EP MEDSYSTEMS INC
S-3, 1999-09-30
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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   As filed with the Securities and Exchange Commission on September 30, 1999

                                                     Registration No. 333-_____

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM S-3
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933

                               EP MedSystems, Inc.
             (Exact name of registrant as specified in its charter)

     New Jersey                     5047                            22-3212190
(State of incorporation)  (Primary SIC Code Number)           (I.R.S. Employer
                                                          Identification Number)

                                100 Stierli Court
                            Mount Arlington, NJ 07856
                                 (973) 398-2800
   (Address and telephone number of registrant's principal executive offices)
                    Joseph M. Turner, Chief Financial Officer
                               EP MedSystems, Inc.
                                100 Stierli Court
                            Mount Arlington, NJ 07856
                            Telephone (973) 398-2800
            (Name, address and telephone number of agent for service)

                                   Copies to:
                            Steven E. Gross, Esquire
                Sills Cummis Radin Tischman Epstein & Gross, P.A.
                              One Riverfront Plaza
                          Newark, New Jersey 07102-5400
                            Telephone (973) 643-7000

Approximate  date of commencement  of proposed sale to the public:  From time to
time after the effective date of this Registration Statement.

     If the only  securities  being  registered  on this Form are being  offered
pursuant to dividend or interest  reinvestment plans, please check the following
box. [ ]

     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, as amended, other than securities offered only in connection with dividend
or interest reinvestment plans, 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. [ ]

     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(c)
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. [ ]

     If delivery of the  prospectus is expected to be made pursuant to Rule 434,
please check the following box. [ ]

<TABLE>
<CAPTION>

                         CALCULATION OF REGISTRATION FEE


<S>                              <C>               <C>                        <C>                      <C>
                                                                                Proposed maximum
  Title of each class of          Amount to          Proposed maximum         aggregate offering       Amount of
securities to be registered      be registered    offering price per unit (1)       price (1)        registration fee

 Common Stock, no par value        1,247,500               $3.01                   $3,754,975           $1,043.88
================================ ================ ========================= ======================= ================
</TABLE>


(1)  Estimated  solely  for  purposes  of calculating the registration fee based
     upon the  average of the high and low sales  price for the common  stock on
     September 28,1999 on the Nasdaq National Market.

The  Registrant  hereby  amends  this  Registration  Statement  on such  date or
dates(s) 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 of 1933, as amended,  or until the  Registration  Statement
shall become  effective on such date as the Commission  acting  pursuant to said
Section 8(A) may determine.

The  information  in this  prospectus is not complete and may be changed.  These
securities  may not be sold  until the  Registration  Statement  filed  with the
Commission  becomes  effective.  This  prospectus  is not an offer to sell these
securities,  and it is not  soliciting  an offer to buy these  securities in any
state where the offer or sale is not permitted.


<PAGE>


               SUBJECT TO COMPLETION, DATED _______________, 1999


                                   PROSPECTUS


                               EP MEDSYSTEMS, INC.
                        1,247,500 Shares of Common Stock


     This  Prospectus  relates  to  1,247,500  shares  of  common  stock  of  EP
MedSystems,  Inc., which may be offered from time to time by the shareholders of
EPMed  listed  on page 12 of this  Prospectus,  or by  their  pledgees,  donees,
transferees  or other  successors  in  interest.  1,135,000  of those shares are
currently  issued and  outstanding  and  112,500  shares are  issuable  upon the
exercise of outstanding  options.  All of the outstanding shares and the options
were   previously   issued  by  us  to  the  selling   shareholders  in  private
transactions.  The  outstanding  shares and the shares issuable upon exercise of
the options are  collectively  referred to in this  Prospectus  as the "Shares."
References  in this  Prospectus  to  "EPMed,"  "we," "us" and "our"  refer to EP
MedSystems, Inc., a New Jersey corporation.

     We will  receive  proceeds  upon the  exercise  of the options but will not
receive any of the  proceeds  from the sale of the Shares.  The  expenses of the
registration of the Shares under the Securities Act of 1933, as amended, and the
registration  or   qualification  of  the  Shares  under  any  applicable  state
securities  laws will be paid by EPMed.  The  aggregate  proceeds to the selling
shareholders will be the price for which they sell their shares, less applicable
agents' commissions and underwriting discounts. References in this Prospectus to
the "Securities Act" refer to the Securities Act of 1933, as amended.

     Our common stock is traded on the Nasdaq  National  Market under the symbol
"EPMD." On September 29, 1999,  the last reported sale price of our common stock
was $3.06 per share.

     The securities  offered in this  prospectus  involve a high degree of risk.
See the section entitled "Risk Factors" on page 4 of this Prospectus.



THESE  SECURITIES  HAVE NOT BEEN APPROVED OR  DISAPPROVED  BY THE SECURITIES AND
EXCHANGE COMMISSION,  OR ANY STATE SECURITIES  COMMISSION NOR HAS THE SECURITIES
AND  EXCHANGE  COMMISSION  OR ANY STATE  SECURITIES  COMMISSION  PASSED UPON THE
ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A
CRIMINAL OFFENSE.




             The date of this Prospectus is __________________, 1999
<PAGE>


No  dealer,  salesperson  or  other  person  has  been  authorized  to give  any
information or to make any  representations  other than those  contained in this
Prospectus  and,  if given  or made,  must not be  relied  upon as  having  been
authorized  by us.  Neither the  delivery of this  Prospectus  nor any sale made
pursuant  to  this  Prospectus  shall,  under  any  circumstances,   create  any
indication  that there has been no change in the affairs of EPMed since the date
of this  Prospectus  or that the  information  contained in this  Prospectus  is
correct as of any subsequent  date. This Prospectus does not constitute an offer
to sell or a  solicitation  of an offer to buy any  securities  by anyone in any
jurisdiction  in which that offer or  solicitation is not authorized or in which
the person  making the offer or  solicitation  is not  qualified  to do so or to
anyone to whom it is unlawful to make the offer or solicitation.


                                TABLE OF CONTENTS

                                                                          Page
                                                                        --------

Where You Can Find More Information                                         2
Incorporation of Certain Documents by Reference                             3
Disclosure Forward Looking Statements                                       3
Risk Factors                                                                4
About EP MedSystems, Inc.                                                  10
Use of Proceeds                                                            12
Selling Shareholders                                                       12
Plan of Distribution                                                       13
Legal Matters                                                              14
Experts                                                                    15

                       WHERE YOU CAN FIND MORE INFORMATION

     We  have  filed  with  the  U.S.   Securities  and  Exchange  Commission  a
Registration  Statement on Form S-3 under the Securities Act with respect to the
common stock offered by this Prospectus.  This Prospectus,  filed as part of the
Registration Statement, does not contain all of the information set forth in the
Registration  Statement and its exhibits and schedules.  For further information
regarding EPMed and the Shares, please refer to the Registration Statement.  The
statements in this  Prospectus  are qualified in their  entirety by reference to
the contents of any agreement or other document  incorporated in this Prospectus
by  reference.  You may  inspect a copy of the  Registration  Statement  without
charge at the Commission's  principal offices,  and you may obtain copies of all
or any part of the  Registration  Statement from such office upon payment of the
fees prescribed by the Commission.

     We are required by the Securities Exchange Act of 1934, as amended, to file
reports,  proxy  statements and other  information  with the  Commission.  These
filings  may be  inspected  and copied (at  prescribed  rates) at the  following
public reference facilities maintained by the Commission:

         Washington, D.C.:          Judiciary Plaza
                                    450 Fifth Street, N.W., Room 1024
                                    Washington, D.C. 20549

         New York, N.Y.:            7 World Trade Center, 13th Floor
                                    New York, New York 10048


                                        2
<PAGE>


         Chicago, Il.:              Citicorp Center
                                    500 West Madison Street, Suite 1400
                                    Chicago, Illinois 60661

     Please call the Commission at 1-800-SEC-0330 for further information on the
public reference rooms. Our reports,  proxy statements and other information may
also be  inspected  at the offices of the  National  Association  of  Securities
Dealers, Inc. located at 1735 K Street, N.W.,  Washington,  D.C. 20006. Further,
our  filings  with  the  Commission  are also  available  to the  public  on the
Commission's  web site at  http://www.sec.gov.  References in this Prospectus to
the  "Exchange  Act" shall  refer to the  Securities  Exchange  Act of 1934,  as
amended.

                 INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

     The following  documents we have filed with the Commission are incorporated
by reference into this Prospectus:

     (1)  Annual Report on Form 10-KSB for the year ended December 31, 1998;
     (2)  Quarterly Reports on Form 10-QSB for the quarters ended March 31, 1999
          and June 30, 1999;
     (3)  Current Report on Form 8-K dated as of August 31, 1999 and
     (4)  the description of EPMed's  common stock contained in our Registration
          Statement on Form 8-A filed April 19, 1996.

     Additionally, all documents we file with the Commission pursuant to Section
13(a),  13(c), 14 or 15(d) of the Exchange Act after the date of this Prospectus
and prior to the termination of the offering of the Shares shall be deemed to be
incorporated  by reference into this Prospectus and shall  automatically  update
and supersede this information.

     We  will  provide  without  charge  to each  person  to whom a copy of this
Prospectus is delivered,  upon such person's written or oral request,  a copy of
any and all of the documents incorporated by reference in this Prospectus (other
than  exhibits  to  such  documents,   unless  such  exhibits  are  specifically
incorporated   by  reference   into  the   information   that  this   Prospectus
incorporates).  Requests  should be directed to EP MedSystems,  Inc. 100 Stierli
Court, Mount Arlington,  NJ 07856,  Attention:  Corporate Secretary,  telephone:
(973) 398-2800.

