GENERAL SURGICAL INNOVATIONS INC
10-Q, 1997-02-14
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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<PAGE>

                                    UNITED STATES
                          SECURITIES AND EXCHANGE COMMISSION
                                WASHINGTON, D.C. 20549
                                           

                                      FORM 10-Q
                                           

       [X]  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES
                                                EXCHANGE ACT OF 1934

                  FOR THE QUARTERLY  PERIOD ENDED DECEMBER 31, 1996.
                                           
                           Commission file number: 0-28448
                                           
                          GENERAL SURGICAL INNOVATIONS, INC.
                (Exact name of Registrant as specified in its charter)
                                           


                  CALIFORNIA                              97-3170244
           (State or other jurisdiction of                (I.R.S. Employer
          incorporation or organization)                Identification No.)
                                           

                   3172A PORTER DRIVE, PALO ALTO, CALIFORNIA 94304
                       (Address of principal executive offices)
                                           
          Registrant's telephone number, including area code: (415) 812-9730
                                           

           Securities registered pursuant to Section 12(b) of the Act: None
                                           
             Securities registered pursuant to Section 12(g) of the Act:
                            Common Stock, $.001 par value
                                           


Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the Registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. YES X   NO
                                      ---     ---


There were approximately 13,199,353 shares of Registrant's Common Stock issued
and outstanding as of  December  31, 1996.

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


<PAGE>

                  GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
                                           
                            QUARTERLY REPORT ON FORM 10-Q
                     FOR THE THREE MONTHS ENDED DECEMBER 31, 1996
                                           
                                  TABLE OF CONTENTS
                                           
                                                                      Page
                                                                      ----
                            PART I.  FINANCIAL INFORMATION
                                            


Item 1. Financial Statements (Unaudited)
Condensed, consolidated balance sheets at December 31, 1996 and 
June 30, 1996.........................................................  3

Condensed, consolidated statements of operations for the three months 
ended December 31, 1996 and 1995 and for the six months ended 
December 31, 1996 and 1995............................................  4

Condensed, consolidated statements of cash flows for the six months 
ended December 31, 1996 and 1995......................................  5

Notes to condensed, consolidated financial statements.................  6

Item 2. Management's Discussion and Analysis of Financial Condition 
        and Results of Operations....................................   8

                             PART II.  OTHER INFORMATION


                                        2

<PAGE>

                  GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
                       CONDENSED, CONSOLIDATED BALANCE SHEETS
                         (IN THOUSANDS, EXCEPT SHARE DATA)

<TABLE>
<CAPTION>
                                                                December 31,        June 30, 
                                                                    1996              1996
                                                                -------------     ------------
                                                                 (Unaudited)
<S>                                                             <C>               <C>
                                 ASSETS
Current assets:
    Cash and cash equivalents                                     $  11,483         $  28,339 
    Available-for-sale securities                                    36,412            21,451 
    Accounts receivable, net                                          1,714               873 
    Inventories                                                       1,379               700 
    Prepaid expenses and other current assets                           160               438 
                                                                  ---------         ---------
    TOTAL CURRENT ASSETS                                             51,148            51,801 

Property and equipment, net                                             632               702 
Intangible and other assets, net                                        247               264 
                                                                  ---------         ---------
    Total assets                                                  $  52,027         $  52,767 
                                                                  ---------         ---------
                                                                  ---------         ---------

                   LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
    Accounts payable                                              $     545         $     614 
    Accrued liabilities                                                 644               892 
    Bank borrowings                                                     167               127 
    Deferred revenue                                                      -               100 
                                                                  ---------         ---------
    TOTAL CURRENT LIABILITIES                                         1,356             1,733 

Bank borrowings, less current portion                                   269               360 
Other long-term liabilities                                             200               200 
                                                                  ---------         ---------
    Total liabilities                                                 1,825             2,293 

Shareholders' equity:
Preferred stock, $.001 par value:
Authorized: 2,000,000 shares; none issued and outstanding
Common stock, $.001 par value:
Authorized:  50,000,000 shares; issued and outstanding 13,199,353        13                13 
on Dec. 31, 1996 and 13,132,903 on June 30, 1996
Additional paid in capital                                           65,002            64,885 
Notes receivable from shareholders                                     (105)             (112)
Deferred compensation, net                                             (396)             (496)
Unrealized gain/(loss) on available-for-sale securities                 (29)                1 
Accumulated deficit                                                 (14,283)          (13,817)
                                                                  ---------         ---------
    Total shareholders' equity                                       50,202            50,474 
                                                                  ---------         ---------
      Total liabilities and shareholders' equity                  $  52,027         $  52,767 
                                                                  ---------         ---------
                                                                  ---------         ---------
</TABLE>


                 THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE 
                      CONDENSED, CONSOLIDATED FINANCIAL STATEMENTS.


                                        3

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                  GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
             CONDENSED, CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
                      (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)


<TABLE>
                                                    Three Months Ended              Six Months Ended 
                                                       December 31,                    December 31,
                                                --------------------------      ------------------------
                                                  1996              1995          1996            1995
                                                --------          --------      --------        --------
<S>                                            <C>               <C>           <C>             <C>
Sales                                           $      361        $   1,217     $    2,831      $   1,708 
Guaranteed payments                                  1,500                -          1,500              - 
                                                ----------        ---------     ----------      ---------
    Gross Sales                                      1,861            1,217          4,331          1,708

Cost of Sales                                          359              586          1,352            920 
                                                ----------        ---------     ----------      ---------
     Gross Profit                                    1,502              631          2,979            788 
                                                ----------        ---------     ----------      ---------

Operating Expenses:
    Research and development                           484              278            946            480 
    Sales and marketing                              1,095              998          2,203          1,753 
    General and administrative                         830              395          1,553            706 
                                                ----------        ---------     ----------      ---------
    Total operating expenses                         2,409            1,671          4,702          2,939 
                                                ----------        ---------     ----------      ---------
    Operating loss                                    (907)          (1,040)        (1,723)        (2,151)
Interest and other income                              670               25          1,257             88 
                                                ----------        ---------     ----------      ---------
    Net loss                                    $     (237)       $  (1,015)    $     (466)     $  (2,063)
                                                ----------        ---------     ----------      ---------
                                                ----------        ---------     ----------      ---------

Net loss per share                              $    (0.02)       $   (0.15)    $    (0.04)     $   (0.31)
                                                ----------        ---------     ----------      ---------
                                                ----------        ---------     ----------      ---------

Shares used in computing net loss per share     13,183,440        6,555,770     13,165,128      6,554,626 
                                                ----------        ---------     ----------      ---------
                                                ----------        ---------     ----------      ---------

</TABLE>

                 THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE 
                     CONDENSED, CONSOLIDATED FINANCIAL STATEMENTS.

                                        4

<PAGE>


                    GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
               CONDENSED, CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                                      (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                  Six Months Ended 
                                                                     December 31,
                                                           ------------------------------
                                                               1996              1995
                                                           ------------      ------------
<S>                                                       <C>               <C>
CASH FLOWS FROM OPERATING ACTIVITIES

         Net cash used in operating activities                   (2,000)           (2,434)
                                                           ------------      ------------

CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of available-for-sale securities                      (37,305)                -
Maturities of available-for-sale securities                      22,500                 -
Acquisition of property and equipment                              (124)             (161)
Proceeds from payments on shareholder notes receivable               18                 -
                                                           ------------      ------------
         Net cash used in investing activities                  (14,911)             (161)
                                                           ------------      ------------

CASH FLOWS FROM FINANCING ACTIVITIES
Payments on obligations under capital leases and 
capital loans                                                       (51)              (43)
Proceeds from issuance of common stock, net of 
issuance costs                                                      106                 1 
                                                           ------------      ------------
         Net cash provided by (used in) financing
             activities                                              55               (42) 
                                                           ------------      ------------

Net decrease in cash and cash equivalents                       (16,856)           (2,637)
Cash and cash equivalents, beginning of period                   28,339             4,541 
                                                           ------------      ------------
Cash and cash equivalents, end of period                   $     11,483      $      1,904 
                                                           ------------      ------------
                                                           ------------      ------------

</TABLE>

           THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE 
               CONDENSED, CONSOLIDATED FINANCIAL STATEMENTS.


                                   5
<PAGE>

                  GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY

                 NOTES TO CONDENSED, CONSOLIDATED FINANCIAL STATEMENTS

1. Basis of Presentation:

          The accompanying unaudited condensed, consolidated financial 
statements as of December 31, 1996 and for the three and six month periods 
ended December 31, 1996 and 1995 of General Surgical Innovations, Inc. and 
subsidiary  (the "Company") have been prepared in accordance with generally 
accepted accounting principles for interim financial information and pursuant 
to the instructions to Form 10-Q and Article 10 of Regulation S-X. 
Accordingly, they do not include all of the information and footnotes 
required by generally accepted accounting principles for complete financial 
statements. In the opinion of management, all adjustments, consisting only of 
normal recurring adjustments, considered necessary for a fair presentation 
have been included. Operating results for the three month and six month 
periods ended December 31, 1996 are not necessarily indicative of the results 
that may be expected for the fiscal year ended June 30, 1997, or any future 
interim period.

          These financial statements and notes should be read in conjunction 
with the Company's audited financial statements and footnotes thereto 
included in the Company's Annual Report on Form 10-K for the fiscal year ended 
June 30, 1996.


2.  RECENT PRONOUNCEMENTS:

          In October 1995, the Financial Accounting Standards Board issued 
Statement No. 123 ACCOUNTING FOR STOCK-BASED COMPENSATION (SFAS No. 123), 
which establishes a fair value based method of accounting for stock-based 
compensation plans and requires additional disclosures for those companies 
that elect not to adopt the new method of accounting. While the Company 
studies the impact of the pronouncement, it continues to 

                                        6

<PAGE>

account for employees' stock options under APB Opinion No. 25, "Accounting 
for Stock Issued to Employees." SFAS No. 123 will be effective for the 
Company's 1997 fiscal year.

3. Inventories:
         Inventories comprise:
                                                              
                                          Dec 31,     Jun 30,
                                          -------------------
                                           1996        1995
                                           ----        ----
                                            (in thousands)

Raw Materials................             $  767      $  387
Work in progress.............                 93         153
Finished goods...............                519         160
                                          ------      ------
                                          $1,379      $  700
                                          ------      ------
                                          ------      ------

                                        7

<PAGE>

ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS 
  OF OPERATIONS

          The following discussion should be read in conjunction with the 
unaudited condensed, consolidated financial statements and notes thereto 
included in part I, Item I of this Quarterly Report and with Management's 
Discussion and Analysis of Financial Condition and Results of Operations 
contained in the Company's Annual Report on Form 10-K for the year ended 
June 30, 1996.

          Except for the historical information contained in this Quarterly 
Report on Form 10-Q, the matters discussed herein are forward-looking 
statements that are subject to certain risks and uncertainties that could 
cause the actual results to differ materially from those projected. Factors 
that could cause actual results to differ materially include, but are not 
limited to, fluctuations in revenues among different product lines and 
markets, the timing of orders and shipments, the ramp-up of distribution 
efforts by Ethicon-Endo Surgery, Inc. ("EES"), EES's success in achieving 
certain levels of sales growth, the Company's ability to manage growth and 
the transition to EES and possible other new corporate partnering 
relationships, the timely development and market acceptance of new products 
and surgical procedures, the impact of competitive products and pricing, 
results of ongoing litigation, the Company's ability to further expand into 
international markets, approval of its products by government agencies such 
as the United States Food and Drug Administration, the termination of the 
Company's distributorship agreement with United States Surgical Corporation 
("USSC"),  and other risks detailed below and included from time to time in 
the Company's other SEC reports and press releases, copies of which are 
available from the Company upon request. The Company assumes no obligation to 
update any forward-looking statements contained herein. The factors listed 
below under "Factors Affecting Future Results," as well as other factors, 
could in the future affect the Company's actual results and could cause the 
Company's results for future quarters to differ materially from those 
expressed in any forward-looking statements contained in the following 
discussion.

          References made in this Quarterly Report on Form 10-Q to "General
Surgical Innovations, Inc.," the "Company" or the "Registrant" refer to General
Surgical Innovations, Inc. and its subsidiary. The following General Surgical
Innovations, Inc. trademarks are mentioned in this Quarterly Report: Spacemaker
- -Registered Trademark-, registered trademark of the Company; and Knotmaker -TM-,
trademark of the Company.


Overview
  
         Since its inception in April 1992, GSI has been engaged in the 
development, manufacturing and marketing of balloon dissection systems and 
related minimally invasive surgical instruments. The Company began commercial 
sales of its balloon dissection systems for hernia repair in September 1993. 
To date, the Company has received from the FDA four 510(k) clearances for use 
of the Company's technology to perform dissection of tissue planes anywhere 
in the body using a broad range of balloon sizes and shapes. The Company 
currently sells products in the United States and certain other countries in 
Europe, Asia and South America for selected 

                                        8

<PAGE>

applications, such as hernia repair, subfascial endoscopic perforator surgery 
and breast augmentation and reconstruction surgery.

         In November 1996, the Company terminated its distribution agreement 
with USSC which provided USSC with limited exclusive rights to distribute the 
Company's balloon dissection systems in the hernia repair market in both the 
United States and certain international countries.

         In December 1996, the Company entered into a five year OEM supply 
agreement (the "Expanded EES Agreement") with Ethicon Endo-Surgery,Inc. 
("EES"), a Johnson & Johnson company ("JNJ") pursuant to which GSI granted 
EES exclusive worldwide sales and marketing rights to sell the Spacemaker-TM- 
Balloon Dissection Systems in the laparoscopic hernia repair and urinary 
stress incontinence ("USI") markets. The Expanded EES Agreement supersedes 
the June 1996 licensing agreement between the Company and EES pursuant to 
which GSI granted EES the right to market its new balloon dissection product. 
Under the Expanded EES Agreement, GSI will manufacture certain products and 
EES will market and distribute these products in the hernia and USI markets. 
In addition to the development of balloon dissection systems, the companies 
will collaborate on development of additional products for these markets. EES 
made an initial guaranteed payment of $1.5 million under the Expanded EES 
Agreement.  In addition, the Expanded EES Agreement provides that EES will 
either purchase products, or make payments in lieu of such purchases, to 
ensure that GSI maintains a gross margin of $1.6 million and $1.7 million in 
the third and fourth quarters of fiscal 1997, respectively (ie through June 
30, 1997).  Following this initial ramp-up period, EES is required to make 
certain minimum quarterly product purchases. 

         Additional sales in the United States are currently made through a 
small direct sales force. The Company currently sells its products (other 
than for hernia and SUI applications) in international markets through a 
limited number of distributors who resell to surgeons and hospitals. The 
Company plans to increase its direct sales force in the United States and may 
seek to establish a direct sales force in one or more other countries in the 
future. Any increase in the Company's direct sales force will require 
significant expenditures and additional management resources.

         To date, all of the sales made through distributors and almost all 
of the sales by the Company's direct sales force have been for use in hernia 
repair procedures. While the Company has developed or is developing balloon 
dissection systems for urinary stress incontinence, vascular, plastic surgery 
and orthopedics applications, sales of products for hernia repair are 
expected to provide a substantial majority of the Company's revenues at least 
through fiscal 1997.

         The Company has acquired significant patent rights from third 
parties, including rights that apply to the Company's current balloon 
dissection systems. The Company has historically paid and is obligated to pay 
in the future to such third parties royalties equal to 4% of sales of such 
products, which payments are expected to exceed certain minimum royalty 
payments due under agreements with such parties. The Company has also 
acquired patent rights under royalty-bearing agreements with respect to 
certain surgical instruments, including the KnotMaker product and the balloon 
valve trocar currently under development.

         In February 1996, the Company acquired Adjacent Surgical, Inc., a 
company engaged in the development of balloon dissection systems for use in 
vascular applications. The transaction resulted in a one-time expense related 
to in-process research and development of approximately $2.8 million, in the 
quarter ended March 31, 1996. From time to time, the Company has had 
discussions with third parties regarding various strategic relationships,  
although the Company currently has no commitments with respect to any such 
relationships. The Company plans 

                                        9

<PAGE>

to continue to investigate potential strategic relationships in the future.

         The Company has a limited history of operations and has experienced 
significant operating losses since inception. The Company expects such 
operating losses to continue at least through calendar year 1997. The 
increase in the Company's sales to date has been due to demand for the 
Company's balloon dissector systems principally for hernia repair. In order 
to support increased levels of sales in the future and to augment its 
long-term competitive position, including the development of balloon 
dissection systems for other applications, the Company anticipates that it 
will be required to make significant additional expenditures in 
manufacturing, research and development (including marketing-related clinical 
evaluations), sales and marketing and administration. In addition, the 
Company anticipates higher administration expenses resulting from its 
obligations as a public reporting company.

         The Company anticipates that its results of operations may fluctuate 
for the foreseeable future due to several factors, including fluctuations in 
purchases of the Company's products by EES, EES's ability to achieve certain 
levels of sales growth, the status of the Company's relationship with EES or 
other partners, fluctuations in revenues among different product lines and 
markets, the mix of sales among the distributors and the Company's direct 
sales force, timing of new product introductions or transitions to new 
products, the margins recognized from products for various surgical 
procedures, the progress of marketing-related clinical evaluations, the 
introduction of competitive products (including pricing pressures), 
activities related to patents and patent approvals (including litigation) and 
regulatory and third-party reimbursement matters, and the timing of research 
and development expenses (including marketing-related clinical evaluations). 
In addition, the Company's results of operations could be affected by the 
timing of orders from distributors, expansion of the Company's distributor 
network, the ability of the Company's distributors to effectively promote the 
Company's products and the ability of the Company to quickly and cost 
effectively increase its direct domestic sales force. The Company's limited 
operating history makes accurate prediction of future operating results 
difficult or impossible.

         The Company currently manufactures and ships product shortly after 
the receipt of orders, and anticipates that it will do so in the future. 
Accordingly, the Company has not developed a significant backlog and does not 
anticipate that it will develop a material backlog in the future.

    In January 1997, the Company entered into a new local facility lease and 
is planning to relocate its headquarters and manufacturing operations to this 
new location during April 1997.  The new facility's lease comprises 
approximately 30,460 square feet and the monthly rent is approximately 
$47,000.  

                                RESULTS OF OPERATIONS
                                           
         REVENUE.  Revenue increased by 53% to approximately $1.9 million for 
the quarter ended December 31, 1996 from $1.2 million for the same period in 
1995. Revenue for the six months ended December 31, 1996 increased 154% to 
approximately $4.3 million from $1.7 million for the six months ended 
December 31, 1995. This increase was due to growth in direct unit sales of 
the Spacemaker I and II platforms for the hernia market and an initial 
guaranteed payment of $1.5 million from EES pursuant to the Expanded EES 
Agreement. The Expanded EES Agreement provides that EES will purchase 
products, or make payments in lieu of such purchases, to ensure that GSI 
maintains a gross margin of $1.6 million and $1.7 million in the third and 
fourth quarters of fiscal 1997, respectively (ie through June 30, 1997). As 
the Company begins its transition to EES, the Company believes that its sales 
results will fluctuate from quarter to quarter during at least the next 
several quarters.

                                        10

<PAGE>

         COST OF SALES.  Cost of sales decreased by 39% to approximately 
$359,000 for the quarter ended December 31, 1996 from $586,000 for the same 
period in 1995, and increased as a percentage of sales to 99% for the quarter 
ended December 31, 1996 from 48% for the quarter ended December 31, 1995. 
This increase in cost of sales as a percentage of sales was primarily a 
result of under-utilized manufacturing capacity as the Company had lower 
sales during its transition to EES as its new major distributor.  Cost of 
sales for the six months ended December 31, 1996 decreased as a percent of  
sales to 48% or approximately $1.4 million as compared to 54% of sales or 
approximately $920,000 for the six months ended December 31, 1995.

         RESEARCH AND DEVELOPMENT EXPENSES.  Research and development 
expenses, which include expenditures for marketing-related clinical 
evaluations and regulatory expenses, increased by 74% to $484,000 in the 
quarter ended December 31, 1996 from $278,000 for the same period in 1995 due 
to increased funding of new product development. Research and development 
expenses for the six months ended December 31, 1996 were approximately 
$946,000 compared to $480,000 for the six months ended December 31, 1995. The 
Company expects research and development expenses to increase in absolute 
dollars as the Company pursues development of new products. 

         SELLING, GENERAL AND ADMINISTRATIVE EXPENSES.  Selling, general and 
administrative (SG&A) expenses increased by 38% to $1.9 million for the quarter 
ended December 31, 1996 from $1.4 million for the quarter ended December 31, 
1995. For the six months ended December 31, 1996 SG&A expenses were $3.8 
million compared to $2.5 million for the six months ended December 31, 1995. 
This increase was primarily due to the growth of a direct sales force in the 
United States and the growth in marketing and other personnel associated with 
the Company's higher levels of operations. The Company expects selling, 
general and administrative expenses to continue to increase in absolute 
dollars as the Company's sales and manufacturing infrastructure (including 
additional sales personnel) increases and as the Company increases its 
finance and administrative expenditures to meet its obligations as a public 
reporting company.

         INTEREST AND OTHER INCOME.  Interest and other 
income increased to $670,000 for the quarter ended December 31, 
1996 from $25,000 for the quarter ended December 31, 1995.  For the six 
months ended December 31, 1996 interest and other income increased 
to $1.3 million from $88,000 for the same period in 1995 due to higher 
average cash, cash equivalents and available-for-sale securities balances. 
Interest earned in the future will depend on the Company's funding cycles and 
prevailing interest rates. 

LIQUIDITY AND CAPITAL RESOURCES

         Since inception, the Company's cash expenditures have significantly 
exceeded its sales, resulting in an accumulated deficit of $14.3 million at 
December 31, 1996. The Company has funded its operations primarily through 
the sale of equity securities. From its inception through December 31, 1996 
the Company raised approximately $15.2 million through the private placement 
of equity securities and approximately $46.9 million (net of underwriting 
discounts and commissions) in an initial public offering.

                                        11

<PAGE>

         As of December 31, 1996 the Company's principal source of liquidity 
consists of cash, cash equivalents and short-term investments of $47.9 
million, as compared to approximately $49.8 million at June 30, 1996. This 
decrease reflects approximately $2 million used to fund operations.

         The Company expects to incur substantial additional costs, including 
costs related to increased sales and marketing activities, increased research 
and development, expenditures in connection with seeking regulatory approvals 
and conducting additional marketing-related clinical evaluations, capital 
equipment and other costs associated with expansion of the Company's 
manufacturing capabilities and higher administration costs resulting from its 
obligations as a reporting company. While the Company believes that its 
current cash balances and short-term investments along with cash generated 
from the future sales of products will be sufficient to meet the Company's 
operating and capital requirements through calendar 1997, there can be no 
assurance that the Company will not require additional financing within this 
time frame. The Company may seek additional equity or debt financing to 
address its working capital needs or to provide funding for capital 
expenditures. There can be no assurance that additional financing, if 
required, will be available on satisfactory terms or at all.

FACTORS AFFECTING FUTURE RESULTS

         LIMITED OPERATING HISTORY; ANTICIPATED FUTURE LOSSES.  The Company 
was organized in April 1992 and began commercially shipping its first 
Spacemaker products in September 1993. Accordingly, the Company has only a 
limited operating history upon which an evaluation of the Company and its 
prospects can be based. As of December 31, 1996, the Company had an 
accumulated deficit of $14.3 million. The Company's net operating losses for 
the fiscal years ending June 30, 1994, 1995 and 1996 and for the quarter 
ended December 31, 1996 were, $3.1 million, $4.1 million, $5.5 million, 
and $237,000 respectively. The Company expects to continue to incur operating 
losses on a quarterly and annual basis through at least calendar year 1997.  
Due to the Company's limited operating history, and the recent transition to 
EES as its major distributor, there can be no assurance of sales growth or 
profitability in the future. The Company intends to increase significantly 
its investments in research and development, sales and marketing, 
marketing-related clinical evaluations and related infrastructure. Due to the 
anticipated increases in the Company's operating expenses, the Company's 
operating results will be adversely affected if sales do not increase. The 
Company's prospects must be considered in light of the risks, expenses and 
difficulties frequently encountered by companies in their early stage of 
development, particularly companies in rapidly evolving markets. To address 
these risks, the Company must respond to competitive developments, continue 
to attract, retain and motivate qualified persons and successfully 
commercialize products incorporating advanced technologies. There can be no 
assurance that the Company will be successful in addressing such risks.

         DEPENDENCE UPON BALLOON DISSECTION PRODUCTS; RISK OF TECHNOLOGICAL 
OBSOLESCENCE.  All of the Company's sales since inception have been derived 
from sales of its balloon dissection products, with a substantial portion 
derived from sales for hernia repair procedures. Failure of the Company to 
develop successfully and commercialize balloon dissection products for 
applications other than hernia repair could have a material adverse effect on 
the Company's business, financial condition and results of operations. The 
success of the Company's products depends on the nature of the technological 
advances inherent in the product designs, reductions in patient trauma or 
other benefits provided by such products, results of marketing-related 
clinical evaluations, continued adoption of minimally invasive surgery 
("MIS") procedures by surgeons, market acceptance of the Company's products 
and related procedures, reimbursement for the Company's products by health 
care payors and the Company's receipt of regulatory approvals. There can be 
no assurance that the Company's products will have the required technical 
characteristics, that the Company's products will provide adequate patient 
benefits, that marketing-related clinical evaluations results will be 
favorable, that surgeons will continue to adopt MIS procedures, that 
recently-introduced products or future products of the Company or related 
procedures will gain market acceptance, or that required regulatory approvals

                                        12

<PAGE>

will be obtained. The failure to achieve any of the foregoing could have a 
material adverse effect on the Company's business, financial condition and 
results of operations. To the extent demand for the Company's balloon 
dissection systems for hernia repair declines and the Company's 
newly-introduced products are not commercially accepted or its existing 
products are not developed for new procedures, there could be a material 
adverse effect on the Company's business, financial condition and results of 
operations. See "Management's Discussion and Analysis of Financial Condition 
and Results of Operations."

