
99 |
|
|
|
|
|
Total Current Assets |
|
|
730 |
|
FIXED ASSETS |
|
|
|
|
Property and equipment, net |
|
|
196 |
|
|
|
|
|
OTHER ASSETS |
|
|
|
|
Security Deposits |
|
|
56 |
|
|
|
|
|
Deferred Finance Cost |
|
|
1,702 |
|
|
|
|
|
Total Other Assets |
|
|
1,759 |
|
|
|
|
|
LONG-TERM INVESTMENT, net of valuation adjustment of $1,754 |
|
|
0 |
|
|
|
|
|
TOTAL ASSETS |
|
$ |
2,684 |
|
|
|
|
|
|
|
|
|
|
CURRENT LIABILITIES |
|
|
|
|
Accounts payable and accrued liabilities |
|
$ |
253 |
|
|
|
|
|
Total Current Liabilities |
|
|
253 |
|
|
|
|
|
Shareholder Loans |
|
|
10 |
|
|
|
|
|
Commitments
and contingencies (Note I) |
|
|
|
|
STOCKHOLDERS EQUITY |
|
|
|
|
Preferred
Stock, $.01 par value per share, 25,000,000
shares authorized, none issued and outstanding (effective
January 8, 2008) |
|
|
0 |
|
Common
Stock, $.001 par value per share, 225,000,000
shares authorized, 16,093,016 shares issued and
outstanding (effective January 8, 2008) |
|
|
16 |
|
Additional Paid-in Capital |
|
|
6,582 |
|
Deficit accumulated during the development stage |
|
|
(4,177 |
) |
|
|
|
|
Total Stockholders Equity |
|
|
2,421 |
|
|
|
|
|
TOTAL LIABILITIES AND STOCKHOLDERS EQUITY |
|
$ |
2,684 |
|
|
|
|
|
The accompanying notes are an integral part of these consolidated financial statements.
46
SAFESTITCH MEDICAL, INC.
(A Developmental Stage Company)
CONSOLIDATED STATEMENTS OF OPERATIONS
(in 000s, except share and per share amounts)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 15, 2005 |
|
|
|
Year Ended |
|
|
(Inception) to |
|
|
|
December 31, |
|
|
December 31, 2007 |
|
|
|
2007 |
|
|
2006 |
|
|
|
|
|
REVENUES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
COSTS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Research & Development |
|
$ |
1,636 |
|
|
$ |
739 |
|
|
$ |
2,451 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General and administrative |
|
|
1,135 |
|
|
|
340 |
|
|
|
1,475 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Costs and Expenses |
|
|
2,771 |
|
|
|
1,079 |
|
|
|
3,926 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LOSS FROM OPERATIONS |
|
|
(2,771 |
) |
|
|
(1,079 |
) |
|
|
(3,926 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
OTHER INCOME (NET) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
INTEREST INCOME |
|
|
34 |
|
|
|
19 |
|
|
|
53 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
AMORTIZATION OF FINANCE COSTS |
|
|
(283 |
) |
|
|
|
|
|
|
(283 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
INTEREST EXPENSE |
|
|
(21 |
) |
|
|
|
|
|
|
(21 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET LOSS |
|
$ |
(3,041 |
) |
|
$ |
(1,060 |
) |
|
$ |
(4,177 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BASIC SHARE DATA: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET LOSS |
|
$ |
(0.19 |
) |
|
$ |
(0.07 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DILUTED SHARE DATA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET LOSS |
|
$ |
(0.19 |
) |
|
$ |
(0.07 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WEIGHTED AVERAGE SHARES OUTSTANDING: |
|
|
16,093,000 |
|
|
|
16,050,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these consolidated financial statements.
47
SAFESTITCH MEDICAL, INC.
(A Developmental Stage
Company)
Statement of Stockholders Equity for the period September 15, 2005 (inception) through December 31, 2007
(in 000s)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additional |
|
|
Deficit Accumulated |
|
|
|
|
|
|
Preferred Stock |
|
|
Common Stock |
|
|
Paid-In |
|
|
During the |
|
|
|
|
|
|
Shares |
|
|
Amount |
|
|
Shares |
|
|
Amount |
|
|
Capital |
|
|
Development Stage |
|
|
Total |
|
Inception-September 15, 2005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital Contributed - |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1 |
|
|
|
|
|
|
$ |
1 |
|
Net Loss |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(76 |
) |
|
|
(76 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
|
|
|
(76 |
) |
|
|
(75 |
) |
Capital Contributed - |
|
|
|
|
|
|
|
|
|
|
11,256 |
|
|
$ |
11 |
|
|
|
1,493 |
|
|
|
|
|
|
|
1,504 |
|
Net Loss |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,060 |
) |
|
|
(1,060 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2006 |
|
|
|
|
|
$ |
|
|
|
|
11,256 |
|
|
$ |
11 |
|
|
$ |
1,494 |
|
|
$ |
(1,136 |
) |
|
$ |
369 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercise of
options (CTS)-September 23,
2007 at $0.79 per share |
|
|
|
|
|
|
|
|
|
|
42 |
|
|
|
0 |
|
|
|
35 |
|
|
|
|
|
|
|
35 |
|
Stock-Based
Compensation-September 4, 2007 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
77 |
|
|
|
|
|
|
|
77 |
|
Issuance shares in recapitalization -
September 4, 2007 at $0.64 per share |
|
|
|
|
|
|
|
|
|
|
4,795 |
|
|
|
5 |
|
|
|
3,078 |
|
|
|
|
|
|
|
3,083 |
|
SafeStitch expenses associated with
recapitalization |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(156 |
) |
|
|
|
|
|
|
(156 |
) |
Stock based compensation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
65 |
|
|
|
|
|
|
|
65 |
|
Warrants issued in connection with credit
facility-September 4, 2007 at $2.46 per
share |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,985 |
|
|
|
|
|
|
|
1,985 |
|
Rule 16 payment received |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4 |
|
|
|
|
|
|
|
4 |
|
Net loss |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(3,041 |
) |
|
|
(3,041 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2007 |
|
|
|
|
|
$ |
|
|
|
|
16,093 |
|
|
$ |
16 |
|
|
$ |
6,582 |
|
|
$ |
(4,177 |
) |
|
$ |
2,421 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these consolidated financial statements.
48
SAFESTITCH MEDICAL, INC.
(A Developmental Stage Company)
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in 000s)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 15, 2005 |
|
|
|
|
|
|
|
|
|
|
|
(Inception) to |
|
|
|
Year Ended |
|
|
December 31, 2007 |
|
|
|
2007 |
|
|
2006 |
|
|
|
|
|
OPERATING ACTIVITIES |
|
|
|
|
|
|
|
|
|
|
|
|
Net loss |
|
$ |
(3,041 |
) |
|
$ |
(1,060 |
) |
|
$ |
(4,177 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjustments to reconcile net loss to net cash used in
operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of Deferred Finance Costs |
|
|
283 |
|
|
|
|
|
|
|
283 |
|
Stock-Based Compensation Expense |
|
|
142 |
|
|
|
|
|
|
|
142 |
|
Depreciation |
|
|
4 |
|
|
|
|
|
|
|
4 |
|
(Increase) in other current assets |
|
|
(79 |
) |
|
|
|
|
|
|
(79 |
) |
(Increase) in other assets |
|
|
(56 |
) |
|
|
|
|
|
|
(56 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Increase (Decrease) in accounts payable and accrued liabilities |
|
|
(199 |
) |
|
|
153 |
|
|
|
(32 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET CASH USED IN OPERATING ACTIVITIES |
|
|
(2,946 |
) |
|
|
(907 |
) |
|
|
(3,915 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM INVESTING ACTIVITIES |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided in connection with the acquisition of
SafeStitch LLC |
|
|
3,192 |
|
|
|
|
|
|
|
3,192 |
|
Purchase of equipment |
|
|
(200 |
) |
|
|
|
|
|
|
(200 |
) |
Payment received under Rule 16b |
|
|
4 |
|
|
|
|
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET CASH PROVIDED BY INVESTING ACTIVITIES |
|
|
2,996 |
|
|
|
0 |
|
|
|
2,996 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM FINANCING ACTIVITIES |
|
|
|
|
|
|
|
|
|
|
|
|
Capital Contributions |
|
|
|
|
|
|
1,430 |
|
|
|
1,431 |
|
Shareholders Loans |
|
|
|
|
|
|
|
|
|
|
84 |
|
Exercise of Options |
|
|
35 |
|
|
|
|
|
|
|
35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET CASH PROVIDED BY FINANCING ACTIVITIES |
|
|
35 |
|
|
|
1,430 |
|
|
|
1,550 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NET INCREASE IN CASH AND CASH EQUIVALENTS |
|
|
85 |
|
|
|
523 |
|
|
|
631 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR |
|
|
546 |
|
|
|
23 |
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CASH AND CASH EQUIVALENTS AT END OF YEAR |
|
$ |
631 |
|
|
$ |
546 |
|
|
$ |
631 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosure of non cash activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shareholder loan contributed to capital |
|
$ |
74 |
|
|
|
|
|
|
$ |
74 |
|
The accompanying notes are an integral part of these consolidated financial statements.