     ALERT  [REGISTERED  TRADEMARK] and EP WorkMate  [REGISTERED  TRADEMARK] are
registered trademarks of EPMed. EP-3 [TRADEMARK], SilverFlex [TRADEMARK], U-View
[TRADEMARK] and ViewMate [TRADEMARK] are trademarks of EPMed.

                 DISCLOSURE REGARDING FORWARD-LOOKING STATEMENTS

     Certain of the matters  discussed in this  Prospectus or in the information
incorporated by reference in this Prospectus contain forward-looking statements.
The  forward-looking  statements  in this  Prospectus  reflect our current views
concerning  future  events  and  financial  performance.  These  forward-looking
statements  are  subject to risks and  uncertainties  that  include  the lack of
significant  revenues,  a history of losses,  the possible inability to complete
our technologies, significant competition, the uncertainty of proprietary rights
and trading risks of low- priced  stocks that could cause our actual  results to
differ  materially  from  our  historical  and  anticipated   results.  In  this
Prospectus,  the words "anticipates," "believes," "plans," "expects," "intends,"
"future" and similar expressions identify such forward-looking  statements.  You
are  cautioned to consider the  specific  risk factors  contained in the section
entitled "Risk Factors." They apply only as of the date of this  Prospectus.  We
have no  obligation  to publicly  revise  these  forward-looking  statements  to
reflect  events or  circumstances  that may occur in the future.  All subsequent
written  and oral  forward-looking  statements  attributed  to EPMed or  persons
acting on our behalf are expressly qualified in their entirety by this section.

                                        3
<PAGE>

                                  RISK FACTORS

     You should  carefully  consider the following risk factors before making an
investment  decision.  There may be other risks and uncertainties  that we don't
know of or that we don't  consider  material at this time. If these risks occur,
our  business,  financial  condition  and  results of  operations  will  suffer.
Additionally,  this Prospectus contains forward-looking  statements that involve
uncertainties.  EPMed's actual results may be significantly  less favorable than
those forward-looking  statements. This section discusses factors that can cause
those differences.

WE HAVE A HISTORY OF OPERATING LOSSES AND EXPECT FUTURE LOSSES.

     We commenced  operations  in 1993 and have incurred  substantial  operating
losses in each following year. As of December 31, 1998, our accumulated  deficit
was approximately $14.4 million. Our present product sales revenues do not cover
our operating expenses,  which were approximately $9.2 million in 1997 and $12.1
million in 1998 (which includes a $1.4 million write-down of an investment) will
exceed  those  for  1998 and will not be  covered  by our 1999  sales  revenues.
Further, we expect that our future operating expenses will continue to increase.
Accordingly, we may continue to incur operating losses.

WE MAY BE UNABLE TO MEET OUR FUTURE CAPITAL REQUIREMENTS.

     If our present projections and expectations of revenues and expenses change
materially,  our existing and future capital  resources may be  insufficient  to
meet our capital needs. If this occurs,  we will have to raise  additional funds
through public or private financings of equity, debt or both. Adequate funds for
our operations,  from financial  markets or other sources,  may not be available
when needed. If this occurs,  we may be required to delay or terminate  research
and  development  programs,  curtail  capital  expenditures  and reduce business
development and other operating activities.

CLINICAL TESTING OF OUR PRODUCTS IS REQUIRED.

     The FDA  requires  that we conduct  clinical  trials of the ALERT System to
demonstrate  its safety and  efficacy.  We have  commenced,  but not  completed,
clinical  trials of the ALERT  System at fifteen  (15)  hospitals  in the United
States,  the maximum  number of hospitals  approved by the FDA,  including  Duke
University  Medical  Center,  the Medical Center of the University of Alabama at
Birmingham,  Baylor  University,   Indiana  University  and  the  University  of
California at San Francisco.  We anticipate completing the ALERT System clinical
trials during calendar year 1999. At the conclusion of the clinical  trials,  we
plan to file with the FDA for  approval to market the ALERT System in the United
States.

     The ALERT System may not prove to be safe and effective in clinical trials.
Additionally,  the  results  of the  clinical  trials may  identify  significant
technical  obstacles  that must be  overcome in order to obtain  regulatory  and
reimbursement  approvals.  If the  ALERT  System  does not  prove to be safe and
effective  in clinical  trials our  business  and  financial  condition  will be
materially adversely affected.

OUR SUCCESS DEPENDS ON DEVELOPING AND COMMERCIALIZING THE ALERT SYSTEM.

     Our long-term success depends on the success of the ALERT System. The ALERT
System has not been approved by the FDA and cannot be sold  commercially  in the
United  States  without FDA  approval.  FDA approval is based upon,  among other
things,  the  results  of  clinical  trials  that  demonstrate  the  safety  and
effectiveness  of the  device.  We may not be able to obtain FDA  approval  on a
timely  basis  or at  all.  Further,  FDA  approval  could  include  significant
limitations on the uses for which the ALERT System may be marketed.


                                        4

<PAGE>


     If the ALERT System is approved,  its  commercial  success will depend upon
acceptance by physicians.  Physician  acceptance  will depend upon,  among other
things, substantial,  favorable clinical experience, advantages over alternative
treatments,  cost effectiveness,  and favorable  reimbursement policies of third
party  payors  such as  insurance  companies,  Medicare  and other  governmental
programs.

     Profitability of the ALERT System will depend on our ability to manufacture
the system efficiently in commercial  quantities.  We have only manufactured the
components  of the ALERT  System in  limited  quantities.  We may not be able to
attain  efficient   manufacturing.   Further,  we  will  also  be  dependent  on
sub-contractors for certain key components of the ALERT System.

     Our  failure  to obtain  FDA  approval,  market  acceptance,  manufacturing
efficiency and reliable sub-  contractors  will materially  adversely affect our
business and financial condition.

OUR SUCCESS DEPENDS ON CONTINUED MARKET ACCEPTANCE OF THE EP WORKMATE.

     Our ability to increase  over-all revenues over the next several years will
depend on the continued  acceptance by  electrophysiologists  of the EP WorkMate
computerized monitoring and analysis workstation.  The EP WorkMate accounted for
a significant  percentage  of our product  sales in the year ended  December 31,
1998 and is expected to account for a significant  portion of our 1999 revenues.
Because  the EP  WorkMate  has a list price of  approximately  $129,000  with an
integrated EP-3[TRADEMARK]  Stimulator, each sale of an EP WorkMate represents a
relatively  large  percentage of our quarterly net sales. We cannot be sure that
the  EP  WorkMate's  present  level  of  market  acceptance  and  sales  can  be
maintained.

OUR  BUSINESS  AND  FINANCIAL   CONDITION  ARE  SUBJECT  TO  VARIOUS  RISKS  AND
UNCERTAINTIES ARISING FROM DOMESTIC AND INTERNATIONAL LAWS AND REGULATIONS.

     UNITED STATES. In the United States, the development, testing, manufacture,
labeling,  marketing,  promotion  and  sale  of  medical  devices  is  regulated
principally  by the FDA under the Federal Food,  Drug, and Cosmetic Act. The FDA
has  broad  discretion  in  enforcing  compliance  with  that  statute  and  its
regulations.  Noncompliance can result in fines,  injunctions,  civil penalties,
recall or  seizure  of  products,  total or partial  suspension  of  production,
failure  to  grant  premarket  clearance  or  premarket  approval  for  devices,
withdrawal of marketing approvals and criminal prosecution.

     The process for obtaining FDA approval for a new medical  device is usually
long, complex and expensive.  For example, the process for the ALERT System has,
to date, taken two (2) years and is expected to take up to another year.

     In addition to obtaining FDA approval for a new medical device, our ability
to continue to  commercially  sell our  products,  including the EP WorkMate and
EP-3 Stimulator,  is subject to continuing FDA oversight of the on-going design,
manufacturing,  packaging, labeling, storage and quality of our medical devices.
Failure to comply with the applicable FDA standards and  requirements can result
in fines, injunctions,  civil penalties,  recalls or seizures of products, total
or partial  suspensions  of products,  withdrawals  of marketing  approvals  and
criminal prosecution.

     Our EP WorkMate,  EP-3 Stimulator and many of our catheter related products
have received FDA approval. We hope to file with the FDA for pre-market approval
of the ALERT  System  in the later  portion  of this  year.  The FDA has not yet
reviewed the ALERT System  clinical  trials,  and will review them only after it
accepts the pre-market approval application.  If the application is not accepted
for filing by the FDA, or if the FDA does not approve the ALERT System, we could
be required to either  re-do all or a  substantial  portion of the ALERT  System
clinical  trials or abandon the ALERT System.  This would have a severe  adverse
financial impact on our ability to continue our business.

                                        5
<PAGE>


     INTERNATIONAL. In order for us to market our products in Europe and certain
other foreign  jurisdictions,  we must obtain required regulatory  approvals and
clearances and otherwise comply with extensive  regulations regarding safety and
manufacturing   processes  and  quality.   These   regulations,   including  the
requirements  for  approvals or  clearance  to market and the time  required for
regulatory  review,  vary from country to country.  The time  required to obtain
approval by a foreign  country may be longer or shorter  than that  required for
FDA approval and the requirements may differ.  Many foreign countries  generally
permit  studies  involving  humans for  medical  devices  earlier in the product
development  cycle than is permitted by regulation in the U.S. Other  countries,
such as Japan, have standards similar to those of the FDA. We may not be able to
obtain  regulatory  approvals  in such  countries or we may be required to incur
significant costs in obtaining or maintaining our foreign regulatory  approvals.
Delays in the receipt of approvals to market our products or failure to maintain
these  approvals  could  have a  material  adverse  impact on our  business  and
financial condition.

