Unassociated Document
Registration
Statement No. 333-155299
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
AMENDMENT
NO. 4 TO FORM S-1/A
REGISTRATION
STATEMENT UNDER THE SECURITIES ACT OF 1933
BIODRAIN
MEDICAL, INC.
(Exact
name of registrant as specified in its charter)
Minnesota
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3842
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33-1007393
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(State
or other jurisdiction
of
incorporation or organization)
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(Primary
Standard Industrial
Classification
Code Number)
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(I.R.S.
Employer
Identification
No.)
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2060
Centre Pointe Boulevard, Suite 7
Mendota
Heights, Minnesota 55120
(651)
389-4800
(Address, Including Zip
Code and Telephone Number,
Including
Area Code, of Registrant’s Principal Executive Offices)
__________________________
Kevin
R. Davidson
Chief
Executive Officer
2060
Centre Pointe Boulevard, Suite 7
Mendota
Heights, Minnesota 55120
(651)
389-4800
(Name,
Address, Including Zip Code and Telephone Number,
Including
Area Code, of Agent for Service)
Copy
to:
Ryan
Hong, Esq.
RICHARDSON
& PATEL LLP
10900
Wilshire Boulevard, 5th Floor
Los
Angeles, California 90024
Telephone:
(310) 208-1182
Facsimile:
(310) 208-1154
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Approximate
date of proposed sale to the public: From time to time after the effective date
of this Registration Statement.
If any of
the securities being registered on this Form are to be offered on a delayed or
continuous basis pursuant to Rule 415 under the Securities Act of 1933 check the
following box. x
If this
Form is filed to register additional securities for an offering pursuant to Rule
462(b) under the Securities Act, please check the following box and list the
Securities Act registration statement number of the earlier effective
registration statement for the same offering. o
If this
Form is a post-effective amendment filed pursuant to Rule 462(c) under the
Securities Act, check the following box and list the Securities Act registration
statement number of the earlier effective registration statement for the same
offering. o
If this
Form is a post-effective amendment filed pursuant to Rule 462(d) under the
Securities Act, check the following box and list the Securities Act registration
statement number of the earlier effective registration statement for the same
offering. o
Indicate
by check mark whether the registrant is a large accelerated filer, an
accelerated filer, a non-accelerated filer, or a smaller reporting company. See
the definitions of “large accelerated filer,” “accelerated filer” and “smaller
reporting company” in Rule 12b2 of the Exchange Act.
Large
accelerated filer o
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Accelerated
filer o
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Non-accelerated
filer (Do not check if a smaller reporting company) o
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Smaller
reporting company x
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CALCULATION
OF REGISTRATION FEE
Title
of each class of
securities
to be registered
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Amount
to be
Registered
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Proposed
maximum
offering
price
per
share
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Proposed
maximum
aggregate
offering
price
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Amount
of
registration
fee
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Common
stock, $0.01 par value (1)
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7,101,266
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N/A
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$
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2,485,443
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$
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97.68
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Common
stock underlying warrants to purchase common stock (2)
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4,689,291
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$
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.46
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$
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2,157,074
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$
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84.77
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Common
stock underlying convertible debentures (1)
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620,095
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N/A
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$
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217,034
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$
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8.53
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Common
stock underlying warrants (3)
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620,095
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$
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.35
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$
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217,034
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$
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8.53
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TOTAL
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13,030,747
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N/A
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$
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5,076,585
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$
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199.51
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(1)
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Estimated
solely for the purpose of calculating the registration fee pursuant to
Rule 457(o) under the Securities Act of 1933, as amended. As a result,
only the title of class of securities to be registered, the proposed
maximum aggregate offering price and the amount of registration fee need
to appear in this Calculation of Registration Fee
table.
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(2)
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Calculated
in accordance with Rule 457 (g) under the Securities Act on the basis of
an exercise price of $.46 per share.
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(3)
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Calculated
in accordance with Rule 457 (g) under the Securities Act on the basis of
an exercise price of $.35 per
share.
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THE
REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR DATES AS
MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL FILE A
FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION STATEMENT
SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF THE
SECURITIES ACT OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME EFFECTIVE ON
SUCH DATE AS THE SECURITIES AND EXCHANGE COMMISSION, ACTING PURSUANT TO SECTION
8(A), MAY DETERMINE.
The
information in this prospectus is not complete and may be changed. We may not
sell these securities until the registration statement filed with the Securities
and Exchange Commission is effective. This prospectus is not an offer to sell
these securities and is not soliciting an offer to buy these securities in any
state where the offer or sale is not permitted.
Subject
to Completion, dated May 14, 2009
PRELIMINARY
PROSPECTUS
BioDrain
Medical, Inc.
13,030,747
Shares of Common Stock
$0.01 par
value
This prospectus covers the resale by
selling shareholders named on page 70 of up to 13,030,747 shares of common stock
which include:
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7,101,266
shares of common stock;
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5,309,386
shares of common stock underlying common stock purchase warrants, which
includes 4,689,291 and 620,095 shares of common stock underlying warrants
issued in conjunction with an October 2008 financing and bridge loans we
undertook in July 2007, respectively; and
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620,095
shares of common stock underlying the convertible
notes.
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There is no current trading market for
our securities and this offering is not being underwritten. These securities
will be offered for sale by the selling shareholders identified in this
prospectus in accordance with the methods and terms described in the section of
this prospectus titled “Plan of Distribution.” The selling shareholders will
sell the securities at $0.46 per share, until our shares are quoted on the OTC
Bulletin Board and thereafter at prevailing market prices or privately
negotiated prices. We intend to seek and obtain quotation of our common stock
for trading on the OTC Bulletin Board. We intend to cause a market maker to
submit an application for quotation to the OTC Bulletin Board before May 31,
2009. Newbridge Securities Corporation has agreed to submit an application to
the OTC Bulletin Board on our behalf.
AN INVESTMENT IN OUR COMMON STOCK
INVOLVES A HIGH DEGREE OF RISK. SEE “RISK FACTORS” BEGINNING AT PAGE 3. NEITHER
THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES COMMISSION HAS
APPROVED OR DISAPPROVED THESE SECURITIES OR PASSED UPON THE ADEQUACY OR ACCURACY
OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL
OFFENSE.
You should rely only on the information
contained in this prospectus to make your investment decision. We have not
authorized anyone to provide you with different information. This prospectus may
be used only where it is legal to sell these securities. You should not assume
that the information in this prospectus is accurate as of any date other than
the date on the front page of this prospectus.
The following table of contents has
been designed to help you find important information contained in this
prospectus. We encourage you to read the entire prospectus
carefully.
The
date of this prospectus is May 14, 2009
Table
of Contents
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Page
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Prospectus
Summary
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1 |
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Risk
Factors
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3 |
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Special
Note Regarding Forward-Looking Statements
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12 |
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Use
of Proceeds
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13 |
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Determination
of Offering Price
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13 |
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Market
Price of and Dividends on the Registrant’s Common Equity and Related
Stockholder Matters
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14 |
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Management’s
Discussion and Analysis of Financial Condition and Results of
Operations
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18 |
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Description
of Business
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31 |
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Legal
Proceedings
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52 |
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Description
of Property
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52 |
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Directors,
Executive Officers, Promoters and Control Persons
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53 |
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Executive
Compensation
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56 |
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Corporate
Governance
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63 |
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Certain
Relationships and Related Transactions
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64 |
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Selling
Security Holders
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64 |
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Plan
of Distribution
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68 |
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Security
Ownership of Certain Beneficial Owners and Management
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70 |
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Description
of Securities
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72 |
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Disclosure
of Commission Position on Indemnification for Securities Act
Liabilities
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75 |
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Where
You Can Find More Information
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78 |
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Experts
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79 |
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Legal
Matters and Interests of Named Experts
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79 |
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Financial
Information
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80 |
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Exhibits
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II-8
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Signatures
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II-14
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Neither
we nor the selling shareholders have authorized anyone to provide you with
information different from that contained in this prospectus. These securities
may be sold only in jurisdictions where offers and sales are permitted. The
information contained in this prospectus is accurate only as of the effective
date of this offering, regardless of the time of delivery of this prospectus or
of any sale of the securities. You must not consider that the delivery of this
prospectus or any sale of the securities covered by this prospectus implies that
there has been no change in our affairs since the effective date of this
offering or that the information contained in this prospectus is current or
complete as of any time after the effective date of this offering.
Neither
we nor the selling shareholders are making an offer to sell the securities in
any jurisdiction where the offer or sale is not permitted. No action is being
taken in any jurisdiction outside the United States to permit a public offering
of our securities or the possession or distribution of this prospectus in any
such jurisdiction. Persons who come into possession of this prospectus in
jurisdictions outside of the United States are required to inform themselves
about and to observe any restrictions as to this offering and the distribution
of this prospectus applicable in that jurisdiction.
Prospectus
Summary
This
summary highlights material information contained elsewhere in this prospectus.
It is not complete and does not contain all of the information that you should
consider before investing in our common stock. You should read the entire
prospectus carefully, including the section titled “Risk Factors” and
our financial statements and the related notes. In this prospectus,
we refer to BioDrain Medical, Inc. as “BioDrain,” “our company,” “we,” “us” and
“our.”
Our
Company
BioDrain
is an early-stage company developing a patented medical device designed to
provide medical facilities with effective, efficient and affordable means to
safely dispose of potentially contaminated fluids generated in the operating
room and other similar medical locations in a manner that protects hospital
workers from exposure to such fluids, reduces costs to the hospital, and is
environmentally conscientious. We recently filed a 510(k) submission with the
U.S. Food and Drug Administration (the “FDA”) with respect to our products, the
fluid management system (“FMS”) and related products, but have not yet requested
or received FDA regulatory clearance to market or sell our
products.
BioDrain
was incorporated in Minnesota on April 23, 2002. We are the registered owner of
a U.S. and European patent for our current FMS. We plan to distribute our
products to medical facilities where bodily and irrigation fluids produced
during surgical procedures must be contained, measured, documented and disposed
of with minimal exposure potential to the healthcare workers who handle them.
Our goal is to create products that dramatically decrease staff exposure without
significant changes to established operative procedures, historically a major
stumbling block to innovation and product introduction. In addition to
simplifying the handling of these fluids, our technologies will provide cost
savings to facilities over the aggregate costs incurred today using their
current methods of collection, neutralization and disposal. Initially, our
products will be sold through independent distributors and manufacturers
representatives in the United States and Europe.
Risks
Related to Our Business
Our
business is subject to a number of risks, which you should be aware of before
making an investment decision. These risks are discussed more fully in the
section of this prospectus titled “Risk Factors.”
The
Offering
The
shares issued and outstanding as of April 30, 2009 consist of 8,955,841 shares
of common stock and do not include:
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6,569,606
shares of common stock issuable upon the exercise of warrants having a
range of exercise prices from $.02 to $1.67 per share (consisting of
5,309,386 shares of common stock underlying the warrants we are
registering pursuant to this registration statement and 1,260,220 shares
of common stock reserved for issuance upon the exercise of outstanding
warrants granted to certain investors and consultants.
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outstanding
options to purchase 1,391,174 shares of our common
stock;
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975,405
shares of common stock reserved for issuance under our 2008 Equity
Incentive Plan;
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620,095
shares of common stock issuable in conjunction with a bridge loan we
undertook in July 2007; and
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297,142
shares subject to issuance upon conversion of certain
notes.
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We are
registering 13,030,747 shares for sale by the selling shareholders identified in
the section of this prospectus titled “Selling Security Holders.” The shares
included in the table identifying the selling shareholders consist
of:
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7,101,266
shares of common stock;
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5,309,386
shares of common stock underlying common stock purchase warrants, which
includes 620,095 shares of common stock underlying warrants issued in
conjunction with a bridge loan we undertook in July 2007;
and
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620,095
shares of common stock underlying the convertible
notes.
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After
this offering, assuming the exercise of all warrants and options and conversion
of convertible debt, including underlying shares which are covered by this
prospectus, we would have 17,833,858 shares of common stock outstanding, which
does not include the 975,405 shares of common stock reserved for issuance under
our 2008 Equity Incentive Plan.
BioDrain
Medical, Inc. will not receive any of the proceeds from the sale of these
shares. However, we may receive up to $2,374,107 upon the exercise of warrants.
If some or all of the warrants are exercised, the money we receive will be used
for general corporate purposes, including working capital requirements. We will
pay all expenses incurred in connection with the offering described in this
prospectus, with the exception of the brokerage expenses, fees, discounts and
commissions which will all be paid by the selling shareholders. Information
regarding our common stock, warrants and convertible notes is included in the
section of this prospectus entitled “Description of Securities.”
Corporate
Information
Our
corporate offices are located at 2060 Centre Pointe Boulevard, Suite 7, Mendota
Heights, Minnesota 55120. Our telephone number is (651) 389-4800 and our website
address is www.biodrainmedical.com.
Information contained on our website shall not be deemed to be part of this
prospectus.
Reverse
Stock Split
On June
6, 2008, our board of directors approved a 1-for-1.2545 reverse stock split of
our common stock, which resulted in the authorized number of our common stock of
20,000,000 to be proportionately divided by 1.2545 to 15,942,607. Pursuant to
Section 302A.402 of the Minnesota Business Corporations Act, since the reverse
stock split did not adversely affect the rights or preferences of the holders of
our outstanding common stock and did not result in the percentage of authorized
shares of any class or series of our stock that remains unissued after the
reverse stock split exceeding the percentage of authorized shares of that class
or series that were unissued before the reverse stock split, no shareholder
approval was required.
On
October 20, 2008, our board of directors approved a subsequent 1-for-1.33176963
reverse stock split. As a result, the authorized number of our common stock of
15,942,607 was proportionately divided by 1.33177 to 11,970,994. On October 20,
2008, our board of directors also approved a resolution to increase the number
of authorized shares of our common stock from 11,970,994 to 40,000,000 and such
action was approved by the Company’s shareholders holding a majority of the
shares entitled to vote thereon at a special meeting of shareholders held on
December 3, 2008.
Unless
otherwise indicated, all discussions included in this prospectus relating to the
outstanding shares of our common stock, including common stock to be issued upon
exercise of outstanding warrants, refer to post-second reverse stock split
shares.
You
should carefully consider the risks described below before making an investment
decision. Our business could be harmed by any of these risks. The trading price
of our common stock could decline due to any of these risks, and you may lose
all or part of your investment. In assessing these risks, you should also refer
to the other information contained in this prospectus, including our financial
statements and related notes.
Risks
Related to Our Business
Our
limited operating history makes evaluation of our business
difficult.
We were
formed on April 23, 2002 and to date have not generated any revenue. Our ability
to implement a successful business plan remains unproven and no assurance can be
given that we will ever generate sufficient revenues to sustain our business. We
have a limited operating history which makes it difficult to evaluate our
performance. You must consider our prospects in light of these risks, expenses,
technical obstacles, difficulties, market penetration rate and delays frequently
encountered in connection with the development of new businesses. These factors
include uncertainty whether we will be able to:
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Raise
capital;
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Develop
and implement our business plan in a timely and effective
manner;
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Be
successful in uncertain markets;
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Respond
effectively to competitive pressures;
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Successfully
address intellectual property issues of others;
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Protect
and expand our intellectual property rights; and
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Continue
to develop and upgrade our
products.
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Because
we are a development stage company and not profitable and expect to incur
additional losses, we will require additional financing to sustain our
operation. Our Independent Public Accounting firm has indicated in their audit
opinion, contained in our Financial Statements, that they have serious doubt
about our ability to remain a going concern.
We
incurred a net loss of approximately $1,763,000 and $752,000, respectively, for
the fiscal years ended December 31, 2008 and 2007, respectively. We have never
earned a profit and we anticipate that we will continue to incur losses for at
least the next 12 months. We continue to operate on a negative cash flow basis.
We have not yet generated revenues and are still developing our planned
principal operations. We believe that we will need to raise at least an
aggregate of $3 million from future offerings in order to have sufficient
financial resources to fund our operations for the next 12 months because we are
running a cash flow deficit.
Although
we will not receive any proceeds from the sale of the shares offered in this
offering, we may receive up to $2,374,107 upon exercise of warrants, the
underlying shares of which are included in the registration statement of which
this prospectus is a part. If received, such funds will be used for general
corporate purposes, including working capital requirements. However,
shareholders are not obligated, and we are not currently depending on any
exercising of the warrants. Accordingly, we will rely on pursuing alternative
sources to obtain the entire amount of funding needed to fund our operations for
the next 12 months. We may need additional funds to continue our operations, and
such additional funds may not be available when required at attractive prices or
at all. If we are unable to obtain additional funds at reasonable rates or at
all we will be required to substantially curtail our operations and could cease
to exist in our current form. Our Independent Public Accounting firm
has indicated in their audit opinion, contained in our Financial Statements,
that they have serious doubt about our ability to remain a going
concern.
To date,
we have financed our operations through the sale of stock and certain
borrowings. From 2002 to 2006 we received approximately $110,000 in debt
financing of which approximately $38,000 remains outstanding as of the date of
this prospectus and approximately $1,692,200 in equity financing. In March 2007
we obtained a $100,000 convertible note from two private investors. In July 2007
we arranged a convertible bridge loan of $170,000 from seven private investors.
By October 30, 2008, we closed a private placement financing of our common stock
and warrants, through which we raised approximately $1.594 million to date with
net proceeds of approximately $1.238 million. Approximately $331,000 will be
allocated to outstanding legal fees ($75,000), finder fees ($86,000), and
investor relations fees ($170,000 over the next two years).
We expect
to continue to depend upon outside financing to sustain our operations for at
least the next 12 months. Our ability to arrange financing from third parties
will depend upon our performance and market conditions. Our inability to raise
additional working capital at all or to raise it in a timely manner would
negatively impact our ability to fund our operations, to generate revenues, and
to otherwise execute our business plan, leading to the reduction or suspension
of our operations and ultimately forcing us to go out of business. Should this
occur, the value of any investment in our securities could be adversely
affected, and an investor could lose a portion of or even lose their entire
investment.
Although
we have been able to fund our current working capital requirements, principally
through debt and equity financing, there is no assurance that we will be able to
do so in the future.
We
are an early-stage company with a limited operating history of no
revenues.
Since our
formation in 2002, we have engaged in the formulation of a business strategy and
the design and development of technologically advanced products. We have not
generated any revenues to date. Our ability to implement a successful business
plan remains unproven and no assurance can be given that we will ever generate
sufficient revenues to sustain our business.
Our
business is dependent upon proprietary intellectual property rights, which if we
were unable to protect, could have a material adverse effect on our
business.
We
currently own and may in the future own or license additional patent rights or
trade secrets in the U.S., Europe, Asia, Canada and elsewhere in the world that
cover certain of our products. We rely on patent laws, and other intellectual
property laws, nondisclosure and other contractual provisions and technical
measures to protect our products and intangible assets. These intellectual
property rights are important to our ongoing operations and no assurance can be
given that any measure we implement will be sufficient to protect our
intellectual property rights. We may lose the protection afforded by these
rights through patent expirations, legal challenges or governmental action. If
we cannot protect our rights, we may lose our competitive advantage or our
competitive advantage could be lost if these patents were found to be invalid in
the jurisdictions in which we sell or plan to sell our products. The loss of our
intellectual property rights could have a material adverse effect on our
business.
If
we become subject to intellectual property actions, this could hinder our
ability to deliver our products and services and our business could be
negatively impacted.
We may be
subject to legal or regulatory actions alleging intellectual property
infringement or similar claims against us. Companies may apply for or be awarded
patents or have other intellectual property rights covering aspects of our
technologies or businesses. Moreover, if it is determined that our products
infringe on the intellectual property rights of third parties, we may be
prevented from marketing our products. While we are currently not subject to any
material intellectual property litigation, any future litigation alleging
intellectual property infringement could be costly, particularly in light of our
limited resources. Similarly, if we determine that third parties are infringing
on our patents or other intellectual property rights, our limited resources may
prevent us from litigating or otherwise taking actions to enforce our rights.
Any such litigation or inability to enforce our rights could require us to
change our business practices, could potentially hinder or prevent our ability
to deliver our products and services, and could result in a negative impact to
our business. Expansion of our business via product line enhancements or new
product lines to drive increased growth in current or new markets may be
inhibited by the intellectual property rights of our competitors and/or
suppliers. Our inability to successfully mitigate those factors may
significantly reduce our market opportunity and subsequent growth.
Our
business would be materially and adversely affected if we were obligated to pay
royalties under a competing patent purchase agreement.
Our
revenues would be adversely affected if our intellectual property were found to
infringe the intellectual property rights of others. Two individuals, Jay D.
Nord and Jeffrey K. Drogue, filed a provisional patent application disclosing a
particular embodiment for a medical waste fluid collection system (the
“Nord/Drogue Embodiment”). We engaged the services of Marshall C. Ryan to
further develop the medical waste fluid collection system for commercialization.
Mr. Ryan conceived of an alternative embodiment for the medical waste fluid
collection system (the “Ryan Embodiment”). An international (PCT) patent
application was subsequently filed claiming priority to the earlier filed
provisional application of Nord and Drogue and disclosing and claiming both the
Nord/Drogue Embodiment and the Ryan Embodiment. The national stage applications
were filed in the U.S., Europe and Canada based on the PCT application. During
the national stage prosecutions, the European and U.S. patent offices each
rejected the patent claims covering the Nord/Drogue Embodiment as being
un-patentable over the prior art. The Canadian patent office has not yet
examined the Canadian national stage application. The claims were amended in
both the U.S. and European applications to claim only the subject matter of the
Ryan Embodiment and Mr. Ryan was added as a named inventor. As required under
U.S. law, we removed Nord and Drogue as named inventors from the U.S.
application because they were no longer inventors to the subject matter of the
remaining patent claims. A U.S. patent was granted to us on December 30, 2008
(U.S. Patent No. 7,469,727). A European patent was granted to us on April 4,
2007 (Patent No. EP1539580) (collectively, “the Patents”).
We
entered into a patent purchase agreement in September 2002 with Nord and Drogue
prior to engaging Mr. Ryan. Under the patent purchase agreement, certain
royalties were to be paid to Nord and Drogue upon issuance of a U.S. patent.
