ICU MEDICAL INC/DE
8-K, 1998-11-05
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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                       SECURITIES AND EXCHANGE COMMISSION
                            Washington, D. C. 20549



                                    FORM 8-K

                                 CURRENT REPORT

     PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934



      Date of Report (Date of earliest event reported):  November 5, 1998



                               ICU MEDICAL, INC.
             (Exact name of Registrant as specified in its charter)
 
       Delaware                        0-19974                   33-0022692
(State or other jurisdiction         (Commission              (I.R.S. Employer
   of incorporation)                 File Number)            Identification No.)

                              951 Calle Amanecer
                        San Clemente, California 92673
              (Address of principal executive offices) (Zip Code)



      Registrant's telephone number, including area code:  (714) 366-2183

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<PAGE>
 
ITEM 5.  OTHER EVENTS.

     ICU Medical, Inc. (the "Company") from time to time makes forward looking
statements, as that term is defined in the Private Securities Litigation Reform
Act of 1995, in reports and registration statements filed by the Company with
the Securities and Exchange Commission and in communications by the Company with
its stockholders and the investing public.  Such forward looking statements
involve a number of risks and uncertainties.  The Company has briefly summarized
its business below and described certain risks associated with its business.
Investors should carefully read and consider the risk factors when evaluating
the forward looking statements in the Company's reports and registration
statements and in its public communications.


                                  THE COMPANY

     The Company develops, manufactures and sells proprietary, disposable
medical connection systems for use in intravenous ("I.V.") therapy applications.
The Company's subsidiary, Budget Medical Products ("BMP"), develops,
manufactures and sells low-cost, generic and custom I.V. sets.

     The Company's I.V. connectors are designed to prevent accidental
disconnections of I.V. lines, and to protect healthcare workers and their
patients from the spread of infectious diseases, such as Hepatitis B and Human
Immunodeficiency Virus ("HIV"), by significantly reducing the risk of accidental
needlesticks.  The CLAVE(R), a one-piece, needleless I.V. connection device,
accounts for almost 70% of the Company's sales. The Company believes that the
CLAVE offers healthcare providers an advantageous combination of safety, ease of
use, reliability and cost effectiveness.

     The Company has strategic supply and distribution agreements with two of
the largest worldwide suppliers of I.V. products, B.Braun Medical, Inc.
("B.Braun/McGaw") and Abbott Laboratories ("Abbott").  The agreements (as
currently amended, referred to as the "B.Braun/McGaw Agreement" and the "Abbott
Agreement") provide that B.Braun/McGaw and Abbott may sell the Company's
products as components in certain prepackaged I.V. sets distributed by
B.Braun/McGaw and Abbott. Under these agreements, B.Braun/McGaw and Abbott may
offer these integrated products to large hospitals, hospital chains and home
healthcare providers, including those with which they have established full-line
supply contracts for I.V. products. The B.Braun/McGaw extends to December 2002,
and the Abbott Agreement extends to April 2002. The Company also distributes its
products through a network of independent distributors.

     Heightened awareness of the risk of infection from needlesticks and the
substantial expense to healthcare providers of complying with regulatory
protocols when 

                                       2
<PAGE>
 
needlesticks occur, have led to growing demand for safe medical devices such as
the Company's protective I.V. connectors. In addition, Occupational Safety and
Health Administration ("OSHA") regulations require healthcare providers to
implement "universal precautions" to minimize their employees exposure to blood
and body fluids.

     The Company's I.V. connector products offer various combinations of
features including needleless or enclosed needle connection systems and positive
locking mechanisms.  The Lopez Valve, designed to be connected into nasogastric
tube systems, creates a closed system to prevent contact with body fluids in
enteral feeding procedures.  The Company has recently launched two new products.
The CLC 2000 is a one piece, swabbable connector engineered to prevent the
backflow of blood into a catheter.  The 1o2 Valve, a drug delivery system
incorporating a one-way check valve and a button for the infusion and aspiration
of I.V. fluids.  The Company has several new products under development,
including new versions of the CLAVE.  The Company has patents or pending patent
applications on each of its current connector products and the 1o2 Valve.

