Datascope Cp - Recent Material Eventi
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PART I
This Annual Report on Form 10-K contains statements that constitute forward-looking
statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and
Section 21E of the Securities Exchange Act of 1934, as amended, which generally can be identified
by the use of forward-looking terminology such as may, expect, estimate, anticipate,
believe, target, plan, project or continue or the negatives thereof or other variations
thereon or similar terminology. These statements appear in a number of places in this Report on
Form 10-K and include statements regarding our intent, belief or current expectations that relate
to, among other things, trends affecting our financial condition or results of operations and our
business and strategies. We may make additional written or oral forward-looking statements from
time to time in filings with the Securities and Exchange Commission or otherwise. Forward-looking
statements speak only as of the date the statement is made. Readers are cautioned that these
forward-looking statements are not a guarantee of future performance and involve risks and
uncertainties, and that actual results may differ materially from those projected in the
forward-looking statements as a result of many important factors. Many of these important factors
cannot be predicted or quantified and are outside of our control, including competitive factors,
changes in government regulation and our ability to introduce new products. The accompanying
information contained in this Annual Report on Form 10-K, including, without limitation, the
information set forth below under Item 1 regarding the description of our business, under Item 1A,
Risk Factors and under Item 7 concerning Managements Discussion and Analysis of Financial
Condition and Results of Operations, identifies additional important factors that could cause
these differences. We do not undertake to publicly update or revise our forward-looking statements
even if experience or future changes make it clear that any projected results expressed or implied
in this Annual Report on Form 10-K will not be realized. All subsequent written and oral
forward-looking statements attributable to us or persons acting for or on our behalf are expressly
qualified in their entirety by this section.
Item 1. Business
Overview
Datascope Corp. is a global leader of intra-aortic balloon counterpulsation and a diversified
medical device company that develops, manufactures and markets proprietary products for clinical
health care markets in interventional cardiology and radiology, cardiovascular and vascular
surgery, and critical care. Our products are sold throughout the world through direct sales
representatives and independent distributors. Our largest geographic markets are the United States,
Europe and Japan. Founded in 1964, we are headquartered in Montvale, New Jersey.
We have two reportable segments, Cardiac Assist Products and Vascular Products. The Cardiac
Assist Products segment accounted for 82% of total sales in fiscal 2008. The Cardiac Assist
Products segment sells intra-aortic balloon pumps and catheters, endoscopic vessel harvesting
products and the Safeguard assisted pressure device. Our intra-aortic balloon pump system is used
in the treatment of cardiac shock, acute heart failure, irregular heart rhythms, and for cardiac
support in open-heart surgery, coronary angioplasty, and stenting. The balloon catheter serves as
the pumping device within the patients aorta. The Vascular Products segment sells a proprietary
line of knitted and woven polyester vascular grafts and patches for reconstructive vascular and
cardiovascular surgery, peripheral vascular stent products and stent grafts. The peripheral
vascular products are used by vascular surgeons and interventional radiologists for the treatment
of peripheral aterial disease. Operating data for each segment for the last three fiscal years is
set forth in Note 11 to the Consolidated Financial Statements.
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Effective May 1, 2008, we sold our Patient Monitoring (PM) business to Mindray Medical
International Limited. The sale of the PM business allows us to focus our efforts on our
high-margin, market-share leading Cardiac Assist Products and our high-margin Vascular Products
segment. We received approximately $209 million in cash at the closing and retained approximately
$30 million of receivables generated by the PM business.
In October 2006, we announced a plan to exit the vascular closure market and phase out the
Interventional Products (IP) business. On August 6, 2008, we completed the sale of assets related
to the VasoSeal, On-Site, and X-Site vascular closure devices, and our collagen operations, to St.
Jude Medical, Inc. for $21.0 million in cash at closing and $3.0 million to be paid upon the
expiration of an 18 month indemnification period. We plan to seek the sale or independent
distribution of our ProLumentm thrombectomy device for the interventional
radiology market; although these plans are subject to the reversal of a verdict that is being
appealed (see Item 3. Legal Proceedings for a discussion of litigation relating to ProLumen). In
February 2007, we completed the sale of our ProGuidetm chronic dialysis
catheter and the associated assets for $3.0 million plus a royalty on future sales of the ProGuide
catheter.
Operating results of the PM and IP businesses are reported as discontinued operations for all
periods presented.
On September 15, 2008 we reached an agreement in principle to sell the Company
for $53.00 per share in cash. The agreement is expected to contain customary
representations, warranties and conditions to closing. If and when the
agreement is executed, we intend to file a current report on Form 8-K
describing the transaction and attaching the agreement as an exhibit.
In June 2008, we exercised our option to acquire the Peripheral Vascular Stent business of the
Sorin Group of Milan. The acquisition follows our successful experience as exclusive distributor
of the Sorin peripheral stent product line in Europe, during which sales have grown rapidly since
the product launch in January 2007. With the acquisition, we now gain the opportunity to market the
product line throughout the world. We estimate the worldwide market at $800 million annually, of
which $500 million is in the United States, $200 million is in Europe, and $40 million is in Japan.
Sorins innovative vascular peripheral products are used by vascular surgeons and
interventional radiologists for the treatment of peripheral arterial disease. Unlike competitive
bare metal stents, the Sorin stents incorporate CarbofilmTM Technology, which has long
been a standard for treating the surface of mechanical heart valves. As part of the acquisition, we
also received exclusive, worldwide rights to use the CarbofilmTM1 technology and other
intellectual property within the endovascular field of use. The product line includes
balloon-expandable and self-expanding stent systems, as well as balloon systems for use in
Percutaneous Transluminal Angioplasty (PTA). The worldwide market today for peripheral stents
and PTA is expected to grow to more than $1 billion by 2012 due to an increase in diagnostic
procedures, the demographics of the aging population and the higher incidence of diabetes, high
blood pressure, obesity and hypercholesterolemia all leading causes of peripheral vascular
disease.