     Foreign countries also often have extensive  regulations  regarding safety,
manufacturing  processes and quality that differ from those in the United States
and must be met in order to continue sale of a product within the country.

     Presently,  we are  permitted  to sell our  products,  including  the ALERT
System,  in countries  that are members of the  European  Union and the European
Free  Trade  Association.  We  cannot  be sure  that we  will be  successful  in
maintaining that permission.

OUR SUCCESS  WILL DEPEND IN PART ON OUR ABILITY TO KEEP PACE WITH  TECHNOLOGICAL
AND MARKETPLACE CHANGES.

     The   electrophysiology   market  is   characterized  by  rapidly  changing
technology,  new products and industry  standards.  Accordingly,  our ability to
compete  depends on our ability to develop  new  products  and improve  existing
ones.

     The research  and  development  necessary  for new products and for product
refinements can take longer and require greater expenditures than expected,  and
might not succeed.  Moreover, our new products and product refinements might not
be accepted by physicians and patients.

OUR PATENTS AND PROPRIETARY RIGHTS MIGHT NOT PROVIDE SUBSTANTIAL PROTECTION.

     Our success and ability to compete in the  marketplace  will depend in part
upon our ability to protect our  proprietary  technology and other  intellectual
property. We seek patents on our important inventions, have acquired patents and
have entered into license  agreements to obtain rights under selected patents of
third parties that we consider  important to our business.  Patents might not be
issued on our patent  applications  and  applications for which we have acquired
licenses.  Further,  if those patents are issued,  they may not be of sufficient
scope and  strength  to  provide us with  meaningful  protection  or  commercial
advantage.  Additionally,  these  patents  may  be  challenged,  invalidated  or
circumvented  in the  future.  Moreover,  our  competitors,  many of  whom  have
substantial  resources  and  have  made  substantial  investments  in  competing
technologies, may presently have or may seek patents that will prevent, limit or
interfere  with our ability to make,  use or sell our  products in the U.S.  and
other countries.


                                        6
<PAGE>


     In  addition  to  patents,  we  rely on a  combination  of  trade  secrets,
copyrights  and  trademarks to protect our  intellectual  property  rights.  For
example,  our software (which is an integrated  component in the EP WorkMate and
EP-3 Stimulator) is not patented and existing  copyright laws offer only limited
practical  protection from  misappropriation.  Our competitors may independently
develop substantially equivalent proprietary technology.

INTELLECTUAL PROPERTY LITIGATION COULD HARM OUR BUSINESS.

     While we do not believe we are infringing any patents or other intellectual
property rights of others,  litigation over  infringement  claims is frequent in
the medical device  industry and could arise.  This kind of litigation,  with or
without  merit,  would be time  consuming and costly,  and could cause  shipment
delays, require us to develop alternative technology or require us to enter into
costly royalty or licensing  agreements.  Further, if necessary licenses are not
available  to us on  satisfactory  terms,  we may not be able  to  redesign  our
products or processes to avoid alleged  infringement.  Accordingly,  we could be
prevented from manufacturing and selling some of our products.

     Also, competitors might infringe our patents and trade secrets.  Costly and
time consuming litigation may be necessary to enforce our patents and to protect
our trade secrets.

WE MIGHT BE UNABLE TO PAY ROYALTIES.

     We have entered into several  license  agreements  which  require us to pay
royalties,  including, in some cases, minimum annual royalties. If we do not pay
those royalties, we may lose those rights under the license agreements. The loss
of certain  technology  licenses  could have a  material  adverse  impact on our
business and financial condition.

WE FACE SIGNIFICANT COMPETITION.

     The medical device market,  particularly  in the area of  electrophysiology
products,  is  highly  competitive.  Many  of our  competitors  have  access  to
significantly  greater financial,  marketing and other resources.  Further,  the
medical  device  market  is  characterized  by  rapid  product  development  and
technological  change.  Our present and future products could become obsolete or
uneconomic through technological advances by one or more of our competitors. For
example, the ALERT System is a new technology that must compete with established
treatments  for atrial  fibrillation  as well as with new  treatments  currently
under  development  by other  companies.  Our future  success will depend on our
ability to remain  competitive  with other  developers  of medical  devices  and
therapies.

THIRD-PARTY  REIMBURSEMENT  MIGHT BE  DENIED  OR NOT  AVAILABLE  FOR SOME OF OUR
PRODUCTS.

     Our products are generally  purchased by  physicians  or hospitals.  In the
U.S., third party payors are then billed for the healthcare services provided to
patients  using those  products.  These payors  include  Medicare,  Medicaid and
private insurers.  Similar reimbursement  arrangements exist in several European
countries.  Third party payors may deny or limit  reimbursement for our existing
products and future  products such as the ALERT  System.  Third party payors are
increasingly  challenging  the prices charged for medical  products and services
and are  putting  pressure  on medical  equipment  suppliers  to reduce  prices.
Furthermore,  the ALERT System might not be eligible for Medicare  reimbursement
during clinical  trials.  The FDA places new medical devices of the type (called
Class  III) that are  undergoing  clinical  trials  and are  subject to the most
stringent  FDA review into either  Category A or Category B. Category A devices,
which are those whose safety and effectiveness  have not yet been  demonstrated,
are not eligible for Medicare  reimbursement during clinical trials.  Category B
devices,  which  are those  whose  safety  and  effectiveness  issues  have been
resolved, are eligible for Medicare reimbursement. The ALERT System is currently
classified as a Class III Category B device.  However,  final  determination  of
device  classification will be made during review by the FDA of the ALERT System
pre-market  approval  application  which might  classify  the ALERT  System as a
Category A device. If this occurs, we will not receive any Medicare payments for
the use of the ALERT System.

                                        7
<PAGE>

     Changes in FDA  regulations,  Medicare  regulations or in other third party
payor  policies,  could  reduce  or  make  either  or  both  Medicare  or  other
third-party reimbursement unavailable for our existing products and, if approved
by the FDA, the ALERT System.  Any of those  occurrences  would adversely affect
our ability to achieve profitable operations and maintain our business.

WE MIGHT NOT BE ABLE TO MAINTAIN OR EFFECTIVELY MANAGE OUR SALES FORCE.

     During 1996,  we began to assemble a domestic  direct  sales and  marketing
force to sell and promote  our  products  in the U.S.  Previously,  we relied on
third party distributors for all sales efforts. We might not be able to continue
to attract and retain  qualified and capable  individuals  who can  successfully
promote our products.

     We are also in the process of expanding our marketing  internationally  and
will continue to rely on third party  distributors  in foreign  markets.  During
1997, we formed a U.S. subsidiary, with a branch based in the United Kingdom, to
increase sales in the UK, improve distributor relationships and customer service
and to  assist  in the  introduction  of the ALERT  System  in  Europe.  We have
initiated  sales  through a new  Japanese  distributor  and have taken  steps to
improve our distribution  network in Asian markets.  Some of our agreements with
third party distributors are oral, and many of our distributor agreements,  both
written and oral, are terminable by  distributors.  The  distributors  might not
actively  and  effectively  market  our  products,  and we might  not be able to
replace existing distributors if present relationships are terminated.  Further,
we might not be able to make  arrangements  with new  distributors to access new
international markets.

OUR BUSINESS COULD BE SUBJECT TO PRODUCT LIABILITY CLAIMS.

     The  manufacture  and sale of our  products  involves  the risk of  product
liability claims. Our products are highly complex and some are, or will be, used
in  relatively  new  medical  procedures  and in  situations  where  there  is a
potential risk of serious injury, adverse side effects or death. Misuse or reuse
of our catheters may increase the risk of product liability claims. We currently
maintain  product  liability  insurance  with coverage  limits of $5,000,000 per
occurrence and $5,000,000 in the aggregate per year. This insurance is expensive
and may not be available  to us in the future.  A  successful  claim  against or
settlement  by us in  excess  of our  insurance  coverage  or our  inability  to
maintain  insurance  could have a material  adverse  effect on our  business and
financial condition.

WE HAVE LIMITED  MANUFACTURING  EXPERIENCE AND DEPEND ON OUTSIDE SOURCES FOR THE
MANUFACTURE OF CRITICAL COMPONENTS OF OUR PRODUCTS.

     We have limited  manufacturing  experience  in  manufacturing  our catheter
products,  including the ALERT  Catheter.  Further,  we have limited  experience
manufacturing  these  products  in the volume that will be  necessary  for us to
achieve  significant  commercial  sales.  While we have  expanded  our  catheter
manufacturing facilities and have hired and trained additional personnel, we may
not be able to  establish  or maintain  reliable,  high-volume,  cost  effective
manufacturing  capacity.  Moreover, we may encounter  difficulties in increasing
our manufacturing  capacity,  including  problems  involving  production yields,
quality  control  and  assurance,   component  supply  shortages,  shortages  of
qualified  personnel,  compliance  with FDA regulations and the need for further
regulatory approval on new manufacturing processes.