49
SAFESTITCH MEDICAL, INC.
(A Developmental Stage Company)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE A BASIS OF PRESENTATION AND LIQUIDITY:
Cellular Technical Services Company, Inc., (Cellular) a non-operating public company was
incorporated in 1988 as NCS Ventures Corp. under the laws of the State of Delaware.
On July 25, 2007 Cellular entered into a Share Transfer, Exchange and Contribution Agreement
with SafeStitch LLC (SafeStitch) a limited liability company formed in Virginia on September 15,
2005. On September 4, 2007, Cellular acquired all of the members equity of SafeStitch in exchange
for 11,256,369 shares of its common stock, which represented a majority of outstanding shares after
the date of acquisition. For accounting purposes, the acquisition has been treated as a
recapitalization of SafeStitch, with SafeStitch as the acquirer (reverse acquisition). The
historical financial statements prior to September 4, 2007 are those of SafeStitch, which began
operations on September 15, 2005. The accompanying financial statements give retroactive effect to
the recapitalization as if it had occurred on September 15, 2005 (inception). Effective January 8,
2008 Cellular changed its name to SafeStitch Medical, Inc. (Medical or the Company)
The
Company is a developmental stage medical device company focused on the development of
medical devices that manipulate tissues for obesity, gastroesophageal reflux disease (GERD),
Barretts Esophagus, esophageal obstructions, upper gastrointestinal bleeding, hernia formation and
other intraperitoneal abnormalities through endoscopic and minimally invasive surgery.
The accompanying financial statements have been prepared assuming that it will continue as a
going concern. For the period from September 15, 2005 (inception) through December 31, 2007, the
Company has accumulated a deficit of $4,177,000 and has not generated positive cash flows from
operations. The Company has been dependent upon equity financing and advances from stockholders to
meet its obligations and sustain operations. The Companys efforts had been principally devoted to
the development of its technologies and commercializing its products. Management believes that
based upon its current cash position, its budget for its business operations through December 31,
2008, an outstanding line of credit of $4.0 million from The Frost Group LLC and the Companys
President and CEO, Jeffrey G. Spragens and monitoring its discretionary expenditures; the Company
will be able to continue operations through December 31, 2008. The Companys ability to continue as
a going concern is ultimately dependent upon achieving profitable operations and generating
sufficient cash flows from operations to meet future obligations.
NOTE B SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
[1] Consolidation:
The consolidated financial statements include the accounts of the Company and its subsidiaries
Isis Tele-Communications, Inc. and SafeStitch LLC. All inter-company accounts and transactions have
been eliminated in consolidation.
[2] Cash and cash equivalents:
We consider all highly liquid investments purchased with an original maturity of three months
or less to be cash equivalents.
[3] Property and Equipment:
Property and equipment are carried at cost less accumulated depreciation. Major additions and
improvements are capitalized, while maintenance and repairs that do not extend the lives of the
assets are expensed.
50
Gain or loss, if any, on the disposition of fixed assets is recognized currently in
operations. Depreciation is calculated primarily on a straight-line basis over estimated useful
lives of the assets.
[4] Research and development:
Substantially all research and development activities are outsourced (see Note J). Research
and development costs represent principally clinical trials and manufacturing development expenses,
which are charged to expense as incurred.
[5] Patent costs:
Costs incurred in connection with acquiring patent rights and the protection of proprietary
technologies are charged to expense as incurred.
[6] Use of estimates:
The preparation of financial statements in conformity with accounting principles generally
accepted in the United States of America requires management to make estimates and assumptions,
such as useful lives of property and equipment, 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 expenses during the reporting period. Actual results could
differ from those estimates.
[7] Stock-based compensation:
Commencing January 1, 2006, Medical has adopted Statement of Financial Accounting Standards
(SFAS) No. 123R, Share Based Payment (SFAS 123R), which requires all share-based payments,
including grants of stock options, to be recognized in the income statement as an operating
expense, based on their fair values.
[8] Fair value of financial instruments:
The carrying amounts of cash, accounts payable, and accrued expenses approximate fair value
based on their short-term maturity. Shareholder loans are carried at cost since these are related
parties.
[9] Long-Term Investment
In accordance with SFAS No. 144, Accounting for the impairment or Disposal of Long-Lived
Assets, the Company reviews the carrying values of its long- lived assets for possible impairment
whenever events of changes in circumstances indicate that the carrying amounts of the assets may
not be recoverable. Any long-lived assets held for disposal are reported at the lower of their
carrying amounts or fair value less costs to sell.
[10] Income taxes:
The Company follows the liability method of accounting for income taxes, as set forth in SFAS
No. 109, Accounting for Income Taxes. SFAS No. 109 prescribes an asset and liability approach,
which requires the recognition of deferred tax liabilities and assets for the expected future tax
consequences of temporary differences between the carrying amounts and the tax bases of the assets
and liabilities. The Companys policy is to record a valuation allowance against deferred tax
assets, when the deferred tax asset is not recoverable. The Company considers estimated future
taxable income or loss and other available evidence when assessing the need for its deferred tax
valuation allowance.
51
[11] Comprehensive income (loss):
SFAS No. 130, Reporting Comprehensive Income (Loss), requires companies to classify items of
other comprehensive income (loss) in a financial statement. Comprehensive income (loss is defined
as the change in
equity of a business enterprise during a period from transactions and other events and
circumstances from non-owner sources. The Companys comprehensive net loss is equal to its net
loss for all periods presented.
NOTE C PROPERTY AND EQUIPMENT:
Machinery and equipment consist of the following (in thousands):
|
|
|
|
|
|
|
|
|
December 31, 2007 |
|
Estimated Useful lives |
Machinery and equipment
|
|
|
160 |
|
|
5 years |
Furniture and fixtures
|
|
|
40 |
|
|
5 years |
|
|
|
00 |
|
|
|
Accumulated depreciation and amortization
|
|
|
(4 |
) |
|
|
|
|
|
|
|
|
|
|
|
$ |
196 |
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization expense for the years ended December 31, 2007 and 2006 was $
4 and $ 0, respectively.
NOTE D
LONG TERM INVESTMENT:
In November 1999, the Company invested in a one-year, $1.0 million 10% convertible note of
KSI, Inc. (KSI). The Company also received warrants to purchase KSI common stock in connection
with this investment. All of the outstanding stock of KSI was acquired by TruePosition, Inc., a
majority owned subsidiary of Liberty Media Corporation, (Liberty Media) in August 2000. Prior to
the acquisition, the convertible note was exchanged for KSI common stock. The Company exercised
warrants and purchased additional KSI common stock for approximately $754,000. The Companys
investment in KSI common stock was exchanged for TruePosition common stock on the date of the
acquisition. The Company accounts for the investment in TruePosition using the cost method. In
December 2002 the Company received certain valuation information from TruePosition, indicating a
range of values for TruePosition. Based upon its review of available information and
communications with Liberty Media, the Company concluded there had been an other-than-temporary
decline in estimated fair value of its investment, and reduced the recorded carrying value of this
investment from its cost basis of $1,754,000 to zero, representing its best estimate of the current
fair value of the Companys investment in the net equity of TruePosition. TruePositions
operations have required significant infusions of cash by Liberty Media to date, and have not
generated significant revenues. The Companys investment in TruePosition common stock has been
diluted by these advances, which were converted to preferred stock in late 2002. It is possible
that in the future the Company may receive proceeds from sale of this investment, but no such
amount can be estimated at this time.
