VISTA MEDICAL TECHNOLOGIES INC
S-1/A, 1997-07-02
ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS
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<PAGE>
   
      AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JULY 2, 1997
    
                                                      REGISTRATION NO. 333-22985
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
 
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                 --------------
 
   
                                AMENDMENT NO. 5
                                       TO
                                    FORM S-1
    
 
                             REGISTRATION STATEMENT
 
                                     UNDER
 
                           THE SECURITIES ACT OF 1933
                                 --------------
 
                        VISTA MEDICAL TECHNOLOGIES, INC.
             (Exact name of registrant as specified in its charter)
 
<TABLE>
<S>                              <C>                            <C>
           DELAWARE                          3845                  94-3184035
 (State or other jurisdiction    (Primary Standard Industrial   (I.R.S. Employer
              of                 Classification Code Number)     Identification
incorporation or organization)                                      Number)
</TABLE>
 
    5451 AVENIDA ENCINAS, SUITE A, CARLSBAD, CALIFORNIA 92008 (760) 603-9120
 
          (Address, including zip code and telephone number, including
            area code, of registrant's principal executive offices)
 
                                  JOHN R. LYON
                     PRESIDENT AND CHIEF EXECUTIVE OFFICER
                        VISTA MEDICAL TECHNOLOGIES, INC.
                         5451 AVENIDA ENCINAS, SUITE A
                           CARLSBAD, CALIFORNIA 92008
                                 (760) 603-9120
(Name, address, including zip code and telephone number, including area code, of
                               agent for service)
 
                               ------------------
 
                                with copies to:
 
<TABLE>
<S>                                       <C>
        Craig S. Andrews, Esq.                   Douglas M. Mancino, Esq.
        Faye H. Russell, Esq.                    Mark J. Mihanovic, Esq.
   BROBECK, PHLEGER & HARRISON LLP               McDERMOTT, WILL & EMERY
   550 West "C" Street, Suite 1300                2049 Century Park East
     San Diego, California 92101                        34th Floor
                                              Los Angeles, California 90067
</TABLE>
 
                                 --------------
 
        Approximate date of commencement of proposed sale to the public:
  AS SOON AS PRACTICABLE AFTER THIS REGISTRATION STATEMENT BECOMES EFFECTIVE.
                                 --------------
 
    If any of the securities being registered on this form are to be offered on
a delayed or continuous basis pursuant to Rule 415 under the Securities Act of
1933, check the following box: / /
 
    If this Form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list the Securities Act registration statement number of the earlier
effective registration statement for the same offering: / /
- ------------
 
    If this Form is a post-effective amendment filed pursuant to Rule 462(c)
under the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. / /
- ------------
 
    If delivery of the prospectus is expected to be made pursuant to Rule 434,
please check the following box: / /
                                 --------------
 
    THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THE REGISTRATION
STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES ACT OF 1933 OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION ACTING PURSUANT TO SAID SECTION 8(A)
MAY DETERMINE.
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                                   SIGNATURES
 
   
    Pursuant to the requirements of the Securities Act of 1933, the Company has
duly caused this Registration Statement to be signed on its behalf by the
undersigned, thereunto duly authorized, in the City of San Diego, County of San
Diego, State of California, on the 2nd day of July, 1997.
    
 
                                VISTA MEDICAL TECHNOLOGIES, INC.
 
                                By:               /s/ JOHN R. LYON
                                     -----------------------------------------
                                                    John R. Lyon
                                       PRESIDENT AND CHIEF EXECUTIVE OFFICER
 
    Pursuant to the requirements of the Securities Act of 1933, this
Registration Statement has been signed below by the following persons in the
capacities and on the dates indicated.
 
   
<TABLE>
<CAPTION>
          SIGNATURE                       TITLE                    DATE
- ------------------------------  --------------------------  -------------------
 
<C>                             <S>                         <C>
                                President, Chief Executive
       /s/ JOHN R. LYON          Officer and Director
- ------------------------------   (Principal Executive          July 2, 1997
        (John R. Lyon)           Officer)
 
                                Director of Finance and
    /s/ ROBERT J. DE VAERE       Administration and Chief
- ------------------------------   Financial Officer             July 2, 1997
     (Robert J. De Vaere)        (Principal Financial and
                                 Accounting Officer)
 
              *
- ------------------------------  Chairman of the Board and      July 2, 1997
       (James C. Blair)          Director
 
              *
- ------------------------------  Director                       July 2, 1997
      (Olav B. Bergheim)
 
              *
- ------------------------------  Director                       July 2, 1997
    (Nicholas B. Binkley)
 
              *
- ------------------------------  Director                       July 2, 1997
     (Daniel J. Holland)
 
              *
- ------------------------------  Director                       July 2, 1997
     (Larry M. Osterink)
 
By: /s/ JOHN R. LYON
- ------------------------------
John R. Lyon, Attorney-in-fact
</TABLE>
    
 
                                      II-7
<PAGE>
                                 EXHIBIT INDEX
 
   
<TABLE>
<CAPTION>
 EXHIBIT
 NUMBER                                              DESCRIPTION                                                PAGE
- ---------  ------------------------------------------------------------------------------------------------     -----
<C>        <S>                                                                                               <C>
   1.1++   Form of Underwriting Agreement.
 
   3.1++   Amended and Restated Certificate of Incorporation of the Company.
 
   3.2++   Form of Second Restated Certificate of Incorporation of the Company to become effective
            immediately prior to the Offering.
 
   3.3++   Bylaws of the Company, as amended.
 
   3.4++   Form of Restated Bylaws of the Company to be effective upon completion of the Offering.
 
   4.1++   Form of Certificate for Common Stock.
 
   5.1++   Opinion of Brobeck, Phleger & Harrison LLP with respect to the Common Stock being registered.
 
  10.1++   Asset Purchase Agreement between the Company and AST, dated September 15, 1995.
 
  10.2++   Asset Purchase Agreement between the Company, ProMedica Distribution, Inc. (ProMedica) and
            certain stockholders of ProMedica, dated July 26, 1996.
 
  10.3++   Series A-1 Preferred Stock Purchase Agreement among the Company and the purchasers listed on
            Schedule A thereto, dated July 27, 1995.
 
  10.4++   Series B Preferred Stock Purchase Agreement among the Company and the investors listed on
            Schedule A thereto, dated July 12, 1996.
 
  10.5++   Series C Preferred Stock Purchase Agreement between the Company and Medtronic Asset Management,
            Inc., dated November 27, 1996.
 
  10.6++   Common Stock Purchase Warrant between the Company and Heartport, Inc. (Heartport), dated
            February 22, 1997.
 
  10.7*    International Distribution Agreement between AST and AMCO, Inc., dated September 20, 1994.
 
  10.8*++  Manufacturing Supply Agreement between the Company and Kaiser Electro-Optics, Inc., dated July
            19, 1995.
 
  10.9*++  U.S.A. and Canada Distribution Agreement between the Company and Delacroix-Chevalier Inc., dated
            July 11, 1996.
 
 10.10*++  Distributor Agreement between the Company and Peters, dated July 15, 1996.
 
 10.11*++  Sales Agreement between the Company and Medtronic, Inc., dated November 27, 1996.
 
 10.12*++  Supply and Services Agreement between the Company and Heartport, dated February 22, 1997.
 
 10.13*++  Supplemental Rights Agreement between the Company and Medtronic, Inc., dated November 27, 1996.
 
  10.14++  Amended and Restated Investors' Rights Agreement between the Company and the stockholders listed
            on Schedule A thereto, dated November 27, 1996.
 
  10.15++  Amendment to the Amended and Restated Investors' Rights Agreement between the Company, Heartport
            and the stockholders listed on Exhibit A thereto, dated February 22, 1997.
 
  10.16++  Letter Agreement regarding Investment Representations and Registration Rights between the
            Company and Urohealth Systems, Inc. (Urohealth), dated December 13, 1996.
</TABLE>
    
<PAGE>
   
<TABLE>
<CAPTION>
 EXHIBIT
 NUMBER                                              DESCRIPTION                                                PAGE
- ---------  ------------------------------------------------------------------------------------------------     -----
<C>        <S>                                                                                               <C>
 10.17*++  Consulting Agreement between the Company and Harry R. McKinley, dated September 15, 1995, as
            amended.
 