                                        8

<PAGE>

     Additionally,  we rely on outside sources for the manufacturing of critical
components  for the  ALERT  Additionally,  we rely on  outside  sources  for the
manufacturing of critical  components for the ALERT  Companion,  EP WorkMate and
EP-3 Stimulator.  Any interruption in this supply from our outside sources would
have a material  adverse  effect on our ability to deliver our  products.  If an
interruption  were  to  occur,  we may  not  be  able  to  reach  an  acceptable
arrangement with an alternative  source of supply on a timely basis. Our failure
to find alternative  manufacturing  sources would have a material adverse effect
on our business and financial condition.

OUR RELIANCE ON INTERNATIONAL OPERATIONS EXPOSES US TO ADDITIONAL RISKS.

     In 1997, we  established a branch office in the United  Kingdom in order to
increase  sales  in  Europe,  improve  international   distributor  service  and
relations and to aid in the introduction of the ALERT System for sale in Europe.
In 1998,  approximately  11% of our sales were derived outside the U.S. Since we
expect  international sales will continue to represent a significant  percentage
of our total sales, we intend to continue to increase our operations  outside of
the United States. Our continued reliance on international sales will subject us
to  fluctuations  in  currency   exchange  rates  and  other  risks  of  foreign
operations, including:

     o  tariff regulations;
     o  export license requirements;
     o  unexpected changes in regulatory requirements;
     o  extended collection periods for accounts receivable;
     o  potentially  inadequate  protections  of  intellectual  property rights;
     o  local taxes;
     o  restrictions on repatriation of earnings; and
     o  economic and political instabilities.

     These  factors  could have a  materially  adverse  effect on our ability to
maintain and expand profitable foreign sales. Our failure to maintain and expand
profitable  foreign sales would have a material  adverse  effect on our business
and financial condition.

OUR STOCK PRICE HAS BEEN VOLATILE AND FUTURE SALES OF SUBSTANTIAL NUMBERS OF OUR
SHARES COULD HAVE AN ADVERSE EFFECT ON THE MARKET PRICE OF OUR SHARES.


                                        9

<PAGE>

     The market price of shares of our common stock has been volatile. The price
of our common  stock may continue to fluctuate in response to a number of events
and factors, including:

     o    clinical trial results;
     o    the amount of our cash resources and our ability to obtain  additional
          funding;
     o    announcements   by   us  or our  competitors  of  research activities,
          business developments, technological innovations or new products;
     o    changes in government regulation;
     o    disputes concerning patents or proprietary rights;
     o    changes in our revenues or expense levels;
     o    public concern regarding the safety, efficacy or other aspects of  the
          products or methodologies we are developing; and
     o    changes in recommendations by securities analysts.

     Any of these  events may cause the price of our  shares to fall,  which may
adversely  affect our business and  financing  opportunities.  In addition,  the
stock market in general and the market  prices for medical  device  companies in
particular have experienced significant volatility that often has been unrelated
to the operating  performance or financial  conditions of such companies.  These
broad market and industry fluctuations may adversely affect the trading price of
our shares, regardless of our operating performance or prospects.

     In addition,  sales, or the possibility of sales, of substantial numbers of
shares  of our  common  stock  in  the  public  market  could  adversely  affect
prevailing market prices for shares of our common stock.

YEAR 2000 ISSUES MAY ADVERSELY AFFECT OUR BUSINESS AND FINANCIAL CONDITION.

     Many currently  installed  computer  systems and software  products  cannot
distinguish  20th  century  dates from 21st  century  dates.  As a result,  some
computer systems and/or software will experience  operating  difficulties unless
they are  modified or  upgraded to  adequately  process  information  involving,
related to, or dependent upon the century  change.  In light of the  potentially
broad  effects of the Year 2000 on a wide range of business  systems,  we may be
affected.  We utilize and are dependent upon data  processing and other computer
hardware and software to conduct our business.  We have  completed an assessment
of our own  computer  systems  and based upon this  assessment,  we believe  our
computer systems are substantially  "Year 2000 compliant;" that is, our computer
systems are capable of  adequately  distinguishing  21st century dates from 20th
century dates.  However,  we may not have identified all  significant  Year 2000
problems in our computer  systems,  and therefore may be subject to unknown risk
and expense.

     Based on our  internal  assessment,  we believe  that the most likely worst
case  scenario  would  involve  our  suppliers  and  manufacturers.  We have not
determined  the extent,  or  completed,  activities  to minimize the risk of the
computer  systems  of our  suppliers  and  manufacturers  not  being  Year  2000
compliant,  or not  becoming  compliant  on a timely  basis.  We  expect to make
inquires with these suppliers  through the end of 1999. Year 2000 problems could
prevent any of our suppliers  from timely  delivery of products or services that
we need.  We  currently  believe  that our costs to address  the Year 2000 issue
relating to our  suppliers  will not be material.  To the extent  practical,  we
intend to identify  alternative  suppliers  and  manufacturers  in the event our
preferred suppliers cannot deliver products or services that we need on a timely
basis.  Our  expectations  of Year 2000  costs  relating  to our  suppliers  and
manufacturers are only estimates,  which were derived from numerous  assumptions
of  future  events,  including  the  continued  availability  of  resources  and
third-party  remediation plans with regard to Year 2000 issues.  These estimates
may not be  correct  and  actual  results  could  differ  materially  from these
estimates.

                                       10
<PAGE>


                            ABOUT EP MEDSYSTEMS, INC.

     We develop, manufacture, market and sell a line of products for the cardiac
electrophysiology   market  used  to  diagnose,   monitor  and  treat  irregular
heartbeats known as arrhythmias.  We have identified the diagnosis and treatment
of atrial fibrillation as a primary focus for our ongoing development efforts.

     In this regard, we have developed a new product for internal  cardioversion
of atrial fibrillation known as the ALERT [REGISTERED  TRADEMARK] System,  which
uses a patented  electrode  catheter to deliver measured,  variable,  low energy
electrical  impulses  directly  to the  inside of the heart in order to  convert
atrial  fibrillation to a normal heart rhythm. This process of converting atrial
fibrillation to a normal heart rhythm is otherwise known as "cardioversion." Our
ALERT System  comprises a single use  proprietary  electrode  catheter  with two
separate  electrode  arrays (the ALERT  Catheter) and an external  energy source
(the ALERT Companion).  We believe that low energy internal conversion using the
ALERT System provides numerous  potential  advantages over high-energy  external
cardioversion and drug conversion therapies including:

     o    fewer traumas,  discomfort  and  risk  to  patients  than  high-energy
          external cardioversion;
     o    higher  success  rates  in  converting  patients  with  chronic atrial
          fibrillation  to normal  heart rhythm than with  high-energy  external
          cardioversion (based on initial clinical experience);
     o    elimination of harmful side effects associated  with   drug therapies;
     o    outpatient basis use since general anesthesia is not required;
     o    lower  overall  cost   per   procedure   than   high-energy   external
          cardioversion  since  the  services  of  an  anesthesiologist  is  not
          required
     o    greater applicability for converting atrial fibrillation occurring in
          the days immediately following open-heart surgery; and
     o    the combination  of  temporary pacing  and  blood  pressure monitoring
          features with cardioversion in a single multi-purpose catheter.

While the ALERT System is not yet approved for sale in the United States,  it is
approved for sale in the European Community.

     We  also  have   developed  and  currently   market  an   electrophysiology
workstation  (the EP WorkMate  [REGISTERED  TRADEMARK]) and stimulator (the EP-3
[TRADEMARK]  Stimulator).  The EP WorkMate is a  computerized  electrophysiology
workstation that monitors  displays and stores cardiac  electrical  activity and
arrhythmia  data.  Electrophysiology  workstations are dedicated data management
systems designed  specifically for use in  electrophysiology  procedures to view
and record  procedural  data,  facilitate data analysis and generate  customized
reports.  The EP WorkMate is typically sold with an integrated EP-3  Stimulator.
We believe the EP  WorkMate is  differentiated  from  competing  products by its
seamless  integration  with the EP-3  Stimulator,  its  capacity  to receive and
display  up to 120  channels  of cardiac  electrical  data  simultaneously,  its
ability to process  and  simultaneously  display  both real time and  historical
electrophysiology  activity and its simple,  user friendly  software  based on a
menu driven, point and click interface.

                                       11

<PAGE>

     Our EP-3  Stimulator  is a  computerized  electrical  pulse  generator  and
processor  used to  stimulate  the heart with  electrical  impulses  in order to
locate electrical disturbances or arrhythmias. We believe the EP-3 Stimulator is
currently the only  computerized  electrophysiology  clinical  stimulator  being
marketed  in  the  U.S.  Our  EP-3  Stimulator  can be  sold  as a  stand  alone
electrophysiology  stimulator or integrated with the EP WorkMate. We believe the
EP WorkMate, when integrated with the EP-3 Stimulator,  offers the most advanced
computer tools available to the electrophysiology market.

     Additionally,  we have developed an  intracardiac  ultrasound  product line
including   the    ViewMate[TRADEMARK]    ultrasound    imaging    console   and
U-View[TRADEMARK]  deflectable intracardiac imaging catheter. These products are
designed to improve a  physician's  ability to visualize  inside the chambers of
the heart,  including the internal anatomy of the heart. We believe the ViewMate
and U-View may play important roles as new and effective  treatment  options are
developed  for  the  treatment  of  complex   cardiac   arrhythmias,   including
ventricular tachyarrhythmia and atrial fibrillation. Our ultrasound products are
not yet approved for sale.