However, upon learning that the Nord/Drogue Embodiment was un-patentable, we
notified Mr. Nord that the patent purchase agreement we had entered into with
Nord and Drogue was no longer valid. Nord and Drogue could pursue legal action
against us purportedly for breach of contract and may sue for damages and
ownership interest in the patents. Although our management believes that we
would prevail in such lawsuit, there is no assurance that we would. We believe
that Nord and Drogue have no valid claims of inventorship or ownership of the
Patents. Even if Mr. Nord or Mr. Drogue were to assert such a claim, we believe
that, independent of our dealings with them, we obtained rights to the Patents
from Mr. Ryan, who even if found not to be the sole inventor of the subject
matter of the claims of the Patents, is at least a joint inventor. As a joint
inventor, Mr. Ryan would have co-ownership of the Patents and would have the
power to transfer to us his undivided co-ownership interest in the
Patents.
We
face significant competition, including competition from companies with
considerably greater resources than ours, and if we are unable to compete
effectively with these companies, our market share may decline and our business
could be harmed.
Our
industry is highly competitive with numerous competitors ranging from
well-established manufacturers to innovative start-ups. A number of our
competitors have significantly greater financial, technological, engineering,
manufacturing, marketing and distribution resources than we do. Their greater
capabilities in these areas may enable them to compete more effectively on the
basis of price and production and more quickly develop new products and
technologies.
We
estimate that the total market for surgical suction canisters is approximately
$100 million and has a compound annual growth rate of 5%. We estimate the total
cost of using surgical canisters is a multiple of $100 million because this
amount does not include the labor to handle the canisters, disposal costs and
solidifying compounds commonly used to minimize exposure to health care
workers. Cardinal Health, Inc., a $90 billion plus medical
manufacturer and distributor, is a leading competitor. Another one of
our competitors is Stryker Instruments, a wholly-owned subsidiary of Stryker
Corporation, which is a publicly-traded company with revenues of approximately
$5 billion, and has a leading position in this market. Cardinal
Health, Inc. has recently begun advertising a powered device similar to that
which Stryker currently markets. Both of these competitors are better
capitalized than we are.
Although
the BioDrain Streamway™ FMS is directly connected to the sanitary sewer helping
to reduce potential exposure to infectious fluids, it is possible that
installation of the system will cause inconvenience and lost productivity as the
operating rooms in which they are installed will need to be temporarily shut
down. In addition, remodel work may be necessary in preparation for, or as a
result of, an installation. In some cases, the costs to rework plumbing lines to
accommodate for our system may outweigh the expected savings and/or lengthen the
expected return on investment time.
Companies
with significantly greater resources than ours may be able to reverse engineer
our products and/or circumvent our intellectual property position. Such action,
should it prove successful, would greatly reduce our competitive advantage in
the marketplace.
We
believe that our ability to compete successfully depends on a number of factors,
including our innovative and advanced research and development capabilities,
strength of our intellectual property rights, sales and distribution channels
and advanced manufacturing capabilities. We plan to employ these and other
elements as we develop our products and technologies, but there are many other
factors beyond our control. We may not be able to compete successfully in the
future, and increased competition may result in price reductions, reduced profit
margins, loss of market share and an inability to generate cash flows that are
sufficient to maintain or expand our development and marketing of new products,
which could adversely impact the trading price of our common
shares.
Our
products require FDA clearance and our business will be subject to intense
governmental regulation and scrutiny, both in the U.S. and abroad.
In March
2009 we filed a 510(k) submission with the U.S. Food and Drug Administration
(the “FDA”) with respect to a product classification as a Class II non-exempt
device. We cannot generate revenues from our product in the
surgical operating room without FDA clearance. We received written
confirmation of final FDA clearance on April 1, 2009.
The
potential production and marketing of some of our products and our ongoing
research and development, any pre-clinical testing and clinical trial activities
are subject to extensive regulation and review by FDA and other governmental
authorities both in the United States and abroad. In addition to testing and
approval procedures, extensive regulations also govern marketing, manufacturing,
distribution, labeling, and record keeping. If we do not comply with applicable
regulatory requirements, violations could result in warning letters,
non-approvals, suspensions of regulatory approvals, civil penalties and criminal
fines, product seizures and recalls, operating restrictions, injunctions, and
criminal prosecution.
Periodically,
legislative or regulatory proposals are introduced that could alter the review
and approval process relating to medical products. It is possible that the FDA
will issue additional regulations further restricting the sale of our present or
proposed products. Any change in legislation or regulations that govern the
review and approval process relating to our current and future products could
make it more difficult and costly to obtain approval for new products, or to
produce, market, and distribute existing products.
Our
product may never be commercially viable or producible to satisfy
demand.
The
BioDrain FMS is currently a fourth-generation prototype. We have engaged a
contract manufacturing entity and we have finalized the product design. These
improvements are expected to make the product attractive to the target market;
however, other unknown or unforeseen market requirements may appear. There is no
assurance that such a product can be produced in sufficient volume to satisfy
projected sales volumes.
If
our product is not accepted by our potential customers, it is unlikely that we
will ever become profitable.
The
medical industry has historically used a variety of technologies for fluid waste
management. Compared to these conventional technologies, our technology is
relatively new, and the number of companies using our technology is limited. The
commercial success of our product will depend upon the widespread adoption of
our technology as a preferred method by hospitals and surgical centers. In order
to be successful, our product must meet the technical and cost requirements for
these facilities. Market acceptance will depend on many factors,
including:
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the
willingness and ability of customers to adopt new
technologies;
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our
ability to convince prospective strategic partners and customers that our
technology is an attractive alternative to conventional methods used by
the medical industry;
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our
ability to select and execute agreements with effective distributors and
manufacturers representatives to market and sell our product;
and
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our
ability to assure customer use of the BioDrain proprietary cleaning
fluid.
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Because
of these and other factors, our product may not gain market acceptance or become
the industry standard for the health care industry. The failure of such
companies to purchase our products would have a material adverse effect on our
business, results of operations and financial condition.
We
are dependent for our success on a few key executive officers. Our inability to
retain those officers would impede our business plan and growth strategies,
which would have a negative impact on our business and the value of an
investment.
Our
success depends on the skills, experience and performance of key members of our
management team. We are heavily dependent on the continued services of Lawrence
Gadbaw; our Chairman, Kevin Davidson; our Chief Executive Officer and Interim
Chief Financial Officer, Kirsten Doerfert; our Vice President of Sales and
Marketing, and Chad Ruwe; and our Executive Vice President of Operations. We
have entered into employment or consulting agreements with all members of our
senior management team and we plan to expand the relatively small number of
executives. Were we to lose one or more of these key individuals, we would be
forced to expend significant time and money in the pursuit of a replacement,
which could result in both a delay in the implementation of our business plan
and the diversion of limited working capital. We can give you no assurance that
we can find satisfactory replacements for these key individuals at all, or on
terms that are not unduly expensive or burdensome to our company. Although we
intend to issue stock options or other equity-based compensation to attract and
retain employees, such incentives may not be sufficient to attract and retain
key personnel.
We
are dependent for our success on our ability to attract and retain technical
personnel, sales and marketing personnel and other skilled
management.
Our
success depends to a significant degree upon our ability to attract, retain and
motivate highly skilled and qualified personnel. Failure to attract and retain
necessary technical, sales and marketing personnel and skilled management could
adversely affect our business. If we fail to attract, train and retain
sufficient numbers of these highly qualified people, our prospects, business,
financial condition and results of operations will be materially and adversely
affected.
The
relative lack of public company experience of our management team may put us at
a competitive disadvantage.
Our
management team has limited public company experience, which could impair our
ability to comply with legal and regulatory requirements such as those imposed
by the Sarbanes-Oxley Act of 2002. The individuals who now constitute our senior
management have had limited responsibility for managing a publicly traded
company. Such responsibilities include complying with federal securities laws
and making required disclosures on a timely basis. Our senior management may not
be able to implement and effect programs and policies in an effective and timely
manner that adequately respond to such increased legal, regulatory compliance
and reporting requirements. Our failure to do so could lead to the imposition of
fines and penalties and result in the deterioration of our
business.
New
rules, including those contained in and issued under the Sarbanes-Oxley Act of
2002, may make it difficult for us to retain or attract qualified officers and
directors, which could adversely affect the management of our business and our
ability to obtain or retain listing of our common stock.
We may be
unable to attract and retain qualified officers, directors and members of board
committees required to provide for our effective management as a result of the
recent and currently proposed changes in the rules and regulations which govern
publicly held companies, including, but not limited to, certifications from
executive officers and requirements for financial experts on the board of
directors. The perceived increased personal risk associated with these recent
changes may deter qualified individuals from accepting these roles. The
enactment of the Sarbanes-Oxley Act of 2002 has resulted in the issuance of a
series of new rules and regulations and the strengthening of existing rules and
regulations by the Securities and Exchange Commission (the “SEC”). Further,
certain of these recent and proposed changes heighten the requirements for board
or committee membership, particularly with respect to an individual’s
independence from the Company and level of experience in finance and accounting
matters. We may have difficulty attracting and retaining directors with the
requisite qualifications. If we are unable to attract and retain qualified
officers and directors, the management of our business could be adversely
affected.
Our
internal controls over financial reporting may not be effective, and our
independent auditors may not be able to certify as to their effectiveness, which
could have a significant and adverse effect on our business.
If we
become a publicly traded company, as intended, we will be subject to various
regulatory requirements, including the Sarbanes-Oxley Act of 2002. We, like
other public companies, would then incur additional expenses and, to a lesser
extent, diversion of our management’s time, in our efforts to comply with
Section 404 of the Sarbanes-Oxley Act of 2002 regarding internal controls over
financial reporting.
Since we
are a small developing company with a small management team, we have not yet
evaluated our internal controls over financial reporting in order to allow
management to report on, and our independent auditors to attest to, our internal
controls over financial reporting, as required by Section 404 of the
Sarbanes-Oxley Act of 2002 and the rules and regulations of the SEC, which we
collectively refer to as “Section 404”. We will be required to include our
Section 404 management’s assessment of internal control over financial reporting
beginning with our first annual report filed after we become publicly
registered, and pursuant to recent SEC rules, we will be required to include our
independent auditor’s attestation on management’s report on internal control
over financial reporting beginning with our first annual report for the fiscal
year ending on or after December 15, 2009.
We intend
to comply with the Section 404, Management Assessment of Internal
Control over Financial Reporting, beginning with our first annual report
filed after we become publicly registered. However, our lack of familiarity with
Section 404 may unduly divert management’s time and resources in executing our
business plan. If, in the future, management identifies one or more material
weaknesses, or our external auditors are unable to attest that our management’s
report is fairly stated or to express an opinion on the effectiveness of our
internal controls, this could result in a loss of investor confidence in our
financial reports, have an adverse effect on our stock price and/or subject us
to sanctions or investigation by regulatory authorities.
Risks
Related to Our Securities
There
is currently no public trading market for our common stock and we cannot assure
you that an active public trading market for our common stock will develop or be
sustained. Even if a market develops, you may be unable to sell at or near ask
prices or at all if you need to sell your shares to raise money or otherwise
desire to liquidate your shares.
There is
currently no public trading market for our common stock and no such market may
ever develop. While we intend to seek and obtain quotation of our common stock
for trading on the OTC Bulletin Board (“OTCBB”) during the second quarter of
2009, there is no assurance that our application will be approved. An
application for quotation on the OTC Bulletin Board must be submitted by one or
more market makers who agree to sponsor the security and who demonstrate
compliance with SEC Rule 15(c)2-11 before initiating a quote in a security on
the OTC Bulletin Board. In order for a security to be eligible for quotation by
a market maker on the OTC Bulletin Board, the security must be registered with
the SEC and the company must be current in its required filings with the SEC.
There are no listing requirements for the OTC Bulletin Board and accordingly no
financial or minimum bid price requirements. We intend to cause a market maker
to submit an application for quotation to the OTC Bulletin Board before June 30,
2009. Newbridge Securities Corporation has agreed to submit an application to
the OTC Bulletin Board on our behalf.
Even if
our application for quotation is approved, the number of institutions or persons
interested in purchasing our common stock at or near ask prices at any given
time may be relatively small or nonexistent. This situation may be attributable
to a number of factors, including the fact that we are a small company that is
relatively unknown to stock analysts, stock brokers, institutional investors and
others in the investment community that generate or influence sales volume, and
that even if we came to the attention of such persons, they tend to be risk
averse and may be reluctant to follow a relatively unproven company such as ours
or purchase or recommend the purchase of our shares until such time as we became
more seasoned and viable. As a consequence, assuming that our common stock is
accepted for quotation, there may be periods of several days or more when
trading activity in our shares is minimal or non existent, as compared to a
seasoned issuer which has a large and steady volume of trading activity that
will generally support continuous sales without an adverse effect on share
price. We cannot assure you that an active public trading market for our common
stock will develop or be sustained.
Limitations
on director and officer liability and indemnification of our officers and
directors by us may discourage shareholders from bringing suit against a
director.
Our
articles of incorporation and bylaws provide, with certain exceptions as
permitted by governing state law, that a director or officer shall not be
personally liable to us or our shareholders for breach of fiduciary duty as a
director, except for acts or omissions which involve intentional misconduct,
fraud or knowing violation of law, or unlawful payments of dividends. These
provisions may discourage shareholders from bringing suit against a director for
breach of fiduciary duty and may reduce the likelihood of derivative litigation
brought by shareholders on our behalf against a director. In addition, our
articles of incorporation and bylaws may provide for mandatory indemnification
of directors and officers to the fullest extent permitted by governing state
law.
We
do not expect to pay dividends for the foreseeable future, and we may never pay
dividends.
We
currently intend to retain any future earnings to support the development and
expansion of our business and do not anticipate paying cash dividends in the
foreseeable future. Our payment of any future dividends will be at the
discretion of our board of directors after taking into account various factors,
including but not limited to, our financial condition, operating results, cash
needs, growth plans and the terms of any credit agreements that we may be a
party to at the time. In addition, our ability to pay dividends on our common
stock may be limited by state law. Accordingly, investors must rely on sales of
their common stock after price appreciation, which may never occur, as the only
way to realize their investment.
If
our common stock is accepted for quotation on the OTC Bulletin Board it may be
thinly traded, so you may be unable to sell at or near ask prices or at all if
you need to sell your shares to raise money or otherwise desire to liquidate
your shares.
If our
common stock is accepted for quotation on the OTC Bulletin Board, it may be
thinly traded on the OTC Bulletin Board, meaning there has been a low volume of
buyers and sellers of the shares. Through this registration statement, we are
going public without the typical initial public offering procedures which
usually include a large selling group of broker-dealers who may provide market
support after going public. Thus, we will be required to undertake efforts to
develop market recognition for us and support for our shares of common stock in
the public market. The price and volume for our common stock that will develop
cannot be assured. The number of institutions or persons interested in
purchasing our common stock at or near ask prices at any given time may be
relatively small or non-existent. This situation may be attributable to a number
of factors, including the fact that we are a small company which is relatively
unknown to stock analysts, stock brokers, institutional investors and others in
the investment community that generate or influence sales volume, and that even
if we came to the attention of such persons, they tend to be risk-averse and
would be reluctant to follow an unproven company such as ours or purchase or
recommend the purchase of our shares until such time as we became more seasoned
and viable. As a consequence, there may be periods of several days, weeks or
months when trading activity in our shares is minimal or non-existent, as
compared to a seasoned issuer which has a large and steady volume of trading
activity that will generally support continuous sales without an adverse effect
on share price.
We cannot
give you any assurance that a broader or more active public trading market for
our common stock will develop or be sustained. In addition to trading on the OTC
Bulletin Board, our ultimate intention is to apply for trading on either the
Nasdaq Capital Market or the NYSE Alternext U.S. LLC (formerly American Stock
Exchange) at such time that we meet the requirements for listing on those
exchanges. We currently do not meet the objective listing criteria for listing
on those exchanges and there can be no assurance as to when we will qualify for
either of these exchanges or that we will ever qualify for these
exchanges.
In order
for us to be eligible to trade on the Nasdaq Capital Market, we would need,
among other things, a bid price of $4, $5 million in stockholders’ equity, and
$15 million market value of publicly held shares. In order for us to be eligible
to trade on the NYSE Alternext U.S. LLC, which is a market for small and
mid-sized companies, we would need, among other things, at least $3 million
market value of public float, a minimum price of $3 and $4 million in
shareholders’ equity.
Currently,
our market capitalization, revenues and stockholders’ equity are insufficient to
qualify for these exchanges. We also do not have a sufficient number
of shareholders. We would also need to meet the corporate governance
and independent director and audit committee standards of Nasdaq and/or the NYSE
Alternext U.S. LLC. We do not satisfy such standards at this
time.
If our
common stock is accepted for quotation and begins trading on the OTC Bulletin
Board, the trading volume we develop may be limited by the fact that many major
institutional investment funds, including mutual funds, as well as individual
investors follow a policy of not investing in OTC Bulletin Board stocks and
certain major brokerage firms restrict their brokers from recommending OTC
Bulletin Board stocks because they are considered speculative, volatile and
thinly traded.
The
application of the “penny stock” rules to our common stock could limit the
trading and liquidity of the common stock, adversely affect the market price of
our common stock and increase your transaction costs to sell those
shares.
If our
common stock is accepted for quotation on the OTC Bulletin Board, as long as the
trading price of our common stock is below $5 per share, the open-market trading
of our common stock will be subject to the “penny stock” rules, unless we
otherwise qualify for an exemption from the “penny stock” definition. The “penny
stock” rules impose additional sales practice requirements on certain
broker-dealers who sell securities to persons other than established customers
and accredited investors (generally those with net assets in excess of
$1,000,000 or annual income exceeding $200,000 or $300,000 together with their
spouse). These regulations, if they apply, require the delivery, prior to any
transaction involving a penny stock, of a disclosure schedule explaining the
penny stock market and the associated risks. Under these regulations, certain
brokers who recommend such securities to persons other than established
customers or certain accredited investors must make a special written
suitability determination regarding such a purchaser and receive such
purchaser’s written agreement to a transaction prior to sale. These regulations
may have the effect of limiting the trading activity of our common stock,
reducing the liquidity of an investment in our common stock and increasing the
transaction costs for sales and purchases of our common stock as compared to
other securities.
The
OTC Bulletin Board is a quotation system, not an issuer listing service, market
or exchange. Therefore, buying and selling stock on the OTC Bulletin Board is
not as efficient as buying and selling stock through an exchange.
The OTC
Bulletin Board is a regulated quotation service that displays real-time quotes,
last sale prices and volume limitations in over-the-counter securities. Because
trades and quotations on the OTC Bulletin Board involve a manual process, the
market information for such securities cannot be guaranteed. In addition, quote
information, or even firm quotes, may not be available. The manual execution
process may delay order processing and intervening price fluctuations may result
in the failure of a limit order to execute or the execution of a market order at
a significantly different price. Execution of trades, execution reporting and
the delivery of legal trade confirmation may be delayed significantly.
Consequently, one may not be able to sell shares of our common stock at the
optimum trading prices.
When
fewer shares of a security are being traded on the OTC Bulletin Board,
volatility of prices may increase and price movement may outpace the ability to
deliver accurate quote information. Lower trading volumes in a security may
result in a lower likelihood of an individual’s orders being executed, and
current prices may differ significantly from the price one was quoted by the OTC
Bulletin Board at the time of the order entry.
Orders
for OTC Bulletin Board securities may be canceled or edited like orders for
other securities. All requests to change or cancel an order must be submitted
to, received and processed by the OTC Bulletin Board. Due to the manual order
processing involved in handling OTC Bulletin Board trades, order processing and
reporting may be delayed, and an individual may not be able to cancel or edit
his order. Consequently, one may not able to sell shares of common stock at the
optimum trading prices.
The
dealer’s spread (the difference between the bid and ask prices) may be large and
may result in substantial losses to the seller of securities on the OTC Bulletin
Board if the common stock or other security must be sold immediately. Further,
purchasers of securities may incur an immediate “paper” loss due to the price
spread. Moreover, dealers trading on the OTC Bulletin Board may not have a bid
price for securities bought and sold through the OTC Bulletin Board. Due to the
foregoing, demand for securities that are traded through the OTC Bulletin Board
may be decreased or eliminated.
Shares
eligible for future sale may adversely affect the market.
From time
to time, certain of our shareholders may be eligible to sell all or some of
their shares of common stock pursuant to Rule 144, promulgated under the
Securities Act of 1933, as amended, subject to certain limitations. In general,
pursuant to Rule 144 as in effect as of the date of this prospectus, a
shareholder (or shareholders whose shares are aggregated) who has satisfied the
applicable holding period and is not deemed to have been one of our affiliates
at the time of sale, or at any time during the three months preceding a sale,
may sell their shares of common stock. Any substantial sale, or cumulative
sales, of our common stock pursuant to Rule 144 or pursuant to any resale
prospectus may have a material adverse effect on the market price of our
securities.
We
expect volatility in the price of our common stock, which may subject us to
securities litigation.
If
established, the market for our common stock may be characterized by significant
price volatility when compared to seasoned issuers, and we expect that our share
price will be more volatile than a seasoned issuer for the indefinite future. In
the past, plaintiffs have often initiated securities class action litigation
against a company following periods of volatility in the market price of its
securities. We may in the future be the target of similar litigation. Securities
litigation could result in substantial costs and liabilities and could divert
management’s attention and resources.
Special
Note Regarding Forward-Looking Statements
This
prospectus, including the sections titled “Prospectus Summary,” “Risk Factors,”
“Management’s Discussion and Analysis of Financial Condition and Results of
Operations” and “Description of Business,” contains forward-looking
statements.
Forward-looking
statements include, but are not limited to, statements about:
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our
ability to raise capital when we need it;
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our
ability to market and distribute or sell our
Fluid
Management System (FMS) and related products; and
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our
ability to protect our intellectual property and operate our business
without infringing upon the intellectual property rights of
others.