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Our
Safeguardtm
assisted pressure device received FDA 510(k) clearance to
claim reduced manual compression time to stop bleeding following femoral arterial catheterization
in diagnostic and interventional procedures in March 2007. In May 2007, following FDA clearance of
the new clinical claim, we tripled the Safeguard sales and marketing effort in the United States
from a pilot sales group to the entire Cardiac Assist direct sales force. Safeguard is aimed at an
estimated $125 million annual worldwide market.
At the end of December 2007, Datascope Japan K.K., a wholly-owned subsidiary of Datascope
Corp., began management of our Intra-Aortic Balloon Pump (IABP) business in Japan. Datascope
Japan K.K. is responsible for import, product service, sales support and product surveillance of
the IABP business. USCI Holdings Ltd., our new exclusive distributor, is responsible for sales
distribution throughout Japan.
We believe that customers, primarily hospitals and other medical institutions, choose among
competing products on the basis of product performance, features, price and service. In general, we
believe price has become an important factor in hospital purchasing decisions because of pressure
to cut costs. These pressures on hospitals result from Federal and state regulations that limit
reimbursement for services provided to Medicare and Medicaid patients.
There are also cost containment pressures on healthcare systems outside the United States,
particularly in certain European countries. Many companies, some of which are substantially larger
than us, are engaged in manufacturing competing products. Our products are generally not affected
by economic cycles.
Available Information
Our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K,
amendments to those reports and other materials we have filed with the Securities and Exchange
Commission (SEC) may be read or copied at the SECs Public Reference Room at 100 F Street, NE,
Washington, DC 20549. Information regarding the operation of the Public Reference Room may be
obtained by calling the SEC at 1-800-SEC-0330. The SEC maintains a website at http://www.sec.gov
that contains reports, proxy and information statements and other information regarding issuers
that file electronically with the SEC. Our filings with the SEC are also available on our website
at http://www.datascope.com.
We have adopted a written Corporate Business Conduct Policy (including Code of Ethics) that
applies to all our employees. The Corporate Business Conduct Policy is posted on our website under
the Corporate Governance caption. We intend to disclose any amendments to, or waivers from, the
Corporate Business Conduct Policy on our website. In addition, the Companys audit committee
charter, compensation committee charter and nominations and corporate governance committee charter
are also posted on the Companys website. A copy of any of these documents is available, free of
charge, upon written request sent to Datascope Corp., 14 Philips Parkway, Montvale, New Jersey
07645, Attention: Secretary.
Information included on our website is not deemed to be incorporated into this Annual Report
on Form 10-K.
Glossary
We have prepared the glossary below to help you understand our business.
Angioplasty is the reconstruction of blood vessels, usually damaged by atherosclerosis. If the
arteries in question are in the heart, a coronary bypass operation may be recommended. However, the
nonsurgical method of balloon angioplasty is often employed, especially when only one vessel is
blocked.
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Balloon Angioplasty, also known as percutaneous transluminal coronary angioplasty (PTCA), is a
nonsurgical method of clearing coronary and other arteries blocked by atherosclerotic plaque,
fibrous and fatty deposits on the walls of arteries. A catheter with a balloon-like tip is threaded
up from the arm or groin through the artery until it reaches the blocked area. The balloon is then
inflated, flattening the plaque and increasing the diameter of the blood vessel opening. The
arterial passage is thus widened or dilated. Balloon angioplasty has evolved to include direct
coronary stenting in greater than 70% of angioplasty procedures to prevent recoil or abrupt closure
of the artery post dilatation.
French (Fr.), or French Scale, a system used to indicate the outer diameter of catheters. Each
unit is approximately 1/3 millimeter.
Hemostasis is the stopping of bleeding, either by physiological properties of coagulation and
vasoconstriction (narrowing of the blood vessels) or by surgical or mechanical means.
Manual Compression is the stopping of bleeding by physical pressure placed specifically on a
venous or arterial access site. With relation to our IP products, manual compression is typically
applied to the femoral artery.
Percutaneously is via a passage through the skin by needle puncture, including introduction of
wires or catheters.
Stenting is a medical procedure that uses tiny mesh tubes to support artery walls to keep the
vessels open.
Vascular Access is the means of entering the vasculature percutaneously in order to place a
variety of catheters. Vascular Access can be either venous or arterial in nature and can occur at
various points of the body. The most typical vascular access points are femoral (groin), subclavian
(upper chest), internal and external jugular (neck), brachial and radial (arm).
Reportable Segments
The following table shows the percentage of sales by segment as a percentage of total sales
for the last three years:
Below is a more detailed description of our major product lines:
Cardiac Assist
We are a leader and pioneer in intra-aortic balloon (IAB) counterpulsation therapy which is
used to support and stabilize heart function. This therapy increases the hearts output and the
supply of oxygen-rich blood to the hearts coronary arteries while reducing the heart muscles
workload and its oxygen demand.
Our line of cardiac assist products and their significant features are as follows:
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Counterpulsation Products
The intra-aortic balloon pump system is used for the treatment of high-risk cardiac conditions
resulting from ischemic heart disease and heart failure. Patients experiencing acute coronary
syndromes such as acute myocardial infarction, cardiogenic shock and unstable angina may require
IAB therapy to support and stabilize their cardiac status. IAB therapy is also used for high-risk
patients who require revascularization procedures such as percutaneous coronary interventions or
coronary artery bypass procedures including both on-pump and off-pump techniques. These products
and therapy may be used before or during coronary artery bypass grafting or percutaneous coronary
interventions for hemodynamic support.
We produce a line of disposable intra-aortic balloon catheters that serve as the pumping
device within the patients aorta. We introduced the first balloon catheter capable of percutaneous
insertion. This innovation eliminated the need for surgical insertion. As a result, the market for
cardiac assist products expanded from open-heart surgery to interventional cardiology.
