EPIX MEDICAL INC
DEF 14A, 2000-03-31
IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES
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<PAGE>


                            SCHEDULE 14A INFORMATION

                  Proxy Statement Pursuant to Section 14(a) of
            the Securities Exchange Act of 1934 (Amendment No.    )

    Filed by the Registrant /X/
    Filed by a party other than the Registrant / /

    Check the appropriate box:
    / /  Preliminary Proxy Statement
    / /  Confidential, for Use of the Commission Only (as permitted by Rule
         14a-6(e)(2))
    /X/  Definitive Proxy Statement
    / /  Definitive Additional Materials
    / /  Soliciting Material Pursuant to Section 240.14a-11(c) or Section
         240.14a-12

                             EPIX Medical, Inc.
- --------------------------------------------------------------------------------
                (Name of Registrant as Specified In Its Charter)


- --------------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):

/X/  No fee required

/ /  Fee computed on table below per Exchange Act Rules 14a-6(i)(1)
     and 0-11

    (1) Title of each class of securities to which transaction applies:

        ------------------------------------------------------------------------
    (2) Aggregate number of securities to which transaction applies:

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    (3) Per unit price or other underlying value of transaction computed
        pursuant to Exchange Act Rule 0-11 (set forth the amount on which the
        filing fee is calculated and state how it was determined):

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    (5) Total fee paid:

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/ / Fee paid previously with preliminary materials.

/ / Check box if any part of the fee is offset as provided by Exchange Act Rule
    0-11(a)(2) and identify the filing for which the offsetting fee was paid
    previously. Identify the previous filing by registration statement number,
    or the Form or Schedule and the date of its filing.

    (1) Amount Previously Paid:

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    (2) Form, Schedule or Registration Statement No.:

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    (4) Date Filed:

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<PAGE>
                               EPIX MEDICAL, INC.
                                71 ROGERS STREET
                         CAMBRIDGE, MASSACHUSETTS 02142
                                 (617) 250-6000
                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                           TO BE HELD ON MAY 1, 2000

    Notice is hereby given that the 2000 Annual Meeting of Stockholders of EPIX
Medical, Inc., a Delaware corporation, will be held on May 1, 2000, at 10:00
a.m. at the offices of EPIX Medical, Inc., 161 First Street, Cambridge,
Massachusetts, to consider and act upon the following matters:

1.  To elect two (2) members of the Board of Directors.

2.  To approve an amendment to our Restated Certificate of Incorporation to
    increase the number of authorized shares of common stock from 15,000,000
    shares to 40,000,000 shares.

3.  To approve an amendment to our Amended and Restated 1992 Equity Incentive
    Plan to increase the number of shares of our common stock as to which awards
    may be granted under such plan by 2,000,000 shares.

4.  To transact such other business as may properly come before the meeting or
    any adjournments thereof.

    Only stockholders of record at the close of business on March 14, 2000 will
be entitled to vote at the meeting.

    IT IS IMPORTANT THAT YOUR SHARES BE REPRESENTED AT THE MEETING. THEREFORE,
WHETHER OR NOT YOU PLAN TO ATTEND THE MEETING, PLEASE COMPLETE YOUR PROXY AND
RETURN IT IN THE ENCLOSED ENVELOPE, WHICH REQUIRES NO POSTAGE IF MAILED IN THE
UNITED STATES. IF YOU ATTEND THE MEETING AND WISH TO VOTE IN PERSON, YOUR PROXY
WILL NOT BE USED.

                                          By order of the Board of Directors,
                                          MICHAEL D. WEBB
                                          SECRETARY

Cambridge, Massachusetts
April 3, 2000
<PAGE>
                               EPIX MEDICAL, INC.

                                71 ROGERS STREET
                         CAMBRIDGE, MASSACHUSETTS 02142
                                 (617) 250-6000

                            ------------------------

                                PROXY STATEMENT

                            ------------------------

                              GENERAL INFORMATION

    This Proxy Statement, with the enclosed proxy card, is being furnished on
behalf of the Board of Directors of EPIX Medical, Inc. for use at our 2000
Annual Meeting of Stockholders to be held on Monday, May 1, 2000 at 10:00 a.m.
at the offices of EPIX Medical, Inc., 161 First Street, Cambridge,
Massachusetts, and at any adjournments thereof.

    When the proxy card of a stockholder is duly executed and returned, the
shares represented thereby will be voted in accordance with the voting
instructions given on the proxy by the stockholder. If no such voting
instructions are given on a proxy card with respect to one or more proposals,
the shares represented by that proxy card will be voted, with respect to the
election of directors, for the nominees named herein, and with respect to other
proposals, in accordance with the recommendations of the Board. Stockholders may
revoke their proxies at any time prior to any vote at the Meeting by written
notice of revocation to our Secretary at or before the Meeting, by submission of
a duly executed proxy card bearing a later date or by voting in person by ballot
at the Meeting.

    This Proxy Statement and the enclosed proxy card are first being mailed or
otherwise furnished to all of our stockholders entitled to notice of and to vote
at the Meeting on or about April 3, 2000.

                      VOTING SECURITIES AND VOTES REQUIRED

    Holders of our common stock, $0.01 par value per share, of record on our
books at the close of business on March 14, 2000, the record date, are entitled
to notice of and to vote at the Meeting. On the record date, there were
11,729,913 shares of common stock issued and outstanding, each of which entitles
the holder to one vote on each matter submitted to a vote at the Meeting.

    The presence, in person or by proxy, of the holders of a majority of our
common stock entitled to vote at the Meeting is necessary to constitute a quorum
at the Meeting. Pursuant to the Delaware General Corporation Law and our
Restated Certificate of Incorporation and Amended and Restated By-laws (the
"By-laws"), the directors are elected by a plurality of the votes properly cast
at the Meeting. Abstentions, votes withheld and broker non-votes will not be
treated as votes cast for this purpose and will not affect the outcome of the
election. A "broker non-vote" occurs when a registered broker holding a
customer's shares in the name of the broker has not received voting instructions
on a matter from the customer and is barred by applicable rules from exercising
discretionary authority to vote on the matter and so indicates on the proxy.

    The affirmative vote of the holders of a majority of the shares of common
stock entitled to vote at the Meeting is required to approve an amendment to the
Restated Certificate of Incorporation to increase the number of authorized
shares of common stock. With respect to the tabulation of votes on the proposal
to amend our Restated Certificate of Incorporation to increase the number of
authorized shares of common stock, abstentions and broker non-votes will have
the same effect as votes against the proposal.
<PAGE>
    The affirmative vote of the holders of a majority of the shares of common
stock present, or represented, and entitled to vote at the Meeting is required
to approve the proposed amendment to our Amended and Restated 1992 Equity
Incentive Plan (the "Equity Plan"). Broker non-votes will have the same effect
as a vote against the proposal.

                                SHARE OWNERSHIP

    The following table sets forth certain information regarding the beneficial
ownership of our common stock as of February 29, 2000 by (i) each person known
by us to own beneficially 5% or more of the common stock, (ii) each Named
Executive Officer (as defined in "Executive Compensation" below), (iii) each of
our directors and (iv) all of our current directors and executive officers as a
group:

<TABLE>
<CAPTION>
                                                                SHARES OF COMMON STOCK
                                                                BENEFICIALLY OWNED (1)
                                                              --------------------------
                                                               SHARES           PERCENT
                                                              ---------         --------
<S>                                                           <C>               <C>
Bessemer Venture Partners III L.P. and certain related        1,596,999          13.62%
  persons (2)...............................................
  Bessemer Venture Partners
  1400 Old Country Road
  Suite 407
  Westbury, NY 11590
T. Rowe Price Associates, Inc. (3)..........................    747,000           6.37%
  100 E. Pratt Street
  Baltimore, MD 21202
Accel IV L.P. and certain related persons (4)...............    645,886           5.51%
  428 University Avenue
  Palo Alto, CA 94301
Randall B.Lauffer, Ph.D. (5)................................    941,464           8.03%
Michael D. Webb (6).........................................    344,466           2.91%
James E. Smith, Ph.D. (7)...................................    123,332           1.04%
E. Kent Yucel, M.D. (8).....................................    109,732              *
Stephen C. Knight, M.D. (9).................................    101,427              *
Christopher F.O. Gabrieli (10)..............................  1,711,126          14.57%
Luke B. Evnin, Ph.D. (11)...................................    680,918           5.80%
Stanley T. Crooke, M.D., Ph.D. (12).........................     31,025              *
All current executive officers and directors as a group
  (10 persons) (13).........................................  4,111,925          33.83%
</TABLE>

- ------------------------

*   Indicates less than 1%.

(1) In accordance with SEC rules, beneficial ownership includes any shares as to
    which a person or entity has sole or shared voting power and any shares as
    to which the person or entity has the right to acquire beneficial ownership
    within 60 days after February 29, 2000 through the exercise of any stock
    option or warrant. Except as noted below, we believe that the persons named
    in the table have sole voting and investment power with respect to the
    shares of common stock set forth opposite their names. Percentage of
    beneficial ownership is based on 11,727,214 shares of common stock
    outstanding as of February 29, 2000.