 10.18*++  Consulting Agreement between the Company and Urohealth, dated December 13, 1996.
 
  10.19++  Form of Professional Services Agreement.
 
  10.20++  Form of Non-Disclosure Agreement for Proprietary or Business Confidential Information.
 
  10.21++  Non-Competition, Non-Disclosure and Patent and Inventions Assignment Agreement among Harry R.
            McKinley, McKinley Optics, Inc. and AST, dated December 18, 1991.
 
 10.22*++  License and Development Agreement among Harry R. McKinley, McKinley Optics, Inc. ("MOI") and
            AST, dated December 18, 1991, as amended on June 28, 1994.
 
 10.23*++  License Agreement between the Company and Allen Newman, dated September 2, 1994, as amended
            December 13, 1996.
 
 10.24*++  Agreement to Amend License and Development Agreement between Harry R. McKinley, MOI and the
            Company, dated September 15, 1995.
 
 10.25*++  License Agreement between the Company and Kaiser Aerospace, dated July 19, 1995.
 
 10.26*++  Technology Strategic Alliance: Memorandum of Understanding between the Company and Kaiser
            Electro Optics, Inc., dated July 19, 1995.
 
 10.27*++  Non-Exclusive License Agreement between the Company, Fuji Photo Film Co., Ltd. and Fuji Photo
            Film Optical Co., Ltd., dated June 25, 1996.
 
  10.28++  Memorandum of Understanding between the Company and Cogent Light Technologies, dated March 27,
            1996.
 
 10.29*++  License Agreement between the Company and Urohealth, dated December 13, 1996.
 
 10.30*++  License Agreement between the Company, HealthCom, Inc. and GDE Systems, Inc., dated February 28,
            1997.
 
  10.31++  Lease dated April 14, 1994, as amended by a certain First Amendment to Lease dated March 29,
            1996 and a certain Second Amendment to Lease dated October 22, 1996 between the Company and
            Robert F. Tambone, as Trustee of MAT Realty Trust, u/d/t dated June 4, 1986.
 
  10.32++  Standard Sublease between the Company and Quintiles Pacific, Inc., dated January 23, 1996.
 
  10.33++  Standby Letter of Credit from Silicon Valley Bank, dated August 9, 1996.
 
  10.34++  1995 Stock Option Plan.
 
  10.35++  1995 Stock Option Plan Form of Notice of Grant.
 
  10.36++  1995 Stock Option Plan Form of Stock Option Agreement.
 
  10.37++  1995 Stock Option Plan Form of Stock Purchase Agreement.
 
  10.38++  1997 Stock Option/Stock Issuance Plan, as amended.
 
  10.39++  1997 Stock Option/Stock Issuance Plan Form of Notice of Grant.
 
  10.40++  1997 Stock Option/Stock Issuance Plan Form of Stock Option Agreement.
 
  10.41++  1997 Stock Option/Stock Issuance Plan Form of Stock Purchase Agreement.
</TABLE>
    
<PAGE>
   
<TABLE>
<CAPTION>
 EXHIBIT
 NUMBER                                              DESCRIPTION                                                PAGE
- ---------  ------------------------------------------------------------------------------------------------     -----
<C>        <S>                                                                                               <C>
  10.42++  1997 Employee Stock Purchase Plan.
 
  10.43++  Form of Indemnification Agreement between the Company and each of its directors.
 
  10.44++  Form of Indemnification Agreement between the Company and each of its officers.
 
  10.45++  Form of Waiver of Registration Rights, dated February 28, 1997.
 
  10.46++  1997 Stock Option/Stock Issuance Plan Form of Stock Issuance Agreement
 
  10.47++  Issuance Agreement dated March 3, 1997 between the Company and those purchasers set forth in
            Schedule A.
 
  11.1++   Statement re: Computation of Per Share Data.
 
  23.1++   Consent of Brobeck, Phleger & Harrison LLP (contained in their opinion filed as Exhibit 5.1).
 
  23.2++   Consent of Ernst & Young LLP, Independent Auditors.
 
  24.1++   Power of Attorney.
 
  27.1++   Financial Data Schedule.
</TABLE>
    
 
- --------------
 
  ++ Previously filed.
 
  * Certain confidential portions of this Exhibit were omitted by means of
    redacting a portion of the text (the "Mark"). This Exhibit has been filed
    separately with the Secretary of the Commission without the Mark pursuant to
    the Company's Application Requesting Confidential Treatment under Rule 406
    under the Securities Act.

<PAGE>

                                                                    EXHIBIT 10.7

                      INTERNATIONAL DISTRIBUTION AGREEMENT

THIS INTERNATIONAL DISTRIBUTION AGREEMENT (the "Agreement"), effective this 20th
day of September, 1994, is entered into by and between AMERICAN SURGICAL
TECHNOLOGIES CORPORATION, a Delaware corporation with a principal place of
business located at 300 Billerica Road, Chelmsford, Massachusetts 01824, U.S.A.,
hereinafter referred to as "ASTC" and


                                  AMCO, Inc.
                                    * * *
                                    * * *
                                    * * *



hereinafter referred to as "DISTRIBUTOR".

WHEREBY ASTC desires to appoint DISTRIBUTOR to promote, sell, distribute, and
service ASTC products in and within the Territory (as defined hereinafter) in
accordance with the terms and conditions stated herein; and

   
WHEREBY DISTRIBUTOR represents that it has the capability and resources to
promote, sell, distribute, and service ASTC products in and within the Japan
(hereinafter referred to as "the Territory"), to fulfill the needs and
requirements of customers for ASTC products in such Territory;
    

NOW THEREFORE, IN CONSIDERATION OF THE FOREGOING, it is mutually agreed by and
between the parties as follows:

1.   EXCLUSIVE RIGHTS: ASTC hereby grants to DISTRIBUTOR the exclusive right to
     purchase from ASTC those products set forth in Exhibit "B" annexed hereto
     ("3DSCOPE International Distributor Product/Price List"), for the sole
     purpose of reselling such products in the Territory to hospitals, clinics,
     physicians, and other medical and surgical entities, institutions, and
     personnel (the "Medical Market").  ASTC appoints DISTRIBUTOR  as its 
     exclusive representative to promote, sell, distribute, and service ASTC
     Products only in the Territory and only to the Medical Market.  The
     Distributor shall have no right to promote, sell, or distribute ASTC
     Products directly or indirectly, in any other Territory or to any person or
     entity other than the Medical Market.  For purposes of this Agreement, the
     meaning of the term "sell" shall also include "lease" or "rent".

2.   TERMS AND CONDITIONS:  DISTRIBUTOR hereby accepts the said appointment and
     agrees to the conditions set forth herein and in accordance with the
     Standard Terms and Conditions for International Distribution Agreements
     annexed hereto as Exhibit "A" and incorporated herein by reference and made
     a part hereof.

* * * Confidential Treatment Requested

                                         -1-

<PAGE>


3.   AVAILABILITY:  ASTC shall make available for purchase by DISTRIBUTOR
     sufficient quantities of ASTC Products to meet DISTRIBUTOR's reasonable
     needs and requirements in order to fulfill the terms and conditions of this
     Agreement.

4.   INITIAL ORDER:  Upon execution of this Agreement, and as a condition
     precedent to the validity hereof, DISTRIBUTOR shall submit a Purchase Order
     (as defined in Paragraph 9 to ASTC for an Initial Order of ASTC Products at
     the prices set forth on Exhibit "B" annexed hereto except that the first
     unit ordered will reflect a * * *% discount, units * * * will reflect a
     * * *% discount, and all future orders will reflect a * * *% as shown on
     Exhibit B.  The said Initial Order is set forth as Exhibit "C" annexed
     hereto.