Intra-Aortic Balloon Pumps (IABPs)
CS300
The CS300 balloon pump, our next generation balloon pump, was introduced in the third quarter
of fiscal 2007. The CS300 is a fully automatic pump with all the features of
Datascopes CS100®
balloon pump. The CS300 balloon pump teams up with the new Sensation 7 Fr. fiber-optic balloon
catheter to provide higher fidelity blood pressure monitoring while eliminating the need for an
additional invasive arterial pressure catheter as required by conventional balloon pump systems.
The CS300 features rapid start-up with a single push button to allow faster initiation to therapy,
a valuable feature in cardiac emergencies.
CS100
The CS100 automatic IABP, launched in August 2003, includes IntelliSyncTM automated
arrhythmia tracking and timing algorithms. Other features of the CS100 include automated trigger
selection for easier and continuous patient support, automatic Beat to Beat timing adjustments
based on the patients physiologic landmarks and faster pneumatics to support the most challenging
arrhythmic patients.
System 98XT
The
System 98XT IABP incorporates the CardioSync® 2 software with improved algorithms to
provide enhanced counterpulsation therapy. Other features of the System 98XT include faster
pneumatics and reduced required user intervention.
Significant Developments
In the last few years, we have expanded our product line of IABPs and achieved the following
regulatory and marketing milestones:
Intra-Aortic Balloon Catheters (IABs)
We manufacture a broad line of disposable IAB catheters for use with intra-aortic balloon
pumps in support of counterpulsation therapy.
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Sensation 7 Fr.
In the third quarter of fiscal 2007, we launched the Sensation 7 Fr. IAB catheter. Using fiber
optic technology, the Sensation 7 Fr. offers the smallest diameter IAB as well as blood pressure
monitoring with greater convenience and higher fidelity blood pressure waveform than conventional
invasive blood pressure monitoring. The reduced size of the Sensation 7 Fr. enables clinicians to
use counterpulsation therapy for a broader range of patients, including patients with smaller
peripheral blood vessels, peripheral vascular disease and diabetes. The Sensation 7 Fr. catheter
also employs Datascopes Durathane balloon membrane, the most abrasion resistant of any IAB in the
industry. Greater resistance to abrasion allows longer periods of balloon pumping therapy.
LinearTM 7.5 Fr.
In January 2005, we launched our Linear 7.5 Fr. IAB catheter. Linear 7.5 Fr., with a Durathane
membrane and improved 7.5 Fr. introducer sheath, offers easier insertion, abrasion resistance and
improved fatigue resistance and is ideal for smaller adults, diabetics and patients with peripheral
vascular disease. Linear 7.5 Fr. is available in 25cc, 34cc and 40cc balloon volumes.
Fidelity®
In February 2002, we launched our Fidelity IAB catheter. We believe that Fidelity provides
superior performance to all other 8 Fr. catheters in the market. Fidelity also offers the largest
central lumen (0.030) for consistent, clear arterial waveforms which results in better delivery of
counterpulsation therapy for the patient and easier patient management for the healthcare provider.
The new polymer design enables Fidelity to insert easily and navigate tortuous anatomies. Once
inserted, physicians have the longest insertable length available on the market to ensure optimal
balloon placement. Fidelity is available in 25cc, 34cc and 40cc balloon volumes.
In addition, we manufacture a complete line of intra-aortic balloon catheters to accommodate
counterpulsation therapy in both the adult and pediatric population. We manufacture catheters for
pediatric patients in the 2.5cc, 5cc, 7cc, 12cc and 20cc volumes. Our 9.5 Fr. intra-aortic balloon
catheters are available in 25cc, 34cc and 40cc volumes. A 50cc volume is also available for
patients who are taller than 6 feet. In fiscal 2007, we developed a reduced length membrane balloon
for the Japanese market which is specifically designed for clinical needs of Japanese patients.
In June 2004, we introduced the first and only needle-free securement device for IAB
catheters, the StatLockÒ2, which secures the IAB catheter to the patient without
the danger of accidental needlesticks or suture wound complications. We estimate that more than 25%
of our U.S. customers are utilizing this device.
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Clinical Support
We provide the following clinical and educational services to our customers:
Endoscopic Vessel Harvesting
In January 2006, we acquired the ClearGlide EVH product line from the CardioVations division
of Ethicon, a Johnson & Johnson company. EVH devices enable less-invasive techniques for the
harvesting of suitable vessels for use in conjunction with coronary artery bypass grafting.
EVH has been steadily replacing traditional open vessel harvesting techniques since the early
1990s. EVH allows surgeons to avoid problems associated with the traditional open vessel
harvesting techniques which include significant pain and discomfort for the patient during the
recovery period and post incision scars that run the full length of the patients leg or forearm.
The large incisions resulting from the open technique are associated with high rates of wound
complications including dehiscence, hematoma and infection, all of which are avoided through the
use of EVH.
Our EVH product line consists of the ClearGlide procedural kits for saphenous vein and radial
artery harvesting. The major components of these procedural kits are:
The ClearGlide Optical Vessel Dissector is a dissecting device with an optically clear blunt
dissecting tip which allows videoscopic visualization and creates a cavity for instrument passage
during insertion, tunneling, and dissection. The device consists of a handle, a shaft and a
transparent angled blunt tip that creates an operative working space around the vein and its side
branches and allows for smooth, atraumatic dissection on anterior and lateral surfaces.
The ClearGlide Ultra Retractor elevates the skin to maintain an operative working space for
insertion and passage of dissecting and ligating instruments. It consists of a handle, covered
cannula and a transparent blunt tip spoon that dissects tissue and creates a working space within
which instruments are positioned, passed and used to manipulate tissue; and permits the user to
visualize the tissue beyond the tip during insertion, tunneling, dissection and retraction.
The ClearGlide Precision Bipolar Device is used in conjunction with the ClearGlide Ultra
Retractor to provide controlled coagulation and cutting in one step, minimizing instrument
exchanges to accelerate EVH procedure time.
