Pura Vida Investments 13F-HR Quarterly holdings report by institutional manager

The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE

OMB APPROVAL

OMB Number:		3235-0006
Expires:	Oct 31, 2018
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COLUMN 1	COLUMN 2	COLUMN 3	COLUMN 4	COLUMN 5			COLUMN 6	COLUMN 7	COLUMN 8
			VALUE	SHRS OR	SH/	PUT/	INVESTMENT	OTHER	VOTING AUTHORITY
NAME OF ISSUER	TITLE OF CLASS	CUSIP	(x$1000)	PRN AMT	PRN	CALL	DISCRETION	MANAGER	SOLE	SHARED	NONE
10X GENOMICS INC	CL A COM	88025U109	3,923	43,920	SH		SOLE		43,920	0	0
ABBOTT LABS	COM	002824100	222	920	SH	Put	SOLE		920	0	0
ABIOMED INC	COM	003654100	236	150	SH	Put	SOLE		150	0	0
ABM INDS INC	COM	000957100	4,763	131,200	SH		SOLE		131,200	0	0
ACCELERON PHARMA INC	COM	00434H108	1,944	20,400	SH		SOLE		20,400	0	0
ACHIEVE LIFE SCIENCE INC	COM NEW	004468203	529	1,333,333	SH		SOLE		1,333,333	0	0
ADAPTIVE BIOTECHNOLOGIES COR	COM	00650F109	3,227	66,700	SH		SOLE		66,700	0	0
ADURO BIOTECH INC	COM	00739L101	533	230,923	SH		SOLE		230,923	0	0
ALEXION PHARMACEUTICALS INC	COM	015351109	22,975	204,696	SH		SOLE		204,696	0	0
ALEXION PHARMACEUTICALS INC	COM	015351109	222	1,020	SH	Call	SOLE		1,020	0	0
ALEXION PHARMACEUTICALS INC	COM	015351109	110	1,020	SH	Call	SOLE		1,020	0	0
AMARIN CORP PLC	SPONS ADR NEW	023111206	1,773	256,248	SH		SOLE		256,248	0	0
AMICUS THERAPEUTICS INC	COM	03152W109	1,543	102,300	SH		SOLE		102,300	0	0
APELLIS PHARMACEUTICALS INC	COM	03753U106	3	90	SH		SOLE		90	0	0
APPLIED GENETIC TECHNOLOGIES	COM	03820J100	1,063	191,899	SH		SOLE		191,899	0	0
APYX MED CORP	COM	03837C106	4,579	825,117	SH		SOLE		825,117	0	0
ARDELYX INC	COM	039697107	2,744	396,541	SH		SOLE		396,541	0	0
ATRICURE INC	COM	04963C209	30,803	685,273	SH		SOLE		685,273	0	0
AVADEL PHARMACEUTICALS PLC	SPONSORED ADR	05337M104	4,547	562,800	SH		SOLE		562,800	0	0
BIOCRYST PHARMACEUTICALS INC	COM	09058V103	2,080	436,500	SH		SOLE		436,500	0	0
BIOXCEL THERAPEUTICS INC	COM	09075P105	1,087	20,500	SH		SOLE		20,500	0	0
BOSTON SCIENTIFIC CORP	COM	101137107	6,443	183,500	SH		SOLE		183,500	0	0
BRISTOL-MYERS SQUIBB CO	RIGHT 99/99/9999	110122157	1,653	461,622	SH		SOLE		461,622	0	0
BRISTOL-MYERS SQUIBB CO	COM	110122108	108	1,020	SH	Call	SOLE		1,020	0	0
BRISTOL-MYERS SQUIBB CO	COM	110122108	42	1,020	SH	Call	SOLE		1,020	0	0
BRISTOL-MYERS SQUIBB CO	COM	110122108	89	1,020	SH	Call	SOLE		1,020	0	0
CATABASIS PHARMACEUTICALS IN	COM NEW	14875P206	119	18,510	SH		SOLE		18,510	0	0
CATALYST PHARMACEUTICALS INC	COM	14888U101	3,648	789,603	SH		SOLE		789,603	0	0