NOTE E STOCK BASED PAYMENTS:
Medicals 1996 Stock Option Plan authorizes the grant of both incentive (ISO) and
non-qualified stock options up to a maximum of 335,000 shares of Medicals Common Stock to
employees (including officers and directors who are employees) of and consultants to Medical. The
exercise price, term and vesting provision of each option grant is fixed by the Compensation
Committee with the provision that the exercise price of an ISO may not be less than the fair market
value of Medicals Common Stock on the date of grant, and the term of an ISO may not exceed ten
years. Medical has not granted any options under this plan during the years ended December 31,
2007 and 2006. The plan expired and no new options may be granted under the plan.
As of the date of the share exchange, all options issued to former officers and directors,
with exercise prices in excess of the current share price were cancelled in exchange for the
issuance of 2,000 shares per person, or, in total, 6,000 shares of common stock of the Company.
The Company recognized compensation expense of $77,000 for the fair value of the shares vested.
52
On November 13, 2007, the Board of Directors and a majority of the stockholders of the Company
approved the SafeStitch Medical Inc., 2007 Incentive Compensation Plan (the 2007 Plan). Under the
2007 Plan, which is administered by a compensation committee, the Company is allowed to grant
options, stock appreciation
rights, restricted or deferred stock grants employees, officers, directors, consultants and
vendors to purchase up to 2,000,000 shares of the Companys common stock, fully reserved for future
issuance. The exercise price of options or stock appreciation rights may not be less then fair
market value of Companys share at the date of grant and within any 12 months period, no person can
receive options or stock appreciation rights for more then one million shares. Additionally, no
stock options or stock appreciation rights granted under the plan may have a term exceeding ten
years.
No tax benefits were attributed to the stock-based compensation expense because a valuation
allowance was maintained for substantially all net deferred tax assets. We elected to adopt the
alternative method of calculating the historical pool of windfall tax benefits as permitted by FASB
Staff Position (FSP) No. SFAS 123R-3, Transition Election Related to Accounting for the Tax
Effects of Share-Based Payment Awards. This is a simplified method to determine the pool of
windfall tax benefits that is used in determining the tax effects of stock compensation in the
results of operations and cash flow reporting for awards that were outstanding as of the adoption
of SFAS 123R.
The following summarizes the activity of the Medicals stock options for the year ended
December 31, 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted Average |
|
|
Aggregate |
|
|
|
Shares |
|
|
Weighted Average |
|
|
Remaining |
|
|
Intrinsic |
|
|
|
(in 000s) |
|
|
Exercise Price |
|
|
Contractual Term |
|
|
Value |
|
Outstanding at January 1, 2007 |
|
|
173 |
|
|
$ |
6.20 |
|
|
|
4.75 |
|
|
|
|
|
Granted |
|
|
89 |
|
|
|
2.60 |
|
|
|
9.95 |
|
|
|
|
|
Exercised |
|
|
(42 |
) |
|
|
0.79 |
|
|
|
|
|
|
|
|
|
Canceled or expired |
|
|
(131 |
) |
|
|
7.96 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding at December 31, 2007 |
|
|
89 |
|
|
$ |
2.60 |
|
|
|
9.96 |
|
|
$ |
177,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercisable at December 31, 2007 |
|
|
22 |
|
|
$ |
2.60 |
|
|
|
9.96 |
|
|
$ |
59,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vested and expected to vest at
December 31, 2007 |
|
|
59 |
|
|
$ |
2.60 |
|
|
|
9.96 |
|
|
$ |
118,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The Company granted 88,667 options, outside of plans, during the year ended December 31, 2007,
all of which had an exercise price of $2.60. The Company determined the estimated aggregate fair
value of these options on the grant date to be $195,954 based on the Black-Scholes valuation model
using the following assumptions: expected volatility of 82%, dividend yield of 0%, risk free
interest rate of 4.88% and expected life of 10 years. Stock option compensation expense was $66,000
for the year and is included in general and administrative expense.
Of the 88,667 options granted outside of plans during our 2007 fiscal year, 25% of such
options were vested as of December 31, 2007. A summary of the status of the Companys nonvested
options and changes during the year ended December 31, 2007 is presented below.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted Average |
|
|
|
|
|
|
Grant Date Fair |
|
|
Stock Options (in 000s) |
|
Value |
Non-Vested at January 1, 2007
|
|
|
0 |
|
|
$ |
|
|
Options Granted
|
|
|
89 |
|
|
$ |
2.21 |
|
Options Vested |
|
|
22 |
|
|
$ |
2.21 |
|
Non-Vested at December 31, 2007
|
|
|
67 |
|
|
$ |
2.21 |
|
At December 31, 2007, there was $130,000 of total unrecognized compensation cost related to
non-vested employee and director share-based compensation arrangements granted under the Plan. That
cost is expected to be recognized over a weighted-average period of 2.66 years.
The weighted-average fair values at date of grant for options granted during the year ended
December 31, 2007 were $2.21.
53
The intrinsic value of options exercised during the year ended December 31, 2007 was $77,000.
NOTE F CREDIT FACILITY:
In connection with the acquisition of SafeStitch, Medical entered into a Note and Security
Agreement with both The Frost Group, LLC, a Florida limited liability company whose members include
Frost Gamma Investments Trust, a trust indirectly controlled by Dr. Phillip Frost, the largest
beneficial holder of the issued and outstanding shares of common stock of Medical, as well as Dr.
Jane H. Hsiao and Steven D. Rubin, two of the Companys directors, and Jeffrey G. Spragens, Medical
Chief Executive Officer and President and a director for $4 million in total available borrowings,
$3.9 million from The Frost Group, LLC and $100,000 from Mr. Spragens. The credit facility has been
granted for 28 months and bears interest on outstanding borrowings under the line of credit at a
10% annual rate.
The Company granted a security interest in all presently existing and hereafter acquired or
arising collateral in order to secure prompt, full and complete payment of the amounts due under
the Credit Facility. The collateral includes all assets of the Company inclusive of intellectual
property (patents, patent rights, trademarks, service marks, etc.).
As a part of the credit facility arrangements, Medical granted warrants to purchase 805,521
shares of our common stock to The Frost Group, LLC and Mr. Spragens. The fair value of the warrants
were determined to be $1,984,691 on the grant date based on the Black-Scholes valuation model using
the following assumptions: expected volatility of 82%, dividend yield of 0%, risk free interest
rate of 4.88% and expected life of 10 years. The fair values of the warrants were recorded as
deferred financing cost and will be amortized over the life of the credit facility. Amortization
expenses of deferred financing cost were $283,083 for the year ended December 31, 2007.
NOTE G CAPITAL TRANSACTIONS:
As described in Note A, on September 4, 2007, Medical acquired all of the members equity of
SafeStitch in exchange for the issuance of 11,256,369 shares of its common stock. For accounting
purposes the transaction has been treated as a recapitalization of SafeStitch and all membership
interests of SafeStitch were eliminated, ordinary shares received in exchange were recorded at par
value and the difference between membership interest and the value of the ordinary shares received
was recorded to additional paid-in capital to effect the transaction as of the beginning of the
year. Additionally, as of the date of the transaction, net assets of Cellular, its ordinary shares
and additional paid-in capital were recorded to reflect the transaction. SafeStitch incurred
$155,855 of transaction expenses, which were recorded as a reduction of additional paid-in capital.
NOTE H
BASIC AND DILUTED NET LOSS PER SHARE:
Basic net loss per common share is computed by dividing net loss by the weighted average
number of common shares outstanding during the period. Diluted net loss per common share is
computed giving effect to all dilutive potential common shares that were outstanding during the
period. Diluted potential common shares consist of incremental shares issuable upon exercise of
stock options and warrants. In computing diluted net loss per share for the year ended December 31,
2007 and 2006, no adjustment has been made to the weighted average outstanding common shares as the
assumed exercise of outstanding options and warrants is anti-dilutive.
Potential common shares not included in calculating diluted net loss per share are as follows
(in 000s):
|
|
|
|
|
|
|
|
|
|
|
December 31, 2007 |
|
December 31, 2006 |
Stock options
|
|
|
89 |
|
|
|
173 |
|
Stock warrants
|
|
|
806 |
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
895 |
|
|
|
173 |
|
|
|
|
|
|
|
|
|
|
54
NOTE I COMMITMENTS AND CONTINGENCIES
The Company is obligated under various operating lease agreements for office space.