     In late 1995, the Company organized BMP as a wholly-owned subsidiary to
service the low end of the safe medical connector market.  BMP manufactures,
markets and distributes low-cost I.V. sets and custom I.V. sets incorporating
the CLAVE.

     Hospitals and other healthcare providers purchase I.V. sets that are both
standard manufacturers' catalog items and custom sets where the hospital, or
possibly the individual doctor, specifies the desired features such as tubing
size and length and the number, spacing and type of ports and connectors.

     The Company believes that BMP will be able to offer customers substantially
shorter delivery times and lower costs than other manufacturers of  custom I.V.
sets can currently offer.  To reduce the costs of the labor intensive assembly
of I.V. sets, the Company is constructing an assembly facility in Ensenada, Baja
California, Mexico. To reduce the delivery times, BMP expects to use the
Company's proprietary software currently under development for customer orders
and order tracking, combined with an innovative system currently under
development to coordinate manufacture of components in the U.S., assembly of
components into sets in Mexico and distribution of finished products.

     Because the above description of the Company is a summary, it does not
contain all the information about the Company's business and products that may
be important to investors.  Investors should read the more extensive
descriptions in the Company's Registration Statements and Annual Reports on Form
10-K filed from time to time with the Securities and Exchange Commission.  In
those statements and reports, the Company more extensively describes its
products, markets, marketing and distribution efforts, manufacturing processes,
government regulatory issues, competition, patents, management and management
compensation.

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<PAGE>
 
                                  RISK FACTORS

     In evaluating a transaction in the Common Stock of the Company, investors
should consider carefully, among other things, the following risk factors, as
well as the other information contained in the Company's registration statements
and reports filed with the Securities and Exchange Commission.


              DEPENDENCE ON THIRD PARTY DISTRIBUTION ARRANGEMENTS;
                             RISK OF PRICE EROSION

     In recent years, the Company has steadily increased its sales to
B.Braun/McGaw and its predecessor, McGaw, Inc. and Abbott Laboratories. During
the same period, the Company has not increased its sales to its independent
distributors that historically accounted for most of the Company's sales. As a
result, the Company depends on fewer customers for a higher percentage of its
sales than in the past. The table below shows the Company's sales to various
types of customers for the first nine months of 1998, 1997 and 1996:

<TABLE>
<CAPTION>
                              Nine Months Ended
                                September 30,       Year Ended December 31,
 
                                     1998           1997               1996
                                     ----           ----               ----
<S>                                  <C>            <C>                <C>
B.Braun McGaw or                      37%            36%                28%
 predecessor                                                           
Abbott Laboratories                   27%            16%                 7%
Independent distributors              36%            48%                65%
</TABLE>

     In contrast, the Company's principal competitors in the market for
protective I.V. connection systems (including B.Braun/McGaw and Abbott) are much
larger companies that dominate the market for I.V. products and have broad
product lines and large internal distribution networks.  In many cases, these
competitors are able to establish exclusive relationships with large hospitals,
hospital chains, major buying organizations and home healthcare providers to
supply substantially all of their requirements for I.V. products.  In addition,
the Company believes that there is a trend among individual hospitals and home
healthcare providers to consolidate into or join large major buying
organizations with a view to standardizing and obtaining price advantages on
disposable medical products.  These factors may limit the Company's ability to
gain market share through its 

                                       4
<PAGE>
 
independent dealer network, resulting in continued concentration of sales among
and dependence on a small number of customers.

     B.Braun/McGaw and Abbott are major suppliers of I.V. products.  The
B.Braun/McGaw Agreement and the Abbott Agreement are strategic supply and
distribution arrangements to market the Company's products in connection with
each supplier's I.V. products.  The Company's ability to maintain and increase
its market penetration may depend on the success of its arrangements with
B.Braun/McGaw, Abbott and major buying organizations and the ability to renew
such arrangements, as to which there is no assurance.  If the Company's
independent distributorship or strategic supply and distribution arrangements
prove unsuccessful, or if the Company's distributors abandon or limit their
distribution of the Company's products, the Company's sales would be materially
adversely affected.  The Company's business could be materially adversely
affected if B.Braun/McGaw or Abbott terminate their arrangements with the
Company, negotiate lower prices, sell more competing products, whether
manufactured by themselves or others, or otherwise alter the nature of their
relationships with the Company.  Although the Company believes that both
B.Braun/McGaw and Abbott view the Company as a source of innovative and
profitable products, there is no assurance that the Company's relationships with
B.Braun/McGaw and Abbott will continue in their current form.