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These
statements relate to future events or our future financial performance, and
involve known and unknown risks, uncertainties and other factors that may cause
our actual results, levels of activity, performance or achievements to be
materially different from any future results, levels of activity, performance or
achievements expressed or implied by these forward-looking statements. These
risks and other factors include those listed under “Risk Factors” and elsewhere
in this prospectus. In some cases, you can identify forward-looking statements
by terminology such as “may,” “could” “expects,” “intends,” “plans,”
“anticipates,” “believes,” “potential,” “continue” or the negative of these
terms or other comparable terminology. Although we believe that the expectations
reflected in the forward-looking statements are reasonable, we cannot guarantee
future results, levels of activity, performance or achievements. We do not
intend to update any of the forward-looking statements after the date of this
prospectus or to conform these statements to actual results. Neither the Private
Securities Litigation Reform Act of 1995 nor Section 27A of the Securities Act
of 1933, as amended, provides any protection for statements made in this
prospectus.
We will
not receive any proceeds from the sale of the shares by the selling
shareholders. All proceeds from the sale of the shares offered hereby will be
for the account of the selling shareholders, as described below in the sections
entitled “Selling Security Holders” and “Plan of Distribution.” However, we may
receive up to $2,374,107 upon exercise of warrants with exercise prices ranging
from $.35 to $.46 per share, the underlying shares of which are included in the
registration statement of which this prospectus is a part. If received, such
funds will be used for general corporate purposes, including working capital
requirements. With the exception of any brokerage fees and commissions which are
the obligation of the selling shareholders, we are responsible for the fees,
costs and expenses of this offering which are estimated to be approximately
$225,000, inclusive of our legal and accounting fees, printing costs and filing
and other miscellaneous fees and expenses.
There has
been no public market for our common stock prior to this offering and there will
be no public market until our common stock is approved for quotation on the OTC
Bulletin Board. The offering price has been arbitrarily determined and does not
bear any relationship to our assets, results of operations, or book value, or to
any other generally accepted criteria of valuation.
We cannot
assure you that an active or orderly trading market will develop for our common
stock or that our common stock will trade in the public markets subsequent to
this offering at or above the offering price.
At this
time, our common shares are not traded on any public markets. We have 8,955,841
shares of common stock issued and outstanding as of April 30, 2009. We have 90
shareholders of record of our common stock.
We also
have outstanding warrants to purchase 6,569,606 shares of our common stock,
which include (i) 5,309,386 shares of common stock underlying the warrants we
are registering pursuant to this registration statement; and (ii) 1,260,220
shares of common stock reserved for issuance upon the exercise of outstanding
warrants granted to certain consultants and investors. We also have outstanding
options to purchase 1,391,174 shares of our common stock, which include 943,292
shares of common stock reserved for issuance upon the exercise of outstanding
options granted pursuant to employment agreements with three officers and an
employee of the Company.
After
this offering, assuming exercise of all the warrants and options and conversion
of convertible debt, we will have 17,833,858 shares of common stock outstanding,
which does not include 875,405 shares of common stock remaining reserved
for issuance under our 2008 Equity Incentive Plan, but which does include
outstanding notes that may be converted into 620,095 shares of our common stock
which were issued in conjunction with a bridge loan we undertook in July 2007.
Of the amount outstanding, 950,995 shares could be sold pursuant to Rule 144
under the Securities Act of 1933, as amended (assuming compliance with the
requirements of Rule 144).
Dividends
We have
never paid dividends and do not currently intend to pay dividends on our common
stock in the foreseeable future. Instead, we anticipate that any future earnings
will be retained for the development of our business. Any future determination
relating to dividend policy will be made at the discretion of our board of
directors and will depend on a number of factors, including, but not limited to,
our financial condition, operating results, cash needs, growth plans, the terms
of any credit agreements that we may be a party to at the time and the Minnesota
Business Corporations Act, which provides that dividends are only payable out of
surplus or current net profits.
Securities
Authorized for Issuance under Equity Compensation Plans
On
October 20, 2008, our board of directors approved the BioDrain Medical, Inc.
2008 Equity Incentive Plan (the “Plan”) to promote the success of the Company by
providing incentives to our directors, officers, employees and contractors by
linking their personal interests to the long-term financial success of the
Company, and to promote growth in shareholder value. The Plan was subject to the
approval of our shareholders, and if it is not so approved on or before 12
months after the date of adoption of the Plan by our board of directors, it
would not come into effect and any options granted pursuant to the Plan would be
deemed cancelled. Shareholder approval was obtained in a special meeting of
shareholders held on December 3, 2008. Awards may be granted only to a person
who on the date of the grant is a director, officer, employee or contractor of
the Company (or a parent or subsidiary of the Company), subject to certain
restrictions set forth in the Plan. Awards granted under the Plan shall be
evidenced by an award agreement and shall consist of:
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(i)
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incentive
stock options, as defined in Section 422 of the Internal Revenue Code of
1986 (the “Code”);
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(ii)
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nonqualified
stock options, defined as any option granted under the Plan other than an
incentive stock option;
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(iii)
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stock
appreciation rights (“SARs”), defined as an award granted under the Plan
that is exercisable either in lieu of options, in addition to options,
independent of options or in any combination thereof, which, upon
exercise, entitles the holder to receive payment of an amount determined
by multiplying (a) the difference between the fair market value of a share
on the date of exercise and the exercise price established by the
administrator of the Plan on the date of grant by (b) the number of shares
with respect to which the SAR is exercised, the payment of which will be
made in cash or stock; or
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(iv)
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restricted
stock, defined as stock granted under the Plan that is subject to
restrictions on sale, transfer, pledge, or
assignment.
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The Plan
is administered by a committee whose members are appointed by our board of
directors (the Plan is administered by our board of directors during such times
as no committee is appointed or during such times as the board of directors is
acting in lieu of the committee). At any time that our securities are listed on
a national securities exchange or quoted on Nasdaq Global Markets (“Nasdaq GM”),
or Nasdaq Global Select Markets (“Nasdaq GS”), the committee shall consist of
not less than three independent directors, as determined by applicable
securities and tax laws. The committee has the authority to (i) construe and
interpret the Plan; (ii) to establish, amend or waive rules for its
administration; (iii) to accelerate the vesting of any options or SARs; (iv) to
amend the terms and conditions of any outstanding option, SAR or restricted
stock award (provided that the committee shall not replace or re-grant options
or SARs with an exercise price that is less than the original exercise price or
change the exercise price to a lower price than the original exercise price
without prior shareholder approval); (v) to choose grantees of Plan awards; (vi)
to impose conditions on the exercisability terms of the awards granted under the
Plan; (vii) to determine the number of shares subject to options granted; and
(viii) to make all other determinations necessary or advisable for the
administration of the Plan.
Subject
to adjustment, the aggregate number of shares that may be delivered under the
Plan will not exceed 975,405 shares. No options or stock awards have been issued
under the Plan to date. If any award granted under the Plan terminates, expires
or lapses, any stock subject to such award shall be available for future grant
under the Plan, provided, however, that if any outstanding shares are changed
into or exchanged for a different number or kind of shares or other security in
another company by reason of reorganization, merger, consolidation,
recapitalization, stock split, reverse stock split, combination of shares or
stock dividends, an appropriate adjustment will be made in the number and kind
of shares as to which awards may be granted and as to which outstanding options
and SARs then unexercised shall be exercisable, such that the proportionate
interest of the grantee will be maintained. Such adjustment will be made without
change in the total price applicable to the unexercised portion of such awards
and with a corresponding adjustment in the exercise price per
share.
In the
event of a change of control of the Company (as defined in the Plan), any award
granted under the Plan, to the extent not already terminated, shall become
vested and immediately exercisable, and any period of restriction on restricted
stock shall terminate, provided, however, that the period during which any
option or SAR is exercisable shall not be limited or shortened. If an option or
SAR provides for exercisability during a period of time after a triggering event
and the initial exercisability is accelerated by means of a change in control,
the expiration of the option or SAR shall be delayed until after the period
provided for has ended and the option or SAR shall remain exercisable for the
balance of the period initially contemplated by the grant. In addition, if the
Company is then subject to the provisions of Section 280G of the Code and if the
acceleration or vesting or payment pursuant to a change in control could be
deemed a parachute payment, as defined in the Code, then the payments to the
grantee shall be reduced to an amount as will result in no portion of such
payments being subject to the excise tax imposed by Section 4999 of the
Code.
Fair
market value, for the purposes of the Plan, means the price per share of the
Company’s common stock determined as follows: (i) if the security is listed on
one or more national securities exchanges or quoted on the Nasdaq GS or Nasdaq
GM, the reported last sales price on such exchange on the date in question (or
if not traded on such date, the reported last sales price on the first day prior
thereto on which the security was traded); or (ii) if the security is not listed
on a national securities exchange and not quoted on Nasdaq GS or Nasdaq GM but
is quoted on the Nasdaq Capital Market System or otherwise traded in the
over-the-counter market, the mean of the highest and lowest bid prices for such
security on the date in question (or if there are no such bid prices on such
date, the mean of the highest and lowest bid prices on the most recent day prior
thereto on which such prices existed, not to exceed 10 days prior to the date in
question); or (iii) if neither (i) or (ii) is applicable, by any means
determined fair and reasonable by the committee.
Options
Only
employees are eligible to receive incentive stock options. Directors and
consultants who are not also employees are not eligible to receive incentive
stock options and instead are entitled to receive nonqualified stock options.
Subject to this restriction and other terms and conditions of the Plan, options
may be granted by the committee with such number of underlying shares, such
vesting terms and such exercise times and prices with such restrictions as the
committee shall determine. The aggregate fair market value (determined at the
time the option is granted) of the stock with respect to which incentive stock
options are exercisable for the first time by a grantee during any calendar year
shall not exceed $100,000. To the extent that the aggregate fair market value of
the stock with respect to which such incentive stock options are exercisable for
the first time exceeds $100,000, the excess options will be treated as
nonqualified stock options.
If a
vesting schedule is not specified by the committee at the time an option is
granted, such option shall vest, with respect to 25% of the options on the first
anniversary date of the grant, and, with respect to 2.083% of the options,
beginning on 30 days immediately following the first anniversary of the date of
grant and continuing on the same day of each month for the next 35 months
thereafter (in each case, rounding up to the nearest whole share). The price at
which an option may be exercised shall be determined by the committee but may
not be less than the fair market value of the stock on the date the option is
granted, provided, however, that the exercise price of an incentive stock option
granted to an employee who, on the date of execution of the option agreement
owns more than 10% of the total combined voting power of all series of stock
then outstanding (“10% Shareholder”), shall be at least 110% of the fair market
value of a share on the date the option agreement is signed. No option may be
exercised after 10 years from the date on which the option was granted (or on
the date preceding the 10th
anniversary in the case of an incentive stock option) and unless specified by
the committee at the time of grant, each option shall expire at the close of
business on the 10th
anniversary of the date of grant, provided, however, that in the case of an
incentive stock option held by a 10% Shareholder, such option shall expire at
the close of business on the date preceding the 5th
anniversary of the date of grant.
An option
may be exercised at such times and with such rights as provided in the
applicable option agreement. An option shall be deemed exercised immediately
prior to the close of business on the date the Company is in receipt of the
original option agreement, written notice of intent to exercise the option, and
payment for the number of shares being acquired upon exercise. There shall be no
exercise at any one time for fewer than 100 shares or all of the remaining
shares then purchasable by the person exercising the option.
In the
case of death or disability of a director, officer, employee or contractor, any
of such individual’s outstanding options, which were not vested and exercisable
on the date of death or the date the committee determines that the individual
incurred a disability, shall immediately become 100% vested, and all outstanding
options shall be exercisable at any time prior to the sooner of the expiration
date of the options or 12 months following the date of death or disability. In
the case of termination for “cause” (defined as (i) willful breach of any
agreement entered into with the Company; (ii) misappropriation of the Company’s
property, fraud, embezzlement, breach of fiduciary duty, or other acts of
dishonesty against the Company; or (iii) conviction of any felony or crime
involving moral turpitude), all of the grantee’s outstanding options, whether or
not then vested, shall be immediately forfeited back to the Company. In the case
of termination for any reason other than death, disability or cause, (i) with
respect to outstanding nonqualified options which were then vested and
exercisable, such options shall be exercisable at any time prior to the sooner
of the expiration date of such options or 12 months following the date of
termination and (ii) with respect to outstanding incentive stock options which
were then vested and exercisable shall be exercisable at any time prior to the
sooner of the expiration date of such options or 3 months following the date of
termination, provided, however, that in the event of the individual’s death
during such 3-month period and prior to the expiration date of the options, such
options then vested and unexercised may be exercised within 12 months following
the date of termination by the individual’s beneficiary or in accordance with
the laws of descent and distribution. Any options not then vested and
exercisable shall be forfeited back to the Company.
Incentive
stock options are transferable only by will or pursuant to the laws of descent
and distribution. Nonqualified stock options are transferable to a grantee’s
family member or family trust by a bona fide gift or pursuant to a domestic
relations order, by will or pursuant to the laws of descent and distribution, or
as otherwise permitted pursuant to the rules and regulations of the SEC. No
other transfers, assignments, pledges, or dispositions of any options, or the
rights or privileges conferred thereby, are permitted by the Plan and options
are only exercisable, during the grantee’s lifetime, by the grantee or his
guardian or legal representative.
Stock
Appreciation Rights
The
committee shall have the sole discretion, subject to the requirements of the
Plan, to determine the actual number of shares subject to SARs granted, to
specify the period of time over which vesting shall occur and to provide for the
acceleration of vesting upon the attainment of certain goals, provided, however
that the exercise of a SAR shall not be less than the fair market value of a
share of the Company’s stock on the date of grant. Unless specified by the
committee at the time the SAR is granted, SARs shall have the same vesting
schedule as options. The term of a SAR granted under the Plan shall be
determined by the committee, but shall not exceed 10 years and if not specified
by the committee at the time of grant, each SAR shall expire at the close of
business on the date preceding the 10th
anniversary of the date of grant.
SARs
granted in lieu of options may be exercised for all or part of the shares
subject to the related option upon the surrender of the related options
representing the right to purchase an equivalent number of shares. The SAR may
be exercised only with respect to the shares for which its related option is
then exercisable. SARs granted in addition to options shall be deemed to be
exercised upon the exercise of the related options. SARs granted independently
of options may be exercised upon whatever terms and conditions the committee
imposes.
SARs have
the same termination consequences as nonqualified stock options, no SAR granted
under the Plan may be sold, transferred, pledged, assigned or otherwise
alienated or hypothecated, and all SARs granted shall be exercisable during a
grantee’s lifetime only by such grantee.
Restricted
Stock
The
committee may grant shares of restricted stock under the Plan to such grantees,
in such amounts, with such purchase price and under such other conditions or
restrictions as the committee may determine. Each restricted stock grant shall
be evidenced by a restricted stock agreement that must specify the period of
time over which the shares of restricted stock shall vest (the period of
restriction) and the number of shares of restricted stock granted. The committee
may also provide for the acceleration of the lapse of a period of restriction
upon the attainment of certain goals. Restricted stock shall at all times be
valued at its fair market value without regard to restrictions. If not specified
by the committee, the period of restriction shall elapse in accordance with the
same vesting schedule as options and SARs.
The
committee may legend the restricted stock certificates with such restrictions as
it determines, provided that each certificate must bear a legend stating that
the sale or other transfer of the shares of restricted stock is subject to the
BioDrain Medical, Inc. 2008 Equity Incentive Plan and the related restricted
stock agreement. Shares of restricted stock shall become freely transferable by
the grantee after the last day of the period of restriction and once released
from restrictions, the grantee shall be entitled to have the legend removed.
Under no other conditions may the restricted stock granted be sold, transferred,
pledged, assigned or otherwise alienated or hypothecated until the termination
of the period of restriction.
During
the period of restriction, grantees holding shares of restricted stock may
exercise full voting rights with respect to those shares and shall be entitled
to receive all dividends and distributions paid with respect to those shares. In
the case of termination of a grantee due to death or disability during a period
of restriction, any remaining period of the period of restriction applicable to
the restricted stock shall automatically terminate and unless the committee
imposed additional restrictions on the shares, the shares shall thereafter be
free of restrictions and be fully transferable. In the case of termination of a
grantee other than by death or disability during a period of restriction, all
shares of restricted stock still subject to restrictions as of the date of the
termination shall automatically be forfeited and returned to the Company and any
amounts paid by the grantee to the Company for the purchase of such shares shall
be returned to the grantee, subject to any modifications or waivers as the
committee deems appropriate.
Other
Securities For Issuance Upon Certain Contingencies
Please
refer to the Management’s Discussion and Analysis of Financial Condition and
Result of Operations Section on page 32 for a discussion of other securities for
issuance upon certain contingencies.
The
following discussion of our financial condition and results of operations should
be read in conjunction with our financial statements and the notes to
those statements included elsewhere in this prospectus. In addition to the
historical financial information, the following discussion and
analysis contains forward-looking statements that involve risks and
uncertainties. Our actual results may differ materially from those anticipated
in these forward-looking statements as a result of certain factors, including
those set forth under “Risk Factors” and elsewhere in this
prospectus.
Overview
Our
Company was incorporated in Minnesota in April 2002. We are an early-stage
development company developing an environmentally conscientious system for the
collection and disposal of infectious fluids that result from surgical
procedures and post-operative care. We have had no sales to date. Since our
inception in 2002, we have invested significant resources into product
development and in preparing for approval from the FDA. We believe that our
success depends upon converting the traditional process of collecting and
disposing of infectious fluids from the operating rooms of medical facilities to
our wall-hung Fluid Management System (“FMS”) and use of our proprietary
cleaning fluid.
Since
inception, we have been unprofitable. We incurred net losses of approximately
$1,763,000 for the fiscal year ended 2008 and approximately $752,000 for the
fiscal year ended 2007. As of December 31, 2008, we had an accumulated deficit
of approximately $3,144,000. As a company in the early stage of
development, our limited history of operations makes prediction of future
operating results difficult. We believe that period to period comparisons of our
operating results should not be relied on as predictive of our future
results.
We are an
early-stage development stage company and we have been focused on finalizing our
production and obtaining final FDA clearance to sell our product to the medical
facilities market. FDA final clearance was obtained on April 1,
2009. Our innovative FMS will be sold through experienced,
independent medical distributors and manufacturers representatives that are
intended to enhance acceptability in the marketplace. We are currently in the
process of signing agreements with independent sales representative and product
installation organizations and conducting training sessions and we expect our
first billable shipment within the second or third quarter of 2009 and are
hopeful to receive several orders during the second half of
2009. Since our FDA clearance to sell our FMS product was only
received on April 1, 2009 it is too early to know with a high degree of
confidence how quickly, and in what amounts, new orders will
develop.
Since we
do not expect to generate sufficient revenues in 2009 to fund our capital
requirements, our capital needs for the next 12 months are expected to be
approximately $3 million even though we plan to use outside third party contract
manufacturers to produce the FMS and outside distributors to inventory and sell
the FMS. Our future cash requirements and the adequacy of available funds will
depend on our ability to sell our FMS and related products now that FDA final
clearance has been obtained. We expect that we will require additional funding
to finance operating expenses and to enter the international
marketplace.
As of
December 31, 2008, we have funded our operations through a bank loan of $41,400,
an equity investment of $68,000 from the Wisconsin Rural Enterprise Fund
(“WREF”) and $30,000 in early equity investment from several individuals. WREF
had also previously held debt in the form of three loans of $18,000, $12,500 and
$25,000. In December 2006, WREF converted two of the loans totaling $37,500 into
43,000 shares of common stock. In August 2006, we secured a $10,000
convertible loan from one of our vendors. In February 2007, we obtained $4,000
in officer and director loans and in March 2007, we arranged a $100,000
convertible note from two private investors. In July 2007, we obtained a
convertible bridge loan of $170,000. In June 2008, we paid off the remaining
$18,000 loan from WREF and have raised approximately $1.6 million through our
October 2008 financing.
Critical
Accounting Policies and Estimates and Recent Accounting
Developments
Critical
Accounting Policies and Estimates
The
discussion and analysis of our financial condition and results of operations are
based upon our audited Financial Statements, which have been prepared in
accordance with U.S. Generally
Accepted Accounting Principles (‘GAAP”). The preparation of these
financial statements requires management to
make estimates and assumptions that affect the reported amounts of assets and
liabilities as of the date of our financial statements, the reported amounts of
revenues and expenses during the reporting periods presented, as well as our
disclosures of contingent assets and liabilities. On an on-going basis, we
evaluate our estimates and assumptions, including, but not limited to, fair
value of stock-based compensation, fair value of acquired intangible assets and
goodwill, useful lives of intangible assets and property and equipment, income
taxes, and contingencies and litigation.
We base
our estimates and assumptions on our historical experience and on various other
information available to us at the time that these estimates and assumptions are
made. We believe that these estimates and assumptions are reasonable under the
circumstances and form the basis for our making judgments about the carrying
values of our assets and liabilities that are not readily apparent from other
sources. Actual results and outcomes could differ from our
estimates.
Revenue Recognition,
We recognize revenue in accordance with the SEC’s Staff Accounting
Bulletin No. 101, Revenue Recognition in Financial Statements , as
amended by Staff Accounting Bulletin No. 104 (together, SAB 101),
and Statement of Financial Accounting Standards No. 48, Revenue
Recognition When Right of Return
Exists (SFAS 48).
Revenue
is recognized when persuasive evidence of an arrangement exists, delivery has
occurred, the fee is fixed and determinable and collectability is probable.
Delivery is considered to have occurred upon either shipment of the product or
arrival at its destination based on the shipping terms of the transaction. When
these conditions are satisfied, we recognize gross product revenue, which is the
price we charge generally to our wholesalers for a particular
product.
Stock-Based
Compensation. Effective January 1, 2006, we adopted SFAS
No. 123 (revised 2004), Share-Based Payment
(SFAS 123(R)) which replaced SFAS No. 123, Accounting for Stock-Based
Compensation (SFAS 123) and superseded Accounting Principles Board
(APB) Opinion No. 25, Accounting for Stock Issued to
Employees (APB 25). Under SFAS 123(R), stock-based employee
compensation cost is recognized using the fair value based method for all new
awards granted after January 1, 2006 and unvested awards outstanding at
January 1, 2006. Compensation costs for unvested stock options and
non-vested awards that were outstanding at January 1, 2006, are being
recognized over the requisite service period based on the grant-date fair value
of those options and awards as previously calculated under SFAS 123 for pro
forma disclosures, using a straight-line method. We elected the
modified-prospective method in adopting SFAS 123(R), under which prior
periods are not retroactively restated.