Generally, the lease agreements require the payment of base rents plus escalations for increases in
building operating costs and real estate taxes. Rental expense under operating leases amounted to
$23,675 and $4,145 for the years ended December 31, 2007 and December 31, 2006, respectively.
At December 31, 2007, the Company was obligated under non-cancellable operating leases to make
future minimum lease payments as follows:
|
|
|
|
|
Year Ending December 31, |
|
|
|
|
2008
|
|
$ |
119,747 |
|
2009
|
|
|
99,763 |
|
2010
|
|
|
99,763 |
|
2011
|
|
|
99,763 |
|
2012
|
|
|
99,761 |
|
Thereafter
|
|
|
0 |
|
|
|
|
|
|
|
|
$ |
518,797 |
|
|
|
|
|
|
We are presently a plaintiff in a securities fraud and appraisal action in respect of our
ownership of 191,118 shares of common stock of True Position, Inc., a Delaware corporation
(referred to as True Position). This action was filed November 13, 2007 in the United States
District Court for the District of Connecticut, and we and other plaintiffs party to the suit seek
damages and other relief totaling $80 million.
In August 2007, we were informed that that Liberty TP Acquisition, Inc., which held an
aggregate of no less than 90% of True Positions outstanding capital stock, was being merged into
True Position. As a result of the merger, all of the issued and outstanding shares of common stock
of True Position were cancelled, and True Positions minority stockholders, including ourselves,
became entitled to receive $3.5116 in cash in exchange for each share held. We and other minority
stockholders considered that the consideration payable in respect of our shares under the merger
was not representative of the true value of our shares of True Position stock.
We have joined with certain other minority stockholders of True Position in bringing the
aforementioned appraisal and securities fraud action, and, on August 10, 2007, we entered into a
joint shareholder litigation governance and funding agreement (referred to as the funding
agreement) with such stockholders. Under the funding agreement, we have agreed to a fund a portion
of the litigation expenses in connection with the appraisal and securities fraud action. To date,
we have contributed approximately $45,000, and we anticipate that we will be called upon to fund at
least a similar, and possibly significantly greater, amount during our 2008 fiscal year. The
extent to which we will be called upon to contribute additional funds is determined in part by the
majority vote of those stockholders party to the funding agreement. We may elect to terminate our
participation in the funding agreement upon ten days written notice to the administrative agent
under the agreement. Upon termination, we would no longer be required to fund any amounts not
already paid by us under the funding agreement, but we would lose all rights to participate under
the funding agreement, including access to any additional work-product created after the date of
termination. Additionally, if we elect to terminate our participation under the funding agreement,
our portion of any proceeds from a favorable disposition of the litigation may be reduced. The
outcome of this litigation is not now known, nor can it be reasonably predicted at this time.
NOTE J NEW ACCOUNTING PRONOUNCEMENTS
In September 2006, the Financial Accounting Standards Board (FASB) issued SFAS No. 157, Fair
Value Measurements, or SFAS 157, which defines fair value, establishes a framework for measuring
fair value and requires additional disclosures about fair value measurements. SFAS 157 is effective
for fiscal years beginning after November 15, 2007 with early adoption permitted; in November 2007,
the FASB agreed to defer the effective date
55
of SFAS 157 for one year for all nonfinancial assets and nonfinancial liabilities, except for
those items that are recognized or disclosed at fair value in the financial statements on a
recurring basis. Generally, the provisions of this statement should be applied prospectively as of
the beginning of the fiscal year in which this statement is initially applied. We have determined
that the adoption of SFAS 157 will not have a material effect on our consolidated financial
statements.
In February 2007, FASB issued SFAS No. 159, The Fair Value Option for Financial Assets and
Financial Liabilities- including an amendment of FASB Statement 115, (SFAS 159). This statement
provides companies with an option to report selected financial assets and liabilities at fair
value. This statement is effective for fiscal years beginning after November 15, 2007 with early
adoption permitted. We have determined that the adoption of SFAS 159 will not have a material
affect on our consolidated financial position, results of operations, cash flows or financial
statement disclosures.
In December 2007, the FASB issued FAS No. 160, Noncontrolling Interests in Consolidated
Financial Statements-an amendment of ARB No. 51. FAS No. 160 establishes accounting and reporting
standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a
subsidiary. It clarifies that a noncontrolling interest in a subsidiary is an ownership interest
in the consolidated entity that should be reported as equity in the consolidated financial
statements. FAS No. 160 is effective for the Company in its fiscal year beginning January 1, 2009.
The Company is currently evaluating the impact of FAS No. 160 on its consolidated financial
position and results of operations.
In December 2007, the FASB issued FAS No. 141 R Business Combinations. FAS No. 141R
establishes principles and requirements for how the acquirer of a business recognizes and measures
in its financial statements the identifiable assets acquired, the liabilities assumed and any
noncontrolling interest in the acquiree. FAS No. 141R also provides guidance for recognizing and
measuring the goodwill acquired in a business combination and determines what information to
disclose to enable users of the financial statements to evaluate the nature and financial effects
of a business combination. FAS No. 141R is effective for the Company in its fiscal year beginning
January 1, 2009. While the Company has not yet evaluated this statement for the impact, if any,
that FAS No. 141R will have on its consolidated financial position and results of operations, the
Company will be required to expense costs related to any acquisitions after September 30, 2009.
NOTE K AGREEMENT WITH CREIGHTON UNIVERSITY
On May 26, 2006, SafeStitch entered into an exclusive license and development agreement with
Creighton University granting us a worldwide exclusive (even as to the university), with rights to
sublicense, license to all our product candidates and associated know-how, including the exclusive
right to manufacture, use and sell the product candidates.
During
such time as we sell any product licensed under this agreement, we are obligated to pay Creighton
University, on a quarterly basis, a royalty of 1.5% of the revenue
collected worldwide from such sales, less certain amounts, including, without
limitation, chargebacks, credits, taxes, duties and discounts or rebates. The agreement does not
provide for minimum royalties.
We have agreed to invest in the aggregate, at least $2.5 million over 36 months, beginning May
26, 2006, towards development of any licensed product, not including the first $150,000 of costs
related to the prosecution of patents, which we have done and SafeStitch has to pay to Creighton
University 20 percent of its research and development expenditures as reimbursement for use of
Creighton Universitys facilities.
Our failure to do so would have resulted in all rights in the licensed patents and know-how
reverting back to the university. Through December 31, 2007, we had invested $2,709,183 in the
licensed products, inclusive of our costs to date relating to prosecution of patents. Pursuant to
the agreement, we are entitled to exercise our own business judgment and sole and absolute
discretion over the marketing, sale, distribution, promotion or other commercial exploitation of
any licensed products, provided that if we have not commercially exploited or commenced development
of a licensed patent and its associated know-how by the seventh anniversary of the later of the
date of the agreement or the date such technology is disclosed to and accepted by us, then the
licensed patent and associated know-how shall revert back to the university, with no rights
retained by us, and the university will have
the right to seek a third party with whom to commercialize such patent and associated
know-how, unless we purchase one year extensions.
56
NOTE L INCOME TAXES
The Company accounts for income taxes using the asset and liability method described in SFAS
No. 109, Accounting For Income Taxes, the objective of which is to establish deferred tax assets
and liabilities for the temporary differences between the financial reporting and the tax bases of
the Medicals assets and liabilities at enacted tax rates expected to be in effect when such
amounts are realized or settled. A valuation allowance related to deferred tax assets is recorded
when it is more likely than not that some portion or all of the deferred tax assets will not be
realized. As a result of the share exchange transaction on September 4, 2007 with SafeStitch, LLC
our net operating losses for Medical may be limited under Section 382 of the Internal Revenue Code
due to a more than 50% change in ownership over a three year period.
At
December 31, 2007, we have approximately $561,000 of net operating loss carryforwards to
offset future federal taxable income and approximately $85,000 of research and development tax
credit carryforwards available to offset future federal income tax, subject to limitations for
alternative minimum tax.
The net operating loss and research and development credit carryforwards expire in 2027 and
2027, respectively.
The
deferred federal tax asset, which amounted to $561,000 at December 31, 2007, has been
offset by a valuation allowance against the entire benefit due to managements uncertainty
regarding the future profitability of our Company. The valuation allowance has been increased by
$561,000 in 2007.
