UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
FORM 10-Q/A
Amendment No. 1
x Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.
For the quarterly period ended September 30, 2003
or
¨ Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.
For the transition period from to .
Commission File Number:0-22419
CARDIMA, INC.
(Exact name of registrant as specified in its charter)
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Delaware | | 94-3177883 |
(State or Other Jurisdiction of Incorporation or Organization) | | (I.R.S. Employer Identification No.) |
47266 Benicia Street, Fremont, CA 94538-7330
(Address of Principal Executive Offices)(Zip Code)
Registrant’s telephone number, including area code: (510) 354-0300
Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) had been subject to such filing requirements for the past 90 days. x Yes¨ No
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Securities Exchange Act of 1934). ¨ Yesx No
As of November 13, 2003, there were 76,750,471 shares of Registrant’s Common Stock outstanding.
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EXPLANATORY NOTE
Cardima, Inc. (referred to in this filing as “Cardima,” the “Company”, “we” and “us”) is filing this Form 10-Q/A for the quarter ended September 30, 2003 to reflect the restatement of its unaudited financial statements as of and for the three-month and nine-month periods ended September 30, 2003. See the financial statements and Note 1 thereto included herein for a description of the restatement. This Form 10-Q/A does not attempt to modify or update all other disclosures set forth in the original filing of our Form 10-Q for the quarter ended September 30, 2003, and this Form 10-Q/A does not purport to update or discuss any other event, development or information subsequent to the original filing of the Company’s Form 10-Q for the quarter ended September 30, 2003 on November 14, 2003. Please refer to our SEC filings after that date, including without limitation the disclosures under the caption “Risk Factors” in our prospectus filed under Rule 424(b)(3) of the Securities Act of 1933 on February 12, 2004, for additional information about certain events, developments and information subsequent to the original filing of our Form 10-Q. Those subsequent filings update and supersede certain information contained in our original Form 10-Q and in this Form 10-Q/A. The filing of this Form 10-Q/A shall not be deemed an admission that the original filing, when made, included any untrue statement of material fact or omitted to state a material fact necessary to make a statement not misleading.
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CARDIMA, INC.
TABLE OF CONTENTS
PART I. Financial Information
PART II. Other Information
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PART I.
Item 1. | Financial Statements |
CARDIMA, INC.
CONDENSED BALANCE SHEETS
(In thousands, except share and per share amounts)
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| | September 30, 2003 (Unaudited and as restated)
| | | December 31, 2002 (1)
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ASSETS | | | | | | | | |
Current assets: | | | | | | | | |
Cash and cash equivalents | | $ | 6,296 | | | $ | 3,385 | |
Accounts receivable, net of allowances for doubtful accounts of $83 at September 30, 2003 and $79 at December 31, 2002 | | | 304 | | | | 318 | |
Inventories | | | 1,172 | | | | 1,226 | |
Other current assets | | | 532 | | | | 622 | |
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Total current assets | | | 8,304 | | | | 5,551 | |
Property and equipment, net | | | 644 | | | | 1,030 | |
Notes receivable from officers | | | 618 | | | | 595 | |
Other assets | | | 39 | | | | 89 | |
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| | $ | 9,605 | | | $ | 7,265 | |
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LIABILITIES AND STOCKHOLDERS’ EQUITY | | | | | | | | |
Current liabilities: | | | | | | | | |
Accounts payable | | $ | 1,104 | | | $ | 2,029 | |
Accrued compensation | | | 986 | | | | 1,238 | |
Other current liabilities | | | 273 | | | | 276 | |
Capital lease obligation - current portion | | | 271 | | | | 142 | |
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Total current liabilities | | | 2,634 | | | | 3,685 | |
Deferred rent | | | 39 | | | | 4 | |
Capital lease obligation - noncurrent portion | | | 93 | | | | 26 | |
Commitments | | | | | | | | |
Stockholders’ equity: | | | | | | | | |
Common stock, $0.001 par value; 125,000,000 shares authorized, 76,725,183 shares issued and outstanding at September 30, 2003; 54,394,264 issued and outstanding as of December 31, 2002; at amounts paid in | | | 107,922 | | | | 94,003 | |
Accumulated deficit | | | (101,083 | ) | | | (90,453 | ) |
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Total stockholders’ equity | | | 6,839 | | | | 3,550 | |
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| | $ | 9,605 | | | $ | 7,265 | |
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(1) | The balance sheet as of December 31, 2002 was derived from the audited financial statements included in the Company’s 2002 Annual Report on Form 10-K filed with the Securities and Exchange Commission but does not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. |
See accompanying notes to condensed financial statements
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CARDIMA, INC.
CONDENSED STATEMENTS OF OPERATIONS
(In thousands, except per share amounts)
(Unaudited)
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| | Three months ended September 30,
| | | Nine months ended September 30,
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| | 2003 (as restated)
| | | 2002
| | | 2003 (as restated)
| | | 2002
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Net sales | | $ | 561 | | | $ | 444 | | | $ | 1,690 | | | $ | 1,633 | |
Operating expenses: | | | | | | | | | | | | | | | | |
Cost of goods sold | | | 840 | | | | 1,074 | | | | 2,746 | | | | 2,667 | |
Research and development | | | 967 | | | | 1,200 | | | | 3,412 | | | | 3,246 | |
Selling, general and administrative | | | 1,603 | | | | 1,544 | | | | 5,296 | | | | 4,865 | |
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Total operating expenses | | | 3,410 | | | | 3,818 | | | | 11,454 | | | | 10,778 | |
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Operating loss | | | (2,849 | ) | | | (3,374 | ) | | | (9,764 | ) | | | (9,145 | ) |
Interest and other income | | | 15 | | | | 19 | | | | 48 | | | | 66 | |
Other non-cash expense | | | (904 | ) | | | — | | | | (904 | ) | | | — | |
Interest expense | | | (4 | ) | | | (3 | ) | | | (10 | ) | | | (17 | ) |
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Net loss | | $ | (3,742 | ) | | $ | (3,358 | ) | | $ | (10,630 | ) | | $ | (9,096 | ) |
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Basic and diluted net loss per share | | $ | (0.05 | ) | | $ | (0.07 | ) | | $ | (0.18 | ) | | $ | (0.21 | ) |
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Shares used in computing basic and diluted net loss per share | | | 70,071 | | | | 47,072 | | | | 59,391 | | | | 44,139 | |
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See accompanying notes to financial statements
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CARDIMA, INC.
STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
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| | Nine months ended September 30,
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| | 2003 (as restated)
| | | 2002
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CASH FLOWS FROM OPERATING ACTIVITIES | | | | | | | | |
Net loss | | $ | (10,630 | ) | | $ | (9,096 | ) |
Adjustments to reconcile net loss to net cash provided by operations: | | | | | | | | |
Depreciation and amortization | | | 521 | | | | 745 | |
Reversal of non-cash stock-based compensation | | | — | | | | (405 | ) |
Derivative revaluation | | | 904 | | | | — | |
Loss on disposal of assets | | | 9 | | | | 6 | |
Non-cash interest income on notes receivable from officers | | | (23 | ) | | | (23 | ) |
Changes in operating assets and liabilities: | | | | | | | | |
Accounts receivable | | | 14 | | | | 53 | |
Inventories | | | 54 | | | | 271 | |
Other current assets | | | 90 | | | | (289 | ) |
Other assets | | | 50 | | | | 94 | |
Accounts payable | | | (925 | ) | | | (323 | ) |
Accrued employee compensation | | | (252 | ) | | | (198 | ) |
Other current liabilities | | | (3 | ) | | | 462 | |
Deferred rent | | | 35 | | | | (18 | ) |
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Net cash used in operating activities | | | (10,156 | ) | | | (8,721 | ) |
CASH FLOWS FROM INVESTING ACTIVITIES | | | | | | | | |
Capital expenditures | | | (144 | ) | | | (551 | ) |
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Net cash used in investing activities | | | (144 | ) | | | (551 | ) |
CASH FLOWS FROM FINANCING ACTIVITIES | | | | | | | | |
Principal payments under leases | | | 196 | | | | (256 | ) |
Net proceeds from sale of common stock | | | 13,015 | | | | 4,873 | |
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Net cash provided by financing activities | | | 13,211 | | | | 4,617 | |
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NET INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS | | $ | 2,911 | | | | (4,655 | ) |
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CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD | | $ | 3,385 | | | $ | 7,542 | |
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CASH AND CASH EQUIVALENTS, END OF PERIOD | | $ | 6,296 | | | $ | 2,887 | |
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CARDIMA, INC.
NOTES TO CONDENSED FINANCIAL STATEMENTS
September 30, 2003
(Unaudited and as restated)
1. | RESTATEMENT OF FINANCIAL STATEMENTS |
Cardima, Inc. is restating its unaudited financial statements as of and for the three-month and nine-month periods ended September 30, 2003 for two purposes. First, the restatement properly classifies and values warrants issued in connection with the Company’s private placements completed on August 13, August 14 and August 18, 2003, resulting in an additional non-cash expense. Through the filing of our Form 10-Q for the quarter ended September 30, 2003, the Company’s management believed that the warrants’ value was appropriately classified as equity. Accordingly, the Company did not expense the revaluation of the warrants as Other non-cash expense when the shares underlying the warrants were registered on a Registration Statement on Form S-3, which was declared effective on September 12, 2003, pursuant to the contractual registration rights granted to the investors in the private placements. However, the Company subsequently determined that Emerging Issues Task Force (EITF) Issue No. 00-19, “Accounting for Derivative Financial Instruments Indexed to and Potentially Settled in a Company’s Own Stock,” should be applied to these warrants, and that, under EITF 00-19, these warrants should be valued and their revaluation at the effective date of the registration statement expensed, because the Company was required to register shares to be delivered upon exercise of the warrants. Since EITF 00-19 requires that the warrants be recorded at fair value, the Company was required to expense the change in fair value of the warrants between the time of issuance and the date of effectiveness of the registration statement registering the underlying shares. This additional expense is a non-cash item.
In addition, the restatement adjusts accrued compensation with respect to the separation of a corporate officer from his employment with the Company. A separation agreement calling for payment to this officer over a period of time was initially approved by the Board of Directors in July 2003, with an amendment approved by the Board of Directors in October 2003. An accrual for this severance arrangement was inadvertently overlooked during the quarter ended September 30, 2003. The restatement to include this accrual resulted in a $180,000 increase in selling, general and administrative expense for that quarter for the amount of severance package approved in July 2003.
The valuation expense for the warrants issued in the August 2003 private placements, and the additional compensation expense described above, resulted in an increase to the Company’s net loss attributable to common stockholders in the quarter ended September 30, 2003.
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The following table indicates the impact of the restatement on the Company’s balance sheets and statements of operations. The restatement had no impact on the net cash and cash equivalents as reported in the Company’s statements of cash flows.
CONDENSED BALANCE SHEETS
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| | As Originally Reported
| | | As Restated
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LIABILITIES AND STOCKHOLDERS’ EQUITY | | | | | | | | |
Current liabilities: | | | | | | | | |
Accrued compensation | | $ | 806 | | | $ | 986 | |
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Total current liabilities | | $ | 2,454 | | | $ | 2,634 | |
Stockholders’ equity: | | | | | | | | |
Common stock, $0.001 par value | | $ | 107,018 | | | $ | 107,922 | |
Accumulated deficit | | $ | (99,999 | ) | | $ | (101,083 | ) |
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Total stockholders’ equity | | $ | 7,019 | | | $ | 6,839 | |
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CONDENSED STATEMENTS OF OPERATIONS
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| | Three months ended September 30,
| | | Nine months ended September 30,
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| | As originally Reported
| | | As Restated
| | | As originally Reported
| | | As Restated
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Operating expenses: | | | | | | | | | | | | | | | | |
Selling, general and administrative | | $ | 1,423 | | | $ | 1,603 | | | $ | 5,116 | | | $ | 5,296 | |
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Total operating expenses | | $ | 3,230 | | | $ | 3,410 | | | $ | 11,274 | | | $ | 11,454 | |
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Operating loss | | $ | (2,669 | ) | | $ | (2,849 | ) | | $ | (9,584 | ) | | $ | (9,764 | ) |
Other non-cash expense | | | — | | | $ | (904 | ) | | | — | | | $ | (904 | ) |
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Net loss | | $ | (2,658 | ) | | $ | (3,742 | ) | | $ | (9,546 | ) | | $ | (10,630 | ) |
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Basic and diluted net loss per share | | $ | (0.04 | ) | | $ | (0.05 | ) | | $ | (0.16 | ) | | $ | (0.18 | ) |
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The accompanying unaudited condensed financial statements have been prepared by the Company according to the rules and regulations of the Securities and Exchange Commission for interim financial information and in accordance with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the financial information and footnotes required by accounting principles generally accepted in the United States for complete
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financial statements. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for a fair presentation have been included.
The operating results for the nine month period ended September 30, 2003 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2003 or for future operating results. The accompanying financial statements should be read in conjunction with the audited financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2002. The accompanying balance sheet at December 31, 2002 has been derived from these audited financial statements.
As of September 30, 2003 the Company had approximately $6,296,000 in cash and cash equivalents, working capital of $5,670,000 and an accumulated deficit of $101,083,000. Management expects to continue to incur additional losses in the foreseeable future as the Company works towards completion of its key clinical trial in the United States, regulatory approval for and commercialization of the REVELATION® Tx in the United States. Our management currently estimates that our cash balances as of September 30, 2003 will be sufficient to fund planned expenditures into the second quarter of 2004, but this cannot be predicted with certainty. Although management recognizes the need to raise funds in the near future and is currently negotiating with certain third parties the terms and conditions of financing transactions, there can be no assurance that we will be successful in consummating any such transaction, or, if we do consummate such a transaction, that the terms and conditions of such financing will be favorable to us. Any failure by management to obtain additional funding will result in our inability to continue as a going concern.