                                       2
<PAGE>
(2) This information is obtained from a Schedule 13G, dated February 14, 2000,
    filed with the Securities and Exchange Commission (the "Commission") by
    Bessemer Venture Partners III L.P., its general partner, Deer III & Co. LLC
    and the members of Deer III & Co. LLC. The shares beneficially held by
    Bessemer Venture Partners III L.P. include holdings of Bessemer Securities
    Corporation ("BSC"), which holds a total of 58,146 shares of common stock
    under the special situations investment plan of BSC which provides that
    Bessemer Venture Partners III L.P. has voting and investment control with
    respect to such shares. Does not include 168,693 shares held by members of
    Deer III & Co. LLC and persons associated with such members of Deer III &
    Co. LLC.

(3) This information was provided to the Company by T. Rowe Price Associates,
    Inc. (Price Associates). These securities are owned by various individual
    and institutional investors including T. Rowe Price New Horizons Fund, Inc.
    (which owns 700,000 shares, representing 5.97% of the shares outstanding),
    which Price Associates serves as an investment advisor with power to direct
    investments and/or sole power to vote the securities. For purposes of the
    reporting requirements of the Securities Exchange Act of 1934, Price
    Associates is deemed to be a beneficial owner of such securities; however,
    Price Associates expressly disclaims that it is, in fact, the beneficial
    owner of such securities.

(4) This information is obtained from a Schedule 13G, dated February 14, 2000,
    filed with the Commission by Accel IV L.P., Accel Keiretsu L.P. ("AKTSU"),
    Accel Investors '93 L.P. ("AI93"), Accel IV Associates L.P. ("AIV
    Associates"), Accel Partners & Co. Inc. ("AP & CO."), Swartz Family
    Partnership L.P. ("SFP"), Elmore C. Patterson Partners ("ECPP"), James W.
    Breyer ("Breyer"), Luke B. Evnin ("Evnin"), Eugene D. Hill III ("Hill"),
    Paul H. Klingenstein ("Klingenstein"), Arthur C. Patterson ("Patterson"), G.
    Carter Sednaoui ("Sednaoui") and James P. Swartz ("Swartz"). AIV Associates,
    the general partner of Accel IV L.P. and Breyer, Evnin, Hill, Klingenstein,
    Patterson, Sednaoui, Swartz and SFP, the general partners of AIV Associates
    may be deemed to share dispositive power with respect to the shares held by
    Accel IV L.P. Does not include 441,253 shares of common stock held by AKTSU,
    AI93, SFP, AP & Co., Breyer, Evnin, Hill, Klingenstein, Patterson, ECPP,
    Sednaoui, Swartz, and the Swartz Foundation Trust, of which Swartz is a
    trustee.

(5) Includes 46,666 shares held by Dr. Lauffer's wife and 16,000 shares held in
    a trust for the benefit of Dr. Lauffer's children as to which Dr. Lauffer
    disclaims beneficial ownership. Also includes 119,346 shares held by a trust
    for the benefit of Dr. Lauffer as to which shares Dr. Lauffer has voting and
    investment control.

(6) Includes 50,000 shares held by Mr. Webb's wife as to which Mr. Webb
    disclaims beneficial ownership and 94,300 shares subject to options
    exercisable within the 60-day period following February 29, 2000.

(7) Includes 85,697 shares subject to options exercisable within the 60-day
    period following February 29, 2000.

(8) Includes 105,533 shares subject to options exercisable within the 60-day
    period following February 29, 2000.

(9) Includes 44,445 shares subject to options exercisable within the 60-day
    period following February 29, 2000.

(10) See footnote (2) above. Mr. Gabrieli, a general partner of Deer III & Co.
    LLC, disclaims beneficial ownership of these shares except to the extent of
    his proportionate pecuniary interest therein or with respect to shares held
    in his name. Includes 15,000 shares subject to options exercisable within
    the 60-day period following February 29, 2000.

                                       3
<PAGE>
(11) See footnote (4) above. Dr. Evnin disclaims beneficial ownership of these
    shares except to the extent of his proportionate pecuniary interest in
    shares held by Accel IV L.P., AKTSU, AI93, and AP & Co. or with respect to
    shares held in his name. Includes 8,666 shares subject to options
    exercisable within the 60-day period following February 29, 2000.

(12) Consists of 31,025 shares subject to options exercisable within the 60 day
    period following February 29, 2000.

(13) See footnotes (2), (3) and (6)-(13) above. Includes 428,832 shares subject
    to options exercisable within the 60-day period following February 29, 2000.

                                       4
<PAGE>
                                  PROPOSAL 1:
                             ELECTION OF DIRECTORS

    In accordance with Section 2 of Article II of the By-laws, the Board has
fixed the number of directors to constitute the full Board for the ensuing year
at five. At the Meeting, two Class I directors will be elected to hold office
for three years until his respective successor is duly elected and qualified.
The Board has nominated Luke B. Evnin, Ph.D. and Randall B. Lauffer, Ph.D. for
election to terms of office expiring in 2003. Each nominee is currently a
director and has consented to be nominated and to serve if elected. In the event
a nominee shall be unable to serve as a director, the shares represented by the
proxy will be voted for the person, if any, who is designated by the Board to
replace the nominee. In the event that a vacancy occurs during the year, such
vacancy may be filled by the Board for the remainder of the full term.

    The following table contains certain information about the nominees for
election to the Board of Directors and each other person whose term of office as
a director will continue after the Meeting.

<TABLE>
<CAPTION>
                                                                                                 PRESENT
                                                                                      DIRECTOR     TERM
NAME AND AGE                             BUSINESS EXPERIENCE AND OTHER DIRECTORSHIPS   SINCE     EXPIRES
- ------------                             -------------------------------------------  --------   --------
<S>                                      <C>                                          <C>        <C>
NOMINEES FOR DIRECTORS:
CLASS I DIRECTORS

Luke B. Evnin, Ph.D.*#                   Dr. Evnin is currently a Managing Director     1994       2000
    (age 36)                             of MPM Asset Management LLC, an investment
                                         firm specializing in biomedical companies.
                                         Previously, Dr. Evnin was a General Partner
                                         at Accel Partners, a venture capital firm,
                                         where he was involved in the firm's
                                         biomedical investing activities since
                                         September 1990. He remains a General
                                         Partner of Accel IV, L.P. and Accel V, L.P.
                                         He currently serves on the boards of
                                         directors of several private companies.

Randall B. Lauffer, Ph.D.                Dr. Lauffer, our Chief Scientific Officer,     1988       2000
    (age 42)                             founded the Company in November 1988 and
                                         served as our Chief Executive Officer until
                                         December 1994, as Chairman of the Board
                                         until October 1996 and as Secretary until
                                         November 1996. From November 1983 to March
                                         1992, Dr. Lauffer was a member of the
                                         faculty of Harvard Medical School, serving
                                         most recently as Assistant Professor of
                                         Radiology from 1987 to 1992. During this
                                         time he was also Director of the NMR
                                         Contrast Media Laboratory at Massachusetts
                                         General Hospital as well as an NIH
                                         Postdoctoral Fellow and an NIH New
                                         Investigator.
</TABLE>

                                       5
<PAGE>

<TABLE>
<CAPTION>
                                                                                                 PRESENT
                                                                                      DIRECTOR     TERM
NAME AND AGE                             BUSINESS EXPERIENCE AND OTHER DIRECTORSHIPS   SINCE     EXPIRES
- ------------                             -------------------------------------------  --------   --------
<S>                                      <C>                                          <C>        <C>
CONTINUING DIRECTORS:
CLASS II DIRECTOR

Stanley T. Crooke, M.D., Ph.D.*          Dr. Crooke has served as Chairman and Chief    1996       2001
  (age 54)                               Executive Officer of Isis Pharmaceuticals
                                         Inc., a pharmaceuticals company, since
                                         January 1989. Dr. Crooke serves on the
                                         boards of directors of Valentis, Inc., Axon
                                         Instruments, Synsorb Biotech and IDUN
                                         Pharmaceuticals, Inc.

CLASS III DIRECTORS

Christopher F.O. Gabrieli*#              Mr. Gabrieli is our Chairman of the Board.     1994       2002
  (age 40)                               Since September 1986, Mr. Gabrieli has been
                                         a General Partner at Deer II & Co. LLC,
                                         Deer III & Co. LLC and Deer IV & Co. LLC,
                                         the General Partners of Bessemer Venture
                                         Partners II L.P., Bessemer Venture Partners
                                         III L.P. and Bessemer Venture Partners IV
                                         L.P., affiliated venture capital
                                         partnerships, where he is responsible for
                                         the firm's venture capital investment
                                         activities in healthcare and the life
                                         sciences. He is a director of Isis
                                         Pharmaceuticals, Inc., where he was a
                                         co-founder, and several privately held
                                         health care companies.