         DEPENDENCE ON KEY DISTRIBUTOR. In December 1996, the Company entered 
into a five year OEM supply agreement (the "Expanded EES Agreement") with 
Ethicon Endo-Surgery,Inc. ("EES"), a Johnson & Johnson company ("JNJ") 
pursuant to which GSI granted EES exclusive worldwide sales and marketing 
rights to sell the Spacemaker-TM- Balloon Dissection Systems in the 
laparoscopic hernia repair and urinary stress incontinence ("USI") markets. 
The Expanded EES Agreement supersedes the June 1996 licensing agreement 
between the Company and EES pursuant to which GSI granted EES the right to 
market its new balloon dissection product. Under the Expanded EES agreement, 
GSI will manufacture certain products and EES will market and distribute 
these products in the hernia and USI markets. The parties expect to jointly 
develop and begin marketing this dissector for SUI repair in early calendar 
1997. In addition to the development of balloon dissection systems, the 
companies will collaborate on development of additional products for these 
markets. EES made an initial payment of $1.5 million under the Expanded EES 
Agreement. In addition, the Expanded EES Agreement provides that EES will 
either purchase products, or make payments in lieu of such purchases, to 
ensure that GSI maintains a gross margin of $1.6 million and $1.7 million in 
the third and fourth quarter of fiscal 1997, respectively (ie through June 
30, 1997). Following this initial ramp-up period, EES is required to make 
certain minimum quarterly product purchases. No manufacture or distribution 
of products has occurred to date pursuant to the Expanded EES Agreement, and 
there can be no assurance that such manufacturing, marketing or distribution 
efforts will be successful. EES's failure to achieve certain levels of sales 
growth or a reduction in orders from EES could have a material adverse effect 
on the Company's business, financial condition and results of operations.  
Although the Company intends to establish additional distributorships in the 
United States for products in areas other than hernia repair and urinary 
stress incontinence, there can be no assurance that such efforts will be 
successful. Failure to diversify its distribution network in the United 
States could have a material adverse effect on the Company's business, 
financial condition and results of operations.

         To date, substantially all of the Company's international sales for 
hernia repair procedures have been made through Autosuture under the same 
terms and conditions as the Company's agreement with USSC, which was 
terminated in November 1996. Thus, the Company does not anticipate that it 
will have future sales through Autosuture. Although the Company has replaced 
this international distributor network through its agreement with Ethicon 
Endo-Surgery, there can be no assurance that EES's efforts in international 
distribution will be successful.

         LIMITED MARKETING AND DIRECT SALES EXPERIENCE.  The Company has only 
limited experience marketing and selling its products through its direct 
sales force, and has sold its products in commercial quantities through its 
direct sales force only to the hernia market and, to a lesser degree, to the 
cosmetic and reconstructive surgery market. Establishing marketing and sales 
capability sufficient to support sales in commercial quantities for the other 
markets targeted by the Company, including additional hernia, vascular, 
urology, obstetrics, gynecology and orthopedic surgery markets, will require 
significant resources, and there can be no assurance that the Company will be 
able to recruit and retain additional qualified marketing personnel or direct 
sales personnel or that future sales efforts of the Company will be 
successful. In markets where there is a large potential customer base, the 
Company intends to establish partnership relationships with additional 
distribution partners, and there can be no assurance that the Company will be 
successful in establishing such partnership relationships on commercially 
reasonable terms, if at all. The failure to establish and maintain an 
effective distribution channel for the Company's products, or establish and 
retain qualified and effective sales personnel to support commercial 

                                        13

<PAGE>

sales of the Company's products, could have a material adverse effect on the 
Company's business, financial condition and results of operations. See 
"Management's Discussion and Analysis of Financial Condition and Results of 
Operations."

         UNCERTAINTY OF MARKET ACCEPTANCE; NO ASSURANCE OF CLINICAL 
ADVANTAGE.  The Company's success is substantially dependent upon the success 
of its Spacemaker balloon dissection products. The Company believes that 
market acceptance of the Company's products will depend on the Company's 
ability to provide evidence to the medical community of the safety, efficacy 
and cost-effectiveness of its products and the procedures in which these 
products are intended to be used. Market acceptance is also dependent on the 
adoption of laparoscopic techniques generally and the conversion of 
non-balloon dissection techniques to balloon dissection techniques 
specifically. To date, the Company's products have only been used to treat a 
limited number of patients and the Company has limited long-term outcomes 
data. If the Company is not able to demonstrate consistent clinical benefits 
resulting from the use of its products (including reduced procedure time, 
reduced patient trauma and lower costs), the Company's business, financial 
condition and results of operations could be materially and adversely 
affected.
 
         The Company further believes that the ability of health care 
providers to obtain adequate reimbursement for procedures using the Company's 
Spacemaker balloon dissector products and related instruments will be 
critical to market acceptance of the Company's products. Although the Company 
believes that procedures using its balloon dissection products currently may 
be reimbursed in the United States under certain existing procedure codes, 
there can be no assurance that such procedure codes will remain available or 
that reimbursement under these codes will be adequate. The Company has 
limited experience in obtaining third-party reimbursement, and the inability 
to obtain reimbursement for some or all of its products could have a material 
adverse effect on the Company's business, financial condition and results of 
operations.

         The Company introduced its balloon dissectors in late 1993 and to 
date there has been relatively little education among surgeons about the 
benefits of balloon dissection technology. Further, due to the novelty of 
balloon dissection procedures, many surgeons and surgeons' assistants have 
not developed the requisite skills to perform balloon dissection procedures. 
To the extent that laparoscopic techniques are adopted slowly, that balloon 
dissectors are incorporated into laparoscopic techniques less often or that 
surgeons are unwilling or unable to develop the skills necessary to utilize 
balloon dissectors, the Company's business, financial condition and results 
of operations could be materially adversely affected.

         FLUCTUATIONS IN QUARTERLY RESULTS.  Results of the Company's 
operations may fluctuate significantly from quarter to quarter and will 
depend on (i) new product introductions by the Company and its competitors 
and fluctuations in revenues among different product lines and markets, (ii) 
purchases of the Company's products by EES, (iii) the rate of adoption by 
surgeons of balloon dissection technology in markets targeted by the Company, 
(iv) the sales efforts of EES, (v) the mix of sales among distributor and the 
Company's direct sales force, (vi) timing of patent and regulatory approvals, 
if any, (vii) timing and growth in operating expenditures, (viii) timing of 
research and development expenses, including marketing-related clinical 
evaluation expenditures, (ix) intellectual property litigation and (x) 
general market conditions. In the past, the Company's sales were highly 
dependent upon the marketing efforts and success of United States Surgical 
Corporation, which was the Company's major distributor until the relationship 
was mutually terminated in November 1996. In December 1996 the Company 
entered into the Expanded Ethicon Agreement, pursuant to which GSI granted 
EES exclusive worldwide sales and marketing rights to sell the Spacemaker-TM- 
Balloon Dissection Systems in the laparoscopic hernia repair and urinary 
stress incontinence (USI) markets. The Company's sales in any period will be 
highly dependent upon the marketing efforts and success of EES, which are not 
within the control of the Company. The Company anticipates that sales to EES 
will fluctuate in the future. Failure by EES to achieve 

                                        14

<PAGE>

certain levels of sales growth or a decline in purchases by EES could result 
in a decline in sales and adversely affect the Company's operating results. 
No manufacture or distribution of products has occurred to date pursuant to 
the EES Agreement, and there can be no assurance that efforts to do so will 
be effective. In addition, announcements or expected announcements by the 
Company, its competitors or its distributor of new products, new technologies 
or pricing changes could cause existing or potential customers of the Company 
to defer purchases of the Company's existing products and could alter the mix 
of products sold by the Company, which could have a material adverse effect 
on the Company's business, financial condition and results of operations. 
There can be no assurance that future products or product enhancements will 
be successfully introduced or that such introductions will not adversely 
affect the demand for existing products. As a result of these and other 
factors, the Company's quarterly operating results have fluctuated in the 
past, and the Company expects that such results may fluctuate in the future. 
Due to such quarterly fluctuations in operating results, quarter-to-quarter 
comparisons of the Company's operating results are not necessarily meaningful 
and should not be relied upon as indicators of likely future performance or 
annual operating results. In addition, the Company's limited operating 
history makes accurate prediction of future operating results difficult or 
impossible to make. There can be no assurance that in the future the Company 
will achieve sales growth or become profitable on a quarterly or annual 
basis, if at all, or that its growth, if any, will be consistent with 
predictions by securities analysts and investors. In such event, the price of 
the Company's Common Stock would likely be materially and adversely affected. 
See "Management's Discussion and Analysis of Financial Condition and Results 
of Operations."

         RELIANCE ON PATENTS AND PROPRIETARY TECHNOLOGY.  The Company's 
success will depend on its ability to obtain patent protection for its 
products and processes, to preserve its trade secrets and proprietary 
technology and to operate without infringing upon the patents or proprietary 
rights of third parties. As of December 31, 1996, GSI had 17 United States 
patents issued, and had applied for an additional 48 United States patents, 
11 of which had been allowed. In addition, GSI had two foreign patents 
issued, and 20 in prosecution as of such date. In May 1996, the Company was 
issued a United States patent that contains claims regarding the use of 
balloons to dissect tissue planes anywhere in the body.

         In May 1996, the Guidant Corporation unit of Origin MedSystems, Inc. 
filed an action against GSI in the U.S. District Court for the Northern 
District of California, alleging patent infringement of its patent entitled 
"Apparatus and Method for Peritoneal Retraction". GSI subsequently filed an 
action against Origin Medsystems, Inc. in the U.S. District Court for the 
Northern District of California alleging patent infringement of its patent 
for a method of tissue plane dissection using balloon systems. A decision 
against the Company in either of these actions could have a material adverse 
effect on the Company's business, financial condition or results of 
operations. The validity and breadth of claims in medical technology patents 
involve complex legal and factual questions and, therefore, may be highly 
uncertain. No assurance can be given that any patents based on pending patent 
applications or any future patent applications will be issued, that the scope 
of any patent protection will exclude competitors or provide competitive 
advantages to the Company, that any of the Company's patents or patents to 
which it has licensed rights will be held valid if subsequently challenged or 
that others will not claim rights in or ownership of the patents and other 
proprietary rights held or licensed by the Company or that the Company's 
existing patents will cover the Company's future products. Furthermore, there 
can be no assurance that others have not developed or will not develop 
similar products, duplicate any of the Company's products or design around 
any patents issued to or licensed by the Company or that may be issued in the 
future to the Company. Since patent applications in the United States are 
maintained in secrecy until patents issue, the Company also cannot be certain 
that others did not first file applications for inventions covered by the 
Company's pending patent applications, nor can the Company be certain that it 
will not infringe any patents that may issue to others on such applications.

         One of the patent applications filed by the Company, which is 
directed to a surgical method using balloon dissection technology, has been 
placed in interference with a patent application filed by Origin Medsystems, 
Inc. ("Origin"), a competitor of the Company. The Company believes that the 
inventor named in its patent application 

                                        15

<PAGE>

was the first to invent this subject matter, and has asserted that the Origin 
patent application was filed after a disclosure made by such inventor to 
employees of Origin. Origin takes a contrary position. This interference is 
presently pending in the United States Patent and Trademark Office ("USPTO") 
and, as permitted by the rules of the USPTO, has been referred to an 
arbitrator for completion of the interference proceeding. A decision is not 
expected in this interference proceeding until 1998. Failure of the Company 
to prevail in such interference proceeding could have a material adverse 
effect on the Company's business, financial condition and results of 
operations.

         Patent interference or infringement involves complex legal and 
factual issues and is highly uncertain, and there can be no assurance that 
any conclusion reached by the Company regarding patent interference or 
infringement will be consistent with the resolution of such issue by a court. 
In the event the Company's products are found to infringe patents held by 
competitors, there can be no assurance that the Company will be able to 
modify successfully its products to avoid infringement, or that any modified 
products will be commercially successful. Failure in such event to either 
develop a commercially successful alternative or obtain a license to such 
patent on commercially reasonable terms could have a material adverse effect 
on the Company's business, financial condition and results of operations. In 
any event, there can be no assurance that the Company will not be required to 
defend itself in court against allegations of infringement of third-party 
patents. Patent litigation is expensive, requires extensive management time, 
and could subject the Company to significant liabilities, require disputed 
rights to be licensed from third parties or require the Company to cease 
selling its products. 

         Legislation has recently been enacted in Congress, the effect of 
which is to immunize physicians and their employers from liability for patent 
infringement for alleged infringement of patent claims directed to medical 
procedures. 
         
         The patent laws of European and certain other foreign countries 
generally do not allow for the issuance of patents for methods of surgery on 
the human body. Accordingly, the ability of the Company to gain patent 
protection for its methods of tissue dissection will be significantly 
limited. As a result, there can be no assurance that the Company will be able 
to develop a patent portfolio in Europe or that the scope of any patent 
protection will provide competitive advantages to the Company.

         ROYALTY PAYMENT OBLIGATIONS.  The Company has acquired a significant 
number of patent rights from third parties, including rights that apply to 
the Company's current balloon dissection systems. The Company has 
historically paid and is obligated to pay in the future to such third parties 
royalties equal to 4% of sales of such products, which payments are expected 
to exceed minimum royalty payments due under agreements with such parties. 
The Company also has acquired patent rights under royalty-bearing agreements 
with respect to certain surgical instruments, including the KnotMaker product 
and the balloon valve trocar currently under development. The payment of such 
royalty amounts will have an adverse impact on the Company's gross profit and 
other results of operations. There can be no assurance that the Company will 
be able to continue to satisfy such royalty payment obligations in the 
future, and a failure to do so could have a material adverse effect on the 
Company's business, financial condition and results of operations.

         EARLY STAGE OF DEVELOPMENT AND COMMERCIALIZATION; NO ASSURANCE OF 
ABILITY TO MANAGE GROWTH.  The Company began commercial sales of its balloon 
dissection products in September 1993 and, as a result, has limited 
experience in manufacturing, marketing and selling its products commercially. 
In January 1997 the Company entered into a real estate lease and will be 
relocating its headquarters and manufacturing operations in April 1997 to 
this new facility. In addition, the Company experienced rapid growth in the 
number of its employees, the number of products under development, the number 
and amount of products manufactured and sold, and the geographic scope of its 
sales. In order to augment its long-term competitive 

                                        16

<PAGE>

position, the Company anticipates that it will be required to make 
significant additional expenditures in manufacturing, research and 
development, sales and marketing, and administration. The Company's inability 
to manage its growth effectively could have a material adverse effect on the 
Company's business, financial condition and results of operations.

         COMPETITION; UNCERTAINTY OF TECHNOLOGICAL CHANGE.  Competition in 
the market for medical devices used in tissue dissection surgical procedures 
is intense and is expected to increase. The Company competes primarily with 
other producers of MIS tissue dissection instruments. Origin, a subsidiary of 
Guidant Corporation, and others, currently compete against the Company in the 
development, production and marketing of MIS tissue dissection instruments 
and tissue dissection technology. To the extent that surgeons elect to use 
open surgical procedures rather than MIS, the Company also competes with 
producers of tissue dissection instruments used in open surgical procedures, 
such as blunt dissectors or graspers. A number of companies currently compete 
against the Company in the development, production and marketing of tissue 
dissection instruments and technology for open surgical procedures. In 
addition, the Company indirectly competes with producers of therapeutic 
drugs, when such drugs are used as an alternative to surgery. Many of the 
Company's competitors have substantially greater capital resources, name 
recognition, expertise in research and development, manufacturing and 
marketing and obtaining regulatory approvals. There can be no assurance that 
the Company's competitors will not succeed in developing balloon dissectors 
or competing technologies that are more effective than products marketed by 
the Company or that render the Company's technology obsolete. Additionally, 
even if the Company's products provide performance comparable to competing 
products or procedures, there can be no assurance that the Company will be 
able to obtain necessary regulatory approvals or compete against competitors 
in terms of price, manufacturing, marketing and sales.

         Many of the alternative treatments for medical indications that can 
be treated by balloon dissection products and laparoscopic surgery are widely 
accepted in the medical community and have a long history of use. In 
addition, technological advances with other therapies could make such other 
therapies more effective or cost-effective than balloon dissectors and 
minimally invasive surgery, and could render the Company's technology 
non-competitive or obsolete. There can be no assurance that surgeons will use 
MIS to replace or supplement established treatments or that MIS will remain 
competitive with current or future treatments. The failure of surgeons to 
adopt MIS could have a material adverse effect on the Company's business, 
financial condition and results of operations.

         In addition to the Company's focus on the development of its balloon 
dissection systems, the Company has also developed surgical instruments for 
use in MIS. There can be no assurance that the Company's surgical instruments 
will successfully compete with those manufactured by other producers of such 
surgical instruments. The failure to achieve commercial market acceptance of 
such surgical instruments could have a material adverse effect on the 
Company's business, financial condition and results of operations.

         UNCERTAIN AVAILABILITY OF THIRD-PARTY REIMBURSEMENT.  The Company's 
success will depend upon the ability of surgeons to obtain satisfactory 
reimbursement from healthcare payors for the Company's products. In the 
United States, hospitals, physicians and other healthcare providers that 
purchase medical devices generally rely on third-party payors, such as 
private health insurance plans, to reimburse all or part of the costs 
associated with the treatment of patients. Reimbursement in the United States 
for the Company's balloon dissection products is currently available from 
most third-party payors, including most major private health care insurance 
plans and Medicaid, under existing surgical procedure codes. The Company does 
not expect that third-party reimbursement in the United States will be 
available for use of its other products unless and until clearance or 
approval is received from the federal Food and Drug Administration (the 
"FDA"). If FDA clearance or approval is received, third-party reimbursement 
for these products will depend upon decisions by individual 

                                        17

<PAGE>

health maintenance organizations, private insurers and other payors. Many 
payors, including the federal Medicare program, pay a preset amount for the 
surgical facility component of a surgical procedure. This amount typically 
includes medical devices such as the Company's. Thus, the surgical facility 
or surgeon may not recover the added cost of the Company's products. In 
addition, managed care payors often limit coverage to surgical devices on a 
preapproved list or obtained from an exclusive source. If the Company's 
products are not on the list or are not available from the exclusive source, 
the facility or surgeon will need to obtain an exception from the payor or 
the patient will be required to pay for some or all of the cost of the 
Company's product. The Company believes that procedures using its balloon 
dissection products currently may be reimbursed in the United States under 
certain existing procedure codes. However, there can be no assurance that 
such procedure codes will remain available or that the reimbursement under 
these codes will be adequate. Given the efforts to control and decrease 
health care costs in recent years, there can be no assurance that any 
reimbursement will be sufficient to permit the Company to increase revenues 
or achieve or maintain profitability. The unavailability of third-party or 
other adequate reimbursement could have a material adverse effect on the 
Company's business, financial condition and results of operations.

         Reimbursement systems in international markets vary significantly by 
country, and by region within some countries, and reimbursement approvals 
must be obtained on a country-by-country basis. Many international markets 
have government-managed health care systems that govern reimbursement for new 
devices and procedures. In most markets, there are private insurance systems 
as well as government-managed systems. Large-scale market acceptance of the 
Company's balloon dissection systems and other products will depend on the 
availability and level of reimbursement in international markets targeted by 
the Company. Currently, the Company has been informed by its international 
distributors that the balloon dissectors have been approved for reimbursement 
in many of the countries in which the Company markets its products. Obtaining 
reimbursement approvals can require 12 to 18 months or longer. There can be 
no assurance that the Company will obtain reimbursement in any country within 
a particular time, for a particular amount, or at all. Failure to obtain such 
approvals could have a material adverse effect on the Company's business, 
financial condition and results of operations.

         Regardless of the type of reimbursement system, the Company believes 
that surgeon advocacy of its products will be required to obtain 
reimbursement. Availability of reimbursement will depend on the clinical 
efficacy of the procedure and the utility and cost of the Company's products. 
There can be no assurance that reimbursement for the Company's products will 
be available in the United States or in international markets under either 
government or private reimbursement systems, or that surgeons will support 
and advocate reimbursement for use of the Company's systems for all 
applications intended by the Company. Failure by surgeons, hospitals and 
other users of the Company's products to obtain sufficient reimbursement from 
health care payors or adverse changes in government and private third-party 
payors' policies toward reimbursement for procedures employing the Company's 
products could have a material adverse effect on the Company's business, 
financial condition and results of operations.

         GOVERNMENT REGULATION.  The Company's Spacemaker balloon dissection 
systems and other products are subject to extensive and rigorous regulation 
by the FDA and, to varying degrees, by state and foreign regulatory agencies. 
Under the federal Food, Drug, and Cosmetic Act, the FDA regulates the 
clinical testing, manufacture, labeling, packaging, marketing, distribution 
and record keeping for medical devices, in order to ensure that medical 
devices distributed in the United States are safe and effective for their 
intended use. Prior to commercialization, a medical device generally must 
receive FDA and foreign regulatory clearance or approval, which can be an 
expensive, lengthy and uncertain process. The Company is also subject to 
routine inspection by the FDA and state agencies, such as the California 
Department of Health Services ("CDHS"), for compliance with Good 
Manufacturing Practice requirements, Medical Device Reporting requirements 
and other applicable regulations. Noncompliance with applicable requirements 
can result in warning letters, import detentions, fines, civil penalties, 
injunctions, suspensions or losses of regulatory approvals, recall or seizure 
of products, operating 

                                        18

<PAGE>

restrictions, refusal of the government to approve product export 
applications or allow the Company to enter into supply contracts, and 
criminal prosecution. Delays in receipt of, or failure to obtain, regulatory 
clearances and approvals, or any failure to comply with regulatory 
requirements could have a material adverse effect on the Company's business, 
financial condition and results of operations.

         Labeling and promotional activities are subject to scrutiny by the 
FDA and, in certain circumstances, by the Federal Trade Commission. Current 
FDA enforcement policy prohibits the marketing of approved medical devices 
for unapproved uses. The Spacemaker I platform, Spacemaker II platform, 
Spacemaker Resposable platform, and KnotMaker product each have received 
510(k) clearance for use during general, endoscopic, laparoscopic or cosmetic 
and reconstructive surgery, either when tissue dissection is required or, 
with respect to the KnotMaker product, when a surgical knot for suturing is 
required. The Company has promoted these products for surgical applications 
(e.g., hernia repair, subfascial endoscopic perforator surgery and breast 
augmentation and reconstruction), and may in the future promote these 
products for the dissection or knotmaking required for additional selected 
applications (e.g., treatment of stress urinary incontinence, saphenous vein 
harvesting and a variety of orthopedic procedures such as anterior spinal 
fusion). For any medical device cleared through the 510(k) process, 
modifications or enhancements that could significantly affect the safety or 
effectiveness of the device or that constitute a major change to the intended 
use of the device will require a new 510(k) submission. The Company has made 
modifications to its products which the Company believes do not affect the 
safety or effectiveness of the device or constitute a major change to the 
intended use and therefore do not require the submission of new 510(k) 
notices. There can be no assurance, however, that the FDA will agree with any 
of the Company's determinations not to submit a new 510(k) notice for any of 
these changes or will not require the Company to submit a new 510(k) notice 
for any of the changes made to the product. If such additional 510(k) 
clearances are required, there can be no assurance that the Company will 
obtain them on a timely basis, if at all, and delays in receipt of or failure 
to receive such approvals could have a material adverse effect on the 
Company's business, financial condition and results of operations. If the FDA 
requires the Company to submit a new 510(k) notice for any product 
modification, the Company may be prohibited from marketing the modified 
product until the 510(k) notice is cleared by the FDA. The Company plans to 
file a 510(k) submission for its specialized trocar with a balloon valve, 
which is intended to provide a seal to maintain insufflation of the surgical 
space during MIS. There can be no assurance that the FDA will grant 510(k) 
clearance for the Company's specialized trocar on a timely basis, if at all.

         Sales of medical devices outside of the United States are subject to 
foreign regulatory requirements that vary widely from country to country. The 
Company currently relies on its international distributors for the receipt of 
premarket approvals and compliance with clinical trial requirements in those 
countries that require them, and it expects to continue to rely on 
distributors in those countries where the Company continues to use 
distributors. In the event that the Company's international distributors fail 
to obtain or maintain premarket approvals or compliance in foreign countries 
where such approvals or compliance are required, the Company may be required 
to cause the applicable distributor to file revised governmental 
notifications, cease commercial sales of its products in the applicable 
countries or otherwise act so as to stop any ongoing noncompliance in such 
countries. Any enforcement action by regulatory authorities with respect to 
past or any future regulatory noncompliance could have a material adverse 
effect on the Company's business, financial condition and results of 
operations.