CELLDEX THERAPEUTICS INC NEW	COM NEW	15117B202	3,251	250,100	SH		SOLE		250,100	0	0
CERUS CORP	COM	157085101	3,738	566,321	SH		SOLE		566,321	0	0
CHARDAN HEALTHCR ACQSTN 2 CO	UNIT 99/99/9999	15957T206	1,617	153,960	SH		SOLE		153,960	0	0
CONMED CORP	COM	207410101	7,912	109,900	SH		SOLE		109,900	0	0
CONSTELLATION PHARMCETICLS I	COM	210373106	1,229	40,900	SH		SOLE		40,900	0	0
COOPER COS INC	COM NEW	216648402	312	175	SH	Put	SOLE		175	0	0
CORBUS PHARMACEUTICALS HLDGS	COM	21833P103	704	1,739	SH	Call	SOLE		1,739	0	0
CYTOKINETICS INC	NOTE 4.000%11/1	23282WAA8	5,963	2,500,000	PRN		SOLE		2,500,000	0	0
DERMTECH INC	COM	24984K105	6,233	471,143	SH		SOLE		471,143	0	0
DEXCOM INC	COM	252131107	9,925	24,483	SH		SOLE		24,483	0	0
EDWARDS LIFESCIENCES CORP	COM	28176E108	52	410	SH	Put	SOLE		410	0	0
EDWARDS LIFESCIENCES CORP	COM	28176E108	70	260	SH	Put	SOLE		260	0	0
ESTABLISHMENT LABS HLDGS INC	COM	G31249108	17,652	944,958	SH		SOLE		944,958	0	0
EVOLUS INC	COM	30052C107	29	1,310	SH	Call	SOLE		1,310	0	0
EVOLUS INC	COM	30052C107	23	819	SH	Put	SOLE		819	0	0
FIRST TR EXCHANGE TRADED FD	HLTH CARE ALPH	33734X143	94	1,020	SH	Put	SOLE		1,020	0	0
FIVE PRIME THERAPEUTICS INC	COM	33830X104	68	11,100	SH		SOLE		11,100	0	0
FLEXION THERAPEUTICS INC	COM	33938J106	1,615	122,800	SH		SOLE		122,800	0	0
FLUIDIGM CORP DEL	COM	34385P108	3,386	844,300	SH		SOLE		844,300	0	0
GENETRON HLDGS LTD	ADS	37186H100	2,617	216,800	SH		SOLE		216,800	0	0
GOSSAMER BIO INC	NOTE 5.000% 6/0	38341PAA0	506	500,000	PRN		SOLE		500,000	0	0
GREENLANE HLDGS INC	CL A	395330103	1,611	404,679	SH		SOLE		404,679	0	0
GUARDANT HEALTH INC	COM	40131M109	5,103	62,900	SH		SOLE		62,900	0	0
ICU MED INC	COM	44930G107	24,744	134,251	SH		SOLE		134,251	0	0
ICU MED INC	COM	44930G107	159	200	SH	Call	SOLE		200	0	0
ICU MED INC	COM	44930G107	118	100	SH	Call	SOLE		100	0	0
IMMUNOMEDICS INC	COM	452907108	5,155	145,445	SH		SOLE		145,445	0	0
IMMUNOMEDICS INC	COM	452907108	176	1,020	SH	Call	SOLE		1,020	0	0
IMMUNOVANT INC	COM	45258J102	6,594	270,806	SH		SOLE		270,806	0	0
INARI MED INC	COM	45332Y109	2,767	57,125	SH		SOLE		57,125	0	0
INCYTE CORP	COM	45337C102	31	510	SH	Call	SOLE		510	0	0
INOVALON HLDGS INC	COM CL A	45781D101	20,169	1,047,216	SH		SOLE		1,047,216	0	0
INOVALON HLDGS INC	COM CL A	45781D101	200	1,540	SH	Call	SOLE		1,540	0	0
INOVALON HLDGS INC	COM CL A	45781D101	547	2,026	SH	Call	SOLE		2,026	0	0
INOVIO PHARMACEUTICALS INC	COM NEW	45773H201	46	400	SH	Call	SOLE		400	0	0
INSPIRE MED SYS INC	COM	457730109	29,327	337,016	SH		SOLE		337,016	0	0
INTERSECT ENT INC	COM	46071F103	13,870	1,024,374	SH		SOLE		1,024,374	0	0