The difference between income taxes at the statutory federal income tax rate and income taxes
reported in the statements of operations are attributable to the following:
|
|
|
|
|
|
|
December 31, |
|
|
2007 |
Income tax benefit at the federal statutory rate
|
|
|
34.00 |
% |
State and local income taxes, net of effect on federal taxes
|
|
|
3.63 |
|
Increase in valuation allowance
|
|
|
(37.63 |
) |
|
|
|
|
|
|
|
|
|
|
Provision for income tax
|
|
|
0 |
% |
|
|
|
|
|
The deferred tax asset at December 31, 2007 consists of the following:
|
|
|
|
|
|
|
2007 |
|
Net operating loss carryforward |
|
$ |
423,000 |
|
Research and development credit carryforward |
|
|
85,000 |
|
Stock-based compensation |
|
|
53,000 |
|
|
|
|
|
|
|
|
561,000 |
|
Less: Valuation allowance |
|
|
(561,000 |
) |
|
|
|
|
Net deferred tax asset |
|
$ |
0 |
|
|
|
|
|
For comparative purposes, the following table shows the proforma effect as if SafeStitch was a
C-Corp from inception.
The deferred tax asset at December 31, 2007 and 2006 consists of the following:
|
|
|
|
|
|
|
|
|
|
|
2007 |
|
|
2006 |
|
|
|
Proforma |
|
|
Proforma |
|
Net operating loss carryforward |
|
$ |
4,177,000 |
|
|
$ |
1,136,000 |
|
Research and development credit carryforward |
|
|
320,000 |
|
|
|
107,000 |
|
|
|
|
|
|
|
|
|
|
|
4,497,000 |
|
|
|
1,243,000 |
|
Less: Valuation allowance |
|
|
(4,497,000 |
) |
|
|
(1,243,000 |
) |
|
|
|
|
|
|
|
Net deferred tax asset |
|
$ |
0 |
|
|
$ |
0 |
|
|
|
|
|
|
|
|
57
At December 31, 2006, CTS had available for federal income tax purposes, net operating loss
carryforwards of approximately $54.1 million which expire through 2026, and research and
development tax credits of approximately $1.2 million that will expire through 2024. The Company
has provided a valuation allowance of 100% of the net deferred tax asset related to the operating
loss carryforwards and tax credits. Upon consummation of the share exchange with SafeStitch LLC,
these net deferred tax assets along with net operating losses up to
September 4, 2007 were forfeited in accordance
with Section 382 of the Internal Revenue Code.
At
December 31, 2006, CTS has AMT credits of $53,000 to be utilized in future tax periods to the
extent that the regular tax exceeds the AMT liability. Under Section 383 of the Internal Revenue
Code, these AMT credits are forfeited due to change in control.
The Company adopted Financial
Standards Board Interpretation No. 48 Accounting for Uncertainty in
Income Taxes (FIN 48) an interpretation of FASB Statement 109 ("SFAS 109") on January 1, 2007.
The adoption of FIN48 did not have a material impact on our results or operations and financial position.
At the adoption date of January 1, 2007, we did not have any
unrecognized tax benefits.
Medical recognizes interest
and penalties related to uncertain tax positions in general and administrative expense. As of December 31, 2007,
the Company has not recorded any provisions for accrued interest and
penalties related to uncertain tax positions.
Tax
years 2003-2006 remain open to examination by the major taxing
jurisdictions to which we are subject.
NOTE M CONCENTRATION OF RISK
The Companys financial instruments that are exposed to concentrations of credit risk consist
primarily of cash. The Company maintains its cash at financial institutions it considers to be of
high credit quality. Cash balances with any one institution may exceed federally insured amounts.
For
the years ended December 31, 2007 and 2006, one vendor
represented approximately 43% of
Companys expenses.
NOTE N SUBSEQUENT EVENTS
On January 8, 2008, we changed our name from Cellular Technical Services Company, Inc. to
SafeStitch Medical, Inc. On the same date, we increased the aggregate number of shares of all
classes of capital stock that we may issue from 35,000,000 to 250,000,000, which is composed of
225,000,000 shares of common stock, par value $0.001 per share, and 25,000,000 shares of preferred
stock, par value $0.01 per share
On March 10, 2008, we drew down $1.0 million from our $4.0 credit facility.
On March 18, 2008, we issued an aggregate of 95,500 options to purchase our common stock under
the SafeStitch Medical, Inc. 2007 Incentive Compensation Plan, each at a strike price of $3.10 per
share. These options were issued as follows: each of our independent and non-employee directors,
Kevin Wayne, Kenneth Heithoff, Dr. Jane Hsiao, Steven Rubin and Richard Pfenniger, received 10,000
options, except that Dr. Hsiao, Mr. Rubin and Mr. Pfenniger received an additional 5,000, 1,000 and
1,000 options, respectively, for their respective service as chairman of our Board of Directors,
Compensation Committee and Audit Committee; and the remaining 33,500 options were issued to new and
existing employees and consultants, including 5,000 to Jeffrey G. Spragens, our President and Chief
Executive Officer, and 10,000 to Dr. Stewart B. Davis, our Chief Operating Officer and Secretary.
On March 24, 2008, we issued to new employees an aggregate of 53,000 options to purchase our
common stock under the SafeStitch Medical, Inc. 2007 Incentive Compensation Plan, each at a strike
price of $3.00 per share.
Our principal corporate office
is located at 4400 Biscayne Blvd, Suite 670, Miami, Florida. We rent this space from Frost Real Estate Holdings, LLC,
which is a company controlled by Dr. Phillip Frost, our largest beneficial stockholder. We lease approximately 2,900
square feet under the lease agreement, which is for a five-year term that began on January 1, 2008, and requires
annual rent of approximately $91,000, which amount increases by
approximately 4.5% per year.
58
SAFESTITCH LLC
(a development stage company)
FINANCIAL STATEMENTS
DECEMBER 31, 2006 and 2005
59
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Members
SafeStitch LLC
We have audited the accompanying statements of financial position of SafeStitch LLC (a development
stage company) (the Company) as of December 31, 2006 and 2005, and the related statements of
operations, changes in members equity (deficit) and cash flows for the year ended December 31,
2006, and for the periods from September 15, 2005 (inception) through December 31, 2005 and
December 31, 2006. These financial statements are the responsibility of the Companys management.
Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight
Board (United States). Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material misstatement. An
audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the
financial statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall financial statement
presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material
respects, the financial position of SafeStitch LLC as of December 31, 2006 and 2005, and the
results of their operations and their cash flows for the year ended December 31, 2006, and for the
periods from September 15, 2005 (inception) through December 31, 2005 and December 31, 2006 in
conformity with accounting principles generally accepted in the United States of America.
/s/ Eisner
LLP
New York, New York
March 26, 2008
60
SAFESTITCH LLC
(a development stage company)
Statements of Financial Position
|
|
|
|
|
|
|
|
|
|
|
December 31, |
|
|
|
2006 |
|
|
2005 |
|
ASSETS |
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
546,097 |
|
|
$ |
23,183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current assets |
|
$ |
546,097 |
|
|
$ |
23,183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND MEMBERS EQUITY (DEFICIT) |
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
Loan from member |
|
$ |
10,000 |
|
|
$ |
84,000 |
|
Accounts payable |
|
|
166,709 |
|
|
|
14,171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
176,709 |
|
|
|
98,171 |
|
|
|
|
|
|
|
|
MEMBERS EQUITY (DEFICIT) |
|
|
|
|
|
|
|
|
Members contributions |
|
|
1,505,002 |
|
|
|
1,002 |
|
Deficit accumulated during development stage |
|
|
(1,135,614 |
) |
|
|
(75,990 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total members equity (deficit) |
|
|
369,388 |
|
|
|
(74,988 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
546,097 |
|
|
$ |
23,183 |
|
|
|
|
|
|
|
|
See notes to financial statements.
61
SAFESTITCH LLC
(a development stage company)
Statements of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 15, 2005 |
|
|
September 15, 2005 |
|
|
|
|
|
|
|
(inception) |
|
|
(inception) |
|
|
|
Year Ended |
|
|
Through |
|
|
Through |
|
|
|
December 31, 2006 |
|
|
December 31, 2005 |
|
|
December 31, 2006 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
Research and development costs |
|
$ |
738,593 |
|
|
$ |
76,068 |
|
|
$ |
814,661 |
|
General and administrative |
|
|
340,596 |
|
|
|
41 |
|
|
|
340,637 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
1,079,189 |
|
|
|
76,109 |
|
|
|
1,155,298 |
|
Other income: |
|
|
|
|
|
|
|
|
|
|
|
|
Interest income |
|
|
19,565 |
|
|
|
119 |
|
|
|
19,684 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss |
|
$ |
(1,059,624 |
) |
|
$ |
(75,990 |
) |
|
$ |
(1,135,614 |
) |
|
|
|
|
|
|
|
|
|
|
See notes to financial statements.