     Finally,  we presently  market a full line of diagnostic  electrophysiology
catheters   for   stimulation   and  sensing  of   electrical   signals   during
electrophysiology  studies.  Our diagnostic catheters are similar to others sold
within the industry.  However, during March 1999, we received clearance from the
FDA for our unique flexible catheter electrode technology. This clearance allows
us to market the product in the United  States.  This  proprietary  and patented
technology known as  SilverFlex[TRADEMARK]  offers us the ability to manufacture
and sell catheters  with numerous  closely-spaced  electrodes for  sophisticated
mapping  procedures.  These  electrodes  are placed onto the catheter  through a
unique  computer-controlled  deposition process, creating flexible,  lightweight
electrodes  without  compromising the catheter  handling  characteristics.  This
allows  the  physician  to  gain  entrance  into  some of the  most  challenging
structures of the heart, limiting the risk of perforation. SilverFlex appears to
be a better  alternative  than metal  electrode  bands when numerous  electrodes
and/or deflectable catheter are required for for a mapping procedure.

     We were incorporated in New Jersey in January,  1993. Our principal offices
are located at 100 Stierli Court,  Mount Arlington,  NJ 07856, and our telephone
number is 973-398-2800.


                                       12
<PAGE>

                                 USE OF PROCEEDS

     We will not receive any proceeds from the sale of the Shares by the selling
shareholders  except for the  exercise  price of the options  which  proceeds we
intend to use for  working  capital  and  general  corporate  purposes.  The net
proceeds  from  the  sale  of  the  Shares  will  be  received  by  the  selling
shareholders.

                              SELLING SHAREHOLDERS

     The following table lists the selling  shareholders  and sets forth certain
information  regarding their beneficial ownership of common stock as well as the
number of shares each selling  shareholder  or its nominee may sell  pursuant to
this  Prospectus.  The Shares are being  registered to permit  public  secondary
trading of the Shares which the selling  shareholders  may offer for resale from
time to time. The information in the table is as of the date of this Prospectus.

<TABLE>
<CAPTION>

                                           Shares of Common         Shares of               Shares of             Percentage
               Name of                        Stock Owned          Common Stock        Common Stock to be        Owned After
         Selling Shareholder              Before Offering (1)     Being Offered       Owned After Offering (2)    Offering (3)
- --------------------------------------   ---------------------   ----------------   -----------------------    --------------
<S>                                          <C>                   <C>                    <C>                      <C>

EGS Private Healthcare Partnership, LP (15)  1,312,500 (4)         875,000 (14)           437,500 (4)               4 %
350 Park Avenue
New York, NY 10022

EGS Private Healthcare Counterpart, LP (15)   187,500 (5)          125,000 (14)            62,500 (5)               1 %
350 Park Avenue
New York, NY 10022

Darryl D. Fry (6)                              75,000 (7)           50,000 (14)            25,000 (7)                 *
c/o EP MedSystems, Inc.
100 Stierli Court
Mount Arlington, NJ 07856

Steven E. Gross, Esq. (8)                      52,500 (9)           35,000 (14)           17,500  (9)                 *
c/o EP MedSystems, Inc.
100 Stierli Court
Mount Arlington, NJ 07856

David W. Mortara, Ph.D. (10)                 173,000 (11)           50,000 (14)          123,000 (11)               1 %
c/o EP MedSystems, Inc.
100 Stierli Court
Mount Arlington, NJ 07856

Tracey E. Young (12)                         112,500 (13)              112,500                      0                 *
c/o Elliot Young & Associates, Inc.
65 South Main Street
Sharon, CT 06069
- --------------------------------------
* Less than 1%
</TABLE>


(1)  Beneficial  ownership  is  determined  in accordance with Rule 13d-3 of the
     Exchange Act.

(2)  Assumes that all of the Shares offered by each of the selling  shareholders
     hereunder have been sold.


                                       13

<PAGE>


(3)  Percentages  are  based  upon the assumption that all the Shares offered by
     such  selling  shareholder  have been sold and are computed on the basis of
     11,010,417  shares of common stock issued and  outstanding  as of September
     29, 1999  together with the  applicable  options  and/or  warrants for such
     selling shareholder.

(4)  Includes 437,500 shares which are issuable upon the exercise of warrants.

(5)  Includes 62,500 shares which are issuable upon the exercise of warrants.

(6)  Mr. Fry became a director of EPMed effective as of September 22, 1999.

(7)  Includes 25,000 shares which are issuable upon the exercise of warrants.

(8)  Mr. Gross  is  a  member and  the Managing Partner of the law firm of Sills
     Cummis Radin Tischman  Epstein & Gross,  P.A. which provides legal services
     to us.

(9)  Includes 17,500 shares which are issuable upon the exercise of warrants.

(10) Dr. Mortara has served as a director of EPMed since 1995.    Dr. Mortara is
     also a director,  officer and  shareholder of Mortara  Instrument,  Inc., a
     privately held company from whom we purchase certain  components for the EP
     WorkMate and ALERT Companion.

(11) Includes 25,000 shares which are issuable upon the exercise of warrants and
     48,000 shares which are issuable upon exercise of options.

(12) Elliot  Young  & Associates,  Inc.   provided  consulting services to us as
     partial compensation for which Ms. Young was granted options.

(13) All  of  these  112,500  shares  are  shares  to be issued upon exercise of
     options.

(14) The  Shares  offered by the selling shareholder hereunder were purchased on
     September 1, 1999, in connection  with a private  placement of an aggregate
     of 1,135,000 of our common shares. We received  aggregate offering proceeds
     of $3,115,575  from this private  placement,  based on a per share price of
     $2.745.  We intend to use the proceeds of the private placement for working
     capital and general corporate purposes.

(15) EGS  Private  Healthcare   Partnership,  LP  and  EGS  Private   Healthcare
     Counterpart, LP share common management and certain common ownership.

                              PLAN OF DISTRIBUTION

     All of the shares offered pursuant to this Prospectus may be sold from time
to  time  by  the  selling  shareholders,  or  by  their  permitted  assigns  or
transferees in one or more of the following transactions:

     o    on the Nasdaq National Market System (or any other exchange on   which
          the Shares may be listed);
     o    in the over-the-counter market;
     o    in negotiated transactions other than on such exchanges;
     o    by pledge to secure debts and other obligations;

                                       14

<PAGE>


     o    in connection with the writing on non-traded and exchange-traded  call
          options,  in hedge transactions,  in covering  previously  established
          short   positions  and  in  settlement   of  other   transactions   in
          standardized or over-the-counter options; or
     o    in a combination of any of the above transactions.

     In addition,  any of the Shares that qualify for sale  pursuant to Rule 144
promulgated under the Securities Act may be sold in transactions  complying with
such Rule, rather than pursuant to this Prospectus. The selling shareholders may
sell their Shares at market  prices  prevailing  at the time of sale,  at prices
related to such  prevailing  market  prices,  at  negotiated  prices or at fixed
prices.  The selling  shareholders may use  broker-dealers to sell their shares.
The broker-dealers will either receive discounts or commissions from the selling
shareholders, or they will receive commissions from purchasers of shares.

     Under certain circumstances the selling shareholders and any broker-dealers
that participate in the distribution may be deemed to be  "underwriters"  within
the  meaning  of  the  Securities   Act.  Any   commissions   received  by  such
broker-dealers  and  any  profits  realized  on  the  resale  of  shares  may be
considered  discounts  and  commissions  under the  Securities  Act. The selling
shareholders  may  agree  to  indemnify  such  broker-dealers   against  certain
liabilities,  including  liabilities  under the Securities Act. In addition,  we
have agreed to  indemnify  the selling  shareholders  with respect to the shares
offered  pursuant to this  Prospectus  against  certain  liabilities,  including
certain liabilities under the Securities Act.

     Under the rules and  regulations of the Exchange Act, any person engaged in
the distribution or the resale of shares may not simultaneously engage in market
making  activities  with  respect  to EPMed's  common  stock for a period of two
business  days  prior to the  commencement  of such  distribution.  The  selling
shareholders  and any other person who  participates  in a  distribution  of the
Shares will also be subject to applicable provisions of the Exchange Act and the
rules and  regulations  thereunder,  including  the  anti-manipulation  rules of
Regulation M, which  provisions may limit the timing of purchases and affect the
marketability  of the shares  and the  ability of any person to engage in market
making activities for shares of our common stock.

     We  have  the  right  to  suspend  use of  this  Prospectus  under  certain
circumstances for a period of not more than 120 days in any twelve month period.
We  expect we would  need to  exercise  this  right if a  preliminary  corporate
development  would  exist which may  materially  affect our stock price and such
development has not been appropriately publicly disclosed.

     At the time a  particular  offering  of the  Shares is made,  to the extent
required,  a Prospectus  Supplement will be distributed which will set forth the
number of shares  being  offered and the terms of the  offering,  including  the
purchase price or public offering price, the name or names of any  underwriters,
dealers  or  agents,  the  purchase  price  paid by any  underwriter  for shares
purchased from the selling  shareholders,  any discounts  commissions  and other
items constituting compensation from the selling shareholders and any discounts,
commissions or concessions allowed or reallowed or paid to dealers.

     The selling shareholders will pay all commissions, transfer taxes and other
expenses  associated  with the sale of shares by them. The shares offered hereby
are being registered  pursuant to contractual  obligations of EPMed, and we have
paid the expenses of the  preparation of this  Prospectus.  We have not made any
underwriting arrangements with respect to the sale of Shares.

                                  LEGAL MATTERS

     The legality of the shares  offered  pursuant to this  prospectus  has been
passed upon for us by Sills Cummis Radin Tischman Epstein & Gross, P.A., Newark,
New Jersey.