SFAS 123(R)
requires companies to estimate the fair value of stock-based payment awards on
the date of grant using an option-pricing model. We use the Black-Scholes-Merton
option-pricing model which requires the input of significant assumptions
including an estimate of the average period of time employees and directors will
retain vested stock options before exercising them, the estimated volatility of
our common stock price over the expected term, the number of options that will
ultimately be forfeited before completing vesting requirements and the risk-free
interest rate. Changes in the assumptions can materially affect the estimate of
fair value of stock-based compensation and, consequently, the related expense
recognized. The assumptions we use in calculating the fair value of stock-based
payment awards represent our best estimates, which involve inherent
uncertainties and the application of management's judgment. As a result, if
factors change and we use different assumptions, our equity-based compensation
expense could be materially different in the future. See Note 3, Stock-Based Compensation, in
Notes to Financial Statements of this Form S-1for additional information.
When
an option or warrant is granted in place of cash compensation for services we
deem the value of the service rendered to be the value of the option or
warrant. In most cases, however, an option or warrant is granted in
addition to other forms of compensation and its separate value is difficult to
determine without utilizing an option pricing model. For that reason
we also use the Black-Scholes-Merton option-pricing model to value options and
warrants granted to non-employees, which requires the input of significant
assumptions including an estimate of the average period of investors or
consultants will retain vested stock options and warrants before exercising
them, the estimated volatility of our common stock price over the expected term,
the number of options and warrants that will ultimately be forfeited
before completing vesting requirements and the risk-free interest rate. Changes
in the assumptions can materially affect the estimate of fair value of
stock-based compensation and, consequently, the related expense recognized.
Since we have no trading history in our stock and no first-hand experience
with how these investors and consultants have acted in similar circumstances,
the assumptions we use in calculating the fair value of stock-based payment
awards represent our best estimates, which involve inherent uncertainties and
the application of management's judgment. As a result, if factors change and we
use different assumptions, our equity-based consulting and interest expense
could be materially different in the future.
Since
our company stock has no public trading history we were required to take an
alternative approach to estimating future volatility and the future results
could vary significantly from our estimates. We compiled historical
volatilities over a period of 2-7 years of 15 smaller capitalization medical
companies traded on major exchanges and10 medical companies in the middle of the
market cap size range on the OTC Bulletin Board and combined the results using a
weighted average approach. In the case of standard options to
employees we determined the expected life to be the midpoint between the vesting
term and the legal term. In the case of options or warrants granted
to non-employees we estimated the life to be the legal term unless there was a
compelling reason to make it shorter.
Valuation of
Intangible Assets We review identifiable intangible assets
for impairment in accordance with SFAS No. 144, Accounting for the Impairment or
Disposal of Long-Lived Assets (SFAS 144), whenever events or changes
in circumstances indicate the carrying amount may not be recoverable. Our
intangible assets are currently solely the costs of obtaining trademarks and
patents. Events or changes in circumstances that indicate the
carrying amount may not be recoverable include, but are not limited to, a
significant change in the medical device marketplace and a significant adverse
change in the business climate in which we operate. If such events or changes in
circumstances are present, the undiscounted cash flows method is used to
determine whether the intangible asset is impaired. Cash flows would include the
estimated terminal value of the asset and exclude any interest charges. If the
carrying value of the asset exceeds the undiscounted cash flows over the
estimated remaining life of the asset, the asset is considered impaired, and the
impairment is measured by reducing the carrying value of the asset to its fair
value using the discounted cash flows method. The discount rate utilized is
based on management's best estimate of the related risks and return at the time
the impairment assessment is made
Our
accounting estimates and assumptions bear various risks of change, including the
length of the current recession facing the United States, the expansion of the
slowdown in consumer spending in the U.S. medical markets despite the early
expressed opinions of financial experts that the medical market would not be as
affected as other markets and failure to gain acceptance in the medical
market.
Recent
Accounting Developments
In June 2008, the Financial Accounting Standards Board
(“FASB”) ratified Emerging Issues Task Force
(EITF) Issue No. 07-5, “Determining Whether an Instrument (or Embedded Feature)
Is Indexed to an Entity's Own Stock” (EITF 07-5). EITF 07-5 mandates a
two-step process for evaluating whether an equity-linked financial instrument or
embedded feature is indexed to the entity's own stock. It is effective for
fiscal years beginning after December 15, 2008, and interim periods within those
fiscal years, which is our
first quarter of 2009. Most of the warrants issued by the Company
contain a strike price adjustment feature, which upon adoption of EITF 07-5,
will result in the instruments no longer being considered indexed to the
Company’s own stock. Accordingly, adoption of EITF 07-5 will change the
current classification (from equity to liability) and the related accounting for
many warrants with
a $479,910 estimated fair value of as of December 31, 2008. The Company is currently
evaluating the impact the adoption of EITF 07-5 will have on its financial
position, results of operations, or cash flows.
In May 2008, the FASB issued FSP APB
No. 14-1, Accounting for
Convertible Debt Instruments That May Be Settled in Cash upon
Conversion (Including
Partial Cash Settlement) (“FSP APB No. 14-1”), to clarify that convertible
debt instruments that may be settled in cash upon conversion (including partial
cash settlement) are not addressed by paragraph 12 of APB Opinion
No. 14, Accounting for Convertible Debt and Debt Issued with Stock Purchase
Warrants. The FSP requires the issuer of certain convertible securities that may
be settled partially in cash on conversion to separately account for the
liability and equity components in a manner that will reflect the entity’s
nonconvertible debt borrowing rate when interest cost is recognized in
subsequent periods. This FSP applies to the contingent convertible senior notes
discussed in Note 10, “Long-Term Debt” to the Consolidated Financial
Statements and will require retroactive application for our 2007 and 2008
financial statements. This statement is effective for fiscal years beginning
after December 31, 2008. The adoption of FSP APB No. 14-1 on January 1, 2009
will not have a material
impact to our financial position, results of operations and
liquidity.
Results
of Operations
Twelve
Months Ended December 31, 2008 and 2007
Revenue. None.
General and Administrative
expense. General and administrative expense consists of, management
salaries, professional fees, consulting fees, travel expense, administrative
fees and general office expenses.
General
and administrative expense increased to $1,316,000 for the year ended December
31, 2008 from $636,000 for the year ended December 31, 2007. General and
administrative expense increased primarily due to an increase of $120,000 in
stock based compensation expense, a $234,000 increase in legal fees and a
$336,000 increase in consulting fees including stock based consulting. The
increase in stock based compensation expense resulted from a significant
increase the number of stock options that were granted in 2008 and expensed in
accordance with SFAS 123 R. Legal fees increased primarily due to
expenses related to the preparation and filing of our Form S-1 registration
statement and expenses in connection with our October 2008 financing. Consulting
fees increased primarily in connection with our preparation for making
application for FDA clearance to sell our FMS unit. We anticipate
that general and administrative expense will increase in absolute dollars in
2009 as we incur increased costs associated with a growing company, of adding
personnel, paying market rate salaries, proceeding from the development phase to
the operating phase, and operating as a public company.
Operations
expense. Operations expense primarily consists of expenses related to
product development and prototyping and testing in the company’s current
stage
Operations
expense, including product development expense, increased to $321,000 in the
year ended December 31, 2008 compared to $1,400 in the year ended December 31,
2007 as the Company aggressively worked on developing the FMS for FDA clearance
and commercial sale in 2009. Salaries and stock based compensation
grew to $131,000 in 2008 compared to no expense in 2007 and product development
expense grew to $183,000 in 2008 compared to $1,400 in 2007.
Sales
and Marketing expense. Sales and marketing expense consists of expenses required
to sell products through independent reps, attendance at trades shows, product
literature and other sales and marketing activities.
Sales and
marketing expenses grew to $36,000 in the year ended December 31, 2008 compared
to $13,000 in the year ended December 31, 2007 as a result of an increase of
$25,000 in salaries and stock based compensation offset, in part, by a reduction
of $4,500 in business meeting expense. On February 1, 2009 the
Company also hired a Vice President of Sales and Marketing and has begun
purchasing marketing literature and attending trade shows in anticipation of
receiving clearance from the FDA, which the Company received on April 1,
2009, to begin commercial sale of the Streamway™ Fluid Management
System. Consequently, the Company expects sales and marketing
expenses in 2009 to exceed, by a significant amount, the expenses incurred in
2008.
Interest expense. Interest
expense decreased to $89,000 in the year ended December 31, 2008 from $101,000
in the year ended December 31, 2007 primarily due to a reduction in the
amortization of debt discount as additional interest, using the interest method
of amortization related to the value assigned to the warrants issued in
connection with debt incurred in 2007.
Liquidity
and Capital Resources
As of
December 31, 2008, we had a cash balance of $463,838. Since our inception, we
have incurred significant losses and as of December 31, 2008 we had an
accumulated deficit of $3,143792. We have not achieved profitability and
anticipate that we will continue to incur net losses for the foreseeable future.
We expect that our operations expense, including product development expense,
sales and marketing and general and administrative expenses will increase, and
as a result we will need to generate significant revenue to achieve
profitability.
The table
below summarizes our currently known capital requirements and amounts needed to
satisfy our outstanding obligations.
Capital
Requirements
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Expense
Item
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Expected
expenses in connection with our current offering
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225,200
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SEC
registration fee
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200
|
|
|
|
|
|
Printing
fees
|
|
|
30,000
|
|
|
|
|
|
Legal
fees and expenses
|
|
|
80,000
|
|
|
|
|
|
Accounting
fees and expenses
|
|
|
60,000
|
|
|
|
|
|
Miscellaneous
|
|
|
55,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing
fees owed in connection with our current offering (1)
|
|
|
|
|
|
|
0
|
|
|
|
|
|
|
|
|
|
|
Accounts
payable:
|
|
|
|
|
|
|
710,000
|
|
Marshall
C. Ryan
|
|
|
100,000
|
|
|
|
|
|
Richardson
& Patel LLP
|
|
|
150,000
|
|
|
|
|
|
Complete
Automation
|
|
|
25,000
|
|
|
|
|
|
TriVirix
|
|
|
65,000
|
|
|
|
|
|
Evergreen
Medical
|
|
|
20,000
|
|
|
|
|
|
Olsen
Thielen, CPAs
|
|
|
25,000
|
|
|
|
|
|
Larkin
Hoffman
|
|
|
75,000
|
|
|
|
|
|
Various
accounts payable
|
|
|
100,000
|
|
|
|
|
|
Andcor
Companies, Inc.
|
|
|
50,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales,
marketing, administrative, operations and other operating
expenses
|
|
|
|
|
|
|
1,200,000
|
|
|
|
|
|
|
|
|
|
|
Market
expansion to Europe and Pacific Rim
|
|
|
|
|
|
|
500,000
|
|
|
|
|
|
|
|
|
|
|
Personnel
additions
|
|
|
|
|
|
|
200,000
|
|
|
|
|
|
|
|
|
|
|
Miscellaneous
|
|
|
|
|
|
|
100,000
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
|
|
|
$
|
2,610,000
|
|
(1)
|
All
fees were withheld by the broker of our current
offering.
|
There is
no certainty that access to needed capital will be successful. We have not
depended on the future exercise of outstanding warrants to provide additional
funding.
To date,
our operations have been funded through a bank loan in the original amount of
$41,400, private party loans totaling $10,000, convertible debt in the amounts
of $170,000 and $100,000 and equity investments totaling approximately
$1,681,000. As of December 31, 2008, we had accounts payable of $497,029 and
accrued liabilities of $93,339.
Years
Ended December 31, 2008 and 2007
Net
cash used by operating activities was $901,000 for 2008 as compared with net
cash used of $225,000 for 2007. The increased use of cash was due primarily to
an increase in net loss to $1,763,000 offset, in part, by an increase of 290,000
in accounts payable and the net loss including $394,000 in stock based
compensation and consulting fees and amortization of debt discount that do not
consume cash,
Cash
flows used in investing activities was $42,000 for 2008 as compared to cash used
in investing activities of $46,000 for 2007. The amount in both years primarily
represented investments in intellectual property and also included $12,258 in
purchases of furniture in 2008.
Net cash provided by financing
activities was $1,402,000 for 2008 as compared to net cash provided by financing
activities of $273,000 for 2007. The increase in 2008 was primarily the result
of selling approximately $1.6 million in stock in 2008, offset by a $28,125
reduction in debt.
Based
on our current operating plan we believe that we have sufficient cash, cash
equivalents and short-term investment balances to last approximately through the
second quarter of 2009, during which time an additional financing of $3 million
is anticipated. The Company expects the transaction, if successful,
to close by August 31, 2009 with an early closing of up to $500,000 by May
31, 2009. While holders of our warrants could exercise and provide
cash to us during that time frame, we are not depending on that in our fund
raising efforts.
Management
hired Newbridge Securities Corporation, an investment banker, in February 2009,
to raise an additional $3-$5 million in new equity by August 31, 2009 with an
interim closing of up to $500,000 expected by May 31, 2009. Although
our ability to raise this new capital is in substantial doubt we have received
$350,000 as of April 30, 2009 and our April 1, 2009 510(k) clearance from the
FDA to authorize us to market and sell our FMS products is being received very
positively. If the Company is successful in raising at least $3
million in new equity we will have sufficient capital to operate our business
and execute our business plan for at least the next 12 months. If the Company
raises the additional capital by issuing additional equity securities its
shareholders could experience substantial dilution.
The funds
remaining from our October 2008 offering have allowed us to complete the testing
and certification of our FMS unit and have now submitted our application and
received, on April 1, 2009, final FDA clearance. We are confident that our
existing funds will also be sufficient to pay for normal operating expenses as
we await additional funding.
Items such as delinquent convertible
debt, totaling $170,000, would be difficult to fully satisfy with the remaining
proceeds of the past financings. We have been in contact with the holders of
these convertible notes. These holders, while legally able to demand
payments, have been willing to work with us regarding the satisfaction of their
convertible debts, which could be either from conversion to our common stock or
through repayment of the debt from funds raised in future
financings. This note will automatically convert to 620,095 common
shares upon the effective date of this registration statement. Any formal
payment demand by these convertible note holders prior to our securing
additional financing would create a severe liquidity issue for the Company. Such
note holders could bring a cause of action against the Company to compel
repayment of the debt obligations which could deplete the Company’s cash
position.
Certain
amounts of payroll for three current and former officers were unpaid as of June
2008 and the individuals agreed to accept a reduction in the cash to ultimately
be paid in exchange for future cash payments and new stock options. The
individuals have agreed to be paid at such time as the Company obtains at least
another $3 million of additional equity financing, with the exception of
Lawrence Gadbaw, our Chairman, who began receiving $2,000 per month in October
2008 in repayment of his $46,000 accrued salary liability in addition to a
future cash payment of $25,000 contingent on raising $3 million. After another
$3 million of additional financing has been obtained, the amount of accrued
payroll expense items due to management and a board member that will be paid
from the proceeds of such financing including the balance remaining, if any,
under Mr. Gadbaw’s payment arrangement.
We
believe that we have sufficient funds to satisfy our obligations through at
least the first half of 2009. We will need additional funds to continue to
satisfy such obligations beyond that time period.
Our
operating plan assumes that we will achieve certain levels of operating costs
and expenses, as to which there can be no assurance that we will be able to
achieve. This plan is completely dependent on our ability to raise additional
capital through future financings. In addition, if events or circumstances occur
such that we are unable to meet our operating plan as expected, we will be
required to seek additional capital, pursue other strategic opportunities, or we
will be forced to reduce the level of expenditures, which could have a material
adverse effect on our ability to achieve our intended business objectives and to
continue as a going concern. Even if we achieve our operating plan, we will be
required to seek additional financing or strategic investments.
The
current economic turmoil has a significant impact on the overall funding
environment, and we cannot assure you that our opportunity will be positively
received by potential investors. We are not planning on any significant capital
or equipment investments and we will only have a few human resource additions
over the next 12 months. A significant amount of funds will be utilized to
launch our product into the market. With the expenses associated with FDA
clearance having already been incurred, and with the product development
primarily complete, future funds, if any, will be used primarily to launch our
product into the market.
There can
be no assurance that any additional financing will be available on acceptable
terms, or at all. Furthermore, any equity financing likely will result in
dilution to existing shareholders and any debt financing likely will include
restrictive covenants.
We expect
to continue to depend upon outside financing to sustain our operations for at
least the next 12 months. Our ability to arrange financing from third parties
will depend upon our operating performance and market conditions. Our inability
to raise additional working capital at all or to raise it in a timely manner
would negatively impact our ability to fund our operations, to generate
revenues, and to otherwise execute our business plan, leading to the reduction
or suspension of our operations and ultimately forcing us to go out of business.
Should this occur, the value of any investment in our securities could be
adversely affected, and an investor could lose a portion of or even lose their
entire investment.
Commitments
and Contingencies
Effective
December 31, 2008, we had notes payable, loans and debentures to several
individuals and entities, including a bank loan of $38,180; $10,000 due to
Andcor in connection with a convertible loan; $4,000 of officer and director
loans; $100,000 due to two private investors in connection with a convertible
note; and $170,000 of a convertible bridge loan with seven
individuals.
The
Company has a convertible debenture with Andcor Companies, Inc. (“Andcor”) of
$10,000 with interest at 10.25% that matured in 2007. The debenture is
convertible to shares of the Company’s common stock at the lower of $0.90 per
share or the price per share at any equity financing is completed (currently
re-set to $.35 per share). The convertible debenture has not yet been paid, and
it is currently in default. While Andcor could demand payment on this note at
any time, they have verbally expressed an interest in working with us to wait
until additional funds are secured by the Company. Further, Andcor
has left open the possibility of converting the note into shares of the
Company’s common stock, which would require no cash outlay.
Our
contractual obligations consisted of the following as of December 31,
2008.
|
Payment
Due by Period as of December 31
|
|
|
|
|
|
Total
|
|
Less
than 1 Year
|
|
1-3
Years
|
|
4-5
Years
|
|
After
5 Years
|
|
Long
Term Debt
|
|
$
|
322,183
|
|
|
$
|
197,620
|
|
|
$
|
24,563
|
|
|
$
|
100,000
|
|
|
|
—
|
|
Operating
Leases
|
|
|
150,000
|
|
|
|
35,000
|
|
|
|
59,000
|
|
|
|
56,000
|
|
|
|
—
|
|
Capital
Leases
|
|
|
—
|
|
|
|
—
|
|
|
|
—
|
|
|
|
—
|
|
|
|
—
|
|
Total
Contractual Cash Obligations
|
|
$
|
472,183
|
|
|
$
|
232,620
|
|
|
$
|
83,563
|
|
|
$
|
156,000
|
|
|
|
—
|
|
A
breakdown of long term debt as of December 31 is as follows:
|
|
December
31,
|
|
|
|
|
|
Notes
payable to several individuals due April 2008 including 8% fixed interest
and is now delinquent. The 2007 balance is shown net of a $30,899 debt
discount based upon the Black-Scholes valuation assigned to the warrants
issued in connection with the debt. The notes are convertible into 620,095
shares of the Company’s common stock and automatically convert at the
effective date of this registration statement.
|
|
|
$
|
170,000
|
|
|
$
|
139,101
|
Note
payable to bank in monthly installments of $1,275/including variable
interest at 2% above the prevailing prime rate (3.25% at December 31,
2008) to August 2011 when the remaining balance is payable. The note is
personally guaranteed by executives of the Company.
|
|
|
|
38,183
|
|
|
|
48,308
|
Note
payable to NWBDC with interest only payments at 8% to December 2008 when
the remaining balance is payable. The note was personally guaranteed by
executives of the Company. The note was paid in full on
June 24, 2008.
|
|
|
|
—
|
|
|
|
18,000
|
Notes
payable to two individuals, net of discounts of $26,157 and $34,205, with
interest only payments at 12% to March 2012 when the remaining balance is
payable. The notes are convertible into 285,715 shares of stock in the
Company at $.35 per share. (1)
|
|
|
|
73,843
|
|
|
|
65,794
|
Notes
payable to four shareholders of the Company that are overdue. The notes
are convertible into 11,429 shares of stock in the Company at $.35 per
share.
|
|
|
|
|
|
|
|
|
Total
|
|
|
|
286,026
|
|
|
|
275,204
|
Less
amount due within one year
|
|
|
|
|
|
|
|
|
Long-Term
Debt
|
|
|
|
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
(1)
|
This
loan has a $100,000 face value and is shown net of the debt discount
determined by applying a black-scholes model to the value of warrants
issued in connection with that
debt.
|
Cash payments for interest were $5,175
for the year ended December 31, 2008 and $5,071 for the same period in 2007. The
notes payable of $10,000, $170,000 and $4,000 are delinquent and could be called
by the holders, putting additional strains on our liquidity. The note for
$170,000 contains provisions for a one-time penalty of $25,000 if this
registration statement is not filed within 120 days of August 31, 2008 and
$5,000 per month, beginning March 2009, until the registration statement is
declared effective by the SEC with the maximum penalty of approximately
$250,000..
In July
2007, we entered into a restructuring agreement, in connection with our October
2008 financing, whereby in the event that we failed to obtain FDA clearance by
the end of August 2009, the majority-in-interest of investors (“the Investors”)
through our October 2008 offering would have the right to cause the Company to
make significant restructuring changes. The Company received final
FDA clearance on April 1, 2009 and such restructuring will be
avoided.
In
2007, Mr. Davidson, Mr. Gadbaw and Mr. Rice each received less in base
salary than they were entitled to under their employment agreements due to lack
of funds.. In December 2007, the Company reduced accrued payroll liabilities by
a total of $346,714. This total included waived compensation from Mr. Davidson
in the amount of $90,000, waived compensation from Mr. Rice in the amount of
$125,000 and waived compensation from Mr. Gadbaw in the amount of $138,500. In
addition Mr. Davidson waived $58,350 in underpaid compensation Mr. Rice waived
$40,725 and Mr. Gadbaw waived $30,610 in underpaid compensation from
2008. In exchange, per an agreement in June 2008, Mr. Davidson will
be granted a one-time cash payment of $23,000 as well as an option to purchase
80,000 shares of common stock at $.35 per share and Mr. Rice will be granted a
one-time cash payment of $46,000 as well as an option to purchase 160,000 shares
of common stock at $.35 per share when the Company raises an additional $3
million of funding subsequent to the financing completed in October 2008. Mr.