     A significant share of the Company's revenues is concentrated among a small
number of customers.  If the Company loses any major customers or one of the
Company's customers loses a large contract, the Company's operating results
could be materially and adversely affected.

     The Abbott Agreement and the B.Braun/McGaw Agreement establish the fixed
prices that Abbott and B.Braun/McGaw will pay for the Company's products, which
are lower than the Company's historical average selling prices.  Furthermore,
the Abbott Agreement and the B.Braun/McGaw Agreement provide for automatic
reductions in minimum prices based on volume increases.

     In response to competitive pressure, the Company has steadily reduced
selling prices of the CLAVE to protect and expand its market.  Management
expects that the Company will continue to reduce average selling prices.
Reductions in average selling prices could adversely affect gross margins if the
Company cannot achieve corresponding reductions in unit manufacturing costs
through increased volume.


           MARKET ACCEPTANCE OF PREMIUM PRICING; MANUFACTURING COSTS

     Manufacturing costs and pricing for the Company's needleless and protected
needle products are higher than for their conventional counterparts that are not
designed 

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<PAGE>
 
to provide the protection afforded by the Company's products. Selling prices of
CLAVE system components are also higher than other competitive needleless
systems on a per unit basis. The Company believes that the CLAVE can be cost
effective on an actual use basis, but prospective customers must be convinced to
pay premium prices for CLAVE products.

     The Company's new products, the CLC 2000 and the 1o2 Valve, and other new
products under development will also cost more to manufacture than the existing
devices they are designed to replace, and the Company will charge higher prices
for such new products than customers would pay for conventional devices.  As
with the CLAVE, the Company believes that its new products offer advantages and
potential cost savings in actual use that will offset their higher selling
prices.  The Company will, however, have to convince customers to pay premium
prices for its new products.

     Increasing awareness of healthcare costs, public interest in healthcare
reform and continuing pressure from Medicare, Medicaid and other payors to
reduce costs in the healthcare industry, as well as increasing competition from
other protective products, could make it more difficult for the Company to sell
its products at premium prices.  In the event that the market will not accept
premium prices for the Company's products, the Company's sales and profits could
be adversely affected.  The Company believes that its ability to increase its
market share and operate profitably in the long term may depend in part on its
ability to reduce manufacturing costs on a per unit basis through high volume
production using highly automated molding and assembly systems.  If the Company
is unable to reduce unit manufacturing costs, it may be unable to increase its
market share for CLAVE products or lose market share to alternative products,
including competitors' products or the Company's less expensive products such as
the RF100 and RF150.  Similarly, if the Company cannot reduce unit manufacturing
costs  of new products as production volumes increase, it may not be able to
sell new products profitably or gain any meaningful market share.  Any of these
results would adversely affect the Company's future results of operations.


             DEPENDENCE ON CLAVE PRODUCTS; NEW PRODUCT DEVELOPMENT

     During the nine months ended September 30, 1998, CLAVE products accounted
for approximately 69% of the Company's net sales.  As the demand for protective
I.V. connection systems moved from protected needle to needleless products, net
sales of the Company's Click Lock, Piggy Lock and B.Braun/McGaw protected needle
products declined from approximately 50% of net sales in 1994, to approximately
9% of net sales in the nine months ended September 30, 1998.

     The decline in protected needle product sales was offset in part by CLAVE
product sales which increased from approximately 45% of net sales in 1994 to

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<PAGE>
 
approximately 69% of net sales for the nine months ended September 30, 1998, and
in part by sales of other products and other sources of revenue, such as Lopez
Valve, RF100 and RF150, BMP products and B.Braun/McGaw Safeline Revenue Sharing.
The Company depends heavily on sales of CLAVE products, and the Company expects
sales of protected needle products to continue to decline both in dollar volume
and in relation to net sales.