         In order to continue selling its products within the European 
Economic Area following June 14, 1998, the Company will be required to 
achieve compliance with the requirements of the Medical Devices Directive 
(the "MDD") and to affix CE marking on its products to attest such 
compliance. Failure by the Company to comply with CE marking requirements by 
June 1998 would prohibit the Company from selling its products in the 
European Economic Area unless and until compliance was achieved, which could 
have a material adverse effect upon the Company's business, financial 
condition and results of operations.

                                        19

<PAGE>

         LIMITED MANUFACTURING EXPERIENCE; UNCERTAINTY REGARDING FUTURE 
FACILITIES. The Company has only limited experience in manufacturing its 
products in commercial quantities. The Company intends to scale up its 
production of new products and to increase its manufacturing capacity for 
existing and new products. However, manufacturers often encounter 
difficulties in scaling up production of new products, including problems 
involving production yields, quality control and assurance, component supply 
and shortages of qualified personnel. Difficulties experienced by the Company 
in manufacturing scale-up and manufacturing difficulties could have a 
material adverse effect on its business, financial condition and results of 
operations. There can be no assurance that the Company will be successful in 
scaling up or that it will not experience manufacturing difficulties or 
product recalls in the future.

         The Company currently occupies a single facility in Palo Alto, 
California that houses its headquarters, administrative offices, research 
laboratories and manufacturing facilities. In January 1997, the Company 
entered into a new facility lease for premises in Cupertino, California, and 
is planning to relocate its headquarters and manufacturing operations to this 
new location during April 1997. The new facilities lease comprises 
approximately 30,460 square feet and the monthly rent is approximately 
$47,000. There can be no guarantee that the Company will be able to establish 
and certify adequate manufacturing capacity in a timely manner, or at all, in 
the new space. Failure to establish and certify adequate manufacturing 
capacity in a timely manner could have a material adverse effect on the 
Company's business, financial condition and results of operations.

         DEPENDENCE ON SINGLE SOURCE SUPPLIERS; LACK OF CONTRACTUAL 
ARRANGEMENTS. The Company currently relies upon single source suppliers for 
several components of its balloon dissection products, and in most cases 
there are no formal supply contracts. There can be no assurance that the 
component materials obtained from single source suppliers will continue to be 
available in adequate quantities, if at all, or, if required, that the 
Company will be able to locate alternative sources of such component 
materials on a timely basis, if at all, to market its products. In addition, 
there can be no assurance that the single source suppliers will meet the 
Company's future requirements for timely delivery of products of sufficient 
quality and quantity. The failure to obtain sufficient quantities and 
qualities of such component materials, or the loss of any of the Company's 
single source suppliers, could cause a delay in GSI's ability to fulfill 
orders while it identifies and certifies a replacement supplier, if any, and 
could have a material adverse effect on the Company's business, financial 
condition and results of operations.

         PRODUCT LIABILITY RISK AND PRODUCT RECALL; LIMITED INSURANCE 
COVERAGE.  The Company's business exposes it to potential product liability 
risks or product recalls that are inherent in the design, development, 
manufacture and marketing of medical devices, in the event the use of the 
Company's products is alleged to have caused adverse effects on a patient or 
such products are believed to be defective. The Company's products are 
designed to be used in certain procedures where there is a high risk of 
serious injury or death. Such risks will exist even with respect to those 
products that have received, or may in the future receive, regulatory 
clearance for commercial sale. As a result, there can be no assurance that 
the Company's product liability insurance is adequate or that such insurance 
coverage will continue to be available on commercially reasonable terms or at 
all. Particularly given the lack of data regarding the long-term results of 
the use of balloon dissection products, there can be no assurance the Company 
will avoid significant product liability claims. Consequently, a product 
liability claim or other claim with respect to uninsured or underinsured 
liabilities could have a material adverse effect on the Company's business, 
financial condition and results of operations.

         RISKS ASSOCIATED WITH INTERNATIONAL SALES.  Sales outside of the 
United States accounted for approximately 3% and 4% of the Company's sales in 
fiscal 1995 and 1996, respectively, and the Company 

                                        20

<PAGE>

expects that international sales will represent an increasing portion of 
revenue in the future. The Company intends to continue to expand its sales 
outside of the United States and to enter additional international markets, 
which will require significant management attention and financial resources 
and subject the Company further to the risks of selling internationally. 
These risks include unexpected changes in regulatory requirements, tariffs 
and other barriers and restrictions, reduced protection for intellectual 
property rights, and the burdens of complying with a variety of foreign laws. 
In addition, because all of the Company's sales are denominated in U.S. 
dollars, fluctuations in the U.S. dollar could increase the price in local 
currencies of the Company's products in foreign markets and make the 
Company's products relatively more expensive than competitors' products that 
are denominated in local currencies. There can be no assurance that 
regulatory, currency and other factors will not adversely impact the 
Company's operations in the future or require the Company to modify its 
current business practices.

         DEPENDENCE ON MANAGEMENT AND OTHER KEY PERSONNEL.  The Company is 
dependent upon a limited number of key management and technical personnel. 
The loss of the services of one or more of such key employees could have a 
material adverse effect on the Company's business, financial condition, and 
results of operations. In addition, the Company's success will be dependent 
upon its ability to attract and retain additional highly qualified sales, 
management, manufacturing and research and development personnel. The Company 
faces intense competition in its recruiting activities and there can be no 
assurance that the Company will be able to attract and/or retain qualified 
personnel.

         POTENTIAL VOLATILITY OF STOCK PRICE.  The market prices of the 
common stock of many publicly held medical device companies have in the past 
been, and can in the future be expected to be, especially volatile. 
Announcements of technological innovations or new products by the Company or 
its competitors, clinical marketing trial results, release of reports by 
securities analysts, developments or disputes concerning patents or 
proprietary rights, regulatory developments, changes in regulatory or medical 
reimbursement policies, economic and other external factors, as well as 
period-to-period fluctuations in the Company's financial results, may have a 
significant impact on the market price of the Common Stock. In addition, the 
securities markets have from time to time experienced significant price and 
volume fluctuations that are unrelated to the operating performance of 
particular companies.

PART II. OTHER INFORMATION

ITEM 1.  LEGAL PROCEEDINGS
    In May, 1996, the Guidant Corporation unit of Origin MedSystems, Inc. 
filed an action against GSI in the United States District Court for the 
Northern District of California, alleging patent infringement of its patent 
entitled "Apparatus and Methods for Peritoneal Retraction." GSI subsequently 
filed a claim against Origin Medsystems, Inc. in the United States District 
Court for the Northern District of California, alleging that the use of 
Origin's balloon dissection products infringe its patent for a method of 
tissue plane dissection using balloon systems. In addition, one of the patent 
applications filed by the Company, which is directed to a surgical method 
using balloon dissection technology, has been placed in interference with a 
patent application filed by Origin, a competitor of the Company. The Company 
believes that the inventor named in its patent application was the first to 
invent this subject matter, and the Company has asserted that the Origin 
patent application was filed after a disclosure made by such inventor to 
employees of Origin. Origin takes a contrary position. This interference is 
presently pending in the United States Patent and Trademark Office ("USPTO") 
and, as permitted by the rules of the USPTO, has been referred to an 
arbitrator for completion of the interference proceeding. A decision is not 
expected in the interference proceeding until calendar year 1998, and, while 
the Company believes it will be successful in this interference proceeding 
there can be no assurance of such success. Failure of the Company to prevail 
in such interference proceeding could have a material adverse effect on the 
Company business, financial 

                                        21

<PAGE>

condition or results of operation. A decision against the Company in either 
of these actions could have a material adverse effect on the Company's 
business, financial condition or results of operations.

From time to time the Company may be exposed to litigation arising out of its
products or operations. The Company is not engaged in any legal proceedings that
are expected, individually or in the aggregate, to have a material adverse
effect on the Company, expect for the patent interference proceedings discussed
herein.

ITEM 2. CHANGES IN SECURITIES
    None.

ITEM 3. DEFAULTS IN SENIOR SECURITIES
    None.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY
    Holders

    On November 19, 1996, the Company held its annual meeting of shareholders. 
At the annual meeting, the Company's shareholders approved the following matters
by the following votes:  

1.  Election of the following directors of the Company:


        NOMINEE                   FOR              ABSTAIN
- --------------------------    -----------      --------------

Roderick A. Young              7,473,233            1,300
                              -----------      --------------

Thomas J. Fogarty              7,454,233           20,300
                              -----------      --------------

David W. Chonette              7,473,233            1,300
                              -----------      --------------

Paul Goeld                     7,454,233           20,300
                              -----------      --------------

Mark A. Wan                    7,472,933            1,600
                              -----------      --------------


2.  Amendments to the Company's 1992 Stock Option Plan to increase the number
of shares of Common Stock reserved for issuance thereunder by 400,000 shares to
an aggregate of 2,115,882 shares.

    FOR  7,388,727      AGAINST  84,406          ABSTAIN  1,400
         ---------               ------                   -----

3.  Ratification of the appointment of Coopers & Lybrand L.L.P. as independent
accountants for the Company for the fiscal year ending June 30, 1997.

    FOR  7,472,033      AGAINST  1,200           ABSTAIN  1,300
         ---------               -----                    -----

ITEM 5. OTHER INFORMATION
    None.


ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

     (a) EXHIBITS

          Exhibit             Description
          -------             -----------
            10.20 (1)(2)      OEM Supply Agreement (Expanded Field) dated 
                              December 20, 1996, between Ethicon
                              Endo-Surgery, Inc. and the Company 
                              ("Expanded EES Agreement").

                                        22

<PAGE>

            10.21(2)          Modification and Termination Agreement and 
                              Mutual Release dated November 12, 1996,
                              between United States Surgical Corporation and the
                              Company.

            10.22             Real Estate Lease between Berg & Berg Developers 
                              and the Company.

            11.1              Statement of Computation of Earnings (Net Loss)
                              Per Share

            27.1              Financial Data Schedule

            (1)   This exhibit supercedes Exhibit 10.19.

            (2)   Confidential treatment has been requested with regard to 
                  certain portions of this exhibit.


     (b) REPORTS ON FORM 8-K

     The Company filed no reports on Form 8-K during the quarter ended
     December 31, 1996.

                                        23

<PAGE>

 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, thereunto duly authorized.


                          GENERAL SURGICAL INNOVATIONS, INC.
                                           


                                           
                             By:/s/   STEPHEN J. BONELLI
                                ------------------------
                                  Stephen J. Bonelli

                                  Vice President, Finance 

                                  and Chief Financial Officer
                                           
                                           
                                           
Date: February   , 1997

                                        24


<PAGE>

                                                               EXHIBIT 10.20

                        OEM SUPPLY AGREEMENT (EXPANDED FIELD)

    This is an Agreement dated and effective as of the last date of signature 
below ("Effective Date") by and between Ethicon Endo-Surgery, Inc., a 
corporation organized under the laws of the State of Ohio, having a business 
address at 4545 Creek Road, Cincinnati, Ohio 45242 ("Ethicon"); and General 
Surgical Innovations, Inc., a corporation organized under the laws of the 
State of California, having a business address at 3172A Porter Drive, Palo 
Alto, California 94304 ("GSI").

ARTICLE 1 - BACKGROUND
    1.1  Ethicon manufactures and markets surgical instruments and accessories
for minimally invasive surgery, including trocars, staplers, ligation devices,
hand-held instruments, retractors, manipulation devices and electrosurgery
products.  Prior to the Effective Date hereof, Ethicon had developed and began
marketing a balloon dissector to facilitate minimally invasive surgery for
hernia repair.
    1.2  GSI has developed and patented an array of balloon dissectors and
their methods of use to facilitate minimally invasive surgery for hernia repair,
urinary stress incontinence ("USI"), plastic and reconstructive surgery,
vascular surgery, and other surgical methods.
    1.3  Ethicon desires to qualify GSI as an original equipment manufacturer
("OEM") supplier for certain balloon dissectors, and to thereafter purchase from
GSI certain balloon dissectors meeting agreed-upon specifications for resale to
Ethicon's customers.  Correspondingly, GSI desires to be qualified as an OEM
supplier of certain balloon dissectors to Ethicon, and to thereafter sell
certain balloon dissectors to Ethicon meeting agreed-upon specifications.
    1.4  The parties entered into an OEM Supply Agreement dated as of June 25,
1996 (the "OEM Agreement").  The parties desire to expand the OEM Agreement to
include dissectors in the Expanded Field (defined below).  Upon execution of
this Agreement for the Expanded Field, the OEM Agreement shall be terminated,
and this Agreement shall replace and supercede the OEM Agreement in its
entirety.
    Therefore, GSI agrees to supply to Ethicon, and Ethicon agrees to purchase
from GSI, certain balloon dissectors upon the terms and conditions set forth
below.

ARTICLE 2 - DEFINITIONS
    The following terms, when used with initial capital letters, shall have the
following meanings, whether used in the singular or the plural:
    2.1  "Affiliate" is any entity that directly or indirectly controls, is
controlled by, or is under common control with a party, and for such purpose
"control" shall mean the possession, direct or indirect, of the power to direct
or cause the direction of the management and policies of the entity, whether
through the ownership of voting securities, by contract or otherwise.
    2.2  A "Change of Control" shall be deemed to have occurred if any of the
following occurs:  a) any "person" (as such term is used in Sections 13(d) and
14(d) of the Securities Exchange Act of 1934, as amended (the "Exchange Act") is
or becomes the "beneficial owner" (as defined in Rule 13d-3 under the Exchange
Act), directly or 

                                   PAGE 1
<PAGE>

indirectly, of securities of GSI representing thirty percent (30%) or more of 
the combined voting power of GSI's then outstanding securities; b) the 
stockholders of GSI approve a merger or consolidation of GSI with any other 
corporation, other than a merger or consolidation which would result in the 
voting securities of GSI outstanding immediately prior thereto continuing to 
represent (either by remaining outstanding or by being converted into voting 
securities of the surviving entity) at least sixty percent (60%) of the 
combined voting power of the voting securities of GSI or such surviving 
entity outstanding immediately after such merger or consolidation, or c) or 
the stockholders of GSI approve a plan of complete liquidation of GSI or an 
agreement for the sale or disposition by GSI of all or substantially all of 
GSI's assets.
    2.3  "Bonutti Agreement" is an agreement between Apogee Medical Products,
Inc. and GSI, whose last date of signature therein is March 9, 1995, a copy of
which is provided by GSI to Ethicon as of the Effective Date.
    2.4  "Calendar Quarter" is the usual and customary Ethicon calendar
quarter, used for internal accounting purposes, of approximately three (3)
months, in which each of the first two months consist of four weeks and the
third month consists of five weeks.
    2.5  "Ethicon Balloon Dissector" is the balloon dissector Ethicon has
itself begun to manufacture and sell to its customers, identified as the
ENDOPATH TED 12 Balloon Dissector, or any substantially identical modifications
thereof.
    2.6  "Existing OEM Supply Agreement" was an agreement between GSI and U.S.
Surgical Corporation effective March 9, 1994 and terminated November 12, 1996, a
redacted copy of which has been made publicly available and is on file with the
Securities and Exchange Commission ("SEC").
    2.7  "Expanded Field" shall mean all Tissue Dissectors, inclusive of all
products covered under the Existing OEM Supply Agreement and the Spacemaker
Balloon Dissectors, in the field of hernia repair and USI.
    2.8  "FDA" shall mean the U.S. Department of Health and Human Services,
Food and Drug Administration, or any successor governmental organization.
    2.9  "First Accounting Quarter" is the first Calendar Quarter beginning on
or about July 1, 1997.  The successive Calendar Quarters following the First
Accounting Quarter shall be referred to in their numerical order as, for
example, the "Second", "Third", "Fourth" and "Fifth" Accounting Quarter, until
the expiration or termination of this Agreement.  For purposes of this
Agreement, the final Accounting Quarter shall extend from the end of its
preceding Accounting Quarter to the termination or expiration of this Agreement.
    2.10 "First OEM Balloon Dissector" is the balloon dissector labeled under
the Ethicon name which GSI initially supplies to Ethicon hereunder in accordance
with and meeting the product and quality assurance specifications mutually
agreed to between the parties.  The parties may hereinafter modify such
specifications upon mutual written consent.
    2.11 "First Commercial Delivery" is the first delivery of the First OEM
Balloon Dissector from GSI to Ethicon, pursuant to Article 4.7 below,  excluding
sales samples and training aids intended for promotional use only.

                                   PAGE 2
<PAGE>

    2.12 "510(k) Clearance" shall mean premarket concurrence of substantial
equivalence in accordance with Article 510(k) of the U.S. Food, Drug and
Cosmetic Act of 1938, as amended.
    2.13 "GSI Patents" are each patent and patent application, U.S. and
foreign, which GSI owns or is empowered to grant a license to Ethicon prior to
or during the term of this Agreement or any extension thereof, the practice of
which is reasonably necessary for Ethicon to sell Tissue Dissectors. 
    2.14 "GSI Total Gross Margin" is the gross margin calculated according to
generally accepted accounting principles (GAAP) and attributable to GSI Sales,
OEM Purchases, and Royalty Payments.
    2.15 "GSI Sales" shall mean sales from GSI to end users of Spacemaker
Balloon Dissectors pursuant to Article 9.1B below.  
    2.16 "Guaranteed Payment" shall mean a negotiated transfer price for the
Tissue Dissectors multiplied by a guaranteed minimum number of units of such
dissectors which a potential purchaser (either Ethicon or a third party) 
would be obligated to purchase from GSI in a given [***********************
********************************].  In the case of Ethicon, such
negotiated transfer price will not exceed [****************************
****************************************************].
    2.17 "Insolvency Event" shall mean the occurrence of any of the following
events:
         (a)  GSI shall admit in writing its inability, or be generally unable,
to pay its debts as such debts become due; or
         (b)  GSI shall (1) apply for or consent to the appointment of, or the
taking of possession by, a receiver, custodian, trustee or liquidator of itself
or of all or a substantial part of its property, (2) make a general assignment
for the benefit of its creditors, (3) commence a voluntary case under the United
States Bankruptcy Code, as now or hereafter in effect (the "Bankruptcy Code"),
(4) file a petition seeking to take advantage of any other law relating to
bankruptcy, insolvency, reorganization, winding-up, or composition or
readjustment of debts, (5) fail to controvert in a timely and appropriate
manner, or acquiesce in writing to, any petition filed against it in any
involuntary case under the Bankruptcy Code, or (6) take any corporate action for
the purpose of effecting any of the foregoing; or 
         (c)  A proceeding or case shall be commenced against GSI in any court
of competent jurisdiction, seeking (1) its liquidation, reorganization,
dissolution or winding-up, or the composition or readjustment of its debts, (2)
the appointment of a trustee, receiver, custodian, liquidator or the like of GSI
or of all or any substantial part of its assets, or (3) similar relief in
respect of GSI under any law relating to bankruptcy, insolvency, reorganization,
winding-up, or composition or adjustment of debts, or an order, judgment or
decree approving or ordering any of the foregoing shall be entered and continue
unstayed and in effect for a period of 90 days; or an order for relief against
GSI shall be entered in an insolvency case under the Bankruptcy Code.
    2.18 "Kieturakis Agreements" are agreements between Thomas J. Fogarty, M.D.
or his designee (represented by GSI to be GSI) and Maciej Kieturakis, M.D., and
as filed with the SEC.


[***] CONFIDENTIAL TREATMENT REQUESTED



                                   PAGE 3
<PAGE>

    2.19 "OEM Balloon Dissectors" are collectively the First OEM Balloon
Dissector and the Subsequent OEM Balloon Dissectors.
    2.20 "OEM Purchases" shall mean Ethicon's purchases of OEM Balloon
Dissectors from GSI.  
    2.21 "Regulatory Compliance" shall mean compliance with (i) all applicable
statutes, laws, and regulations, including good manufacturing practices ("GMP");
(ii) Ethicon Endo-Surgery, Inc. Quality Assurance requirements, and (iii)
Johnson & Johnson Corporate Quality Assurance requirements generally applicable
to all suppliers of products to Johnson & Johnson companies in effect as of the
Effective Date, and as amended by Johnson & Johnson, so long as Ethicon uses
reasonable efforts to communicate such amendments to GSI.
    2.22 "Royalty Payments" shall mean Ethicon's payment of earned royalties 
to GSI pursuant to Article 9.1 below for the sale of the Ethicon Balloon 
Dissector. 
    2.23 "Spacemaker Balloon Dissectors" are collectively the Spacemaker I and
II balloon dissectors and Spacemaker World balloon dissector each of which GSI
has made commercially available.
    2.24 "Subsequent OEM Balloon Dissectors" are balloon dissectors labeled
under the Ethicon name which GSI subsequently supplies to Ethicon hereunder
following the initial supply of the First OEM Balloon Dissector, and supplied in
accordance with and meeting the product and quality assurance specifications
mutually agreed to between the parties and set forth hereinafter in successive
appendices to this Agreement.  The parties may modify such specifications upon
mutual written consent.
    2.25 "Tissue Dissectors" are surgical instruments or the use of such
instruments, which are covered by a Valid Claim of any of the GSI Patents for
separating adjacent tissue layers to create an operative space during or in
connection with a medical or surgical procedure, including but not limited to
the OEM Balloon Dissectors and the Ethicon Balloon Dissector, and whether for
open or endoscopic surgery.
    2.26 "Trademarks" are (i) U.S. Trademark Registration No. 1,860,825, 
"Spacemaker" and (ii) the "General Surgical Innovations, Inc." and "GSI" names,
unregistered. 
    2.27 "Valid Claim" means any claim of the issued GSI Patents. 
Notwithstanding the foregoing, the term "Valid Claim" will not include (x) any
claims which have been declared or rendered invalid or otherwise become
unenforceable by reissue, disclaimer, or any unappealed or unappealable decision
or judgment of a court or governmental agency of competent jurisdiction, or (y)
any claims of the GSI Patents that have lapsed or become abandoned. 

ARTICLE 3 - TERM
    3.1  The term of this Agreement shall be for a period of five (5) years
from the Effective Date unless earlier terminated under Article 10 below.  The
parties may extend the term of this Agreement for successive one (1) year
periods upon the terms and conditions set forth herein, provided the parties
mutually agree on a transfer price and minimum purchase requirements for the OEM
Balloon Dissectors.  Unless terminated early pursuant to Article 4.6(a)(iii),
for a period of [**************] following the termination of this Agreement, 
or any extension thereof, GSI shall not enter into any


[***] CONFIDENTIAL TREATMENT REQUESTED


                                   PAGE 4
<PAGE>

agreement with a single distributor or OEM for exclusive rights to supply 
Tissue Dissectors for resale in the Expanded Field to such party upon terms 
requiring such distributor or OEM to make a Guaranteed Payment less than the 
midpoint of those terms last offered in writing by GSI and by Ethicon.  
Ethicon's offer will be deemed to be zero if Ethicon fails to make an offer 
in writing.

ARTICLE 4 - RESPONSIBILITIES OF THE PARTIES 
    4.1  The parties shall cooperate with each other to qualify GSI as an OEM
supplier of OEM Balloon Dissectors for Ethicon, and to ensure that GSI
satisfactorily meets Ethicon's requirements for Regulatory Compliance and
manufacturing capacity.  Ethicon shall render assistance to GSI as necessary or
desirable to reasonably expedite the qualification process, without charge to
GSI.  Any costs incurred by GSI to expedite the qualification process, and to
meet the requirements of Regulatory Compliance, shall be borne by GSI.
    4.2  Once Ethicon has qualified GSI as an OEM supplier, and GSI is capable
of meeting Ethicon's requirements for Regulatory Compliance, GSI shall
manufacture and sell the OEM Balloon Dissectors exclusively to Ethicon in the
Expanded Field, and shall not sell the OEM Balloon Dissector to any third party
in the Expanded Field.  After the date that (i) Ethicon has qualified GSI as an
OEM supplier, and (ii) GSI is capable of meeting Ethicon's requirements for
Regulatory Compliance, Ethicon will exclusively purchase Tissue Dissectors in
the Expanded Field from GSI, and will not manufacture or have manufactured for
it (except by GSI) such dissectors, except as permitted under Article 8 below. 
Ethicon also agrees not to manufacture, have manufactured, sell or market Tissue
Dissectors, except for (a) the Ethicon Balloon Dissector manufactured prior to
GSI's qualification as an OEM supplier,  (b)  Tissue Dissectors purchased from
or on behalf of GSI, or (c) as permitted under Article 8 below.  GSI shall not
change the form, fit, function, color, components or materials of the OEM
Balloon Dissectors, or the process by which the OEM Balloon Dissectors are
manufactured, without the prior written consent of Ethicon (which consent will
not be unreasonably withheld).
    4.3  (a)  During the term of this Agreement, Ethicon shall pay [*******
*************] for each unit of the First OEM Balloon Dissector as set forth 
in Appendix 1.
         (b)  The parties shall negotiate in good faith the transfer price of
any Subsequent OEM Balloon Dissectors which GSI desires to supply to Ethicon and
Ethicon desires to purchase from GSI. 
         (c)  During the term of this Agreement or any extension thereof, the
[*****************] for fully functional sample units of the First OEM Balloon
Dissector shall be set forth in Appendix 1.  The [*****************] for fully
functional sample units of Subsequent OEM Balloon Dissectors shall be mutually
agreed upon.  
    4.3A (a)  During the term of this Agreement, GSI shall pay [***********
*****] for each component or subassembly purchased from Ethicon for use in the
First OEM Balloon Dissector as set forth in Appendix 1.
         (b)  The parties shall negotiate in good faith the transfer price of
any components or subassemblies purchased from Ethicon for use in Subsequent OEM
Balloon Dissectors. 