                                       15

<PAGE>


                                     EXPERTS

     The  financial  statements  as of  December  31, 1998 and for the year then
ended, incorporated in this Prospectus by reference to the Annual Report on Form
10-KSB  for the year ended  December  31,  1998,  have been so  incorporated  in
reliance on the report of  PricewaterhouseCoopers  LLP, independent accountants,
given on the authority of said firm as experts in auditing and accounting.

     The  financial  statements  as of  December  31, 1997 and for the year then
ended, incorporated in this Prospectus by reference to the Annual Report on Form
10-KSB  for the year ended  December  31,  1998,  have been so  incorporated  in
reliance on the report of Arthur Andersen LLP, independent accountants, given on
the authority of said firm as experts in auditing and accounting.

                                       16

<PAGE>


                                    PART II
                   INFORMATION NOT REQUIRED IN THE PROSPECTUS


Item 14.  Other Expenses of Issuance and Distribution

     The following table sets forth the estimated  expenses of the registrant in
connection with the issuance and distribution of the shares registered hereunder
(all amounts are  estimated  except the  Commission  and Nasdaq  fees).  Selling
commissions  and fees and stock transfer taxes are payable  individually  by the
selling shareholders.

Securities and Exchange Commission registration fee                 $   1,043.88
Nasdaq National Market Additional Shares listing fee                   17,500.00
Legal fees and expenses                                                65,000.00
Accountants' fees and expenses                                         10,000.00
          Total                                                      $ 93,543.88

Item 15.  Indemnification of Directors and Officers

     Section  14A:3-5 of the New Jersey  Business  Corporation  Act, as amended,
(the  "BCA")  sets forth the extent to which a  corporation  may  indemnify  its
directors,  officers  and  employees.  More  specifically,  such law  empowers a
corporation  to  indemnify a corporate  agent  against his or her  expenses  and
liabilities  incurred in connection with any proceeding (other than a derivative
lawsuit)  involving the corporate  agent by reason of his or her being or having
been a corporate  agent if (a) the  corporate  agent acted in good faith or in a
manner  he or she  reasonably  believed  to be in or  not  opposed  to the  best
interests of the corporation,  and (b) with respect to any criminal  proceeding,
the corporate  agent had no  reasonable  cause to believe his or her conduct was
unlawful.  For  purposes of such law the term  "corporate  agent"  includes  any
present or former director, officer, employee or agent of the corporation, and a
person serving as a "corporate  agent" at the request of the corporation for any
other enterprise,  or the legal  representative  of any such director,  officer,
trustee, employee or agent. For purposes of this section, "proceeding" means any
pending, threatened or completed civil, criminal,  administrative or arbitrative
action,  suit,  or  proceeding,  and  any  appeal  therein  and any  inquiry  or
investigation which could lead to such action, suit or proceeding.

     With respect to any  derivative  action,  the  corporation  is empowered to
indemnify a corporate  agent  against  his or her  expenses  (but not his or her
liabilities)  incurred in connection with any proceeding involving the corporate
agent by  reason of his or her being or  having  been a  corporate  agent if the
agent acted in good faith and in a manner he or she reasonably believed to be in
or not opposed to the best interests of the corporation.  However,  only a court
can empower a corporation to indemnify a corporate  agent against  expenses with
respect to any claim,  issue or matter as to which the agent was adjudged liable
to the corporation.

     The  corporation  may  indemnify a corporate  agent in a specific case if a
determination  is made by any of the following that the  applicable  standard of
conduct was met: (i) the Board of Directors, or a committee thereof, acting by a
majority  vote  of a  quorum  consisting  of  disinterested  directors;  (ii) by
independent legal counsel,  if there is not a quorum of disinterested  directors
or if the disinterested  quorum empowers counsel to make the  determination;  or
(iii) by the stockholders.

     A corporate  agent is entitled to mandatory  indemnification  to the extent
that the agent is successful on the merits or otherwise in any proceeding, or in
defense of any claim, issue or matter in the proceeding.  If a corporation fails
or refuses to  indemnify  a corporate  agent,  whether  the  indemnification  is
permissive or mandatory,  the agent may apply to a court to grant him or her the
requested indemnification.  In advance of the final disposition of a proceeding,
the Board of Directors may direct the corporation to pay an agent's  expenses if
the agent  agrees  to repay the  expenses  in the  event  that it is  ultimately
determined that he is not entitled to indemnification.


                                      II-1

<PAGE>


     Our Amended and Restated  Certificate of  Incorporation  and Bylaws provide
that  we may  indemnify  our  directors,  officers,  Scientific  Advisory  Board
members,  employees  and other  agents to the fullest  extent  permitted  by New
Jersey  law;  provided,  that such  persons  acted in good faith and in a manner
reasonably believed to be in EPMed's best interest, with respect to any criminal
proceeding,  had no reasonable  cause to believe such conduct was  unlawful.  We
also maintain liability  insurance for our officers and directors.  There can be
no  assurance,  however,  that we will be able to  maintain  such  insurance  on
reasonable terms.

     In  addition,  Section  14A:2-7  of the  BCA  provides  that  a New  Jersey
corporation  may include  within its  Certificate  of  Incorporation  provisions
eliminating or limiting the personal  liability of its directors and officers in
shareholder  actions brought to obtain damages for alleged breaches of fiduciary
duties,  as long as the alleged acts or omissions  did not involve a breach of a
duty of loyalty to the corporation or its  shareholders,  were performed in good
faith,  did not  involve a  knowing  violation  of law or result in an  improper
personal benefit.

     Our Amended and Restated  Certificate of  Incorporation  and Bylaws provide
that our directors will not be personally  liable to us or our  shareholders for
damages  for  breach  of any duty  owed to us or our  shareholders,  except  for
liabilities arising from any breach of duty based upon an act or omission (i) in
breach of the duty of  loyalty  to us,  (ii) not in good  faith or  involving  a
knowing  violation  of law or (iii)  resulting  in receipt by such  director  or
officer of an improper personal benefit.


                                      II-2

<PAGE>


Item 16.  Exhibits.

  Exhibit Number                             Description

     4.3            Form of Common Stock and  Warrant Purchase Agreement between
                    EP MedSystems,  Inc. and the Purchasers,  dated as of August
                    1, 1999 (including  Exhibit A: Form of  Registration  Rights
                    Agreement and Exhibit B: Form of Warrant)  (filed as Exhibit
                    4.3 to EP  MedSystems,  Inc.'s  Current  Report  on Form 8-K
                    dated as of  August  31,  1999 and  incorporated  herein  by
                    reference).

     4.4            Amendment  Agreement  dated  as of September 16, 1999 by and
                    among Elliot Young and Associates, Inc., Tracey E. Young and
                    EP MedSystems, Inc.

     4.5            Stock  Option  Agreement  dated August 31, 1995  between  EP
                    MedSystems,  Inc. and Tracey E. Young,  as amended (filed as
                    Exhibit  10.28  to  EP   MedSystems,   Inc.'s   Registration
                    Statement on Form SB-2 and  Pre-Effective  Amendments Nos. 1
                    and 2 thereto and incorporated herein by reference).

     4.6            Registration  Rights  Agreement  dated  as  of  May 24, 1996
                    between EP  MedSystems,  Inc.  and Tracey E. Young (filed as
                    Exhibit  10.29  to  EP   MedSystems,   Inc.'s   Registration
                    Statement on Form SB-2 and  Pre-Effective  Amendments Nos. 1
                    and 2 thereto and incorporated herein by reference).

     5.1            Opinion  of  Sills  Cummis  Radin  Tischman Epstein & Gross,
                    P.A., regarding the legality of the Shares.

    23.1            Consent of PricewaterhouseCoopers LLP

    23.2            Consent of Arthur Andersen LLP (to be filed by amendment)

    23.3            Consent  of  Sills  Cummis  Radin  Tischman Epstein & Gross,
                    P.A. (contained in Exhibit 5.1).


                                      II-3

<PAGE>


Item 17.  Undertakings

The undersigned registrant hereby undertakes:

          1.   To file, during any  period in  which offers or sales  are  being
               made, a post-effective amendment to this registration statement:

               (a)  To  include  any  prospectus required by Section 10(a)(3) of
                    the Securities Act;

               (b)  To  reflect  in  the  prospectus any facts or events arising
                    after the effective date of the  registration  statement (or
                    the most recent  post-effective  amendment  thereof)  which,
                    individually  or in the  aggregate,  represent a fundamental
                    change  in the  information  set  forth in the  registration
                    statement; and

               (c)  To include any material information with respect to the plan
                    of distribution not previously disclosed in the registration
                    statement or any material change to such  information in the
                    registration statement.

                    Provided, however, that the registrant does not need to make
               post-effective  amendments  with respect to the  information  set
               forth in  paragraphs  (a) and (b)  above if such  information  is
               contained in periodic  reports  filed with the  Commission by the
               registrant  under the Exchange Act and such periodic reports have
               been incorporated by reference in this registration statement.

          2.   That,  fo  the  purpose  of  determining any  liability under the
          Securities Act, each such post- effective amendment shall be deemed to
          be a new  registration  statement  relating to the securities  offered
          therein,  and the  offering of such  securities  at that time shall be
          deemed to be the initial bona fide offering thereof.

          3.   To   remove  from  registration  by  means  of  a  post-effective
          amendment any of the securities  being  registered  that remain unsold
          after the termination of the offering.