     The Company believes that sales of CLAVE products will continue to increase
in the foreseeable future.  It cannot, however, give any assurance that sales of
CLAVE products will continue to increase indefinitely or that current profit
margins on CLAVE products can be sustained indefinitely.  Management believes
that the success of the CLAVE has motivated, and will continue to motivate,
others to develop one piece needleless connectors.  In addition to products that
emulate the characteristics of the CLAVE, it is possible that others could
develop new product concepts and technologies that are functionally equivalent
or superior to the CLAVE.  If other manufacturers successfully develop and
market effective products that are competitive with CLAVE products, CLAVE sales
could decline as the Company loses market share, and/or the Company could
encounter sustained price and profit margin erosion.

     The Company's continued success may be dependent on new product development
and on the development of technology systems and manufacturing, assembly and
distribution systems for BMP that will enable it to develop significant market
share on a profitable basis.  Although the Company is seeking to develop a
variety of new products, there is no assurance that any new products will be
commercially successful or that the Company will be able to recover the costs of
developing, testing, producing and marketing such products.  Certain healthcare
product manufacturers with financial and distribution resources substantially
greater than the Company's have developed and are marketing products intended to
fulfill the functions of the Company's products.  The ability of BMP to acquire
significant market share on a profitable basis depends on whether the Company is
able to develop systems capabilities, improve manufacturing efficiencies,
lower inventory carrying costs, reduce labor costs and expand distribution.
The accomplishment of each of these objectives will require significant
innovation, and the Company cannot assure that it will succeed in these
endeavors.


                      RISKS OF TECHNOLOGICAL OBSOLESCENCE

     Many companies are developing products and technologies to address the need
for safe and cost effective I.V. connection systems.  It is possible that others
may develop superior I.V. connection system technologies or alternative
approaches that prove superior to the Company's products.  The Company's
products could become obsolete as a result of such developments, which could
materially and adversely affect the Company's operating results.

                                       7
<PAGE>
 
                              INTENSE COMPETITION

     The market for I.V. products is intensely competitive. The Company believes
that its ability to compete depends upon its continued product innovation, the
quality, convenience and reliability of its products, access to distribution
channels, patent protection and price. The ability of BMP to compete will depend
on its ability to distinguish itself from the competition based on product
pricing, quality and rapid delivery. The Company encounters significant
competition in this market both from large established medical device
manufacturers and from smaller companies. Many of these firms have introduced
competitive products with protective features not provided by the conventional
products and methods they are intended to replace. Most of the Company's current
and prospective competitors have economic and other resources substantially
greater than the Company's and are well established as suppliers to the
healthcare industry. Several large, established competitors offer broad product
lines and have been successful in obtaining full-line contracts with a
significant number of hospitals to supply all of their I.V. product
requirements. There is no assurance that the Company's competitors will not
substantially increase resources devoted to the development, manufacture and
marketing of products competitive with the Company's products. The successful
implementation of such a strategy by one or more of the Company's competitors
could materially and adversely affect the Company.


                    DESIGN, MANUFACTURING AND ASSEMBLY RISKS

     The Company manufactures substantially all of its product components,
except for standard components which are available as commodity items, and
assembles them into finished products.  Automated assembly of components into
finished products involves complex procedures requiring highly sophisticated
assembly equipment which is custom designed, engineered and manufactured for the
Company.  As a result of the critical performance criteria for its products, the
Company has at times experienced problems with the design criteria for or the
molding or assembly of its products.  While the Company believes that it has
resolved all design, manufacturing and assembly problems with respect to current
products, there is no assurance that operations will not be adversely affected
by unanticipated problems with current products or if such problems are
experienced with future products.