[***] CONFIDENTIAL TREATMENT REQUESTED


                                   PAGE 5
<PAGE>
         (c)  During the term of this Agreement or any extension thereof, the
[********************] for fully functional sample components or subassemblies 
for the First OEM Balloon Dissector shall be set forth in Appendix 1.  The 
[**** ***********] for fully functional sample components or subassemblies of
Subsequent OEM Balloon Dissectors shall be mutually agreed upon.  
    4.4  Ethicon shall pay [***************] set forth in Article 4.3 above for
delivery of the OEM Balloon Dissectors within thirty (30) days from the date of
invoice, F.O.B. GSI's factory in Palo Alto, California, or other location
mutually agreed upon between the parties.  The date of invoice shall not be
earlier than the date of shipment.  GSI shall ship, at Ethicon's cost, to any
location chosen by Ethicon utilizing carriers chosen by Ethicon.  The risk of
loss with respect to the OEM Balloon Dissectors shall remain with GSI until the
OEM Balloon Dissectors are loaded aboard the common carrier in Palo Alto, or
other location mutually agreed upon between the parties.  GSI will pack the OEM
Balloon Dissectors in a manner suitable for shipment to enable the OEM Balloon
Dissectors to withstand the effects of shipping, including handling during
loading and unloading.
    4.5  GSI shall provide the following information at no cost to Ethicon:
         (a)  necessary data, descriptions, processes, photographs and
statements of claims for safety, efficacy or performance so that Ethicon may
prepare, at its cost, labeling, inserts and sales literature relating to the OEM
Balloon Dissectors; 
         (b)  technical data to allow Ethicon to prepare up-to-date customer
instruction for the OEM Balloon Dissectors;
         (c)  a copy of the Device Master Record and the Device History Record,
as defined in 21 Code of Federal Regulations 800, for the OEM Balloon Dissectors
and components thereof; and
         (d)  copies of all U.S. and foreign regulatory submissions, including
the 510(k) submission, for the OEM Balloon Dissectors.
    4.5A Ethicon shall provide the following information at no cost to GSI:
         (a)  Any information reasonably necessary for GSI to meet the
requirements of Regulatory Compliance for the purchase by or on behalf of
Ethicon of the OEM Balloon Dissectors, including but not limited to, reasonable
efforts to provide copies of U.S. and foreign regulatory submissions for OEM
Balloon Dissectors (such copies to be deemed confidential by GSI).
    4.6 (a)(i)  GSI Total Gross Margin Guarantee
         For the time period from October 4, 1996, until June 30, 1997 (the
"Gross Margin Guarantee Period"), GSI shall be guaranteed a GSI Total Gross
Margin of Four Million Eight Hundred Thousand dollars ($4,800,000.00).  The
minimum GSI Total Gross Margin on a quarterly basis shall be as follows:

              QUARTERLY GSI TOTAL GROSS MARGIN

GSI CALENDAR QUARTER      TRACKING DATE    MINIMUM GSI TOTAL GROSS MARGIN
- --------------------      -------------    ------------------------------
    4th Quarter '96            12/31/96    $1,500,000
    1st Quarter '97             3/31/97    $1,600,000
    2nd Quarter '97             6/30/97    $1,700,000


[***] CONFIDENTIAL TREATMENT REQUESTED

                                   PAGE 6
<PAGE>
    
If it is projected within fifteen (15) days prior to the end of any of the three
GSI Calendar Quarters set forth above that the actual GSI Total Gross Margin
through the end of such quarter is less than the Minimum GSI Total Gross Margin
for that quarter, then Ethicon shall pay GSI the difference between such actual
GSI Total Gross Margin and the Minimum GSI Total Gross Margin within ten (10)
days prior to the end of such quarter.  The parties acknowledge that any
deficiencies or overpayments, if any, made as a result of GSI Total Gross Margin
projections (for example, as described in Article 9.1B below), shall be
reconciled during the subsequent calendar quarter.  Until such time as Ethicon
has qualified GSI as an OEM supplier of Spacemaker Balloon Dissectors,  GSI
shall use its reasonable commercial efforts to procure GSI sales.
         (a)(ii)   During each of the [**************] Accounting Quarters,
Ethicon shall purchase a minimum number of units qualifying as OEM Purchases as
follows:

 ACCOUNTING QUARTER       QUARTERLY MINIMUM UNIT PURCHASE REQUIREMENT
 ------------------       -------------------------------------------
                                  HERNIA               USI
                                  ------               ---
    [*******]                     [*****]            [*****]
    [*******]                     [*****]            [*****]
    [*******]                     [*****]            [*****]
    [*******]                     [*****]            [*****]

If the actual number of units of OEM Purchases for either procedural category
set forth above (Hernia or USI) in any Accounting Quarter exceeds the quarterly
minimum unit purchase requirement for such quarter, then such excess may be
applied as a credit to the other procedural category for such quarter in an
amount not exceeding [******************] of such minimum unit purchase
requirement for such other procedural category for such quarter.

During the Accounting Quarters following the [******] Accounting Quarter,
Ethicon's quarterly minimum unit purchase requirement shall be based on the
greater of (i) [****************] of the actual units of the OEM Balloon
Dissectors shipped by Ethicon to non-Affiliates in the preceding Accounting
Quarter, or (ii) [****************************************************
**********************].  Notwithstanding the preceding sentence, the
Minimums for the [****] Accounting Quarter shall not be less than [*******
*******************] units.

         (a)(iii)  QUARTERLY MINIMUM UNIT PURCHASE REQUIREMENTS ("MINIMUMS")  
GSI shall consider satisfaction of the Minimums set forth in Article 
4.6(a)(ii) and satisfaction of the mutual initiatives set forth in Article 
13.12A (provided GSI satisfies such initiatives in cooperation with Ethicon) 
herein as complete satisfaction of any duty, whether express or implied, 
which could be imposed upon Ethicon to commercially exploit its rights under 
this Agreement, and is accepted by GSI in lieu of any best efforts obligation 
on the part of Ethicon.  If Ethicon fails to make its Minimums to GSI, then 
GSI may provide Ethicon with written notice of such failure.  Ethicon shall 
have thirty (30) days after receiving such written notice to deliver a 
binding purchase order to GSI for the OEM Balloon Dissectors for delivery 
within the applicable quarter or to make a 


[***] CONFIDENTIAL TREATMENT REQUESTED

                                   PAGE 7
<PAGE>

payment to GSI in order to make up any deficiencies in its Minimums.  Such 
payment to make up any deficiences shall be calculated by multiplying any 
unit deficiency times the average transfer price from GSI to Ethicon of OEM 
Balloon Dissectors in the preceding quarter.  If Ethicon fails to take this 
action, then GSI may manufacture and sell the Tissue Dissectors to third 
parties upon written notice, or otherwise terminate this Agreement upon 
written notice to Ethicon; provided, however, that Ethicon will not be 
relieved from its obligation to make the Minimums occurring prior to the 
termination of this Agreement, or in the event the date of such termination 
occurs prior to the First Accounting Quarter, Ethicon will not be relieved 
from its obligation to make the Minimums for the First Accounting Quarter.
         (b)  The quarterly minimum gross margin requirements set forth under
4.6(a)(i) above, or the Minimums set forth under Article 4.6(a)(ii) above, 
shall for any applicable quarter be changed in the following circumstances:
              (i)  If GSI fails for any reason within GSI's reasonable control
(other than (1) a Major Forces event under Article 13.8 below,  (2) a failure by
Ethicon to supply components or subassemblies to GSI for use in OEM Balloon
Dissectors, or (3) breach by Ethicon) to deliver the OEM Balloon Dissectors to
Ethicon in accordance with the terms of this Agreement, or replace OEM Balloon
Dissectors which are defective under Article 5.1 below, then the Minimums or
gross margin requirements set forth under 4.6(a)(i) above for the applicable
quarter(s) shall be reduced.  Such reduction shall be in an amount equal to a)
in the case of reductions to Minimums, [****************************] of the
units not delivered or replaced or b) in the case of reductions to quarterly
minimum gross margin requirements, the applicable [************] set forth in
Appendix 1 multiplied by [**************************] of the number of units
of OEM Balloon Dissectors not delivered or replaced.
              (ii) If any of the OEM Balloon Dissectors are recalled from
market or withdrawn from sale for reason of safety, efficacy or quality
primarily due to GSI (and beyond Ethicon's reasonable control), (i)
involuntarily regardless of lot size, (ii) voluntarily and involving multiple
lots, or (iii) voluntarily and involving a single lot where such lot is not
immediately replaced; or if a Major Forces event under Article 13.8 occurs, then
the Minimums or gross profit requirements shall be waived until a period of [**
******] shall have elapsed after either market re-entry or the Major Forces
event is removed, whichever is applicable, and shall then be proportionately
reduced.
              (iii) If GSI fails to meet its obligations under Article 9.2
below, then the Minimums or gross profit requirements shall be waived until such
time as GSI does, in fact, meet its obligation under such article.
              (iv)  If this Agreement is terminated pursuant to either Article
4.6(a)(iii) or Article 10 during any applicable quarter set forth in this
Article 4.6(a)(ii), then the Minimums shall be proportionately reduced for such
quarter, and Ethicon shall be relieved of Minimums thereafter.
              (v)   If the third party which GSI has sued prior to the Effective
Date for patent infringement voluntarily or involuntarily withdraws its Tissue
Dissectors from the marketplace and such withdrawal lasts longer than 30 days,
then the Hernia Minimums for that Accounting Quarter in which such withdrawal
occured and 


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                                   PAGE 8
<PAGE>

subsequent quarters of the Agreement shall be increased by [*****] units 
provided such withdrawal continues.
    4.7  Within thirty (30) days of the First Commercial Delivery, Ethicon
shall provide GSI with a forecast of its expected purchases of the OEM Balloon
Dissectors, including a schedule of desired delivery dates, for the following
[**********], and the [***************] of this forecast shall constitute
a binding purchase order.  Thereafter, Ethicon shall update the forecast monthly
so that its expected purchases and schedule of desired delivery dates are
continually forecast for a [*******] time period, the [****************]
of such rolling forecasts constituting a binding purchase order.  Unless both
parties otherwise agree, the [****] month of each binding purchase order will be
at least [************] or not more than [************************
*****] of the prior month's forecast for that same month.  Furthermore,
Ethicon's forecasts and purchase orders must be consistent with reasonable
expected usage based on historical procedural volumes and shall also be
consistent with its practices with other suppliers.
    4.8  Ethicon may adjust the total number of OEM Balloon Dissectors to be
delivered pursuant to Article 4.7 above upon thirty (30) days written notice,
provided however, that any such adjustment shall not serve to reduce Ethicon's
obligation to purchase the total number of OEM Balloon Dissectors indicated in
the binding purchase order.  In any given month, if Ethicon wants GSI to deliver
more than [************************] of the total number of the OEM
Balloon Dissectors indicated in the binding purchase order, then GSI shall not
be obligated to supply the excess above [*********************************],
but GSI shall nevertheless use its reasonable commercial efforts to deliver to
Ethicon any such excess above [*******************************] on a
priority basis.
    4.9  GSI shall use reasonable commercial efforts to deliver the OEM Balloon
Dissectors to Ethicon in accordance with the schedule of delivery dates
specified in the binding purchase orders set forth in Article 4.7 above.
    4.9A Insofar as the terms and conditions of Ethicon's standard purchase
order (a copy of which is attached as Appendix 2) are contrary to or
inconsistent with the terms and conditions of this Agreement, the terms and
conditions of this Agreement shall control.  The parties acknowledge that as of
the Effective Date there are existing terms and conditions of the Ethicon
standard purchase order that are contrary to or inconsistent with the terms and
conditions of this Agreement, and that the terms and conditions of this
Agreement shall control.  Insofar as terms and conditions are added to such
purchase order after the Effective Date hereof, GSI shall not be subject to such
added terms and conditions unless specifically agreed to in writing.
    4.9B All amounts due hereunder are payable in full to GSI without deduction
and are net of taxes (including any withholding tax) and custom duties.
    4.9C Ethicon shall, at Ethicon's own expense, obtain and pay for import 
and export licenses and permits, pay customs charges and duty fees, and take 
all other actions required to accomplish the export and import of the OEM 
Balloon Dissectors purchased by Ethicon.  Ethicon understands that both 
Ethicon and GSI are subject to regulation by agencies of the United States of 
America government, including the United States of America Department of 
Commerce, which prohibit export or diversion of certain technical products to 
certain countries. Ethicon warrants that Ethicon will comply in all 


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                                   PAGE 9
<PAGE>
respects with all such export regulations to the extent they relate to the 
OEM Balloon Dissector.
    4.9D Ethicon shall provide GSI within ninety (90) days after the end of
each Calendar Quarter (for purposes of international information) and within
sixty (60) days after the end of each Calendar Quarter (for purposes of U.S.
information) the following information with respect to the term of this
Agreement: (i) a summary of the number of units of OEM Balloon Dissectors sold
(broken down (X) by the five digit customer's zip code (or as the Parties
otherwise mutually agree as necessary and reasonably available in order for GSI
to comply with its obligations to compensate its sales representatives and
employees), for sales in the United States and (Y) by country for sales
internationally), (ii) a copy of any market research which Ethicon has in its
discretion conducted regarding competition with respect to the OEM Balloon
Dissectors and changes in the market for the OEM Balloon Dissectors in the
United States or internationally, and (iii) a summary of the number of OEM
Balloon Dissectors held by Ethicon at the end of such quarter.  Notwithstanding
whether Ethicon designates such information or any portion therof as
confidential, such information shall be deemed to be confidential and GSI shall
treat such information as confidential information in accordance with Article
9.4 below.
    4.10 During the eighteen (18) months following the Effective Date,
Ethicon's president and members of his management team agree to meet quarterly
in Cincinnati, or elsewhere as mutually agreed to by the parties, and at a time
mutually agreed to by the parties, with the president of GSI and members of his
management team in order to discuss plans and results of the marketing by
Ethicon of GSI products.
    4.11 During [********************] immediately following the Effective
Date, Ethicon agrees to compensate its sales representatives for the sales of
OEM Balloon Dissectors at the [****************************].

ARTICLE 5 - WARRANTY
    5.1  GSI warrants during the warranty period set forth under Article 5.2
below that the OEM Balloon Dissectors delivered to Ethicon under this Agreement
shall be manufactured in accordance with the mutually agreed-upon
specifications, and that the OEM Balloon Dissectors so delivered shall be free
from material defects in design, construction, materials and workmanship (except
for components and design supplied solely by Ethicon).  Ethicon may inspect the
OEM Balloon Dissectors within thirty (30) days of receipt of a shipment, on a
sample basis, to determine conformity with such specifications.  If this
inspection shows a failure to meet such specifications, then Ethicon may return
the entire lot in question to GSI for a full credit, including credit for
freight and insurance costs incurred by Ethicon, with a written reasonably
detailed description of the reasons for rejection.  Prior to issuing credit, GSI
shall have thirty (30) days to modify or correct the OEM Balloon Dissectors to
conform to such specification.  Notwithstanding failure of Ethicon to inspect or
return any shipment, or its acceptance of any shipment, Ethicon shall be
entitled during the warranty period to return to GSI for exchange or full credit
at Ethicon's original cost, including incurred freight and insurance costs, OEM
Balloon Dissectors returned by a customer of Ethicon for material defects in
design, construction, materials or workmanship or failure to meet mutually
agreed upon specifications, except for components and designs provided by
Ethicon.  Any inspection 


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                                   PAGE 10
<PAGE>

by Ethicon shall not relieve GSI of its obligation to manufacture OEM Balloon 
Dissectors which meet the Specifications and comply with good manufacturing 
practices. EXCEPT FOR THE EXPRESS LIMITED WARRANTY SET FORTH IN THIS ARTICLE 
5.1, GSI GRANTS NO WARRANTIES FOR THE OEM BALLOON DISSECTORS, EXPRESS OR 
IMPLIED, EITHER IN FACT OR BY OPERATION OF LAW, BY STATUTE OR OTHERWISE, AND 
GSI SPECIFICALLY DISCLAIMS ANY IMPLIED WARRANTY OF QUALITY, WARRANTY OF 
MERCHANTABILITY OR WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE.
    5.2  The warranty period shall be for a period of [*********] from the
date of GSI's shipment of an OEM Balloon Dissector to Ethicon.  GSI shall
reasonably agree to extend this warranty period, up to an additional [****
****], based on applicable data generated by the parties during the term of this
Agreement or any extension thereof .
    5.3  GSI agrees that Ethicon may pass the warranty given to Ethicon under
Article 5 above along to Ethicon's customers.

ARTICLE 6 - REGULATORY COMPLIANCE
    6.1  GSI shall promptly file for 510(K) Clearance from the FDA to
manufacture and sell the First OEM Balloon Dissector as required by applicable
laws, rules and regulations, as soon as accurate and complete data and
information regarding the First OEM Balloon Dissector is made available to GSI
as required by applicable laws, rules and regulations.  In addition, GSI shall
likewise file for 510(K) clearance for Subsequent OEM Balloon Dissectors which
GSI desires to sell to Ethicon and Ethicon desires to purchase from GSI.  GSI
shall maintain and make available for Ethicon's review for the term of this
Agreement or any extension thereof all of the 510(K) Clearances for the OEM
Balloon Dissectors.  Furthermore, GSI shall file, and maintain at its own cost,
all registrations for which GSI would be the appropriate party to so file and
maintain such registrations with the FDA and similar regulatory authorities in
the United States and in foreign countries which have the authority to approve
the sale of the OEM Balloon Dissectors for use in humans.
    6.2  GSI represents and warrants that all OEM Balloon Dissectors sold or
delivered to Ethicon during the term of this Agreement or any extension thereof
shall be manufactured and delivered in accordance with Regulatory Compliance,
and that continually during the term of this Agreement or any extension thereof
no OEM Balloon Dissectors delivered by GSI to Ethicon will be adulterated or
misbranded at the time of delivery by GSI to Ethicon within the meaning of the
Federal Food, Drug and Cosmetic Act.  GSI shall notify Ethicon as soon as
practicable after receiving notice of any claim or action by the FDA relating to
non-compliance with this Article or any notice with respect to any violation of
any applicable laws, rules or regulations.  Both parties shall notify each other
of any adverse reaction, malfunction, injury or other similar claims with
respect to the OEM Balloon Dissectors of which either becomes aware.
    6.3  GSI shall notify Ethicon of any FDA audit, or any audit from any other
regulatory body, of its factories for the manufacture of the OEM Balloon
Dissectors, or any request for information from the FDA or other regulatory body
related to the manufacture of the OEM Balloon Dissectors, as soon as practically
possible after GSI 


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                                   PAGE 11

<PAGE>
receives notice of such audit or such request.  Ethicon shall make reasonable 
efforts to provide copies of its customer inquiries related to OEM Balloon 
Dissectors as well as the results of any related investigations which, in 
Ethicon's sole determination, are deemed to be material.
    6.4  Ethicon or its designated representative may, at its discretion and
upon ten (10) days written notice to GSI, conduct periodic GMP audits of GSI's
factories for the manufacture of the OEM Balloon Dissectors.
    6.5  Upon mutual consent of the parties, which consent may not be
unreasonably withheld, or in the case of a recall required by an agency with
competent jurisdiction, GSI shall be required to institute and fund any recall,
field corrective action, or the like in circumstances relating to a breach by
GSI of the warranty set forth in Article 5 above or other breach of its
obligations hereunder.  In such circumstances, the actual retrieval of the OEM
Balloon Dissectors and costs associated with that retrieval will be undertaken
and absorbed by Ethicon.  The parties shall maintain adequate records concerning
traceability of the OEM Balloon Dissectors, and shall cooperate with each other
in the event that any procedures described in this paragraph are undertaken.  In
the event of any such recall, GSI shall accept recalled OEM Balloon Dissectors
and deliver to Ethicon replacement OEM Balloon Dissectors at GSI's sole cost and
expense.
    6.6  Because regulatory requirements vary throughout the world, the parties
agree to cooperate with one another to obtain regulatory approvals.
    6.7  Both parties agree to comply with their state, federal, and
international regulatory requirements as are required for their status as a
medical device manufacturer or medical device distributor.

ARTICLE 7 - RESPONSIBILITY FOR CLAIMS
    In order to distribute between themselves the responsibility for the
handling and expense of claims arising out of the manufacture, distribution,
sale or use of the OEM Balloon Dissectors, the parties agree as follows:
    7.1  GSI shall be liable for and shall indemnify and hold Ethicon harmless
against any liability, damages or loss (other than loss of potential sales) and
from any claims, suits, proceedings, demands, recoveries or expenses, including
without limitation, expenses of total or partial device recalls, in connection
with the OEM Balloon Dissectors manufactured by GSI (other than (i) the Ethicon
Balloon Dissector which is manufactured by GSI or changes thereto requested
solely by Ethicon, and (ii) components or designs supplied solely by Ethicon)
arising out of, based on, or caused by:
         (a)  alleged defects in materials, workmanship or design of the OEM
Balloon Dissectors manufactured by or on behalf of GSI; or
         (b)  failure of the OEM Balloon Dissectors manufactured by or on
behalf of GSI to fulfill claims relating to safety, efficacy or performance
furnished by GSI under Article 4.5 above (excluding matters for which Ethicon is
responsible under Article 7.2 below); and
         (c)  claims of patent infringement made with respect to the OEM
Balloon Dissectors manufactured by or on behalf of GSI, or claims of trademark
infringement made with respect to Ethicon's use of GSI's Trademarks; and

                                   PAGE 12
<PAGE>

         (d)  a breach of the representations and warranties set forth in
Article 14.1 below.
         GSI shall obtain and maintain in full force and effect valid and
collectible product liability insurance in respect of the OEM Balloon Dissectors
for death, illness, bodily injury and property damage in an amount not less than
$2 million per occurrence.  Such policy shall name Ethicon as an insured or an
additional insured thereunder and GSI shall grant like coverage to Ethicon under
a standard broad form vendor's endorsement thereto.  GSI shall within ten (10)
days of the Effective Date provide Ethicon with evidence of this coverage,
provided that the existence of such coverage shall in no way limit GSI's
liability or obligations hereunder.  Such insurance policy shall provide that in
the event such insurance coverage should be materially adversely changed or
terminated for any reason, the insurer thereunder will give GSI and Ethicon ten
(10) days prior notice of such change or termination.
    7.2  Ethicon shall be liable for and shall indemnify and hold GSI harmless
against any liability, damages or loss (other than loss of potential sales) and
from any claims, suits, proceedings, demands, recoveries or expenses, including
without limitation, expenses of total or partial device recalls, (i) in
connection with the OEM Balloon Dissectors, and/or the Ethicon Balloon
Dissectors sold by Ethicon, or (ii) arising out of, based on, or caused by
claims whether written or oral, made or alleged to be made, by Ethicon in its
advertising, publicity, promotion, or sale of the OEM Balloon Dissectors where
such claims were not substantially the same as those claims furnished by GSI
under Article 4.5 above, or (iii) arising out of, based on, or caused by the
Ethicon Balloon Dissector which is manufactured by GSI or changes thereto
requested solely by Ethicon, or (iv)  arising out of, based on or caused by
components or designs supplied solely by Ethicon, or (v) arising out of, based
on, or caused by the labeling of the OEM Balloon Dissectors where such labeling
was not substantially the same labeling information furnished by GSI under
Article 4.5 above, or by negligent handling by Ethicon of the OEM Balloon
Dissectors (excluding matters for which GSI is responsible under Article 7.1
above).
    7.3  (a)  GSI is the "Indemnifying Party" and Ethicon is the "Indemnified
Party" for purposes of Section 7.1, and Ethicon is the "Indemnifying Party" and
GSI is the "Indemnified Party" for purposes of Section 7.2.  In the event a
Claim is made upon the Indemnified Party, the Indemnified Party shall promptly
give notice of such Claim to the Indemnifying Party, and shall promptly deliver
to such Indemnifying party all information and written material available to the
indemnified Party relating to such Claim.  If such Claim is first made upon the
Indemnifying Party, the Indemnifying Party shall promptly give notice of such
Claim to the Indemnified Party.
         (b)  The Indemnified Party will, if notified of the Indemnifying
Party's election to do so within fifteen (15) days of the date of notice of a
Claim, permit the Indemnifying Party to defend in the name of the Indemnified
Party any Claim in any appropriate administrative or judicial proceedings and
take whatever actions may be reasonably requested of the Indemnified Party to
permit the Indemnifying Party to make such defense and obtain an adjudication of
such Claim on the merits, including the signing of pleadings and other
documents, if necessary; provided that the Indemnifying Party shall defend the
Claim with counsel reasonably satisfactory to the Indemnified 

                                   PAGE 13
<PAGE>
Party.  In addition to the liability for the ultimate settlement or judgment, 
if any, arising out of such Claim under this Agreement, the Indemnifying 
Party shall be solely responsible for all the expenses incurred in connection 
with such defense or proceedings, regardless of their outcome.  However, the 
Indemnifying Party shall not be responsible for any expenses, including 
attorneys fees and costs, incurred by the Indemnified Party to monitor the 
defense of the Claim by the Indemnifying Party.
         (c)  In the event the Indemnifying Party does not accept the defense
of such Claim under the terms hereof, the Indemnified Party shall be entitled to
conduct such defense and settle or compromise such Claim, and the Indemnifying
Party's indemnification obligation under this Agreement shall be absolute,
regardless of the outcome of such Claim.  The Indemnified Party, at its option,
may elect not to permit the Indemnifying Party to control the defense against a
Claim.  If the Indemnified Party so elects, then the Indemnifying Party shall
not be obligated to indemnify the Indemnified Party against any settlements,
judgments or other costs or obligations arising thereunder which the Indemnified
Party may make or incur relating to such Claim.