5.   ANNUAL PURCHASE COMMITMENT:

     5.1.    DISTRIBUTOR and ASTC agree the quantity of ASTC Products to be
             purchased by DISTRIBUTOR will total  * * *   in year one,  * * *
             in year two and   * * *    in year three, year one commences with
             grant of government registration.  The products to be purchased are
             the products listed in Exhibit B inclusive of any new products and
             accessories to be added to Exhibit B hereafter.

     5.2.    No later than thirty (30) days following the last day of any
             subsequent year of the term of this Agreement, if the term of this
             Agreement shall have been extended in accordance with the terms of
             this Agreement) DISTRIBUTOR and ASTC shall mutually agree in
             writing on the Annual Purchase Commitment for the following year.
             Failure to do so will result in a probationary ninety (90) day
             period.  Upon expiration of the probationary period, DISTRIBUTOR's
             rights hereunder shall terminate, unless prior to the expiration of
             said probationary period, ASTC notifies DISTRIBUTOR in writing that
             DISTRIBUTOR's rights hereunder shall continue according to the
             terms and conditions hereof.

     5.3.    Failure on the part of the DISTRIBUTOR in any consecutive two (2)
             quarters in any given year of this Agreement, to purchase an
             aggregate total of      * * *         of the Annual Purchase
             Commitment shall result in a sixty (60) day probationary period,
             which probationary period shall be followed by immediate
             termination of DISTRIBUTOR's rights hereunder, unless prior to the
             expiration of said probationary period, ASTC notifies DISTRIBUTOR 
             in writing that DISTRIBUTOR'S rights hereunder shall continue 
             according to terms and conditions hereof.


* * * Confidential Treatment Requested

                                      -2-

<PAGE>


     5.4.    Any failure by the DISTRIBUTOR to meet its Annual Purchase
             Commitment resulting from delayed delivery by ASTC of the ASTC
             Products covered by this Agreement shall be documented at the time
             of any such delay.  Such failure shall not constitute a breach of
             this Agreement so long as the quantity of ASTC Products subject to
             such delay would, had DISTRIBUTOR been able to purchase such ASTC
             Products during such period of delay, been equivalent to the
             quantity of ASTC Products necessary to meet the Annual Purchase
             Commitment for the relevant period.

6.   MARKET DEVELOPMENT AND INFORMATION:

     6.1.    DISTRIBUTOR agrees to use its best efforts to develop a market for
             ASTC Products and to enhance ASTC's image in the market place as a
             provider of quality products.  At the beginning of each calendar
             year, DISTRIBUTOR shall provide to ASTC its business plan for the
             coming year for the sale and promotion of ASTC Products in the
             Territory, and ASTC and DISTRIBUTOR shall mutually agree in writing
             on the sales promotion activities and performance criteria to be
             met by DISTRIBUTOR for that calendar year.

     6.2.    DISTRIBUTOR shall annually provide ASTC a written analysis of the
             market within the Territory, including total market size, market
             share data and competitive activities, including, if reasonably
             available to DISTRIBUTOR, information concerning competitors'
             products, prices, and marketing programs and strategies, sales
             reports, an account of its ASTC Products inventory, its key
             accounts, and such other information as may be reasonably obtained
             by DISTRIBUTOR relating to ASTC Products and competitors' products
             so as to enable ASTC to assist DISTRIBUTOR in fully developing the
             market demand for ASTC products and in developing appropriate
             marketing and business plans for the mutual advantage of
             DISTRIBUTOR and ASTC.

7.   NEW PRODUCTS:

     7.1.    If ASTC in its sole discretion, decides to make a new product
             available for sale         * * *                   and in the
             Territory (such new product being defined as  product not listed on
             Exhibit "B" annexed hereto), ASTC shall discuss with DISTRIBUTOR
             the addition of such new product to this Agreement.

     7.2.    ASTC will grant DISTRIBUTOR right of first refusal if ASTC decides
             to add new product(s) to this Agreement.  If DISTRIBUTOR decides
             that it does not want to add new product(s) to this Agreement, then
             ASTC shall have the right to have the said new product distributed
             by another representative within the Territory.

* * * Confidential Treatment Requested

                                      -3-

<PAGE>

8.   PRICES:

     8.1.    Prices to DISTRIBUTOR shall be in United States dollars and shall
             be, initially, the prices set forth on Exhibit "B" annexed hereto
             along with additional discounts as described in Section 4.  Changes
             in price may be made by ASTC, subject to ninety (90) days written
             notice in advance to DISTRIBUTOR.  Within such ninety day period,
             DISTRIBUTOR may place reasonable orders for purchase of ASTC
             Products, but ASTC explicitly retains the right to reasonably limit
             the quantity of such orders.

     8.2.    All prices are calculated for delivery FOB ASTC's plant, currently
             located in Chelmsford, Massachusetts, U.S.A.  Customs duties and
             charges, if any, shall be borne by DISTRIBUTOR.  Any export
             licenses in the United States shall be obtained and paid for by
             ASTC.  All other import or export licenses, approvals or both shall
             be obtained by DISTRIBUTOR at its cost.  Prices to DISTRIBUTOR do
             not include any federal, state or local taxes that may be
             applicable to the ASTC Products.  When ASTC has the legal
             obligation to collect such taxes, the appropriate amount shall be
             added to DISTRIBUTOR's invoice and paid by DISTRIBUTOR unless
             DISTRIBUTOR provides ASTC with a valid tax exemption certificate
             authorized by the appropriate taxing authority.

9.   PURCHASES:

     9.1.    Pursuant to this Agreement the DISTRIBUTOR shall submit purchase
             orders for the ASTC Products ("Purchase Order").  Such Purchase
             Orders shall be subject to the Standard Terms and Conditions for
             International Distribution as set forth in Exhibit "A" annexed
             hereto.

     9.2.    ASTC shall have the right to modify its Standard Terms and
             Conditions for International Distribution upon mutual written
             agreement between ASTC and DISTRIBUTOR, following which all future
             Purchase Orders will be subject to such modified Terms and
             Conditions.

     9.3.    DISTRIBUTOR may cancel without charge any outstanding Purchase
             Order within seven (7) days of receipt of such Purchase Order by
             ASTC, but only by written (or FAX) notice of cancellation, orders
             canceled after the seven day period without sufficient reason are
             subject to penalties mutually agreed to by ASTC and DISTRIBUTOR.

10.  PAYMENT:  Full payment to ASTC of DISTRIBUTOR's purchase price (including
     any freight, taxes, or other applicable costs) shall be made in the United
     States in United States dollars 60 days after shipment of order.

                                      -4-

<PAGE>

11.  TERM OF AGREEMENT:

     11.1.   Except as otherwise provided in this Section 11, this Agreement
             shall have an initial terms of three (3) years from the effective
             date hereof and automatically renew for one year periods unless
             terminated by 90 days written notice before expiration of each term
             by either party.

12.  CANCELLATION AND TERMINATION:

     12.1.   This Agreement may be canceled by either party for any reason upon
             ninety (90) days prior written notice to the other party.

     12.2.   Either party shall have the right to terminate this Agreement
             immediately for just cause should either party breach any provision
             of for this Agreement, including any of the following:

             12.2.1.     failure by DISTRIBUTOR to make payment for ASTC
                         Products purchased in accordance with ASTC's
                         established policy for this Agreement;

             12.2.2.     failure to establish and maintain a sales and service
                         organization of sufficient size to adequately and
                         effectively sell, service, and support ASTC Products in
                         the Territory;

             12.2.3.     failure to honor warranties;

             12.2.4.     failure to maintain adequate books and records with
                         respect to the names and addresses of customers, and
                         the sale and distribution of ASTC Products;

             12.2.5.     failure to comply with local law applicable in the
                         Territory, including by way of explanation but not
                         limitation, compliance with any local currency
                         restrictions or restrictions on payment of local
                         commissions to sales representatives;

             12.2.6.     violation of any of the obligations of DISTRIBUTOR with
                         respect to ASTC's patents, trademarks, copyrights,
                         labeling, products registrations, interest, know how,
                         trade names or ASTC's proprietary information;

             12.2.7.     violation of the commitments of DISTRIBUTOR with
                         respect to approvals and compliance with laws and
                         regulations or violation of the prohibition against
                         assignment contained within;

             12.2.8.     any event, action or failure that constitutes cause for
                         termination under applicable law; or

* * * Confidential Treatment Requested

                                      -5-

<PAGE>

             12.2.9.     any change of ownership of DISTRIBUTOR that in the sole
                         determination of ASTC is in any way detrimental or
                         prejudicial to the interests of ASTC.