62
SAFESTITCH LLC
(a development stage company)
Statements of Changes in Members Equity (Deficit)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deficit Accumulated |
|
|
|
|
|
|
Members |
|
|
During Development |
|
|
|
|
|
|
Contributions |
|
|
Stage |
|
|
Total |
|
Contributions November 2005 |
|
$ |
1,002 |
|
|
|
|
|
|
$ |
1,002 |
|
Net loss for the period ended
December 31, 2005 |
|
|
|
|
|
$ |
(75,990 |
) |
|
|
(75,990 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance December 31, 2005 |
|
|
1,002 |
|
|
|
(75,990 |
) |
|
|
(74,988 |
) |
Contributions February - July 2006 |
|
|
1,430,000 |
|
|
|
|
|
|
|
1,430,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loan from a member reclassifed to
members equity |
|
|
74,000 |
|
|
|
|
|
|
|
74,000 |
|
Net loss for the period ended
December 31, 2006 |
|
|
|
|
|
|
(1,059,624 |
) |
|
|
(1,059,624 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance December 31, 2006 |
|
$ |
1,505,002 |
|
|
$ |
(1,135,614 |
) |
|
$ |
369,388 |
|
|
|
|
|
|
|
|
|
|
|
See notes to financial statements.
63
SAFESTITCH LLC
(a development stage company)
Statements of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 15, 2005 |
|
|
September 15, 2005 |
|
|
|
|
|
|
|
(inception) |
|
|
(inception) |
|
|
|
Year Ended |
|
|
Through |
|
|
Through |
|
|
|
December 31, 2006 |
|
|
December 31, 2005 |
|
|
December 31, 2006 |
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Net loss |
|
$ |
(1,059,624 |
) |
|
$ |
(75,990 |
) |
|
$ |
(1,135,614 |
) |
Adjustments to reconcile net loss
to net cash used in operating
activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Changes in: |
|
|
|
|
|
|
|
|
|
|
|
|
Accounts payable |
|
|
152,538 |
|
|
|
14,171 |
|
|
|
166,709 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in operating
activities |
|
|
(907,086 |
) |
|
|
(61,819 |
) |
|
|
(968,905 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Loan from member |
|
|
|
|
|
|
84,000 |
|
|
|
84,000 |
|
Contributions from members |
|
|
1,430,000 |
|
|
|
1,002 |
|
|
|
1,431,002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by
financing activities |
|
|
1,430,000 |
|
|
|
85,002 |
|
|
|
1,515,002 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash |
|
|
522,914 |
|
|
|
23,183 |
|
|
|
546,097 |
|
Cash - beginning |
|
|
23,183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash - end |
|
$ |
546,097 |
|
|
$ |
23,183 |
|
|
$ |
546,097 |
|
|
|
|
|
|
|
|
|
|
|
During 2006, the managing members loan of $74,000 was reclassified as a members contribution.
Interest and taxes paid during the year ended December 31, 2006 and period ended December 31, 2005
were nil.
See notes to financial statements.
64
SAFESTITCH LLC
(a development stage company)
Notes to Financial Statements
December 31, 2006 and 2005
Note A Organization and Summary of Significant Accounting Policies
SafeStitch LLC (the Company) was formed as a limited liability company pursuant to Articles
of Organization in the Office of Virginia State Corporation Commission on September 15, 2005 and
commenced operations on December 21, 2005. The Company is a development stage company that was
formed to finance, develop, market and license or sell medical devices that manipulate tissues for
obesity, gastro esophageal reflux disease (GERD), Barretts Esophagus, esophageal obstructions,
upper gastrointestinal bleeding, hernia formation and other intraperitoneal abnormalities through
endoscopic and minimally invasive surgery pursuant to the license and development agreement with
Creighton University (Note C).
Based on management plans, these financial statements have been prepared under the going
concern assumption which presumes that the Company will continue its existence.
The Company does not expect to have any current source of revenues. However, management
believes that as the result of the share exchange with CTSC (Note H), the Company will have
sufficient resources to fund its current cash flow requirements
through December 31, 2007.
[1] Use of estimates:
The preparation of financial statements in conformity with accounting principles
generally accepted in the United States of America requires management 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 revenue and expenses during the reporting period. Actual results could differ from
those estimates.
[2] Income taxes:
No provision or benefit for income taxes has been included in these financial statements
since taxable income or loss passes through to, and is reportable by, the members
individually.
[3] Cash and cash equivalents:
The Company considers all highly liquid investments with maturities of three months or
less when purchased to be cash equivalents.
[4] Research and development costs:
Research and development costs are expensed as incurred.
Note B Consultants
The Company entered into agreements with various consultants to provide consulting services
effective September 1, 2006. The consultants will receive compensation on an hourly rate for
services performed for the Company. The consultants shall also be reimbursed all reasonable
expenses incurred on behalf of the Company. The agreements had
various term dates which expired in 2007 and, in October 2007, were
renewed for one year periods. Termination of the agreements prior to the expiration can only be executed by the events stated in
the agreements. As of December 31, 2006 and 2005, consultant fees totaled $523,186 and $0 and are
included in research and development costs.
65
SAFESTITCH LLC
(a development stage company)
Notes to Financial Statements
December 31, 2006 and 2005
Note C License and Development Agreement
On May 26, 2006, the Company entered into an exclusive license and development agreement with
Creighton University granting a worldwide exclusive license, with rights to sublicense, to all our
product candidates and associated know-how, including the exclusive right to manufacture, use and
sell the product candidates. In accordance with the agreement, Creighton University is entitled to
1.5 percent of the licensed products net sales. In accordance with the license and development
agreement with Creighton University, the Company is to invest, in aggregate, at least $2,500,000
within 36 months of the execution of this agreement towards the development of the licensed
product, including reimbursement of Creighton Universitys overhead expenses, related to the
Companys use of its facilities and calculated as 20% of the Companys direct development
expenditures. If the Company fails to meet its development obligations, all rights in the licensed
patent rights and associated know-how shall revert back to Creighton University.
Note D Due to Member
As of December 31, 2005, the managing member advanced $84,000 to the Company in addition to
its initial capital contribution. During 2006, $74,000 of this advance was reclassified as a
capital contribution. The outstanding balance as of December 31,
2006 is $10,000, which will be reclassified as a capital contribution in 2008.
Note E Lease
The Company entered into a lease agreement on May 31, 2006. The lease agreement has a
two-year term which expires on May 31, 2008. The rental payments are $346 per month and are due on
the first day of each month. As of December 31, 2006, the Company paid $3,959 in rental payments
which is included in general and administrative expenses on the statement of operations.
Future minimum lease payments on the operating lease for the remainder of the lease term is:
|
|
|
|
|
|
|
|
|
December 31,
|
|
|
2007 |
|
|
$ |
4,158 |
|
|
|
|
2008 |
|
|
$ |
1,733 |
|
Note F Concentration of Credit Risk
The Company maintains its cash balances in one bank. The balances are insured by the Federal
Deposit Insurance Corporation up to $100,000. As of December 31, 2006, the uninsured portion of
the cash balances held at the banks was $446,097.
66
SAFESTITCH LLC
(a development stage company)
Notes to Financial Statements
December 31, 2006 and 2005
Note G New Accounting Pronouncements
In September 2006, FASB issued SFAS No. 157, Fair Value Measurements (SFAS 157), which
defines fair value, establishes a framework for measuring fair value in generally accepted
accounting principles and expands disclosures about fair value measurements. This statement is
effective for financial statements issued for fiscal years beginning after November 15, 2007 and
interim periods within those fiscal years. Earlier application is encouraged provided that the
reporting entity has not yet issued financial statements for that fiscal year including financial
statements for an interim period within that fiscal year. We have determined that the adoption of
SFAS 157 will not have a material affect on our consolidated financial position, results of
operations, cash flows or financial statement disclosures.