Michael D. Webb                          Mr. Webb has served as our Chief Executive     1994       2002
  (age 41)                               Officer since December 1994, and our
                                         Secretary since November 1996. Mr. Webb
                                         worked for Ciba-Corning Diagnostics, Inc.,
                                         a medical instrumentation and diagnostic
                                         products company, from April 1989 to
                                         December 1994, most recently as Senior Vice
                                         President, Worldwide Marketing and
                                         Strategic Planning. From 1984 to 1989, Mr.
                                         Webb was a senior consultant specializing
                                         in healthcare and life sciences at Booz,
                                         Allen & Hamilton, Inc., a consulting firm.
</TABLE>

- ------------------------

* Member of the Compensation Committee.

# Member of the Audit Committee.

                                       6
<PAGE>
    During the year ended December 31, 1999, the Board held five meetings and
all of the directors attended each meeting. All of the directors attended each
meeting of the committee of the Board of which he was a member. In addition,
from time to time, the members of the Board of Directors and its committees
acted by unanimous written consent pursuant to Delaware law in lieu of a
meeting.

    The Audit Committee, which currently consists of Dr. Evnin and
Mr. Gabrieli, reviews with our independent accountants the scope of the annual
audit, discusses the adequacy of internal accounting controls and procedures,
and performs general oversight with respect to the accounting principles applied
in our financial reporting. The Audit Committee met once in 1999.

    The Compensation Committee currently consists of Drs. Crooke and Evnin and
Mr. Gabrieli. The Compensation Committee's functions are to recommend to the
full Board the amount, nature and method of payment of compensation of all our
executive officers and certain other key employees and consultants and to
administer our equity incentive, stock option and stock purchase plans. The
Compensation Committee met once in 1999.

    We have no Nominating Committee.

DIRECTOR COMPENSATION

    Directors currently receive no compensation for their service on the Board
of Directors, except pursuant to the 1996 Director Stock Option Plan (the
"Director Plan"). All of the directors who are not employees of the Company (the
"Eligible Directors") are currently eligible to participate in the Director
Plan. There are 100,000 shares of common stock reserved for issuance under the
Director Plan. Upon the election or reelection of an Eligible Director, such
director is automatically granted an option to purchase 15,000 shares of common
stock. Options become exercisable with respect to 5,000 shares on each
anniversary date of grant for a period of three years, provided that the
optionee is still a director of the Company at the opening of business on such
date. Each option has a term of ten years. The exercise price for each option is
equal to the last sale price for the common stock on the business day
immediately preceding the date of grant, as reported on the Nasdaq National
Market. The exercise price may be paid in cash, shares of common stock or a
combination of both.

                             EXECUTIVE COMPENSATION

    The Compensation Committee Report on Executive Compensation and the tables
set forth below provide information about the compensation of our executive
officers.

                        COMPENSATION COMMITTEE REPORT ON
                             EXECUTIVE COMPENSATION

    The Compensation Committee (the "Committee"), which currently consists of
Mr. Christopher F.O. Gabrieli and Drs. Luke B. Evnin and Stanley T. Crooke, is
responsible for the administration of our compensation program for the our
executive officers, including the Chief Executive Officer and the other
executive officers named in the summary compensation table below. Our
compensation programs are designed to provide a competitive level of total
compensation which, at our present stage of development, is heavily weighted
toward equity incentive compensation linked to our performance. This program
includes base salary and both annual and long-term incentive compensation.

                                       7
<PAGE>
COMPENSATION PHILOSOPHY

    The design and implementation of our executive compensation programs are
based on a series of guiding principles derived from our values, business
strategy and management requirements. These principles may be summarized as
follows:

    - attract, motivate and retain high caliber individuals who are responsible
      for leading us in achieving or exceeding corporation goals and to increase
      total return to stockholders;

    - provide a total compensation program where a significant portion of
      compensation is linked to the achievement of individual performance
      objectives as well as both short-term and long-term corporate performance;

    - align the financial interests of the management team with our financial
      interests and those of our stockholders; and

    - emphasize reward for performance at the individual, team and corporate
      levels.

BASE SALARY

    Each fiscal year, the Committee establishes base salaries for individual
executive officers based upon (i) industry and peer group surveys prepared by
independent consultants, (ii) the responsibilities, scope and complexity of each
position, (iii) the individual's tenure in the position and (iv) performance
judgments as to each individual's past and expected future contributions. The
performance of the companies surveyed is not considered by the Committee. The
Chief Executive Officer recommends the base salary amount for each officer other
than himself. The Committee then reviews with the Chief Executive Officer and
approves, with appropriate modifications, an annual base salary plan for our
executive officers other than the Chief Executive Officer.

    In general, the Committee reviews and fixes the base salary of the Chief
Executive Officer based on comparable competitive compensation data as well as
the Committee's assessment of such officer's past performance and its
expectations as to such officer's future contributions to our leadership. For
1999, the Chief Executive Officer's base salary was increased to $236,800 from
$225,000. For 2000, the Committee has approved an 11% base salary increase to
$263,100 for the Chief Executive Officer.

ANNUAL BONUS

    Beginning in 1998, we started a formal short-term incentive plan. Our
executive officers are eligible for an annual cash bonus, which is based
primarily on corporate achievements and individual performance objectives that
are established at the beginning of each year. The targeted bonus level for the
Chief Executive Officer is 30% of annual salary. After the completion of the
year, the Committee reviews the attainment of corporate and individual
objectives and awards bonuses in the first quarter of the subsequent year, based
on the extent to which corporate objectives were met or exceeded and individual
contributions to our overall performance.

    We achieved several milestones in 1999, including: the commencement of a
Phase III efficacy trial for AngioMARK to detect aortoiliac occlusions or
stenoses; the negotiation of a collaboration agreement with Siemens Medical
Systems, one of the largest MRI equipment manufacturers in the world; the
announcement of preliminary results of a study with Pfizer Inc. using
AngioMARK-enhanced MRI to measure changes in blood volume during sexual arousal
in healthy women; and the development of a new imaging

                                       8
<PAGE>
agent that provides, for the first time, detailed MR images of blood clots. In
recognition of the Chief Executive Officer's leadership in the achievement of
these corporate milestones and his contributions to us, the Chief Executive
Officer was awarded a bonus in the amount of $71,040, 30% of his 1999 annual
salary.

EQUITY-BASED LONG-TERM INCENTIVE COMPENSATION

    Long-term incentives for our employees are provided through stock option
grants under the Equity Plan, which generally are provided through initial stock
option grants at the date of hire and periodic additional grants. The option
grants are intended to motivate the executive officers to improve our long-term
performance and to align the financial interests of the management team with our
financial interests and those of our stockholders. Awards take into account each
officer's scope of responsibility and specific assignments, strategic and
operational goals applicable to the officer, anticipated performance and
contributions of the officer and competitive market data for similar positions.
Options are granted with an exercise price equal to the fair market value of our
common stock on the date of grant. The standard vesting schedule provides that a
portion of the shares subject to each option vest and become exercisable
annually over a five-year period. Certain options granted under the Equity Plan,
including some of the options granted to the Named Executive Officers (as
defined below), are subject to different vesting schedules, including schedules
that are based on the achievement of certain milestone events as determined by
the Committee.

    In 1999, the Chief Executive Officer received an option to purchase 50,000
shares of common stock.

COMPENSATION DEDUCTIBILITY

    The Committee has considered the potential impact of Section 162(m) of the
Internal Revenue Code of 1986, as amended (the "Code") on our compensation
programs. Section 162(m) of the Code limits a publicly held company's tax
deduction for compensation paid to the chief executive officer and the other
four most highly paid officers. Generally, amounts paid in excess of $1 million
to a covered executive in any year cannot be deducted. Certain performance based
compensation that has been approved by stockholders is not subject to the limit.
Our policy is to qualify our executive officers' compensation for deductibility
under applicable tax laws to the extent reasonable. The Committee will continue
to assess the impact of Section 162(m) of the Code on its compensation practices
and determine what further action, if any, is appropriate.

                                          By the EPIX Medical, Inc.
                                          Compensation Committee,

                                          STANLEY T. CROOKE
                                          LUKE B. EVNIN
                                          CHRISTOPHER F.O. GABRIELI

                                       9
<PAGE>
                      COMPARATIVE STOCK PERFORMANCE GRAPH

    The following graph shows the cumulative stockholder return of our common
stock from January 30, 1997 (the first trading day for our common stock) through
December 31, 1999 as compared with that of the Nasdaq (U.S. Companies) Index and
the Nasdaq Pharmaceutical Stocks Index. The graph assumes the investment of $100
in our common stock and each of the comparison groups on January 30, 1997 and
assumes the reinvestment of dividends. We have never declared a dividend on our
common stock. The stock price performance depicted in the graph below is not
necessarily indicative of future price performance.