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The
ClearGlide Radial Artery Kit includes the Ethicon Harmonic Scalpel® shear that allows for
fast, safe cutting and coagulation of the side branches of the radial artery. Use during radial
artery harvesting procedures results in low vessel trauma and spasm as well as reduced blood loss
versus other cutting and coagulation methods. Additional kit components include a vessel dissector
which is used to ensure that the target vessel is free of all connective tissue and side branch
vessels prior to ligation and extraction and endoscopic scissors used to divide and cut tissue.
Finally, two tie Endoloop® ligature enables the surgeon to ligate the target vessel without making
additional incisions, thus establishing the ClearGlide kit as the only true single incision
procedure kit in the EVH market.
Markets, Sales and Competition. Our counterpulsation products are sold primarily to major
hospitals with open-heart surgery and balloon angioplasty facilities and community hospitals with
cardiac catheterization laboratories. These products have been sold, to a growing degree, to the
broader range of community hospitals, where counterpulsation therapy is used for temporary support
to the patients heart prior to transport to a major hospital center where definitive procedures,
such as balloon angioplasty or open-heart surgery, can be conducted. Our main competitor for
counterpulsation products is Teleflex Incorporated.
Our EVH products are sold to hospitals performing coronary artery bypass grafting procedures.
This user base is consistent with our counterpulsation user base and our existing direct sales
force handles both product lines. Clinical support and training for our EVH products is provided by
our team of Procedural Specialists who support our sales activities. Our main competitor for EVH
products is Maquet.
Manual Compression Assist Product
Our Safeguard assisted pressure device received FDA 510(k) clearance to claim reduced manual
compression time to stop bleeding following femoral arterial catheterization in diagnostic and
interventional procedures in March 2007. In May 2007, following FDA clearance of the new clinical
claim, we tripled the Safeguard sales and marketing effort in the United States from a pilot sales
group to the entire Cardiac Assist direct sales force. Safeguard is aimed at an estimated $125
million annual worldwide market.
Safeguard is a manual compression assist device used to assist in obtaining and maintaining
hemostasis. It is typically used on the femoral arterial site but may also be used in brachial,
radial and subclavian vessels on cardiac, dialysis and/or critical care patients. Safeguard affixes
to the site with an adhesive backing and offers hands-free consistent compression through inflation
of a bulb with a syringe. Safeguard 24cm was introduced in the second quarter of fiscal 2004. A
second product, Safeguard 12cm was launched in March 2005.
The Safeguard device received FDA 510(k) clearance to claim reduced active (manual)
compression time needed to stop bleeding following femoral arterial catheterization in diagnostic
and interventional procedures in March 2007. The 510(k) included data from a controlled clinical
trial of 100 patients at the Indiana Heart Hospital and St. Marys of Michigan, which showed that
Safeguard reduced the time of manual compression needed to stop bleeding in diagnostic patients to
an average of 7 minutes from an average of 29 minutes using manual compression alone (the
controls). For interventional patients, Safeguard reduced manual compression time needed to stop
bleeding to an average of 10 minutes compared to an average of 27 minutes using manual compression
alone. By sharply reducing the amount of nursing labor devoted to post-procedure hemostasis,
Safeguard adds a significant economic benefit to its use.
Advantages of Safeguard
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Significant Developments Safeguard
Safeguard has achieved the following milestones:
Markets, Sales and Competition. We estimate the market for non-invasive compression assist
devices to be approximately $125 million annually. We expanded the Safeguard sales and marketing
effort in the United States from a pilot sales group to the entire Cardiac Assist direct sales
force in May 2007.
Safeguard competes with other non-invasive devices such as FemoStop (Radi) and topical
hemostatic patches. A number of companies, some of which are larger than us, manufacture and market
competitive products. Among them are Abbott Laboratories, Medtronic, Vascular Solutions and Marine
Polymer Technologies.
Vascular Products
Our InterVascular, Inc. subsidiary designs, manufactures and distributes a proprietary line of
knitted and woven polyester vascular grafts and patches for reconstructive vascular and
cardiovascular surgery. Vascular grafts are used to replace or bypass diseased arteries. In January
2007, we purchased a five-year license from the Sorin Group of Milan, Italy, for exclusive
worldwide distribution rights to Sorins peripheral vascular stent products, excluding the United
States and Japan. As part of that agreement, we received a call option to acquire Sorins worldwide
peripheral vascular stent business within two years. In June 2008, we exercised our option to
purchase Sorins peripheral vascular stent business. With the acquisition, we now gain the
opportunity to market the product line throughout the world. The product line includes
balloon-expandable and self-expanding stent systems to treat stenosis in iliac, femoral, renal and
infrapopliteal arteries, as well as expandable balloons for use in PTA.
In February 2006, we became the exclusive worldwide distributor, excluding the United States
and Canada, for Vascular Innovations (VI) Aorto UniFemoral (AUF) and Extender Cuff (EC) stent graft
products, under a five-year license agreement with VI. The VI stent grafts are unique innovative
products that address major abdominal aortic aneurysm issues (migration, endoleak type 1, complex
anatomy and rupture).
Vascular Grafts and Patches
Our vascular graft products and their significant features are as follows:
Our
vascular grafts, marketed under the InterGard® brand, include knitted collagen coated
grafts for use in most vascular applications for reconstruction of abdominal aorta and peripheral
arteries and woven products designed primarily for use in thoracic aortic repair and open-heart
surgery.
InterGard® Silver is the worlds first antimicrobial vascular graft specifically designed to
prevent post-operative graft-related infection by using the broad spectrum, anti-microbial
properties of silver, which is released from the surface of the graft into surrounding tissues
following implantation. Vascular graft infection, which occurs in 2% to 5% of cases, typically
lengthens the hospital stay of a patient by up to 50 days, which results in an increase in
treatment cost of approximately $85,000.
InterGard UltraThin is an innovative vascular graft designed to improve outcomes of peripheral
bypass procedures. With a wall thickness of 0.35mm, InterGard UltraThin is the thinnest knitted
polyester collagen coated graft on the market.