ARTICLE 8 - FAILURE TO SUPPLY, CHANGE OF CONTROL
OR INSOLVENCY EVENT
    8.1  If GSI fails to supply the quantity of the OEM Balloon Dissectors on 
a desired delivery date specified on a binding purchase order issued in 
compliance with the terms of this Agreement  (a "Failure to Supply Event") 
for any reason other than those set forth under Article 13.8 below, and this 
failure lasts longer than sixty (60) days from such desired delivery date, 
then so long as (i) Ethicon is then in compliance with Articles 4.7 and 4.8 
above at the time of such Failure to Supply Event, and (ii) at such time, 
such event has not been caused by Ethicon's failure to supply or have 
supplied components to GSI, Ethicon shall thereafter have the right to 
immediately terminate this Agreement upon written notice to GSI and to 
manufacture or have manufactured the Tissue Dissectors.  During such sixty 
(60) days, Ethicon agrees to cooperate with GSI in any commercially 
reasonable manner in an effort to cure such event. Additionally, if a Failure 
to Supply Event occurs following a Change of Control or an Insolvency Event, 
and such failure lasts longer than thirty (30) days from the date specified 
on the binding purchase order, then immediately upon written notice to GSI, 
Ethicon shall have the right to immediately terminate this Agreement and to 
manufacture or have manufactured the Tissue Dissectors.  If Ethicon exercises 
its rights under this Article 8.1, GSI grants Ethicon an exclusive worldwide 
license in the Expanded Field under the GSI Patents to make, have made, use 
or sell the Tissue Dissectors, rights under GSI's regulatory clearances in 
the Expanded Field, including 510(K) Clearances, to market the Tissue 
Dissectors, and all know-how necessary to make, have made, use or sell the 
Tissue Dissectors in the Expanded Field, such license and rights to expire 
upon the date when this Agreement would have expired without the intervention 
of this paragraph (the "Default License").  In consideration for the grant of 
the Default License, Ethicon shall pay GSI an earned royalty of 
[**************]per unit sold of the Tissue Dissectors (the "Default 
Royalty").  The royalty and accounting provisions for paying such earned 
royalty are set forth in Appendix 3 attached to this Agreement.  In the event 
Ethicon exercises its rights under this Article 8.1, GSI shall make available 
to Ethicon all of the information then in GSI's possession or at its free 
disposal relating to the 


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<PAGE>

manufacture of the Tissue Dissectors (including information placed in escrow 
pursuant to Article 14.2 below).
    8.1A If a Failure to Supply Event occurs for any reason set forth in
Article 13.8 below, then GSI shall have the option, upon written notice within
forty five (45) days of such event, to inform Ethicon of its inability to cure
such event within ninety (90) days of the desired delivery date specified on the
binding purchase order, and to agree to fully reimburse Ethicon for its costs in
connection with the manufacture of the Tissue Dissectors by or on behalf of
Ethicon for resale to its customers to satisfy forecasted demand (the "Default
Option").  If GSI elects the Default Option, and Ethicon correspondingly is
therefore capable of providing its customers with forecasted requirements, then
GSI may thereafter renew its exclusive distributorship arrangement with Ethicon
provided GSI once again satisfactorily meets Ethicon's requirements for
Regulatory Compliance and manufacturing capacity.  If GSI does not elect the
Default Option, and such Failure to Supply Event lasts longer than ninety (90)
days from such desired delivery date, then upon written notice to GSI, Ethicon
may terminate this Agreement, and GSI thereafter grants Ethicon the Default
License to immediately manufacture or have manufactured the Tissue Dissectors. 
During such ninety (90) days, Ethicon agrees to cooperate with GSI in any
commercially reasonable manner in an effort to cure such event.  In
consideration of the Default License, Ethicon shall pay GSI the Default Royalty
for any units sold of the Tissue Dissectors.  The royalty and accounting
provisions for paying such earned royalty are set forth in Appendix 3 attached
to this agreement.  In the event Ethicon exercises its rights under this
Article 8.1A, GSI shall make available to Ethicon all of the information then in
GSI's possession or at its free disposal related to the manufacture of the
Tissue Dissectors including information placed in escrow pursuant to
Article 14.2 below.
    8.2  The remedy provided in Article 8.1 and 8.1A above for failure to
supply shall be in addition to and not in lieu of Ethicon's other remedies under
applicable law.  However, notwithstanding the foregoing, in the event of such
failure to supply, Ethicon shall not be entitled to recover its lost profits or
other incidental or consequential damages from GSI.

ARTICLE 9 - PATENTS, TRADEMARKS AND SECRETS
    9.1  PATENTS.  Subject to Article 9.1B below, during the time period 
preceding GSI's qualification as Ethicon's OEM supplier of OEM Balloon 
Dissectors pursuant to Article 4.1 above, Ethicon and its Affiliates shall 
have a worldwide, exclusive license in the Expanded Field under the GSI 
Patents to make, have made, use or sell the Ethicon Balloon Dissector (the 
"Pre-Qualification License").  During such time period, Ethicon shall pay GSI 
an earned royalty of [********************] per unit sold of the Ethicon 
Balloon Dissector.  The royalty and accounting provisions for paying such 
earned royalty are set forth in Appendix 3 attached to this Agreement.  
Following such time period, and when GSI becomes qualified, the 
Pre-Qualification License shall expire, and subject to Articles 9.1B and 9.1C 
below, Ethicon and its Affiliates shall thereafter have a worldwide, 
exclusive license in the Expanded Field under the GSI Patents to use or sell 
the Tissue Dissectors purchased from GSI for the remainder of the term of 
this Agreement or any extension thereof (the Post-Qualification License).  
The parties acknowledge that the Pre-Qualification License and the 
Post-Qualification License are 


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subject to as of the Effective Date hereof certain GSI International 
Distributorship Agreements, a list of which, if any, is attached in Appendix 
4, and GSI shall use its best efforts to either terminate such agreements or 
allow such agreements to expire as promptly as possible after the Effective 
Date hereof.
    9.1A Ethicon grants GSI a nonexclusive, worldwide license (to the extent
such license is available) outside the Expanded Field under any patents which it
owns or is empowered to grant a license thereunder to make, have made, use or
sell Tissue Dissectors.  GSI will pay Ethicon an earned royalty of [********
****] per unit sold of such dissectors.  The royalty and accounting provisions
for paying such earned royalties are set forth in Appendix 3A attached to this
Agreement.
    9.1B Until such time as Ethicon has qualified GSI as an OEM supplier of
Spacemaker Balloon Dissectors, GSI may make and sell to end users the Spacemaker
Balloon Dissectors, GSI shall provide Ethicon with written projections as soon
as practically possible before the end of each calendar quarter, of the number
of units of such dissectors sold, and the gross profit anticipated to be
received, for such calendar quarter.  As promptly as practically possible
thereafter, GSI shall provide Ethicon with actual numbers of units sold and
gross profit received for such quarter.
    9.1C Once GSI has become qualified as an OEM Supplier of Spacemaker Balloon
Dissectors, GSI may, upon Ethicon's written consent (which shall not be
unreasonably withheld), make and sell to certain targeted end users the
Spacemaker Balloon Dissectors under limited circumstances and for limited time
periods as the parties may mutually agree.  Any such sales shall be credited
against the quarterly minimums set forth under Article 4.6(a)(ii) above, and GSI
shall provide Ethicon with an accounting in writing of such sales as soon as
practically possible following the Accounting Quarter in which such sales were
made.
    9.2  PATENT ENFORCEMENT. The parties acknowledge that prior  to the
Effective Date hereof, GSI has sued a third party having a significant presence
in the marketplace for Tissue Dissectors.  GSI shall diligently prosecute such
suit until the litigation upon which such suit is founded results in such third
party voluntarily or involuntarily withdrawing such dissectors from the
marketplace in the Expanded Field.  Furthermore, upon resolution of such suit,
if another third party is then or thereafter offers Tissue Dissectors for sale
in the Expanded Field, and such dissectors have a market share in the Expanded
Field in the United States of [*******************************************
****], then GSI shall promptly sue such other third party for patent 
infringement if such third party does not cease or continue to cease its 
infringing activities, and GSI shall diligently prosecute such infringement 
suit in the same manner as described in the preceding sentence.  GSI does not 
have any obligation to diligently prosecute more than one patent infringement 
suit at any one time.  If GSI fails to meet its obligations pursuant to this 
Article 9.2 after thirty days written notice from Ethicon, then the minimums 
set forth in Article 4.6 above will be waived until such time as GSI once 
again fulfills its obligations hereunder.
    9.3  TRADEMARKS.  Ethicon shall have the right to promote and sell the OEM
Balloon Dissectors under any trademark selected by Ethicon which trademark shall
be and shall remain the property of Ethicon.  Ethicon agrees to indicate on its
packaging for the OEM Balloon Dissectors that such dissectors are manufactured
by GSI.  In addition, 


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Ethicon shall label the OEM Balloon Dissectors with the Spacemaker tm logo.  
Nothing herein shall be deemed to give one party, either during the term of 
this Agreement or thereafter, any right to trademarks or copyrights of the 
other party or to their use except that Ethicon shall have the right to use 
GSI's name in association with the marketing and sale of the OEM Balloon 
Dissectors during the term of this Agreement or any extension thereof if it 
chooses to do so, but such use by Ethicon shall be for the benefit of GSI and 
Ethicon shall acquire no ownership rights to the GSI Trademarks.
    9.4  CONFIDENTIAL INFORMATION.  All written information designated as
confidential and exchanged between GSI and Ethicon while this Agreement is, or
the OEM Agreement was, in effect shall be treated as confidential information. 
Neither party shall for three (3) years after such exchange, use (other than in
the performance of its obligations hereunder) or disclose such information to
any third party without the prior written approval of the other party (other
than in the performance of its obligations hereunder), unless such information
has become public knowledge through no fault of the party receiving such
information, or comes to such party from a third party under no obligation of
confidentiality with respect to such information, or was in the possession of
such party prior to the date of disclosure, or is developed by or on behalf of
such party without reliance on confidential information received hereunder, or
is requested to be disclosed in compliance with applicable laws or regulations
in connection with the sale of the OEM Balloon Dissectors, or is otherwise
required to be disclosed in compliance with applicable law, an order by a court
or other regulatory body having competent jurisdiction, or is product-related
information which is reasonably required to be disclosed in connection with
marketing the OEM Balloon Dissectors.  The obligations imposed by this section
shall not limit any rights provided to Ethicon pursuant to Article 8.1 above to
manufacture or have manufactured the OEM Balloon Dissectors following GSI's
failure to supply pursuant to this Agreement; provided that the disclosure of
confidential information to a third party (except as may be reasonably required
in preliminary discussions with such third party) for the purpose of enabling
such party to manufacture or distribute the OEM Balloon Dissectors shall be
conditioned upon such third party signing a confidentiality agreement
prohibiting the disclosure of such information to any other party and limiting
the use of such information to the manufacturing or distribution of the OEM
Balloon Dissectors.

ARTICLE 10 - TERMINATION
    10.1 Except as stated in Article 4.6(a)(iii), this Agreement may be
terminated by either party in the event the other substantially fails to perform
or otherwise substantially breaches any of its obligations under this Agreement
by giving written notice of its intent to terminate and stating the grounds for
termination.  The party receiving the notice shall have three (3) months from
the date of receipt of the notice to cure the failure or breach.  In the event
it is cured, the notice shall be of no effect.  In the event it is not cured,
this Agreement then shall, without any further action, terminate at the end of
such three (3) month period.  If the failure to perform or other breach is due
to circumstances covered under Article 13.8 below, then this subsection shall
not apply until such circumstances have ceased.


                                   PAGE 17
<PAGE>
    10.2 If Ethicon discovers a patent of a third party which Ethicon
reasonably believes, upon advice of patent counsel, covers in whole or in part
any aspect of the OEM Balloon Dissector or the Ethicon Balloon Dissector which
is then offered for sale by or for Ethicon, and if the parties are unable to
either design around such patent to the satisfaction of patent counsel for
Ethicon, or to obtain a license to such patent, within three months of Ethicon's
notice of such discovery to GSI, Ethicon may automatically terminate this
Agreement upon notice to GSI.
    10.3 Ethicon may terminate this Agreement upon written notice pursuant to
the conditions set forth under Articles 8.1 and 8.1A above.
    10.4 Termination of this Agreement for any reason shall not affect rights
and obligations of the parties accrued through the effective date of
termination, including without limitation indemnification provisions relating to
the OEM Balloon Dissectors manufactured or distributed by or on behalf of GSI
during the term of this Agreement or any extension thereof.
    10.5 In the event of a termination of this Agreement by GSI pursuant to
Article 4.6(a)(iii), Ethicon shall use reasonable efforts to facilitate GSI in
becoming part of JJHCS corporate account programs and eligible for inclusion in
J&J corporate contracts with large buying institutions.

ARTICLE 11 - ARBITRATION OF DISPUTES  
    11.1 Any controversy or claim arising out of or relating to this Agreement,
except for any controversy regarding the validity of a patent licensed hereunder
by either party to the other, any claim seeking injunctive relief based on or
related to a claim of patent infringement, and the decision to enter into this
Agreement, shall be settled exclusively by binding arbitration by a single
arbitrator chosen by agreement of the parties, which agreement shall not be
unreasonably withheld.   The law of the state where the arbitration is conducted
pursuant to Article 11.2 below shall apply to the arbitration proceeding
(without regard to its conflict of law principles).  Judgment upon the award
rendered by the arbitrator may be entered in any court having jurisdiction over
the matter.  In connection with any such arbitration, the prevailing party shall
be entitled to recover from the non-prevailing party reasonable expenses,
including, without limitation, reasonable attorneys' fees and reasonable
accountants' fees. If the arbitrator is unable to designate a prevailing party,
the arbitration award shall so state and the expenses shall be split equally
between the parties.
    11.2 If Ethicon submits a claim or controversy to arbitration pursuant to
Article 11.1 above, then such arbitration shall be conducted in Palo Alto,
California.  If GSI submits a claim or controversy to arbitration, then such
arbitration shall be conducted in Cincinnati, Ohio.
    11.3 Notwithstanding any other provision hereof, any arbitration conducted
pursuant to this Article 11 shall adopt the procedural rules of the Federal
Rules of Civil Procedure and the evidentiary rules of the Federal Rules of
Evidence.  The parties and the arbitrator shall use all reasonable efforts to
conclude arbitration proceedings within six (6) months from the date of
selection of the arbitrator.  The arbitrator shall render a decision, setting
forth findings and conclusions of law, within thirty (30) days after completion
of hearing the arbitration evidence on the merits.


                                   PAGE 18
<PAGE>

    11.4 The arbitrator shall be bound by the express terms of this Agreement
and may not amend or modify such terms in any manner.  Any award rendered by the
arbitrator shall be consistent with the terms of this Agreement, and such terms
shall control the rights and obligations of the parties.  Notwithstanding
anything to the contrary set forth in this Agreement, in no event shall the
arbitrator be empowered to award exemplary, consequential or punitive damages,
and the parties shall be deemed to have waived any right to such damages.  The
proceedings shall be confidential and the arbitrator shall issue appropriate
protective orders to safeguard both parties confidential information.
    11.5 From the date one party notifies the other it wishes to commence an
arbitration proceeding until such time as the matter has been finally settled by
arbitration, the running of the time period set forth in Article 10.1 above, as
to which a party must cure a breach, shall be suspended as to the subject matter
of the dispute.

ARTICLE 12 - DISCLAIMER
    12.1 Ethicon makes no representation or warranty that it will market the
OEM Balloon Dissectors (or the Ethicon Balloon Dissector), or if it does market
the OEM Balloon Dissectors (or the Ethicon Balloon Dissector), that the OEM
Balloon Dissectors (or the Ethicon Balloon Dissector) shall be the exclusive
means by which Ethicon shall participate in the marketing of surgical devices
for hernia repair and USI.  Furthermore, all business decisions, including
without limitation, the design, manufacture, sale, price and promotion of the
OEM Balloon Dissectors (or the Ethicon Balloon Dissector) marketed under this
Agreement and the decision whether to sell the OEM Balloon Dissectors (or the
Ethicon Balloon Dissector) shall be within the sole discretion of Ethicon.  GSI
realizes that Ethicon already sells a line of surgical devices for hernia repair
and USI and that Ethicon may itself or with others develop new surgical devices
which may compete with the OEM Balloon Dissectors (or the Ethicon Balloon
Dissector) sold under this Agreement.

ARTICLE 13 - MISCELLANEOUS
    13.1 REPRESENTATIONS AND WARRANTIES.  GSI expressly warrants and represents
that (a) it owns all of the right, title and interest in and to the Tissue
Dissectors supplied by or on behalf of GSI under this Agreement; (b) it is
empowered to supply the OEM Balloon Dissectors to Ethicon in the Expanded Field;
(c) to the best of its knowledge, either actual or constructive, it has no
outstanding encumbrances or agreements, including but not limited to the
Existing OEM Supply Agreement, or arrangements of any kind pursuant to which any
entity is entitled to purchase from GSI, or has the right to sell or market, the
OEM Balloon Dissectors or any component thereof in the Expanded Field except for
Tissue Dissectors provided to U.S. Surgical Corporation prior to the Effective
Date hereof pursuant to the Existing OEM Supply Agreement; (d) it shall not
enter into any such agreements or arrangements during the term of this Agreement
or any extension thereof; (e) it is empowered to grant Ethicon an exclusive
license of the scope set forth in Article 8 above if Ethicon exercises its
rights to such a license; (f) it has the financial capacity to supply the OEM
Balloon Dissectors to Ethicon in view of the terms and conditions set forth in
this Agreement; (g) the "BONUTTI INVENTIONS" as defined in

                                   PAGE 19
<PAGE>

the Bonutti Agreement have in fact been assigned to GSI; (h) any licenses 
granted to Ethicon herein under the BONUTTI INVENTIONS survive an Insolvency 
Event; (i) the BONUTTI INVENTIONS include all counterparts to the patents and 
patent applications listed in the Bonutti Agreement, including all 
continuations and divisionals thereof; (j) GSI owns all of the BONUTTI 
INVENTIONS regardless whether GSI prosecutes or maintains patent applications 
or patents thereon; (k) neither GSI nor Ethicon is required to credit Bonutti 
on packaging inserts and labels which specify patent numbers for the BONUTTI 
INVENTIONS; (l) any licenses or sublicenses granted to Ethicon herein under 
the Kieturakis Agreement survive the termination of such agreement; (m) GSI 
neither has been nor is, as of the Effective Date hereof, in material breach 
of the Bonutti Agreement or the Kieturakis Agreement, and GSI shall not 
materially breach such agreements prior to the expiration or termination of 
this Agreement, including extensions thereof; (n) it has terminated the 
Existing OEM Supply Agreement pursuant to Article 11.2 (Early Termination) of 
such agreement; and (o) the terms of this Agreement are not more favorable to 
Ethicon than those last offered by U.S. Surgical Corporation in writing to 
GSI as prohibited in accordance with Article 11.5 (Renewal) of the Existing 
OEM Supply Agreement.
    13.2 ESCROW.  GSI shall place with an escrow agent mutually acceptable to
GSI and Ethicon, a description of GSI's process for the manufacture of the OEM
Balloon Dissectors in sufficiently clear and detailed terms that it can be
readily followed and carried out by a trained scientist or engineer to make the
OEM Balloon Dissectors in the manner GSI considers most efficient.  Furthermore,
should GSI alter, modify or change its process for manufacturing the OEM Balloon
Dissectors, GSI shall amend the description in escrow to include such
alteration, modification or change.  The description held in escrow pursuant to
this Article 13.2, shall be available to Ethicon or its designee only in the
event GSI is unable to supply or fails to supply Ethicon with the OEM Balloon
Dissectors pursuant to this Agreement for any reason other than those set forth
under Article 13.8 below, or if a Change of Control or Insolvency Event occurs
and Ethicon exercises its rights under Article 8 above.  Each party represents,
warrants and covenants, that it shall treat as confidential information in
accordance with Article 9.4 above any written information designated as
confidential concerning the other party disclosed in accordance with this Escrow
provision of this Agreement.
    13.3 ASSIGNABILITY.  Neither party shall transfer or assign this Agreement,
in whole or in part, without the prior written consent of the other party (which
shall not be unreasonably withheld); except that either party may, without such
consent, assign this Agreement to an Affiliate or with the sale of substantially
all of the assets of the business, including by way of merger, to which the OEM
Balloon Dissectors relates.

                                  PAGE 20
<PAGE>

    13.4 NOTICES.  All notices hereunder shall be in writing and shall be
deemed to have been duly given if delivered personally, one day after delivery
to a nationally recognized overnight delivery service, charges prepaid, three
days after sent by registered or certified mail, postage prepaid, or when
receipt is confirmed if by telex, facsimile or other telegraphic means:
    In the case of GSI:
         General Surgical Innovations, Inc.
         3172-A Porter Drive
         Palo Alto, CA  94304
         Attn:  Roderick A. Young, President
    With a copy to:
         Venture Law Group
         2800 Sand Hill Road
         Menlo Park, CA 94025
         Attn: Tae Hea Nahm

    In the case of Ethicon:
         Ethicon Endo-Surgery, Inc.
         4545 Creek Road
         Cincinnati, Ohio  45242
    With a copy to:
         Chief Patent Counsel
         Johnson & Johnson
         One Johnson & Johnson Plaza
         New Brunswick, New Jersey  08933

    Such addresses may be altered by written notice given in accordance with
this Article 14.4.
    13.5 RELATIONSHIP OF PARTIES.  The parties hereto are entering into this
Agreement as independent contractors, and nothing herein is intended or shall be
construed to create between the parties a relationship of principal and agent,
partners, joint venturers or employer and employee.  Neither party shall hold
itself out to others or seek to bind or commit the other party in any manner
inconsistent with the foregoing provisions of this Article.
    13.6 WAIVER.  The failure of either party to enforce at any time for any
period the provisions of this Agreement shall not be construed to be a waiver of
such provisions or of the right of such party thereafter to enforce each such
provision.
    13.7 GOVERNING LAW.  This Agreement and its performance are to be governed
by the laws of the state where the arbitration occurs, except that the
arbitration provisions set forth in Article 11 above shall be governed by the
provisions of the Federal Arbitration Act as well as the laws of the state where
the arbitration occurs.
    13.8 MAJOR FORCES.  Subject to Ethicon's rights set forth in Article 8
above, neither party shall be responsible for and the terms of this Agreement
shall be inapplicable to any defaults or delays which are due to unforeseen
causes beyond the parties control including, but without limitation, acts of God
or public enemy, acts or


                             PAGE 21

<PAGE>

other order of a government, particularly full market approval by the 
United States Food and Drug Administration and any foreign government 
equivalent approval, fire, flood or other natural disasters, embargoes, 
accidents, explosions, strikes or other labor disturbances (regardless of the 
reasonableness of the demands of labor), shortage of fuel, power or raw 
materials, inability to obtain or delays of transportation facilities, 
incidents of war, or other unforeseen events causing the inability of a 
party, acting in good faith with due diligence, to perform its obligations 
under this Agreement.
    13.9 PUBLICITY.  With respect to any other publicity, neither party shall
originate any such publicity, news release or public announcement, written or 
oral, whether to the public or press, stockholders or otherwise, relating to
this Agreement, to any amendment or performances under the Agreement, save only
such announcements as in the opinion of counsel for the party making such
announcement is required by law to be made.  If a party decides to make an
additional announcement required by law under this Agreement, it will give the
other party thirty (30) days advance written notice, or any shorter notice
period otherwise required by law, of the text of the announcement so that the
other party will have an opportunity to comment upon the announcement.
    13.10     RELEASE FOR PAST INFRINGEMENT.  GSI forever releases Ethicon from
any claims, liabilities, demands, damages, expenses and losses for patent
infringement which GSI may have had against Ethicon for the sale of the Ethicon
Balloon Dissector prior to the Effective Date hereof.
    13.11     BANKRUPTCY.  All rights and licenses granted under or pursuant to
this Agreement by GSI to Ethicon are, and shall otherwise be deemed to be, for
purposes of Section 365(n) of Title 11, U.S. Code (the "Bankruptcy Code"),
licenses of rights to "intellectual property" as defined in the Bankruptcy Code.
The parties agree that Ethicon, as a licensee of such rights under this
Agreement, shall retain and may fully exercise all of its rights and elections
under the Bankruptcy Code.  GSI agrees during the term of this Agreement to
create and maintain current copies or, if not amenable to copying, detailed
descriptions or other appropriate embodiments, of all such intellectual
property.  The parties further agree that, in the event of the commencement of a
bankruptcy proceeding by or against  GSI under the Bankruptcy Code, Ethicon
shall be entitled to a complete duplicate of (or complete access to, as
appropriate) any such intellectual property and all embodiments of such
intellectual property, and same, if not already in its possession, shall be
promptly delivered to Ethicon (i) upon any such commencement of a bankruptcy
proceeding upon Ethicon's written request, unless GSI elects to continue to
perform all of its obligations under this Agreement, or (ii) if not delivered
under (i) above, upon the rejection of this Agreement by or on behalf of GSI
upon Ethicon's written request.  All rights, powers and remedies of Ethicon
provided under this Article are in addition to and not in substitution for any
and all other rights, powers and remedies now or hereafter existing at law or in
equity in the event of any such commencement of a bankruptcy proceeding by or
against GSI.
    13.12     ENHANCEMENTS.  The parties agree to meet periodically at their
respective facilities to discuss proposed enhancements to the OEM Balloon
Dissectors and other areas of potential cooperation.  If Ethicon wishes to
engage GSI's services to develop an enhanced OEM Balloon Dissector, or other
products, and GSI wishes to perform such services, and Ethicon agrees to pay for
such services or any portion thereof, then Ethicon

                             PAGE 22

<PAGE>
and GSI shall enter into a development agreement in a form mutually 
acceptable to both parties.  As of this date, the parties wish to evaluate 
the potential for development by GSI of a balloon blunt tip trocar.
    13.12A     USI INITIATIVES.  As of the Effective Date hereof, the parties
will use their reasonable commercial efforts to develop and market a Tissue
Dissector in the Expanded Field only for USI. The parties agree to cooperate to
define the specifications for such dissector and, within 90 days after the
development of such dissector, the sales and marketing program to promote such
dissector.  In addition, Ethicon will make available its Institute to train
surgeons to use such dissector in a minimum of twenty training sessions during
the term of this Agreement, the exact time and duration of which shall be
mutually agreed upon by the parties.  Within 30 days after the development of
such dissector, the parties will mutually evaluate promotional efforts, such as
patient education, consumer awareness, education of referring doctors, and
comarketing programs with Affiliates.  The parties shall use good faith efforts
to develop a procedural kit using such dissector promptly after the date such
dissector is first commercially available.
    13.13     IN NO EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR ANY
CONSEQUENTIAL DAMAGES, HOWEVER CAUSED, ON ANY THEORY OF LIABILITY, WHETHER
CONTRACT, TORT (INCLUDING NEGLIGENCE) OR OTHERWISE, WHETHER OR NOT A PARTY HAS
BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
    13.14     PRIOR UNDERSTANDINGS.  The parties have, in this Agreement,
incorporated all representations, warranties, covenants, commitments and
understandings on which they have relied in entering into this Agreement and,
except as provided herein, the parties make no covenants or other commitments to
the other concerning their future actions.  Accordingly, this Agreement: 
         (i)  constitutes the entire agreement and understanding between the
parties, and there are no promises, representations, conditions, provisions or
terms relating to it other than as set forth in this Agreement, and 
         (ii) supersedes all previous understandings, agreements and
representations between the parties, written or  oral, relating to the subject
matter of this Agreement.  This Agreement may be altered or amended only upon
mutual written consent.