        COMPARISON OF CUMULATIVE TOTAL RETURN AMONG EPIX MEDICAL, INC.,
      NASDAQ (U.S. COMPANIES) INDEX AND NASDAQ PHARMACEUTICAL STOCKS INDEX

EDGAR REPRESENTATION OF DATA POINTS USED IN PRINTED GRAPHIC

<TABLE>
<CAPTION>
           EPIX MEDICAL, INC.  NASDAQ STOCK MARKET (U.S.)  NASDAQ PHARM. STOCKS
<S>        <C>                 <C>                         <C>
1/30/1997             $100.00                     $100.00               $100.00
1997                  $185.71                     $115.28                $96.00
1998                  $133.04                     $162.42               $122.26
1999                  $142.86                     $295.24               $227.54
</TABLE>

<TABLE>
<CAPTION>
                                                              1/30/97      1997       1998       1999
                                                              --------   --------   --------   --------
<S>                                                           <C>        <C>        <C>        <C>
EPIX Medical, Inc...........................................  $100.00    $185.71    $133.04    $142.86
Nasdaq Stock Market (U.S.)..................................  $100.00    $115.28    $162.42    $295.24
Nasdaq Pharm. Stocks........................................  $100.00    $ 96.00    $122.26    $227.54
</TABLE>

                                       10
<PAGE>
    The following table sets forth certain compensation information for our
Chief Executive Officer and our four other most highly compensated executive
officers whose salary and bonus for the year ended December 31, 1999 exceeded
$100,000 (together, the "Named Executive Officers").

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                                                LONG-TERM
                                                                               COMPENSATION
                                                                                  AWARDS
                                                  ANNUAL COMPENSATION          ------------
                                            --------------------------------    SECURITIES     ALL OTHER
                                                                     BONUS      UNDERLYING    COMPENSATION
NAME AND PRINCIPAL POSITION                   YEAR     SALARY ($)    ($)(1)    OPTIONS (#)        ($)
- ---------------------------                 --------   ----------   --------   ------------   ------------
<S>                                         <C>        <C>          <C>        <C>            <C>
Michael D. Webb...........................    1999       236,800     71,040        50,000         5,650(2)
  Chief Executive Officer and Secretary       1998       225,000     77,600            --           850(3)
                                              1997       175,000     65,625        83,000           850(3)

Stephen C. Knight, M.D....................    1999       235,000     58,700       240,000         4,800(4)
  President and Chief Operating Officer       1998       189,600     43,700            --            --
                                              1997       160,000     40,000        27,000            --

James E. Smith, Ph.D......................    1999       211,200     63,800            --        71,996(5)
  Executive Vice President, Research and      1998       200,700     52,500            --        66,005(6)
  Development                                 1997       185,000     46,250        28,000        62,477(6)

E. Kent Yucel, M.D........................    1999       201,300     28,200        71,000            --
  Senior Vice President and Chief Medical     1998       189,900     47,500            --        35,000(7)
  Officer                                     1997       175,000         --        27,000        35,000(7)

Randall B. Lauffer, Ph.D..................    1999       189,500     45,500        20,000         6,020(8)
  Chief Scientific Officer                    1998       180,000     36,000            --         1,220(9)
                                              1997       160,000     32,000        28,000         1,180(9)
</TABLE>

- ------------------------

(1) Bonuses were earned in the year indicated and generally are paid in the
    subsequent year.

(2) Consists of matching 401(k) contributions ($4,800) and life insurance
    premiums paid by us on behalf of Mr. Webb on a policy for the benefit of
    Mr. Webb ($850).

(3) Consists of life insurance premiums paid by us on behalf of Mr. Webb on a
    policy for the benefit of Mr. Webb.

(4) Consists of matching 401(k) contributions.

(5) Consists of housing expenses reimbursed to Dr. Smith in connection with his
    maintaining a residence within close proximity to our offices ($67,196) and
    matching 401(k) contributions ($4,800).

(6) Consists of housing expenses reimbursed to Dr. Smith in connection with his
    maintaining a residence within close proximity to our offices.

(7) Consists of compensation paid by us in lieu of lost clinical practice
    revenue.

(8) Consists of life insurance premiums paid by us on behalf of Dr. Lauffer on a
    policy for the benefit of Dr. Lauffer ($1,220) and matching 401(k)
    contributions ($4,800).

(9) Consists of life insurance premiums paid by us on behalf of Dr. Lauffer on a
    policy for the benefit of Dr. Lauffer.

                                       11
<PAGE>
    The following table sets forth grants of stock options pursuant to the
Company's Equity Plan granted during the fiscal year ended December 31, 1999 to
the Named Executive Officers.

                       OPTION GRANTS IN LAST FISCAL YEAR

<TABLE>
<CAPTION>
                                           INDIVIDUAL GRANTS (1)
                          -------------------------------------------------------   POTENTIAL REALIZABLE VALUE AT
                          NUMBER OF      PERCENT OF                                    ASSUMED ANNUAL RATES OF
                          SECURITIES    TOTAL OPTIONS                                STOCK PRICE APPRECIATION FOR
                          UNDERLYING     GRANTED TO      EXERCISE OR                       OPTION TERM (2)
                           OPTIONS      EMPLOYEES IN     BASE PRICE    EXPIRATION   ------------------------------
NAME                       GRANTED     FISCAL YEAR (%)    ($/SHARE)       DATE        5% ($)             10% ($)
- ----                      ----------   ---------------   -----------   ----------   ----------         -----------
<S>                       <C>          <C>               <C>           <C>          <C>                <C>
Michael D. Webb.........    50,000(3)        5.68%          5.50         6/30/09      172,946             438,279
Stephen C. Knight,
  Ph.D..................    20,000(3)        2.27%          5.50         6/30/09       69,178             175,312
                           220,000(4)       24.99%          5.13         9/15/09      709,079           1,796,945
James E. Smith, Ph.D....        --             --             --              --           --                  --
E. Kent Yucel, M.D......    21,000(3)        2.39%          5.50         6/30/99       72,637             184,077
                            50,000(4)        5.68%          5.13         9/15/09      161,154             408,397
Randall B. Lauffer,
  Ph.D..................    20,000(3)        2.27%          5.50         6/30/99       69,178             175,312
</TABLE>

- ------------------------

(1) Stock options were granted under the Company's Equity Plan at an exercise
    price equal to the fair market value of the Company's common stock at the
    date of grant.

(2) The dollar amounts under these columns are the result of calculations at the
    5% and 10% rates set by the Securities and Exchange Commission and,
    therefore, are not intended to forecast future appreciation, if any, in the
    price of the underlying common stock. No gain to the optionee is possible
    without an increase in price of the underlying common stock, which will
    benefit all stockholders proportionately.

(3) The option vests in five equal annual installments beginning on June 30,
    2000.

(4) The option vests in five equal annual installments beginning on
    September 15, 2000.

              AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR AND
                         FISCAL YEAR-END OPTION VALUES

<TABLE>
<CAPTION>
                                                               NUMBER OF SECURITIES
                                                              UNDERLYING UNEXERCISED     VALUE OF UNEXERCISED IN-
                                                              OPTIONS AT FISCAL YEAR-      THE-MONEY OPTIONS AT
                                  SHARES                              END (#)             FISCAL YEAR-END ($)(1)
                               ACQUIRED ON       VALUE       -------------------------   -------------------------
NAME                           EXERCISE (#)   REALIZED ($)   EXERCISABLE/UNEXERCISABLE   EXERCISABLE/UNEXERCISABLE
- ----                           ------------   ------------   -------------------------   -------------------------
<S>                            <C>            <C>            <C>                         <C>
Michael D. Webb..............      50,000       244,805             94,300/202,334             833,057/658,087
Stephen C. Knight, M.D.......      55,554       131,941             44,445/300,334           244,448/1,379,587
James E. Smith, Ph.D.........       5,000        50,250              69,697/60,667             565,723/260,968
E. Kent Yucel, M.D...........          --            --            105,533/133,466             611,787/574,905
Randall B. Lauffer Ph.D......          --            --                   0/48,000                   0/125,000
</TABLE>

- ------------------------

(1) Based on the difference between the fair market value of the underlying
    shares of common stock on December 31, 1999 at $10.00 a share and the option
    exercise price.

                                       12
<PAGE>
COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

    The Compensation Committee currently consists of Drs. Crooke and Evnin and
Mr. Gabrieli. Dr. Evnin was a General Partner of Accel Partners, a venture
capital firm, and one of our principal stockholders. Dr. Evnin resigned from
such position in 1997 and assumed the position of Managing Director of MPM Asset
Management LLC. Dr. Evnin remains a General Partner of Accel IV L.P., one of our
principal stockholders and a principal shareholder of Accel V L.P. Mr. Gabrieli
is a General Partner of Deer III & Co., the General Partner of Bessemer Venture
Partners III L.P., one of our principal stockholders. See "Share Ownership" and
"Certain Transactions."