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InterGard Heparin is a heparin bonded, collagen coated graft for replacement and bypass of
peripheral arteries. Occlusion of a peripheral graft following surgery is the most frequent cause
of graft failure. InterGard Heparin is designed to address the issue of occlusion and improve long
term patency of the graft by allowing the properties of heparin to be available locally on the
graft surface for several weeks following implantation. Three year results of a multicentric
prospective randomized study have shown that use of InterGard Heparin has 25% better patency and
65% fewer amputations compared to ePTFE, a synthetic material frequently used for peripheral artery
bypass or repair.
Our line of vascular patches, the InterVascular HemaPatch and HemaCarotid Patch products,
offer the vascular surgeon a complete range of knitted, collagen coated patches in a wide range of
sizes for repair of carotid and peripheral arteries. HemaPatches are available in the Silver
configuration and HemaCarotid patches are also manufactured in the UltraThin configuration, with
and without Heparin.
InterFlow UltraThin is an innovative ePTFE vascular graft designed for peripheral vascular
reconstruction. The unique Multiporous Matrix supports tissue attachment, ensuring
hemocompatibility and biocompatibility.
Vascular Stent Products
Our stent products and their significant features are as follows:
Peripheral Stents
The Sorin stent systems are coated with unique Carbofilm Technology, with biocompatible and
hemocompatible characteristics, that are clinically proven and provide exclusive antithrombogenic
properties.
Radix2 CarboStent is a balloon expandable stent system, indicated for renal therapy. Its
unique progressive design provides an optimal longitudinal flexibility and ostial radial force,
combined with deliverability.
Isthmus CarboStent is a balloon expandable stent system, indicated for iliac and femoral
applications. Its radiopaque markers provide visibility and positioning.
Inperia CarboStent is the first stent system dedicated to infrapopliteal arteries and is a new
technique to improve limb salvage rate for diabetic patients. Clinical data has shown significant
benefits compared to standard balloon angioplasty.
Flype and Hi-Flype CarboStent are self expandable systems, designed for femoral and iliac
indications. Their unique delivery system provides precise and easy handling.
Balloon Catheters
Pegaso 14 and 18 are low profile catheters, mainly indicated for below the knee and renal
stenosis.
Stent Grafts
The VI Aorto UniFemoral StentGraft is indicated for use in ruptured acute aortic aneurysm
(AAA), complex iliac anatomy and angulated or short aortic neck. Its balloon expandable system
provides optimal adaptability through a unique size and allows suprarenal fixation. It is
premounted in a 19.5 Fr. outer diameter delivery system.
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The VI Extender Cuff is indicated to treat suboptimal stent graft placement at proximal aortic
neck, to solve proximal type I endoleak and to extend short or angulated neck prior to bifurcated
stent graft implantation. It offers a unique size for optimal adaptability, an expandable balloon
with superior radial force, and is pre-mounted on a 19.5 Fr. delivery system. Its open stent
structure allows suprarenal fixation.
Significant Developments
In the last few years, we have expanded our line of vascular graft and stent products and
achieved the following regulatory and marketing milestones:
Markets, Sales and Competition. Effective May 1, 2005, W.L. Gore & Associates Inc. (Gore)
became the exclusive distributor of InterVasculars full line of polyester grafts and patches in
the United States. InterVasculars products are sold by Gores U.S. Vascular Surgery Sales Team and
co-branded under the InterVascular and Gore names.
In Europe the InterVascular product line continues to be marketed by direct sales
representatives and exclusive distributors. In other international markets the InterVascular
product line continues to be sold by its distributor network.
Our vascular graft products are sold to vascular and cardiothoracic surgeons. A number of
companies, some of which are substantially larger than us, manufacture and market products that
compete with our vascular graft products. Our major competitors are Boston Scientific, Vascutek, a
Terumo company, W.L. Gore and Impra, a subsidiary of C.R. Bard, Inc.
Our peripheral stents and balloon catheters are sold to vascular surgeons, interventional
radiologists, interventional cardiologists and angiologists. A number of companies, some of which
are substantially larger than us, manufacture and market products that compete with our stents and
balloon catheters. Our major competitors are Boston Scientific, C.R. Bard, Inc, Cordis, a Johnson &
Johnson company, Abbott Vascular and Invatec.
Our AUF and Extender Cuff products are sold to interventional radiologist, vascular and
cardiothoracic surgeons. A number of companies, some of which are substantially larger than us,
manufacture and market products that compete with our stent grafts products. Our major competitors
are Cook, Vascutek, W.L. Gore and Medtronic.
Life Science Research Products
Genisphere has developed reagents based on a new, proprietary class of DNA molecules known as
3DNAÒ, or Three Dimensional Nucleic Acid. A reagent is a biologically or chemically active
substance. Genispheres reagents are used to detect and measure other biological substances. Our
3DNA-based reagents have been shown to provide greater sensitivity in nucleic acid and protein
detection assays than it is possible to achieve using conventional detection methods.
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Our life science research products are designed primarily for use in newly developed kinds of
detection assays. In these markets, adoption of new technologies, such as 3DNA technology, occurs
much faster and potential customers are more highly concentrated and easier to reach, when compared
to the mature blot market, which was our initial target market. Our first products for these new
markets were detection kits designed to improve the reliability and sensitivity of microarray
experiments. We have also recently begun selling proprietary products that increase the size of
nucleic acid samples and other proprietary products that increase the sensitivity of a wide range
of protein assays.
A number of companies, some of which are substantially larger than us, manufacture and market
products that compete with our life science research products. Our major competitors include
Agilent Technologies, GE Healthcare and Applied Biosystems.
Research and Development (R&D)
We invested approximately $21.1 million or 9.1% of sales in fiscal 2008, $19.9 million or 9.3%
of sales in fiscal 2007 and $19.1 million or 9.7% of sales in fiscal 2006 on research and
development of new products and improvement of our existing products. We have established
relationships with several teaching hospitals for the purpose of clinically evaluating our new
products. We also have consulting arrangements with physicians and scientists in the areas of
research, product development and clinical evaluation.