     12.3.   DISTRIBUTOR shall have twenty (20) days after written notice
             specifying a breach of this Agreement to cure such breach.  If,
             under the circumstances then current, it would appear that any
             breach is final, or cannot be cured, ASTC may terminate the
             Agreement immediately for cause by giving notice to this effect.

     12.4.   Either ASTC or DISTRIBUTOR may terminate this Agreement in the
             event that the other is dissolved, becomes insolvent, files a
             petition in bankruptcy, or is declared bankrupt, or makes an
             assignment for benefit of creditors, or there is reasonable
             evidence indicating the possibility of such filing or assignment
             during the term this Agreement is in effect.  Termination under
             this provision shall be effective twenty (20) days following
             written notice to that effect.

     12.5.   DISTRIBUTOR may terminate this Agreement immediately for just cause
             should ASTC breach any provision of this Agreement, provided that
             any such termination shall not take effect if ASTC has cured such
             breach within twenty (20) days following written notice of
             DISTRIBUTOR's intention to terminate on account of such breach.

     12.6.   Upon termination of this Agreement for whatever reason, any claims
             for money owed that either party may have against other party under
             this Agreement shall immediately become due, whatever the nature of
             such claims.

     12.7.   Both DISTRIBUTOR and ASTC shall be entitled to cancel all Purchase
             Orders which are outstanding at the time of notice of termination,
             so long as products have not been delivered to DISTRIBUTOR pursuant
             to such Purchase Orders.  Provided however, that subject to payment
             in advance to ASTC, DISTRIBUTOR shall be entitled to receive ASTC
             Products necessary to fulfill valid and binding Purchase Orders
             accepted by DISTRIBUTOR prior to notification of termination of
             this Agreement.  Prior to filling orders for such products ASTC
             shall be entitled to request and receive documentary evidence of
             all such outstanding Purchase Orders and an accounting of
             DISTRIBUTOR's then current inventory of ASTC Products.

                                      -6-

<PAGE>

     12.8.

             12.8.1.     Upon termination of this Agreement DISTRIBUTOR shall
                         refrain from use of any signs, equipment, advertising
                         matter, or material which refer to or are related to
                         ASTC and from acts and omissions that indicate or
                         suggest a relationship with ASTC.  DISTRIBUTOR shall
                         promptly return to ASTC all ASTC property, promotional
                         material and proprietary information.

             12.8.2.     Upon termination of the Agreement DISTRIBUTOR shall not
                         be entitled to any termination compensation,
                         consequential damages, indemnity, or other payment for
                         goodwill, lost profits, costs of re-establishment or
                         replacement of the business, or any other expenses, or
                         for loss of rights relating to the business established
                         by DISTRIBUTOR or rights relating to terminating to
                         this Agreement.

             12.8.3.     DISTRIBUTOR recognizes that prices charged by ASTC to
                         DISTRIBUTOR allow DISTRIBUTOR to obtain a reasonable
                         return for its entire services and profit on resale,
                         including costs of establishing and maintaining its
                         organization.  DISTRIBUTOR expressly acknowledges any
                         rights to such indemnity afforded to it by law or
                         custom, and to the extent permissible under applicable
                         law, expressly and completely waives all its rights to
                         such indemnity benefits, if any.

             12.8.4.     DISTRIBUTOR agrees to indemnify and hold ASTC harmless
                         from all losses, damages, amounts, costs, and expenses
                         incurred by ASTC as a result of claims or actions
                         brought by employees, agents, or representatives of
                         DISTRIBUTOR for any severance pay, compensations,
                         disability payment or social security payment or
                         compensation.

     12.9.   Upon any termination of this Agreement, ASTC shall buy back any
             unsold inventory that DISTRIBUTOR, will have at the time
             termination per the following schedule:

                    Products unused and less than  * * *  after shipment - * * *
                    of buying cost.

                    Products used and less than  * * *  after shipment - * * *
                    of buyer cost.


* * * Confidential Treatment Requested

                                      -7-

<PAGE>

                    Products use and between * * * and * * * years after
                    shipment - * * * of buying cost.

     12.10.  The aggregate amount to be paid to be paid to DISTRIBUTOR under the
             preceding subparagraph 12.9 may be offset by ASTC against any
             claims it has against DISTRIBUTOR, including claims for payment of
             goods supplied under this Agreement.

     12.11.  At the time of termination, ASTC shall take responsibility for all
             transactions relative to ASTC products including service of
             products.

13.  SUB-DISTRIBUTORS:  Nothing herein shall prohibit DISTRIBUTOR from
     appointing one or more sub-distributors within the Territory, provided
     however, that with respect to each such sub-distributor:

     13.1.   such appointment or appointments (including the sub-Territory to be
             assigned to any such sub-distributor) shall be consented to in
             writing by ASTC.

     13.2.   such sub-distributor shall purchase ASTC products only from
             DISTRIBUTOR and not from ASTC;

     13.3.   such sub-distributor shall not sell any ASTC products outside its
             sub-Territory;

     13.4.   such sub-distributor shall enter into and execute a sub-
             distribution agreement with DISTRIBUTOR (in form and content
             acceptable to ASTC) by the terms of which the sub-distributor
             agrees to be bound by all the terms of this Agreement; and

     13.5.   such sub-distributor shall agree in writing that nothing in this
             paragraph 13 shall be deemed to create the relationship of
             principal and agent, master and servant, partner, joint venturer,
             or any similar relationship between ASTC and any such sub-
             distributor.

14.  NOTICES:

     14.1.   All notices given under this Agreement and the provisions contained
             herein shall be sent by first class registered airmail, postage
             prepaid and return receipt requested, by Federal Express, or by
             Telecopier, or Facsimile as directed below:


                                      * * *


* * * Confidential Treatment Requested

                                      -8-

<PAGE>

                                    AMCO, Inc.

                                      * * *
                                      * * *
                                      * * *




             when directed to DISTRIBUTOR, and to:

                    American Surgical Technologies Corporation
                    Attn:  Vice President Sales
                    300 Billerica Road
                    Chelmsford, MA 01824 U.S.A.
                    Phone:  (508) 250-0150
                    Fax:  (508) 250-1664

             when directed by ASTC.

     14.2.   Notices shall be considered delivered when mailed or sent by
             Telecopier or Facsimile in accordance with the provisions of
             subparagraph 14.1 above subject to proof of receipt by Telecopier
             or Facsimile confirmation or by mail receipt.

Executed this 20th day of September, 1994 by and on behalf of

DISTRIBUTOR

     By:     /s/  * * *                 , DULY AUTHORIZED
             ------------------------------
     Title:  President
             ------------------------------

Executed this 20th days of September, 1994 by and on behalf of

     AMERICAN SURGICAL TECHNOLOGIES CORPORATION

     By:     /s/ Kenneth G. Hayes, Jr.  , DULY AUTHORIZED
             ------------------------------
     Title:  President
             ------------------------------



* * * Confidential Treatment Requested

                                      -9-

<PAGE>

                                    EXHIBIT A

                          Standard Terms and Conditions
                                       for
                      INTERNATIONAL DISTRIBUTION AGREEMENT
                                 by and between
                   AMERICAN SURGICAL TECHNOLOGIES CORPORATION
                                       and
                             AMCO, Inc., DISTRIBUTOR

1.   INCORPORATION OF TERMS AND CONDITIONS:  These Standard Terms and Conditions
     are incorporated into and are a part of the International Distribution
     Agreement by and between AMERICAN SURGICAL TECHNOLOGIES CORPORATION
     ("ASTC") and the above named DISTRIBUTOR ("the Agreement").  Unless
     otherwise noted hereinafter, all definitions and defined terms appearing in
     the aforesaid Agreement shall bear the same meanings as such definition and
     defined terms bear in the aforesaid Agreement whenever such definitions and
     defined terms shall appear hereinafter.