     The Company's BMP products do not have any inherent competitive advantage
over other competitor's products.  The Company believes that the success of its
BMP operations will depend on its ability to lower per unit manufacturing costs
and price its products substantially below its competitors' prices and on its
ability to shorten significantly the time from customer order to delivery of
finished product.  To reduce costs, the Company will move BMP's labor intensive
assembly operations to a facility it 

                                       8
<PAGE>
 
is building in Ensenada, Baja California, Mexico. To shorten delivery times, the
Company is developing proprietary systems for order intake, materials handling,
tracking, labeling and invoicing and innovative procedures to expedite assembly
and distribution operations. Many of these systems and procedures are new and
innovative, and the Company cannot assure that any or all of them will succeed.


                           DEPENDENCE ON KEY EMPLOYEE

     The Company depends for new product concepts primarily on Dr. George A.
Lopez, the founder, Chairman of the Board, President and Chief Executive Officer
of the Company.  Dr. Lopez has conceived of substantially all of the Company's
current and proposed new products and the systems and procedures to be used by
BMP.  The Company believes that the loss of his services could have a material
adverse effect on the Company's business.


             DEPENDENCE ON AND RISKS RELATING TO PATENT PROTECTION

     The Company has patents on certain products and pending patent applications
on others, including the CLC 2000 and the 1o2 Valve and additional patents on
some of its earlier products.  There is no assurance, however, that patents will
issue with respect to the CLAVE or other products, or that the patent protection
from patents which have issued or may issue in the future will be broad enough
to prevent competitors from introducing similar devices, that such patents, if
challenged, will be upheld by the courts or that the Company will be able to
prove infringement and damages in litigation.

     The Company is not aware of any patent infringement claims against the
Company relating to the Click Lock or the CLAVE, but the Company from time to
time receives newly issued patents on medical devices which it reviews to
evaluate any infringement risk.  The Company is aware of a number of patents for
I.V. connection systems that have been issued to others.  While the Company
believes these patents will not affect its ability to market its products, there
is no assurance that these or other issued or pending patents might not
interfere with the Company's right or ability to manufacture and sell its
products.

     There has been substantial litigation regarding patent and other
intellectual property rights in the medical device industry.  Patent
infringement litigation, which may be necessary to enforce patents issued to the
Company or to defend the Company against claimed infringement of the rights of
others, can be expensive and may involve a substantial commitment of the
Company's resources which may divert resources from other uses.  Adverse
determinations in litigation or settlements could subject the Company to
significant liabilities to third parties, could require the Company to seek

                                       9
<PAGE>
 
licenses from third parties, could prevent the Company from manufacturing and
selling its products or could fail to prevent competitors from manufacturing
products similar to the Company's.  Any of these results could materially and
adversely affect the Company's business.


                             GOVERNMENT REGULATION

     Government regulation is a significant factor in the development, marketing
and manufacturing of the Company's products.  The Company's products are subject
to clearance by the United States Food and Drug Administration ("FDA") under a
number of statutes including the Food, Drug and Cosmetics Act.  Each of the
Company's current products has qualified, and the Company anticipates that any
new products it is likely to market will qualify, for clearance under the FDA's
expedited premarket notification procedure pursuant to Section 510(k) of the
Food, Drug and Cosmetics Act.  There is no assurance, however, that new products
developed by the Company or any manufacturers that the Company might acquire
will qualify for expedited clearance rather than a more time consuming premarket
approval procedure or that, in any case, they will receive clearance from the
FDA.  FDA regulatory processes are time consuming and expensive.  Uncertainties
as to the time required to obtain FDA clearances or approvals could adversely
affect the timing and expense of new product introductions.  In addition, the
Company must manufacture its products in compliance with the FDA's Quality
System Regulations.

     The FDA has broad discretion in enforcing the Food, Drug and Cosmetics Act,
and noncompliance with the Act could result in a variety of regulatory actions
ranging from warning letters, product detentions, device alerts or field
corrections to mandatory recalls, seizures, injunctive actions and civil or
criminal penalties. If the FDA determines that the Company has seriously
violated applicable regulations, it could seek to enjoin the Company from
marketing its products or the Company could be otherwise adversely affected by
delays or required changes in new products. In addition, changes in FDA, or
other federal or state, health, environmental or safety regulations or in their
application could adversely affect the Company's business.