Marketing
Our products are sold primarily through direct sales representatives in the United States and
a combination of direct sales representatives and independent distributors in international
markets. Our largest geographic markets are the United States, Europe and Japan. Our worldwide
direct sales organization employs approximately 254 people and consists of sales representatives,
sales managers, clinical education specialists and sales support personnel. We have a worldwide
clinical education staff, most of whom are critical care and catheterization lab nurses. They
conduct seminars and provide in-service training to nurses and physicians. No customer accounted
for more than 10% of our total sales in fiscal 2008, 2007 and 2006. Our primary customers include
physicians, hospitals and other medical institutions.
We provide service and equipment maintenance to purchasers of our products under warranty.
After the warranty expires, we provide service and maintenance on an out of warranty and contract
basis. We employ service representatives in the United States, Europe and Japan and maintain
service facilities in the United States, the Netherlands, France, Germany, Belgium, the United
Kingdom and Japan. We conduct regional service seminars throughout the United States for our
customers and their biomedical engineers and service technicians.
International sales as a percentage of our total sales were 57% in fiscal 2008, 52% in fiscal
2007 and 51% in fiscal 2006. We have subsidiaries in the United Kingdom, France, Germany, Italy,
Spain, Belgium, the Netherlands and Japan. Because a portion of our international sales are made in
foreign currencies, we bear the risk of adverse changes in exchange rates for such sales. Please
see Notes 1, 2 and 11 to the Consolidated Financial Statements for additional information with
respect to our international operations and foreign currency exposures.
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Competition
We believe that customers, primarily hospitals and other medical institutions, choose among
competing products on the basis of product performance, features, price and service. In general, we
believe price has become an important factor in hospital purchasing decisions because of pressure
to cut costs. These pressures on hospitals result from Federal and state regulations that limit
reimbursement for services provided to Medicare and Medicaid patients. There are also cost
containment pressures on healthcare systems outside the United States, particularly in certain
European countries. Many companies, some of which are substantially larger than us, are engaged in
manufacturing competing products.
Seasonality
Typically, our net sales
are higher in the third
and fourth quarters than the first and second quarters. Lower net sales in the first quarter result from
fewer hospital procedures during the summer months. Lower net sales in the second quarter result from
holidays in the United States and
other markets. Independent distributors may randomly place large orders that can distort the net
sales pattern just described. In addition, new product introductions, regulatory approvals and
product recalls can impact the typical sales patterns.
Suppliers
Our
products are made of components which we manufacture or which we purchase from
existing and alternate sources of supply. Some of our products are manufactured through agreements
with unaffiliated companies. We purchase certain components from single or preferred sources of
supply. Our use of single or preferred sources of supply increases our exposure to price increases
and production delays.
Intellectual Property
Intellectual property rights
are important to our business. We own approximately 120 United States and foreign patents
and have approximately 50 pending patent applications.
We also rely upon trade secrets,
manufacturing know-how, and licensing opportunities to maintain
and advance our competitive position. Our policy is to file patent applications in the United
States and foreign countries where rights are available and where we believe it is commercially
advantageous to do so. We hold a number of United States and foreign patents. In addition, we also
have filed a number of patent applications that are currently pending.
Employees
At the end of fiscal 2008, we had approximately 765 employees worldwide. We believe that our
employee relations are satisfactory.
Orders Backlog
At June 30, 2008, we had a total backlog of unshipped customer orders of $2.3 million.
Substantially all of the backlog will be delivered in fiscal 2009. The total backlog at June 30,
2007 was $2.1 million. The increase in the backlog at June 30, 2008 compared to the same period
last year was primarily due to increased orders.
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Regulation
Our medical devices are subject to regulation by the FDA. In some cases, they are also subject
to regulation by state and foreign governments. The Medical Device Amendment of 1976 and the Safe
Medical Devices Act of 1990 (the Act) , which are amendments to the Federal Food, Drug and
Cosmetics Act of 1938, require manufacturers of medical devices to comply with certain controls
that regulate the composition, labeling, testing, manufacturing and distribution of medical
devices. FDA regulations known as Current Good Manufacturing Practices for Medical Devices
provide standards for the design, manufacture, packaging, labeling, storage, installation and
servicing of medical devices. Our manufacturing and assembling facilities are subject to routine
FDA inspections. The FDA can also conduct investigations and evaluations of our products at its own
initiative or in response to customer complaints or reports of malfunctions. The FDA also has the
authority to require manufacturers to recall or correct marketed products which it believes do not
comply with the requirements of these laws.
Under the Act, all medical devices are classified as Class I, Class II or Class III devices.
In addition to the above requirements, Class II devices must comply with pre-market notification,
or 510(k), regulations and, in some cases, with performance standards or special controls
established by the FDA. Subject to certain exceptions, a Class III device must receive pre-market
approval from the FDA before it can be commercially distributed in the United States. Our principal
products are designated as Class II and Class III devices.
We also receive inquiries from the FDA and other agencies. Sometimes, we may disagree with
positions of staff members of those agencies. To date, the resolutions of such disagreements with
the staffs of the FDA and other agencies have not resulted in material cost to us.
Our international business is subject to medical device laws in countries outside the United
States. Most major markets for medical devices outside the United States require clearance,
approval or compliance with certain standards before a product can be commercially marketed. The
applicable laws range from extensive device approval requirements in some countries for all or some
of our products, to requests for data or certifications in other countries. Generally,
international regulatory requirements are increasing. In the European Union, the regulatory systems
have been consolidated, and approval to market in all European Union countries (represented by the
CE Mark) can be obtained through one agency. In some cases, we rely on our non-U.S. distributors to
obtain registration and approval for our products in a particular foreign jurisdiction.