On June 30, 2003, our workforce was reduced by 21 employees, of which fifteen (15) were in operations, four (4) in research and development and two (2) in marketing and general and administration, in order to concentrate all resources on continued efforts to resubmit data to the FDA for the approval of the REVELATION Tx. Additionally, the Company accepted the resignation of the former Chief Financial Officer and Secretary, who left to pursue other interests. Barry D. Michaels joined the Company on June 30, 2003 as Interim Chief Financial Officer and Secretary. Restructuring charges are approximately $325,000 with $117,000 in research and development, $137,000 in marketing and general administration and $71,000 in operations. Approximately $60,000 of the total costs were paid out on June 30, 2003 and $226,000 in the third quarter of 2003 and we expect $71,000 additional restructuring charges in the fourth quarter of 2003. For the quarter ended September 30, 2003, an accrual for compensation expenses of $180,000 was taken based on the terms of the separation agreement of the former Chief Financial Officer approved by the Board of Directors in July 2003.
The Company continues to pursue regulatory approvals and distribution relationships in significant market opportunities worldwide. We currently have distribution agreements covering eight countries with an emphasis on Europe and the Pacific Rim. We have arranged for warehousing capacity in Europe to support both distribution and direct customer sales. Securing United States Food and Drug Administration approval of the REVELATION® Tx remains one of our primary goals. Approvals will continue to be pursued in other markets which we believe
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have both the clinical potential and adequate medical support structure to accept a developing technology application.
4. | STOCK-BASED COMPENSATION |
The following information regarding pro forma net loss and net loss per share prepared in accordance with FAS 123 has been determined as if we had accounted for our employee stock options and employee stock plan under the fair value method proscribed by FAS 123. The resulting effect on net loss and net loss per share pursuant to FAS 123 is not likely to be representative of the effects on net loss and loss per share pursuant to FAS 123 in future periods, due to subsequent periods including additional grants and periods of vesting. The fair value of options was estimated at the date of grant using a Black-Scholes option valuation model with the following weighted-average assumptions for the six months ended September 30, 2003 and 2002, respectively: risk-free interest rates of 2.23% and 2.50%; dividend yields of 0%; volatility factors of the expected market price of our Common Stock of 120% and 85%; and a weighted-average expected life of the option of four years.
The Black-Scholes option valuation model was developed for use in estimating the fair value of traded options, which have no vesting restrictions and are fully transferable. In addition, option valuation models require the input of highly subjective assumptions including the expected stock price volatility. Because our employee stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, in management’s opinion the existing models do not necessarily provide a reliable single measure of the fair value of its employee stock options.
For purposes of disclosures pursuant to FAS 123 as amended by FAS 148, the estimated fair value of options is amortized to expense over the options’ vesting period.
The following table illustrates the effect on reported net loss per share if we had applied the fair value recognition provisions of FAS 123 to stock-based employee compensation (in thousands, except per share amounts):
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| | Three Months Ended September 30,
| | | Nine Months Ended September 30,
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| | 2003 (as restated)
| | | 2002
| | | 2003 (as restated)
| | | 2002
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Net loss - as reported | | $ | (3,742 | ) | | | (3,358 | ) | | $ | (10,630 | ) | | $ | (9,096 | ) |
Add: | | | | | | | | | | | | | | | | |
Stock-based employee compensation expense included in reported net income | | | — | | | | (118 | ) | | | — | | | | (432 | ) |
Deduct: | | | | | | | | | | | | | | | | |
Total stock-based employee compensation expense determined under fair value based method for all awards | | | (393 | ) | | | (190 | ) | | | (895 | ) | | | (516 | ) |
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Pro forma net loss | | $ | (4,135 | ) | | $ | (3,666 | ) | | $ | (11,525 | ) | | $ | (10,044 | ) |
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Basic and diluted net loss per share: | | | | | | | | | | | | | | | | |
As reported | | $ | (0.05 | ) | | $ | (0.07 | ) | | $ | (0.18 | ) | | $ | (0.21 | ) |
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Pro forma | | $ | (0.06 | ) | | $ | (0.08 | ) | | $ | (0.19 | ) | | $ | (0.23 | ) |
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On July 29, 2003, we agreed to issue to a physician as compensation for consulting services to be provided by that physician’s group, options to purchase 422,535 shares of our common stock at an exercise price of $0.71 per share. The options become exerciseable upon the achievement of specific milestones as defined in the related consulting and option agreements. As of September 30, 2003, none of the specified milestones had been achieved.
5. | CRITICAL ACCOUNTING POLICIES |
Use of Estimates
We have prepared our financial statement in conformity with generally accepted accounting principles in the United States, which requires management to make estimates and assumptions that effect the amounts reported in financial statement and accompanying notes. Actual results could differ from these estimates.
Revenue Recognition
We recognize revenue from two types of customers – end users and distributors. Revenue is recognized upon the shipment of product, provided the title of products has been transferred at the point of shipment, there is persuasive evidence of an agreement, the payment for the product is reasonably assured, and no substantive obligations to the customer remain. Customers are not entitled to any rights of product return.
Inventories
Our inventories are stated at the lower of cost or market. Cost is based on actual costs computed on a first-in, first-out basis. Inventories are shown net of reserves for excess and obsolete inventory at the lower cost or market. We provide reserves for potential excess quantities and obsolescence as a result of technological advancements which impact inventories on hand.
On December 31, 2002 and January 22, 2003, we sold by means of a private placement an aggregate of 5,333,319 shares of our common stock at a price per share of $0.74955 for an aggregate net proceeds of approximately $3.5 million. In addition, we issued to the investors warrants to purchase 2,400,000 shares of our common stock at an exercise price of $0.8245 per share. The warrants became exercisable on March 1, 2003 and March 23, 2003, respectively. The warrants allow for a “cashless exercise” whereby the exercising party may use shares issuable upon exercise of the warrant in payment of the exercise price. We may not redeem the warrants and the warrants are subject to a mandatory exchange or termination in the case of certain reorganizations, mergers, or divestitures. We paid to the party who acted as finder in
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connection with this private placement a fee of $25,000 in cash plus 66,667 shares of our common stock upon execution of a letter agreement. Upon the closing of the transactions, we also paid to the finder a total of $300,000 in cash and issued to the finder warrants to purchase 533,331 shares of our common stock at an exercise price of $0.8245. The warrants issued to the finder are not redeemable and allow for “cashless exercise” whereby the finder may use shares issuable upon exercise of the warrant in payment of the exercise price.
On March 28, 2003, we sold by means of a private placement an aggregate of 2,941,175 shares of our common stock at a price of $0.85 per share for net proceeds of approximately $2.3 million. In addition, we issued to the investors warrants to purchase 1,176,470 shares of our common stock at an exercise price of $1.25 per share. The warrants became exercisable beginning on September 28, 2003. We may redeem the warrants for a price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.70 (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days. We paid to the party that acted as agent in connection with this private placement upon the March 28, 2003 closing of the transaction, a total of $175,000 in cash and issued to the agent warrants to purchase 294,117 shares of our common stock at an exercise price of $0.935.
On April 11, 2003, we sold by means of a private placement an additional 4,395,587 shares of our common stock at a price of $0.85 per share for net proceeds of approximately $3.5 million. In addition, we issued to the investors warrants to purchase 1,758,234 shares of our common stock at an exercise price of $1.25 per share. The warrants became exercisable beginning on October 11, 2003. We may redeem the warrants for a price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.70 (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days. We are obligated to issue to a party which acted as finder in connection with this closing of the private placement 24,746 shares of our common stock as consideration for its execution of a new letter agreement. We also paid to the parties that acted as agents in connection with this private placement upon the April 11, 2003 closing of the transaction, a total of $270,000 in cash and issued to the agents warrants to purchase 448,557 shares of our common stock at an exercise price of $0.935.
On August 13, August 14 and August 18, 2003, we sold by means of a private placement an aggregate of approximately 10,282,800 shares of our common stock at a price of $0.5296 per share, 2,421,980 shares of Common Stock at a price of $0.5664 per share and 977,176 shares of common stock at a price of $0.6064 per share for net proceeds of approximately $6.8 million. In addition, we issued to the investors warrants to purchase 3,084,840 shares of our common stock at an exercise price of $0.7282 per share, warrants to purchase up to 726,590 shares at an exercise price of $0.7788 per share and warrants to purchase up to 293,152 shares of our common stock at an exercise price of $0.8338 per share. The warrants will become exercisable six months after issuance date. We may redeem the warrants for a price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.0592, $1.1328 or $1.2128, respectively, (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days, so long as our stock remains listed on specified securities exchanges or trading markets and a registration statement covering the resale of the warrant shares is effective. Redemptions initiated during the first six months after the closing are subject
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to deferral and certain other conditions. We paid a total of $518,703.20 in cash to the parties that acted as agents in connection with this private placement, and issued to the agents warrants to purchase approximately 321,057 shares of our common stock at an exercise price of $0.8375 and warrants to purchase up to 440,812 shares of our common stock at an exercise prices that range from $0.90 per share to $1.1025 per share. The closing of this transaction caused 337,536 additional shares of common stock to be issuable under the antidilution provisions of certain of our previously issued securities. Additionally, an expense of $904,000 was recorded as Other Non-Cash Expense for the difference in the valuation of the warrants between the issuance dates and the date of registration of the shares underlying warrants issued in this transaction. (See Note 1 above.)
Inventories consist of the following (in thousands):
| | | | | | |
| | September 30, 2003
| | December 31, 2002
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Raw materials | | $ | 597 | | $ | 532 |
Work-in-process | | | 23 | | | 121 |
Finished goods | | | 552 | | | 573 |
| |
|
| |
|
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| | $ | 1,172 | | $ | 1,226 |
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|
| |
|
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Inventory amounts shown above are net of reserves for excess and obsolete inventory of $173,000 and $242,000 at September 30, 2003 and December 31, 2002, respectively. The Company provides reserves for potential excess quantities and obsolescence as a result of technological advances which impact inventories on hand.
8. | STOCK OPTION RE-PRICING |
On March 20, 2000, the Company’s Board of Directors approved a reduction, effective June 2, 2000, in the exercise price of 462,576 outstanding stock options held by executive officers and employees of the Company to the fair market value of the Company’s common stock on June 2, 2000, which was $1.16 per share. These options were granted between July 29, 1997 and July 6, 1999 at exercise prices ranging from $1.91 to $5.88 per share.
Of the initial 462,576 shares that were repriced, 25,011 shares have been cancelled, 29,700 shares have been exercised and 407,865 shares remain outstanding as of September 30, 2003. The cumulative non-cash compensation expense from the re-valuation of these re-priced options is $25,000 from the date of re-pricing in 2000 until September 30, 2003. No expenses related to the re-pricing were recorded for the quarter ended September 30, 2003 because the closing price of $1.07 on September 30, 2003 is below the repriced exercise price of $1.16 per share and therefore, no adjustment was required. For the options that remain outstanding, to the extent the fair value of the Company’s common stock exceeds $1.16 per share, additional compensation expenses will be recognized.
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Net loss per share has been computed using the weighted average number of shares of common stock outstanding during the period. The Company has excluded all warrants and stock options from the computation of basic and diluted earnings per share because all such securities are anti-dilutive for all periods presented.
10. | COMPREHENSIVE INCOME (LOSS) |
Comprehensive loss equaled net loss for all periods presented.
11. | RECENT ACCOUNTING PRONOUNCEMENTS |
In January 2003, the FASB issued Interpretation No. 46,Consolidation of Variable Interest Entities. This Interpretation requires that if a business enterprise has a controlling financial interest in a variable interest entity, the assets, liabilities, and results of activities of the variable interest entity should be included in the consolidated financial statements of the business enterprise. This Interpretation is effective immediately for all new variable interest entities created or acquired after January 31, 2003. For variable interest entities created or acquired prior to February 1, 2003, the provisions of this Interpretation must be applied for the first interim or annual period beginning after June 15, 2003. The Company does not have any financial interest in variable interest entities. The adoption of this Interpretation did not have a material impact on the consolidated financial statements.
In May 2003, the FASB issued SFAS No. 150,Accounting for Certain Financial Instruments with Characteristics of both Liabilities and Equity, which establishes standards for how an issuer classifies and measures certain financial instruments with characteristics of both liabilities and equity. Financial instruments that are within the scope of the statement, which previously were often classified as equity, must now be classified as liabilities. This statement is effective for financial instruments entered into or modified after May 31, 2003, and otherwise shall be effective at the beginning of the first interim period beginning after June 15, 2003. The Company does not expect the adoption of this statement to have a material impact on the consolidated financial statements.
In May 2003, the Emerging Issues Task Force (EITF) of Financial Accounting Standards Board (or FASB) finalized revisions to EITF 00-21,Revenue Arrangements with Multiple Deliverables,on which it had reached a consensus in November 2002. EITF 00-21 addresses certain aspects of the accounting for arrangements that involve the delivery or performance of multiple products, services and/or rights to use assets. Under EITF 00-21, revenue arrangements with multiple deliverables should be divided into separate units of accounting if the deliverables meet certain criteria, including whether the fiar value of the delivered items can be determined and whether there is evidence of fair value of the undelivered items. In addition, the consideration should be allocated among the separate units of accounting based on their fair values, and the applicable revenue recognition criteria should be considered separately for each of the separate units of accounting. EITF 00-21 is effective for revenue arrangements entered into in fiscal periods beginning after June 15, 2003. The adoption of EITF 00-21 did not have an impact on the Company’s financial position or results of operation.
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Currently, our common stock trades on the NASDAQ SmallCap Market. On July 22, 2003, we received notification from the NASD that we were not in compliance with Marketplace Rule 4310(c)(4) in that our common stock had closed below the minimum $1.00 per share for a period of more than thirty consecutive trading days. On October 14, 2003, Cardima was notified by Nasdaq that the Company had regained compliance with Nasdaq Marketplace Rule 4310(c)(4), because the closing price of our common stock had been at $1.00 per share or greater for at least 10 consecutive trading days.
On October 13, 2003, Cardima issued a notice of redemption to the holders of warrants to purchase 3,655,757 shares of Common stock issued on August 13, 2003. Subject to satisfaction of certain conditions, including that our Common Stock’s average closing price shall have been greater than or equal to $1.0592 (subject to adjustment for any stock splits or similar events) for fifteen (15) consecutive trading days during the period ending on February 13, 2004, that our Registration Statement shall be effective as to shares of Common Stock issuable upon exercise of the warrants and the continued listing of our Common Stock on the Nasdaq SmallCap Market, the warrants will automatically be redeemed on March 15, 2004 at the price of $0.001 per underlying share unless they are exercised between February 13, 2004 and March 15, 2004. After the close of business on the redemption date, the warrants shall not be deemed outstanding, and all rights with respect to such warrants shall cease, except the right of the holders to receive, upon surrender of the warrants, the monies that were payable on redemption of such warrants.