                             PAGE 23

<PAGE>

13.15    COUNTERPARTS.  This Agreement may be executed in any number of
counterparts, each of which shall be considered an original and all of which
taken together shall constitute one and the same instrument, provided that this
Agreement shall not become effective until each party has received the
counterparts executed by the other party.
    The parties agree to the terms of this Agreement, as indicated by the
signatures of their respective corporate officers, duly authorized as of the
last date of signature below.

General Surgical Innovations, Inc.     Ethicon Endo-Surgery, Inc.

By: /s/ Roderick A. Young                By: /s/  Robert Salerno
   --------------------------          -------------------------------
Roderick A. Young, President           Robert Salerno, Vice President
                                       Business Development & Strategic
                                       Planning

Date:        12/20/96                  Date:          12/20/96
      ------------------------                ----------------------------

                             PAGE 24

<PAGE>
                                      APPENDIX 1
                                           
                                   TRANSFER PRICES
                                           
         First OEM Balloon Dissector for Resale             [******]
         First OEM Balloon Dissector for Samples            [******]
         Spacemaker, Distal 900   DBD-900   99-1140-01      [******]
         Spacemaker, Distal 1500  DBD-1500  99-1141-01      [******]
         Spacemaker II, with cann VSM-2900  99-1201-02      [******]
         Spacemaker II, w/o cann  VSM-2900-01 99-1202-01    [******]
         Air Bulb, 2 pk           AB-050    99-1301-01         [***]

                                      COMPONENTS

         [****************]       [**********]   [****************]
         [**********************] [**********]   [****************]
         [**********************] [**********]   [****************]


[***] CONFIDENTIAL TREATMENT REQUESTED


                             PAGE 25

<PAGE>

                                      APPENDIX 2
                                           
                           ETHICON STANDARD PURCHASE ORDER
                                           
                                           
                             PAGE 26


<PAGE>
                                      APPENDIX 3
                                           
                          ROYALTY AND ACCOUNTING PROVISIONS
                                           
    Ethicon shall keep accurate books and records of all payments due GSI. 
Ethicon shall deliver to GSI written reports of the number of units sold of the
Ethicon Balloon Dissector during the preceding Accounting Quarter, on or before
the sixtieth day following the end of each Accounting Quarter.  Such report
shall include a calculation of the earned royalty due and the earned royalty
payment.
    GSI shall have the right to nominate an independent accountant acceptable
to and approved by Ethicon (which approval shall not be unreasonably withheld)
who shall have access to Ethicon's records during reasonable business hours for
the purpose of verifying, at GSI's expense, the royalty payable as provided for
in this Agreement for the two preceding years, but this right may not be
exercised more than once in any year.  GSI shall solicit or receive only
information relating to the accuracy of the royalty report and the royalty
payments made. Ethicon shall be entitled to withhold approval of an accountant
which GSI nominates unless the accountant agrees to sign a confidentiality
agreement with Ethicon which shall obligate such accountant to hold the
information he receives from Ethicon in confidence, except for information
necessary for disclosure to GSI necessary to establish the accuracy of the
royalty reports.
    The remittance of royalties payable on sales outside the United States will
be payable to the GSI in United States Dollar equivalents at the official rate
of exchange of the currency of the country from which the royalties are payable
as quoted by The Wall Street Journal, New York Edition, for the day upon which
the transfer of funds for the royalty payment is made.  If the transfer or the
conversion into United States Dollar equivalents in any such instance is not
lawful or possible, the payment of such part of the royalties as is necessary
shall be made by the deposit thereof, in the currency of the country where the
sales were made on which the royalty was based, to the credit and account of GSI
or its nominee in any commercial bank or trust company of its choice located in
that country, prompt notice of which shall be given by Ethicon to GSI.  In order
to facilitate payments from countries other than the United States, GSI shall,
whenever requested by Ethicon, enter into a direct agreement in writing with a
foreign affiliate of Ethicon.  Such shall be obligated to remit any earned
royalties due for sales in such country directly to GSI, and GSI shall execute
such direct agreement as Ethicon may request which may be necessary to effect
such purpose.  Such direct agreement shall provide generally for the payment of
earned royalties under the same terms as provided for herein, insofar as such
terms are lawful under the applicable laws and regulations of the particular
country.  Notwithstanding the provisions of this paragraph, Ethicon shall remain
primarily liable for all payments due GSI.
    Any tax required to be withheld on royalties payable to GSI under the laws
of any country, shall be promptly paid by Ethicon on behalf of GSI to the
appropriate

                             PAGE 27

<PAGE>
governmental authority, and Ethicon shall furnish GSI with proof of
payment of such tax together with official or other appropriate evidence issued
by the appropriate governmental authority, sufficient to enable GSI to support a
claim for income tax credit for the sum withheld.  Any such tax required to be
withheld shall be an expense of GSI.
Notwithstanding whether the Ethicon Balloon Dissector is covered by more than
one patent, only one royalty payment shall be payable to consultant for the
Ethicon Balloon Dissector.
                                           
                             PAGE 28

<PAGE>

                                     APPENDIX 3A
                                           
                                           
                          ROYALTY AND ACCOUNTING PROVISIONS
                                           
    GSI shall keep accurate books and records of all payments due Ethicon.  GSI
shall deliver to Ethicon written reports of the number of units sold of Tissue
Dissectors during the preceding Accounting Quarter, on or before the sixtieth
day following the end of each Accounting Quarter.  Such report shall include a
calculation of the earned royalty due and the earned royalty payment.
    Ethicon shall have the right to nominate an independent accountant
acceptable to and approved by GSI (which approval shall not be unreasonably
withheld) who shall have access to GSI's records during reasonable business
hours for the purpose of verifying, at Ethicon's expense, the royalty payable as
provided for in this Agreement for the two preceding years, but this right may
not be exercised more than once in any year.  Ethicon shall solicit or receive
only information relating to the accuracy of the royalty report and the royalty
payments made. GSI shall be entitled to withhold approval of an accountant which
Ethicon nominates unless the accountant agrees to sign a confidentiality
agreement with GSI which shall obligate such accountant to hold the information
he receives from GSI in confidence, except for information necessary for
disclosure to Ethicon necessary to establish the accuracy of the royalty
reports.
    The remittance of royalties payable on sales outside the United States will
be payable to Ethicon in United States Dollar equivalents at the official rate
of exchange of the currency of the country from which the royalties are payable
as quoted by The Wall Street Journal, New York Edition, for the day upon which
the transfer of funds for the royalty payment is made.  If the transfer or the
conversion into United States Dollar equivalents in any such instance is not
lawful or possible, the payment of such part of the royalties as is necessary
shall be made by the deposit thereof, in the currency of the country where the
sales were made on which the royalty was based, to the credit and account of
Ethicon or its nominee in any commercial bank or trust company of its choice
located in that country, prompt notice of which shall be given by GSI to
Ethicon.  In order to facilitate payments from countries other than the United
States, Ethicon shall, whenever requested by GSI, enter into a direct agreement
in writing with a foreign affiliate of GSI.  Such shall be obligated to remit
any earned royalties due for sales in such country directly to Ethicon, and
Ethicon shall execute such direct agreement as GSI may request which may be
necessary to effect such purpose.  Such direct agreement shall provide generally
for the payment of earned royalties under the same terms as provided for herein,
insofar as such terms are lawful under the applicable laws and regulations of
the particular country.  Notwithstanding the provisions of this paragraph, GSI
shall remain primarily liable for all payments due Ethicon.

                             PAGE 29

<PAGE>

    Any tax required to be withheld on royalties payable to Ethicon under the
laws of any country, shall be promptly paid by GSI on behalf of Ethicon to the
appropriate governmental authority, and GSI shall furnish Ethicon with proof of
payment of such tax together with official or other appropriate evidence issued
by the appropriate governmental authority, sufficient to enable Ethicon to
support a claim for income tax credit for the sum withheld.  Any such tax
required to be withheld shall be an expense of Ethicon.
Notwithstanding whether the Tissue Dissectors are covered by more than one
patent, only one royalty payment shall be payable to Ethicon for such
dissectors.
                                           
                             PAGE 30

<PAGE>

                                      APPENDIX 4
                                           
                          LIST OF INTERNATIONAL DISTRIBUTORS
                                           
                DISTRIBUTOR                           COUNTRY
               -------------                         ---------
        Blue Mountain International                    Korea
                                                       China
                                                     Hong Kong
                                                       Macau

                 Escor Oy                             Finland
                  PRIM                                 Spain
                                                      Portugal




                                 PAGE 31

<PAGE>


                       MODIFICATION AND TERMINATION AGREEMENT 
                                  AND MUTUAL RELEASE
                                           
    This Agreement is made as of November 12, 1996 by and among General
Surgical Innovations, Inc., a California corporation ("GSI"), and United States
Surgical Corporation, a Delaware corporation ("USSC").

    WHEREAS, GSI and USSC have entered into a certain Distributorship Agreement
dated as of March 9, 1994, as amended (the "Distributorship Agreement"); and

    WHEREAS, GSI and USSC wish to modify and terminate the Distributorship
Agreement and agree to a mutual release as set forth below.

    The parties agree that as of the date of this Agreement set forth above
(the "Effective Date"):

    1.1  MODIFICATION AND TERMINATION. Subject to the provisions set forth
below, GSI and USSC hereby agree to terminate the Distributorship Agreement. 
Upon execution of this Agreement, USSC shall not be obligated to purchase, and
GSI shall not be obligated to supply, any products, including, but not limited
to, the products set forth on EXHIBIT A hereto. The parties further agree to
amend Section 11.3 of the Distributorship Agreement such that USSC shall have
the right (to the extent permitted under applicable laws and regulations) to
sell its existing inventory of products purchased from GSI until [************
*********].

    1.2  This Agreement will be effective on the date it is executed by both
parties (the "Termination Date").  Within [********] days after the Termination
Date, USSC shall pay in full the amount set forth in the EXHIBIT B and
thereafter shall no longer owe any amounts to GSI.  USSC shall have no right to
[**********] under the Distributorship Agreement after the Termination Date.

    2.0  ACKNOWLEDGMENT OF INTELLECTUAL PROPERTY RIGHTS .  Each party
acknowledges that it has no rights, claims or interests in the other party's
intellectual property rights except as set forth in the Distributorship
Agreement.

    3.0  MUTUAL RELEASE.  Except for warranty and indemnity obligations of the
parties (as set forth in Articles 4.4 and 7 of the Distributorship Agreement,
respectively), GSI and USSC, on behalf of itself, each of its past and present
affiliates, representatives, successors, assigns and transferees does hereby
release, discharge and acquit forever such other party and such party's
affiliates, successors, assigns and transferees from any and all demands, claims
or other liabilities (or potential demands, claims or liabilities) of every kind
and character whatsoever, arising in connection with any rights, obligations,
duties or interests arising under the Distributorship Agreement occurring on or
prior to the date of this Agreement, whether known or unknown, suspected or
unsuspected and each expressly waives the benefits of Section 1542 of the
California Civil Code which provides that:


[***] CONFIDENTIAL TREATMENT REQUESTED

<PAGE>

         "A GENERAL RELEASE DOES NOT EXTEND THE RELEASE TO CLAIMS WHICH
         THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT
         THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST
         HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR."

    Each of GSI and USSC understands and acknowledges the significance and
consequences of such specific waiver of Section 1542, and hereby assumes full
responsibilities for any injuries, damages or losses that each may incur as a
result of such waiver.

    4.0  SURVIVAL OF CERTAIN TERMS.  USSC and GSI acknowledge and agree that
the following provisions survive the termination of the Distributorship
Agreement:  Sections 2.1(e), 3.7, 3.8, 4.4, the last two sentences of 5.2, 5.3,
5.4, 5.5, 6.1, 6.4, 6.5, 6.6, 6.7, 6.8, 6.12, 7.1, 8.2, 8.3, 10.1, 10.2, 10.3,
11.3 [*******************************************************************
****] in Section 1.1 above), 13.1, 13.2, 13.3, 14.1, 14.2, 14.3, 14.4, 14.5,
14.6, 14.7, 14.8.

    5.0  CLARIFICATION OF ARTICLE 11.2.  USSC and GSI acknowledge and agree
that the Distribution Agreement is being terminated by mutual agreement and not
pursuant to Sections 11.2(e) or 11.2(f) and therefore the parties agree that the
restriction on USSC contained in the last unnumbered paragraph of Article 11.2
does not apply.

    IN WITNESS WHEREOF, the undersigned GSI and USSC have duly executed this
Agreement as of the date first set forth above.

GENERAL SURGICAL INNOVATIONS, INC.     UNITED STATES SURGICAL  
                                       CORPORATION


By:_______________________________     By:___________________________

Its:______________________________     Its:__________________________


[***] CONFIDENTIAL TREATMENT REQUESTED


                                      -2-
<PAGE>

                               EXHIBIT A

                 (CANCELED USSC FINANCIAL OBLIGATIONS)

                                        QUANTITY          $
                                        --------          -
[************]     [************]        [*****]      [*******]
[************]     [************]        [*****]      [*******]
[************]     [************]        [*****]      [*******]
[************]     [************]        [*****]      [*******]
[************]     [************]        [*****]      [*******]
[************]     [************]        [*****]      [*******]

[***********************************************]

                                        QUANTITY          $
                                        --------          -
[************************]               [*****]      [*******]


[************************************]

                                          QUANTITY         $
                                          --------         -
[***************************]              [*****]     [*******]
[***************************]              [*****]     [*******]
[***************************]              [*****]     [*******]


[***] CONFIDENTIAL TREATMENT REQUESTED

                                      -3-
<PAGE>

                                EXHIBIT B

                      (USSC FINANCIAL OBLIGATIONS)


[*************************]

                             INVOICE NO.                $
                             -----------                -
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                [****]            [**********]
                                                   ----------
                                                  [**********]



[***] CONFIDENTIAL TREATMENT REQUESTED



                                      -4-




<PAGE>

                                                                  EXHIBIT 10.22
- -------------------------------------------------------------------------------
                             STANDARD FORM LEASE
- -------------------------------------------------------------------------------

PARTIES: This Lease, executed in duplicate at Cupertino, California, on 
December__, 1996, by and between Berg & Berg Enterprises, Inc., a California 
Corporation, and General Surgical Innovations Inc., a California Corporation, 
hereinafter called respectively Lessor and Lessee, without regard to number or 
gender.

USE: WITNESSETH: That Lessor hereby leases to Lessee, and Lessee hires from 
Lessor, for the purpose of conducting therein office, research and development, 
light manufacturing, and warehouse activities, and any other legal activity; 
and for no other purpose without obtaining the prior written consent of Lessor.

PREMISES: The real property with appurtenances as shown on Exhibit A.1 (the 
"Premises") situated in the City of Cupertino, County of Santa Clara, State of 
California, and more particularly described as follows:

     A 30,460 square foot building including all improvements thereto and 
     the right to use up to 116 unreserved parking spaces as shown on 
     Exhibit A.2 ("Phase I") with the addition of approximately 15,000 
     square feet of building and improvements including the right to use 
     approximately 57 additional unreserved parking spaces at the Premises 
     effective September 1, 1998 as shown on Exhibit A.2 ("Phase II"). 
     Phase I and Phase II are collectively referred to herein as the 
     Building (the "Building").  The address for the Building is 10460 
     Bubb Road, Cupertino, California.  Lessee's pro-rata share of the 
     Building is 100%. 

TERM: The term shall be for eighty-four (84) months unless extended pursuant to 
Section 35 of this Lease (the "Lease Term"), commencing on the Commencement 
Date as defined in Section 1, and ending on the day eighty-four (84) months 
thereafter.

RENT: Base rent shall be payable in monthly installments as follows:

                                        Base rent       Estimated CAC*    Total
                                        ---------       --------------    -----
     Months 1 through 12                $46,895            $5,010*       $51,905
     Months 13 through 18               $48,302            $5,010*       $53,312
     Months 19 through 24               $72,100            $7,470*       $79,570

Monthly base rent, net of CAC charges, shall increase by 3% on the annual 
anniversary of the Commencement Date each year during the Lease Term over the 
prior year's rent.  The base rent starting on the 25th month of the Lease Term 
shall be $74,263.

* CAC charges to be adjusted per Common Area Charges Section below. 

Base rent as scheduled above shall be payable in advance on or before the first 
day of each calendar month during the Lease Term.  The term "Rent," as used 
herein, shall be deemed to be and to mean the base monthly rent and all other 
sums required to be paid by Lessee pursuant to the terms of this Lease.  Rent 
shall be paid in lawful money of the United States of America, without offset 
or deduction, and shall be paid to Lessor at such place or places as may be 
designated from time to time by Lessor.  Rent for any period less than a 
calendar month shall be a pro rata portion of the monthly installment.  Upon 
execution of this Lease, Lessee shall deposit with Lessor the first month's 
rent.

SECURITY DEPOSIT: Lessee shall deposit with Lessor the sum of Fifty-One 
Thousand Nine Hundred Five Dollars ($51,905) (the "Security Deposit").  The 
Security Deposit shall be held by Lessor as security for the faithful 
performance by Lessee of all of the terms, covenants, and conditions of this 
Lease applicable to Lessee.  If Lessee commits a default as provided for 
herein, including but not limited to a default with respect to the provisions 
contained herein relating to the condition of the Premises, Lessor may (but 
shall not be required to) use, apply or retain all or any part of the Security 
Deposit for the payment of any amount which Lessor may spend by reason of 
default by Lessee.  If any portion of the Security Deposit is so used or 
applied, Lessee shall, within ten days after written demand therefor, deposit 
cash with Lessor in an amount sufficient to restore the Security Deposit to its 
original amount.  Lessee's failure to do so shall be a default by Lessee.  Any 
attempt by Lessee to

<PAGE>

transfer or encumber its interest in the Security Deposit shall be null and 
void.  Upon execution of this Lease by Lessee and Lessor, Lessee shall deposit 
with Lessor the Security Deposit.  Provided Lessee meets all of its obligations 
under this Lease, within 30 days after the termination of this Lease, Lessee 
shall refund the Security Deposit less any amount properly applied under the 
terms of this Lease.

LATE CHARGES: Lessee hereby acknowledges that a late payment made by Lessee to 
Lessor of Rent and other sums due hereunder will cause Lessor to incur costs 
not contemplated by this Lease, the exact amount of which will be extremely 
difficult to ascertain.  Such costs include, but are not limited to, processing 
and accounting charges, and late charges, which may be imposed on Lessor 
according to the terms of any mortgage or trust deed covering the Premises. 
Accordingly, if any installment of Rent or any other sum due from Lessee is not 
received by Lessor or Lessor's designee within ten (10) days after such amount 
is due, Lessee shall pay to Lessor a late charge equal to five (5%) percent of 
such overdue amount.  The parties hereby agree that such late charge represents 
a fair and reasonable estimate of the costs Lessor will incur by reason of late 
payments made by Lessee.  Acceptance of such late charges by Lessor shall in no 
event constitute a waiver of Lessee's default with respect to such overdue 
amount, nor shall it prevent Lessor from exercising any of the other rights and 
remedies granted hereunder.  Notwithstanding the above, Lessee shall not be 
required to pay a late charge if it is the result of a non-recurring unusual 
event such as a accounting error and not occurring more than five (5) times 
during the Lease Term.

QUIET ENJOYMENT: Lessor covenants and agrees with Lessee that upon Lessee 
paying Rent and performing its covenants and conditions under this Lease, 
Lessee shall and may peaceably and quietly have, hold and enjoy the Premises 
for the Lease Term, subject, however, to the rights reserved by Lessor 
hereunder.

COMMON AREA CHARGES: Lessee shall pay to Lessor, as additional Rent, an amount 
equal to Lessee's prorata share of the total common area charges of the 
Premises and Lessee's pro rata share of the total common area charges for the 
Building as defined below (the common area charges for the Premises and the 
common area charges for the Building collectively referred to herein as 
("CAC")).  Lessee shall pay to Lessor as Rent, on or before the first day of 
each calendar month during the Lease Term, subject to adjustment and 
reconciliation as provided hereinbelow, the sum of Five Thousand Ten Dollars 
($5,010), said sum representing Lessee's estimated monthly payment of Lessee's 
percentage share of CAC for 1997.  It is understood and agreed that Lessee's 
obligation under this paragraph shall be prorated to reflect the Commencement 
Date and the end of the Lease Term.

Lessee's estimated monthly payment of CAC payable by Lessee during the calendar 
year in which the Lease commences is set forth above.  At or prior to the 
commencement of each succeeding calendar year term (or as soon as practical 
thereafter), Lessor shall provide Lessee with a description of Lessee's 
estimated monthly payment for CAC which Lessee shall pay to Lessor as Rent. 
Within 120 days of the end of the calendar year and the end of the Lease Term, 
Lessor shall provide Lessee a statement of actual CAC incurred including 
capital reserves for the preceding year or other applicable period in the case 
of a termination year.  If such statement shows that Lessee has paid less than 
its actual percentage, then Lessee shall on demand pay to Lessor the amount of 
such deficiency within 30 days after the receipt of the statement therefore. If 
such statement shows that Lessee has paid more than its actual percentage, then 
Lessor shall, at its option, promptly refund such excess to Lessee or credit 
the amount thereof to the Rent next becoming due from Lessee.  Lessor reserves 
the right to revise any estimate of CAC if the actual or projected CAC show an 
increase or decrease in excess of 10% from an earlier estimate for the same 
period.  In such event, Lessor shall provide a revised estimate to Lessee, 
together with an explanation of the reasons therefor, and Lessee shall revise 
its monthly payments accordingly.  Lessor's and Lessee's obligation with 
respect to adjustments at the end of the Lease Term or earlier expiration of 
this Lease shall survive the Lease Term or earlier expiration.  Notwithstanding 
the above, CAC shall be limited to a maximum increase of 5% over the prior year 
during the initial Lease Term except that this limitation shall not apply to 
(i) tax increases and (ii) the increase resulting from the Substantial 
Completion of the Phase II Improvements.