The United States Medicare-Medicaid Anti-Kickback law, as well as many state laws, prohibit
payments of any kind that are intended to induce a referral for any item payable under Medicare,
Medicaid or any other governmental healthcare programs. Many foreign countries also have similar
laws. We subscribe to the AdvaMed Code (AdvaMed is a U.S. medical device industry trade
association) which limits certain marketing and other practices in our relationship with product
purchasers. We also adhere to a similar code in Europe.
We are also subject to certain Federal, state and local environmental regulations. The cost of
complying with these regulations has not been, and we do not expect them to be, material to our
operations.
We are also affected by laws and regulations concerning the reimbursement of our customers
costs incurred in purchasing our medical devices and products. Healthcare providers that purchase
our medical devices and products generally rely on third-party payors, including the Centers for
Medicare and Medicaid Services (CMS) which administers Medicaid and Medicare, and other types of
insurance programs, to reimburse all or part of the cost of such devices.
The laws and regulations in this area are constantly changing and we are unable to predict
whether, and the extent to which, we may be affected in the future by legislative or regulatory
developments relating to the reimbursement of our medical devices and products.
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Item 1A. Risk Factors
In addition to the other information presented in this Form 10-K, the following risk factors
should be considered in evaluating our business. The following discussion of risk factors contains
forward-looking statements, as discussed in Item 1. Our business and financial condition could be
materially adversely affected by any of these risks and our future operating results may differ
materially from the results described in this report due to the risks and uncertainties related to
our business and our industry, including those discussed below. The risks described below are not
the only risks we face. Please note that additional risks and uncertainties not currently known to
us or that we currently deem to be immaterial may also materially and adversely affect our
business, financial condition or results of operations.
Our markets are highly competitive and we face rapid technological changes in the medical device
industry, which may impact the growth of our business.
Our future growth is dependent upon our ability to market our products effectively in a strong
competitive environment and respond to rapidly changing technology and alternative
products/treatments. The medical device market is intensely competitive and we encounter
significant competition from various medical device companies in each market in which our products
are sold. Our competitors range from small start-up companies to companies which are larger than we
are and have significantly greater resources and broader product offerings. We expect competition
will continue to intensify as the medical device industry consolidates and new competitors,
products and treatments are brought into the market. In addition, we face competition from
alternative therapies primarily in our Cardiac Assist and Vascular Products businesses.
Our customers consider many factors when choosing suppliers, including product reliability,
clinical outcomes, product availability, price and services provided by the manufacturer. Market
share can shift as a result of technological innovation and other business factors. We may
experience decreasing prices for the products and services we offer due to pricing pressure
experienced by our customers from managed care organizations and other third-party payors,
increased market power of our competitors as the medical device industry consolidates and increased
competition among medical device companies. If the prices for our products and services decrease
and we are unable to reduce our expenses, our results of operations will be adversely affected.
Our future growth is dependent upon the development of new products, which requires significant
research and development, clinical trials and regulatory approval, and therefore may not result in
commercially viable products.
Our future growth is dependent upon the development of new products, which requires that
significant resources be devoted to research and development activities, clinical trials and
obtaining regulatory approval. In order to develop new products and improve current product
offerings, we focus our research and development programs largely on the development of
next-generation and new technology offerings. We have continued to increase our investments in R&D
over the past few years and anticipate that we will continue to increase R&D spending in the
future. If we are unable to develop and launch new products as anticipated, or if our R&D efforts
do not achieve technical feasibility, our ability to maintain or expand our market position may be
adversely impacted.
Failure to successfully select, negotiate and integrate acquired technologies, products or
businesses could adversely affect our business.
As part of our strategy to develop and identify new products and technologies, we have made
acquisitions and investments in recent years, including our acquisition of the Sorin Peripheral
Vascular Stent business in June 2008 and the ClearGlide EVH product in January 2006.
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The success of any acquisition or investment that we may undertake will depend on a number of
factors, including:
If we are unsuccessful in our acquisitions or investments, we may be unable to continue to
grow our business significantly or may need to record asset impairment charges in the future.
We are subject to widespread government regulation which may delay the approval of our products or
result in the recall of previously approved products.
We are subject to compliance with numerous Federal, state and international government
regulations regarding design, manufacturing, labeling, packaging, storage, distribution,
installation and service of medical devices. Our products, development activities and manufacturing
processes are subject to extensive and rigorous regulation by the FDA pursuant to the Federal Food,
Drug, and Cosmetic Act (the FDC Act), by comparable agencies in foreign countries, and by other
regulatory agencies and governing bodies. Under the FDC Act, medical devices must receive FDA
clearance or approval before they can be commercially marketed in the United States. In addition,
most major markets for medical devices outside the U.S. require clearance, approval or compliance
with certain standards before a product can be commercially marketed. Under the Safe Medical Device
Act of 1990, all medical devices are classified as Class I, Class II or Class III devices. In
addition to the above requirements, Class II devices must comply with pre-market notification, or
510(k), regulations and with performance standards or special controls established by the FDA.
Subject to certain exceptions, a Class III device must receive pre-market approval from the FDA
before it can be commercially distributed in the United States. Our principal products are
designated as Class II and Class III devices. The process of obtaining marketing approval or
clearance from the FDA for new products, or with respect to enhancements or modifications to
existing products, could:
As a device manufacturer, we are subject to periodic inspection by the FDA for compliance with
the FDAs Quality System Regulation requirements, which require manufacturers of medical devices to
adhere to certain regulations, including testing, quality control and documentation procedures. In
addition, the Federal Medical Device Reporting regulations require us to provide information to the
FDA whenever there is evidence that reasonably suggests that a device may have caused or
contributed to a death or serious injury or that it malfunctioned in a way that could cause or
contribute to a death or serious injury. Compliance with applicable regulatory requirements is
subject to continual review and is rigorously monitored through periodic inspections by the FDA. In
the European Community, we are required to maintain certain ISO certifications in order to sell our
products and must undergo periodic inspections by notified bodies to obtain and maintain these
certifications.