INTERSECT ENT INC	COM	46071F103	140	1,020	SH	Call	SOLE		1,020	0	0
INVACARE CORP	COM	461203101	10,164	1,595,609	SH		SOLE		1,595,609	0	0
INVITAE CORP	COM	46185L103	4,268	140,900	SH		SOLE		140,900	0	0
INVITAE CORP	COM	46185L103	436	2,050	SH	Call	SOLE		2,050	0	0
IRHYTHM TECHNOLOGIES INC	COM	450056106	269	175	SH	Put	SOLE		175	0	0
ISHARES TR	RUSSELL 2000 ETF	464287655	136	1,280	SH	Put	SOLE		1,280	0	0
ISHARES TR	RUSSELL 2000 ETF	464287655	820	3,100	SH	Put	SOLE		3,100	0	0
ISHARES TR	RUSSELL 2000 ETF	464287655	382	1,790	SH	Put	SOLE		1,790	0	0
ISHARES TR	U.S. MED DVC ETF	464288810	297	660	SH	Put	SOLE		660	0	0
ISHARES TR	U.S. MED DVC ETF	464288810	323	1,220	SH	Put	SOLE		1,220	0	0
ITAMAR MED LTD	SPONSORED ADS	465437101	3,302	177,547	SH		SOLE		177,547	0	0
LEGEND BIOTECH CORP	SPONSORED ADS	52490G102	872	20,500	SH		SOLE		20,500	0	0
LHC GROUP INC	COM	50187A107	11,568	66,359	SH		SOLE		66,359	0	0
LIQUIDIA TECHNOLOGIES INC	COM	53635D202	1,263	150,000	SH		SOLE		150,000	0	0
LIVANOVA PLC	SHS	G5509L101	7,290	151,473	SH		SOLE		151,473	0	0
LIVANOVA PLC	SHS	G5509L101	69	1,020	SH	Call	SOLE		1,020	0	0
LYRA THERAPEUTICS INC	COM	55234L105	2,245	198,011	SH		SOLE		198,011	0	0
MASIMO CORP	COM	574795100	146	150	SH	Put	SOLE		150	0	0
MEDTRONIC PLC	SHS	G5960L103	185	635	SH	Put	SOLE		635	0	0
MERCK & CO. INC	COM	58933Y105	5,345	69,119	SH		SOLE		69,119	0	0
MERSANA THERAPEUTICS INC	COM	59045L106	2,993	127,900	SH		SOLE		127,900	0	0
MILLENDO THERAPEUTICS INC	COM	60040X103	3	1,280	SH	Call	SOLE		1,280	0	0
MISONIX INC	COM	604871103	4,934	363,586	SH		SOLE		363,586	0	0
MOMENTA PHARMACEUTICALS INC	COM	60877T100	4,974	149,514	SH		SOLE		149,514	0	0
MYOKARDIA INC	COM	62857M105	2,783	28,800	SH		SOLE		28,800	0	0
NANOSTRING TECHNOLOGIES INC	COM	63009R109	31,132	1,060,731	SH		SOLE		1,060,731	0	0
NANOSTRING TECHNOLOGIES INC	COM	63009R109	265	1,020	SH	Call	SOLE		1,020	0	0
NEVRO CORP	COM	64157F103	831	710	SH	Put	SOLE		710	0	0
NOVOCURE LTD	ORD SHS	G6674U108	15	554	SH	Call	SOLE		554	0	0
NUVASIVE INC	COM	670704105	206	375	SH	Put	SOLE		375	0	0
ONCOCYTE CORP	COM	68235C107	11,429	5,983,724	SH		SOLE		5,983,724	0	0
ORASURE TECHNOLOGIES INC	COM	68554V108	5,648	485,600	SH		SOLE		485,600	0	0
ORTHOPEDIATRICS CORP	COM	68752L100	7,532	172,113	SH		SOLE		172,113	0	0
OTONOMY INC	COM	68906L105	4,514	1,246,858	SH		SOLE		1,246,858	0	0
PERSONALIS INC	COM	71535D106	1,131	87,211	SH		SOLE		87,211	0	0
PROFOUND MED CORP	COM NEW	74319B502	9,716	573,556	SH		SOLE		573,556	0	0
QUOTIENT LTD	SHS	G73268107	9,401	1,270,434	SH		SOLE		1,270,434	0	0