                              CERTAIN TRANSACTIONS

    In June 1999, in connection with the exercise of stock options by
Dr. Knight, we made a loan to Dr. Knight in the principal amount of $249,993 and
bearing interest at the rate of 5.25% per annum (the applicable Federal Funds
rate for long term loans announced for such month). The loan is secured by a
pledge of 55,554 shares of our common stock held by Dr. Knight. As of
February 29, 2000, the outstanding principal balance on this promissory note
plus accrued interest was $259,702. This loan is subject to acceleration upon
the termination of Dr. Knight's employment.

    In June 1995 and April 1996, we made two loans to Dr. Lauffer each in the
principal amount of $50,000 and bearing interest at the rate of 7.31% and 6.51%
per annum, respectively (the Applicable Federal Rate for long term loans
announced for such month) and each secured by a pledge of 14,814 shares of our
common stock held by Dr. Lauffer. As of February 29, 2000, the outstanding
principal amounts on these loans plus accrued interest were $68,576 and $63,222,
respectively. In May 1996, we made a loan to Dr. Lauffer in the principal amount
of $180,000 bearing interest at the rate of 6.83% per annum (the Applicable
Federal Rate for long term loans announced for May 1996) and secured by a pledge
of 44,444 shares of our common stock held by Dr. Lauffer. As of February 29,
2000, the outstanding principal amount on this loan plus accrued interest was
$227,739. Each of these loans is subject to acceleration upon the voluntary
termination of Dr. Lauffer's employment, among other events.

                                  PROPOSAL 2:
    AMENDMENT OF RESTATED CERTIFICATE OF INCORPORATION TO INCREASE NUMBER OF
                       AUTHORIZED SHARES OF COMMON STOCK

GENERAL

    Our Restated Certificate of Incorporation authorize the issuance of
15,000,000 shares of common stock, $.01 par value, and 1,000,000 shares of
Preferred Stock, $.01 par value. As of March 13, 2000, our Board of Directors
unanimously approved an amendment to the Restated Certificate of Incorporation
to increase the number of authorized shares of common stock from 15,000,000 to
40,000,000 and to submit the proposed amendment to our stockholders.

PURPOSE AND EFFECT OF THE AMENDMENT

    The general purpose and effect of the proposed amendment to our Restated
Certificate of Incorporation will be to authorize 25,000,000 additional shares
of common stock to create a sufficient reserve of shares of common stock for our
future needs. The Board of Directors believes that it is prudent to have the
additional shares of common stock for general corporate purposes, including
acquisitions, establishing

                                       13
<PAGE>
strategic relationships with other companies, equity financings, grants of stock
options, payment of stock dividends, stock splits or other recapitalizations.

    We currently have 15,000,000 authorized shares of common stock. As of
March 14, 2000, we had 11,729,913 shares issued and outstanding and of the
remaining 3,270,087 authorized but unissued shares, we have reserved
approximately 26,665 shares in connection with the possible exercise of
outstanding warrants and 1,981,450 shares pursuant to the Equity Plan.

    If the Board of Directors deems it to be in our best interest and that of
our stockholders to issue additional shares of common stock in the future, the
Board of Directors generally will not seek further authorization by vote of the
stockholders, unless such authorization is otherwise required by law or
regulations. The proposed amendment would give the Board of Directors the
flexibility to act promptly when it determines that issuance of additional
shares is in our best interest.

    The increase in the number of authorized shares of common stock may have a
dilutive effect on shares held by existing stockholders and also could have an
anti-takeover effect. If our Board of Directors desired to issue additional
shares in the future, such issuance could dilute the voting power of a person
seeking control of us, thereby deterring or rendering more difficult a merger,
tender offer, proxy contest or an extraordinary corporate transaction opposed by
us.

VOTE REQUIRED

    The affirmative vote of a majority of the outstanding shares of common stock
entitled to vote at the Meeting is required to approve an amendment to our
Restated Certificate of Incorporation increasing the number of authorized shares
of common stock from 15,000,000 to 40,000,000.

BOARD RECOMMENDATION

    Our Board of Directors believes the amendment to our Restated Certificate of
Incorporation to increase the number of authorized shares of common stock from
15,000,000 to 40,000,000, and is in the best interest of the Company and that of
our stockholders and recommends a vote FOR the proposal to amend the Restated
Certificate of Incorporation.

                                  PROPOSAL 3:
          AMENDMENT TO AMENDED AND RESTATED 1992 EQUITY INCENTIVE PLAN

GENERAL

    We originally adopted the Equity Plan in July 1992. The Equity Plan was
subsequently amended and restated, and the aggregate number of shares of common
stock reserved for issuance thereunder is currently 2,599,901 shares (including
shares subject to options already granted and shares issued pursuant to options
already exercised). The Equity Plan is designed to provide us flexibility in
awarding equity incentives by providing for multiple types of incentives that
may be awarded. The purpose of the Equity Plan is to attract and retain our key
employees and consultants and to enable them to participate in our long-term
growth.

AMENDMENT

    In September 1999, the Board of Directors voted, subject to stockholder
approval, to amend the Equity Plan to increase the aggregate number of shares of
common stock available thereunder by an

                                       14
<PAGE>
additional 550,000 shares and on March 13, 2000 voted, subject to shareholder
approval, to further amend the Equity Plan to increase the aggegate number of
shares of common stock available thereunder by an additional 1,450,000 shares
resulting in an aggregate increase of 2,000,000 shares to 4,599,901 shares
available thereunder, subject to adjustment for stock-splits and similar capital
changes. We believe that this increase is necessary and appropriate to enable us
to attract and retain the quality of employees and consultants whose services
are considered essential to our future progress, to encourage such employees'
and consultants' ownership of us and to provide them with an incentive to remain
as our employees or consultants.

ADMINISTRATION AND ELIGIBILITY

    The Equity Plan provides for the grant of stock options (incentive and
nonstatutory), stock appreciation rights, performance shares, restricted stock
or stock units for the purchase of shares of common stock. Awards under the
Equity Plan can be granted to officers, employees and other individuals as
determined by the Compensation Committee, each of whose members is a
"Non-Employee Director" within the meaning of Rule 16b-3 under the Securities
and Exchange Act of 1934, as amended (the "Exchange Act"). The Compensation
Committee administers the Equity Plan, except as described below in which the
entire Board administers the Equity Plan, and selects the participants and
establishes the terms and conditions of each option or other equity right
granted under the Equity Plan, including the exercise price, the number of
shares subject to options or other equity rights and the time at which such
options become exercisable. The Compensation Committee has adopted guidelines
for the number of options awarded to each of our new employees, other than
executive officers. The guidelines may be changed by the Compensation Committee
at any time. Subject to certain limitations, the Compensation Committee may
delegate to one or more of our executive officers the power to make awards to
participants who are not subject to Section 16 of the Exchange Act. The
Compensation Committee has authorized the Chief Executive Officer to grant
options to purchase up to 20,000 shares of common stock each to such
participants. In order to comply with the requirements of Rule 16b-3 under the
Exchange Act, grants of awards made in 2000 under the Equity Plan to
participants who are subject to Section 16 of the Exchange Act are made by the
entire Board of Directors.

    The exercise price of all "incentive stock options" ("ISOs") within the
meaning of Section 422 of the Code granted under the Equity Plan must be at
least equal to the fair market value of the option shares on the date of grant.
The term of any ISO granted under the Equity Plan may not exceed ten years. Our
standard vesting schedule provides that a portion of the shares subject to each
option vest and become exercisable yearly over a five-year period. Certain
options granted under the Equity Plan, including some of the options granted to
the Named Executive Officers, are subject to different vesting schedules,
including schedules that are based on the achievement of certain milestone
events. See "Executive Compensation--Compensation Committee Report on Executive
Compensation--Equity-Based Long-Term Incentive Compensation."

    As of March 10, 2000, approximately 85 employees were eligible to
participate in the Equity Plan. The closing price of our common stock, as
reported on the Nasdaq National Market on March 10, 2000, was $21.75.

EQUITY PLAN ACTIVITY

    As of March 10, 2000, options to purchase an aggregate of 3,507,226 shares
of common stock had been granted under the Equity Plan, of which options to
purchase 196,650 shares had been canceled and

                                       15
<PAGE>
options to purchase 800,000 shares have been granted subject to shareholder
approval of the increase of shares under the Equity Plan, which is being
requested pursuant to this Proposal 3. Options to purchase 742,450 shares had
been exercised as of such date and 89,325 shares remain available for the
granting of awards under the Equity Plan. No stock appreciation rights or awards
other than option grants have been granted under the Equity Plan to date.

FEDERAL INCOME TAX CONSEQUENCES RELATING TO STOCK OPTIONS

    INCENTIVE STOCK OPTIONS.  An optionee does not realize taxable income upon
the grant or exercise of an ISO under the Equity Plan. If no disposition of
shares issued to an optionee pursuant to the exercise of an ISO is made by the
optionee within two years from the date of grant or within one year from the
date of exercise, then (a) upon sale of such shares, any amount realized in
excess of the option price (the amount paid for the shares) is taxed to the
optionee as long-term capital gain and any loss sustained will be long-term
capital loss and (b) no deduction is allowed to us for Federal income tax
purposes. The exercise of ISOs gives rise to an adjustment in computing
alternative minimum taxable income that may result in alternative minimum tax
liability for the optionee.