     To market its products in the European Community ("EC"), the Company must
conform to additional requirements of the EC and demonstrate conformance to
established quality standards and applicable directives.  As a manufacturer that
designs, manufactures and markets its own devices, the Company must comply with
the quality management standards of EN ISO 9001(08/94)/EN 46001 (10/93).  Those
quality standards are similar to the FDA's Quality System Regulations but
incorporate the quality requirements for product design and development.
Manufacturers of medical devices must also be in conformance with EC Directives
such as Council Directive 93/42/EEC ("Medical Device Directive") and their
applicable annexes.  Those are regulations that 

                                       10
<PAGE>
 
assure that medical devices are both safe and effective and meet all applicable
established standards prior to being marketed in the EC. Once a manufacturer and
its devices are in conformance with the Medical Device Directive, the "CE" Mark
maybe affixed to its devices. The CE Mark gives devices an unobstructed entry to
all the member countries of the EC. The Company cannot assure that it will
continue to meet the requirements for distribution of it products in Europe.

     Distribution of the Company's products in other countries may be subject to
regulation in those countries, and there is no assurance that the Company will
obtain necessary approvals in countries in which it wants to introduce its
products.


                           RISK OF PRODUCT LIABILITY

     The use of the Company's products exposes it to an inherent risk of product
liability.  Patients, healthcare workers or healthcare providers who claim that
the Company's products have resulted in injury could initiate product liability
litigation seeking large damage awards against the Company.  Costs of the
defense of such litigation, even if successful, could be substantial.  The
Company maintains insurance against product liability and defense costs in the
amount of $5,000,000 per occurrence.  There is no assurance that the Company
will successfully defend claims, if any, arising with respect to products or
that the insurance carried by the Company will be sufficient.  A successful
claim against the Company in excess of insurance coverage could materially and
adversely affect the Company. Furthermore, there is no assurance that product
liability insurance will continue to be available to the Company on acceptable
terms.


                          GROWTH AND ACQUISITION RISKS

     The Company intends to expand its marketing and distribution capability
internally, by expanding its marketing staff and resources and possibly
externally, by acquisitions both in the United States and foreign markets.  The
Company may also consider expanding its product offerings through acquisitions
of companies or product lines.  The Company will also move some assembly
operations to Mexico and consider developing or contracting for manufacturing in
Europe to eliminate transportation and other costs of shipping finished products
from the U.S. to Europe.  The expansion of the Company's manufacturing,
marketing, distribution and product offerings both internally and through
acquisitions or by contract  may place substantial burdens on the Company's
management resources and financial controls. Decentralization of assembly and
manufacturing could place further burdens on management to manage those
operations, and maintain efficiencies and quality control.  There is no
assurance that the increasing burdens on the Company's management resources and
financial controls will not adversely affect the Company's operating results.
In addition, acquisitions may involve a 

                                       11
<PAGE>
 
number of special risks, including adverse short-term effects on the Company's
reported operating results, diversion of management's attention, dependence on
retention, hiring and training of key personnel, risks associated with
unanticipated problems or legal liabilities and amortization of acquired
intangible assets, some or all of which could materially and adversely affect
the Company's operations and financial performance.


               STOCKHOLDER RIGHTS PLAN; ANTI-TAKEOVER PROVISIONS

     On July 15, 1997, the Board of Directors of the Company adopted a
Stockholder Rights Plan (the "Plan") and, pursuant to the Plan, declared a
dividend distribution of one Right for each outstanding share of Company Common
Stock to stockholders of record at the close of business on July 28, 1997.  Each
Right entitles the registered holder to purchase from the Company one one-
hundredth of a share of Series A Junior Participating Preferred Stock, no par
value, at a Purchase Price of $50 per one one-hundredth of a share, subject to
adjustment.  The Plan is designed to afford the Board a great deal of
flexibility in dealing with any attempted takeover of the Company and will cause
persons interested in acquiring the Company to deal directly with the Board,
giving it an opportunity to negotiate a transaction that maximizes stockholder
values.  The Plan may, however, have the effect of discouraging persons from
attempting to acquire the Company.  Investors should refer to the description of
the Plan in the Company's Current Report to the Securities and Exchange
Commission on Form 8-K dated July 15, 1997 and the terms of the Rights set forth
in a Rights Agreement between the Company and Chase Mellon Shareholder Services,
L.L.C., as Rights Agent, which is filed as an exhibit to the July 15, 1997 Form
8-K.