R1 RCM INC	COM	749397105	9,654	865,844	SH		SOLE		865,844	0	0
REPRO MED SYS INC	COM	759910102	3,861	429,916	SH		SOLE		429,916	0	0
REVANCE THERAPEUTICS INC	COM	761330109	999	40,900	SH		SOLE		40,900	0	0
SAREPTA THERAPEUTICS INC	COM	803607100	2,726	510	SH	Call	SOLE		510	0	0
SAREPTA THERAPEUTICS INC	COM	803607100	937	1,324	SH	Put	SOLE		1,324	0	0
SATSUMA PHARMACEUTICALS INC	COM	80405P107	802	27,872	SH		SOLE		27,872	0	0
SAVARA INC	COM	805111101	868	348,768	SH		SOLE		348,768	0	0
SELECT SECTOR SPDR TR	SBI HEALTHCARE	81369Y209	271	2,810	SH	Put	SOLE		2,810	0	0
SELECT SECTOR SPDR TR	SBI HEALTHCARE	81369Y209	236	1,020	SH	Put	SOLE		1,020	0	0
SERES THERAPEUTICS INC	COM	81750R102	410	2,560	SH	Call	SOLE		2,560	0	0
SI BONE INC	COM	825704109	7,551	473,703	SH		SOLE		473,703	0	0
SIERRA ONCOLOGY INC	COM NEW	82640U404	229	18,940	SH		SOLE		18,940	0	0
SILK RD MED INC	COM	82710M100	4,981	118,900	SH		SOLE		118,900	0	0
SILVER SPIKE ACQUISITION COR	*W EXP 08/02/202	G8136L114	25	50,000	SH		SOLE		50,000	0	0
SPDR S&P 500 ETF TR	TR UNIT	78462F103	470	920	SH	Put	SOLE		920	0	0
SPDR S&P 500 ETF TR	TR UNIT	78462F103	486	1,200	SH	Put	SOLE		1,200	0	0
SPDR S&P 500 ETF TR	TR UNIT	78462F103	522	720	SH	Put	SOLE		720	0	0
SPDR SER TR	S&P BIOTECH	78464A870	740	2,040	SH	Put	SOLE		2,040	0	0
SPDR SER TR	S&P BIOTECH	78464A870	83	1,280	SH	Put	SOLE		1,280	0	0
STAAR SURGICAL CO	COM PAR $0.01	852312305	22,018	357,780	SH		SOLE		357,780	0	0
STABLE RD ACQUISITION CORP	UNIT 05/15/2026	85236Q208	748	74,070	SH		SOLE		74,070	0	0
STEREOTAXIS INC	COM NEW	85916J409	4,024	902,275	SH		SOLE		902,275	0	0
STRYKER CORPORATION	COM	863667101	1,369	1,530	SH	Put	SOLE		1,530	0	0
TG THERAPEUTICS INC	COM	88322Q108	2,754	141,364	SH		SOLE		141,364	0	0
TRILLIUM THERAPEUTICS INC	COM NEW	89620X506	799	98,787	SH		SOLE		98,787	0	0
TRIMAS CORP	COM NEW	896215209	3,185	133,000	SH		SOLE		133,000	0	0
TWIST BIOSCIENCE CORP	COM	90184D100	4,901	108,181	SH		SOLE		108,181	0	0
UNIQURE NV	SHS	N90064101	1,154	25,600	SH		SOLE		25,600	0	0
UNITEDHEALTH GROUP INC	COM	91324P102	184	260	SH	Put	SOLE		260	0	0
UNITEDHEALTH GROUP INC	COM	91324P102	356	310	SH	Put	SOLE		310	0	0
VEEVA SYS INC	CL A COM	922475108	75	610	SH	Put	SOLE		610	0	0
VERASTEM INC	COM	92337C104	862	501,384	SH		SOLE		501,384	0	0
VIEWRAY INC	COM	92672L107	15,328	6,842,954	SH		SOLE		6,842,954	0	0
ZIMMER BIOMET HOLDINGS INC	COM	98956P102	8,910	74,652	SH		SOLE		74,652	0	0
ZYMEWORKS INC	COM	98985W102	739	20,500	SH		SOLE		20,500	0	0
ZYNERBA PHARMACEUTICALS INC	COM	98986X109	6	2,393	SH	Call	SOLE		2,393	0	0