Gadbaw will be granted a one-time cash payment of $25,000 and an option to
purchase 160,000 shares of common stock at $.35 per share upon the Company
raising an additional $3 million and is currently receiving $2,000 per month
until a total of $46,000 of accrued salary liability is paid . The balance
remaining, if any, of the amount due Mr. Gadbaw will also be paid upon the
Company raising an additional $3 million. The Company’s agreement to pay the
cash payments and grant the stock options is solely dependent on raising the $3
million and does not require the participation of the three individuals in the
fund raising activity.
The
obligation to grant stock options is being valued under FAS123(R) using the
Black-Scholes valuation model, 55-59% expected volatility, a zero percent
dividend rate and an expected life of 3.5 years for two options and 5 years for
the other option, taking into account the likely period of time the individuals
will exercise their options. The legal term of the options will be 5
years from the date of the grant and 6 years, therefore, from the date of the
obligation because the obligation to grant the options contingent on a $3
million funding occurred in June 2008 and we estimated the $3 million funding
will occur by July 2009.
As of
December 31, 2007, $115,000 remained in accrued expenses for the above expenses
and as of December 31, 2008 $40,000 remained in accounts payable for the
obligation to Mr. Gadbaw’s and $94,000 remained in accrued expenses for the
obligations to Mr. Rice, Mr. Gadbaw and Mr. Davidson.
Amortization
of Intangible Assets
Intangible
assets currently consist solely of patent costs. These assets are not subject to
amortization until the property patented is in production. The assets are
reviewed for impairment annually, and impairment losses, if any, are charged to
operations when identified. No impairment losses have been identified by
management to date.
Income
Tax Expense
The
Company provides for deferred taxes using the asset and liability approach.
Under this method, deferred tax assets and liabilities are recognized for future
tax consequences attributable to operating loss and tax credit carry-forwards,
as well as differences between the carrying amounts of existing assets and
liabilities and their respective tax bases. Deferred income tax assets and
liabilities are measured using enacted tax rates expected to apply to taxable
income in the years in which those temporary differences are expected to be
recovered or settled. The major temporary differences are net operating losses.
Due to historical losses on the accrual basis, the related tax assets are not
recorded in our financial statements.
Stock
Options and Warrants
Our 2008
Equity Incentive Plan allows for the issuance of incentive and non-qualified
stock options and other forms of stock-based compensation to our employees,
directors and consultants, subject to the restrictions provided in the plan. The
exercise price for each stock option is determined by our board of directors, or
a committee designated by our board of directors, as are the vesting
requirements, which currently range from immediate to three years. Options
granted under our stock option plan have terms varying from three to seven
years.
Effective
January 1, 2006, the Company adopted the requirements of SFAS
No. 123 (revised 2004), Share-Based
Payment (SFAS 123(R)). As specified in SFAS 123R, we
value stock option awards using the “grant date fair value” method and expense
them on a straight-line basis over the service period, generally the vesting
period. We opted for early adoption of the provisions of SFAS 123R. The
provisions of SFAS 123R are applicable to stock options awarded beginning in
2005 and we are recognizing compensation expense for options granted in 2005 and
thereafter. Options and warrants granted to consultants for services
rendered are similarly valued and expensed under SFAS 123 and other
guidance.
We
have elected to value the options and warrants using the Black-Scholes-Merton
option valuation model. The fair value of these options was calculated using a
risk-free interest rate of 1.2% to 4.00%, an expected life of 2 to 7.5 years, an
expected volatility ranging from 53-66%% and a dividend rate of 0%. Stock based
compensation and consulting expenses recognized in our financial statements was
$355,000 and $74,000 for the years ended 2008 and 2007,
respectively.
A summary
of stock option and warrant activity for the years ended December 31, 2008 and
2007 is presented below:
|
|
Stock
Options (1)
|
|
|
Warrants
(1)
|
|
|
|
Number
of
Shares
|
|
|
Average
Exercise
Price
|
|
|
Number
of
Shares
|
|
|
Average
Exercise
Price
|
|
Outstanding
at December 31, 2005
|
|
|
17,956
|
|
|
$
|
1.67
|
|
|
|
20,950
|
|
|
$
|
2.62
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issued
|
|
|
23,942
|
|
|
|
1.67
|
|
|
|
71,826
|
|
|
|
0.85
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding
at December 31, 2006
|
|
|
41,898
|
|
|
$
|
1.67
|
|
|
|
92,776
|
|
|
$
|
1.25
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issued
|
|
|
5,985
|
|
|
|
1.67
|
|
|
|
28,502
|
|
|
|
0.35
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding
at December 31, 2007
|
|
|
47,882
|
|
|
$
|
1.67
|
|
|
|
121,278
|
|
|
$
|
1.04
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issued
|
|
|
1,243,293
|
|
|
|
0.20
|
|
|
|
5,695,299
|
|
|
|
0.44
|
|
Expired
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding
at December 31, 2008
|
|
|
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
(1) Adjusted for the reverse stock
splits in total at June 6, 2008 and October 20, 2008, of
1-for-1.670705.
At December, 2008, 651,174 stock
options were fully vested and exercisable and 5,606,606 warrants were fully
vested and exercisable. At December 31, 2007, 23,942 stock options were fully
vested and exercisable and 121,278 warrants were fully vested and
exercisable.
A summary of the status of options and
warrants outstanding at December 31, 2008 and December 31, 2007 is presented
below:
Range
of Exercise Prices
|
|
Shares
|
|
|
Weighted
Average
Remaining
Life
|
|
At
December 31, 2007:
|
|
|
|
|
|
|
Options:
|
|
|
|
|
|
|
$.35
|
|
|
11,970 |
|
|
|
4.37 |
|
$1.67
|
|
|
41,898 |
|
|
|
3.31 |
|
Warrants:
|
|
|
|
|
|
|
|
|
$0.02
|
|
|
35,913 |
|
|
|
5.45 |
|
$0.35
|
|
|
28,502 |
|
|
|
4.17 |
|
$1.67
|
|
|
44,892 |
|
|
|
3.69 |
|
$3.34
|
|
|
11,971 |
|
|
|
0.79 |
|
At
December 31, 2008:
|
|
|
|
|
|
|
|
|
Options:
|
|
|
|
|
|
|
|
|
$.01
|
|
|
543,292 |
|
|
|
9.43 |
|
$.35
|
|
|
700,000 |
|
|
|
4.46 |
|
$1.67
|
|
|
47,882 |
|
|
|
2.50 |
|
Warrants:
|
|
|
|
|
|
|
|
|
$0.02
|
|
|
71,826 |
|
|
|
5.45 |
|
$0.35
|
|
|
798,597 |
|
|
|
2.88 |
|
$0.46
|
|
|
4,889,291 |
|
|
|
2.39 |
|
$1.67
|
|
|
44,892 |
|
|
|
2.94 |
|
Stock
options and warrants expire on various dates from August 2010 to June
2018.
Based
upon an agreement with investors in the October 2008 financing we agreed to
limit our post-financing ownership percentage and that we would cause our common
stock to be reverse split such that 1,920,000 shares of our common stock on a
fully-diluted basis would be outstanding among holders, existing prior to the
new investment (such shareholders also referred to as the “original
shareholders” or the “Founders”) and June 2007 bridge loans. Since the total of
our fully-diluted shares of common stock was greater than 1,920,000, our board
of directors approved a reverse stock split of 1-for-1.2545. After this split
was approved, additional options and warrants were identified, requiring a
second reverse stock split in order to reach the 1,920,000. The second reverse
stock split on the reduced 1-for-1.2545 balance was determined to be
1-for-1.33176963. Taken together, if only one reverse stock were performed, the
number would have been a reverse stock split of 1-for
1.670705.
On June
6, 2008, our board of directors approved the first reverse stock split. The
authorized number of common stock of 20,000,000 was proportionately divided by
1.2545 to 15,942,607.
On
October 20, 2008, our board of directors approved a second reverse stock split.
The authorized number of common stock of 15,942,607 was proportionately divided
by 1.33177 to arrive at 11,970,994.
On
October 20, 2008, our board of directors also approved a resolution to increase
the number of authorized shares of our common stock from 11,970,994 to
40,000,000, which was approved by the Company’s shareholders holding a majority
of the shares entitled to vote thereon at a special meeting of shareholders held
on December 3, 2008.
The table
below reflects the effect of the reverse stock splits on our shares
outstanding.
Reverse
Stock Split Table
|
|
|
Number
of Shares
|
|
|
Reverse
|
|
|
|
Outstanding
|
|
|
Split
Ratio
|
|
|
|
Before
|
|
|
After
|
|
|
|
|
As
of June 30, 2008:
|
|
|
|
|
|
|
|
|
|
-
original shareholders
|
|
|
1,376,105
|
(1)
|
|
|
1,096,935
|
|
|
|
1.2545
|
|
-
new investors, other
|
|
|
3,720,293
|
|
|
|
3,720,293
|
|
|
|
|
|
Total
|
|
|
5,096,398
|
|
|
|
4,817,228
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As
of September 30, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
-
original shareholders
|
|
|
1,096,935
|
|
|
|
1,096,935
|
|
|
|
|
|
-
new investors, other
|
|
|
6,997,842
|
|
|
|
6,997,842
|
|
|
|
|
|
Total
|
|
|
8,094,237
|
|
|
|
8,094,237
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As
of October 20, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
-
original shareholders
|
|
|
1,096,935
|
|
|
|
823,676
|
|
|
|
1.33177
|
|
-
new investors, other
|
|
|
7,307,165
|
|
|
|
7,307,165
|
|
|
|
|
|
Total
|
|
|
8,403,560
|
|
|
|
8,130,841
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As
of October 30, 2008 (closing date):
|
|
|
|
|
|
|
|
|
|
|
|
|
-
original shareholders
|
|
|
823,676
|
|
|
|
|
|
|
|
|
|
-
new investors, other
|
|
|
7,307,165
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
8,130,841
|
|
|
|
|
|
|
|
|
|
(1)
|
1,376,105
divided by 1.670705 equals
823,676.
|
Valuation
and accounting for options and warrants
The
Company determines the grant date fair value of options and warrants using a
Black-Scholes-Merton option valuation model based upon assumptions regarding
risk-free interest rate, expected dividend rate, volatility and estimated term.
For grants during 2008 we used a 2.0 to 4.5% risk-free interest rate, 0%
dividend rate, 53-66% volatility and estimated term of 2.5 to 7.5 years. Values
computed using these assumptions ranged from $.102 per share to $.336 per share.
Warrants or options awarded for services rendered are expensed over the period
of service (normally the vesting period) as compensation expense for employees
or an appropriate consulting expense category for awards to consultants and
directors. Warrants granted in connection with a common equity financing are
included in stockholders’ equity and warrants granted in connections with a debt
financing are treated as a debt discount and amortized using the interest method
as interest expense over the term of the debt.
Please
refer to Note 3 to the Financial Statements for greater details of stock options
and warrants granted.
Other
Securities For Issuance Upon Certain Contingencies
In
2007, Mr. Davidson, Mr. Gadbaw and Mr. Rice each received less in base
salary than they were entitled to under their employment agreements due to lack
of funds.. In December 2007, the Company reduced accrued payroll liabilities by
a total of $346,714 and treated it as a contribution to capital. This total
included waived compensation from Mr. Davidson in the amount of $90,000, waived
compensation from Mr. Rice in the amount of $125,000 and waived compensation
from Mr. Gadbaw in the amount of $138,500. In addition Mr. Davidson
waived $58,350 in underpaid compensation Mr. Rice waived $40,725 and Mr. Gadbaw
waived $30,610 in underpaid compensation from 2008 which was treated as a
contribution to capital in 2008. In exchange, per an agreement in
June 2008, Mr. Davidson will be granted a one-time cash payment of $23,000 as
well as an option to purchase 80,000 shares of common stock at $.35 per share
and Mr. Rice will be granted a one-time cash payment of $46,000 as well as an
option to purchase 160,000 shares of common stock at $.35 per share when the
Company raises an additional $3 million of funding subsequent to the financing
completed in October 2008. Mr. Gadbaw will be granted a one-time cash payment of
$25,000 and an option to purchase 160,000 shares of common stock at $.35 per
share upon the Company raising an additional $3 million and is currently
receiving $2,000 per month until a total of $46,000 of accrued salary liability
is paid . The balance remaining, if any, of the amount due Mr. Gadbaw will also
be paid upon the Company raising an additional $3 million. The Company’s
agreement to pay the cash payments and grant the stock options is solely
dependent on raising the $3 million and does not require the participation of
the three individuals in the fund raising activity.
In
September 2002, an oral agreement was made with director Peter Morawetz whereby
he would provide sales, marketing and general administrative consulting to the
Company for a fee of $1,770 per month. The Company’s expectation at the time was
that the Company would have received equity financing to fund these payments but
the Company did not receive that funding. Pursuant to an oral
agreement with Mr. Morawetz the Company could defer payment of these amounts
until such date that they had cash to pay him. The Company accrued these fees
through August 2006 when Mr. Morawetz’s consulting services ended. The fees
accrued totaled $84,963 but no amount has been paid. The Company and Mr.
Morawetz have not agreed upon the amount, the form or the timing of payment of
these accrued fees and, consequently, the full amount remains on the Company’s
books as accrued expenses.
On June
16, 2008, we entered into an employment agreement with Chad Ruwe, Executive Vice
President of Operations, pursuant to which we granted an option to purchase
250,000 shares of common stock at an exercise price of $.35 per share with
50,000 shares vested immediately and increments of 50,000 shares vesting upon
achievement of certain milestones related to obtaining FDA clearance and
achieving commercial sales of our Streamway™ Fluid Management System. On April
1, 2009 Mr. Ruwe earned an additional 100,000 shares, for a total of 150,000
vested shares as a result of FDA application and final clearance.
On August
11, 2008, we entered into an employment agreement with David Dauwalter, Director
of Sales, pursuant to which we granted him an option to purchase 50,000 shares
of common stock at and exercise price of $.35 per share with 10,000 shares
vested immediately and increments of 10,000 shares vesting upon reaching certain
performance milestones. On April 1, 2009 Mr. Dauwalter earned an additional
20,000 shares, for a total of 30,000 vested shares as a result of FDA
application and final clearance.
In August
and September 2008 we issued a warrant to purchase 75,000 shares of common stock
at $.35 per share to each of two human resource consulting firms, Andcor
Companies, Inc. and Taylor & Associates, Inc., as payment for their search
for candidates to fill the position of Vice President of Sales and Marketing for
our Company. Andcor and Taylor will not earn the warrants until the candidate is
hired and remains an employee for a period of at least 1 year. Ms. Kirsten
Doerfert was hired as VP of Sales and Marketing on February 1, 2009 and the
warrants will, therefore, vest on February 1, 2010 provided Ms. Doerfert
continues as an employee on that date.
On
October 20, 2008, we entered into an agreement with Gregory Sachs, a regulatory
consultant, pursuant to which the Company agreed to grant a warrant to purchase
up to 50,000 shares of our common stock contingent upon reaching certain
performance goals from April 1, 2009 to June 30, 2009. Mr. Sachs assisted the
Company in obtaining FDA 510(k) clearance. The purpose of the performance goal
provision was to help to ensure a timely clearance of the 510(k). Upon reaching
FDA clearance by April 1, 2009, Mr. Sachs received a warrant to purchase 50,000
shares of our common stock at $.46 per share.
Litigation
From time
to time, we may become subject to legal proceedings, claims and litigation
arising in the ordinary course of business. In April 2009 a former officer of the
company made a formal demand for payment of past wages and threatened to sue the
company for in excess of $100,000 if we did not meet his demand. The
company believes that the claim is without merit but we continue to negotiate
the issue with his attorney and expect to reach a settlement for less than the
demand. We are not currently a party to any other material
legal proceedings, nor are we aware of any other pending or threatened
litigation that would have a material adverse effect on our business, operating
results or financial condition should such litigation be resolved
unfavorably.
Off-Balance
Sheet Arrangements
We do not
have any off-balance sheet transactions.
Dividend
Policy
We follow
a policy of retaining earnings, if any, to finance the expansion of our
business. We have not paid, and do not expect to declare or pay, cash dividends
in the foreseeable future.
Overview
We are an
early-stage medical device company and our mission is to provide medical
facilities with an effective, efficient and affordable means to safely dispose
of contaminated fluids generated in the operating room and other similar medical
locations in a manner that protects hospital workers from exposure and is
environmentally friendly. We have obtained patent rights in the United States
and Europe to our Streamway ™ Fluid Management System (“FMS”) and will
distribute our products to medical facilities where bodily and irrigation fluids
produced during surgical procedures must be contained, measured, documented and
disposed. Our products minimize the exposure potential to the healthcare workers
who handle such fluids. Our goal is to create products that dramatically reduce
staff exposure without significant changes to established operative procedures,
historically a major stumbling block to innovation and product introduction. In
addition to simplifying the handling of these fluids, our technologies will
provide cost savings to facilities over the aggregate costs incurred today using
the traditional canister method of collection, neutralization and disposal. Our
products will be sold through independent distributors and manufacturers
representatives in the United States and Europe, initially, and eventually to
other areas of the world.
We were
founded as a Minnesota corporation in 2002 by Lawrence Gadbaw, who has over 40
years of experience in the medical devices field, Peter L. Morawetz, who has
extensive experience consulting with development-stage companies in the medical
and high technology field, Jay Nord, Jeffery K. Drogue and Gerald Rice. Our
address is 2060 Centre Pointe Boulevard, Suite 7, Mendota Heights, Minnesota
55120. Our telephone number is (651) 389-4800 and our website address is www.biodrainmedical.com.
The website is not a part of this registration statement.
We do
not currently file reports with the Securities and Exchange Commission (the
“SEC”). Upon the effectiveness of the registration statement of which this
prospectus forms a part, we will concurrently
file a Form 8-A and will be subject to the information and periodic
reporting requirements of the Securities Exchange Act of 1934, as amended, and
we intend to file periodic reports, proxy statements and other information with
the SEC.
Private
Placement Financing
From
July 2007 through October 2008, we completed a private placement financing with
certain accredited and institutional investors (the “Investors”). We received
gross proceeds of approximately $1.6 million from this financing. Pursuant to
securities purchase agreements entered into with these Investors, we sold an
aggregate total of 4,552,862 units at a price per unit of $0.35, with each unit
consisting of one share of our common stock, par value $0.01 per share, and one
warrant to purchase one share of our common stock at $0.46 per share. We also
issued 547,285 shares valued at $.35 per share and warrants to purchase 136,429
shares at an exercise price of $.46 per share to “Finders” who provided services
in connection with the private placement. The warrants issued to Investors and
Finders are immediately exercisable. (other
than a provision that prohibits exercise of warrants if it would cause the
holder to hold more than 4.99% of the outstanding shares of common
stock)
The
issuance of our common stock and warrants in connection with the private
placement financing, including, upon exercise, the shares of our common stock
underlying the warrants, is intended to be exempt from registration under the
Securities Act of 1933, as amended, (the “Securities Act”) pursuant to Section
4(2) and such other available exemptions. As such, these issued securities may
not be offered or sold in the United States unless they are registered under the
Securities Act, or an exemption from the registration requirements of the
Securities Act is available. No registration statement covering these securities
has been filed with the SEC or with any state securities commission in respect
of the private placement financing.
In
connection with the private placement financing, we entered into a registration
rights agreement (the “Registration Rights Agreement”) with the Investors.
Pursuant to this agreement, we are required to register all the common stock and
shares underlying the warrants issued beneficially owned by the Investors to
permit the offer and re-sale from time to time of such securities. Additional
information regarding the Registration Rights Agreement is set forth below under
the section titled “Description of Securities”.
Industry
and Market Analysis
Infectious
and Biohazardous Waste Management
There has
long been recognition of the collective potential for ill effects to healthcare
workers from exposure to infectious/biohazardous materials. Federal and state
regulatory agencies have issued mandatory guidelines for the control of such
materials, in particular bloodborne pathogens. The medical device industry has
responded to this need by developing various products and technologies to limit
exposure or to alert workers to potential exposure.
The
presence of infectious materials is most prevalent in the surgical suite and
post-operative care units where often, large amounts of bodily fluids, including
blood, bodily and irrigation fluids are continuously removed from the patient
during the surgical procedure. Surgical teams and post-operative care personnel
may be exposed to these potentially serious hazards during the procedure via
direct contact of blood materials or more indirectly via splash and
spray.
According
to the Occupational Safety and Health Administration (“OSHA”), workers in many
different occupations are at risk of exposure to bloodborne pathogens, including
Hepatitis B and C, and HIV/AIDS. First aid team members, housekeeping personnel
in some settings, nurses and other healthcare providers are examples of workers
who may be at risk of exposure.
In 1991,
OSHA issued the Bloodborne Pathogens Standard to protect workers from this risk.
In 2001, in response to the Needlestick Safety and Prevention Act, OSHA revised
the Bloodborne Pathogens Standard. The revised standard clarifies (and
emphasizes) the need for employers to select safer needle devices and to involve
employees in identifying and choosing these devices. The revised standard also
calls for the use of “automated controls” as it pertains to the minimization of
healthcare exposure to bloodborne pathogens. Additionally, employers are
required to have an exposure control plan that includes universal precautions to
be observed to prevent contact with blood or other potentially infectious
materials, such as implementing work practice controls, requiring personal
protective equipment and regulating waste and waste containment. The exposure
control plan is required to be reviewed and updated annually to reflect new or
modified tasks and procedures which affect occupational exposure and to reflect
changes in technology that eliminate or reduce exposure to bloodborne
pathogens.
According
to the American Hospital Association’s (AHA) Beyond Health Care January 2009
update, America’s hospitals performed 27 million surgeries. In a January 2009
report, The National Center for Health Statistics (NCHS) of the Center for
Disease Control (CDC) cites that nearly 43% of the 35 million ambulatory
surgeries, or a total of 15 million surgeries, are performed in freestanding
ambulatory surgery centers. Therefore, the total US surgeries are
estimated at approximately 42 million per year.