     The Company's Certificate of Incorporation and Bylaws include provisions
that may discourage or prevent certain types of transactions involving an actual
or potential change of control of the Company, including transactions in which
the stockholders might otherwise receive a premium for their shares over then
current market prices.  In addition, the Board of Directors has the authority to
issue shares of Preferred Stock and fix the rights and preferences thereof,
which could have the effect of delaying or preventing a change of control of the
Company otherwise desired by the stockholders.


                           VOLATILITY OF STOCK PRICE

     The market for small-market capitalization companies can be highly
volatile, and the Company has experienced significant volatility in the price of
its Common Stock in the past.  The Company believes that factors such as
quarter-to-quarter fluctuations in financial results, differences between stock
analysts expectations and actual quarterly and annual results, new product
introductions by the Company or its competitors, changing regulatory
environments, changes in healthcare reimbursement policies, sales of Common

                                       12
<PAGE>
 
Stock by certain existing stockholders and substantial product orders could
contribute to the volatility of the price of the Company's Common Stock. General
economic trends unrelated to the Company's performance such as recessionary
cycles and changing interest rates may also adversely affect the market price of
the Company's Common Stock.

                                YEAR 2000 ISSUES

     Many older computer programs and systems use only the last two digits to
refer to a year.  Therefore, they do not properly recognize a year that begins
with "20" rather than "19."  This is referred to as the Year 2000, or Y2K
Problem.  The Y2K problem has been eliminated in many new programs and systems,
which are said to be "Y2K complaint."  The Company is engaged in investigations
to determine whether its information technology ("IT") systems and non-IT
systems (principally, manufacturing equipment and systems) are Y2K compliant and
the consequences, if any, of non-compliance.  The Company will also assess the
extent of the Y2K readiness of third parties with whom the Company deals, such
as suppliers, vendors, service providers, utilities, financial institutions,
government agencies and customers and the possible consequences to the Company
if such third parties are not Y2K compliant.  Depending on the outcome of its
investigations and assessments, the Company will consider developing a
contingency plan to offset the effects of its or third parties' Y2K problems.
The Company will report in its Annual and Quarterly Reports on Forms 10-K and
10-Q filed with the Securities and Exchange Commission on the status and costs
of its investigations and remediation efforts, if any.

     If some of the Company's IT and non-IT systems or those of third parties
with whom it deals are not Y2K compliant, the Company could experience a number
of consequences, including among others:

 .  inability to receive and process orders;
 .  inability to track production and distribution of products;
 .  inability to invoice customers;
 .  inability verify operating and financial information and prepare accurate
   reports;
 .  interruptions in manufacturing operations;
 .  corruption of internal and external bank and financial records;
 .  interruptions in deliveries of services, materials and supplies; and
 .  interruptions in payments from customers.

     Any of the foregoing consequences, as well as others which the Company
cannot anticipate, could materially and adversely affect the Company's
operations, results of operations and financial condition.  Further, the Company
cannot assure that any contingency plan that it might develop would succeed in
limiting the effects of Y2K 

                                       13
<PAGE>
 
problems. In addition, various commentators have predicted widespread chaos in
financial and other markets, interruptions in government programs and services,
civil unrest and other consequences resulting from Y2K problems, generally. Such
events could materially and adversely affect the Company's operations, results
of operations and financial condition, regardless of whether it and the third
parties with whom the Company deals are Y2K compliant.

                                   SIGNATURES

     Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this Report to be signed on its behalf by the
undersigned hereunto duly authorized, in the City of San Clemente, State of
California on November 5, 1998.

                              ICU MEDICAL, INC.



                              By: /s/ Francis J. O'Brien
                              --------------------------
                              Francis J. O'Brien
                              Chief Financial Officer

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