On November 12, 2003, Cardima issued a notice of redemption to the holders of warrants to purchase 858,851 shares of Common stock issued on August 14, 2003. Subject to satisfaction of certain conditions, including that our Common Stock’s average closing price shall have been greater than or equal to $1.1328 (subject to adjustment for any stock splits or similar events) for fifteen (15) consecutive trading days during the period ending on February 14, 2004, that our Registration Statement shall be effective as to shares of Common Stock issuable upon exercise of the warrants and the continued listing of our Common Stock on the Nasdaq SmallCap Market, the warrants will automatically be redeemed on March 15, 2004 at the price of $0.001 per underlying share unless they are exercised between February 14, 2004 and March 15, 2004. After the close of business on the redemption date, the warrants shall not be deemed outstanding, and all rights with respect to such warrants shall cease, except the right of the holders to receive, upon surrender of the warrants, the monies that were payable on redemption of such warrants.
Item 2. | Management’s Discussion And Analysis Of Financial Condition And Results Of Operations |
This report, including the following management’s discussion and analysis of financial condition and results of operations, contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, including, without limitation, statements regarding the
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Company’s goals, plans and efforts to secure regulatory approvals and to raise necessary capital, marketing plans, operating results and capital requirements. Except for historical information, the matters discussed in this Form 10-Q/A are forward-looking statements that are subject to certain risks and uncertainties that could cause actual results to differ materially from those projected, estimated or contemplated by the forward-looking statements. Such factors include uncertainties associated with the Company’s ability to obtain adequate funding, whether we will be successful in obtaining U.S. Food and Drug Administration approval of our pre-market approval application, or PMA, for the REVELATION Tx linear ablation microcatheter system, after the FDA’s initial indication that it concurred in the non-approval recommendation of the Circulatory Systems Device Panel, whether we will be able to conduct successful clinical trials, whether we will be able to obtain and maintain timely regulatory approvals and gain acceptance from the marketplace for our products, whether we will be able to successfully market, sell and derive sufficient revenue from our products, as well as the risk factors discussed below in “Factors Affecting Future Results” and those listed from time to time in the Company’s SEC reports. We assume no obligation to update the forward-looking statements included in this Form 10-Q/A. This discussion and analysis should be read in conjunction with the Financial Statements and related Notes thereto included elsewhere in this Form 10-Q/A and in the Company’s Annual Report on Form 10-K.
In addition, this Form 10-Q/A is being filed to reflect the restatement of the Company’s unaudited financial statements as of and for the three-month and nine-month periods ended September 30, 2003, and does not otherwise update the disclosures in the Form 10-Q originally filed with respect to those periods or reflect events occurring after the filing of that Form 10-Q on November 14, 2003. The restatement resulted in the recording of an Other non-cash expense of approximately $904,000 and an addition to selling, general and administrative expense of $180,000. Please see the Explanatory Note above for more information about the restatement and the disclosures contained in this Form 10-Q/A.
Overview
Since our incorporation in November 1992, we have developed, produced and sold a variety of microcatheters, including those for the diagnosis of ventricular tachycardia. Since 2001 however, our efforts have primarily focused on developing differentitated products that diagnosis and treat atrial fibrillation, including our REVELATION® Tx microcatheter for use in the Electrophysiology (EP) market and our Surgical Ablation System for use in the surgical market.
Our EP products provide for the mapping (diagnosis) and ablation (treatment) of the two most common forms of cardiac arrhythmias: atrial fibrillation and ventricular tachycardia. Arrhythmias are abnormal electrical heart rhythms that adversely affect the mechanical activities of the heart and can significantly affect a person’s quality of life and be potentially fatal. We have developed microcatheter-based systems designed (1) to locate and provide more extensive and less traumatic access to arrhythmia-causing tissue for diagnosing the arrhythmia, referred to as mapping, and (2) to restore normal heart rhythms by isolating and destroying the arrhythmia-causing tissue using radio frequency energy, referred to as ablation. Our microcatheters incorporate multiple electrodes at the distal end to record electrical signals for mapping and, with
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certain microcatheters, to transfer radio frequency energy for tissue ablation, allowing physicians to both map and ablate arrhythmias using the same microcatheter. Our microcatheters are also designed with variable stiffness guidewire technology and a highly flexible distal tip to allow more extensive and less traumatic access to the chambers and vasculature of the heart. In addition, all of our microcatheters are disposable, single-use products that we believe can be adapted to and used with all conventional ECG-recording systems and with existing compatible radio frequency generators, eliminating the need for significant new investment in capital equipment by hospitals.
More recently, we have leveraged our proprietary technologies for treating AF into the development of products for the surgical market. On January 29, 2003, we received notice from the FDA that they had approved for commercialization the Cardima Surgical Ablation System for use in cardiac surgery. This new system connects the Cardima Surgical Ablation Probe with deflectable multi-electrode linear array microcatheter technology to a commercially available electro-surgical radio frequency generator and the INTELLITEMP®, an RF energy management device, which allows surgeons to direct RF energy through any combination of up to eight probe electrodes simultaneously, a feature which can significantly reduce the time required to perform the ablation procedure. Since September 2003, the Surgical Ablation System has been utilized on a limited basis to treat AF as an adjunct procedure to valve replacement. While early results are promising, additional patient follow-up data will be required over a period of six months or more, to judge the long-term effectiveness and safety of our system.
We have generated revenues of approximately $16.7 million from inception to September 30, 2003. Prior to January 1997, these revenues were generated primarily in Europe and Japan from sales of our PATHFINDER and TRACER microcatheter systems for diagnosing ventricular tachycardia and our REVELATION microcatheter system for diagnosing atrial fibrillation, as well as ancillary products such as the VENAPORT guiding catheters. Since 1997 and the U.S. Food and Drug Administration’s clearance of certain of our products, sales in the United States consist primarily of our PATHFINDER and REVELATION lines of microcatheters for diagnosing ventricular tachycardia and atrial fibrillation, respectively. To date, our international sales have been made through our small direct sales force, which currently consists of one salesperson, and distributors who sell our products to physicians and hospitals. European sales consist primarily of the REVELATION Tx, REVELATION T-Flex and REVELATION Helix microcatheters for treatment of atrial fibrillation following receipt of CE Mark for those products in December 1998, December 2001 and November 2002, respectively.
We have obtained the right to affix the CE Mark to our REVELATION, REVELATION Tx, REVELATION T-Flex, REVELATION Helix, REVELATION Helix ST and REVELATION Helix STX microcatheter systems for both mapping and ablation of atrial fibrillation and for our PATHFINDER, PATHFINDERmini and TRACER microcatheter systems for mapping ventricular tachycardia, permitting us to market these products in the member countries of the European Union. We received 510(k) clearances for the (1) REVELATION microcatheter for mapping and pacing diagnostic electrophysiology studies including atrial fibrillation; (2) PATHFINDER, PATHFINDERmini and the TRACER microcatheters for mapping and pacing epicardial electrophysiological studies from the coronary
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venous vasculature including ventricular tachycardia; (3) VUEPORT balloon guiding catheter and (4) Naviport deflectable tip guiding catheter.
We are be required to conduct clinical trials, demonstrate safety and effectiveness and obtain either 510(K) or PMA approval from the U.S. Food and Drug Administration in order to sell any of our products for treating atrial fibrillation or ventricular tachycardia in the United States. While the Surgical Ablation System has received 510(K) approval from the FDA, PMA approval will be required prior to the introduction in the United States of the REVELATION Tx, REVELATION T-Flex and REVELATION Helix microcatheter systems for treating atrial fibrillation. Outside of the United States, our strategy has been to obtain regulatory approvals in those geographies that offer existing infrastructure to support medical technology as well as offer the potential for adequate product demand with the goal of positioning us to expand into these geographies once we have sufficient capital and other resources. To date, we have emphasized obtaining regulatory approvals in western Europe and select portions of Asia.
We completed a Phase III clinical trial in the United States of the REVELATION Tx microcatheter system for the treatment of atrial fibrillation and on September 30, 2002 submitted a PMA application for this system to the FDA. On November 5, 2002, the PMA was accepted by the FDA and was granted expedited review status. On March 6, 2003, we were notified by the FDA that we would meet with FDA’s Circulatory Systems Device Panel on May 29, 2003. On May 29, 2003, the Circulatory System Devices Panel recommended that the FDA not approve our PMA for the REVELATION Tx linear ablation microcatheter system. The Circulatory System Devices Panel commented favorably on the safety and need for this type of device. However, the Panel felt that efficacy data was not sufficiently clear and supportive for the approval. The Panel provided the FDA and the Company with several suggestions on how to possibly reexamine the existing data or how to collect more data on existing patients. On June 26, 2003 we received a letter from the FDA, which reiterated the recommendation of the Panel and stated that the FDA concurred with the panel recommendation. We subsequently requested an informal meeting with the FDA to discuss our intended next steps toward pursuing approval of our PMA and we continue to communicate with the FDA through both written and verbal correspondence. As a result of those communications, we believe there is no need for such an informal meeting. Our focus and priority has been, and remains, to obtain PMA approval. To that end, we expect to submit a letter to the FDA which addresses issues expressed at the Panel meeting, as well as formally submit a supplement to our PMA filing, in which we intend to provide new analysis and an expanded patient base. The timing of the submission and the outcome of the FDA’s response are uncertain.
We completed a left-sided atrial clinical trial in Germany with the REVELATION Helix microcatheter system for the treatment of atrial fibrillation originating in the pulmonary veins. By the end of the study in August 2002, 43 patients had been treated at five sites. The purpose of this study was to gain clinical data for use in future marketing efforts of the REVELATION Helix in Europe and potentially for use as initial data for a potential REVELATION Helix clinical trial in the United States. We received CE mark approval for the REVELATION Helix in the European Union in December 2001, for the REVELATION Helix ST in May 2002 and for the REVELATION Helix STX in July 2003. We cannot assure you that we will obtain any other regulatory approvals or maintain existing approvals.
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We have a limited history of operations and have experienced significant operating losses since inception. We expect that our operating losses will continue for the foreseeable future as we continue to invest substantial resources in product development, clinical trials, obtaining regulatory approval, sales and marking and manufacturing.
Results Of Operations – Three and Nine Months Ended September 30, 2003 and 2002 (as restated)
Net Sales
Net sales for the quarter ended September 30, 2003 increased 26% to $561,000 from $444,000 for the same period in 2002. This increase was distributed throughout all regions with a 32% increase in the European region, a 29% increase in U.S. sales and a 27% increase in sales in the Asian region, when comparing third quarter 2003 revenues with third quarter 2002 revenues. All regions experienced these increased revenues in the diagnostic and guiding catheter product lines, while the therapeutic product line increased only $8,000 in the European region. For the nine-month period ended September 30, 2003, net sales increased 3% to $1,690,000 in 2003 from $1,633,000 for the same nine-month period in 2002. The modest increase in 2003 is primarily attributed to the decrease experienced in the first quarter partially offset by increases in the second and third quarters of 2003. The first quarter decrease in 2003, as compared to first quarter 2002 sales, is due to the one-time European sales of the REVELATION® Helix in Europe at the onset of the European clinical study of the Helix, reported in the first quarter of 2002.
Accounts receivable decreased 4% to $304,000 as of September 30, 2003 from $318,000 as of December 31, of 2002 as a result of continued collection efforts during the first nine months of 2003. Allowance for doubtful accounts increased to $83,000 as of September 30, 2003 from $79,000 as of December 31, 2002.
Cost of Goods Sold
Cost of goods sold primarily includes raw materials costs, catheter fabrication costs, system assembly and testing costs and manufacturing labor and overhead. Cost of goods sold for the quarter ended September 30, 2003 decreased 22% to $840,000 from $1,074,000 for the same period in 2002. For the nine-month period ended September 30, 2003 cost of goods sold increased 3% to $2,746,000 from $2,667,000 for the same nine-month period in 2002 Inventory reserves for excess and obsolete inventory decreased $69,000, or 29%, to $173,000 in September 2003 from $242,000 at December 31, 2002. This decrease was primarily due to the disposition and write-off of excess and obsolete raw material and finished goods. We reserve for inventory amounts by considering the potential excess inventory in relation to sales forecasts, and the obsolescence of inventory as a result of technological advancements and shelf life expirations. When we write-off specific inventory or have determined that inventory is obsolete, the inventory is subsequently disposed of.
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Research and Development Expenses
Research and development expenses include product development, clinical testing and regulatory expenses. Total research and development expenses, including regulatory and clinical functions, for the quarter ended September 30, 2003 decreased 19% to $967,000 from $1,200,000 for the same period in 2002. For the nine-month period ended September 30, 2003, total research and development expenses increased $166,000, or 5%, to $3,412,000 from $3,246,000 for the same nine-month period in 2002. More specifically, our direct product development costs for the first nine months of 2003 decreased $344,000, or 21%, when compared to the first nine months of 2002, as we continued to focus most resources on the development of products directly related to the atrial fibrillation clinical trial. This decrease was partially offset by a significant increase in regulatory and clinical expenses for the first nine months of 2003 of $510,000, or 32%, when compared to the same period in 2002. The increase was attributable to the costs associated with finalizing Phase III clinical trials, preparing all of the supporting data for the May 29, 2003 meeting of the Circulatory Systems Device Panel of the FDA and continuing efforts to provide additional and supplemental data to the FDA.
Selling, General and Administrative Expenses
Selling, general and administrative expenses for the quarter ended September 30, 2003 increased $59,000, or 4%, to $1,603,000 from $1,544,000 for the same period in 2002. For the nine month period ended September 30, 2003, total selling, general and administrative expenses increased $431,000, or 9%, to $5,296,000 from $4,865,000. More specifically, selling expenses for the first nine months of 2003 decreased $572,000, or 29%, to $1,430,000 from $2,002,000 for the first nine months of 2002. This decrease is attributable to the decreased international sales presence as we focused our resources on securing regulatory approval for the REVELATION® Tx in the United States. This decrease was offset by an increase in general and administrative expenses for the first nine months of 2003 of $904,000, or 37%, to $3,343,000 from $2,439,000 for the first nine months of 2002. The increase in general and administrative expenses in this period is due primarily to overall corporate and legal expenses, as well as the additional severance expense of $180,000 described in this restatement. Marketing expenses for the first nine months of 2003 also increased $99,000, or 23%, to $523,000 from $424,000 for the same period in 2002 as internal preparations continued for the launch of therapeutic products worldwide.