2.   DILIGENCE AND CONFLICTS OF INTEREST:  DISTRIBUTOR shall exercise due
     diligence and its best efforts in promoting and selling ASTC Products
     within the Territory.  DISTRIBUTOR shall promote the products of other
     companies only if such promotion will not prejudice ASTC business interests
     or create a conflict of interest in handling ASTC's confidential or
     proprietary information.

3.   CAPABILITY TO PERFORM:  DISTRIBUTOR shall maintain the financial capability
     to perform the Distribution Agreement and shall, at its own expense,
     establish and maintain a sales, marketing and distribution, and service
     organization, and employ personnel in sufficient number of adequately and
     effectively sell ASTC Products in the Territory, including the appointment
     of a Product Manager who shall be responsible for the sale and promotion of
     ASTC products, as well as for training of DISTRIBUTOR's sales
     representatives in the sale and promotion of ASTC Products.

4.   BOOKS AND RECORDS:  Not applicable

5.   TRAINING:

     5.1.    DISTRIBUTOR shall provide in-service training for personnel of
             customers acquiring ASTC Products and shall provide necessary user
             education for such personnel.  ASTC shall provide DISTRIBUTOR with
             marketing and technical information concerning the ASTC Products as
             well as reasonable quantities of brochures, instructional
             materials, advertising literature, and other product data, provided
             that all such material will be printed in the English language.

                                      -10-

<PAGE>

                                    EXHIBIT A

     5.2.    Upon mutual agreement, DISTRIBUTOR shall participate in training
             programs offered by ASTC by sending its sale, service, and support
             personnel, as applicable, to such training sessions for such
             personnel as ASTC may from time to time make available at
             reasonable intervals.  Such training sessions shall be conducted in
             the English language at locations to be designed by ASTC.
             DISTRIBUTOR shall bear all costs associated with the travel to and
             attendance of its personnel at such training sessions.  Should it
             be required that ASTC conduct training sessions specifically for
             the benefit of DISTRIBUTOR within the Territory, all costs
             therefore shall be borne by DISTRIBUTOR, including the reasonable
             costs of travel to and attendance at such special training sessions
             by ASTC personnel.

6.   REPUTATION:  Both ASTC and DISTRIBUTOR understand, acknowledge and agree
     that the continued maintenance of an image of excellence and a reputation
     for high level, ethical marketing of ASTC Products is essential to the
     continued success of both parties.  DISTRIBUTOR agrees that its sales,
     marketing, distribution, or advertising will not reflect unfavorably on, or
     dilute in any way, such image of excellence and reputation for high level
     ethical marketing.  DISTRIBUTOR agrees that it shall not do anything,
     directly, or impair the current image or to lower the prestige or quality
     of ASTC Products, or to impair the reputation of ASTC.

7.   DELIVERY, TITLE, RISK OF LOSS, AND RETURNS:

     7.1.    Firm Purchase Orders are to be placed by DISTRIBUTOR at least
             ninety (90) days prior to the required delivery date.  Forecasts of
             anticipated requirements of ASTC Products for each successive six-
             month period shall be supplied by DISTRIBUTOR semi-annually at
             least thirty (30) days prior to the end of each six (6) month
             period.  Products shall be shipped at DISTRIBUTOR's expense in such
             manner as ASTC shall deem appropriate or as otherwise directed.
             Title and risk of loss for ASTC Products shall remain with ASTC
             until delivery, FOB Chelmsford, Massachusetts, at which point title
             and risk of loss shall shift to DISTRIBUTOR.  DISTRIBUTOR shall
             obtain insurance sufficient to cover the value of each shipment or
             shall instruct ASTC to obtain such insurance and to bill
             DISTRIBUTOR therefor.

     7.2.    DISTRIBUTOR shall inspect all ASTC Products promptly upon receipt
             thereof and may reject any ASTC Product that fails in any material
             way to meet the specifications set forth in ASTC's current brochure
             for such ASTC Product.  Any ASTC Product not properly rejected
             within forty-five (45) days of receipt of such ASTC Product by
             DISTRIBUTOR (the "Rejection Period") shall be deemed accepted.

                                      -11-

<PAGE>

                                    EXHIBIT A

     7.3.    To reject an ASTC Product, DISTRIBUTOR shall, within the Rejection
             Period, notify ASTC in writing of its rejection and in sufficient
             detail, the reasons for such rejection, and request a Return Goods
             Authorization ("RGA") number.  ASTC shall provide the RGA number to
             DISTRIBUTOR within seven (7) days of receipt of the request unless,
             in ASTC's reasonable determination, return of the ASTC Products is
             inappropriate or unnecessary; the grounds for which shall be
             provided in writing to DISTRIBUTOR within such seven day period.

     7.4.    Within seven (7) days of receipt of the RGA number DISTRIBUTOR
             shall ship to ASTC the rejected products, freight prepaid, in its
             original shipping carton with the RGA number displayed on the
             outside of the carton.  ASTC reserves the right to refuse to accept
             any rejected products that do not bear an RGA number on the outside
             of the carton.  As promptly as possible but no later than forty
             five (45) working days after receipt of properly rejected products
             ASTC shall at its sole option and expense either repair or replace
             the rejected ASTC Products.  ASTC shall pay the shipping charges
             back to DISTRIBUTOR for properly rejected products; otherwise
             DISTRIBUTOR shall be responsible for the shipping charges.

     7.5.    Subsequent to the Rejection Period, DISTRIBUTOR may not return any
             ASTC Product to ASTC for any reason without ASTC's prior written
             consent.  For any ASTC product for which such consent has been
             given, ASTC shall levy a return charge amounting to twenty percent
             (20%) of DISTRIBUTOR'S purchase price for such ASTC Product, and
             shall credit the balance of the purchase price to DISTRIBUTOR's
             account within forty five (45) days upon receipt of such returned
             ASTC Product.  DISTRIBUTOR shall be responsible for all shipping
             charges.

8.   WARRANTY:

     8.1.    DISTRIBUTOR shall pass on to its customers ASTC's standard Limited
             Warranty as set forth here, including the limitations set forth in
             subsections 8.2 and 8.3 immediately below.

             3DSCOPE-TM- products are warranted for a period of one year from
             the date of shipment, with exceptions as noted, to be free from
             defects in material and workmanship.  A three (3) month warranty
             exists for the Light Guide, video peripherals and Replacement Lamp.
             No warranty


                                      -12-

<PAGE>

                                    EXHIBIT A

             exists for Stereo Eyewear.  The Warranty is limited to the repair
             or replacement of the product, at the discretion American Surgical
             Technology Corporation, without charge when returned to the
             appropriate service facility.

             American Surgical Technologies Corporation warrants that the
             equipment is fit for the purposes and indications described in the
             labeling when used in accordance with the directions for use.
             Unless the equipment is used in accordance with such instructions
             this warranty is void and of no effect.  NO OTHER EXPRESSED OR
             IMPLIED WARRANTY EXISTS, INCLUDING ANY WARRANTY OF MERCHANTABILITY
             OR FITNESS FOR A PARTICULAR PURPOSE.  THE COMPANY WILL NOT BE
             LIABLE FOR PROXIMATE, INCIDENTAL OR CONSEQUENTIAL DAMAGES.

             This warranty does not cover abnormal wear and tear or damage
             caused by misuse modifications, recalibrations, abuse or service by
             other than an authorized Company representative.

     8.2.    EXCEPT FOR THE EXPRESS WARRANTY SET FORTH ABOVE, ASTC GRANTS NO
             OTHER WARRANTIES, EXPRESS OR IMPLIED, BY STATUTE OR OTHERWISE
             REGARDING THE ASTC PRODUCTS, THEIR FITNESS FOR ANY PURPOSE, THEIR
             QUALITY, THEIR MERCHANTABILITY OR OTHERWISE.