Page 2

<PAGE>

As used in this Lease, CAC shall include, but are not limited to (i) items 
specified as CAC items in Paragraphs 5(b), 6, 16 and 31; (ii) utility costs 
related to the common areas of the Premises as shown on Exhibit A.1; (iii) all 
costs and expenses including but not limited to supplies, materials, equipment 
and tools used or required in connection with the operation and maintenance of 
the Premises; (iv) licenses, permits and inspection fees; (v) all other costs 
incurred by Lessor in maintaining and operating the Premises; (vi) all reserves 
for capital replacements for HVAC, roof, parking lot and exterior painting 
shall not exceed Twelve Thousand Eight Hundred Seventy-Two Dollars ($12,872) 
per year prior to September 1, 1998 and Eighteen Thousand Five Hundred Dollars 
per year after September 1, 1998 or upon Substantial Completion of the Phase II 
Improvements plus annual increases equal to the consumer price index; and (vii) 
an amount equal to five percent (5%) of the aggregate of all CAC, as 
compensation for Lessor's accounting and processing services.  Lessee shall 
have the right to review the books or records related to the CAC applicable to 
this Lease annually.  CAC shall not include any cost related to: (a) hazardous 
or toxic materials unless some type of area-wide assessment is made by a 
government agency or commission; (b) structural defects or construction defects 
or non-compliance with codes existing as of the Commencement Date with respect 
to the Building Shell and Lessee Interior Improvements; (c) leasing and 
marketing costs or costs incurred in enforcing or administering leases (except 
for above accounting); (d) casualty damage covered by insurance or costs for 
which Lessor obtains reimbursement from other sources; and (e) capital 
improvement costs to the extent that Lessee has paid to Lessor reserve amounts 
for such capital improvements.  If Lessee's share of the cost of capital 
improvements due to governmental regulations as provided in Section 9 exceeds 
$5,000, and there are no reserves paid by Lessee to Lessor available for 
Section 9 capital improvements, and the capital improvement is not required due 
to Lessee's particular use of the Premises, such capital improvement cost shall 
be amortized over the estimated useful life of the improvement, not to exceed 
10 years at Wells Fargo prime rate plus one percent (1%).  Lessee shall pay to 
Lessor the amortized costs of such improvement on a monthly basis over the 
Lease Term as part of the CAC.  Notwithstanding the above exceptions to CAC, 
Lessee shall not be relieved of any of Lessee's obligations under this Lease.

COMMENCEMENT DATE MEMORANDUM: When the actual Commencement Date is determined,
the parties shall execute a Commencement Date Memorandum setting forth the
Commencement Date, the expiration date of the Lease Term and any required
adjustments to base rent as provided in this Lease, but failure to do so shall
not affect the continuing validity and enforceability of this Lease, which
shall remain in full force and effect.

IT IS FURTHER MUTUALLY AGREED BETWEEN THE PARTIES AS FOLLOWS:
1. POSSESSION: Possession shall be deemed tendered and the term shall commence
on the first to occur of the following (the "Commencement Date"): (i) the Phase
I Improvements are Substantially Complete or (ii) Lessee occupies Phase I and
commences to conduct business operations or (iii) if Lessor is prevented from
or delayed in completing its work under Section 2 of this Lease due to Lessee
Delays, such work will be deemed Substantially Complete as of the date on which
it would have been Substantially Complete had it not been for such Lessee
Delays.  It is the intention of Lessee and Lessor that March 1, 1997 shall be
the Commencement Date.

"Substantially Complete" shall mean that: (i) Lessor has tendered possession of
Phase I to Lessee, (ii) Lessor has met all legal requirements for occupancy of
Phase I, (iii) the Lessee Interior Improvements for Phase I are materially
complete per the approved plans, exclusive of telephone or other communication
systems, punchlist items and there remains no incomplete or defective items of
work which would materially adversely affect Lessee's intended use of the
Premises and (iv) said interior of the building is in a "broom clean"
condition.

2. IMPROVEMENTS


Page 3

<PAGE>

  A. PHASE I IMPROVEMENTS:  The "Phase I Improvements" shall be defined as all
  items necessary for a turnkey remodel of Phase I.  The Phase I Improvements
  shall be constructed by independent contractors to be employed by and under
  the supervision of Lessor in accordance with complete plans and
  specifications prepared by Lessor for submission to the City of Cupertino
  ("Phase I Improvement Plans"), complete with all mechanical and electrical
  design, approved by Lessee, and then attached hereto as Exhibit B.1.  Lessee
  and its designated representatives, shall at all times during the
  construction of the Phase I Improvements have access to the building to
  monitor the progress of construction and Lessor's compliance with its
  obligations hereunder, provided however, that such access shall not
  unreasonably interfere with the activities of Lessor or its contractors.  If
  Lessor notifies Lessee that any fittings, finishes, or other materials
  included in the specifications for the Phase I Improvements cannot be
  obtained within fifteen (15) days after an order therefor, Lessee shall be
  responsible for selecting alternative fittings, finishes, or other materials
  which can be obtained within said fifteen (15) day period including Rent for
  each day of delay.

  Lessor shall be responsible for ensuring that the Phase I Improvements
  conform to the approved plans and all applicable statutes, rules,
  regulations, ordinances, and City of Cupertino Building Department.

  Lessor estimates the total cost of the turnkey Phase I Improvements will be
  one million one hundred fifty thousand dollars ($1,150,000) including all
  items shown on Exhibit B.
  
  Lessor shall be responsible for and shall pay the cost of the Phase I
  Improvements up to the amount of Two Hundred Thousand Dollars ($200,000) (the
  "Phase I TI Allowance").  Lessee's cash budget for the Phase I Improvements
  shall be Nine Hundred Fifty Thousand Dollars ($950,000) ("Lessee's Phase I
  Costs").  Costs in excess of the Phase I TI Allowance and Lessee's Phase I
  Costs shall not be incurred without the advance approval of Lessee.  Any
  approved cost over the Phase I TI Allowance shall be paid for by Lessee in
  cash within fifteen (15) days after Lessor has provided Lessee with evidence
  that the billed work is complete.  Lessor shall be entitled to a construction
  management fee covering its overhead and profit on the Phase I TI Allowance
  and Lessee's Phase I Costs of six percent (6%).  All costs for the Phase I
  Improvements shall be documented and subject to verification by Lessee.

  For any contract to be entered into between Lessor and any contractor
  furnishing labor or materials in connection with the construction of the
  Lessee Interior Improvements where the payment due under such contract is
  estimated by Lessor to be in excess of One Hundred Thousand Dollars $100,000,
  Lessor shall request bids from at least three (3) qualified contractors
  selected by Lessor for bidding.  Lessor will accept the lowest qualified bid.
  Lessee shall have the opportunity to review the qualified bidders list and
  may select a bidder of their choice for any bid provided the bidder meets
  Lessor's reasonable requirements.  Within five (5) business days after
  approval by Lessee of Lessor's single line drawings depicting the Phase I
  Improvements, together with specifications for HVAC and electrical
  installations which will be included in the Phase I Improvements, Lessor
  shall provide Lessee with a guaranteed maximum price for the construction of
  the Phase I Improvements.  Following approval of that amount by Lessee,
  Lessee shall have no obligation to pay any costs in excess of the guaranteed
  maximum price in connection with the construction of the Phase I
  Improvements, except to the extent that the cost of such construction is
  increased by changes approved by Lessee.

  Lessor shall use its best efforts to cause the Commencement Date of the
  initial term to occur not later than March 1, 1997.  If the Commencement Date
  has not occurred by April 1, 1997, Lessee shall receive one day of base rent
  abatement for each day after April 1, 1997 until the Commencement Date.
  Lessor and Lessee agree that having a Commencement Date after April 1, 1997
  will cause Lessee and Lessor to incur costs not contemplated by this Lease,
  the exact amount of which will be extremely difficult to ascertain.
  Accordingly, the parties hereby agree that Lessee's right to the amount of
  one day's rent for each day of delay after April 1, 1997 represents a fair
  and reasonable settlement for both parties and neither party shall


Page 4

<PAGE>

  have further liability to the other for any damages.  If the Commencement 
  Date has not occurred by April 30, 1997, Lessee may at its sole option, by 
  written notice to Lessor, have the right to terminate this Lease at any time 
  after April 30, 1997 until the Commencement Date.  Notwithstanding anything 
  to the contrary herein, all dates stated herein shall be extended for the 
  number of days  Lessor is unable to Substantially Complete the Building as a 
  result of delays (i) due to governmental actions (other than governmental 
  action of refusing to approve work which fails to comply with the law or the 
  building permit) which occurs after receipt of normal building permits, (ii) 
  due to acts of God, , and (iii) due to Lessee Delays.  Items (i) and (ii) are 
  referred to herein as Third Party Delays ("Third Party Delays").  "Lessee 
  Delays" means a delay in Substantial Completion resulting from (a) Lessee's 
  failure to meet Lessee's deadlines for approval as shown on Exhibit E, (b) 
  delays due to change orders, (c) delays due to Lessee's failure to meet the 
  deadlines for approving any plans or change orders, and (d) delays because of 
  the inability to obtain any product, materials, design, color, fitting, or 
  finish pursuant to this Section 2.  Lessee shall have a maximum of 3 business 
  days to approve or disapprove any preliminary plans or change orders and a 
  maximum of 10 business days to approve or disapprove any final plans.  If 
  Lessee does not disapprove any plans or change orders within the time period 
  set forth herein in writing, Lessor may proceed on the basis that the plans 
  or change orders are approved by Lessee.  If plans or change orders are 
  disapproved, Lessee shall state the reason for disapproval and Lessor and 
  Lessee shall act in good faith to resolve any issues.  Lessor shall charge 
  Lessee $250 per change order after the fifth (5th) change order for 
  processing. 
  
  Notwithstanding any other provisions herein, Lessee shall during the Lease 
  Term own all Phase I Improvements paid for by Lessee.  Ownership of these 
  improvements shall, for the sum of $1.00, the receipt of which is hereby 
  acknowledged, revert to Lessor at the end of the Lease Term or earlier 
  expiration of this Lease. 

  B. PHASE II BUILDING SHELL AND LESSEE'S INTERIOR IMPROVEMENTS: The "Building 
  Shell", as defined on the attached Exhibit C shall be constructed at Lessor's 
  sole cost and expense. 

  The "Phase II Lessee Interior Improvements" shall be defined as all items
  that are not part of the Building Shell and shall be constructed by
  independent contractors to be employed by and under the supervision of Lessor
  in accordance with complete plans and specifications prepared by Lessor for
  submission to the City of Cupertino ("Phase II Lessee Improvement Plans"),
  complete with all mechanical and electrical design, approved by Lessee, and
  then to be attached hereto as Exhibit D.  Lessee and its designated
  representatives, shall at all times during the construction of  the Phase II
  Lessee Interior Improvements have access to the building to monitor the
  progress of construction and Lessor's compliance with its obligation
  hereunder; provided however, that such access shall not unreasonably
  interfere with the activities of Lessor or its contractors.  If Lessor
  notifies Lessee that any fittings, finishes or other materials included in
  the specifications for the Lessee Interior Improvements cannot be obtained
  within fifteen (15) days after placing an order therefor, Lessee shall be
  responsible for selecting alternative fittings, finishes, or other materials
  which can be obtained within said fifteen (15) day period, or, if Lessee does
  not specify any alternative, Lessee shall be responsible for any delay beyond
  said fifteen (15) day period including Rent for each day of delay.

  Lessor shall be responsible for ensuring that the Phase II Lessee Interior
  Improvements conform to the approved plans and all applicable statutes,
  rules, regulations, ordinances, and City of Cupertino Building Department.

  For any contract to be entered into between Lessor and any contractor
  furnishing labor or materials in connection with the construction of the
  Lessee Interior Improvements where the payment due under such contract is
  estimated by Lessor to be in excess of One Hundred Thousand Dollars $100,000,
  Lessor shall request bids from at least three (3) qualified contractors
  selected by Lessor for bidding.  Lessor will accept the lowest qualified bid.
  Lessee shall have the opportunity to review the qualified bidders list and
  may select a bidder of their choice for any bid provided the bidder meets
  Lessor's


Page 5

<PAGE>

  reasonable requirements.  Within five (5) business days after approval by 
  Lessee of  Lessor's single line drawings depicting the Phase II Lessee 
  Interior Improvements, together with specifications for HVAC and electrical 
  installations which will be included in the Phase II Lessee Interior 
  Improvements, Lessor shall provide Lessee with a guaranteed maximum price 
  for the construction of the Phase II Lessee Interior Improvements.
  Following approval of that amount by Lessee, Lessee shall have no obligation
  to pay any costs in excess of the guaranteed maximum price in connection with
  the construction of the Phase II Lessee Interior Improvements, except to the
  extent that the cost of such construction is increased by changes approved by
  Lessee.

  Lessor shall be responsible for and shall pay the cost of the Phase II Lessee
  Interior Improvements up to the amount of Five Hundred Thousand Dollars
  ($500,000)  (the "Phase II TI Allowance").  In the event the approved cost of
  the Phase II Lessee Interior Improvements is more than the Phase II TI
  Allowance Lessee shall pay the excess cost in cash, as provided for herein.
  Costs in excess of the Phase II TI Allowance, if any,  will not be incurred
  without advance approval of Lessee.  Any approved cost over the Phase II TI
  Allowance shall be paid  in cash within fifteen (15) days after Lessor has
  provided Lessee with any invoice for the portion of the work that has been
  completed.  Lessor shall be entitled to a construction management fee
  covering its overhead and profit on the costs of the Phase II Lessee Interior
  Improvements  of six percent (6%).  All costs for Phase II Lessee Interior
  Improvements shall be documented and subject to verification by Lessee.

  Lessor shall use its best efforts to cause the Substantial Completion of
  Phase II  to occur not later than September 1, 1998.  All base rent related
  to Phase II shall be adjusted for each day the Phase II Lessee Interior
  Improvements are not Substantially Complete after September 1, 1998.  Lessor
  and Lessee agree that having a Substantial Completion date for Phase II after
  September 1, 1998 will cause Lessee and Lessor to incur costs not
  contemplated by this Lease, the exact amount of which will be extremely
  difficult to ascertain.  Accordingly, the parties hereby agree that Lessee's
  right to the abatement of base rent specified herein  represents a fair and
  reasonable settlement for both parties and neither party shall have further
  liability to the other for any damages.  If the Phase II Lessee Interior
  Improvements are not Substantially Complete by October 1, 1998, Lessee may at
  its sole option, by written notice to Lessor, have the right to terminate
  this Lease for applicable to the Phase II space at any time after October 1,
  1998 until the Commencement Date.  Notwithstanding anything to the contrary
  herein, all dates stated herein shall be extended for the number of days
  Lessor is unable to Substantially Complete the Building as a result of delays
  (i) due to governmental actions (other than governmental action of refusing
  to approve work which fails to comply with the law or the building permit)
  which occurs after receipt of normal building permits, (ii) due to acts of
  God, , and (iii) due to Lessee Delays.  Items (i) and (ii) are referred to
  herein as Third Party Delays ("Third Party Delays").  "Lessee Delays" means a
  delay in Substantial Completion resulting from (a) Lessee's failure to meet
  Lessee's deadlines for approval as shown on Exhibit E, (b) delays due to
  change orders, (c) delays due to Lessee's failure to meet the deadlines for
  approving any plans or change orders, and (d) delays because of the inability
  to obtain any product, materials, design, color, fitting, or finish pursuant
  to this Section 2.  Lessee shall have a maximum of 3 business days to approve
  or disapprove any preliminary plans or change orders and a maximum of 10
  business days to approve or disapprove any final plans.  If Lessee does not
  disapprove any plans or change orders within the time period set forth herein
  in writing, Lessor may proceed on the basis that the plans or change orders
  are approved by Lessee.  If plans or change orders are disapproved, Lessee
  shall state the reason for disapproval and Lessor and Lessee shall act in
  good faith to resolve any issues.  Lessor shall charge Lessee $250 per change
  order after the fifth (5th) change order for processing.

  Lessor further agrees, at its cost, to spend up to Fifty Thousand Dollars
  ($50,000) to upgrade the exterior of Phase I as part of the Phase II Lessee
  Interior Improvements.


Page 6


<PAGE>

  Notwithstanding the above obligations with respect to the Building Shell and
  the Phase II Lessee Interior Improvements, Lessor's obligation to proceed
  with the indicated improvements shall be subject to Lessee having available
  cash of a minimum of  Ten Million Dollars ($10,000,000) as of the start of
  the Phase II construction.

2.1 ACCEPTANCE OF PREMISES AND COVENANTS TO SURRENDER: Lessor represents that 
the Premises shall be in good order and repair, and shall comply with all 
requirements for occupancy as of the Commencement Date.  Lessee agrees on the 
last day of the Lease Term, or on the sooner termination of this Lease, to 
surrender the Building to Lessor in Good Condition and Repair.  Good 
Condition and Repair ("Good Condition and Repair") shall not mean original 
condition, but shall mean that the Building are in a commercially acceptable 
condition suitable for occupancy by a reasonable lessee.  The interior walls 
of all office and warehouse areas, the floors of all office and warehouse 
areas, all suspended ceilings and any carpeting are to be cleaned and in Good 
Condition and Repair  Lessee also agrees to surrender unto Lessor all 
alterations, additions, and improvements which may have been made in, to, or 
on the Building by Lessee.  Lessor agrees to allow any reasonable alterations 
and improvements and will notify Lessee at the time of approval if such 
improvements or alterations are to be removed at the end of the Lease Term  
or earlier termination of this Lease and the Building restored to its 
condition as of the Commencement Date of the Lease.  Lessee, on or before the 
end of the Lease Term or sooner termination of this Lease, shall remove all 
its personal property and trade fixtures from the Building, and all such 
property not so removed shall be deemed to be abandoned by Lessee.  Lessee 
shall reimburse Lessor for all disposition costs incurred by Lessor relative 
to Lessee's abandoned property. If the Building are not surrendered at the 
end of the Lease Term or earlier termination of this Lease, Lessee shall 
indemnify Lessor against loss or liability resulting from any delay caused by 
Lessee in surrendering the Building including, without limitation, any claims 
made by any succeeding Lessee founded on such delay.

3. USES PROHIBITED: Lessee shall not commit, or suffer to be committed, any 
waste upon the Premises, or any nuisance, or other act or thing which may 
disturb the quiet enjoyment of any other tenant in or around the buildings in 
which the subject Premises are located or allow any sale by auction upon the 
Premises, or allow the Premises to be used for any improper, immoral, 
unlawful or objectionable purpose, or place any loads upon the floor, walls, 
or ceiling which may endanger the structure, or use any machinery or 
apparatus which will in any manner vibrate or shake the Building, or place 
any harmful liquids in the drainage system of the building.  No waste 
materials or refuse shall be dumped upon or permitted to remain upon any part 
of the Premises outside of the building proper.  No materials, supplies, 
equipment, finished products or semi-finished products, raw materials or 
articles of any nature shall be stored upon or permitted to remain on any 
portion of the Premises outside of the building structure, unless approved by 
the local, state federal or other applicable governing authority.  Lessor 
consents to Lessee's use of materials which are incidental to the normal, 
day-to-day operations of any office user, such as copier fluids, cleaning 
materials, etc., but this does not relieve Lessee of any of its obligations 
not to contaminate the Premises or related real property or violated any 
Hazardous Materials Laws.

4. ALTERATIONS AND ADDITIONS: Lessee shall not make, or suffer to be made, 
any alteration or addition to the Building, or any part thereof, without the 
express, advance written consent of Lessor; any addition or alteration to 
said Building, except movable furniture and trade fixtures, shall become at 
once a part of the realty and belong to Lessor at the end of the Lease Term 
or earlier termination of this Lease.  Alterations and additions which are 
not deemed as trade fixtures shall include HVAC systems, lighting systems, 
electrical systems, partitioning, carpeting, or any other installation which 
has become an integral part of the Building.  Lessee agrees that it will not 
proceed to make such alterations or additions until all required government 
permits have been obtained and after having obtained consent from Lessor to 
do so, until five (5) days from the receipt of such consent, so that Lessor 
may post appropriate notices to avoid any liability to contractors or 
material suppliers for payment for Lessee's improvements.  Lessee shall at 
all times permit such notices to be posted and to remain posted until the 
completion of work.  At the end of the Lease Term or earlier termination of 
this Lease, Lessee shall remove and shall be required to remove its special 
tenant improvements and all related equipment installed by Lessee at or 
during the Lease Term and Lessee shall 

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return the Building to the condition that existed before the installation of 
the special tenant improvements.  Notwithstanding the above, Lessor agrees to 
allow any reasonable alterations and improvements and will notify Lessee at 
the time of approval if such improvements or alterations are to be removed at 
the end of the Lease Term or earlier termination of this Lease.

5. MAINTENANCE OF PREMISES:
  (a) Lessee shall at its sole cost and expense keep and maintain the 
  interior of the Building, including, but not limited to, all lighting 
  systems, temperature control systems, all window washing, exterior and 
  interior, clean room systems other than base HVAC units and plumbing 
  systems, in Good Condition and Repair, including any required replacements. 
   Lessee shall maintain all wall surfaces and floor coverings in Good 
  Condition and Repair, free of holes, gouges, or defacements.

  (b) Lessor shall keep and maintain in Good Condition and Repair including 
  replacements, at Lessee's expense, based on a pro-rata share of cost based 
  on square footage or costs directly related to Lessee's use of the Premises 
  the following, which shall be included in the monthly CAC:
     1. The exterior of the building, any appurtenances and every part
     thereof, including but not limited to, glazing, sidewalks, parking
     areas, electrical systems, HVAC systems,  roof membrane, and painting
     of exterior walls.
     2. The HVAC by a service contract with a licensed air conditioning
     and heating contractor which contract shall provide for a minimum of
     quarterly maintenance of all air conditioning and heating equipment
     at the Building including HVAC repairs or replacements which are
     either excluded from such service contract or any existing equipment
     warranties.
     3. The landscaping by a landscape contractor to water, maintain, trim
     and replace, when necessary, any shrubbery and landscaping at the
     Premises.
     4. The roof membrane by a service contract with a licensed reputable
     roofing contractor which contract shall provide for a minimum of semi-
     annual maintenance, cleaning of storm gutters, drains, removing of
     debris and trimming overhanging trees, repair of the roof and
     application of a finish coat every five years at the Building.
     5. Extermination services.
     6. Fire monitoring services.
     
  (c) Lessee hereby waives any and all rights to make repairs at the expense 
  of Lessor as provided in Section 1942 of the Civil Code of the State of 
  California, and all rights provided for by Section 1941 of said Civil Code. 
  Lessor shall assign any warranties, guaranties and similar rights which 
  would apply to the Building elements to be maintained by Lessee and shall 
  cooperate with Lessee as reasonably necessary to enforce such rights.
  
  (d) Lessor shall be responsible and pay for the repair of any structural 
  defects in the Building including the roof structure (not membrane, except 
  as provided at Lessee's expense in 5(b) above), exterior walls and 
  foundation and to correct any condition which does not comply with 
  applicable laws after completion of the Phase I or Phase II Improvements.

6. HAZARD INSURANCE: Lessee shall not use, or permit said Premises, or any 
part thereof, to be used, for any purpose other than that for which said 
Premises are hereby leased; and no use shall be made or permitted to be made 
of the Premises, nor acts done, which may cause a cancellation of any 
insurance policy covering said building, or any part thereof, nor shall 
Lessee sell or permit to be kept, used or sold, in or about said Premises, 
any article which may be prohibited by a standard form fire insurance policy. 
Lessee shall, at its sole cost and expense, comply with any and all 
requirements, pertaining to said Premises, of any insurance organization or 
company, necessary for the maintenance of reasonable fire and general 
liability insurance, 

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covering said building and appurtenances.  Lessor agrees to purchase and keep 
in force fire and extended coverage insurance covering loss or damage to the  
Premises in amounts equal  to the full replacement cost of the Premises as 
determined by Lessor, with proceeds payable to Lessor.  Lessee acknowledges 
that the insurance referenced above does not include coverage for Lessee's 
personal property.  In the event of a loss per the insurance provisions of 
this paragraph, Lessee shall be responsible for deductibles up to a maximum 
of $5,000 per occurrence.  Lessee agrees to pay to the Lessor as additional 
Rent, on demand, the full cost of said insurance as evidenced by insurance 
billings to the Lessor which shall be included in Lessee's monthly CAC.    If 
said insurance billings cover the Premises, and Lessee does not occupy the 
entire Premises, the insurance premiums and deductibles shall be allocated to 
the portion of the Premises occupied by Lessee on a  pro-rata square footage 
or other equitable basis, as determined by Lessor.  It is understood and 
agreed that Lessee's obligation under this paragraph will be prorated to 
reflect the Commencement Date and the end of the Lease Term.

Lessor and Lessee hereby waive any rights each may have against the other 
related to any loss or damage caused to Lessor or Lessee as the case may be, 
or to the Premises, the Building,  or its contents, and which may arise from 
any risk generally covered by fire and extended coverage insurance.  The 
parties shall provide that their respective insurance policies insuring the 
property or the personal property include a waiver of any right of 
subrogation which said insurance company may have against Lessor or Lessee, 
as the case may be. Lessor shall maintain in full force and effect, a policy 
of rental loss insurance, in an amount equal to the amount of Rent payable by 
Lessee commencing on the date of loss during the next ensuing one (1) year, 
as reasonably determined by Lessor with proceeds payable to Lessor ("Loss of 
Rents Insurance").  Lessee shall reimburse Lessor for Lessee's pro-rata share 
of the cost of said rental loss insurance coverage.