Interest and Other Income
Interest and other income for the quarter ended September 30, 2003 decreased to $15,000 from $19,000 for the same period in 2002. For the nine-month period ended September 30, 2003, interest and other income decreased $18,000, or 27%, to $48,000 from $66,000 for the same nine-month period in 2002. The decrease was primarily due to lower average cash balances and a decrease in interest rates during the first nine months of 2003 compared to the same period in 2002.
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Other Non-Cash Expense
Other non-cash expense for the quarter and nine months ended September 30, 2003 was $904,000. No such expense was recorded for the same periods in 2002. This non-cash expense relates to the warrants issued in connection with our August 2003 private placements, and represents the difference in the warrants’ valuation between their dates of issuance and the registration of the shares underlying the warrants.
Interest Expense
Interest expense for the quarter ended September 30, 2003 increased to $4,000 from $3,000 for the same period in 2002. For the nine-month period ended September 30, 2003, interest expense decreased $7,000, or 41%, to $10,000 from $17,000 for the same nine-month period in 2002. This decrease was primarily due to the expiration and payoff of certain capital equipment leases.
Liquidity And Capital Resources
Our management currently estimates that our cash balance of $6.3 million as of September 30, 2003, will be sufficient to fund planned expenditures into the second quarter of 2004, but the actual level of expenditures cannot be predicted with certainty. Although our management recognizes the need to raise funds in the near future and is currently negotiating with certain third parties, we may be unable to secure additional financing, and the terms and conditions of any future financing may be unfavorable to us. Among other things, the agreements under which we issued some of our existing securities include, and any securities that we may issue in the future may also include, terms that could impede our ability to raise additional funding, such as terms requiring the consent of certain security holders before we issue additional securities. Furthermore, certain provisions in the documents governing the private placement closed in August 2003 will hinder our ability to raise additional equity financing in the future such as a right in favor of certain investors to participate in our next equity financing that raises gross proceeds of over $1.0 million. The issuance of additional securities will likely dilute the interests of existing common stockholders, and could impose additional restrictions on how we operate and finance our business. Our failure to raise capital as needed will have a material adverse effect on our business and financial condition and will likely cause us to cease our operations. Our independent auditors have concluded that there is a substantial doubt as to our ability to continue as a going concern for a reasonable period of time and have, therefore, modified their report included in our Report on Form 10-K for the year ended December 31, 2002 in the form of an explanatory paragraph describing events that have given rise to this uncertainty.
We have financed our operations to date, principally through (1) private placements of equity securities, (2) our initial public offering of Common Stock in June 1997, together with interest income on such proceeds, (3) borrowings under a $3,000,000 line of credit, (4) sale of certain of our non-core patents to Medtronic for $8,000,000 and (5) equipment leases to finance certain capital equipment.
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Net cash used in operating activities for the first nine months of 2003 was approximately $10,156,000, compared to the net cash used of $8,721,000 for the first nine months of 2002. The increase of $1,435,000, or 16%, in net cash used in operating activities is due to the higher cash requirements for regulatory and clinical expenses associated with the PMA submission to the FDA for the REVELATION® Tx and the increased general and administrative costs. Net cash provided by financing and investing activities for the first nine months of 2003 was approximately $13,211,000, compared to net cash provided by financing and investing activities of $4,617,000 for the first nine months of 2002. This change was primarily due to the closing of sales of shares of our common stock in private placements in January, March, April and August of 2003 and the expiration and subsequent payoff of certain capital leases during the second quarter of 2002.
Our future liquidity and capital requirements will depend upon numerous factors, including receipt of adequate funding, sales and marketing activities, the progress of the our product development efforts, the progress of our clinical trials, actions relating to regulatory matters, the costs and timing of expansion of product development, manufacturing, the extent to which our products gain market acceptance and competitive developments.
Factors Affecting Future Results
If we fail to raise additional capital when needed, our business will fail.
We have limited cash resources and will need to raise additional capital through public or private financings or other arrangements in order to complete our clinical trials, obtain necessary regulatory approvals, market our microcatheter systems and fund our other expenses. In addition, we may be required to expend greater than anticipated funds if unforeseen difficulties arise in the course of completing the development, approval and marketing of our products or in other aspects of our business. We cannot assure you that additional capital will be available to us when needed, if at all, or, if available, on terms attractive to us. If we cannot obtain sufficient capital, we may be forced to delay, scale back or eliminate some or all of our product research and development programs, to limit the marketing of our products, or to license to third parties the rights to commercialize our products or technologies that we would otherwise develop and market ourselves. Furthermore, debt financing, if available, may involve restrictive covenants that could affect our ability to raise additional capital. Our failure to raise capital when needed could cause us to cease our operations.
We have financed our operations since inception primarily through the private placement of equity securities, proceeds from our initial public offering in June 1997, loan facilities and the sale of certain of our patents and other intellectual property. Although our management recognizes the need to raise funds in the near future and is currently negotiating with certain third parties, there can be no assurance that we will be successful in consummating any fundraising transaction, or if we do consummate such a transaction, that its the terms and conditions will not be unfavorable to us. Among other things, the agreements under which we issued some of our existing securities include, and any securities that we may issue in the future may also include, terms that could impede our ability to raise additional funding, such as terms
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requiring the consent of certain security holders before we issue additional securities. Furthermore, certain provisions in the documents governing the private placement closed in August 2003 will hinder our ability to raise additional equity financing in the future. In particular, certain of the investors in our August 2003 private placements have a preemptive right to participate in the next equity financing which raises gross proceeds of more than $1,000,000. The issuance of additional securities will likely dilute the interests of existing common stockholders, and could impose additional restrictions on how we operate and finance our business. Our failure to raise capital as needed will have a material adverse effect on our business and financial condition and will likely cause us to cease our operations. Our independent auditors have concluded that there is a substantial doubt as to our ability to continue as a going concern for a reasonable period of time and have, therefore, modified their report included in our Report on Form 10-K for the year ended December 31, 2002 in the form of an explanatory paragraph describing events that have given rise to this uncertainty.
We have sold a limited number of our microcatheter products, and we will continue to incur substantial losses for the foreseeable future.
We have sold only a limited number of our microcatheter systems. In addition, we will continue to incur substantial losses into the foreseeable future because of research and product development, clinical trials, regulatory approval efforts and manufacturing, sales, marketing and other expenses as we seek to obtain necessary approvals and bring our microcatheters to market. Since our inception, we have experienced losses, and we expect to experience substantial net losses into the foreseeable future.
Our net losses were approximately $10.6 million for the nine months ended September 30, 2003 (after reflecting the restatement described above) and approximately $12.6 million, $9.3 million and $7.8 for the years ended December 31, 2002, 2001 and 2000, respectively. As of September 30, 2003, our accumulated deficit was approximately $101.1 million, as restated. Our limited sales history makes it difficult to assess our future results. We cannot be certain that we will ever generate substantial revenue or achieve profitability. Our failure to generate substantial revenues would harm our business.
Our need to raise additional capital in the future could have a dilutive effect on your investment.
In order to complete the required regulatory approval process and commercialize our products, we will need to raise additional capital. One possibility for raising additional capital is the public or private sale of our common stock or securities convertible into or exercisable for our common stock.
On December 31, 2002 and January 22, 2003, we sold by means of a private placement an aggregate of 5,333,319 shares of our common stock a price per share of $0.74955 for an aggregate purchase price of $4.0 million. In addition, we issued to the investors warrants to purchase 2,400,000 shares of our common stock at an exercise price of $0.8245 per share. The warrants became exercisable beginning on March 1, 2003 and March 23, 2003, respectively, and will be reduced on a share-by-share basis to the extent that an investor sells our common stock or
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other securities during the sixty (60) day period between each of the closing dates and March 1, 2003 and March 23, 2003, respectively. The warrants allow for a “cashless exercise” whereby the exercising party may use shares issuable upon exercise of the warrant in payment of the exercise price. We may not redeem the warrants and the warrants are subject to a mandatory exchange or termination in the case of certain reorganizations, mergers, or divestitures. We paid to the party, which acted as finder in connection with this private placement a fee of $25,000 in cash plus 66,667 shares of our common stock upon execution of a letter agreement. Upon the closing of the transactions, we also paid to the finder a total of $300,000 in cash and issued to the finder warrants to purchase 533,331 shares of our common stock at an exercise price of $0.8245. The warrants issued to the finder are not redeemable and allow for “cashless exercise” whereby the finder may use shares issuable upon exercise of the warrant in payment of the exercise price.
On March 28, 2003, we sold by means of a private placement an aggregate of 2,941,175 shares of our common stock at a price of $0.85 per share for gross proceeds of $2,500,000. In addition, we issued to the investors warrants to purchase 1,176,470 shares of our common stock at an exercise price of $1.25 per share. The warrants became exercisable beginning on September 28, 2003, subject to reduction on a share-for-share basis to the extent that an investor sold our common stock or other securities during the six (6) month period between the closing and September 28, 2003. We may redeem the warrants for a price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.70 (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days. We paid to the party that acted as agent in connection with this private placement upon the closing of the transaction, a total of $175,000 in cash and issued to the agent warrants to purchase 294,117 shares of our common stock at an exercise price of $0.935.
On April 11, 2003, we sold by means of a private placement an additional 4,395,587 shares of our common stock at a price of $0.85 per share for gross proceeds of approximately $3,700,000. In addition, we issued to the investors warrants to purchase 1,758,234 shares of our common stock at an exercise price of $1.25 per share. The warrants became exercisable beginning on October 11, 2003, subject to reduction on a share-for-share basis to the extent that an investor sold our common stock or other securities during the six (6) month period between the closing and October 11, 2003. We may redeem the warrants for a price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.70 (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days. We paid to the parties that acted as agents in connection with this private placement upon the closing of the transaction, a total of $270,000 in cash and issued to the agents warrants to purchase 448,557 shares of our common stock at an exercise price of $0.935.
On August 13, August 14 and August 18, 2003, we sold by means of a private placement an aggregate of approximately 10,282,800 shares of our common stock at a price of $0.5296 per share, 2,421,980 shares of Common Stock at a price of $0.5664 per share and 977,176 shares of common stock at a price of $0.6064 per share for net proceeds of approximately $6.8 million. In addition, we issued to the investors warrants to purchase 3,084,840 shares of our common stock at an exercise price of $0.7282 per share, warrants to purchase up to 726,590 shares at an exercise price of $0.7788 per share and warrants to purchase up to 293,152 shares of our common stock at an exercise price of $0.8338 per share. We may redeem the warrants for a
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price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.0592, $1.1328 or $1.2128, respectively, (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days, so long as our stock remains listed on specified securities exchanges or trading markets and a registration statement covering the resale of the warrant shares is effective, among other conditions. Redemptions initiated during the first six months after the closing are subject to deferral and certain other conditions. In October 2003, we called the warrants dated August 13, 2003 with exercise prices of $1.0592 for redemption on March 15, 2004, but this redemption is subject to conditions including that our common stock’s average closing price for the 15 consecutive trading days ending on February 13, 2004 must equal at least $1.0592 per share. In November 2003, we called the warrants dated August 14, 2003 with exercises prices of $1.1328 for redemption on March 15, 2004, but this redemption is subject to conditions including that our common stock’s average closing price for the 15 consecutive trading days ending on February 14, 2004 must equal at least $1.1328 per share, Accordingly, we cannot predict whether the redemption of these warrants will occur. We paid approximately $520,000 in cash to the parties that acted as agents in connection with this private placement, and issued to the agents warrants to purchase 321,057 shares of our common stock at an exercise price of $0.8375 and warrants to purchase up to 440,812 shares of our common stock at an exercise prices that range from $0.90 per share to $1.1025 per share. The closing of this transaction will cause additional shares of common stock to be issuable under the antidilution provisions of certain of our previously issued securities.
If we sell additional shares of our common stock, such sales will further dilute the percentage of our equity that you own. In addition, our recent private placement financings have involved the issuance of securities at a price per share that represented a discount to the closing price of our common stock and it is likely that we will close future private placements involving the issuance of securities at a discount to the closing price of our common stock. Depending upon the price per share of securities that we sell in the future, your interest in us could be further diluted by any adjustments to the number of shares and the applicable exercise price required pursuant to the terms of the agreements under which we previously issued securities. No assurance can be given that previous or future investors, finders or placement agents will not claim that they are entitled to additional antidilution adjustments or dispute the Company’s calculation of any such adjustments. Any such claim or dispute could require us to incur material costs and expenses regardless of the resolution and, if resolved unfavorably to us, to effect dilutive securities issuances or adjustments to previously issued securities. In addition, certain of our prior securities issuances have included, and future financings may also include, provisions requiring us to make additional payments to the investors if we fail to obtain or maintain the effectiveness of SEC registration statements by specified dates or take other specified action. Our ability to meet these requirements may depend on actions by regulators and other third parties, over which we will have no control. These provisions may require us to make substantial payments or issue additional dilutive securities, or could lead to costly and disruptive disputes. One such claim has been submitted by a previous investor and the company is researching the details and merit of said claim.
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Our current independent auditors believe that there is substantial doubt as to our ability to continue as a going concern.
As a result of our losses to date, working capital deficiency and accumulated deficit, our current independent auditors have concluded that there is substantial doubt as to our ability to continue as a going concern for a reasonable period of time, and have modified their report in the form of an explanatory paragraph describing the events that have given rise to this uncertainty. Our continuation as a going concern will depend upon our ability to generate or obtain sufficient cash to meet our obligations on a timely basis and ultimately to attain profitable operations. Our independent auditors’ going concern modification may make it more difficult for us to obtain additional funding to meet our obligations or adversely affect the terms of any additional funding we are able to obtain. We anticipate that we will continue to incur significant losses until successful commercialization of one or more of our products. There can be no assurance that we can or will operate profitably in the future, or that we will continue as a going concern.
Our independent auditors recently notified us of their intention to resign, and our business will be harmed if we are unable to retain a replacement auditing firm in a timely manner.