     8.3.    ASTC LIABILITY UNDER THE AFORESAID WARRANTY SHALL BE LIMITED TO A
             REFUND OF THE CUSTOMER'S PURCHASE PRICE.  IN NO EVENT SHALL ASTC BE
             LIABLE FOR THE COST OF PROCUREMENT OF SUBSTANTIVE GOODS BY THE
             CUSTOMER OR FOR ANY SPECIAL, CONSEQUENTIAL, OR INCIDENTAL DAMAGES
             FOR BREACH OF WARRANTY.

     8.4.    NOTWITHSTANDING ANY OF THE ABOVE PROVISIONS, ASTC SHALL BE
             RESPONSIBLE FOR CLAIMS OF THIRD PARTIES OR DAMAGES ALLEGED TO BE
             SUFFERED BY REASON OF THEIR USE OF PRODUCTS, PROVIDED THE DAMAGES
             ARE NOT DUE TO ANY DEFAULT, NEGLIGENCE, MISREPRESENTATION, OR ANY
             ACT OR MISSION OF DISTRIBUTOR PROVIDED THAT DISTRIBUTOR HAS GIVEN
             ASTC PROMPT NOTICE OF ANY SUCH CLAIM.

9.   REPAIR AND REPORTING OF PRODUCT MALFUNCTION:

                                      -13-

<PAGE>

                                    EXHIBIT A
     9.1.    DISTRIBUTOR shall

             9.1.1. establish and maintain to the satisfaction of ASTC the
                    facility and capability within its own organization, or

             9.1.2. shall by contract have constant and ready access to such
                    facility and capability outside its own organization, to the
                    satisfaction of ASTC, to undertake and perform reasonably
                    foreseeable repairs and service with respect to ASTC
                    Products, including attendance by DISTRIBUTOR's own
                    personnel, or the appropriate personnel of DISTRIBUTOR's
                    contract service and repair organization at applicable
                    training sessions as set forth in Paragraph 5.2 above.

     9.2.    During the term of this Agreement, DISTRIBUTOR shall promptly
             perform or cause to be performed all necessary repair and service
             with respect to any ASTC Product, including any repair or service
             during the Warranty period applicable to such ASTC Product, unless
             ASTC expressly directs that such Warranty repair or service shall
             be performed by ASTC.  The reasonable cost of Warranty repair and
             service made or performed by or on behalf of DISTRIBUTOR shall be
             borne by ASTC.  DISTRIBUTOR shall

             9.2.1. promptly notify ASTC of each instance of Warranty repair or
                    service prior to undertaking such repair or service, and

             9.2.2. with respect to all repairs and service, use its best
                    efforts to conform with ASTC's published Service Policies,
                    copies of which shall be furnished to DISTRIBUTOR, as the
                    same shall be promulgated by ASTC from time to time.

     9.3.    DISTRIBUTOR shall promptly report to ASTC in writing any complaint
             with respect to, or malfunction of any ASTC Product within or
             without the Warranty period.

     9.4.    In accordance with the requirements and regulations established by
             the United States Food and Drug Administration, to which
             requirements and regulations ASTC is bound in all respects,
             DISTRIBUTOR shall immediately (but in no event more than five days
             following the date of any such occurrence) report to ASTC in
             writing the details and circumstances of any occurrence involving
             the malfunction of any ASTC product resulting in or involved with
             injury to or the death of any person.  FAILURE TO COMPLY WITH THE
             PROVISIONS OF THIS SUBSECTION 9.4

                                      -14-

<PAGE>


                                    EXHIBIT A

             SHALL CONSTITUTE CAUSE FOR THE IMMEDIATE TERMINATION OF THIS
             AGREEMENT.

10.  PROTECTION OF RIGHTS:

     10.1.   DISTRIBUTOR shall not dispute or contest the validity of any of
             ASTC's rights to letters patents, trademarks, copyrights, product
             registrations and approvals, know-how or other intangible property
             interests with respect to ASTC Products.

     10.2.   DISTRIBUTOR shall not omit or alter patent numbers, trade names or
             trademarks, numbers of series, or any other ASTC marking affixed on
             the ASTC Products or alter any other product labeling.  DISTRIBUTOR
             shall, however, be entitled to mark the products with its trademark
             or trade name in a prominent place, subject to ASTC prior written
             consent.  DISTRIBUTOR is not authorized to use the trademark and
             trade name AMERICAN SURGICAL TECHNOLOGIES CORPORATION, ASTC, OR
             3DSCOPE (or any other trade name, or trademark used by ASTC) in any
             manner except to indicate, during the term of this Agreement, that
             it is an independent authorized DISTRIBUTOR for ASTC and is selling
             ASTC products.  DISTRIBUTOR shall acquire no rights in the ASTC or
             3DSCOPE trademark and trade names, or any other trademark owned by
             ASTC.

     10.3.   DISTRIBUTOR understands and agrees that it is not authorized to use
             the name American Surgical Technologies Corporation in connection
             with its general business or to imply to third parties that it
             relationship with ASTC is other than as a sales DISTRIBUTOR under
             this Agreement.

     10.4.   DISTRIBUTOR shall hold ASTC harmless and indemnify it against
             liability, including attorneys' fees and other costs of defense
             resulting from actions of third parties claiming injury or loss as
             a result of the failure by DISTRIBUTOR to honor the provisions of
             this paragraph 10.

     10.5.   DISTRIBUTOR agrees to protect ASTC products against imitations and
             unfair competition by others, and will promptly provide ASTC
             written notice of any such conduct.  DISTRIBUTOR agrees to
             cooperate with ASTC at ASTC's request and expense, and to promptly
             take whatever action is required to cause the termination of such
             conduct.  ASTC reserves the right to take whatever action it deems
             appropriate to protect its trademarks and trade names.


                                      -15-

<PAGE>

                                    EXHIBIT A

11.  INDEPENDENT CONTRACTOR RELATIONSHIP:  It is understood that both parties
     hereto are independent contractors and engaged in the operation of their
     own respective businesses.  Neither party hereto is to be considered the
     agent of the other party of any purpose whatsoever, and neither party has
     any authority, express or implied, to enter into any contracts or assume
     any obligations for the other party, to pledge the credit, or make any
     warranties or representations on behalf of the other party except where
     expressly authorized in writing to do so.  Nothing in this Agreement or in
     the activities of either party hereto shall be deemed to create an agency,
     partnership, or joint venture relationship.

12.  INDEMNITY, LEGAL ACTIONS AND PRODUCT CONDITION:

     12.1.   DISTRIBUTOR agrees to save and hold ASTC harmless from any and all
             claims, costs, liabilities and responsibilities, regardless of the
             claimant or his place of filing a claim, resulting from or in any
             way associated with the functioning or performance of DISTRIBUTOR
             as a distributor, supplier and seller, or other related descriptive
             classifications, for ASTC Products supplied to DISTRIBUTOR by ASTC.
             DISTRIBUTOR shall be the sole warrantor or guarantor of the safety,
             operation and performance of the ASTC Products covered by this
             Agreement to whatever extent such a warranty or guarantee is made
             by DISTRIBUTOR.  ASTC shall be responsible for any of its products
             that fail to meet label specifications at the time of shipment to
             DISTRIBUTOR, and shall indemnify and hold DISTRIBUTOR harmless with
             respect to any and all claims resulting from use of such products.

     12.2.   DISTRIBUTOR agrees not to join ASTC or any ASTC employee as a party
             defendant or plaintiff or any interest thereof, in any action at
             law or in equity or in any other proceeding, regardless of the
             descriptive classification, arising out of the liabilities, duties
             and responsibilities above described which DISTRIBUTOR assumes or
             performs.  DISTRIBUTOR shall promptly notify ASTC of any and all
             actions at law or equity or claims or governmental administrative
             proceedings arising out of the operation or performance of this
             Agreement.