The
majority of these procedures produce potentially infectious materials that must
be disposed of with the lowest possible risk of cross-contamination to
healthcare workers. Current standards of care allow for these fluids to be
retained in canisters, which are located in the operating room where they can be
monitored throughout the surgical procedure. Once the procedure is complete
these canisters and their contents are disposed of using a variety of methods
all of which include manual handling and result in a heightened risk to
healthcare workers for exposure to their contents. A Frost & Sullivan
research report released in 2003 estimates that the U.S. market for suction
canisters is $94 million and, driven by the aging population, is expected to
grow at .4% per year.
With an
average cost of $2.00 per canister, $2.00 per container of solidification powder
and an average disposal cost of $0.40/lb of infectious waste at approximately 8
lbs per canister as reported by Stanley Shelver in an Infection Control Today
article. Therefore, the estimated disposal cost to the hospitals who use
solidifiers is $7.20 per canister. This number increases significantly for
disposal of high capacity containers.
According
to an October 2005 article from Healthcare Purchasing entitled “Safe and
Cost-Effective Disposal of Infectious Fluid Waste,” infectious fluid waste
accounts for more than 75% of U.S. hospitals biohazard disposal costs. The
article also includes findings from a bulletin published by the University of
Minnesota’s Technical Assistance Program, “A vacuum system that uses reusable
canisters or empties directly into the sanitary sewer can help a facility cut
its infectious waste volume, and save money on labor, disposal and canister
purchase costs.” The Minnesota’s Technical Assistance Program bulletin also
estimated that, in a typical hospital, “...$75,000 would be saved annually in
suction canister purchase, management and disposal cost if a canister-free
vacuum system was installed.”
We expect
the hospital surgery market to continue to increase due to population growth,
the aging of the population, expansion of surgical procedures to new areas, (for
example, use of the endoscope, which requires more fluid management) and new
medical technology. According to the most recent American Institute of
Architects Consensus Construction Forecast, Health care is expected to be one of
the strongest performers in 2009 with projected growth of 3.6
percent.
There are
an estimated 40,000 operating rooms in the U.S. The hospital market has
typically been somewhat independent of the U.S. economy; therefore we believe
that our targeted market is not cyclical, and the demand for our products will
not be dependent on the state of the economy. We benefit by having our products
address the surgical procedure market of nearly 42 million procedures performed
in the country’s 40,000 operating rooms. .
Current
Techniques of Collecting Infectious Fluids
Typically,
during the course of a surgical procedure, fluids are continuously removed from
the site via wall suction and tubing and collected in large canisters (1,500 -
3,000 milliliters (ml) capacity or 1.5 – 3.0 liters) adjacent to the surgical
table.
These
canisters, made of glass or high impact plastic, have graduated markers on them
allowing the surgical team to make estimates of fluid loss in the patient both
intra-operatively as well as for post operative documentation. Fluid contents
are retained in the canisters until the procedure is completed, or until the
canister is full and needs to be removed. During the procedure the surgical team
routinely monitors fluid loss using the measurement calibrations on the canister
and by comparing these fluid volumes to quantities of saline fluid introduced to
provide irrigation of tissue for enhanced visualization and to prevent drying of
exposed tissues. After the procedure is completed the fluids contained in the
canisters are measured and a calculation of total blood loss is determined. This
is done to ensure no excess fluids of any type remain within the body cavity or
that excessive blood loss has occurred, both circumstances that may place the
patient at an increased risk post-operatively.
Once
total blood loss has been calculated, the healthcare personnel must dispose of
the fluids. This can be done by manually transporting the fluids from the
operating room to a waste station and directly pouring the material into a sink
that drains to the sanitary sewer where it is subsequently treated by the local
waste management facility, a process that exposes the healthcare worker to the
most risk for direct contact or splash exposure. Once emptied these canisters
are placed in large, red pigmented, trash bags and disposed of as infectious
waste - a process commonly referred to as “red-bagging.”
Alternatively,
the canisters may be opened in the operating room and a gel-forming chemical
powder is poured into the canister, rendering the material gelatinous. These
gelled canisters are then red-bagged in their entirety and removed to a
biohazardous/infectious holding area for disposal. In larger facilities the
canisters, whether pre-treated with gel or not, are often removed to large carts
and transported to a separate special handling area where they are processed and
prepared for disposal. Material that has been red-bagged is disposed of
separately, and more expensively, from other medical and non-medical waste by
companies specializing in that method of disposal.
Although
all of these protection and disposal techniques are helpful, they represent a
piecemeal approach to the problem and fall short of providing adequate
protection for the surgical team and other workers exposed to infectious waste.
A major spill of fluid from a canister, whether by direct contact as a result of
leakage or breakage, splash associated with the opening of the canister lid to
add gel, while pouring liquid contents into a hopper, or during the disposal
process, is cause for concern of acute exposure to human blood components–one of
the most serious risks any worker faces in the performance of their job. Once a
spill occurs, the entire area must be cleaned and disinfected and the exposed
worker faces a potential of infection from bloodborne pathogens. These pathogens
include, but are not limited to, HIV, HPV, and other infectious agents. Given
the current legal liability environment the hospital, unable to identify at-risk
patients due to concerns over patient rights and confidentiality, must treat
every exposure incident as a potentially infectious incident and treat the
exposed employee according to a specific protocol that is both costly to the
facility and stressful to the affected employee and their co-workers. In cases
of possible exposure to communicable disease the employee could be placed on
paid administrative leave, frequently involving worker’s compensation, and
additional workers must be assigned to cover the affected employee’s
responsibilities. The facility bears the cost of both the loss of the affected
worker and the replacement healthcare worker in addition to any ongoing heath
screening and testing of the affected worker to confirm if any disease has been
contracted from the exposure incident. Employee morale issues also weigh heavily
on staff and administration when a healthcare worker suffers a potentially
serious exposure to bloodborne pathogens.
Canisters are the most prevalent means
of collecting and disposing of infectious fluids in hospitals today.
Traditional, non-powered canisters and related suction and fluid disposable
products are exempt and do not require FDA clearance. Our management believes
that our virtually hands free technology will (a) significantly reduce the risk
of healthcare worker exposure to these infectious fluids by replacing canisters,
(b) further reduce the risk of worker exposure when compared to powered canister
technology that requires transport to and from the operating room, (c) reduce
the cost per procedure for handling these fluids, and (c) enhance the surgical
team’s ability to collect data to accurately assess the patient’s status during
and after procedures.
In
addition to the traditional canister method of waste fluid disposal, several new
powered medical devices have been developed which address some of the
deficiencies described above. MD Technologies, Inc., DeRoyal (formerly
Waterstone), Dornoch Medical Systems, Inc. and Stryker Instruments have all
developed systems that provide for disposal into the sanitary sewer without
pouring the infectious fluids directly through a hopper disposal or using
expensive gel powders and most are sold with 510(K) concurrence from the FDA.
Cardinal Health, Inc. has received 510(K) concurrence to market a similar device
that they have recently begun advertising. Most of them continue to
utilize some variant on the existing canister technology, and while not directly
addressing the canister, most have been successful in eliminating the need for
expensive gel and its associated handling and disposal costs.
Our
existing competitors that already have products on the market have a clear
competitive advantage in terms of brand recognition and market exposure. In
addition, the aforementioned companies have extensive marketing and development
budgets that could overpower an early-stage company like ours. Information
obtained by the Company from surgical clinicians during interviews indicates
that Stryker Instruments has the dominant market share position. Cardinal
Health, Inc., though having FDA concurrence, has not yet made significant sales
into the market place. These clinicians have also indicated that the competitive
devices are used in select procedures and often in some, but not all, surgical
rooms.
Products
The
Fluid Management System (“FMS”)
The
BioDrain Streamway ™ FMS, a fluid collection and measurement system, addresses
the need for a simple, safe, virtually hands-free, touch-screen
computer-controlled, method of removing, retaining, calculating fluid loss and
disposing of fluid waste during operative procedures. The FMS would replace the
manual process of collecting fluids in canisters and transporting and dumping in
sinks outside of the operating room that is still being used by many hospitals
and surgical centers. The manual process involving canisters requires that the
operating room personnel open the canisters that contain waste fluid, often
several liters, at the end of the surgical procedure and either add a
solidifying agent or empty the canisters in the hospital drain system. Some
facilities require that used canisters be cleaned by staff and reused. It is
during these processes that there is increased potential for contact with the
waste fluid through splashing or spills. The FMS eliminates the use of canisters
and these cleaning and disposal steps by collecting the waste fluid in the
internal collection chamber and automatically disposing of the fluid with no
handling by personnel. Near the end of each procedure, a proprietary cleaning
fluid, that is provided under an exclusive licensing agreement with Oculus
Innovative Sciences, for surgical fluid management applications, is attached to
the FMS and an automatic cleaning cycle ensues, making the FMS ready for the
next procedure. The cleaning fluid bottle is attached to the port on the FMS
device. The cleaning fluid bottle and its contents are not contaminated and are
used to clean the internal fluid pathway in the FMS device to which personnel
have no exposure. During the cleaning cycle, the cleaning fluid is pulled from
the bottle into the FMS, and then disposed in the same manner as the waste fluid
from the surgical case. At the end of the cleaning cycle, the bottle
is discarded. Any suction tubing used during the procedure must be disposed of
in the same manner as suction tubing used with the canister
system. Handling of this tubing does present the potential for
personnel exposure but that potential in minimal.
It is in the facilities that still use
manual processes that our product may provide substantial cost savings and
improvements in safety. In cases where healthcare organizations re-use
canisters, the FMS cleaning process eliminates the need for cleaning of
canisters for re-use. The FMS reduces the safety issues facing operating room
nurses, the cost of the handling process, and the amount of infectious waste
generated when the traditional method of disposing of canisters is used. The FMS
is fully automated, does not require transport to and from the operating room
and eliminates any canister that requires emptying. It is positioned
to penetrate its market segment due to its virtually hands free operation,
simple design, ease of use and efficiency in removal of infectious waste with
minimal exposure of operating room personnel to potentially infectious
material.
Contrary to competitive products, the
wall-mounted FMS does not take up operating room floor space and it does not
require the use of external canisters or handling by operating room personnel.
It does require a dedicated system in each operating room where it is to be
used. With the exception of MD Technologies, Inc., to our knowledge the BioDrain
FMS will be the only system that is wall mounted and designed to collect,
measure and dispose of, surgical waste. The product from DeRoyal does not
collect surgical waste fluid and is used in conjunction with traditional
canisters to assist in emptying the canisters. Other systems on the market are
portable, meaning that they are rolled to the bedside for the surgical case and
then rolled to a cleaning, are after the case, and use canisters, which still
require processing or require a secondary device (such as a docking station)
used to dispose of the fluid in the sanitary sewer after it has been collected.
They are essentially powered canisters. A comparison of the key features of the
devices currently marketed and the FMS is presented in the table
below.
Key
Feature Comparison
|
Feature
|
BioDrain
Medical
|
Stryker
|
Cardinal
Health
|
DeRoyal
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Dornoch
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MD
Technologies
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Portable
to Bedside vs. Fixed Installation
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Fixed
|
Portable
|
Portable
|
Fixed
|
Portable
|
Fixed
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Uses
Canisters
|
No
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Yes
|
Yes
|
Yes
|
Yes
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No
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Secondary
Installed Device Required for Fluid Disposal
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No
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Yes
|
Yes
|
Yes
|
Yes
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No
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Numeric
Fluid Volume Measurement
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Yes
|
Yes
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No
|
No
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Yes
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Optional
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Unlimited
Fluid Capacity
|
Yes
|
No
|
No
|
No
|
No
|
Yes
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Installation
Requirements
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|
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· Water
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No
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Yes
|
Yes
|
Yes
|
Yes
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No
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· Sewer
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
· Vacuum
|
Yes
|
No
|
No
|
No
|
No
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Yes
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The FMS system may be installed in or
on the wall, during new construction or renovation, or installed in a current
operating room by connecting the device to the hospital’s existing sanitary
sewer drain and wall suction systems. With new construction or renovation, the
system will be placed in the wall and the incremental costs are minimal, limited
to connectors to the hospital drain and suction systems (which systems are
already required in an operating room), the construction of a wooden frame to
hold the FMS in position, and minimal labor. The fluid collection chamber is
internal to the FMS unit and requires no separate installation. Based upon
management’s consultation with several architects we believe that there is no
appreciable incremental expense in planning for the FMS system during
construction.
For on-the-wall installation in a
current operating room, the location of the FMS may be chosen based on proximity
to the existing hospital drain and suction systems. Installation will require
access to those systems through the wall and connection to the systems in a
manner similar to that for within-the-wall installation. The FMS system is
mounted on the wall using a mounting bracket supplied with the system and
standard stud or drywall attachments. Labor is estimated based on conclusions
made on information gathered from third parties at an estimated average of 6
hours but will vary depending on the actual drain and suction systems already
resident in the hospital.
By
comparison, the majority of competing products are mobile, allowing movement
from room to room. The mobility adds time and labor to the process
and increases the chance of worker exposure to waste fluids but also allows the
hospital to purchase less than one mobile unit for each operating
room. With the FMS, a unit must be purchased and installed in each
room where it is intended to be used.
Once installed, the FMS has one inflow
port positioned on the front of the device that effectively replaces the current
wall suction ports most commonly used to remove fluids during surgery.
Additionally, a disposable external manifold, which will be provided as part of
our disposable cleaning kit, allows for expansion to up to three inflow suction
ports.
Although the BioDrain FMS is directly
connected to the sanitary sewer, helping to reduce potential exposure to
infectious fluids, it is possible that installation of the system will cause
inconvenience and lost productivity as the operating rooms will need to be
temporarily shut down. In addition, remodel work may be necessary in preparation
for, or as a result of, an installation. In some cases, the costs to rework
plumbing lines to accommodate for the system may outweigh the expected savings
and/or lengthen the expected return on investment time.
One of the current techniques typically
utilize two to eight canisters positioned on the floor or on elaborate rolling
containers with tubing connected to the hospital suction system and to the
operative field. Once the waste fluids are collected, they must be transported
out of the operating room and disposed of using various methods. These systems
take up floor space in and around the operating room and require additional
handling by hospital personnel, thereby increasing the risk of exposure of these
people to infectious waste fluids generated by the operating room procedure.
Handling infectious waste in this manner is also more costly.
Using the BioDrain FMS during a
procedure, potentially infectious fluid suctioned from the patient is drawn
through standard surgical tubing into the FMS. There, the fluid is separated
from the air stream and deposited into a large fluid reservoir where it is
retained until a measurement cycle is initiated. Once a certain fluid level is
reached in the chamber, a solenoid switch is opened and the fluid is pumped from
the fluid reservoir using a pump. The action of the pump removes the fluid and
measures the quantity of the fluid as it is removed. This volume measurement is
then continuously transmitted to a computer display, which allows the surgical
team to immediately assess the total amount of fluid removed from the patient to
that point in the procedure. The fluid removed from the fluid reservoir is
passed through the pump and transported directly to the hospital sanitary
sewer.
The FMS has completed four prototype
iterations. The product has undergone significant testing, including being
utilized in veterinary cases. We have finalized the production specifications
for the production unit and anticipate gearing up the production capabilities
for the mass production needed to meet the projected market demand. We will
utilize an ISO 13485-certified outsource manufacturing service organization as
our manufacturer, at least until such time as it may make sense to vertically
integrate this process.
We received written confirmation from
the FDA on April 1, 2009 that our FMS products have received final 510(k)
clearance. This clearance allows us to commence our sales and
marketing efforts and to get the Company ready for significant production
capability.
A
summary of the features of the wall unit include:
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Minimal Human
Interaction. The wall-mounted FMS provides for a small internal
reservoir that keeps surgical waste isolated from medical personnel and
disposes the medical waste directly into the hospital sanitary sewer with
minimal medical personnel interaction. This minimal interaction is
facilitated by the automated electronic controls and computerized LCD
touch-screen allowing for simple and safe single touch operation of the
FMS.
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•
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Minimizes
Exposure. The FMS minimizes surgical team and cleaning crew
exposure to bloodborne pathogens, as the system is hands-free and fully
automated with electronic controls with regards to handling any waste
fluid. The FMS provides advanced fluid management technology in that it
eliminates the use of canisters, traditional or powered, for fluid
collection, is directly connected to the hospital sanitary sewer, provides
continuous flow of waste fluids from the operative field, allows
visualization of those fluids prior to disposal and provides measurement
of disposed fluids. It does not require any transport to and from the
operating room or any secondary procedure such as attachment to a
companion device for disposal of the waste
fluids
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•
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Fluid
Measurement. The FMS volume measurement allows for in-process,
accurate measurement of blood/saline suctioned during the operative
procedure, and eliminates much of the estimation of fluid loss currently
practiced in the operating room. This will be particularly important in
minimally invasive surgical procedures, where accounting for all fluids,
including saline added for the procedure, is vital to the operation. The
surgical team can view in real time the color of the extracted or
evacuated fluid through the viewing window on the FMS.
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•
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Disposable
Cleaning Kit.
A single-use, disposable cleaning kit that is used for the
automated cleaning cycle at the conclusion of each procedure prepares the
FMS for the next use, reducing operating room turnover time. The cleaning
kit includes a BioDrain proprietary cleaning fluid for cleaning the
internal tubing, pathways and chamber within the FMS unit and a disposable
external manifold required for each surgical procedure. The cleaning
solution bottle is attached to the FMS with a cleaning fluid adapter which
is designed to mate with the special connector on the FMS. One manifold
will be supplied with each bottle of cleaning fluid, attached to the
bottle for user convenience in securing all consumables needed for each
use of the FMS. The disposable cleaning fluid bottle collapses at the end
of the cleaning cycle rendering it unusable; therefore it cannot be
refilled with any other solution. The instructions for use clearly state
that the FMS cleaning fluid, and only the FMS cleaning fluid, must be used
with the FMS following each surgical case. The cleaning fluid should be a
substantial revenue generator for the life of the FMS.
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•
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Ease of Use.
The FMS simply connects to the existing suction tubing from the operative
field (causing no change to the current operative methods). Pressing the
START button on
the FMS touch screen causes the suction tip to operate similarly to
preexisting systems, thereby minimizing the learning curve for operation
at the surgical site.
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•
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Installation.
BioDrain will arrange installation of the FMS through a partnership or
group of partnerships. Such partnerships will include but not be limited
to being executed with distribution partners, manufacturer's
representatives, hospital supply companies and the like. We will train our
partners and standardize the procedure to ensure the seamless installation
of our products. The FMS is designed for minimal interruption of operating
room and surgical room utilization. Plug-and-play features of the design
allow for almost immediate connection and hook up to hospital utilities
for wall-hung units allowing for quick start-up post
installation.
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•
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Sales Channel
Partners. The FMS will be sold to end-users through a combination
of independent stocking distributors, manufacturers’ representatives and,
possibly later, direct sales personnel. All personnel involved in direct
contact with the end-user will have extensive training and will be
approved by BioDrain. Exclusive agreements will be in place between
BioDrain and the sales channel partners outlining stocking expectations,
sales objectives, target accounts, and the like. Contractual agreements
with the sales channel partners will be reviewed on an annual basis and
could possibly be terminated at any time by BioDrain based on certain
specified conditions.
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•
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Competitive
Pricing. Estimated end-user pricing is expected to be in the
range of $12,000 - $15,000 list per system (one per operating room -
installation extra) and $15 - $20 per unit retail for the proprietary
cleaning kit to the U.S. hospital market. The distributor or channel
partner then sets the final retail price based on quantity discounts for
multiple
installations.
|
Patents
and Intellectual Properties
We were granted a European patent on
April 4, 2007 (Patent No. EP1539580) and a U.S. patent on December 30, 2008
(U.S. Patent No. 7,469,727) (collectively, the “Patents”). We also have a
divisional application pending before the U.S. Patent Office. A feature claimed
in the Patents is the ability to continue suctioning waste fluids into a
collection chamber, to measure the fluid collected, and to pump that collected
fluid from the collection chamber all while negative pressure is being
maintained. This provides for continuous operation of the FMS unit in suctioning
waste fluids, which means that the unit never has to be shut off or paused
during a surgical operation, for example, to empty a fluid collection container
or otherwise dispose of the collected fluid. We believe that this continuous
operation feature provides us with a significant competitive advantage,
particularly on large fluid generating procedures. With the exception of one
model from MD Technologies, all competing products have a limited fluid
collection capacity necessitating that the device be emptied when capacity is
reached during the surgical procedure.
We also have an exclusive licensing
agreement for surgical room
fluid management applications with Oculus Innovative Sciences
(Petaluma, CA) for the supply of a cleaning fluid
manufactured according to a proprietary recipe exclusive to BioDrain
Medical. The proprietary fluid for BioDrain Medical is derived from a fluid on which Oculus has 10 patents issued and over 80
patents pending.
In June 2008 we executed an agreement
with Marshall C. Ryan, the named inventor of the Patents, to secure exclusive
ownership of the Patents. In exchange for the transfer of his ownership
interests in the Patents, we paid Mr. Ryan a combination of cash and warrants,
agreed to pay him 4% royalty on FMS sales for the life of the Patents and agreed
to make additional payments if there is a change in control of the Company
(defined in the agreement as either 50% or more of the Company’s outstanding
stock or substantially all of its assets being transferred to one independent
person or entity). At the signing of the agreement, we paid Mr. Ryan $75,000 and
agreed to pay a corporation wholly owned by Mr. Ryan, Mid-State Stainless, Inc.,
an additional $100,000 payment on June 30, 2009 for past research and
development activities. We also granted Mr. Ryan a warrant to purchase 150,000
shares of our common stock at a price of $.35 per share. The warrant has a term
of five years, ending on June 30, 2013. Should there be a change in control of
the Company, we will pay Mr. Ryan a total of $2 million to be paid out over the
life of the U.S. patent if the change in control occurs within 12 months of the
first sale of any products, or $1 million to be paid out over the life of the
U.S. patent if the change in control occurs between 12 and 24 months of the
first sale of any products, or $500,000 to be paid out over the life of the U.S.
patent if the change in control occurs between 24 and 36 months of the first
sale of any product.
Our
competitive advantage, if any, based upon the Patents, would be lost if these
Patents were found to be invalid in the jurisdictions in which we sell or plan
to sell our products. No assurance can be given that any measure we implement
will be sufficient to protect our intellectual property rights or that we could
afford to take such measures. If we cannot protect our rights, we may lose our
competitive advantage. There is no assurance that any of these protections can
be maintained or that they will afford us a meaningful competitive advantage.