          4.   The  undersigned  registrant hereby undertakes that, for purposes
          of determining  any liability under the Securities Act, each filing of
          the  registrant's  annual report  pursuant to Section 13(a) or Section
          15(d) of the  Exchange Act that is  incorporated  by reference in this
          registration  statement  shall  be  deemed  to be a  new  registration
          statement relating to the securities offered therein, and the offering
          of such securities at that time shall be deemed to be the initial bona
          fide offering thereof.

          5.   Insofar  as  indemnification  for  liabilities  arising under the
          Securities Act may be permitted to directors, officers and controlling
          persons of the  registrant  pursuant to the foregoing  provisions,  or
          otherwise,  the registrant has been advised that in the opinion of the
          Commission such  indemnification is against public policy as expressed
          in the Securities Act and is, therefore,  unenforceable.  In the event
          that a claim for indemnification  against such liabilities (other than
          the  payment  by the  registrant  of  expenses  incurred  or paid by a
          director,  officer  or  controlling  person of the  registrant  in the
          successful  defense of any action,  suit or proceeding) is asserted by
          such director,  officer or controlling  person in connection  with the
          securities  being  registered,  the  registrant  will,  unless  in the
          opinion of its  counsel  the matter  has been  settled by  controlling
          precedent,  submit to a court of appropriate jurisdiction the question
          whether  such  indemnification  by  it is  against  public  policy  as
          expressed  in the  Securities  Act and will be  governed  by the final
          adjudication of such issue.

                                      II-4


<PAGE>


                                   SIGNATURES

     Pursuant to the requirements of the Securities Act of 1933, as amended, the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-3 and has duly caused this Registration
Statement  to  be  signed  on  its  behalf  by  the  undersigned,  thereto  duly
authorized,  in the City of Mount Arlington,  State of New Jersey,  on September
29, 1999.

                                                  EP MedSystems, Inc.

                                                  By:  /s/ David A. Jenkins
                                                       -------------------------
                                                       David A. Jenkins
                                                       Chairman of the Board and
                                                       Chief Executive Officer


     Pursuant to the  requirements  of the  Securities  Act of 1933, as amended,
this  Registration  Statement  has been signed by the  following  persons in the
capacities and on the dates indicated.


          Signature                                                    Date

/s/       David A. Jenkins                                    September 29, 1999
- ---------------------------------------------------
          David A. Jenkins, Chairman, President and
          Chief Executive Officer
          (Principal Executive Officer)


/s/       Joseph M. Turner                                    September 29, 1999
- ---------------------------------------------------
          Joseph M. Turner, Chief Financial Officer
          and Secretary (Principal Accounting Officer)


/s/      David W. Mortara, Ph.D.                              September 29, 1999
- ---------------------------------------------------
         David W. Mortara, Ph.D.
         Director


/s/      John E. Underwood                                    September 29, 1999
- ---------------------------------------------------
         John E. Underwood
         Director


                                      II-5


                                  EXHIBIT INDEX

Exhibit Number                      Description

 4.3      Form  of  Common  Stock  and  Warrant  Purchase  Agreement  between EP
          MedSystems,  Inc.  and the  Purchasers,  dated as of  August  1,  1999
          (including  Exhibit  A:  Form of  Registration  Rights  Agreement  and
          Exhibit B: Form of Warrant)  (filed as Exhibit  4.3 to EP  MedSystems,
          Inc.'s  Current  Report on Form 8-K dated as of  August  31,  1999 and
          incorporated herein by reference).

 4.4      Amendment  Agreement  dated  as  of  September 16,  1999  by and among
          Elliot Young and Associates,  Inc., Tracey E. Young and EP MedSystems,
          Inc.

 4.5      Stock  Option Agreement dated August 31, 1995  between  EP MedSystems,
          Inc.  and Tracey E. Young,  as amended  (filed as Exhibit  10.28 to EP
          MedSystems,   Inc.'s   Registration   Statement   on  Form   SB-2  and
          Pre-Effective  Amendments Nos. 1 and 2 thereto and incorporated herein
          by reference).

 4.6      Registration  Rights  Agreement  dated  as  of May 24, 1996 between EP
          MedSystems,  Inc.  and Tracey E. Young  (filed as Exhibit  10.29 to EP
          MedSystems,   Inc.'s   Registration   Statement   on  Form   SB-2  and
          Pre-Effective  Amendments Nos. 1 and 2 thereto and incorporated herein
          by reference).

 5.1      Opinion  of   Sills  Cummis  Radin  Tischman  Epstein  & Gross,  P.A.,
          regarding the legality of the Shares.

23.1      Consent of PricewaterhouseCoopers L.L.P..

23.2      Consent of Arthur Andersen LLP (to be filed be amendment)

23.3      Consent of Sills Cummis Radin Tischman Epstein & Gross, P.A.(contained
          in Exhibit 5.1).







                                                                  EXHIBIT 4.4

                               AMENDMENT AGREEMENT

     THIS AMENDMENT  AGREEMENT (this  "Agreement") is made as of the 16th day of
September, 1999, by and among Elliot Young & Associates, Inc., a Connecticut "S"
corporation ("EYA"),  Tracey E. Young, an individual ("Young", and together with
EYA, the "Young  Parties")  and EP  MedSystems,  Inc., a New Jersey  corporation
("EPMD").

                                   WITNESSETH:

     WHEREAS,  EYA and EPMD  entered  into that  certain  Amended  and  Restated
Consulting  Agreement  dated as of May 24,  1996  (the  "Consulting  Agreement")
pursuant  to  Section  2(a) of which  EPMD  agreed  to grant to EYA an option to
purchase  up to  150,000  shares  of  EPMD  common  stock  in  consideration  of
consulting services rendered by EYA ("EPMD's Section 2(a) Obligation");

     WHEREAS,  Young and EPMD entered into that certain  Stock Option  Agreement
dated as of August 31,  1995,  as amended as of May 24, 1996 (the "Young  Option
Agreement")  pursuant  to which  Young was  granted an option to  purchase up to
150,000 shares of EPMD common stock (the  "Option")  which Option is exercisable
until August 31, 2000, at 5:00 p.m.;

     WHEREAS, pursuant to Section 4 of the Consulting Agreement, EYA agreed that
the  granting of the Option  pursuant to the Young  Option  Agreement  satisfied
EPMD's Section 2(a) Obligation;

     WHEREAS,  Young and EPMD  entered  into that  certain  Registration  Rights
Agreement dated as of May 24, 1996 (the "Young  Registration Rights Agreement"),
pursuant to which EPMD granted certain registration rights to Young with respect
to the shares of EPMD common stock  underlying the Option ("EPMD's  Registration
Obligations");

     WHEREAS,  on or  before  September  29,  1999,  EPMD will be filing a shelf
registration with the Securities and Exchange Commission (the "SEC") on Form S-3
covering the  registration  under the  Securities  Act of 1933,  as amended (the
"Act"),  of certain  EPMD common  shares (the  "Registrable  Securities")  to be
offered or sold on a delayed or continuous basis pursuant to Rule 415 of the Act
(the "Shelf Registration Statement"); and

     WHEREAS,  the parties agree (i) to reduce the shares  underlying the Option
from  150,000  shares to 112,500  shares and (ii) for EPMD to register  all such
112,500 underlying shares on the Shelf Registration  Statement to satisfy EPMD's
Registration Obligations.

     NOW,  THEREFORE,  in consideration of the mutual covenants contained herein
and for other good and valuable consideration  contained herein, the receipt and
legal sufficiency of which are hereby acknowledged,  the parties hereto agree as
follows:

     1.   Reduction of Shares Underlying the Option.    Effective as of the date
hereof, the shares of EPMD common stock underlying the Option are hereby reduced
from  150,000  shares to 112,500  shares (the  "Amended  Option")  and the Young
Option  Agreement is hereby  amended to account for this reduction (the "Amended
Yong Option Agreement").

     2.   Satisfaction of EPMD's Registration Obligation.   In full satisfaction
of EPMD's Registration Obligations, EPMD shall include as Registrable Securities
in the Shelf  Registration  Statement  the 112,500  shares of EPMD common  stock
issuable  upon  exercise of the  Amended  Option  pursuant to the Amended  Young
Option   Agreement.   EPMD  shall  maintain  the   effectiveness  of  the  Shelf
Registration  Statement  until  such date as is the  earlier  of (i) the date on
which all the  Registrable  Securities  have been sold or (ii) the date on which
all the Registrable  Securities may be immediately sold without  restriction and
without  registration under the Act. The Young Registration  Rights Agreement is
hereby amended consistent with the provisions of this Section 2.

<PAGE>

     3.   Release of the Young Parties to EPMD.  On behalf of themselves as well
as any third parties who could claim on their behalf either through  subrogation
rights or  otherwise,  each of the Young  Parties  do hereby  fully and  finally
release,  acquit  and  discharge  EPMD and all of EPMD's  parent  or  subsidiary
corporations or divisions or partnerships or other  affiliates as well as all of
their officers, directors, stockholders, agents or employees of and from any and
all  claims,  actions,  suits or  demands  of any kind,  nature  or  description
whatsoever whether developed or undeveloped,  accrued or unaccrued, either past,
present  or  future,  excepting  only  the  Young  Parties'  rights  under  this
Agreement.

     4.   Release of EPMD to the Young Parties.   On behalf of itself as well as
any third  parties  who could  claim on its behalf  either  through  subrogation
rights or  otherwise,  EPMD does hereby  fully and finally  release,  acquit and
discharge  each of the Young  Parties and all of the their parent or  subsidiary
corporations or divisions or partnerships or other  affiliates as well as all of
their officers, directors, stockholders, agents or employees of and from any and
all  claims,  actions,  suits or  demands  of any kind,  nature  or  description
whatsoever whether developed or undeveloped,  accrued or unaccrued, either past,
present or future, excepting only EPMD's rights under this Agreement.