On October 17, 2003, Ernst & Young LLP informed us that they will resign as our independent auditing firm effective upon the completion of the quarterly review of our fiscal quarter ending September 30, 2003. The Audit Committee of our Board of Directors has begun the process of considering other international, national and regional independent accounting firms to replace Ernst & Young LLP, with the goal of selecting a replacement firm prior to the end of this fiscal year, but we are unable to predict when a replacement will be retained. The failure to do so in a timely manner, and any transition issues or other disruptions caused by the resignation of Ernst & Young LLP or the retention of a new independent accounting firm, could make it more difficult or impossible for us to raise necessary capital or effect other corporate transactions, could otherwise disrupt our business, and could cause us to incur additional costs and expenses, any of which, could have a materially adverse effect on the Company and the value of the Common Stock.
We have entered into engagement letters in connection with our actual and proposed private placements that have in the past and may in future lead to disputes and also may lead to additional payments of cash or issuances of securities in connection with past or future sales of our securities.
In connection with our private placement of units of common stock and warrants in 2001, we entered into a letter agreement in April 2001, or the 2001 Letter Agreement, with a financial advisor. This financial advisor, or the 2001 Advisor, assisted us with our 2001 private placement of units and received a commission in connection with the 2001 offering.
On July 15, 2002, we retained a different financial advisor, or the July 2002 Advisor, in connection with a proposed offer and sale of shares of our common stock and warrants to purchase shares of our common stock. The letter agreement with the July 2002 Advisor, or the July 2002 Letter Agreement, provides for the payment of fees to the July 2002 Advisor equal to 7% of the gross proceeds of the offering. In addition to the cash fee, the July 2002 Advisor has the right to receive warrants to purchase that number of shares of our common stock equal to 10% of the number of shares sold in the offering. The July 2002 Advisor will also receive cash
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proceeds equal to 7% of the aggregate exercise price of any warrants issued to the investors in the offering and subsequently exercised.
Shortly before the August 5, 2002 closing of our August 2002 private placement which was arranged by the July 2002 Advisor, the 2001 Advisor communicated to us that it believes that it is entitled under the 2001 Letter Agreement to fees and warrants in connection with the August 2002 private placement. We strongly disagree with the 2001 Advisor’s interpretation of the 2001 Letter Agreement. Even if the 2001 Advisor’s interpretation is determined to be correct, we believe that the 2001 Advisor waived any rights to compensation it might have in connection with the August 2002 private placement.
We sent to the 2001 Advisor on August 21, 2002 a termination letter relating to the 2001 Letter Agreement. Pursuant to the terms of the 2001 Letter Agreement, our obligations to pay the 2001 Advisor a commission or to issue to it warrants in connection with sales of our securities terminated thirty (30) days from the date of this termination letter, or September 20, 2002. On August 29, 2002, the 2001 Advisor sent to us an invoice for cash commissions and warrants that the 2001 Advisor claims are owed to it pursuant to the 2001 Letter Agreement as a result of the closing of the August 2002 private placement. On September 10, 2002, we sent a letter to the 2001 Advisor to express our position that no fees or warrants are due to the 2001 Advisor in connection with the closings of the August 2002 private placement. On September 26, 2002 we received a letter from legal counsel to the 2001 Advisor reasserting the 2001 Advisor’s claim that it must receive payment of commissions and warrants in connection with the August 2002 private placement.
In the event the 2001 Advisor prevails on any claims in connection with the August 2002 private placement, we would be required to pay to the 2001 Advisor $381,570, or 7.5% of the gross proceeds that we received from the sale of shares of common stock, and issue to the 2001 Advisor warrants to purchase up to 698,287 shares of common stock, or 10% of the number of shares of common stock sold in the August 2002 private placement. In the event of the warrants issued to the investors in the August 2002 private placement are exercised, we would be required to pay to the 2001 Advisor an additional cash amount equal to $133,549 or 7% of the aggregate exercise price of those warrants. Any payments to the 2001 Advisor or warrants issued to the 2001 Advisor would be in addition to placement fees and warrants paid to the July 2002 Advisor in connection with the terms of the July 2002 Letter Agreement.
On November 13, 2002, we retained a party to act as our financial advisor and finder in connection with a proposed offer and sale of shares of our common stock and warrants to purchase shares of our common stock. The letter agreement with this advisor, or the November 2002 Advisor, provides for, among other things, the payment of fees to the November 2002 Advisor equal to 7.5% of the gross proceeds of the offering, including any proceeds from the exercise of the warrants. In addition to the cash fee, the November 2002 Advisor has the right to receive warrants to purchase a number of shares equal to 10% of the number of securities sold in such offering. The letter agreement also provided for the payment of a cash fee of $25,000 upon execution of the agreement, and a break-up fee of $100,000 (net of the fee paid upon execution) for financings or transactions undertaken by us without the November 2002 Advisor’s assistance. The December 2002 and January 2003 closings of our private placements were
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undertaken without the November 2002 Advisor’s assistance, and in April 2003 we paid to the November 2002 Advisor a net break-up fee of $75,000. On April 17, 2003, we terminated this letter agreement, effective May 18, 2003. In a letter dated September 19, 2003, this former advisor has claimed that its November 13, 2002 agreement with us, we are obligated to pay such advisor cash fees of $157,500 and warrants to purchase “Units” of the Company’s securities (compromising 396,514 shares of Common Stock and warrants to purchase 118,954 shares of Common Stock at an exercise price per share of $0.7282) at an exercise price per Unit of $0.58256, ini connection with four enumerated purchasers’ investments in our August 2003 private placement. The letter also stated that the November 2002 Advisor believed that the Company would have additional obligations to the advisor in the event that it was determined that other investors in the August 2003 private placement were investors as to which the November 2002 Advisor is entitled to compensation under its November 13, 2002 agreement with us. We cannot predict whether additional claims will be made, or the resolution of any current or future claims, by this former advisor.
On December 9, 2002, we retained another party as our financial advisor and finder in connection with a proposed offer and sale of shares of our common stock and warrants to purchase shares of our common stock. The letter agreement with this advisor, or the December 2002 Advisor, provides for, among other things, the payment of fees to the December 2002 Advisor equal to 8% of the gross proceeds of the offering, including any proceeds from the exercise of the warrants. In addition to the cash fee, the December 2002 Advisor has the right to receive warrants to purchase a number of shares equal to 7.5% of the number of securities issued in such offering.
On December 28, 2002, we retained another party as our financial advisor and finder in connection with a offer and sale of shares of Company common stock and warrants to purchase shares of our common stock that closed on December 31, 2002 and January 22, 2003. The December 2002 Finder received a cash finder’s fee of $300,000 and warrants to purchase 533,331 shares of our common stock at a price per share of $0.8245 in connection with the December 31, 2002 and January 23, 2003 closings of our private placements. On January 13, 2003, we entered into a new letter agreement with the December 2002 Finder (hereinafter, the January 2003 Finder) to act as our financial advisor and finder in connection with the offer and sale of shares of Company common stock and warrants to purchaser shares of our common stock that close on March 28, 2003 and April 11, 2003. The January 2003 Finder received 24,746 shares of our common stock upon execution of the letter agreement. The letter agreement with this finder also provides for the payment of fees to the January 2003 Finder equal to 7.5% of the gross proceeds of the March 28, 2003 and April 11, 2003 closings of the private placement received from investors introduced to us by the January 2003 Finder, including any proceeds from the exercise of the Warrants. In addition to the cash fee, the January 2003 Finder received warrants to purchase a number of shares equal to 10% of the number of shares sold in the March 28, 2003 and April 11, 2003 closings of the private placement to investors introduced to us by the January 2003 Finder.
On March 11, 2003, we retained another party as our financial advisor in connection with a proposed debt or equity financing. The letter agreement with this advisor, or the March 2003 Advisor, provided for, among other things, the payment of fees to the advisor equal to 6% of the
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gross proceeds of the offering. In addition to the cash fee, the advisor had the right to receive warrants to purchase a number of shares equal to 6% of the number of securities issued in such offering at 110% of the market price. On April 29, 2003, we terminated this letter agreement, effective May 6, 2003. The March 2003 Advisor has acknowledged and agreed to the terms of that termination, including that no fees are owed by us under this letter agreement.
Despite the termination letter that we delivered to the 2001 Advisor on August 21, 2002 terminating our obligations to pay the 2001 Advisor a commission or to issue them warrants in connection with sales of our securities after September 20, 2002, we received on January 7, 2003, a letter from the 2001 Advisor asserting that it also is owed (i) approximately $245,000 plus (ii) five year warrants to purchase approximately 436,000 shares of the our common stock at an exercise price of $0.8245 per share, in each case arising in connection with a private placement of securities consummated by us in December 2002. In addition, on February 2, 2003 we received another letter from the 2001 Advisor asserting that it is also owed (i) approximately $54,717 plus (ii) five year warrants to purchase approximately 97,332 shares of our common stock at an exercise price of $0.8245 per share, in each case in connection with the January 22, 2003 closing of our private placement. Any payments to the 2001 Advisor or warrants issued to the 2001 Advisor would be in addition to placement fees and warrants paid to the December 2002 Finder pursuant to the terms of our letter agreement with the December 2002 Finder. We have not yet received a letter from the 2001 Advisor claiming additional fees or warrants in connection with the March 28, 2003, April 11, 2003 and August 2003 closings of our recent financings, but there can be no guarantee that such a claim will not be made in connection with any prior or future financing.
In connection with the March 28, 2003 and April 11, 2003 closings of our private placement, in addition to the cash fee and warrants to purchase common stock issued to the January 2003 Finder, (i) the July 2002 Advisor received an aggregate cash finder’s fee of $351,400 and warrants to purchase 590,588 shares of our common stock at a price per share of $0.935, (ii) the November 2002 Advisor received an aggregate cash finder’s fee of $15,937.50 and warrants to purchase 25,000 shares of our common stock at a price per share of $0.935 and (iii) the December 2002 Advisor received an aggregate cash finder’s fee of $40,000 and warrants to purchase 44,117 shares of our common stock at a price per share of $0.935, in each case, for placement of securities with parties introduced through the respective advisor.
On July 15, 2003, we retained another party as our financial advisor in connection with a proposed debt or equity financing. The letter agreement with this advisor, or the July 15, 2003 Advisor, provides for, among other things, the payment of fees to the advisor equal to 7% of the purchase price of shares sold to purchasers introduced to us by the July 15, 2003 Advisor. In addition to the cash fee, the advisor has the right to receive warrants to purchase 93,750 shares of our common stock per $1 million raised by this advisor (up to a maximum of 750,000 shares) at a price per share of $0.8375.
On July 18, 2003, we retained another party as our financial advisor in connection with a proposed debt or equity financing. The letter agreement with this advisor, or the July 18, 2003 Agent, provides for, among other things, the payment of fees to the agent equal to 7% of the gross subscription proceeds of any equity offering by us from purchasers procured by the July 23
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Agent. In addition to the cash fee, the agent has the right to receive warrants to purchase six percent (6%) for every dollar raised by the July 18, 2003 Agent in connection with the placement at an exercise price equal to 125% of the closing bid price of our common stock on the date of the closing.
Pursuant to an oral agreement entered into in August 2003, we retained another party as our financial advisor in connection with a proposed debt or equity financing. Our oral agreement with this advisor, or the August 2003 Advisor, provides for cash fees and warrants to be issued to this advisor with respect to investors introduced by this advisor, at the same rates as described above with respect to the July 15, 2003 Advisor.
In connection with the August 2003 private placement, we paid to the July 15, 2003 Advisor, the July 18, 2003 Agent and the August 2003 Advisor aggregate cash fees of approximately $520,000. In addition, to these cash fees (i) the July 15, 2003 Advisor received warrants to purchase 114,814 shares of our common stock at an exercise price of $0.8375, (ii) the July 18, 2003 Agent received warrants to purchase 350,401 shares of our common stock at an exercise price of $1.10 and (iii) the August 2003 Advisor received warrants to purchase 149,994 shares of our common stock at an exercise price of $0.8375 per share, warrants to purchase up to 31,780 shares of common stock at an exercise price of $1.1025 per share and warrants to purchase up to 58,631 shares of common stock at an exercise price of $0.90 per share, in each case, for investments procured by the respective advisor. In August 2003, one of the foregoing advisors notified the Company of such advisor’s belief that it was entitled to an additional fee of approximately $35,000 and additional warrants to purchase approximately 47,000 shares of Common Stock, in connection with the August 2003 private placement. The Company responded that, based on the information in its possession, it believed that such advisor is not entitled to such fees and warrants. To date, the Company has received no further information from such advisor in support of its claim.
Due to the existence of these various letter agreements, there is a possibility that we may be obligated to pay fees, cash commissions, and issue warrants to one or more financial advisors in connection with the closing of any of our private placements. In addition, we may in the future enter into further agreements with financial advisors, finders or placement agents, similar to those discussed above, in connection with private placements or public offerings of our securities. We might agree to pay to these parties a commission on any sales of securities to investors introduced to us by such parties or a commission based upon the exercise price of any warrants or other securities exercised by investors introduced to us by such parties, and that such commissions will be in addition to commissions payable to other financial advisors, finders and placement agents working on our behalf. In addition, we may agree to issue to these additional financial advisors, finders and placement agents securities such as warrants to purchase shares of our common stock, which could dilute your investment in the Company. We also may be obligated to pay termination or break-up fees to our current or future financial advisors, finders and placement agents in connection with our financings. These commissions paid or warrants or other securities issued may be in addition to the commissions payable or securities issuable to other financial advisors, finders or placement agents in respect of the same transaction, and could be substantial. Disputes have arisen from time to time concerning our financial advisors’
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entitlement to cash and equity compensation associated with our past financings, and additional disputes may arise in the future.
We have limited sales and limited experience in the sale, marketing and distribution of our products. Our failure to establish an effective direct or indirect sales and marketing force will cause our revenues to decline.
We have only limited experience marketing and selling our products in commercial quantities. In January 2000, we signed an exclusive three-year distribution agreement with St. Jude Medical Corporation whereby St. Jude’s Daig division was to distribute our diagnostic products in the United States. St. Jude did not meet the first year minimum annual sales quota under the distribution agreement. In June 2001, we mutually agreed with St. Jude to terminate the agreement and to allow for a transition period to transfer customer accounts by the termination date of September 1, 2001. Therefore, we will be solely responsible for marketing and distributing our products in the United States. If we receive FDA approval of our PMA for REVELATION® Tx, we may not have an adequate marketing and sales force to adequately sell our product. Expanding our marketing and sales capability to support sales in commercial quantities adequately will require substantial effort and require significant management and financial resources. Our failure to establish an effective sales and marketing force will prevent us from being able to generate significant revenues from the sale of our products.