Moreover, if it is determined that our products infringe on the intellectual
property rights of third parties, we may be prevented from marketing our
products.
In 2002, two individuals, Jay D. Nord
and Jeffrey K. Drogue, who are no longer affiliated with the Company, filed a
provisional patent application disclosing a particular embodiment for a medical
waste fluid collection system (the “Nord/Drogue Embodiment”). The Nord/Drogue
Embodiment included a separation chamber and a collection chamber. A negative
pressure source in communication with the separation chamber would cause liquid
surgical waste to be drawn into the separation chamber. When the amount of
collected liquid reached a high level sensor, a valve would open in the bottom
of the separation chamber to allowing the collected liquid to flow by gravity
into the collection chamber below. When the liquid flowing into the collection
chamber reached a high level sensor, the valve would close. A second valve would
then open allowing the known volume within the collection chamber to flow by
gravity into a drain. Each time the collection chamber was emptied, the known
volume of the collection chamber was added to the total collected
volume.
We engaged the services of Marshall C.
Ryan to further develop the medical waste fluid collection system for
commercialization. Mr. Ryan conceived of an alternative embodiment for the
medical waste fluid collection system (the “Ryan Embodiment”). In the Ryan
Embodiment, a pump was utilized to measure and discharge the collected fluid
while negative pressure was maintained in the separation and collection
chambers. An international (PCT) application was timely filed disclosing both
the Nord/Drogue Embodiment and the Ryan Embodiment. National stage applications
were subsequently timely filed in the U.S., Europe and Canada based on the PCT
application. During prosecution of the U.S. and European national stage
applications, the claims directed to the Nord/Drogue Embodiment were rejected as
being an un-patentable form of prior art. Accordingly, the claims directed to
the Nord/Drogue Embodiment were canceled and the remaining claims were amended
to specifically claim only the Ryan Embodiment. It was learned during
prosecution of the U.S. and European applications that Mr. Ryan was
inadvertently omitted as a named inventor. Appropriate documents were then filed
with the European and U.S. patent offices to add Mr. Ryan as a named inventor.
Additionally, pursuant to U.S. patent law, because the claims directed to the
Nord/Drogue Embodiment were canceled, leaving only the Ryan Embodiment claimed,
appropriate documents were filed to remove Nord and Drogue as named inventors.
The U.S. patent and the European patent were allowed after the claims were
amended to relate solely to the Ryan Embodiment. The Canadian patent office has
not yet examined the Canadian national stage application (which will be amended
consistent with the U.S. and European patents to claim only the Ryan
Embodiment).
We filed a divisional application with
the U.S. Patent Office with claims directed to the method of use of the Ryan
Embodiment. We also filed, in March 2009 a Continuation-In-Part (CIP)
application to cover additional features and functionalities of our
FMS.
We have not communicated with Mr. Nord
or Mr. Drogue since notifying them that they have been removed as inventors of
the then-pending patent applications. We are not aware of any current intention
by Mr. Nord or Mr. Drogue to challenge ownership or inventorship of the Patents.
We believe that Nord and Drogue have no valid claims of inventorship or
ownership of the Patents. Even if Mr. Nord or Mr. Drogue were to assert such a
claim, we believe that, independent of our dealings with them, we obtained
rights to the Patents from Mr. Ryan, who even if found not to be the sole
inventor of the subject matter of the claims of the Patents, is at least a joint
inventor. As a joint inventor, he would have co-ownership interest in the
Patents and would have the power to transfer to us his undivided co-ownership
interest in the Patents.
The Company’s patented
system includes a cleaning kit that contains a pre-measured amount of a
cleaning solution for cleaning the suction unit before each use. We signed, in
March 2009, an exclusive distribution agreement with Oculus Innovative Science,
the manufacturer of the fluid we will use in the cleaning kit to be utilized
with our FMS. Our exclusive licensing agreement applies to all surgical fluid
management applications.
From time to time, we may encounter
disputes over rights and obligations concerning intellectual property. Also, the
efforts we have taken to protect our proprietary rights may not be sufficient or
effective. Any significant impairment of our intellectual property rights could
harm our business, our reputation, or our ability to compete. Also, protecting
our intellectual property rights could be costly and time
consuming.
The
Disposable Cleaning Kit
The disposable cleaning kit is an
integral, critical component of the FMS and our total value proposition to the
customer. It consists of a proprietary, pre-measured amount of cleaning solution
in a plastic pouch, bottle or similar container with a connection mechanism to
attach to the FMS. The disposal cleaning kit also includes an external manifold
allowing for up to three suction ports. The proprietary cleaning solution placed
in the specially designed holder is attached and recommended to be used
following each surgical procedure. Due to the nature of the fluids and particles
removed during surgical procedures, the FMS is recommended to be cleaned
following each use. Utilizing the available vacuum of the wall system, the
proprietary cleaning fluid is drawn into the FMS to provide a highly effective
cleaning process that breaks up bio-film at the cellular level. Proper cleaning
is required for steady, dependable and repeated FMS performance and for
maintenance of the warranty of the FMS.
The BioDrain proprietary cleaning fluid
is a critical component of our business model. The cleaning fluid has the “razor
blade business model” characteristic with an ongoing stream of revenue for every
FMS unit installed, and revenues from the sale of fluids are expected to be
significantly higher over time than the revenues from the unit. We will have
exclusive distribution rights to the fluid and facilitate the use of our fluid
for cleaning following procedures by incorporating a special adapter to connect
the fluid to the special connector on the FMS system. We will also tie the fluid
usage, which we will keep track of with the FMS software, to the product
warranty. While it could be possible for other manufacturers to provide fluids
for utilization in this process, it would require that they manufacture an
adapter compatible with our connector on the FMS, obtain a container that fits
in the specially designed container holder on the FMS and perform testing to
demonstrate that any other fluid would not damage the FMS. We believe
that these barriers and the warranty control will allow us to achieve
substantial revenue from our cleaning fluid. The instructions for use which
accompany the product will clearly state how the fluid is to be hooked up to the
FMS machine. Further, a diagram on the FMS will also assist the user in
attaching the fluid bottle to the machine. This will be a very simple task, and
we do not anticipate that any training of operating room staff will be
necessary.
All installations of our FMS product
will be completed by a service and maintenance organization that is familiar
with completing such installations in health care settings. We have
had conversations with more than one of this type of company and we are now in
the process of selecting the best company(s) to partner with regarding this
function. The general availability of these types of service and maintenance
personnel in the health care sector should not hinder us from forming a
beneficial relationship in this area.
Corporate
Strategy
BioDrain intends to become successful
by deploying a strategy of focused expansion within its core product and market
segments, while utilizing a progressive approach to manufacturing and marketing
to ensure maximum flexibility and profitability.
Our
strategy will be to:
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Develop a complete line of
wall-installed fluid evacuation systems (“FMS”) for use in hospitals and
free standing surgery centers as well as clinics and physicians’ offices.
Initially, we have developed the FMS to work in hospital operating
rooms and surgical centers. This device was developed for use with the
wall vacuum suction currently installed in hospitals. Opportunities for
future products include an FMS developed for post-operation and recovery
rooms with multiple inlet ports and multiple volume
measurements.
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n
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Provide products that greatly
reduce worker and patient exposure to harmful materials present in
infectious fluids and that contribute to an adverse working environment.
As one of the few stand-alone surgical fluid disposal systems
directly connected to the sanitary sewer, the FMS could advance the manner
in which such material is collected, measured and disposed of in operating
rooms, post-operating recovery, emergency rooms and intensive care
settings by eliminating the need to transport a device to the patient
bedside and remove it for emptying and cleaning at the end of the
procedure. The cost of such exposures, measured in terms of human
suffering, disease management costs, lost productivity, liability or
litigation, will be, when properly leveraged, the strongest motivating
factor for facilities looking at investing in the FMS line of
products..
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n
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Utilize experienced
independent distributors and manufacturers representatives of medical
products to achieve the desired market penetration. Contacts have
been established with several existing medical products distributors and
manufacturers’ representatives and interest has been generated regarding
the sales of the BioDrain FMS and cleaning kits. In addition to their
normal sales practices, the distributors will carry a significant
inventory of cleaning kits for their current customers and could purchase
an FMS for demonstration to new potential customers.
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n
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Continue to utilize operating
room consultants, builders and architects as referrals to hospitals and
day surgery centers. To date, referrals have been received from
this group resulting in several potential sales and a potential beta site.
These referrals have shortened the time frame for contacting and
demonstrating the FMS to potential customers as well as providing us with
valuable responses to the FMS from the customer base, the vast majority of
which have been extremely positive to date.
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Utilize a Medical Advisory
Board to assist in market penetration. We have a Medical Advisory
Board consisting of a respected surgeon, two operating room consultants
and a nurse anesthetist to assist us in understanding the needs of our
market and ways to better serve that market. From time to time executive
management may elect to change the composition of the Medical Advisory
Board, including but not limited to, expanding the size of the Medical
Advisory Board.
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Other
strategies may include:
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Employing
a lean operating structure, while utilizing the latest trends and
technologies in manufacturing and marketing, to achieve both market share
growth and projected profitability.
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Providing
a leasing program and/or “pay per use” program as purchasing
alternatives.
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Providing
service contracts to establish an additional revenue
stream.
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Utilizing
the international manufacturing experience of our management team to
develop global purchasing and/or manufacturing sources for key
sub-assemblies to drive a significant per unit cost
reduction.
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Offering
an innovative warranty program that is contingent on the exclusive use of
our disposable cleaning kit to insure the success of our after-market
disposable products.
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Technology
and Competition
Fluid
Management for Surgical Procedures
The management of infectious fluids
produced during and after surgery is a complex mix of materials and labor that
consists of primary collection of fluid from the patient, transportation of the
waste fluid within the hospital to a disposal or processing site and finally to
the disposal of that waste either via incineration or in segregated
landfills.
Once the surgical procedure has ended,
the canisters and their contents must be removed from the operating room and
disposed. There are several methods used for disposal, all of which present
certain risks to the operating room team, the crews who clean the rooms
following the procedure, and the other personnel involved in their final
disposal. These methods include:
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Direct Disposal Through the
Sanitary Sewer. In virtually all municipalities, the disposal of
liquid blood may be done directly to the sanitary sewer where it is
treated by the local waste management facility. This practice is approved
and recommended by the EPA. In most cases these municipalities
specifically request that disposed bio-materials not be treated with any
known anti-bacterial agents such as glutalderhyde, as these agents not
only neutralize potentially infectious agents but also work to defeat the
bacterial agents employed by the waste treatment facilities themselves.
Disposal through this method is fraught with potential exposure to the
service workers, putting them at risk for direct contact with these
potentially infectious agents through spillage of the contents or via
splash when the liquid is poured into a hopper - a specially designated
sink for the disposal of infectious fluids. Once the infectious fluids are
disposed of into the hopper, the empty canister is sent to central
processing for re-sterilization (glass and certain plastics) or for
disposal in the biohazardous/infectious waste generated by the hospital
(red-bagged).
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Conversion to Gel for Red-Bag
Disposal. In many hospital systems the handling of this liquid
waste has become a liability issue due to worker exposure incidents and in
some cases has even been a point of contention during nurse contract
negotiations. Industry has responded to concerns of nurses over splash and
spillage contamination by developing a powder that, when added to the
fluid in the canisters, produces a viscous, gel-like substance that can be
handled more safely. After the case is completed and final blood loss is
calculated, a port on the top of each canister is opened and the powder is
poured into it. It takes several minutes for the gel to form, after which
the canisters are placed on a service cart and removed to the red-bag
disposal area for disposal with the other infectious waste. There are four
major drawbacks to this system:
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It
does not ensure protection for healthcare workers, as there remains the
potential for splash when the top of the canister is
opened.
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Based
on industry pricing data, the total cost per canister increases by
approximately $2.00.
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Disposal
costs to the hospital increase dramatically as shipping, handling and
landfill costs are based upon weight rather than volume in most
municipalities. The weight of an empty 2,500 ml canister is approximately
one pound. A canister and its gelled contents weigh approximately 7.5
pounds.
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The
canister filled with gelled fluid must be disposed; it cannot be cleaned
and re-sterilized for future
use.
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Despite the increased cost of using gel
and the marginal improvement in health care worker protection it provides,
several hospitals have adopted gel as their standard procedure.
Drainage
Systems
Several new medical devices have been
developed which address some of the deficiencies described above. MD
Technologies, Inc., DeRoyal (formerly Waterstone), Dornoch Medical Systems, Inc.
and Stryker Instruments have all developed systems that provide disposal into
the sanitary sewer without pouring the infectious fluids directly through a
hopper disposal or using expensive gel powders and all of these newer products
are currently sold with 510(K) concurrence from the FDA. Cardinal Health, Inc.
has received 510(K) concurrence to market a similar device that they have begun
advertising. Most of them incorporate an internal collection canister
with finite capacity, and while not directly eliminating the need to transport a
device to and from the surgical room, most have been successful in eliminating
the need for expensive gel and its associated handling and disposal
costs.
Our existing competitors that already
have products on the market have a clear competitive advantage over us in terms
of brand recognition and market exposure. In addition, the aforementioned
companies have extensive marketing and development budgets that could overpower
an early-stage company like ours. Information the Company obtained from surgical
clinicians during interviews indicate that Stryker Instruments has the dominant
market share position. Cardinal Health, Inc., though having FDA concurrence, is
only now beginning to advertise their product. These clinicians have also
indicated that the competitive devices are used in select procedures and often
in some, but not all, surgical rooms.
Current
Competition, Technology, and Costs
Single
Use Canisters
In the U.S., glass reusable containers
are infrequently used as their high initial cost, frequent breakage and costs of
reprocessing are typically more costly than single use high impact plastic
canisters, even when disposal is factored in. Each single use canister costs
roughly $2.00 each and it is estimated that a range of two to eight canisters
are used in each procedure, depending on the operation.
Our FMS would replace the use of
canisters and render them unnecessary, as storage and disposal would be
performed automatically by the FMS. It should be noted that these canisters are
manufactured by companies with substantially more resources that BioDrain.
Cardinal Health, a very significant competitor, manufacturers both single use
canisters as well as a more automated fluid handling system that will compete
with us. Accordingly, faced with this significant competition, we may
have difficulty penetrating this market.
Solidifying
Gel Powder
The market potential for solidifying
gel was estimated at over $100 million in 2002.This market is not yet fully
realized, but many hospitals, responding to increased concerns over inadvertent
worker exposure to liquid waste, are converting to this technology. There have
been many reports (Allina and Fairview to name two Minneapolis-based health
systems) of nursing contracts containing language that requires the facilities
to use gels after every procedure. Our management is aware that at a large
healthcare facility in Minneapolis, Minnesota, routine usage of gel increased
annual operating room expenditures by $63,000, based on 14,000 procedures done
in 2006. It is clear that solidifying gels, while not providing complete freedom
from exposure to workers does present a level of safety and peace of mind to the
healthcare workers who handle gel-treated canisters. While several gel
manufacturers proclaim that sterility of the contents is achieved with the use
of their product, protocols continue to recommend that red-bag procedure is
followed when using these products. One drawback of the solidifying gels is that
they increase the weight of the materials being sent to the landfill by a factor
of five to seven times, resulting in a significant cost increase to the
hospitals that elect to use the products.
BioDrain’s Streamway™ FMS would
eliminate the need for solidifying gel, providing savings in both gel powder
usage and associated landfill costs.
Sterilization
and Landfill Disposal
Current disposal methods include the
removal of the contaminated canisters (with or without the solidifying gel) to
designated biohazardous/infectious waste sites. Previously many hospitals used
incineration as the primary means of disposal, but environmental concerns at the
international, domestic and local level have resulted in a systematic decrease
in incineration worldwide as a viable method for disposing of blood, organs or
materials saturated with bodily fluids. When landfill disposal is used,
canisters are included in the general red-bag disposal and, when gel is used,
comprise a significant weight factor. Where hopper disposal is still in use,
most of the contents of the red-bag consist only of outer packaging of supplies
used in surgery and small amounts of absorbent materials impregnated with blood
and other waste fluid. These, incidentally, are retained and measured at the end
of the procedure to provide a more accurate assessment of fluid loss or
retention. Once at the landfill site, the red-bagged material is often
steam-sterilized with the remaining waste being ground up and interred into a
specially segregated waste dumpsite.
On a related note, many countries are
struggling with landfills within their own borders, and a thriving and growing
biohazardous/infectious waste disposal business is emerging. The inevitable
disputes connected with such a highly charged and potentially politically
sensitive topic have developed, particularly in Europe and the former Soviet
Republics, over the disposition and disposal of these infectious wastes. Such
disputes have also arisen in the U.S. as states lacking landfill capacity (New
Jersey, for example) seek to offload their medical waste on less populous states
or those which lack stringent enforcement.
Moreover, as incineration increasingly
loses its appeal, and as individual countries and states reject importation of
infectious materials, the disposal of these fluids may take on more important
political and environmental overtones. For example, there are several recent
rulings within the European Union that resulted in medical waste being
categorized as a tradable commodity meaning that no member country can reject
medical waste from another European Union partner. Germany, which used to dump
its medical waste in the former East Germany, is now exporting its waste to
Belgium and France. France in particular is fighting this waste and wants
Germany to deal with its own waste within its own borders. In other parts of the
world, landfills are often occupied by otherwise homeless or poverty level
people, who scavenge the sites for food and clothing, and often come into
contact with blood soaked medical waste. Disposal of fluid down the sanitary
sewer and elimination of large numbers of canisters from the volume of red-bag
material, while not addressing all of the concerns regarding landfills, would
certainly reduce the amount of disposed and blood impregnated
waste.
By eliminating large numbers of
canisters and the gel powder, our FMS products would reduce costs and the amount
of canisters sent to landfills dramatically.
Handling
Costs
Once the surgical team has finished
with the procedures and a blood loss estimate is calculated, the liquid waste
(with or without solidifying gels) is removed from the operating room, and
either disposed of down the sanitary sewer or transported to an infectious waste
area of the hospital for later removal.
Our FMS would significantly reduce the
labor costs associated with the disposal of fluid or handling of contaminated
canisters, as the liquid waste is automatically emptied into the sanitary sewer
after measurements are obtained. We will utilize the same suction tubing
currently being used in the operating room, so no additional cost is incurred
with our process. While each hospital handles fluid disposal
differently, we believe that the cost of our cleaning fluid after each procedure
will be less than the current procedural cost that could include the cost of
canisters, labor to transport the canisters, solidifying powder, gloves, gowns,
mops, goggles, shipping and transportation, as well as any costs associated with
any spills that may occur due to manual handling.
A very real and considerable handling
cost is the cost of an infectious fluid exposure. In a July 2007 research
article published by Infection Control Hospital Epidemiology, it is concluded
that “Management of occupational exposures to blood and bodily fluids is costly;
the best way to avoid these costs is by prevention of exposures.” The research
shows that hospital management cost associated with occupational blood exposure
can, conservatively, be more than $4,500. Because of privacy laws, it is
difficult to obtain estimates of exposure events at individual facilities,
however in each exposure the worker must be treated as a worst case event. This
puts the healthcare worker through a tremendous amount of personal trauma, and
the health care facility through considerable expense and exposure to liability
and litigation.
Nursing
Labor
Often
overlooked as a direct cost, nursing personnel spend significant time in the
operating room readying canisters for use, calculating blood loss and removing
or supervising the removal of the contaminated canisters after each procedure.
Various estimates have been made, but an internal study at a large healthcare
facility in Minneapolis, Minnesota, revealed that the average nursing team
spends twenty minutes pre-operatively and intra-operatively setting up,
monitoring fluid levels and changing canisters as needed and twenty minutes
post-operatively readying blood loss estimates or disposing of canisters.
Estimates for the other new technologies reviewed have noted few cost savings to
nursing labor.
Our FMS products would save nursing
time as compared to the manual process of collecting and disposing of surgical
waste. Set-up is as easy as attaching the suction tube to the inflow port of the
FMS. Post-operative clean-up requires approximately five minutes, the time
required to dispose of the suction tubing to the red-bag, calculate the
patient’s blood loss, attach the bottle of cleaning solution to the inlet port
of the unit, initiate the cleaning cycle, and dispose of the emptied cleaning
solution. The steps that our product avoids, which are typically involved with
the manual disposal process include, canister setup, interpretation of an analog
read out for calculating fluid, canister management during the case (i.e.
swapping out full canisters) and then temporarily storing, transferring, dumping
and properly disposing of the canisters.
Competitive
Products
Disposable canister system
technology for fluid management within the operating room has gone virtually
unchanged for decades. As concern for the risk of exposure of healthcare workers
to bloodborne pathogens, and the costs associated with canister systems has
increased, market attention has increasingly turned toward fluid management. The
first quarter of 2001 saw the introduction of three new product entries within
the infectious material control field. Stryker Instruments introduced the
“Neptune” system, offering a combination of bio-aerosol and fluid management in
a portable two piece system; Waterstone Medical (now DeRoyal) introduced the
“Aqua Box” stationary system for fluid disposal; and Dornoch Medical Systems,
Inc. introduced the “Red Away” stationary system for fluid collection and
disposal. All companies, regardless of size, have their own accessory kits. For
purposes of comparison, based on information obtained from a surgical center in
Minnesota, the Stryker Neptune system’s estimated cost per procedure is more
than $15.00 (including single-use-manifold plus cleaning
solution).
We differentiate from these competitors
since we have the most automatic, hands-free process of any of the systems
currently on the market. Each of our competitors, with the exception
of MD Technologies, Inc., has some significant manual handling involved in the
process. It may require the need to transport the mobile unit to a docking port
and then empty the fluid or it may be that the canister is still manually
transported to a more efficient dumping station. Regardless, most of our
competitors require more human interaction with the fluid than BioDrain. Please
refer to the chart on page 39 for a comparison of the key features of the
devices currently marketed vs. the FMS.
Although
the mobility associated with most of the competing products adds time and labor
to the process and increases the chance of worker exposure to waste fluids, it
also allows the hospital to purchase only as many mobile units needed for
simultaneous procedures in multiple operating rooms. With the FMS, a
unit much be purchased and installed in each room where it is intended to be
used.