    If shares of common stock acquired upon the exercise of an ISO are disposed
of prior to the expiration of the two-year and one-year holding periods
described above (a "disqualifying disposition") then (a) the optionee realizes
ordinary income in the year of disposition in an amount equal to the excess (if
any) of the fair market value of the shares at exercise (or, if less, the amount
realized on a sale of such shares) over the option price thereof and (b) we are
entitled to deduct such amount. Any further gain realized is taxed as a
short-term or long-term capital gain and does not result in any deduction to us.
A disqualifying disposition in the year of exercise will generally avoid the
alternative minimum tax consequences of the exercise of an ISO.

    NONSTATUTORY STOCK OPTIONS.  No income is realized by the optionee at the
time a nonstatutory option is granted. Upon exercise, (a) ordinary income is
realized by the optionee in an amount equal to the difference between the option
price and the fair market value of the shares on the date of exercise and
(b) we receive a tax deduction for the same amount. Upon disposition of the
shares, appreciation or depreciation after the date of exercise is treated as a
short-term or long-term capital gain or loss and will not result in any
deduction to us.

VOTE REQUIRED

    The affirmative vote of the holders of a majority of the shares of common
stock present, or represented, and entitled to vote at the Meeting is required
for the approval of the proposed amendment to the Equity Plan.

BOARD RECOMMENDATION

    Our Board of Directors believes that the amendment to the Equity Plan is in
the best interest of the Company and that of our stockholders and recommends a
vote FOR the proposal to approve the amendment to the Equity Plan.

                                       16
<PAGE>
            SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

    Our executive officers and directors are required under Section 16(a) of the
Exchange Act to file reports of ownership of Company securities and changes in
ownership with the Securities and Exchange Commission. Copies of those reports
must also be furnished to us.

    Based solely on a review of the copies of reports furnished to us and
written representations that no other reports were required, we believe that
during 1999 our executive officers and directors complied with all applicable
Section 16(a) filing requirements, with the following exceptions: Dr. Crooke,
one of our Directors, filed a late Form 4 reporting the exercise and sale of
options for an aggregate of 18,600 shares of common stock for which a Form 4 was
due on September 10, 1999; Ms. Flint, one of our executive officers, filed a
late Form 4 reporting the exercise of an option to purchase 19,333 shares of
common stock for which a Form 4 was due on August 10, 1999; Mr. Webb, an
executive officer and director of our company, filed a late Form 4 reporting the
exercise of an option to purchase 10,000 shares of common stock for which a
Form 4 was due on July 10, 1999; Ms. Carey, one of our executive officers, filed
a late Form 3 reporting the initial statement of beneficial ownership for which
a Form 3 was due on December 10, 1999; and Dr. Smith, one of our executive
officers, filed a Form 5 reporting the exercise of an option to purchase
5,000 shares of common stock for which a Form 4 was due on January 10, 2000.

                        INFORMATION CONCERNING AUDITORS

    The firm of Ernst & Young LLP, independent auditors, audited our financial
statements for the year ended December 31, 1999. The Board of Directors has
appointed Ernst & Young LLP to serve as our independent auditors for the fiscal
year ending December 31, 2000. Representatives of Ernst & Young LLP are expected
to be present at the Meeting to respond to appropriate questions and will be
given the opportunity to make a statement should they desire to do so.

               STOCKHOLDER PROPOSALS FOR THE 2001 ANNUAL MEETING

    In order to be considered for inclusion in our proxy materials for the 2001
Annual Meeting of Stockholders, stockholder nominations of persons for election
to the Board and proposals of business to be considered by the stockholders must
be received by us no later than December 4, 2000. Proposals should be sent to
the attention of the Secretary at our offices at 71 Rogers Street, Cambridge,
Massachusetts 02142.

                         ADVANCE NOTICE PROVISIONS FOR
                     STOCKHOLDER PROPOSALS AND NOMINATIONS

    The By-laws provide that in order for a stockholder to bring business before
or propose director nominations at an annual meeting, the stockholder must give
written notice to our Secretary not less than 50 days nor more than 75 days
prior to the meeting. The notice must contain specified information about the
proposed business or each nominee and the stockholder making the proposal or
nomination. If less than 65 days notice or prior public disclosure of the date
of the annual meeting is given or made to stockholders, the notice given by the
stockholder must be received not later than the 15th day following the day on
which the notice of such annual meeting date was mailed or public disclosure
made, whichever first occurs.

                                       17
<PAGE>
                            EXPENSES OF SOLICITATION

    We will bear the cost of soliciting proxies, including expenses in
connection with preparing and mailing this Proxy Statement. Proxies may be
solicited by our directors, officers or regular employees by mail, by telephone,
in person or otherwise. No such person will receive additional compensation for
such solicitation. In addition, we will request banks, brokers and other
custodians, nominees and fiduciaries to forward proxy material to the beneficial
owners of common stock and to obtain voting instructions from such beneficial
owners. We will reimburse such firms for their reasonable expenses in forwarding
proxy materials and obtaining voting instructions.

                                 OTHER MATTERS

    The Meeting is called for the purposes set forth in the notice. The Board of
Directors does not know of any matter for action by the stockholders at the
Meeting other than the matters described in the notice. However, the enclosed
proxy confers discretionary authority on the persons named therein with respect
to matters that are not known to the directors at the date of printing hereof
and that may properly come before the Meeting. It is the intention of the
persons named in the proxy to vote in accordance with their best judgment on any
such matter.

    Copies of our Annual Report on Form 10-K for the fiscal year ended
December 31, 1999 as filed with the Securities and Exchange Commission are
available to stockholders upon written request addressed to the Chief Executive
Officer at our offices at 71 Rogers Street, Cambridge, Massachusetts 02142.

    Whether or not you intend to be present at the Meeting, you are urged to
fill out, sign, date and return the enclosed proxy at your earliest convenience.

                                       18
<PAGE>
                               EPIX MEDICAL, INC.

                    AMENDED AND RESTATED 1992 INCENTIVE PLAN

SECTION 1. PURPOSE

    The purpose of the EPIX Medical, Inc. Amended and Restated 1992 Incentive
Plan (the "Plan") is to attract and retain key employees and consultants to
provide an incentive for them to assist the Company to achieve long-range
performance goals and to enable them to participate in the long-term growth of
the Company.

SECTION 2. DEFINITIONS

    "Affiliate" means any business entity in which the Company owns directly or
indirectly 50% or more of the total combined voting power or has a significant
financial interest as determined by the Committee.

    "Award" means any Option, Stock Appreciation Right, Performance Share,
Restricted Stock or Stock Unit awarded under the Plan.

    "Board" means the Board of Directors of the Company.

    "Code" means the Internal Revenue Code of 1986, as amended from time to
time.

    "Committee" means one or more committees each comprised of not less than two
members of the Board appointed by the Board to administer the Plan or a
specified portion thereof. If a Committee is authorized to grant Options to a
Reporting Person or a "covered employee" within the meaning of Section 162(m) of
the Code, each member shall be a "Non-Employee Director" or the equivalent
within the meaning of Rule 16b-3 under the Exchange Act or an "outside director"
or the equivalent within the meaning of Section 162(m) of the Code,
respectively.

    "common stock" or "Stock" means the common stock, $.01 par value per share,
of the Company.

    "Company" means EPIX Medical, Inc.

    "Designated Beneficiary" means the beneficiary designated by a Participant,
in a manner determined by the Committee, to receive amounts due or exercise
rights of the Participant in the event of the Participant's death. In the
absence of an effective designation by a Participant, Designated Beneficiary
shall mean the Participant's estate.

    "Fair Market Value" means, with respect to common stock or any other
property, the fair market value of such property as determined by the Committee
in good faith or in the manner established by the Committee from time to time.

    "Incentive Stock Option" means an option to purchase shares of common stock
awarded to a Participant under Section 6 which is intended to meet the
requirements of Section 422 of the Code or any successor provision.

    "Nonstatutory Stock Option" means an option to purchase shares of common
stock awarded to a Participant under Section 6 which is not intended to be an
Incentive Stock Option.

    "Option" means an Incentive Stock Option or a Nonstatutory Stock Option.

    "Participant" means a person selected by the Committee to receive an Award
under the Plan.

                                       19
<PAGE>
    "Performance Cycle" or "Cycle" means the period of time selected by the
Committee during which performance is measured for the purpose of determining
the extent to which an award of Performance Shares has been earned.

    "Performance Shares" mean shares of common stock which may be earned by the
achievement of performance goals awarded to a Participant under Section 8.

    "Restricted Period" means the period of time selected by the Committee
during which an award of Restricted Stock may be forfeited to the Company.

    "Restricted Stock" means shares of common stock subject to forfeiture
awarded to a Participant under Section 9.