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Even after products have received marketing approval or clearance, product approvals and
clearances by the FDA can be withdrawn due to failure to comply with regulatory standards or the
occurrence of unforeseen problems following initial approval. There can be no assurance that we
will receive the required clearances from the FDA for new products or modifications to existing
products on a timely basis or that any FDA approval will not be subsequently withdrawn. The failure
to receive product approval clearance on a timely basis, suspensions of regulatory clearances,
seizures or recalls of products or the withdrawal of product approval by the FDA could have a
material adverse effect on our business, financial condition or results of operations because we
would not be able to sell unapproved or recalled products and we may incur significant costs
related to product recalls.
Cost containment pressures and legislative or regulatory reforms may decrease the demand for our
products and the prices that customers are willing to pay for our products.
Our future growth is dependent upon health care cost containment and third party/government
reimbursement policies including the impact of hospital buying groups and industry consolidation.
Healthcare costs have significantly risen over the past decade. There have been and may continue to
be proposals by legislators, regulators and third-party payors to control these costs. Certain
reform proposals and other policy changes, if passed, could impose limitations on the prices we
will be able to charge for our products, or the amounts of reimbursement available for our products
from governmental agencies or third-party payors. These limitations could have a material adverse
effect on our financial position and results of operations because our sales revenue would be
reduced.
Since we derive a significant portion of our revenues from international operations, changes in
international economic or regulatory conditions could have a material impact on the results of our
operations.
Our products are currently marketed around the world, with our largest geographic markets
outside of the United States being Europe and Japan. Our continuing operations in countries outside
the United States accounted for approximately 57% of our sales in fiscal 2008. We intend to
continue to pursue growth opportunities in international markets which subjects us to risks
generally associated with international operations, such as: unexpected changes in regulatory
requirements; tariffs, customs, duties and other trade barriers; difficulties in staffing and
managing foreign operations; differing labor regulations; longer payment cycles; problems in
collecting accounts receivable; risks arising from a specific countrys or regions political or
economic conditions, including the possibility of terrorist actions; fluctuations in currency
exchange rates; foreign exchange controls that restrict or prohibit repatriation of funds; export
and import restrictions or prohibitions; delays from customs brokers or government agencies;
changes in foreign medical reimbursement policies and programs; differing protection of
intellectual property; and potentially adverse tax consequences resulting from operating in
multiple jurisdictions with different tax laws. Any one or more of these risks could materially
adversely impact the success of our international operations.
Reduction or interruption in supply of components and materials used to manufacture our products,
resulting from events such as damage to any of our manufacturing facilities or the loss of any of
our sole-source suppliers, and the inability to develop alternative sources of supply, could
impair our ability to meet sales demand and adversely affect our manufacturing operations and
related product sales.
Reduction or interruption in the supply of components and materials used to manufacture our
products, reliance on third party manufacturers for certain products, and damage to any of our
manufacturing facilities, which could temporarily impair our ability to meet sales demand, may
adversely affect our manufacturing and distribution operations and related product sales. If an
event occurred that resulted in damage to one or more of our facilities, we may be unable to
manufacture the relevant products at previous levels or at all. In addition, we purchase many of
the components and raw materials used in manufacturing our products from numerous suppliers. For
reasons of quality assurance, sole source availability or cost effectiveness, certain components
and raw materials are available only from a sole supplier. Due to the FDAs stringent regulations
and requirements regarding the manufacture of our products, we may not be able to quickly establish
additional or replacement
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sources for certain components or materials. The reduction or interruption in supply, and an
inability to develop alternative sources for such supply, could adversely affect our ability to
manufacture our products in a timely or cost effective manner.
A loss of key personnel or our inability to attract and retain additional personnel may adversely
affect our business.
Our future growth is dependent upon our reliance on key employees, including executive
officers, management, sales and technical employees involved in R&D. The talent and drive of our
employees is an important factor in the success of our business. Our sales, technical and other key
personnel play an integral role in developing, marketing and selling of new and existing products.
If we are unable to recruit, hire, develop and retain talented employees and key management we may
not be able to meet our business objectives.
If we are unable to protect our intellectual property successfully our business could be
adversely affected.
Intellectual property rights are important to our business and our ability to compete
effectively with other companies is dependent upon the proprietary nature of our technologies. We
also rely upon trade secrets, manufacturing know-how, continuing technology innovations and
licensing opportunities to maintain and improve our competitive position. Our policy is to file
patent applications in the United States and foreign countries where rights are available and where
we believe it is commercially advantageous to do so. We hold a number of U.S. and foreign patents.
In addition, we also have filed a number of patent applications that are currently pending. Pending
or future patent applications may not result in issued patents, current or future patents issued to
or licensed by us may be challenged, invalidated or circumvented and the rights granted thereunder
may not provide a competitive advantage to us or prevent competitors from entering markets which we
currently serve. In addition, we may have to take legal action in the future to protect our trade
secrets or know-how or to defend them against claimed infringement of the rights of others. Any
legal action of that type could be costly and time consuming to us and any lawsuit may not be
successful. The invalidation of key patents or proprietary rights which we own or an unsuccessful
outcome in lawsuits to protect our intellectual property could increase the competitive pressures
that we face and therefore have a material adverse effect on our financial condition and results of
operations.
Pending and future litigation and any resulting settlement awards may be costly and impact
our ability to obtain cost-effective third-party insurance coverage in the future.
We are a defendant in various proceedings, legal actions and claims arising in the normal
course of business, including product liability and other matters. Such matters are subject to many
uncertainties and outcomes are not predictable with assurance. To mitigate losses arising from
unfavorable outcomes related to product liability and general liability matters, we purchase
third-party insurance coverage subject to deductibles and loss limitations. We may incur
significant legal expenses regardless of whether we are found to be liable. In addition, such
product liability settlements may negatively impact our ability to obtain cost-effective
third-party insurance coverage in future periods.
Item 1B. Unresolved Staff Comments
None.
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Item 2. Properties
The following table contains information concerning our significant real property that we own
or lease:
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