     12.3.   ASTC warrants that all ASTC Products are in operating condition as
             of the time of shipment.  Nothing herein shall relieve ASTC of any
             obligation or liability existing under applicable law regarding
             claimed defects in the products supplied to DISTRIBUTOR by ASTC
             provided that

             12.3.1.     such defect existed as of the time the product was
                         shipped by ASTC;

                                      -16-

<PAGE>

                                    EXHIBIT A

             12.3.2.     ASTC has given DISTRIBUTOR reasonable notice of any
                         change in the specifications to any such ASTC Product;

             12.3.3.     no modifications to the said ASTC Product have been
                         made by or with the approval of DISTRIBUTOR or by the
                         customer;

             12.3.4.     the said ASTC Product has not been subject to misuse,
                         negligence, or accident;

             12.3.5.     the said ASTC Product has not had its serial or lot
                         number altered, effaced, or removed; and

             12.3.6.     the said ASTC Product has at all times been used in
                         accordance with its instructions for use.

                                      -17-

<PAGE>

                                    EXHIBIT A

13.  FORCE MAJEURE:

     13.1.   If due to industrial conflicts, mobilization, requisition, embargo,
             currency restriction, insurrection, general shortage of transport,
             material or power supply, fire, explosion, stroke of lightning,
             force majeure and similar casualties or other events beyond ASTC
             control, as well as default in deliveries from subcontractors due
             to such circumstances as defined in the clause, it is impossible
             for ASTC to deliver purchased products, DISTRIBUTOR shall not be
             entitled to any damages during such period of impossibility and
             ASTC shall not be considered in breach or default under this
             Agreement.

     13.2.   If the performance of this Agreement by either party is made
             commercially impracticable

             13.2.1.     by the occurrence of an economic contingency the non-
                         occurrence of which was a basic assumption on which
                         this Agreement was made, or

             13.2.2.     by compliance in good faith with any applicable foreign
                         or domestic governmental law, regulation, or order,
                         then this Agreement shall terminate immediately.  For
                         purposes of this Agreement, currency devaluation,
                         currency restrictions, currency and exchange controls,
                         and other monetary controls, restrictions and
                         restraints shall not be considered to render the
                         performance of this Agreement by DISTRIBUTOR
                         commercially impracticable or otherwise be considered
                         force majeure with respect to DISTRIBUTOR.

14.  CHANGES AND ADDITIONS TO AGREEMENT:  The International Distribution
             Agreement, including these Standard Terms and conditions
             incorporated therein, constitutes the entire and final agreement
             between the parties and supersedes all prior agreements and
             understandings, oral or written, all of which are deemed to have
             been merged herein.  No modification, assignment, or any future
             representation, promise, or agreement in connection with the
             subject matter of this International Distribution Agreement shall
             be binding on ASTC and DISTRIBUTOR unless made in writing and
             signed by a duly authorized officer of each.

15.  GOVERNING LAW AND JURISDICTION:

     15.1.   This Distribution Agreement shall be deemed to have been executed
             and delivered in Chelmsford, Massachusetts, United States of
             America, and all

                                      -18-

<PAGE>


                                    EXHIBIT A

             questions arising out of or under this Agreement shall be governed
             by the laws of the Commonwealth of Massachusetts and the United
             States of America.

     15.2.   Any and all claims, actions, and lawsuits seeking damages for
             personal injuries or death resulting from the use of an ASTC
             Product shall be subject to, and governed by the laws of the
             jurisdiction where the injury or death is alleged to have occurred.
             In case of any litigation arising out of any dispute between the
             parties concerning the interpretation or the compliance with this
             Agreement the parties hereby expressly declare to accept the
             jurisdiction of the Massachusetts Courts.  Notwithstanding the
             foregoing however, ASTC shall be entitled at its discretion to seek
             relief in a court of competent jurisdiction in the district in
             which DISTRIBUTOR is domiciled.

16.  PROPRIETARY INFORMATION:

     16.1.   DISTRIBUTOR acknowledges that it has access to valuable proprietary
             information including but not limited to technical data and
             customer and marketing information, all of which are the property
             of ASTC, have been maintained confidential and are used in the
             course of ASTC business.

     16.2.   DISTRIBUTOR shall not, either during the term of this Agreement or
             thereafter, disclose such ASTC proprietary information to anyone
             other than those of its employees having a need to know and shall
             refrain from use of such information other than in the performance
             of this Agreement.  In addition, DISTRIBUTOR shall take all
             reasonable precautions to protect the value and confidentiality of
             such information to ASTC.  All records, files, notes, drawings,
             prints, samples, advertising material and the like relating to the
             business, products, or projects of ASTC and all copies made from
             such documents shall remain the sole and exclusive property of ASTC
             and shall be returned to ASTC immediately upon written request by
             ASTC.

     16.3.   Neither party shall be obligated or required to maintain in
             confidence any information with respect to which it can demonstrate
             with written records

             16.3.1.     is in the public domain or known to the receiving party
                         prior to disclosure by the disclosing party; or

             16.3.2.     becomes known to the public after disclosure by the
                         disclosing party, other than through breach of this
                         Agreement; or

                                      -19-

<PAGE>

                                    EXHIBIT A

             16.3.3.     becomes known to the receiving party from a source
                         other than the disclosing party without breach of any
                         obligation of confidence; or

             16.3.4.     is or has been furnished to a third party by the
                         disclosing party without restriction on the third
                         party's right to disclose such information.

17.  GOVERNMENT REGULATIONS:

     17.1.   DISTRIBUTOR agrees that it will secure and maintain any and all
             required approvals by any government other than the United States
             of America and all required product and public health registrations
             for the implementation, execution and performance of the
             Distribution Agreement.

     17.2.   Upon any expiration, cancellation, or termination of this
             Agreement, such approvals and registrations shall be transferred
             and delivered to, and shall inure to the benefit of ASTC, to the
             extent that this is permissible under applicable law, to ASTC other
             than lawfully imposed transfer fees.  The cost of said transfer
             will not exceed $10,000.  DISTRIBUTOR shall obtain all necessary
             documents or licenses and shall comply with all applicable laws and
             regulations, including, if required, registration of this
             International Distribution Agreement.

     17.3.   DISTRIBUTOR shall notify ASTC of all permits, approvals and
             registrations obtained by it, and shall further notify ASTC of any
             other regulatory requirements with respect to DISTRIBUTOR's sale,
             distribution, or service of ASTC Products within the Territory, as
             such regulatory requirements may be in effect from time to time.

     17.4.   DISTRIBUTOR agrees that it shall not allow either the products
             supplied to it by ASTC,  ASTC's trademarks, any proprietary data of
             ASTC, or any direct product of such data, to be knowingly made
             available, either directly or indirectly, or in any way to be
             knowingly given, transferred, sold or re-exported to any country in
             violation of its laws and export control regulations or applicable
             laws of any country (or the European Economic Community).

     17.5.   United States laws and export control regulations governing the
             exportability of technical data and products to nations are subject
             to change.  If any country included within DISTRIBUTOR's Primary
             Area of Responsibility shall, at the time of execution of the
             Distribution Agreement, or at any time during the life of the
             Distribution Agreement,

                                      -20-

<PAGE>

                                    EXHIBIT A

             be placed in an excluded category by the United States government
             for the receipt of either technical data or the manufacture or sale
             of products of a type such as the ASTC Products, then the
             DISTRIBUTOR agrees that it shall take all appropriate and necessary
             actions so as to cease business activities, selling, and promoting
             such ASTC Products in and within such excluded country.

18.  UNFAIR COMPETITION AND PATENT INFRINGEMENT:

     18.1.   DISTRIBUTOR shall promptly advise ASTC of any infringement or
             potential infringement by third parties of which DISTRIBUTOR
             becomes aware, or of any issued patents relating to the ASTC
             Products supplied by ASTC under this Agreement.  ASTC shall have
             the right, but not the obligation, to sue alleged infringers.

     18.2.   If suit is brought by ASTC, ASTC shall control the prosecution
             thereof and be entitled to retain any amounts recovered in full by
             reason of such infringement.  DISTRIBUTOR agrees to cooperate with
             and assist ASTC in any such suit.  ASTC shall reimburse distributor
             for reasonable costs related to such assistance if such costs were
             incurred at the request of ASTC.  ASTC shall have the exclusive
             right to negotiate and approve any settlement of such suits.