     5.   Representations  and  Warranties.    The parties hereby  represent and
warrant to one another that (a) each has the requisite power and authority,  and
in the  case of the  corporate  parties  hereto,  has the  corporate  power  and
authority  to  enter  into  and  consummate  this  Agreement;  (b)  each has the
requisite  power and authority to execute,  deliver and perform its  obligations
under  this  Agreement;  (c) each has taken all  necessary  corporate  action to
authorize the execution, delivery and performance of this Agreement and has duly
and properly  executed and delivered it; (d) this Agreement  constitutes a valid
and legally binding  obligation of each party  enforceable  against it or him in
accordance with its terms.

     6.   Entire Agreement; No Waiver.   This Agreement, together with the other
documents  referenced  herein that this Agreement  affects,  modifies or amends,
contain  the entire  agreement  among the  parties  hereto  with  respect to the
subject matter hereof, and supersede all previous  understandings,  arrangements
and  agreements  in respect  thereof,  whether oral or written.  Notwithstanding
anything herein to the contrary,  the terms and conditions  contained in each of
the Consulting Agreement,  the Young Option Agreement and the Young Registration
Rights  Agreement shall continue to apply (to the extent  effective)  subject to
the  amendments  and  modifications  of such terms and  conditions  provided for
herein.  No amendment,  modification  or other change of this Agreement shall be
valid or binding upon a party  against  whom  enforcement  is sought  unless set
forth in a document duly  executed by or on behalf of such party.  No consent or
waiver,  express  or  implied,  by a party to or of any breach by a party in the
performance  by it or he of any of its or his  obligations  hereunder  shall  be
deemed  or  construed  to be a  consent  or  waiver  to or of the  breach in the
performance  by such  party of the same or any other  obligation  of such  party
hereunder. Failure on the part of any party to complain of any act or failure to
act of any other party or to declare any other party in default, irrespective of
how long such failure  continues,  shall not unless otherwise herein provided to
the  contrary  constitute  a  waiver  by a  party  of its,  hers  or his  rights
hereunder. All consents and waivers shall be in writing.

     7.   Further Assurances.  Without limiting the generality of any provisions
of this  Agreement,  each party agrees that upon request of any other party,  it
shall, from time to time, do any and all other acts and things as may reasonably
be  required  to  carry  out  its  obligations  hereunder,   to  consummate  the
transactions contemplated hereby and to effectuate the purposes hereof.

     8.   Governing Law; Jurisdiction.  This Agreement shall be governed by, and
construed and enforced in accordance  with, the laws of the State of New Jersey,
exclusive  of its  conflicts  of laws  provisions.  Each of the  parties  hereby
submits  himself  or  itself  for the sole  purpose  of this  Agreement  and any
controversy arising hereunder to the exclusive  jurisdiction of the state courts
of the State of New Jersey,  and waives any objection (on the grounds of lack of
jurisdiction  or forum non  conveniens,  or  otherwise)  to the exercise of such
jurisdiction over it, him or her by such court.
<PAGE>

     9.   Notices.   All  notices  or  other communications provided for in this
Agreement  shall be  deemed  to have  been  duly  given to a party if  mailed by
registered or certified mail, postage prepaid,  or by Federal Express or similar
overnight  delivery  service,  or by facsimile  transmission  confirmed by first
class  mail.  All  notices or other  communications  shall be  addressed  to the
parties as follows:

         If to EPMD:                EP MedSystems, Inc.
                                    100 Stierli Court, Suite 107
                                    Mount Arlington, New Jersey 07856
                                    Attention: President
                                    Facsimile No.: (973) 398-8636

         If to a Young Party:       c/o Elliot Young & Associates, Inc.
                                    65 South Main Street
                                    Sharon, Connecticut 06069
                                    Attention: President
                                    Facsimile No.: (860) 364-1510

     10.  Miscellaneous.   All of the representations, warranties, covenants and
agreements  of each of the parties  contained in this  Agreement  shall  survive
indefinitely  the execution,  delivery and performance of this  Agreement.  This
Agreement  may be  executed  in two or more  counterparts,  each of which  shall
constitute an original,  but all of which when taken together  shall  constitute
but one Agreement.  It shall not be necessary that any one counterpart be signed
by the parties so long as each party  shall have  executed a  counterpart.  This
Agreement shall be for the benefit of and binding upon the parties hereto, their
respective administrators,  heirs, legatees, devisees, successors, and permitted
assigns and designees.  No party hereto may assign or delegate any of his or its
rights, interests,  liabilities or obligations under this Agreement by operation
of law or otherwise. This Agreement is the result of negotiations among, and has
been reviewed by each of the Young  Parties,  EPMD and, to the extent  retained,
their  respective  counsel.  Accordingly,  this  Agreement  shall be  deemed  to
constitute  a joint  effort  of the  parties  and shall  not be  construed  more
severely against any party.


                            [signature page follows]

<PAGE>



         IN WITNESS WHEREOF, the parties hereto have each executed and delivered
this Agreement as of the date first above written.

                                                ELLIOT YOUNG & ASSOCIATES, INC.


                                                By:/s/ Tracey E. Young
                                                   -------------------
                                                Name: Tracey E. Young
                                                Title: President


                                                /s/ Tracey E. Young
                                                ----------------------
                                                Tracey E. Young, individually


                                                EP MEDSYSTEMS, INC.


                                                By:/s/ David A. Jenkins
                                                   --------------------
                                                Name: David A. Jenkins
                                                Title: President







                                                                   EXHIBIT 5.1

         [Sills Cummis Radin Tischman Epstein & Gross, P.A. Letterhead]

                                                          September 30, 1999

EP MedSystems, Inc.
100 Stierli Court
Mt. Arlington, NJ 07856

         Re: Registration Statement on Form S-3

         We have  acted as counsel  to and for EP MedSystems, Inc., a New Jersey
corporation  (the  "Company") in connection with the preparation and filing of a
Registration  Statement on Form S-3 dated September 30, 1999 (the  "Registration
Statement"),  filed  with the  Securities  and  Exchange  Commission  under  the
Securities  Act of 1933,  as amended (the "Act"),  on behalf of certain  selling
shareholders for the purpose of registering the resale of up to 1,247,500 shares
(the "Registered  Shares") of the Company's  common stock, no par value,  stated
value $.001 per share (the "Common Stock"). Such total includes 1,135,000 shares
currently  issued and  outstanding  (the  "Issued and  Outstanding  Shares") and
112,500 shares which are issuable upon the exercise of outstanding  options (the
"Options").

         We  have examined  the Company's  Amended  and  Restated Certificate of
Incorporation,  Bylaws, as amended, resolutions of the Board of Directors of the
Company and such other documents, instruments and records as we deemed necessary
or appropriate for purposes of rendering this opinion.

     In  rendering  this  opinion,  we have  assumed  and relied  upon,  without
independent  investigation,  other than the inquiry  referred to above,  (i) the
authenticity,  completeness, truth and due authorization, execution and delivery
of all  documents  submitted to us as  originals,  (ii) the  genuineness  of all
signatures  on  all  documents  submitted  to us as  originals,  and  (iii)  the
conformity  to the  originals of all  documents  submitted to us as certified or
photostatic copies.

     The laws  covered by the opinions  expressed  herein are limited to (a) the
federal  statutes,   judicial   decisions  and  rules  and  regulations  of  the
governmental  agencies  of the United  States  and (b) the New  Jersey  Business
Corporation Act.

     This opinion is given only with respect to laws and  regulations  presently
in  effect.  We assume no  obligation  to advise  you of any  changes  in law or
regulation  which may hereafter  occur,  whether the same are  retroactively  or
prospectively applied., or to update or supplement this letter in any fashion to
reflect any facts or circumstances which hereafter come to our attention.

     Based upon and subject to the foregoing,  we are of the opinion,  as of the
date hereof,  that (i) all of the Registered  Shares have been duly  authorized,
(ii) the Issued and  Outstanding  Shares have been validly  issued and are fully
paid and  nonassessable  and  (iii)  the  Registered  Shares  issuable  upon the
exercise  of the  Options,  when  issued  upon  payment  of the  exercise  price
specified in the Options, will be validly issued, fully paid and nonassessable.

     We hereby consent to (i) the filing of this opinion letter as an exhibit to
the  Registration  Statement and (ii) to the reference  under the caption "Legal
Matters" in the Prospectus  contained within the  Registration  Statement to our
firm as the legal  counsel that has passed upon the validity of the Common Stock
to be offered pursuant to the Registration Statement.

Very truly yours,

/s/  Sills Cummis Radin Tischman Epstein & Gross, P.A.





                                                                   EXHIBIT 23.1

                      Consent of PricewaterhouseCoopers LLP


     We hereby consent to the  incorporation  by reference in this  Registration
Statement  on Form S-3 of our  report  dated  March  11,  1999  relating  to the
financial  statements,  as of and for the year ended  December 31,  1998,  which
appears in the EP  MedSystems  Inc.  Annual  Report on Form  10-KSB for the year
ended  December 31,  1998.  We also  consent to the  references  to us under the
headings ""Experts" in such Registration Statement.


/s/ PricewaterhouseCoopers LLP

September 29, 1999
Florham Park, New Jersey


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