In February 2007, FASB issued SFAS No. 159, The Fair Value Option for Financial Assets and
Financial Liabilities- including an amendment of FASB Statement 115 (SFAS 159). This statement
provides companies with an option to report selected financial assets and liabilities at fair
value. This statement is effective for fiscal years beginning after November 15, 2007 with early
adoption permitted. We have determined that the adoption of SFAS 159 will not have a material
affect on our consolidated financial position, results of operations, cash flows or financial
statement disclosures.
In December 2007, the FASB issued SFAS No. 141(R), Business Combinations. This statement
replaces SFAS No. 141, Business Combinations. This statement retains the fundamental requirements
in Statement 141 that the acquisition method of accounting (which Statement 141 called the purchase
method) be used for all business combinations and for an acquirer to be identified for each
business combination. This statement also establishes principles and requirements for how the
acquirer: a) recognizes and measures in its financial statements the identifiable assets acquired,
the liabilities assumed, and any non-controlling interest in the acquiree; b) recognizes and
measures the goodwill acquired in the business combination or a gain from a bargain purchase and c)
determines what information to disclose to enable users of the financial statements to evaluate the
nature and financial effects of the business combination. SFAS No. 141(R) will apply prospectively
to business combinations for which the acquisition date is on or after Companys fiscal year
beginning January 1, 2009.
In December 2007, the FASB issued SFAS No. 160, Non-controlling Interests in Consolidated
Financial Statements. This statement amends ARB 51 to establish accounting and reporting
standards for the non-controlling (minority) interest in a subsidiary and for the deconsolidation
of a subsidiary. It clarifies that a non-controlling interest in a subsidiary is an ownership
interest in the consolidated entity that should be reported as equity in the consolidated financial
statements. The Company has not yet determined the impact, if any, that SFAS No. 160 will have on
its consolidated financial statements. SFAS No. 160 is effective for the Companys fiscal year
beginning January 1, 2009.
Note H Subsequent Events
On September 4, 2007, Cellular Technical Services Company, Inc. (CTSC), a public company,
acquired the Company pursuant to a Share Transfer, Exchange and Contribution Agreement, dated as of
July 25, 2007 (referred to as the Share Exchange Agreement). The Share Exchange Agreement
provided for the exchange of all issued and outstanding membership interests of the Company for
11,256,369 shares of CTSCs common stock (the Share Exchange).
67
Note H Subsequent Events (continued)
The Share Exchange will be accounted for as a recapitalization of the Company pursuant to the
Share Exchange Agreement. For accounting purposes, the Company is treated as the continuing
reporting entity. Because the members of the Company end up with control of CTSC, the transaction
would normally be considered a purchase by the Company. However, since CTSC is not a business, the
transaction is not a business combination. Instead the transaction is accounted for as a
recapitalization of the Company and the issuance of stock by the Company (represented by the
outstanding shares of CTSC) for the assets and liabilities of the CTSC.
In connection with the consummation of the Share Exchange, CTSC entered into a Note and
Security Agreement with a company controlled by the largest beneficial holder of CTSC and certain
of the Companys directors, and the Chief Executive Officer, President and a director, for a credit
line of up to $4 million. The loan will bear 10% interest on the outstanding balance. In
connection with entering into this line of credit, the CTSC granted warrants to purchase a total of
805,521 shares of the CTSCs common stock to the holders of the Note with an exercise price of
$.25, computed as stockholders equity of CTSC after taking into consideration all accrued and
contingent liabilities at the closing of the Share Exchange plus $1,250,000 divided by the number
of fully-diluted shares of CTSC after the Share Exchange, and having a ten-year term.
68
Item 8. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.
Item 8A(T). Controls and Procedures
The Companys management, with the participation of its Chief Executive Officer and Chief
Financial Officer, evaluated the effectiveness of the design and operation of the Companys
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) or 15d-15(e)) as of
December 31, 2007. Based upon that evaluation, the Chief Executive Officer and Chief Financial
Officer concluded that, as of that date, the Companys disclosure controls and procedures were not
effective at a reasonable assurance level because of the identification of a material weakness in
our internal control over financial reporting. Our remediation efforts are discussed further below
under Managements Report on Internal Control over Financial Reporting.
There were no changes in the Companys internal control over financial reporting during the
last quarter that have materially affected, or are reasonably likely to materially affect, the
Companys internal control over financial reporting.
Managements Report on Internal Control over Financial Reporting
Management is responsible for establishing and maintaining adequate internal control over
financial reporting. Internal control over financial reporting is a process designed to provide
reasonable assurance regarding the reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with generally accepted accounting
principles. Internal control over financial reporting includes those policies and procedures that:
(i) pertain to the maintenance of records that in reasonable detail accurately and fairly reflect
the transactions and dispositions of the assets of the Company; (ii) provide reasonable assurance
that transactions are recorded as necessary to permit preparation of financial statements in
accordance with generally accepted accounting principles, and that receipts and expenditures of the
Company are being made only in accordance with authorizations of management and directors of the
Company; and (iii) provide reasonable assurance regarding prevention or timely detection of
unauthorized acquisition, use, or disposition of the Companys assets that could have a material
effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent
or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are
subject to the risk that controls may become inadequate because of changes in conditions, or that
the degree of compliance with the policies or procedures may deteriorate.
For the period ended December 31, 2007, pursuant to Section 404 of the Sarbanes-Oxley Act of
2002, management (with the participation of our principal executive officer and principal financial
officer) conducted an evaluation of the effectiveness of our internal control over financial
reporting based on the framework established in Internal ControlIntegrated Framework issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on this
evaluation, management concluded that, as of December 31, 2007, our internal control over financial
reporting were not effective due to the material weakness disclosed below under Changes in
Internal Controls Over Financial Reporting and Managements Remediation Initiatives.
Changes in Internal Controls Over Financial Reporting and Managements Remediation Initiatives
As defined by Rule 12b-2 promulgated under the Securities Exchange Act of 1934, as amended, a
material weakness is a deficiency, or a combination of deficiencies, in internal control over
financial reporting such that there is a reasonable possibility that a material misstatement of the
registrants annual or interim financial statements will not be prevented or detected on a timely
basis.
We identified the following material weakness in our internal control over financial reporting
as we did not have adequate controls in place to establish and maintain an effective control
environment. The following deficiency in the control environment constituted a material weakness:
69
We did not maintain a sufficient complement of personnel with the appropriate level of
knowledge, experience and training in the application of accounting principles generally accepted
in the U.S. (referred to as GAAP) and in internal control over financial reporting commensurate
with our financial reporting obligations under the Exchange Act. We did not maintain effective
controls over the presentation of our consolidated financial statements and related disclosures in
preparing our consolidated financial statements. This weakness was evidenced during the
preparation of our Annual Report on Form 10-KSB for the fiscal year ended December 31, 2007 by the
need for significant revisions to our consolidated financial statements and related disclosures in
the notes thereto.
Upon identification of the material weakness, management advised our Audit Committee of the
issues encountered and managements key decisions relating to remediation efforts. Under the
direction of our Chief Executive Officer and Chief Financial Officer, we developed a plan to
remediate the material weakness. Our Audit Committee reviewed, advised and concurred with
managements plan of remediation, which includes the addition of employees who are trained in the
preparation of financial statements in accordance with GAAP and who have the experience necessary
to ensure that we have in place appropriate internal control over financial reporting.
Although this material weakness over preparation of the financial statements and related
disclosures existed at year end, it has been corrected, and the consolidated financial statements
in this Annual Report on Form 10-KSB fairly present, in all material respects, our financial
condition as of December 31, 2007 and 2006 and our results of operations and cash flows for the
years ended December 31, 2007 and 2006, in conformity with GAAP.
While we have taken appropriate steps to remediate the material weakness described above,
additional measures may be required. The effectiveness of our internal controls following our
remediation efforts will not be known until we test those controls in connection with managements
tests of internal control over financial reporting that will be performed after the close of our
first fiscal quarter of 2008, ending March 30, 2008.
This annual report does not include an attestation report of our registered public accounting
firm, Eisner LLP, regarding internal control over financial reporting. Managements report was not
subject to attestation by our registered public accounting firm pursuant to temporary rules of the
Securities and Exchange Commission that permit us to provide only managements report in this
annual report.
Item 8B. Other Information
On
March 26, 2008, our Board of Directors adopted the Amended and Restated Bylaws of
SafeStitch Medical, Inc., a copy which is attached as Exhibit 3.2 to this Annual Report on Form
10-KSB and incorporated by reference herein.