    "Stock Appreciation Right" or "SAR" means a right to receive any excess in
value of shares of common stock over the exercise price awarded to a Participant
under Section 7.

    "Stock Unit" means an award of common stock or units that are valued in
whole or in part by reference to, or otherwise based on, the value of common
stock, awarded to a Participant under Section 10.

SECTION 3. ADMINISTRATION

    The Plan shall be administered by the Committee, provided that the Board may
in any instance perform any of the functions of the Committee. The Committee
shall have authority to adopt, alter and repeal such administrative rules,
guidelines and practices governing the operation of the Plan as it shall from
time to time consider advisable, and to interpret the provisions of the Plan.
The Committee's decisions shall be final and binding. To the extent permitted by
applicable law, the Committee may delegate to one or more executive officers of
the Company the power to grant Awards to Participants who are not Reporting
Persons or covered employees and all determinations under the Plan with respect
thereto, provided that the Committee shall fix the maximum amount of such Awards
for all such Participants and a maximum for any one Participant.

SECTION 4. ELIGIBILITY

    All employees (including part-time employees), and in the case of Awards
other than Incentive Stock Options, directors and consultants of the Company or
any Affiliate capable of contributing significantly to the successful
performance of the Company, other than a person who has irrevocably elected not
to be eligible, are eligible to be Participants in the Plan.

SECTION 5. STOCK AVAILABLE FOR AWARDS

    (a) Subject to adjustment under subsection (b) below, Awards may be made
       under the Plan for up to 2,099,901 shares of common stock. If any Award
       expires or is terminated unexercised or is forfeited without the
       Participant having had the benefits of ownership (other than voting
       rights), the shares subject to such Award, to the extent of such
       expiration, termination or forfeiture, shall again be available for award
       under the Plan. Common stock issued through the assumption or
       substitution of outstanding grants from an acquired company shall not
       reduce the shares available for Awards under the Plan. Shares issued
       under the Plan may consist in whole or in part of authorized but unissued
       shares or treasury shares.

                                       20
<PAGE>
    (b) In the event that the Committee determines that any stock dividend,
       extraordinary cash dividend, creation of a class of equity securities,
       recapitalization, reorganization, merger, consolidation, split-up,
       spin-off, combination, exchange of shares, warrants or rights offering to
       purchase common stock at a price substantially below fair market value,
       or other similar transaction affects the common stock such that an
       adjustment is required in order to preserve the benefits or potential
       benefits intended to be made available under the Plan, then the
       Committee, subject, in the case of Incentive Stock Options, to any
       limitation required under the Code, shall equitably adjust any or all of
       (i) the number and kind of shares in respect of which Awards may be made
       under the Plan, (ii) the number and kind of shares subject to outstanding
       Awards, and (iii) the award, exercise or conversion price with respect to
       any of the foregoing, and if considered appropriate, the Committee may
       make provision for a cash payment with respect to an outstanding Award,
       provided that the number of shares subject to any Award shall always be a
       whole number.

    (c) Subject to adjustment under subsection (b), no Participant may receive
       an Award which would result in such Participant having received, during
       the fiscal year of the Company in which the Award is made, Awards for
       more than an aggregate of 300,000 shares of common stock.

SECTION 6. STOCK OPTIONS

    (a) General.

    (i) Subject to the provisions of the Plan, the Committee may award Incentive
        Stock Options and Nonstatutory Stock Options and determine the number of
        shares to be covered by each Option, the option price therefor and the
        conditions and limitations applicable to the exercise of the Option. The
        terms and conditions of Incentive Stock Options shall be subject to and
        comply with Section 422 of the Code, or any successor provision, and any
        regulations thereunder. See subsection (b) below.

    (ii) The Committee shall establish the option price at the time each Option
         is awarded. In the case of Incentive Stock Options, such price shall
         not be less than 100% of the Fair Market Value of the common stock on
         the date of award.

   (iii) Each Option shall be exercisable at such times and subject to such
         terms and conditions as the Committee may specify in the applicable
         Award or thereafter. The Committee may impose such conditions with
         respect to the exercise of Options, including conditions relating to
         applicable federal or state securities laws, as it considers necessary
         or advisable.

    (iv) No shares shall be delivered pursuant to any exercise of an Option
         until payment in full of the option price therefor is received by the
         Company. Such payment may be made in whole or in part in cash or, to
         the extent permitted by the Committee at or after the award of the
         Option, by delivery of a note or shares of common stock owned by the
         optionee, or by retaining shares otherwise issuable under the Plan,
         valued at their Fair Market Value on the date of delivery, or such
         other lawful consideration as the Committee may determine.

    (b) Incentive Stock Options.

    Options granted under the Plan which are intended to be Incentive Stock
Options shall be subject to the following additional terms and conditions:

                                       21
<PAGE>
    (i) All Incentive Stock Options granted under the Plan shall, at the time of
        grant, be specifically designated as such in the option agreement
        covering such Incentive Stock Options. The Option exercise period shall
        not exceed ten years from the date of grant.

    (ii) If any employee to whom an Incentive Stock Option is to be granted
         under the Plan is, at the time of the grant of such option, the owner
         of stock possessing more than 10% of the total combined voting power of
         all classes of stock of the Company (after taking into account the
         attribution of stock ownership rules of Section 424(d) of the Code),
         then the following special provisions shall be applicable to the
         Incentive Stock Option granted to such individual:

       (x) The purchase price per share of the common stock subject to such
           Incentive Stock Option shall not be less than 110% of the Fair Market
           Value of one share of common stock at the time of grant; and

       (y) The option exercise period shall not exceed five years from the date
           of grant.

   (iii) For so long as the Code shall so provide, options granted to any
         employee under the Plan (and any other incentive stock option plans of
         the Company) which are intended to constitute Incentive Stock Options
         shall not constitute Incentive Stock Options to the extent that such
         options, in the aggregate, become exercisable for the first time in any
         one calendar year for shares of common stock with an aggregate Fair
         Market Value (determined as of the respective date or dates of grant)
         of more than $100,000.

SECTION 7. STOCK APPRECIATION RIGHTS

    (a) Subject to the provisions of the Plan, the Committee may award SARs in
       tandem with an Option (at or after the award of the Option), or alone and
       unrelated to an Option. SARs in tandem with an Option shall terminate to
       the extent that the related Option is exercised, and the related Option
       shall terminate to the extent that the tandem SARs are exercised. SARs
       granted in tandem with Options shall have an exercise price of not less
       than the exercise price of the related Option.

    (b) An SAR related to an Option which can only be exercised during limited
       periods following a change in control of the Company may entitle the
       Participant to receive an amount based upon the highest price paid or
       offered for common stock in any transaction relating to the change in
       control or paid during the thirty-day period immediately preceding the
       occurrence of the change in control in any transaction reported in any
       stock market in which the common stock is usually traded.

SECTION 8. PERFORMANCE SHARES

    (a) Subject to the provisions of the Plan, the Committee may award
       Performance Shares and determine the number of such shares for each
       Performance Cycle and the duration of each Performance Cycle. There may
       be more than one Performance Cycle in existence at any one time, and the
       duration of Performance Cycles may differ from each other. The payment
       value of Performance Shares shall be equal to the Fair Market Value of
       the common stock on the date the Performance Shares are earned or, in the
       discretion of the Committee, on the date the Committee determines that
       the Performance Shares have been earned.

                                       22
<PAGE>
    (b) The Committee shall establish performance goals for each Cycle, for the
       purpose of determining the extent to which Performance Shares awarded for
       such Cycle are earned, on the basis of such criteria and to accomplish
       such objectives as the Committee may from time to time select. During any
       Cycle, the Committee may adjust the performance goals for such Cycle as
       it deems equitable in recognition of unusual or non-recurring events
       affecting the Company, changes in applicable tax laws or accounting
       principles, or such other factors as the Committee may determine.

    (c) As soon as practicable after the end of a Performance Cycle, the
       Committee shall determine the number of Performance Shares which have
       been earned on the basis of performance in relation to the established
       performance goals. The payment values of earned Performance Shares shall
       be distributed to the Participant or, if the Participant has died, to the
       Participant's Designated Beneficiary, as soon as practicable thereafter.
       The Committee shall determine, at or after the time of award, whether
       payment values will be settled in whole or in part in cash or other
       property, including common stock or Awards.

SECTION 9. RESTRICTED STOCK

    (a) Subject to the provisions of the Plan, the Committee may award shares of
       Restricted Stock and determine the duration of the Restricted Period
       during which, and the conditions under which, the shares may be forfeited
       to the Company and the other terms and conditions of such Awards. Shares
       of Restricted Stock shall be issued for no cash consideration or such
       minimum consideration as may be required by applicable law.