Marketing
and Sales
Distribution
Our FMS products will be sold through
independent distributors and manufacturers’ representatives covering the vast
majority of major U.S. markets. The targeted customer base will include nursing
administration, operating room managers, CFOs, risk management, and infection
control. Other professionals with an interest in the product include physicians,
nursing, biomedical engineering, anesthetists, anesthesiologists, human
resources, legal, administration, and housekeeping.
The major focus of the marketing effort
will be to introduce our product as a standalone device capable of effectively
removing infectious waste and disposing of it automatically while providing
accurate measurement of fluids removed, and also limiting exposure of the
surgical team and healthcare support staff.
Governmental and professional
organizations have become increasingly aggressive in attempting to minimize the
risk of exposure by medical personnel to bloodborne pathogens. It is believed
that our technology provides a convenient and cost effective way to collect and
dispose of this highly contaminated material.
Distributors
will either have installation and service expertise, or we will contract those
functions to an independent service/maintenance company. We have been
in contact with both distributors and service companies regarding these
installation requirements. The Company will establish extensive training and
standards for the service and installation of the FMS to ensure consistency and
dependability in the field. Users of the system will require a minimal amount of
training to operate the FMS. The instructions for use and the installation guide
will be included with every system along with a quick start guide and a trouble
shooting manual.
We will structure our pricing and
relationships with distributors and/or service companies to ensure that these
entities receive at least a typical industry level compensation for their
activities. The cost and price estimates currently in place with the Company
conservatively allow for reasonable profit margins for all entities in the FMS
and the cleaning fluid supply chain. Although
the customer may arrange their own installation of the FMS unit we have
contracted with Bellimed to be a preferred installation company and we are in
the early stages of training their personnel .
Promotion
The dangers of exposure to infectious
fluid waste are well recognized in the medical community. It is our promotional
strategy to effectively educate medical staff regarding the risks of
contamination using current waste collection procedures and the advantages of
the FMS in protecting medical personnel from inadvertent exposure. We intend to
leverage this medical awareness and concern with education of regulatory
agencies at the local, state and federal level about the advantages of the
FMS.
We intend to supplement our sales
efforts with a promotional mix that will include a number of printed materials,
video support and a web site. Our management team believes its greatest
challenge lies in reaching and educating the 1.6 million medical personnel who
are exposed daily to fluid waste in the operating room or in other healthcare
settings (OSHA, CPL 2-2.44C). These efforts will require utilizing single page
selling pieces, video educational pieces for technical education, liberal use of
scientific journal articles and a web page featuring product information,
educational materials, and training sites.
We will support our sales organization
by attending major scientific meetings where large numbers of potential users
are in attendance. The theme of the trade show booth will focus on education,
the awareness of the hazards of infectious waste fluids and the Company’s
innovative solution to the problem. We will focus our efforts in initially on
the Association of Operating Room Nurses (“AORN”) trade show, where the largest
concentration of potential buyers and influencers are in attendance. We will
obtain an Internet mailbox and will feature information on protection of the
healthcare worker as well as links to other relevant sites. We intend to invest
in limited journal advertising until targeted audiences have been fully
identified. The initial thrust will focus on features of the product and ways of
contacting the Company via the web page or directly through postage paid cards
or direct contact. Additionally, we will create a press release mailing to
clinician oriented periodicals for inclusion in New Product News columns. These
periodicals will provide the reader with an overview of the product and will
direct readers to pursue more information by direct contact with us by accessing
our web page.
Pricing
Prices for the FMS and its disposable
cleaning kit will reflect a cost saving to the hospital compared to its current
procedure costs over time. This pricing strategy should ensure that the customer
will realize actual cost savings when using the FMS and replacing traditional
canisters, considering the actual costs of the canisters and associated costs
such as biohazard processing labor and added costs of biohazard waste
disposal. Suction tubing that is currently used in the operating room
will continue to be used with our system and should not be considered in the
return on investment equation. An argument could be made that our
system produces waste through the disposable cleaning solution
bottle. However, our cleaning solution’s bottle is completely
recyclable, and the anticipated selling price of the fluid is built into our
cost analysis. In comparison, an operation using traditional disposal
methods will often produce multiple canisters destined for biohazard
processing. Biohazard disposal costs are estimated by Outpatient
Surgery Magazine to be 5 times more per pound to dispose of than regular waste
(Outpatient Surgery Magazine, April 2007, p.44). Once the canister
has touched blood, it is considered “red bag” biohazard waste, whereas the
cleaning fluid bottle used in our system can be recycled with the rest of the
facility’s plastics or, less desirably, they can be thrown in the regular
trash.
The
FMS will list for approximately $17,000 per system (one per operating room -
installation extra) and $15.00 - $20.00 per unit retail for the proprietary
cleaning kit to the U.S. hospital market. By comparison, the disposal system of
Stryker Instruments, one of our competitors, retails for $10,000 plus a $9,000
docking station and requires a disposable component with an approximate cost of
$15.00 and a proprietary cleaning fluid (cost unknown per
procedure). Per procedure cost of the traditional disposal process
includes approximate costs of $2.00 per liter canister, plus solidifier at $2.00
per liter canister, plus the biohazard premium disposal cost approximated at
$1.80 per liter canister. In addition, the labor, gloves, gowns,
goggles, and other related material handling costs are also included in the
current disposal expenses.
Installation will be done by
distributors, independent contractors, or in the case of larger facilities by
in-house engineering at an estimated price of $2,000, depending on the operating
room. Installation of the FMS requires access only to the hospital’s sanitary
sewer, vacuum suction, and electricity. To help facilities maintain their
utilization rates, we will recommend installation during off peak hours. In
smaller facilities an outside contractor may be called in, larger institutions
have their own installation and maintenance workforce. Installation time should
not seriously impact the use of the operating room. Each FMS will have an
industry standard warranty period that can be extended through documented use of
the Company’s sterilization kit.
Actual selling price of the hardware
will be at a standard rate to the distributor, permitting them to have price
flexibility when selling multiple units to hospitals and clinics. The current
plan is for the disposable cleaning kit to be priced at $15.00 - $20.00, and a
commission to be paid to the distributor or independent representative upon each
sale.
Engineering
and Manufacturing
We have are currently in negotiations
to finalize our relationship with TriVirix, Inc. for the engineering and
manufacturing of our product, FMS, cleaning fluid packaging, external manifold
or any other accessories. TriVirix, Inc. is ISO 13485:2003 and GMP-certified and
has the necessary expertise and experience to build our product in a
cost-effective manner. We are in negotiations, but have not yet
executed a Manufacturing Supply Agreement with TriVirix.
Upon
execution, we believe that the Manufacturing Supply Agreement will specify the
quantities for production of our product, which we anticipate will be based on a
6-month rolling forecast, the allocation of production and the price and price
increase terms. Under the terms of the expected Manufacturing Supply Agreement,
TriVirix, Inc. would manufacture only our FMS device. Upon execution of the
Manufacturing Supply Agreement, Trivirix, Inc. would be considered a primary
supplier of the FMS device. Our management, as part of a broader manufacturing
sourcing strategy plans to identify at most two second sources of production for
the FMS device.
We have entered into an exclusive licensing agreement
for surgical room fluid
management applications with Oculus Innovative Sciences
(Petaluma, CA) for the supply of a cleaning fluid
manufactured according to a proprietary recipe exclusive to BioDrain
Medical. The proprietary fluid for BioDrain Medical is derived from a fluid on which Oculus has 10 patents issued and over 80
patents pending. The agreement has an
initial term of 5 years and contains minimum quantity purchase requirements to
maintain preferential pricing but does not contain an absolute obligation to
purchase the minimum quantities.
The
disposable cleaning kit consists of a proprietary cleaning solution, a cleaning
solution package (high density polyethylene bottle), a cleaning solution adapter
assembly (barbed bottle cap, attached surgical tubing, and attached valved quick
coupling), and a multi-port external, non-sterile manifold. Oculus has multiple
production facilities located in North America and Europe. The
proprietary cleaning solution can be obtained from any of these locations. Other
single use disposable accessories, such as a fluid sampling system, will be
sourced separately, as individual components. We have not yet entered into
agreements with any suppliers for these products.
To further our manufacturing sourcing
strategy we hired, in June 2008, an Executive Vice President of Operations, Chad
Ruwe, who has 20 years of fluid management systems experience and a demonstrated
history of driving lean manufacturing global sourcing and joint venture
leadership.
Government
Regulation
To date, no regulatory agency has
established exclusive jurisdiction over the area of biohazardous and infectious
waste in healthcare facilities. Several prominent organizations maintain
oversight function concerning various aspects of pertinent technologies and
methods of protection.
These
agencies include:
•
|
|
OSHA
(Occupational Safety and Health Administration)
|
|
|
|
•
|
|
EPA
(Environmental Protection Agency)
|
|
|
|
•
|
|
DOT
(Department of Transportation)
|
|
|
|
•
|
|
JCAHO
(Joint Commission of Accreditation of Hospitals)
|
|
|
|
•
|
|
NFPA
(National Fire Protection Association)
|
|
|
|
•
|
|
AIA
(American Institute of Architects)
|
|
|
|
•
|
|
AORN
(Association of Operating Room Nurses)
|
|
|
|
•
|
|
Specific
state, county, hospital or institution
guidelines
|
Application
for Electrical Safety Testing and Certification
We sought
testing and certification to the IEC 60606-1 and IEC 60606-1-2, two
internationally recognized standards. In the United States there are three
Nationally Recognized Testing Laboratories (“NRTLs”), Underwriters Laboratories
(“UL”), TUV SUD America, Inc. and Intertek-Semko (ETL), that can perform such
tests for electrical safety of our FMS device. We issued request for quotes to
two of three of these NRTLs in addition to issuing initial inquiries to
certified third party testing entities conducting testing on behalf of the
NRTLs. Based on responses to our request for quotes noting pricing
and timing of conducting the testing, we have contracted with TUV SUD America,
Inc. located in New Brighton, MN for this electrical safety testing. On March
11, 2009, we received completed test documentation from TUV SUD America, Inc.
confirming the FMS device successfully completed and passed all testing showing
compliance to IEC 60606-1 and IEC 60606-1-2.
A previous generation BioDrain FMS
device (110/240VAC) successfully passed electrical safety testing conducted by
UL in November 2005 (reference UL File E256928).
We filed the 510(k) submission for FDA
clearance of the FMS device on March 14, 2009 and received written confirmation
on April 1, 2009 that our 510(k) has been cleared by the FDA.
The
FDA required, pursuant to a final regulation for Establishment Registration and
Device Listing for Manufacturers of Devices, that a 510(k) premarket
notification be submitted at least ninety days before marketing a device that:
(1) is being introduced into distribution for the first time by that person or
entity, or (2) is in distribution but is being significantly modified in design
or use. A 510(k) submission must contain, among other things (i) proposed
labeling sufficient to describe the device’s intended use; (ii) a description of
how the device is similar to or different from other devices of comparable type,
or information about what consequences a proposed device modification may have
on the device's safety and effectiveness; and (iii) any other information
necessary to determine whether the device is substantially equivalent (as
defined below). The FMS is a Class II device, which is less stringently reviewed
as that of a Class III device. We teamed with regulatory consultants with
significant experience in the FDA clearance process.
FDA
Process for Clearing a Device Under Section 510(k)
The FDA Center for Devices and
Radiological Health requires 510(k) submitters to provide information that
compares its new device to a marketed device of a similar type, in order to
determine whether the device is substantially equivalent (“SE”). This means that
a manufacturer can submit a 510(k) comparing a new device to a device that has
been found to be SE and the FDA can use this as evidence to determine whether
the new device is substantially equivalent to an already legally marketed device
(or a “predicate device”). The ultimate burden of demonstrating the substantial
equivalence of a new device to a predicate device remains with the 510(k)
submitter, and in those occasions when the Center for Devices and Radiological
Health is unfamiliar with certain aspects of the predicate device, the submitter
will be required to provide information that substantiates a claim of
substantial equivalence.
As a matter of practice, the Center for
Devices and Radiological Health generally considers a device to be SE to a
predicate device if, in comparison to the predicate device, (i) the new device
has the same intended use; (ii) the new device has the same technological
characteristics (i.e. same materials, design, energy source, etc.); (iii) the
new device has new technological characteristics that could not affect safety or
effectiveness or (iv) the new device has new technological characteristics that
could affect safety or effectiveness but there are accepted scientific methods
for evaluating whether safety or effectiveness has been adversely affected and
there is data to demonstrate that the new technological features have not
diminished safety or effectiveness. Premarket notification submissions are
designed to facilitate these determinations.
The
timing to complete the 510(K) review process varies with each submission,
however we anticipate that the product could receive FDA clearance a few months
after the submission is filed. However, there is no assurance that FDA clearance
will be obtained.
Following FDA clearance to market our
product, we will be subject to the normal ongoing audits and reviews by the FDA
and other governing agencies. These audits and reviews are standard and typical
in the medical device industry, and we do not anticipate being affected by any
extraordinary guidelines or regulations.
Foreign
Jurisdictions
Each
country in Europe and the Pacific Rim has unique laws, regulations, and
directives regarding the manufacture and or marketing of medical devices within
their borders that are comparable to the laws and regulations described
above. While we have not fully researched each country and the
respective laws, regulations, and directives we will completely do so in advance
and we recognize product design changes will most likely be necessary based on
practices and procedures in the operative environment in the Pacific Rim as well
as product design changes necessitated by laws, regulations, and
directives.
In
June 2007, we entered into a restructuring agreement, in connection with our
October 2008 Financing, whereby in the event that we failed to obtain FDA
clearance by the end of August 2009, the majority-in-interest of investors (“the
Investors”) would have the right to cause the Company to make significant
restructuring changes. Since the Company received written notice of a
510(k) clearance from the FDA on April 1, 2009 this restructuring will be
avoided.
The following tables
identify each of the Investors and the Founders and the number and percentage of
the Company’s common stock held by each:
|
Name
|
|
Number
of Shares
|
|
|
Percentage
of Common Stock Outstanding
|
|
Investors:
|
|
|
|
|
|
|
Caron
Partners LP
|
|
|
246,500
|
|
|
|
2.8
|
%
|
Marc
I. Abrams
|
|
|
28,571
|
|
|
|
0.3
|
%
|
Douglas
Gold
|
|
|
203,571
|
|
|
|
2.3
|
%
|
Stuart
A. Liner
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Steven
M & Sheila A. Gold
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Tangiers
Investors, L.P.
|
|
|
142,857
|
|
|
|
1.6
|
%
|
MLPF&S:
Jerome Cowan
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Jeremy
Roll
|
|
|
28,572
|
|
|
|
0.3
|
%
|
Bernard
& Twyla Vosika
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Sally
& Naomi Maslon JTWROS
|
|
|
28,571
|
|
|
|
0.3
|
%
|
Michael
Sobeck
|
|
|
14,286
|
|
|
|
0.2
|
%
|
Cavalier
Consulting Corp.
|
|
|
71,429
|
|
|
|
0.8
|
%
|
RP
Capital
|
|
|
183,991
|
|
|
|
2.1
|
%
|
Brian
Weitman
|
|
|
42,599
|
|
|
|
0.5
|
%
|
Bellajule
Partners LP
|
|
|
102,429
|
|
|
|
1.1
|
%
|
Morris
Esquenazi
|
|
|
100,000
|
|
|
|
1.1
|
%
|
Schwartz
Holding
|
|
|
500,000
|
|
|
|
5.6
|
%
|
Jack
& Thelma Farbman
|
|
|
100,000
|
|
|
|
1.1
|
%
|
Morrie
R. Rubin
|
|
|
50,000
|
|
|
|
0.6
|
%
|
Lee
M. Terpstra & Orlando Stephenson
|
|
|
100,000
|
|
|
|
1.1
|
%
|
Investors
|
Name
|
|
Number
of Shares
|
|
|
Percentage
of Common Stock Outstanding
|
|
Bernard
Puder Revocable Trust
|
|
|
430,000
|
|
|
|
4.8
|
%
|
Thomas
J. Klas
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Chad
Ruwe
|
|
|
571,429
|
|
|
|
6.4
|
%
|
Peter
Abramowicz
|
|
|
57,143
|
|
|
|
0.6
|
%
|
Scott
R. Storick
|
|
|
100,000
|
|
|
|
1.1
|
%
|
James
Dauwalter Living Trust
|
|
|
571,429
|
|
|
|
6.4
|
%
|
CGMI
as IRA Custodian FBO John D. Villas
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Stan
Geyer Living Trust
|
|
|
71,429
|
|
|
|
0.8
|
%
|
James
Taylor, IV
|
|
|
571,429
|
|
|
|
6.4
|
%
|
Gregory
B, Graves
|
|
|
42,857
|
|
|
|
0.5
|
%
|
Fenton
Fitzpatrick
|
|
|
8,571
|
|
|
|
0.1
|
%
|
Peter
Persad
|
|
|
71,429
|
|
|
|
0.8
|
%
|
Thomas
M. Pronesti
|
|
|
55,964
|
|
|
|
0.6
|
%
|
Craig
Kulman
|
|
|
38,821
|
|
|
|
0.4
|
%
|
Kulman
IR LLC
|
|
|
125,000
|
|
|
|
1.4
|
%
|
Cross
Street Partners, Inc.
|
|
|
125,000
|
|
|
|
1.4
|
%
|
Namaste
Financial, Inc.
|
|
|
125,000
|
|
|
|
1.4
|
|
Ryan
Hong
|
|
|
57,404
|
|
|
|
0.6
|
%
|
Richardson
& Patel LLP
|
|
|
60,714
|
|
|
|
0.7
|
%
|
Sean
Fitzpatrick
|
|
|
150,000
|
|
|
|
1.7
|
%
|
David
Baker
|
|
|
225,000
|
|
|
|
2.5
|
%
|
Si
Phillips
|
|
|
50,000
|
|
|
|
0.6
|
%
|
Cameron
Broumand
|
|
|
35,000
|
|
|
|
0.4
|
%
|
Sylvia
Karayan
|
|
|
11,646
|
|
|
|
0.1
|
%
|
Jason
Cavalier
|
|
|
15,000
|
|
|
|
0.2
|
%
|
Greg
Suess
|
|
|
104,114
|
|
|
|
1.1
|
%
|
Ben
Padnos
|
|
|
100,000
|
|
|
|
1.1
|
%
|
Nimish
Patel
|
|
|
412,411
|
|
|
|
4.6
|
%
|
Erick
Richardson
|
|
|
399,543
|
|
|
|
4.5
|
%
|
Mark
Abdou
|
|
|
32,907
|
|
|
|
0.4
|
%
|
Addison
Adams
|
|
|
8,227
|
|
|
|
0.1
|
%
|
Michael
Cavalier
|
|
|
8,227
|
|
|
|
0.1
|
%
|
Mick
Cavalier
|
|
|
8,227
|
|
|
|
0.1
|
%
|
Francis
Chen
|
|
|
2,334
|
|
|
|
0.0
|
%
|
Doug
Croxall
|
|
|
6,170
|
|
|
|
0.1
|
%
|
Jennifer
& Michael Donahue
|
|
|
28,009
|
|
|
|
0.3
|
%
|
EGATNIV,
LLC
|
|
|
13,710
|
|
|
|
0.2
|
%
|
Dan
Estrin
|
|
|
823
|
|
|
|
0.0
|
%
|
Kevin
Friedmann
|
|
|
1,440
|
|
|
|
0.0
|
%
|
Abdul
Ladha
|
|
|
4,114
|
|
|
|
0.0
|
%
|
Jody
Samuels
|
|
|
8,227
|
|
|
|
0.1
|
%
|
Yossi
Stern
|
|
|
10,284
|
|
|
|
0.1
|
%
|
Steve
Yakubov
|
|
|
10,284
|
|
|
|
0.1
|
%
|
Total
|
|
|
7,101,266
|
|
|
|
79.3
|
%
|
|
Name
|
|
Number
of Shares
|
|
|
Percentage
of Common Stock Outstanding
|
|
Lawrence
W. Gadbaw
|
|
|
139,163
|
|
|
|
1.6
|
%
|
Peter
L. Morawetz
|
|
|
107,739
|
|
|
|
1.2
|
%
|
Gerald
D. Rice
|
|
|
85,294
|
|
|
|
1.0
|
%
|
Jay
D. Nord
|
|
|
102,336
|
|
|
|
1.1
|
%
|
Sophia
M. Nord, Trust
|
|
|
29,928
|
|
|
|
0.3
|
%
|
Emily
A. Nord, Trust
|
|
|
29,928
|
|
|
|
0.3
|
%
|
Jeffrey
K. Drogue
|
|
|
53,870
|
|
|
|
0.6
|
%
|
Jonathon
N. Drogue, Trust
|
|
|
29,928
|
|
|
|
0.3
|
%
|
Samantha
N. Drogue, Trust
|
|
|
29,928
|
|
|
|
0.3
|
%
|
Staci
M. Lauer (Spade)
|
|
|
35,913
|
|
|
|
0.4
|
%
|
Wisconsin
Rural Enterprise
|
|
|
180,000
|
|
|
|
2.0
|
%
|
Richard
E. & Carol A. Thurk
|
|
|
5,986
|
|
|
|
0.1
|
%
|
Thomas
W. Gadbaw
|
|
|
599
|
|
|
|
0.0
|
%
|
Gail
C. & Ginger L. Smith
|
|
|
2,993
|
|
|
|
0.0
|
%
|
Charles
W. Gadbaw
|
|
|
300
|
|
|
|
0.0
|
%
|
Judith
A. Bright
|
|
|
1,497
|
|
|
|
0.0
|
%
|
Marshall
C. Ryan
|
|
|
71,906
|
|
|
|
0.8
|
%
|
Alice
I. North
|
|
|
399
|
|
|
|
0.0
|
%
|
Arliss
A. Gadbaw
|
|
|
400
|
|
|
|
0.0
|
%
|
Gaynelle
A. Templin
|
|
|
399
|
|
|
|
0.0
|
%
|
Kevin
R. Davidson
|
|
|
29,928
|
|
|
|
0.3
|
%
|
Mark
K. Lawlis
|
|
|
9,577
|
|
|
|
0.1
|
%
|
Wisconsin
Business Innovation Corporation
|
|
|
2,993
|
|
|
|
0.0
|
%
|
|