70
PART III
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Item 9. |
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Directors, Executive Officers, Promoters and Control Persons and Corporate Governance; Compliance with Section 16(a) of the Exchange Act |
The following table sets forth information concerning our executive officers and directors,
including their ages:
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Name |
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Age |
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Title |
Jane H. Hsiao, Ph.D., MBA
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60 |
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Director and Chairman of the Board of Directors |
Jeffrey G. Spragens
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66 |
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Chief Executive Officer, President and Director |
Dr. Stewart B. Davis
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28 |
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Chief Operating Officer and Secretary |
Dr. Charles Filipi
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66 |
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Medical Director and Director |
Kenneth Block
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60 |
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Chief Financial Officer |
Dr. Kenneth Heithoff
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64 |
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Director |
Richard Pfenniger, Jr.
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52 |
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Director |
Steven D. Rubin
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47 |
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Director |
Kevin Wayne
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44 |
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Director |
Jane H. Hsiao, Ph.D., MBA. Dr. Hsiao has served as a director of the Company since April 2005
and became Chairman of the Board in September 2007.
Dr. Hsiao also serves as the Vice Chairman and Chief Technology
Officer of Opko Health, Inc. since May 2007. Dr. Hsiao is a member of The Frost Group, LLC, a
private investment firm. Dr. Hsiao served as the Vice Chairman-Technical Affairs of IVAX from 1995
to January 2006, when Teva acquired IVAX. Dr. Hsiao served as IVAXs Chief Technical Officer since
1996, and as Chairman, Chief Executive Officer and President of IVAX Animal Health, IVAXs
veterinary products subsidiary, since 1998. From 1992 until 1995, Dr. Hsiao served as IVAXs Chief
Regulatory Officer and Assistant to the Chairman. Dr. Hsiao is also a director of Modigene, Inc.,
a development stage biopharmaceutical company.
Jeffrey G. Spragens. Since August 2005, Mr. Spragens has been Business Manager and a member of
SafeStitch. He has been a director, Chief Executive Officer and President of the Company since
September 2007. From January 2002 to December 2006 he was a member of Board of Directors of ETOC,
Inc., a privately owned hotel and lodging company based in Minneapolis, Minnesota. Since April 2002
he has been a Founding Board of Directors Member and Treasurer of the Foundation for Peace,
Washington, D.C. From 1990 to 1995, he was Managing Partner, Gateway Associates, Inc., a company
that secured full subdivision and planning approval for properties under its control. Prior to that
and from 1987 to 1993, he was one of three founding board of directors members of North American
Vaccine which was an AMEX company sold to Baxter International in 1999. Mr. Spragens also has
previous experience as a developer and attorney.
Stewart B. Davis M.D. Dr. Davis has been Chief Operating Officer of SafeStitch since June
2007. He has also been Chief Operating Officer and Secretary of the Company since September 2007.
Prior to that and from July 2003, Dr. Davis was Assistant Medical Director for Innovia LLC, a
privately-held bio medical device company in Miami, Florida and its affiliates, including InnFocus
LLC, InnoGraft LLC and InnCardia LLC. Innovia and its affiliates design implantable medical
devices, many based on a novel polymer, and focus on ophthalmology implants, vascular grafts and
percutaneous heart valves. From 2006 he has also been managing partner and medical director of
Parasol International, LLC, a privately-owned global healthcare advisory firm. Dr. Davis has
approximately ten peer-reviewed articles and three NIH grants and has published a book. Dr. Davis
graduated from the University of Miami School of Medicine in 2003.
Charles J. Filipi M.D. Dr. Filipi has been Medical Director of SafeStitch since 2006 and
became a director of the Company in September 2007. He is also Professor of Surgery in the
Department of Surgery at Creighton University School of Medicine in Omaha, Nebraska and has served
in this position since 1999. During the last five years, Dr. Filipi served as president of the
American Hernia Society, editor of the Journal Hernia and has published approximately thirty
peer-reviewed articles and ten book chapters. He has been the inventor of over twenty provisional
or utility patents. His primary areas of interest are intraluminal surgery for the correction of
gastroesophageal reflux disease, obesity, Barretts Esophagus, gastrointestinal bleeding and
natural orifice transluminal intraperitoneal surgery.
71
Kenneth Block. Mr. Block joined the Company in 2005 as Secretary and Chief Financial Officer.
He is currently Chief Financial Officer. From 1991 through 2005, Mr. Block had been the controller
of Shadybrook Charter Corp. and Sunrise Charter Management Corp., each of which was a real estate
management company. As of January 1, 2006, he became the controller of Manhattan Leasing
Enterprises, Ltd., a lessor of exotic automobiles. Mr. Block graduated from Bernard Baruch College
with a Bachelors of Business Administration degree. He is a certified public accountant in the
State of New York.
Dr. Kenneth Heithoff, M.D. Dr. Heithoff has been a director of the Company since September
2007. Dr. Heithoff is a director of the Center for Diagnostic Imaging (CDI) headquartered in
Minneapolis, Minnesota, which he founded in December 1981. CDI now includes 40 clinics throughout
six states, representing one of the largest teleradiology networks in the United States. Prior to
that and from July 1, 1973 to June 1, 1975, Dr. Heithoff served as a Clinical Associate for the
U.S. Public Health Service National Institutes of Health. Dr. Heithoff has authored and co-authored
more than 40 articles and book chapters, and lectures internationally on topics related to spine
imaging. He serves, and has served, on the editorial boards of several journals, including Spine
and Radiology. His professional affiliations include the American College of Radiology, the North
American Spine Society, the International Society for the Study of the Lumbar Spine, and the
International Society of Magnetic Resonance in Medicine.
Richard Pfenniger, Jr. Richard C. Pfenniger, Jr., has been a director of the Company since
April 2005. Mr. Pfenniger has been Chief Executive Officer and President of Continucare
Corporation (healthcare) since October 2003, and the Chairman of Continucares Board of Directors
since 2002. He served as CEO and Vice Chairman of Whitman Education Group, Inc. (proprietary
education) from 1997 until 2003. Mr. Pfenniger is a director of GP Strategies, Inc. (corporate
training) and Opko Health, Inc..
Steven D. Rubin. Mr. Rubin has served as a director of the Company since September 2007. Mr.
Rubin has been the Executive Vice President and a director of Opko Health, Inc. since February
2007. Mr. Rubin is a member of The Frost Group, LLC, a private investment firm. Mr. Rubin served
as the Senior Vice President, General Counsel and Secretary of IVAX from August 2001 until
September 2006. Prior to joining IVAX, Mr. Rubin was Senior Vice President, General Counsel and
Secretary with privately held Telergy, Inc., a provider of business telecommunications and diverse
optical network solutions, from early 2000 to August 2001. In addition, he was with the Miami law
firm of Stearns Weaver Miller Weissler Alhadeff & Sitterson from 1986 to 2000 in the Corporate and
Securities Department. Mr. Rubin had been a stockholder of that firm since 1991 and a director
since 1998. Mr. Rubin currently serves on the Board of Directors of Dreams, Inc., a vertically
integrated licensed sports products company, Modigene, a development state biopharmaceutical
company, Ideation Acquisition Corp., a special purposes acquisition company formed for the purpose
of acquiring businesses in digital medial, and Longfoot Communications Corp., a shell company
seeking a merger or other business combination candidate.
Dr. Kevin Wayne. Dr. Wayne is an Associate Professor of Business Administration at Rivier
College in Nashua, New Hampshire and has been with the College since 2003. Dr. Wayne has been a
director of the Company since September 2007. Prior to this and from 1999 until 2002, he was
co-founder and Vice President of Onux Medical, Inc., a medical device company acquired by C.R. Bard
in 2004. At Onux, Dr. Wayne was responsible for marketing and business development. He was also an
Adjunct Professor of Marketing at Daniel Webster College from 2002-2003 and a Faculty Associate at
Worcester Polytechnic Institute in 2002. Additionally, he has served in product development and
marketing functions at Smith & Nephew Endoscopy, Visualization Technology (now part of GE), and
Bards Endoscopy Division. His medical and surgical device experience includes work in general
surgery, GI endoscopy, arthroscopy/sports medicine and computer-assisted spine and neurosurgery
applications. He is a member of the Medical Device Group of Boston, the Association of University
Technology Managers and the Academy of Management.
72