We also have terminated several distribution arrangements in Europe because of the distributors’ failure to meet minimum sales levels under those agreements. Our ability to operate a remote sales force effectively will require additional resources, time and expense, which could have a material adverse effect on our business, financial condition and results of operations. We cannot be certain that we will be able to build a European distribution or direct business, that it will be cost-effective or that its efforts will be successful. Failure to establish an adequate business in Europe would harm our business.
Currently, sales and marketing of our PATHFINDER, PATHFINDER mini, REVELATION and TRACER microcatheter systems are conducted through a number of exclusive distributors in certain European countries and Japan and a direct salesperson in Europe. We have sold only a limited number of PATHFINDER, PATHFINDER mini, REVELATION and TRACER microcatheter systems through these distributors. We have approval to sell the REVELATION, REVELATION Tx, REVELATION T-Flex, REVELATION Helix and REVELATION Helix ST in the European Union, Hong Kong and Canada. We cannot be certain that these distributors will be able to effectively market and sell our products in these or other markets. In addition, we cannot assure you that we will be able to enter into additional agreements with desired distributors on a timely basis or at all, or that these distributors will devote adequate resources to selling our products. Our failure to establish and maintain appropriate distribution relationships would harm our business.
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We rely on multiple third parties to conduct and collect data for the clinical trials of our products. If we are unable to access this data or the FDA refuses to accept the data in a filing, the commercialization of our products will be delayed and our business will be harmed.
We often rely on multiple third parties, such as hospitals and universities, to conduct and collect data for our clinical trials. We depend on these third parties to provide access to data and cooperate with us in completing regulatory filings for the approval or clearance of our products. In order for the FDA and other regulatory agencies to accept and rely on the data of a filing, the data collection, analysis and summarization must meet certain standards. We cannot be certain that the clinical data collected by the third parties meet the standards of the FDA or other regulatory agencies. If we are unable to rely on the clinical data collected by third parties, or if these third parties do not perform their contractual obligations, the FDA or other regulatory agencies may require us to gather additional clinical data. This could significantly delay commercialization of our products, require us to spend additional capital on our clinical trials and harm our business.
We cannot assure the safety or effectiveness of our products.
To obtain and maintain required regulatory approvals and secure the confidence of physicians and others whose acceptance is needed for our products, we will need to demonstrate that our products are safe and effective. We cannot assure you that our products will be deemed safe and effective. Many of our products, such as our surgical ablation system which has begun to be used by cardiac surgeons only recently, have not been used to a sufficient extent to permit us to predict their safety and effectiveness. In addition, our products include components and materials supplied by third parties, whose safety and reliability we cannot guarantee. We have occasionally experienced quality issues with some elements of our products, and we may face additional issues in the future. The perceived safety and effectiveness of our products can also depend on their manner of use by physicians and other third parties, which we cannot control. If safety and effectiveness issues arise with any of our products in the future, we may incur liabilities to third parties, lose any regulatory approvals for the applicable product, or be required to redesign the product. These issues will reduce our sales and increase our expenses, possibly substantially.
Our microcatheter products and their related procedures are novel to the market and will require the special training of physicians. If the market does not accept our products and procedures, our revenues will decline.
Our microcatheter systems represent a novel approach to diagnosing and treating atrial fibrillation and ventricular tachycardia. Acceptance of our products and procedures by physicians, patients and health care payors will be necessary in order for us to be successful. If the market does not accept our products and the procedures involved in their use, our business would be harmed and our revenues would decline.
Our microcatheter products must be safe, effective and cost efficient in order for them to effectively compete against more established treatments. If we cannot compete with these treatments, our revenues will decline.
The market for catheters to diagnose or treat atrial fibrillation and ventricular tachycardia is highly competitive. Our microcatheter systems for the mapping and ablation of atrial fibrillation and ventricular tachycardia are new technologies. Safety, cost efficiency and effectiveness are
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the primary competitive factors in this market. Other competitive factors include the length of time required for products to be developed and receive regulatory approval and, in some cases, reimbursement approval. Existing treatments with which we must compete include:
| • | conventional catheters using the “drag and burn” or “dot to dot” technique; |
| • | anti-arrhythmic and anti-coagulant drugs; |
| • | external electrical shock to restore normal heart rhythms and defibrillation; |
| • | implantable defibrillators; |
| • | purposeful destruction of the atrial-ventricular node followed by implantation of a pacemaker; and |
| • | open-heart surgery known as the “maze” procedure. |
Physicians will not recommend the use of our microcatheter systems unless they can conclude that our systems provide a safe, effective and cost-efficient alternative to current technologies for the mapping and ablation of atrial fibrillation or ventricular tachycardia. If our clinical data and other studies do not show that our products are safe and effective, the FDA will not approve our products for sale. If our products are not approved, we will not be able to enter the market and we will not be able to generate revenues from their sale.
None of our ablation products for electrophysiology have received regulatory approval in the United States. Our failure to receive these approvals will harm our business.
To date, none of our products in development for the ablation of atrial fibrillation or ventricular tachycardia has received regulatory approval in the United States. If we cannot gain U.S. regulatory approval, our business will be materially harmed. Even if our ablation products are successfully developed and we obtain the required regulatory approvals, we cannot be certain that our ablation products and their associated procedures will ultimately gain market acceptance. Because our sole product focus is to design and market microcatheter systems to map and ablate atrial fibrillation and ventricular tachycardia, our failure to obtain regulatory approval for and successfully commercialize these systems would materially harm our business.
We must obtain governmental approvals or clearances before we can sell our products.
Our products are considered to be medical devices and are subject to regulation in the United States and internationally. These regulations are wide ranging and govern, among other things:
| • | product design and development; |
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| • | premarket clearance and approval; |
| • | advertising and promotion; and |
| • | product sales and distribution. |
Before we can market any of our products in the United States or Europe, we must demonstrate that our products are safe and effective and obtain approval or clearance from the applicable governmental authorities. In the United States, we must obtain from the FDA 510(k) pre-market notification clearance or a PMA in order to market a product. We have received 510(k) pre-market notification clearances for our PATHFINDER, PATHFINDERmini and TRACER microcatheter systems for mapping ventricular tachycardia and for the REVELATION microcatheter system for mapping atrial fibrillation and for the CARDIMA® Ablation System to ablate Cardiac tissue during cardiac surgery using radio-frequency energy. Currently, the process for 510(k) clearance requires approximately 120 days and PMA approval is six to twelve months. However, the timing of such processes can be uncertain and may involve significantly more time. We cannot guarantee either the timing or receipt of regulatory approval or clearance for any of our products in development. These products may require a PMA, and the FDA may request extensive clinical data to support either 510(k) clearance or a PMA.
We are required to seek a PMA for our ablation products, including the REVELATION Tx microcatheter. The process of obtaining a PMA is much more expensive, lengthy and uncertain than the 510(k) pre-market notification clearance process. In order to complete our PMA application, we will be required to complete clinical trials to demonstrate the safety and effectiveness of these products. In December 1997, the FDA approved a 10-patient atrial fibrillation feasibility study for mapping and ablation with the REVELATION Tx. In June 2000, we received conditional approval from the FDA and full approval in August 2000 for our Phase III clinical trial. In March 2001, the FDA allowed us to file a modular PMA for our REVELATION Tx in Phase III clinical trial. Under the modular PMA submission, we filed four of five modules in 2001. The fifth module is the clinical data and formal PMA application. Three of the first four modules have been accepted and closed by the FDA and the remaining module has been left open for reference during the review of the clinical data in the fifth and final module. On September 20, 2002, we submitted our PMA application to the FDA with the fifth module containing data on more than 80 patients treated with our REVELATION Tx microcatheter system. Subsequently, on November 5, 2002, we announced that the FDA had accepted our filing and granted our request for expedited review. On March 6, 2003, we were notified by the FDA that we would meet with the Circulatory Systems Device panel on May 29, 2003. On May 29, 2003, the Circulatory System Devices Panel recommended that the U.S. Food and Drug Administration not approve our premarket approval application, or PMA, for the REVELATION Tx linear ablation microcatheter system. The Circulatory System Devices Panel commented favorably on the safety and need for this type of device. However, the Panel felt that efficacy data was not sufficiently clear and supportive for the approval. The Panel provided the
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FDA and the Company with several suggestions on how to possibly reexamine the existing data or how to collect more data on existing patients. On June 26, 2003, we received a letter from the FDA, which reiterated the recommendation of the Panel and stated the FDA concurred with the panel recommendation. We intend to provide new analysis, including data from an expanded patient base, to the FDA. However, the timing of our submission, and the timing and outcome of the FDA’s consideration of any submission, are currently uncdrtainities.
We are restricted from selling the product until the entire PMA process is complete and approved by the FDA. No assurance can be given that we will ever be able to obtain a PMA for any of our ablation products. Our failure to obtain a PMA on a timely basis would have a material adverse effect on our business, financial condition and results of operations.
We filed an IDE application for a feasibility trial with the THERASTREAM microcatheter system in December 1998 and received permission to expand that trial in July 2000. We have postponed the THERASTREAM clinical trial while we focus our resources on completing our atrial fibrillation Phase III clinical trial. There can be no assurance that any additional clinical studies that we may propose will be permitted by the FDA, will be completed or, if completed, will provide data and information that supports a PMA. Furthermore, we cannot assure you that our Phase III clinical trial for ablation of atrial fibrillation will provide us with data and information that supports a PMA.
Regulatory agencies may limit the indications for which they approve or clear any of our products. Further, the FDA or regulatory agencies in other countries may restrict or withdraw approval or clearance of a product if additional information becomes available to support such action. Delays in the approval or clearance process, limitation of our labeling claims or denial of our applications or notifications would cause our business to be materially and adversely affected.
Pre-clinical and clinical trials are inherently unpredictable. If we do not successfully conduct these trials, we may be unable to market our products and our revenues may decline.
Through pre-clinical studies and clinical trials, we must demonstrate that our products are safe and effective for their indicated uses. Results from pre-clinical studies and early clinical trials may not allow us to predict results in later-stage testing. No assurance can be given that our future clinical trials will demonstrate the safety and effectiveness of any of our products or will result in regulatory approval to market our products. As a result, if we are unable to commence and complete our clinical trials as planned, or demonstrate the safety and effectiveness of our products, our business will be harmed. In addition, no assurance can be given that we can begin any future clinical trials or successfully complete these trials once started. We may never meet our development schedule for any of our products in development. Even if a product is successfully developed and clinically tested, we cannot be certain that it will be approved by the FDA or other regulatory agency on a timely basis or at all. If the FDA does not approve our products for commercial sales, our business will be harmed.
As described above, we have devoted considerable resources to developing, testing and seeking regulatory approval for our REVELATION® Tx microcatheter systems designed for
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ablation of atrial fibrillation. On May 29, 2003, the FDA’s Circulatory System Devices Panel recommended that the FDA not approve our premarket approval application, or PMA, for the REVELATION Tx linear ablation microcatheter system. On June 26, 2003, we received a letter from the FDA, which reiterated the recommendation of the Panel and stated the FDA concurred with the panel recommendation. We intend to submit additional information to the FDA, but the timing and outcome of any response from the FDA, are currently uncertain. We must receive PMA approval before marketing our products for ablation in the United States.
Additionally, in August 2001, we began a clinical trial in Germany involving our REVELATION Helix microcatheter in the treatment of atrial fibrillation originating from the pulmonary veins. Enrollment in this study was completed in June 2002. By December 2002, all enrolled study subjects had completed the six-month follow-up. Data from the six-month follow-up on these subjects will be analyzed and prepared for publication targeted for the first half of 2003. In December, 2001, the REVELATION Helix received the CE mark allowing sales in the European Economic Area. We also received in December 1999 approval for an IDE to begin clinical testing of our THERASTREAM microcatheter system for ablation of ventricular tachycardia and during calendar year 2000 approval to expand that trial; however, we have postponed the clinical feasibility trial for the THERASTREAM microcatheter system for ablation of ventricular tachycardia to focus on completing our REVELATION Tx clinical trial for atrial fibrillation. We have no estimate as to when, or if, we will resume the clinical trial for our THERASTREAM microcatheter system. If we resume the clinical trial for our THERASTREAM microcatheter system, the completion of this clinical trial could take several years.
Clinical trial of our microcatheter systems will require substantial financial and management resources. In addition, the clinical trials may identify significant technical or other obstacles that we will need to overcome before obtaining the necessary regulatory approvals or market acceptance. Our failure to complete our clinical trials, demonstrate product safety and clinical effectiveness, or obtain regulatory approval for the use of our microcatheter system for the ablation of atrial fibrillation would have a material adverse effect on our business, financial condition and results of operations.
Delays in enrolling patients in our clinical trials could increase our expenses and harm our business.
The rate at which we may complete our pre-clinical and clinical trials is dependent upon, among other things, the rate of patient enrollment. Patient enrollment depends on many factors, including the size of the patient population, the nature of the procedure, the proximity of patients’ residences to clinical sites, the eligibility criteria for the study and impact of other clinical studies competing for the same patient population and/or the same physicians’ time and research efforts. Delays in planned patient enrollment may result in increased costs and delays, which could cause our business results to suffer.
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If we do not comply with applicable domestic laws and regulations after obtaining approvals or clearances, our business results may suffer.
After initial regulatory approval or clearance of our products, we will continue to be subject to extensive domestic regulatory requirements. Our failure to comply with applicable regulatory requirements can result in enforcement actions by the FDA, including, but not limited to:
| • | recall or seizure of products; |
| • | withdrawal of marketing approvals or clearances; |
| • | refusal by the FDA to grant clearances or approvals; and |
| • | civil and criminal penalties. |
We also are required to demonstrate and maintain compliance with the FDA’s Quality System Regulations for all of our products. The FDA enforces the Quality System Regulations through periodic inspections, including a pre-approval inspection for PMA products. The Quality System Regulations relates to product testing and quality assurance, as well as the maintenance of records and documentation. If we do not, or any third-party manufacturer of our products does not, comply with the Quality System Regulations and cannot be brought into compliance, we will be required to find alternative manufacturers. Identifying and qualifying alternative manufacturers would likely be a long and difficult process. We also are required to provide information to the FDA on deaths or serious injuries alleged to have been associated with the use of our medical devices, as well as product malfunctions that could contribute to death or serious injury. If we fail to comply with these applicable regulations, our business results may suffer.