    (b) Shares of Restricted Stock may not be sold, assigned, transferred,
       pledged or otherwise encumbered, except as permitted by the Committee,
       during the Restricted Period. Shares of Restricted Stock shall be
       evidenced in such manner as the Committee may determine. Any certificates
       issued in respect of shares of Restricted Stock shall be registered in
       the name of the Participant and unless otherwise determined by the
       Committee, deposited by the Participant, together with a stock power
       endorsed in blank, with the Company. At the expiration of the Restricted
       Period, the Company shall deliver such certificates to the Participant or
       if the Participant has died, to the Participant's Designated Beneficiary.

SECTION 10. STOCK UNITS

    (a) Subject to the provisions of the Plan, the Committee may award Stock
       Units subject to such terms, restrictions, conditions, performance
       criteria, vesting requirements and payment rules as the Committee shall
       determine.

    (b) Shares of common stock awarded in connection with a Stock Unit Award
       shall be issued for no cash consideration or such minimum consideration
       as may be required by applicable law.

SECTION 11. GENERAL PROVISIONS APPLICABLE TO AWARDS

    (a) Documentation. Each Award under the Plan shall be evidenced by a writing
       delivered to the Participant specifying the terms and conditions thereof
       and containing such other terms and conditions not inconsistent with the
       provisions of the Plan as the Committee considers necessary or advisable
       to achieve the purposes of the Plan or comply with applicable tax and
       regulatory laws and accounting principles.

                                       23
<PAGE>
    (b) Committee Discretion. Each type of Award may be made alone, in addition
       to or in relation to any other type of Award. The terms of each type of
       Award need not be identical, and the Committee need not treat
       Participants uniformly. Except as otherwise provided by the Plan or a
       particular Award, any determination with respect to an Award may be made
       by the Committee at the time of award or at any time thereafter.

    (c) Settlement. The Committee shall determine whether Awards are settled in
       whole or in part in cash, common stock, other securities of the Company,
       Awards or other property. The Committee may permit a Participant to defer
       all or any portion of a payment under the Plan, including the crediting
       of interest on deferred amounts denominated in cash and dividend
       equivalents on amounts denominated in common stock.

    (d) Dividends and Cash Awards. In the discretion of the Committee, any Award
       under the Plan may provide the Participant with (i) dividends or dividend
       equivalents payable currently or deferred with or without interest, and
       (ii) cash payments in lieu of or in addition to an Award.

    (e) Termination of Employment. The Committee shall determine the effect on
       an Award of the disability, death, retirement or other termination of
       employment of a Participant and the extent to which, and the period
       during which, the Participant's legal representative, guardian or
       Designated Beneficiary may receive payment of an Award or exercise rights
       thereunder.

    (f) Change in Control. In order to preserve a Participant's rights under an
       Award in the event of a change in control of the Company (as defined by
       the Committee), the Committee in its discretion may, at the time an Award
       is made or at any time thereafter, take one or more of the following
       actions: (i) provide for the acceleration of any time period relating to
       the exercise or realization of the Award, (ii) provide for the purchase
       of the Award upon the Participant's request for an amount of cash or
       other property that could have been received upon the exercise or
       realization of the Award had the Award been currently exercisable or
       payable, (iii) adjust the terms of the Award in a manner determined by
       the Committee to reflect the change in control, (iv) cause the Award to
       be assumed, or new rights substituted therefor, by another entity, or (v)
       make such other provision as the Committee may consider equitable and in
       the best interests of the Company.

    (g) Withholding Taxes. The Participant shall pay to the Company, or make
       provision satisfactory to the Committee for payment of, any taxes
       required by law to be withheld in respect of Awards under the Plan no
       later than the date of the event creating the tax liability. The Company
       and its Affiliates may, to the extent permitted by law, deduct any such
       tax obligations from any payment of any kind otherwise due to the
       Participant. In the Committee's discretion, the Participant may pay any
       taxes due with respect to an Award in whole or in part in shares of
       common stock, including shares retained from the Award creating the tax
       obligation, valued at their Fair Market Value on the date of retention or
       delivery.

    (h) Foreign Nationals. Awards may be made to Participants who are foreign
       nationals or employed outside the United States on such terms and
       conditions different from those specified in the Plan as the Committee
       considers necessary or advisable to achieve the purposes of the Plan or
       comply with applicable laws.

    (i) Amendment of Award. The Committee may amend, modify or terminate any
       outstanding Award, including substituting therefor another Award of the
       same or a different type, changing the date

                                       24
<PAGE>
       of exercise or realization and converting an Incentive Stock Option to a
       Nonstatutory Stock Option, provided that the Participant's consent to
       such action shall be required unless the Committee determines that the
       action, taking into account any related action, would not materially and
       adversely affect the Participant.

SECTION 12. MISCELLANEOUS

    (a) No Right To Employment. No person shall have any claim or right to be
       granted an Award, and the grant of an Award shall not be construed as
       giving a Participant the right to continued employment. The Company
       expressly reserves the right at any time to dismiss a Participant free
       from any liability or claim under the Plan, except as expressly provided
       in the applicable Award.

    (b) No Rights As Shareholder. Subject to the provisions of the applicable
       Award, no Participant or Designated Beneficiary shall have any rights as
       a shareholder with respect to any shares of common stock to be
       distributed under the Plan until he or she becomes the holder thereof. A
       Participant to whom common stock is awarded shall be considered the
       holder of the Stock at the time of the Award except as otherwise provided
       in the applicable Award.

    (c) Effective Date. The 1992 Equity Incentive Plan became effective on July
       10, 1992. Subject to the approval of the stockholders of the Company,
       this Amended and Restated 1992 Equity Incentive Plan will be effective on
       November       , 1996. Prior to such approval, Awards may be made under
       the Plan expressly subject to such approval.

    (d) Amendment of Plan. The Committee may amend, suspend or terminate the
       Plan or any portion thereof at any time, subject to any shareholder
       approval that the Committee determines to be necessary or advisable.

    (e) Governing Law. The provisions of the Plan shall be governed by and
       interpreted in accordance with the laws of the commonwealth of
       Massachusetts.

                                       25
<PAGE>


EPX10 5                        DETACH HERE

                                 PROXY

                              EPIX MEDICAL
                71 Rogers Street, Cambridge, Massachusetts 02142

                PROXY FOR THE 2000 ANNUAL MEETING OF STOCKHOLDERS
                              May 1, 2000
           THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS

The undersigned does hereby appoint Michael D. Webb, Stephen C. Knight and
William T. Whelan, and each of them acting singly, the attorneys and proxies
of the undersigned, with full power of substitution, with all the powers
which the undersigned would possess if personally present, to vote all of the
shares of capital stock of EPIX Medical, Inc. (the "Company") that the
undersigned is entitled to vote at the Annual Meeting of Stockholders of the
Company to be held at the offices of EPIX Medical, Inc., 161 First Street,
Cambridge, Massachusetts, at 10:00 a.m., and at any and all adjournments
thereof, hereby acknowledging receipt of the Proxy Statement for such meeting
and revoking any proxy heretofore given with respect to such shares.

THIS PROXY WHEN PROPERLY EXECUTED WILL BE VOTED IN THE MANNER DIRECTED BY THE
UNDERSIGNED STOCKHOLDER(S). IF NO DIRECTION IS MADE, THIS PROXY WILL BE VOTED
FOR PROPOSALS 1, 2 AND 3. IN THEIR DISCRETION, THE PROXIES ARE ALSO
AUTHORIZED TO VOTE UPON SUCH MATTERS AS MAY PROPERLY COME BEFORE THE MEETING.

SEE REVERSE SIDE  CONTINUED AND TO BE SIGNED ON REVERSE SIDE  SEE REVERSE SIDE


<PAGE>


EPX10 4                        DETACH HERE


/X/ Please mark
    votes as in
    this example

1. Proposal to elect directors

Nominees:   Luke B. Evnin, Ph.D.

            FOR                     WITHHELD
                                             MARK HERE
            / /                     / /      FOR ADDRESS / /
                                             CHANGE AND
                                             NOTE BELOW

           Randall B. Lauffer, Ph.D.

            FOR                     WITHHELD
            / /                     / /

2. Proposal to amend our Restated Certificate of Incorporation to increase
    the number of authorized shares of      FOR      AGAINST       ABSTAIN
    common stock from 15,000,000 shares     / /        / /           / /
    to 40,000,000 shares.

3. Proposal to amend the Company's Amended and Restated 1992 Equity Incentive
    Plan to increase the aggregate          FOR      AGAINST       ABSTAIN
    number of shares of the Company's       / /        / /           / /
    common stock as to which awards
    may be granted under such plan
    by 2,000,000 shares.

PLEASE SIGN, DATE AND MAIL THIS PROXY TODAY.

Please sign exactly as name appears on stock certificate. When shares are
held by joint tenants, both should sign. When signing as attorney, executor,
administrator, trustee or guardian, please give full title as such. If a
corporation, please sign in full corporate name by President or other
authorized officer. If a partnership, please sign in partnership name by
authorized person.


Signature:                              Date:
          -----------------------------      ------------------------

Signature:                              Date:
          -----------------------------      ------------------------


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