EP MEDSYSTEMS INC
424B1, 1999-10-22
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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                                                Filed Pursuant to Rule 424(b)(1)
                                                     Registration No. 333-88173


                                   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 October 21, 1999,  the last reported sale price of our common stock
was $3.44 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 October 22, 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

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


                                       2
<PAGE>


     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  Medical  Center,  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.

     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

                                        4

<PAGE>

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.

     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.


                                        6
<PAGE>

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.

     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


                                        7
<PAGE>

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.

     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.


                                        8

<PAGE>


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.

     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.


                                        9

<PAGE>

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.


                            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.

                                       10
<PAGE>

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.

     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 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.

                                       11

<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)                             117,000 (7)           50,000 (14)            67,000 (7)               1 %
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.

(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 October 21,
     1999 together with the applicable  options and/or warrants for such selling
     shareholder.


                                       12
<PAGE>



(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 and
     2,000 shares which are issuable upon exercise of options.

(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;
     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.


                                       13

<PAGE>

     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.

                                       14

<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  audited  by Arthur
Andersen LLP, independent public accountants,  as indicated in their report with
respect  thereto,  and are  incorporated  by reference  herein in reliance  upon
authority of said as experts in giving said report.







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