If we do not comply with foreign regulatory requirements to market our products outside the United States, our business will be harmed.
Sales of medical devices outside the United States are subject to international regulatory requirements that vary from country to country. The time required for approval varies from country to country and may be longer or shorter than the time required in the United States. In order to market any of our products in the member countries of the European Union, we are required to obtain CE Mark certification. CE Mark certification is an international symbol of adherence to quality assurance standards and compliance with the European Medical Device Directives. We have received CE Mark certification to sell our PATHFINDER, PATHFINDERmini, REVELATION, REVELATION Tx, REVELATION Helix, and TRACER microcatheters and VENAPORT, VUEPORT and NAVIPORT guiding catheters for mapping in the European Union.
We received approval to sell our PATHFINDER, PATHFINDERMini, REVELATION, and TRACER in Japan and Australia, and to sell our PATHFINDER, TRACER, VENAPORT, VUEPORT and NAVIPORT in Canada. We also received CE Mark certification to sell our REVELATION, REVELATIONTx, REVELATION T-Flex, REVELATION Helix,
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REVELATION Helix ST and REVELATION® Helix STX microcatheter systems for both mapping and ablation of atrial fibrillation, permitting us to market these products in the member countries of the European Union. On January 29, 2003, we received notice from the FDA that they had cleared for commercial distribution the Cardima Surgical Ablation System for use in cardiac surgery. This new system connects the Cardima Surgical Ablation Probe with deflectable multi-electrode linear array microcatheter technology to a commercially available electro-surgical radio frequency generator and the INTELLITEMP, an RF energy management device that allows surgeons to apply RF energy through up to eight probe electrodes simultaneously.
We intend to submit data in support of additional CE Mark applications. However, there can be no assurance we will be successful in obtaining or maintaining the CE Mark for these products, as the case may be. Failure to receive or maintain approval to affix the CE Mark would prohibit us from selling these products in member countries of the European Union, and would require significant delays in obtaining individual country approvals. No assurance can be given that we will ever obtain or maintain such approvals. If we do not receive or maintain these approvals, our business could be harmed.
In July 2003, we received a Section 40 Letter (intention to suspend a medical device license) from the Medical Devices Bureau of the Health Products and Food Branch of Health Canada. On August 28, 2003, we met with representatives from the Medical Devices Bureau. On September 16, 2003, the Bureau advised us that it had postponed its decision regarding the medical device license for our REVELATION® Tx Microcatheter, T-Flex and Helix products pending further review. The Bureau indicated that it intends to review our revised analyses of the clinical data from the current clinical trial, which will include additional patient data gathered since February 10, 2003 and new analysis performed since March, 2003. We submitted the requested data to the Bureau before the October 31, 2003 deadline. We are unable to predict the timing or outcome of the Bureau’s review. We will be unable to sell our REVELATION® products in Canada if Health Canada suspends or revokes our license.
Reuse of our single-use products could cause our revenues to decline.
Although we label all of our microcatheter systems for single-use only, we are aware that some physicians potentially may reuse these products. Reuse of our microcatheter systems could reduce revenues from product sales and could cause our revenues to decline. In addition, such misuse of our products could result in personal injury and death. See “Factors Affecting Future Results—We may face product liability claims related to the use or misuse of our products.”
Difficulties presented by international factors could negatively affect our business.
A component of our strategy is to expand our international sales revenues. We believe that we will face risks in doing business abroad that we do not face domestically. Among the international risks we believe are most likely to affect us are:
| • | export license requirements for our products; |
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| • | exchange rate fluctuations or currency controls; |
| • | changes in the regulation of medical products by the European Union or other international regulatory agencies; |
| • | the difficulty in managing a direct sales force from abroad; |
| • | the financial condition, expertise and performance of our international distributors and any future international distributors; |
| • | domestic or international trade restrictions; or |
Any of these factors could damage our business results.
We may be unable to successfully commercialize our microcatheter products, as the industry for them is highly competitive.
The market for catheters to map and/or ablate atrial fibrillation and ventricular tachycardia is highly competitive. Several of our competitors are developing different approaches and products for these procedures. These approaches include mapping systems using contact mapping, single-point spatial mapping and non-contact, multi-site electrical mapping technologies, and ablation systems using radio frequency, ultrasound, microwave, laser and cryoblation technologies. Other companies are also developing surgical procedures that could allow physicians to perform the open-heart surgical maze procedure for the treatment of atrial fibrillation in a minimally invasive manner. If any of these new approaches or products proves to be safe, effective and cost effective, our products could be rendered non-competitive or obsolete, which would harm our business.
Many of our competitors have an established presence in the field of interventional cardiology and electrophysiology, or the study of the electrical system of the heart. These competitors include Boston Scientific, through its EP Technologies and Cardiac Pathways divisions, C.R. Bard, Inc., Johnson & Johnson, through its Biosense-Webster division, St. Jude Medical, Inc., through its Daig division, and Medtronic, Inc. These competitors have substantially greater financial and other resources than we do, including larger research and development staffs and greater experience and capabilities in conducting clinical trials, obtaining regulatory approvals, and manufacturing, marketing and distributing products. In addition, other companies are developing proprietary systems for the diagnosis and treatment of cardiac arrhythmias, including Biosense-Webster, a division of Johnson & Johnson, and Endocardial Solutions, Inc. Other companies are also developing, marketing and selling alternative approaches for the treatment of atrial fibrillation and ventricular tachycardia, including manufacturers of implantable defibrillators such as Guidant Corporation, Medtronic, Inc. and St. Jude Medical, Inc. We cannot be certain that we will succeed in developing and marketing
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technologies and products that are safer, more clinically effective and cost-effective than the more established treatments or the new approaches and products being developed and marketed by our competitors. Furthermore, there can be no assurance that we will succeed in developing new technologies and products that will be available before those of our competitors. Our failure to demonstrate the competitive advantages and achieve market acceptance of our products would significantly harm our business.
We license portions of our product technology from potential competitors, and the termination of any of these licenses would harm our business.
We rely on license agreements for some of our product technology from potential competitors. A license from Target Therapeutics, Inc., a subsidiary of Boston Scientific Corporation, is the technological basis for our microcatheter systems for mapping and ablation. Boston Scientific Corporation currently has research efforts in the field of electrophysiology that may compete with our products. Under the Target Therapeutics license agreement we have an exclusive license under specific issued United States patents. The exclusive license from Target Therapeutics covers the diagnosis and treatment of electrophysiological disorders in areas other than the central nervous system. In addition, we have obtained a non-exclusive license to use Target Therapeutics’ technology, provided we have made a substantial improvement of such technology, for the diagnosis or treatment of diseases of the heart, other than by balloon angioplasty. The license will terminate upon the expiration or invalidation of all claims under the underlying patents. In addition, Target Therapeutics has the right to terminate the license earlier if we fail to comply with various commercialization, sublicensing, insurance, royalty, product liability, indemnification, non-competition and other obligations. Furthermore, either party can terminate the license if a material breach remains uncured for thirty days or if either party ceases to be actively engaged in its present business for a period of twelve months. The loss of our exclusive rights to the Target Therapeutics-based microcatheter technology would significantly harm our business.
In December 2000, we sold certain patents and related intellectual property pertaining to intravascular sensing and signal detection to Medtronic, Inc., which currently has research efforts in the field of electrophysiology that may compete with our products. We received a perpetual, worldwide license at no cost from Medtronic to use these patents and related intellectual property in our products for mapping and ablation of arrhythmia-causing tissue. In addition, Medtronic agreed not to sublicense the patents within our field of use to any non-affiliated party. We have also licensed a proprietary surface-coating material from another vendor used on certain of our microcatheters.
We cannot be certain that these licenses will continue to be available to us or will be available to us on reasonable terms. The loss of or inability to maintain any of these licenses could result in delays in commercial shipments until we could internally develop or identify, license and integrate equivalent technology. These delays would have a material adverse effect on our business, financial condition and results of operations.
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We may not be able to commercialize our products under development if they infringe existing patents or patents that have not yet issued.
We have conducted searches to determine whether our patent applications interfere with existing patents. Based upon these searches, we believe that our patent applications and products do not interfere with existing patents. However, we cannot be sure that relevant patents have not been issued that could block our ability to obtain patents or commercialize our products. Moreover, because U.S. patent applications are not a matter of public record, a patent application could currently be on file that would prevent us from obtaining a patent issuance. In addition, Congress recently amended the U.S. patent laws to exempt physicians, other health care professionals and affiliated entities from infringement liability for medical and surgical procedures performed on patients. The issuance of any potentially competing patent could harm our business.
Although we have not received any letters from others threatening to enforce patent rights against us, we cannot be certain that we will not become subject to patent or intellectual property infringement claims or litigation, interference proceedings in the U.S. Patent and Trademark Office to determine the priority of inventions, or oppositions to patent grants in foreign countries. Any such claim, litigation or proceeding, regardless of the outcome, would likely require us to expend substantial defense costs and would disrupt our business. An adverse determination in litigation, interference or opposition proceedings could subject us to significant liabilities to third parties, require us to cease using important technology invalidate our intellectual property rights, or require us to license disputed rights from third parties. However, we cannot be certain that any licenses will be available to us on commercially reasonable terms or at all. Our inability to obtain such a license could materially delay the commercialization of our products, require us to expend substantial resources to design and develop alternative to the disputed technology, and otherwise harm our business. Our license with Target Therapeutics, does not provide us with indemnification against claims brought by third parties alleging infringement of patent rights. Consequently, we would bear the liability resulting from such claims. We cannot be certain that we will have the financial resources to protect and defend our intellectual property; as such defense is often costly and time-consuming. Our failure to protect our patent rights, trade secrets, know-how or other intellectual property would harm our business.
If healthcare providers do not receive adequate reimbursement for procedures using our products, the market may not accept our products and our revenues may decline.
U.S. healthcare providers, including hospitals and physicians, that purchase microcatheter products generally rely on third-party payors, principally federal Medicare, state Medicaid and private health insurance plans, to reimburse all or a part of the costs and fees associated with the procedures performed using our products. The success of our products will depend upon the ability of healthcare providers to obtain satisfactory reimbursement for medical procedures in which our microcatheter systems are used. If these healthcare providers are unable to obtain reimbursement from third-party payors, the market may not accept our products and our revenues may decline.
Third-party payors may deny reimbursement if they determine that a prescribed device (1) has not received appropriate regulatory clearances or approvals, (2) is not used in accordance
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with cost-effective treatment methods as determined by the payor, or (3) is experimental, unnecessary or inappropriate. If we receive FDA clearance or approval, third-party reimbursement also would depend upon decisions by the United States Health Care Financing Administration for Medicare, as well as by individual health maintenance organizations, private insurers and other payors. Reimbursement systems in international markets vary significantly by country and by region within some countries, and reimbursement approvals may be obtained on a country-by-country basis. Many international markets have government-managed health care systems that control reimbursement for new devices and procedures. In most markets, there are private insurance systems as well as government-managed systems. There can be no assurance that (1) reimbursement for our products will be available domestically or internationally, (2) if available, that such reimbursement will be available in sufficient amounts in the United States or in international markets under either government or private reimbursement systems, or (3) that physicians will support and advocate reimbursement for procedures using our products. Failure by hospitals and other users of our products to obtain reimbursement from third-party payors or changes in government and private third-party payor policies toward reimbursement for procedures employing our products would harm our business. Moreover, 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.
We cannot be certain that we will be able to manufacture our products in high volumes at commercially reasonable costs.
We currently manufacture our microcatheter systems in limited quantities for U.S. and international sales and for pre-clinical and clinical trials. However, we have limited experience manufacturing our products in the amounts necessary to achieve significant commercial sales. For example, we currently do not have the ability to manufacture one of the components of our Surgical Ablation System in substantial quantities. We expect that if U.S. sales for the PATHFINDER™ and REVELATION® microcatheter systems increase or if we receive FDA clearance or approvals for other products, we will need to expend significant capital resources and develop additional manufacturing capacity to establish large-scale manufacturing capabilities. However, we could encounter problems related to:
| • | shortages of qualified personnel. |
Such problems could affect our ability to adequately scale-up production of our products and fulfill customer orders on a timely basis, which could harm our business.
Our manufacturing facilities are subject to periodic inspection by regulatory authorities. Our operations must either undergo Quality System Regulations compliance inspections
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conducted by the FDA or receive an FDA exemption from such compliance inspections in order for the FDA to permit us to produce products for sale in the United States. Our facilities and manufacturing processes are subject to inspections from time to time by the FDA, the State of California and European Notified Bodies. We have demonstrated compliance with EN 46001 (ISO 13485 or ISO 9001) quality standards, as well as compliance with 93/42/EEC, the Medical Device Directive. We comply with procedures to produce products for sale in Europe. Any failure by us to comply with the Quality System Regulations requirements or to maintain our compliance with EN 46001 (ISO 13485 or ISO 9001) standards and 93/42/EEC, the Medical Device Directive, will require us to take corrective actions, such as modification of our policies and procedures. In addition, we may be required to cease all or part of our operations for some period of time until we can demonstrate that appropriate steps have been taken to comply with Quality System Regulations or EN 46001 (ISO 13485 or ISO 9001) standards. There can be no assurance that we will be found in compliance with the Quality System Regulations by regulatory authorities, or that we will maintain compliance with EN 46001 (ISO 13485 or ISO 9001) standards in future audits. Our failure to comply with state or FDA Quality System Regulations, maintain compliance with EN 46001 (ISO 13485 or ISO 9001) standards, or develop our manufacturing capability in compliance with such standards, would have a material adverse effect on our business, financial condition and results of operations.
Our facilities and manufacturing processes have undergone a successful annual re-certification inspection by the European Notified Body in November 2001 and a successful annual inspection in November 2002. In November 2000 and in January 2003, the FDA conducted a QSIT-Audit of our quality system, which we successfully passed. There is no assurance that our manufacturing facilities will continue to meet such compliance audits and will maintain such compliance standards.
If our sole-source suppliers are unable to meet our demands, our business results will suffer.