     18.3.   In the event that DISTRIBUTOR joins ASTC by mutual agreement in
             litigation relating to such infringement, DISTRIBUTOR shall bear an
             agreed proportion of the legal costs.  Should any damages or costs
             in such litigation be awarded to ASTC and DISTRIBUTOR, DISTRIBUTOR
             shall be entitled to recover the same proportion thereof as its
             contribution to expenses.

     18.4.   ASTC represents that it has no knowledge of any patent rights in
             the Territory that would be infringed by use or sale of ASTC
             products therein, or by use of ASTC's proprietary information.
             ASTC does not warrant that the manufacture, use or sale of any of
             its products, or utilization of any of its proprietary information
             is free of liability for infringement or charges of infringement of
             patent rights owned by third parties.  In the event that ASTC is
             enjoined from making and selling and/or DISTRIBUTOR is enjoined
             from selling ASTC Products as a result of charges of infringement
             of patent rights, such injunction shall not constitute a breach of
             this Agreement.

19.  SUCCESSORS AND ASSIGNS:  This Agreement shall be binding upon and inure to
             the benefit of the parties hereto and their respective successors

                                      -21-

<PAGE>

                                    EXHIBIT A

             and assigns, provided, however, that neither party shall have the
             right to assign or otherwise transfer its rights hereunder without
             the express prior written consent of the other party.  Any other
             assignment without such consent shall be null and void.  ASTC shall
             have the right at its sole option to terminate this International
             Distribution Agreement upon the making of any such purported
             assignment by DISTRIBUTOR.  Provided, however, by its execution of
             this Agreement, DISTRIBUTOR expressly consents to the assignment by
             ASTC of this Agreement to a successor to ASTC's business, in the
             event of any such assignment by ASTC.

20.  MISCELLANEOUS PROVISIONS:

     20.1.   ASTC shall have the right to manufacture ASTC Products in the
             Territory.  DISTRIBUTOR expressly acknowledges that it is granted
             no rights under this Agreement to manufacture any ASTC Product.

     20.2.   Each of the parties hereto represents and warrants that it has not
             employed any broker or finder in connection with this Agreement or
             the transactions contemplated herein.


     20.3.   If any provision or provisions of this International Distribution
             Agreement, including these Standard Terms and Conditions, shall be
             held by a court of competent jurisdiction to be contrary to law,
             such provision or provisions shall be deemed to be null and void
             and the remainder of the Distribution Agreement and these Standard
             Terms and conditions shall nonetheless remain in full force and
             effect.

     20.4.   This Agreement may be executed in any number of counterparts, each
             of which when so executed and delivered shall be deemed to be an
             original, and all of which when taken together shall constitute one
             and the same instrument.

     20.5.   Headings and captions are included herein solely for convenience
             and reference, and do not constitute a part of this Agreement for
             any other purpose.

     20.6.   The English language version of this Agreement shall be definitive
             and shall control over any translation hereof.

21.  RESOLUTION OF DISPUTES:

     21.1.   Any dispute arising out of or with respect to this Agreement shall
             be referred to an arbitration proceeding to be conducted in Boston,

                                      -22-

<PAGE>

                                    EXHIBIT A

             Massachusetts, U.S.A. by the American Arbitration Association or
             its designee.  Except as otherwise determined by the duly appointed
             Arbitrator, the rules of procedure to be followed with respect to
             such arbitration shall be the then effective rules of the American
             Arbitration Association.

     21.2.   Any award rendered in such arbitration shall be final and binding
             upon the parties, and may be enforced in any court of competent
             jurisdiction.  Any monetary award shall be made and paid in United
             States dollars.  The arbitration shall be conducted in the English
             language, and all evidence submitted to such arbitration shall be
             submitted in the English language.

     21.3.   ASTC and DISTRIBUTOR expressly agree that the Arbitrator shall have
             the power to, at the request of ASTC,

             21.3.1.     issue an interim order or award requiring DISTRIBUTOR
                         to cease sale and distribution of ASTC Products pending
                         final outcome of the arbitration, and

             21.3.2.     grant injunctive relief.

                                      -23-

<PAGE>

                                   EXHIBIT B

            3DSCOPE-TM- INTERNATIONAL DISTRIBUTOR PRODUCT/PRICE LIST

All prices in U.S. Dollars                            Effective November 1, 1993

                        INTERNATIONAL DISTRIBUTOR PRICING


The prices on the International Distributor Price List reflect a * * * discount
from the U.S. Hospital Price List.


                 ADDITIONAL INTERNATIONAL DISTRIBUTOR DISCOUNTS

Initial Distributor System Purchases (applies to complete system configurations
only):

     Initial system (one only)        * * * from International Distributor Price

     Other system(s) (limit two)      * * * from International Distributor Price




* * * Confidential Treatment Requested

                                      -24-

<PAGE>

                                   EXHIBIT B

            3DSCOPE-TM- INTERNATIONAL DISTRIBUTOR PRODUCT/PRICE LIST


All prices in U.S. Dollars                            Effective November 1, 1993

                                                                          Price
Cat #        Description                                                   Each
- -----        -----------                                                  -----


                                      * * *




* * * Confidential Treatment Requested

                                      -25-

<PAGE>

                                   EXHIBIT B

            3DSCOPE-TM- INTERNATIONAL DISTRIBUTOR PRODUCT/PRICE LIST

All prices in U.S. Dollars                            Effective November 1, 1993

SYSTEM COMPONENTS:

                                                                     Price Each
Cat #        Description                                             ----------
- -----        -----------



                                      * * *



* * * Confidential Treatment Requested

                                      -26-

<PAGE>

                                   EXHIBIT B

            3DSCOPE-TM- INTERNATIONAL DISTRIBUTOR PRODUCT/PRICE LIST


All prices in U.S. Dollars                            Effective November 1, 1993

                * * *                                     System Price:    * * *



Qty       Cat #     Description
- ---       -----     -----------



                                      * * *



* * * Confidential Treatment Requested

                                      -27-

<PAGE>

                                   EXHIBIT B

               3DSCOPE-TM- INTERNATIONAL DISTRIBUTOR PRODUCT/PRICE LIST

All prices in U.S. Dollars                            Effective November 1, 1993

           * * *                                         System Price:    * * *


Qty  Cat #     Description
- ---  -----     -----------



                                      * * *



* * * Confidential Treatment Requested

                                      -28-

<PAGE>

                                    EXHIBIT B

        * * *                                            System Price:    * * *


Qty  Cat #     Description
- ---  -----     -----------



                                     * * *



* * * Confidential Treatment Requested

                                      -29-

<PAGE>

                                   EXHIBIT B

                3DSCOPE-TM- INTERNATIONAL DISTRIBUTOR PRODUCT/PRICE LIST

All prices in U.S. Dollars                            Effective November 1, 1993

                * * *                                    System Price:    * * *


Qty  Cat #     Description
- ---  -----     -----------



                                      * * *



* * * Confidential Treatment Requested

                                      -30-

<PAGE>

                                    EXHIBIT B

               * * *                                       System Price:  * * *


Qty  Cat #     Description
- ---  -----     -----------



                                      * * *



* * * Confidential Treatment Requested

                                      -31-

<PAGE>

                                    EXHIBIT C



                              ORDERING INSTRUCTIONS


When placing an order please ensure the Purchase Order is made out to:  American
Surgical Technologies Corp. and has the following information:

     -    Purchase Order Number

     -    Shipping Address

     -    Billing Address

     -    Itemized list of all components needed

     -    Price Specified

     -    Contact name and phone number

     -    Signed by an authorized individual


     -    Power Plug Type MUST be Specified


The Purchase Order should be sent to:

     American Surgical Technologies Corporation
     Attn:  Customer Service
     300 Billerica Road
     Chelmsford, MA  01824 U.S.A.

Freight will be charged F.O.B., ASTC plant.  All insurance, taxes, custom duties
and charges will be prepaid and added to invoice.

                                      -32-



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