We purchase certain key components for some of our products, from sole, single or limited source suppliers. For some of these components, there are relatively few alternative sources of supply. Establishing additional or replacement suppliers for any of the numerous components used in our products, if required, may not be accomplished quickly and could involve significant additional costs. Any supply interruption from vendors or failure to obtain alternative vendors for any of the numerous components used to manufacture our products would limit our ability to manufacture our products. Any such limitation on our ability to manufacture our products would cause our business results to suffer.
We may face product liability claims related to the use or misuse of our products.
We face an inherent business risk of product liability claims in the event that the use or misuse of our products results in personal injury or death. We cannot be certain, in particular after commercial introduction of our products, that we will not experience losses due to product liability claims. We currently have general liability insurance with coverage in the amount of $1.0 million per occurrence, subject to a $2.0 million annual limitation. We have product liability insurance with coverage in the amount of $5.0 million per occurrence, subject to a $5.0
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million annual limitation. We cannot be certain that such coverage will be adequate or continue to be available to us on reasonable terms, if at all. In addition, there can be no assurance that all of the activities encompassed within our business are or will be covered under our policies. Although we label our microcatheter products for single-use only, we are aware that some physicians are re-using such products. Moreover, despite labeling our microcatheters for diagnostic use only, we believe that physicians are using such mapping microcatheters for ablation. Multiple use or “off-label” use of our microcatheters could subject us to increased exposure to product liability claims, which could have a material adverse effect on our business, financial condition and results of operations. We may require additional product liability coverage if we significantly expand commercialization of our products. Such additional coverage is expensive, difficult to obtain and may not be available in the future on acceptable terms, if at all. Any claims or series of claims against us, regardless of their merit or eventual outcome, could have a material adverse effect on our business, financial condition and results of operations.
Our stock may be delisted from Nasdaq and may become subject to penny stock rules, which may make it more difficult for investors to sell their shares and may lead to financial penalties under certain of our agreements.
Currently, our common stock trades on the NASDAQ SmallCap Market. We cannot assure you that we will be able to maintain our listing on Nasdaq or any other established trading market. Among other things, Nasdaq has considerable discretion with respect to listing standards, which include qualitative criteria as well as quantitative criteria, such as minimum stock price requirements, some of which are out of our control. Among other things, Nasdaq listing rules provide that if the closing bid price of a company’s stock is below $1.00 for more than thirty consecutive trading days, the company faces possible delisting. We have faced possible delisting from Nasdaq in the past and may receive notices of potential delisting in the future. For example, the NASD advised us that beginning on April 9, 2001, our common stock would no longer be listed on the NASDAQ SmallCap Market. We appealed the NASD’s decision, met the continued listing requirements and on June 7, 2001, the NASD notified us that our common stock would continue to trade on the NASDAQ SmallCap Market.
In addition, due to our stock trading below $1.00 per share over various periods, we have received notices from the NASD that our stock could be delisted if its closing bid price did not close at $1.00 per share or more for at least ten consecutive trading days before a date specified by the NASD. For example, we received such a notice on October 28, 2002 , but because the closing bid price of our common stock remained equal to $1.00 per share or greater for more than ten consecutive trading days as of January 23, 2003, on January 29, 2003, we received affirmative notification from the NASD that we had regained compliance with Rule 4310(c)(4), and that the matter was therefore closed.
On July 22, 2003, we received another notification from the NASD that our common stock had closed below the minimum $1.00 per share required for continued inclusion on the NASDAQ for a period of more than thirty consecutive trading days. In its notification, the NASD informed us that we had 180 calendar days, or until January 12, 2004, to comply with NASD Marketplace Rule 4310(c)(4). In order to comply with this rule, the NASD indicated that
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the bid price of our common stock must close at $1.00 per share or more for a minimum of ten consecutive trading days at any time before January 12, 2004. On October 14, 2003, we were was notified by the NASD that we regained compliance with Nasdaq Marketplace Rule 4310(c)(4), because the closing price of our common stock had been at $1.00 per share or greater for at least 10 consecutive trading days.
We cannot assure you that we will be able to maintain our listing on the Nasdaq SmallCap Market. Delisting would have material and adverse effects on our business and the value of your investment. If our common stock was to be delisted from Nasdaq SmallCap Market, our common stock would be considered a penny stock under regulation of the Securities and Exchange Commission and would therefore be subject to rules that impose additional sales practice requirements on broker-dealers who sell our securities.
In addition, the purchase agreements signed in connection with the December 31, 2002 and the January 22, 2003 closings of our private placement provide that if at any time during the two year period beginning on the respective closing dates of that placement our common stock is delisted from the NASDAQ National SmallCap Market for any reason, the investors shall receive an amount in cash equal to 1.5% of the aggregate purchase price of all shares and warrants purchased under those agreements for each month or portion thereof from the date of such delisting until our common stock is again listed on the NASDAQ National SmallCap Market. We may incur other substantial liabilities under the terms of other financings, if our common stock is delisted.
We are dependent upon our key personnel and will need to hire additional key personnel in the future.
Our ability to operate successfully depends in significant part upon the continued service of certain key scientific, technical, clinical, regulatory and managerial personnel, and our continuing ability to attract and retain additional highly qualified personnel in these areas. Competition for such personnel is intense, especially in the San Francisco Bay Area. We cannot be certain that we can retain such personnel or that we can attract or retain other highly qualified scientific, technical, clinical, regulatory and managerial personnel in the future, including key sales and marketing personnel.
We derive a portion of our revenues from the sale of our products in the European Union. The adoption of the Eurodollar presents uncertainties for our international business.
All European countries that are part of the European Monetary Union, or EMU, began operating with the new “Euro” currency in 2002. A significant amount of uncertainty exists as to the effect the Euro will have on the marketplace in general. In particular, as a portion of our sales revenue is derived from sales to EMU countries, the adoption by these participating countries of a single currency could result in greater price transparency, making the EMU a more competitive environment for our products. We have assessed the effect the introduction of the Euro could possibly have on our internal accounting systems and potential sales of our products. Recently, we have routinely updated our accounting and financial software, which included appropriate
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accounting for foreign currencies, including the Euro. This issue and its related costs could have a material adverse effect on our business, financial condition and results of operations.
Item 3. | Quantitative and Qualitative Disclosure about Market Risk |
Since we did not have a short-term investment or a line of credit obligation as of September 30, 2003, we do not have any material quantitative disclosures about market risk.
Item 4: | Controls and Procedures |
Evaluation of disclosure controls and procedures. We maintain “disclosure controls and procedures,” as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (the “Exchange Act”), that are designed to ensure that information required to be disclosed by us in reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in Securities and Exchange Commission rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating our disclosure controls and procedures, management recognized that disclosure controls and procedures, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the disclosure controls and procedures are met. Additionally, in designing disclosure controls and procedures, our management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible disclosure controls and procedures. The design of any disclosure controls and procedures also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.
Based on their evaluation as of the end of the period covered by this Quarterly Report on Form 10-Q, our Chief Executive Officer and Chief Financial Officer have concluded that, subject to the limitations noted above, our disclosure controls and procedures were effective to ensure that material information relating to us, including our consolidated subsidiaries, is made known to them by others within those entities, particularly during the period in which this Quarterly Report on Form 10-Q was being prepared.
Changes in internal control over financial reporting. There were no significant changes in our internal control over financial reporting or, to our knowledge, in other factors that could significantly affect these controls subsequent to the date of their evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.
On June 30, 2003, our former Chief Financial Officer and Secretary, Ronald E. Bourquin, left the Company to pursue other interests. Barry D. Michaels joined the Company on June 30, 2003 as Interim Chief Financial Officer and Secretary.
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PART II. OTHER INFORMATION
We are not currently a party to any material legal proceedings.
Item 2. | Changes in Securities and Use of Proceeds |
On July 29, 2003, we agreed to issue to a physician as compensation for consulting services to be provided by that physician’s group options to purchase 422,535 shares of our Common Stock at an exercise price of $0.71 per share. We relied on the exemption provided by Rule 506 under Regulation D and Section 4(2) of the Securities Act of 1933, as amended in connection with the issuance of these warrant to the physician.
On August 13, August 14 and August 18, 2003, we sold by means of a private placement an aggregate of approximately 10,282,800 shares of our common stock at a price of $0.5296 per share, 2,421,980 shares of Common Stock at a price of $0.5664 per share and 977,176 shares of common stock at a price of $0.6064 per share for net proceeds of approximately $6.8 million. In addition, we issued to the investors warrants to purchase 3,084,840 shares of our common stock at an exercise price of $0.7282 per share, warrants to purchase up to 726,590 shares at an exercise price of $0.7788 per share and warrants to purchase up to 293,152 shares of our common stock at an exercise price of $0.8338 per share. We may redeem the warrants for a price of $0.001 per share of common stock if the average closing price per share of our common stock has been at least $1.0592, $1.1328 or $1.2128, respectively, (as adjusted for subsequent stock splits and the like) for fifteen consecutive trading days, so long as our stock remains listed on specified securities exchanges or trading markets and a registration statement covering the resale of the warrant shares is effective. Redemptions initiated during the first six months after the closing are subject to deferral and certain other conditions. We paid a total of $518,703.20 in cash to the parties that acted as agents in connection with this private placement, and issued to the agents warrants to purchase approximately 321,057 shares of our common stock at an exercise price of $0.8375 and warrants to purchase up to 440,812 shares of our common stock at an exercise prices that range from $0.90 per share to $1.1025 per share. The closing of this transaction caused additional shares of common stock to be issuable under the antidilution provisions of certain of our previously issued securities.
We used the proceeds received from the sale of our securities on August 13, August 14 and August 18, 2003 for working capital, including, without limitation, costs and expenses relating to our Phase III trial for the treatment of atrial fibrillation, efforts to obtain FDA approval for our microcatheter planned marketing efforts, expansion of sales efforts and for such other general corporate purposes as our Board of Directors may determine.
We relied on the exemption provided by Rule 506 under Regulation D and Section 4(2) of the Securities Act of 1933, as amended in connection with the August 13, August 14 and August 18, 2003 closings of our private placement. We filed with the SEC a registration statement on Form S-3 in connection with that placement.
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Item 3. | Default Upon Senior Securities |
None.
Item 4. | Submission of Matters to a Vote of the Security Holders |
None
On October 17, 2003, Ernst & Young LLP informed the Company that they will resign as Cardima’s independent accountant effective upon the completion of the quarterly review of the Company’s fiscal quarter ending September 30, 2003. In connection with its audits of each of the two most recent fiscal years and through November 14, 2003, the date of this report, there have been no disagreements with Ernst & Young on any matter of accounting principles or practices, financial statement disclosure or auditing scope or procedure. The Audit Committee of our Board of Directors has begun the process of considering other international, national and regional independent accounting firms to replace Ernst & Young LLP, with the goal of selecting a replacement firm prior to the end of this fiscal year, but the Company is unable to predict when a replacement will be retained. The failure to do so in a timely manner, and any transition issues or other disruptions caused by the resignation of Ernst & Young LLP or the retention of a new independent auditing firm, could have a material adverse effect on the Company.
On August 28, 2003, the Company met with the Medical Devices Bureau of the Health Products and Food Branch of Health Canada, in response to a Section 40 Letter (intention to suspend a medical device license) received on July 16, 2003 from the Medical Devices Bureau. On September 16, 2003, the Bureau advised us that it had postponed its decision regarding the medical device license for our REVELATION® Tx Microcatheter, T-Flex and Helix products pending further review. The Bureau indicated that it intends to review our revised analyses of the clinical data from the current clinical trial, which will include additional patient data gathered since February 10, 2003 and new analysis performed since March, 2003. We submitted the requested data to the Bureau before the October 31, 2003 deadline. We are unable to predict the timing or outcome of the Bureau’s review.
Item 6. | Exhibits and Reports on Form 8-K |
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10.1 | | Form of Investor Common Stock Purchase Warrant (1) |
| |
10.2 | | Form of Placement Agent Common Stock Purchase Warrant (1) |
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10.3 | | Form of Securities Purchase Agreement dated August 13, 2003 (1) |
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| | |
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10.4 | | Form of Securities Purchase Agreement dated August 14, 2003 (1) |
| |
10.5 | | Form of Securities Purchase Agreement dated August 18, 2003 (1) |
| |
10.6 | | Form of Registration Rights Agreement (1) |
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10.7 | | Separation agreement with former Chief Financial Officer |
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31.1 | | Certification of the Chief Executive Officer of Cardima, Inc., pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934. |
| |
31.2 | | Certification of the Interim Chief Financial Officer of Cardima, Inc., pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934. |
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32.1 | | Certification furnished pursuant to Section 1350 of Chapter 63 of 18 U.S.C. as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
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32.2 | | Certification furnished pursuant to Section 1350 of Chapter 63 of 18 U.S.C. as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
| (1) | Incorporated by reference to Exhibits 10.1 through 10.6 to the Company’s Registration Statement on Form S-3 (File No. 333-108788) filed September 12, 2003. |
| (b) | Reports on Form 8-K filed during the third quarter of 2003: |
On July 2, 2003, we filed a report on Form 8-K to announce a reduction in workforce on June 30, 2003 by approximately 30%.
On July 8, 2003, we filed a report on Form 8-K, to announce the appointment of a new Interim Chief Financial Officer and Secretary.
On August 14, 2003, we furnished a report on Form 8-K, with an exhibit attached thereto, to announce financial results for the second quarter ended June 30, 2003.
On August 15, 2003, we filed a report on Form 8-K to disclose two closings of private placements on August 14, 2003 and August 15, 2003.
On August 25, 2003, we filed a report on Form 8-K to disclose the final closing of our August 2003 private placement.
On September 19, 2003, we filed a report on Form 8-K, to announce the Company met with the Medical Devices Bureau of the Health Products and Food Branch of Health Canada on September 16, 2003, in response to a Section 40 Letter (intention to suspend a medical device license) received on July 16th from the Devices Bureau.
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CARDIMA, INC.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
| | | | |
DATE: March 25, 2004 | | | | CARDIMA, INC. |
| | |
| | | | /s/ Gabriel B. Vegh |
| | | |
|
| | | | GABRIEL B. VEGH Chairman, Chief Executive Officer and Director |
| | |
| | | | /s/ Barry D. Michaels |
| | | |
|
| | | | BARRY D. MICHAELS Interim Chief Financial Officer and Secretary |
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