7. ABANDONMENT: Lessee shall not vacate or abandon the Building at any time 
during the Lease Term; and if Lessee shall abandon, vacate or surrender the 
Building, or be dispossessed by process of law, or otherwise, any personal 
property belonging to Lessee and left on the Building shall be deemed to be 
abandoned, at the option of Lessor.  Notwithstanding the above, the Building 
shall not be considered vacated or abandoned if Lessee maintains the Building 
in Good Condition and Repair, provides security and is not in default.

8. FREE FROM LIENS: Lessee shall keep the subject Premises and the property 
in which the subject Premises are situated, free from any and all liens 
including but not limited to liens arising out of any work performed, 
materials furnished, or obligations incurred by Lessee.  However, the Lessor 
shall allow Lessee to contest a lien claim, so long as the claim is 
discharged prior to any foreclosure proceeding being initiated against the 
property and provided Lessee provides Lessor a bond if the lien exceeds 
$5,000.

9. COMPLIANCE WITH GOVERNMENTAL REGULATIONS: Lessee shall, at its sole cost 
and expense, comply with all of the requirements of all local, municipal, 
state and federal authorities after the Commencement Date, or which may 
hereafter be in force, pertaining to Lessee's use and occupancy of the said 
Premises, and shall faithfully observe in the use of the Premises all local 
and municipal ordinances and state and federal statutes in force after the 
Commencement Date or which may hereafter be in force.  Except as stated 
above, Lessee shall not be required to pay for the construction of any single 
improvement resulting from future government regulation under this paragraph 
in excess of $5,000, unless such improvement is required to comply with 
Lessee's particular use of the Premises; if such improvement is not required 
due to Lessee's particular use of the Premises and such improvement cost 
exceeds $5,000, such improvement cost shall be amortized over ten (10) years 
at Wells Fargo prime rate plus one percent (1%).  Lessee shall pay to Lessor 
the amortized costs of such improvement on a monthly basis over the Lease 
Term.

10. LESSEE'S INSURANCE: Lessee, as a material part of the consideration to be 
rendered to Lessor, hereby waives all claims against Lessor and Lessor's 
Agents for damages to goods, wares and merchandise, and all other personal 
property in, upon or 

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<PAGE>

about said Premises, and for injuries to persons in, upon or about said 
Premises, from any cause arising at any time, and Lessee will hold Lessor and 
Lessor's Agents exempt and harmless from any damage or injury to any person, 
or to the goods, wares and merchandise and all other personal property of any 
person, arising from the use or occupancy of the Premises by Lessee, or from 
the failure of Lessee to keep the Building in good condition and repair, as 
herein provided.  Lessee shall secure and keep in force a standard policy of 
commercial general liability insurance and property damage policy covering 
the Premises, including parking areas, insuring the Lessee.   A certificate 
of said policy naming Lessor as an additional insured shall be delivered to 
Lessor and will have a combined single limit for both bodily injury, death 
and property damage in an amount not less than five million dollars 
($5,000,000.00).  The limits of said insurance shall not, however, limit the 
liability of Lessee hereunder.  Lessee shall obtain a written obligation on 
the part of the insurer to notify Lessor 30 days in advance in writing before 
any cancellation thereof. Lessee shall obtain, at Lessee's sole cost and 
expense, a policy of fire and extended coverage insurance including coverage 
for direct physical loss special form, and a sprinkler leakage endorsement 
insuring the personal property of Lessee.  The proceeds from any personal 
property damage policy shall be payable to Lessee.  Lessee shall, at its sole 
cost and expense, comply with all of the insurance requirements of all local, 
municipal, state and federal authorities now in force, or which may hereafter 
be in force, pertaining to Lessee's use and occupancy of the said Premises.

11. ADVERTISEMENTS AND SIGNS: Lessee shall not place or permit to be placed, 
in, upon or about the Premises any unusual or extraordinary signs, or any 
signs not approved by the city, local, state, federal or other applicable 
governing authority. Lessee shall not place, or permit to be placed upon the 
Premises, any signs, advertisements or notices without the written consent of 
the Lessor, and such consent shall not be unreasonably withheld.  A sign so 
placed on the Premises shall be so placed upon the understanding and 
agreement that Lessee will remove same at the end of the Lease Term or 
earlier termination of this Lease and repair any damage or injury to the 
Premises caused thereby, and if not so removed by Lessee, then Lessor may 
have the same removed at Lessee's expense.  Lessor hereby consents to the 
placement of a monument sign identifying Lessee, subject to Lessor's 
reasonable approval as to the placement and appearance of the signage, and 
further subject to compliance with the requirements of applicable government 
agencies.

12. UTILITIES: Lessee shall pay for all water, gas, heat, light, power, 
telephone and other utilities supplied to the Building.  Any charges for 
sewer usage or related fees shall be the obligation of Lessee and paid for by 
Lessee. If any such services are not separately metered to Lessee, Lessee 
shall pay a reasonable proportion of all charges which are jointly metered, 
the determination to be made by Lessor acting reasonably and on any equitable 
basis.  Lessor shall not be liable to Lessee for any disruption in any of the 
utility services to the Building or Premises.

13. ATTORNEY'S FEES: In case suit should be brought for the possession of the 
Building or Premises, for the recovery of any sum due hereunder, or because 
of the breach of any other covenant herein, the losing party shall pay to the 
prevailing party reasonable attorney's fee which shall be deemed to have 
accrued on the commencement of such action and shall be enforceable whether 
or not such action is prosecuted to judgment.

14.1 DEFAULT: The occurrence of any of the following shall constitute a 
default and breach of this Lease by Lessee: a) Any failure by Lessee to pay 
Rent or to make any other payment required to be made by Lessee hereunder 
when due if not cured within ten (10) days after written notice thereof by 
Lessor to Lessee; b) The abandonment or vacation of the Premises by Lessee 
except as provided in Section 7; c) A failure by Lessee to observe and 
perform any other provision of this Lease to be observed or performed by 
Lessee, where such failure continues for thirty days after written notice 
thereof by Lessor to Lessee; provided, however, that if the nature of such 
default is such that the same cannot be reasonably cured within such thirty 
(30) day period, Lessee shall not be deemed to be in default if Lessee shall, 
within such period, commence such cure and thereafter diligently prosecute 
the same to completion; d) The making by Lessee of any general assignment for 
the benefit of creditors; the filing by or against Lessee of a petition to 
have Lessee adjudged a bankrupt or of a petition for reorganization or 
arrangement under any 

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law relating to bankruptcy; e) the appointment of a trustee or receiver to 
take possession of substantially all of Lessee's assets or Lessee's interest 
in this Lease, or the attachment, execution or other judicial seizure of 
substantially all of Lessee's assets located at the Premises or of Lessee's 
interest in this Lease.

14.2 SURRENDER OF LEASE: In the event of any such default by Lessee, then in 
addition to any other remedies available to Lessor at law or in equity, 
Lessor shall have the immediate option to terminate this Lease before the end 
of the Lease Term and all rights of Lessee hereunder, by giving written 
notice of such intention to terminate.  In the event that Lessor terminates 
this Lease due to a default of Lessee, then Lessor may recover from Lessee: 
a) the worth at the time of award of any unpaid Rent which had been earned at 
the time of such termination; plus b) the worth at the time of award of 
unpaid Rent which would have been earned after termination until the time of 
award exceeding the amount of such rental loss that the Lessee proves could 
have been reasonably avoided; plus c) the worth at the time of award of the 
amount by which the unpaid Rent for the balance of the Lease Term after the 
time of award exceeds the amount of such rental loss that the Lessee proves 
could have been reasonably avoided; plus d) any other amount necessary to 
compensate Lessor for all the detriment proximately caused by Lessee's 
failure to perform his obligations under this Lease or which in the ordinary 
course of things would be likely to result therefrom; and e) at Lessor's 
election, such other amounts in addition to or in lieu of the foregoing as 
may be permitted from time to time by applicable California law.  As used in 
(a) and (b) above, the "worth at the time of award" is computed by allowing 
interest at the rate of Wells Fargo's prime rate plus two percent (2%) per 
annum.  As used in (c) above, the "worth at the time of award" is computed by 
discounting such amount at the discount rate of the Federal Reserve Bank of 
San Francisco at the time of award plus one percent (1%).

14.3 RIGHT OF ENTRY AND REMOVAL: In the event of any such default by Lessee, 
Lessor shall also have the right, with or without terminating this Lease, to 
re-enter the Building and remove all persons and property from the Building; 
such property may be removed and stored in a public warehouse or elsewhere at 
the cost of and for the account of Lessee.

14.4 ABANDONMENT: In the event of the vacation or abandonment, except as 
provided in Section 7, of the Building by Lessee or in the event that Lessor 
shall elect to re-enter as provided in paragraph 14.3 above or shall take 
possession of the Premises pursuant to legal proceeding or pursuant to any 
notice provided by law, and Lessor does not elect to terminate this Lease as 
provided in paragraph 14.2 above, then Lessor may from time to time, without 
terminating this Lease, either recover all Rent as it becomes due or relet 
the Building or any part thereof for such term or terms and at such rental 
rates and upon such other terms and conditions as Lessor, in its sole 
discretion, may deem advisable with the right to make alterations and repairs 
to the Building. In the event that Lessor elects to relet the Building, then 
Rent received by Lessor from such reletting shall be applied; first, to the 
payment of any indebtedness other than Rent due hereunder from Lessee to 
Lessor; second, to the payment of any cost of such reletting; third, to the 
payment of the cost of any alterations and repairs to the Building; fourth, 
to the payment of Rent due and unpaid hereunder; and the residue, if any, 
shall be held by Lessor and applied to the payment of future Rent as the same 
may become due and payable hereunder.  Should that portion of such Rent 
received from such reletting during any month, which is applied by the 
payment of Rent hereunder according to the application procedure outlined 
above, be less than the Rent payable during that month by Lessee hereunder, 
then Lessee shall pay such deficiency to Lessor immediately upon demand 
therefor by Lessor.  Such deficiency shall be calculated and paid monthly.  
Lessee shall also pay to Lessor, as soon as ascertained, any costs and 
expenses incurred by Lessor in such reletting or in making such alterations 
and repairs not covered by the rentals received from such reletting.

14.5 NO IMPLIED TERMINATION: No re-entry or taking possession of the Building 
by Lessor pursuant to 14.3 or 14.4 of this Article 14 shall be construed as 
an election to terminate this Lease unless a written notice of such intention 
is given to Lessee or unless the termination thereof is decreed by a court of 
competent jurisdiction.  Notwithstanding any reletting without 

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termination by Lessor because of any default by Lessee, Lessor may at any 
time after such reletting elect to terminate this Lease for any such default.

15. SURRENDER OF LEASE: The voluntary or other surrender of this Lease by 
Lessee, or a mutual cancellation thereof, shall not work a merger, and shall, 
at the option of Lessor, terminate all or any existing subleases or sub 
tenancies, or may, at the option of Lessor, operate as an assignment to him 
of any or all such subleases or sub tenancies.

16. TAXES: Lessee shall pay and discharge punctually and when the same shall 
become due and payable without penalty, all real estate taxes, personal 
property taxes, taxes based on vehicles utilizing parking areas in the 
Premises, taxes computed or based on rental income (other than federal, state 
and municipal net income taxes), Environmental Surcharges, privilege taxes, 
excise taxes, business and occupation taxes, school fees or surcharges, gross 
receipts taxes, sales and/or use taxes, employee taxes, occupational license 
taxes, water and sewer taxes, assessments (including, but not limited to, 
assessments for public improvements or benefit), assessments for local 
improvement and maintenance districts, and all other governmental impositions 
and charges of every kind and nature whatsoever, regardless of whether now 
customary or within the contemplation of the parties hereto and regardless of 
whether resulting from increased rate and/or valuation, or whether 
extraordinary or ordinary, general or special, unforeseen or foreseen, or 
similar or dissimilar to any of the foregoing (all of the foregoing being 
hereinafter collectively called "Tax" or "Taxes") which, at any time during 
the Lease Term, shall be applicable or against the Premises, or shall become 
due and payable and a lien or charge upon the Premises under or by virtue of 
any present or future laws, statutes, ordinances, regulations, or other 
requirements of any governmental authority whatsoever. The term 
"Environmental Surcharge" shall include any and all expenses, taxes, charges 
or penalties imposed by the Federal Department of Energy, Federal 
Environmental Protection Agency, the Federal Clean Air Act, or any 
regulations promulgated thereunder, or any other local, state or federal 
governmental agency or entity now or hereafter vested with the power to 
impose taxes, assessments or other types of surcharges as a means of 
controlling or abating environmental pollution or the use of energy (i) 
generally imposed on similar properties in a wide geographic area without 
regard to whether the properties are subject to the tax are contaminated by 
Hazardous Materials and which is part of a comprehensive plan imposed by a 
governmental unit or (ii) imposed with respect to the Premises as the result 
of presence of Hazardous Materials for which Lessee is required to indemnify 
Lessor under Section 33.The term "Tax" shall include, without limitation, all 
taxes, assessments, levies, fees, impositions or charges levied, imposed, 
assessed, measured, or based in any manner whatsoever (i) in whole or in part 
on the Rent payable by Lessee under this Lease, (ii) upon or with respect to 
the use, possession, occupancy, leasing, operation or management of the 
Premises, (iii) upon this transaction or any document to which Lessee is a 
party creating or transferring an interest or an estate in the Premises, (iv) 
upon Lessee's business operations conducted at the Premises, (v) upon, 
measured by or reasonably attributable to the cost or value of Lessee's 
equipment, furniture, fixtures and other personal property located on the 
Premises or the cost or value of any leasehold improvements made in or to the 
Premises by or for Lessee, regardless of whether title to such improvements 
shall be in Lessor or Lessee, or (vi) in lieu of or equivalent to any Tax set 
forth in this Section 16.  In the event any such Taxes are payable by Lessor 
and it shall not be lawful for Lessee to reimburse Lessor for such Taxes, 
then the Rent payable thereunder shall be increased to net Lessor the same 
net rent after imposition of any such Tax upon Lessor as would have been 
payable to Lessor prior to the imposition of any such Tax.  It is the 
intention of the parties that Lessor shall be free from all such Taxes and 
all other governmental impositions and  charges of every kind and nature 
whatsoever. However, nothing contained in this Section 16 shall require 
Lessee to pay any Federal or State income, franchise, estate, inheritance, 
succession, transfer or excess profits tax imposed upon Lessor.   If any 
general or special assessment is levied and assessed against the Premises, 
Lessor agrees to use its best reasonable efforts to cause the assessment to 
become a lien on the Premises securing repayment of a bond sold to finance 
the improvements to which the assessment relates which is payable in 
installments of principal and interest over the maximum term allowed by law.  
It is understood and agreed that Lessee's obligation under this paragraph 
will be prorated to reflect the Commencement Date and the end of the Lease 
Term.  It is further understood that if Taxes cover the Premises and Lessee 
does not occupy the entire Premises, the Taxes will be 

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allocated to the portion of the Premises occupied by Lessee based on a 
pro-rata square footage or other equitable basis.  Taxes billed by Lessor to 
Lessee shall be included in the monthly CAC.

Subject to any limitations or restrictions imposed by any deeds of trust or 
mortgages now or hereafter covering or affecting the Premises, Lessee shall 
have the right to contest or review the amount or validity of any Tax by 
appropriate legal proceedings but which is not to be deemed or construed in 
any way as relieving, modifying or extending Lessee's covenant to pay such 
Tax at the time and in the manner as provided in this Section 16.  However, 
as a condition of Lessee's right to contest, if such contested Tax is not 
paid before such contest and if the legal proceedings shall not operate to 
prevent or stay the collection of the Tax so contested, Lessee shall, before 
instituting any such proceeding, protect the Premises and the interest of 
Lessor and of the beneficiary of a deed of trust or the mortgagee of a 
mortgage affecting the Premises against any lien upon the Premises by a 
surety bond, issued by an insurance company acceptable to Lessor and in an 
amount equal to one and one-half (1 1/2) times the amount contested or, at 
Lessor's option, the amount of the contested Tax and the interest and 
penalties in connection therewith.  Any contest as to the validity or amount 
of any Tax, whether before or after payment, shall be made by Lessee in 
Lessee's own name, or if required by law, in the name of Lessor or both 
Lessor and Lessee.  Lessee shall defend, indemnify  and hold harmless Lessor 
from and against any and all costs or expenses, including attorneys' fees, in 
connection with any such proceedings brought by Lessee, whether in its own 
name or not. Lessee shall be entitled to retain any refund of any such 
contested Tax and penalties or interest thereon which have been paid by 
Lessee.  Nothing contained herein shall be construed as affecting or limiting 
Lessor's right to contest any Tax at Lessor's expense.

17. NOTICES: Unless otherwise provided for in this Lease, any and all written 
notices or other communication (the "Communication") to be given in 
connection with this Lease shall be given in writing and shall be given by 
personal delivery, facsimile transmission or by mailing by registered or 
certified mail with postage thereon or recognized overnight courier, fully 
prepaid, in a sealed envelope addressed to the intended recipient as follows:

(a)  to the Lessor at:   10050 Bandley Drive
                         Cupertino, California 95014
                         Attention: Carl E. Berg
                         Fax No: (408) 725-1626

(b)  to the Lessee at:   3172 A Porter Drive
                         Palo Alto, California 94304
                         Attention: CFO
                         Fax No: (415) 812-9731

or such other addresses, facsimile number or individual as may be designated 
by a Communication given by a party to the other parties as aforesaid.  Any 
Communication given by personal delivery shall be conclusively deemed to have 
been given and received on a date it is so delivered at such address provided 
that such date is a business day, otherwise on the first business day 
following its receipt, and if given by registered or certified mail, on the 
day on which delivery is made or refused or if given by recognized overnight 
courier, on the first business day following deposit with such overnight 
courier and if given by facsimile transmission, on the day on which it was 
transmitted provided such day is a business day, failing which, on the next 
business day thereafter.

18. ENTRY BY LESSOR: Lessee shall permit Lessor and its agents to enter into 
the Building at all reasonable times using the minimum amount of interference 
and inconvenience to Lessee and Lessee's business, subject to any security 
regulations of Lessee, for the purpose of inspecting the same or for the 
purpose of maintaining the Building, or for the purpose of making 

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repairs, alterations or additions to any other portion of said Building, 
including the erection and maintenance of such scaffolding, canopies, fences 
and props as may be required, without any rebate of Rent and without any 
liability to Lessee for any loss of occupation or quiet enjoyment of the 
Premises; and shall permit Lessor and his agents, at any time within ninety 
(90) days prior to the end of the Lease Term, to place upon said Premises any 
usual or ordinary "For Sale" or "For Lease" signs and exhibit the Premises 
and the Building to prospective tenants at reasonable hours.

19. DESTRUCTION OF PREMISES: In the event of a partial destruction of the 
said Premises during the Lease Term from any cause which is covered by 
Lessor's property insurance, Lessor shall forthwith repair the same, provided 
such repairs can be made within ninety (90) days after the issuance of a 
building permit under the laws and regulations of State, Federal, County, or 
Municipal authorities, but such partial destruction shall in no way annul or 
void this Lease, except that Lessee shall be entitled to a proportionate 
reduction of Rent while such repairs are being made to the extent of payments 
received by Lessor under its Loss of Rents Insurance coverage.  With respect 
to any partial destruction which Lessor is obligated to repair or may elect 
to repair under the terms of this paragraph, the provision of Section 1932, 
Subdivision 2, and of Section 1933, Subdivision 4, of the Civil Code of the 
State of California are waived by Lessee.  In the event that the Building is 
destroyed to an extent greater than thirty-three and one-third (33 1/3%) of 
the replacement cost thereof, Lessor may, at its sole option, elect to 
terminate this Lease, whether the subject Premises is insured or not.  A 
total destruction of the Building shall terminate this Lease.  
Notwithstanding the above, Lessor is only obligated to repair or rebuild to 
the extent of any available insurance proceeds including any deductible 
amount.  Should Lessor determine that insufficient or no insurance proceeds 
are available for repair or reconstruction of Premises, Lessor, at its sole 
option, may terminate the Lease.  Lessee shall have the option of continuing 
this Lease by agreeing to pay all repair costs which are not covered by 
insurance available to Lessor. If Lessor reasonably estimates that the repair 
of any damage or destruction to the Premises will require in excess of 120 
days to repair from the date of damage, Lessee shall be entitled to terminate 
this Lease effective upon written notice to Lessor delivered within 15 days 
of receipt of such notice that repairs will exceed 120 days.

20. ASSIGNMENT AND SUBLETTING: Lessee shall not assign this Lease, or any 
interest therein, and shall not sublet the said Building or any part thereof, 
or any right or privilege appurtenant thereto, or cause any other person or 
entity (a bona fide subsidiary or affiliate of Lessee, any entity which 
controls Lessee and any entity which results from the merger, consolidation 
or reorganization of Lessee excepted ("Lessee Affiliate")) to occupy or use 
the Building, or any portion thereof, without the advance written consent of 
Lessor.  Any such assignment or subletting without such consent shall be 
void, and shall, at the option of the Lessor, terminate this Lease.  This 
Lease shall not, or shall any interest therein, be assignable, as to the 
interest of Lessee, by operation of law, without the written consent of 
Lessor. Notwithstanding Lessor's obligation to provide reasonable approval, 
Lessor reserves the right to withhold its consent for any proposed sublessee 
or assignee of Lessee if the proposed sublessee or assignee is a user or 
generator of Hazardous Materials.  If Lessee desires to assign its rights 
under this Lease or to sublet, all or a portion of the subject Building to a 
party other than a Lessee Affiliate, Lessee shall first notify Lessor of the 
proposed terms and conditions of such assignment or subletting.  Lessor and 
Lessee shall split any net proceeds of any sublease other than to a Lessee 
Affiliate 50/50 after deducting amortized leasing costs, the amortization of 
Lessee's TI Allowance, tenant improvements for the subtenant and reasonable 
legal fees in conjunction with securing the subtenant.  Notwithstanding the 
foregoing, Lessee may assign this Lease to a successor in interest, whether 
by merger or acquisition, provided there is no substantial reduction in the 
net worth of the resulting entity and the resulting entity is not a user or 
generator of Hazardous Materials.  Whether or not Lessor's consent to a 
sublease or assignment is required, in the event of any sublease or 
assignment, Lessee shall be and shall remain primarily liable for the 
performance of all conditions, covenants, and obligations of Lessee hereunder 
and, in the event of a default by an assignee or sublessee, Lessor may 
proceed directly against the original Lessee hereunder and/or any other 
predecessor of such assignee or sublessee without the necessity of exhausting 
remedies against said assignee or sublessee.

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<PAGE>

21. CONDEMNATION: If any part of the Building shall be taken for any public 
or quasi-public use, under any statute or by right of eminent domain or 
private purchase in lieu thereof, and a part thereof remains which is 
susceptible of occupation hereunder, this Lease shall as to the part so 
taken, terminate as of the date title vests in the condemnor or purchaser, 
and the Rent payable hereunder shall be adjusted so that the Lessee shall be 
required to pay for the remainder of the Lease Term only that portion of Rent 
as the value of the part remaining.  The rental adjustment resulting will be 
computed at the same Rental rate for the remaining part not taken; however, 
Lessor shall have the option to terminate this Lease as of the date when 
title to the part so taken vests in the condemnor or purchaser.  If all of 
the Building, or such part thereof be taken so that there does not remain a 
portion susceptible for occupation hereunder, this Lease shall thereupon 
terminate.  If a part or all of the Building be taken, all compensation 
awarded upon such taking shall be payable to the Lessor.  Lessee may file a 
separate claim and be entitled to any award granted to Lessee.

22. EFFECTS OF CONVEYANCE: The term "Lessor" as used in this Lease, means 
only the owner for the time being of the land and building constituting the 
Premises, so that, in the event of any sale of said land or building, or in 
the event of a Lease of said building, Lessor shall be and hereby is entirely 
freed and relieved of all covenants and obligations of Lessor hereunder, and 
it shall be deemed and construed, without further agreement between the 
parties and the purchaser of any such sale, or the Lessor of the building, 
that the purchaser or lessor of the building has assumed and agreed to carry 
out any and all covenants and obligations of the Lessor hereunder.  If any 
security is given by Lessee to secure the faithful performance of all or any 
of the covenants of this Lease on the part of Lessee, Lessor may transfer and 
deliver the security, as such, to the purchaser at any such sale of the 
building, and thereupon the Lessor shall be discharged from any further 
liability.

23. SUBORDINATION: This Lease, in the event Lessor notifies Lessee in 
writing, shall be subordinate to any ground lease, deed of trust, or other 
hypothecation for security now or hereafter placed upon the real property at 
which the Premises are a part and to any and all advances made on the 
security thereof and to renewals, modifications, replacements and extensions 
thereof. Lessee agrees to promptly execute any documents which may be 
required to effectuate such subordination. Notwithstanding such 
subordination, if Lessee is not in default and so long as Lessee shall pay 
the Rent and observe and perform all of the provisions and covenants required 
under this Lease, Lessee's right to quiet possession of the Premises shall 
not be disturbed or effected by any subordination.

24. WAIVER: The waiver by Lessor of any breach of any term, covenant or 
condition, herein contained shall not be construed to be a waiver of such 
term, covenant or condition or any subsequent breach of the same or any other 
term, covenant or condition therein contained.  The subsequent acceptance of 
Rent hereunder by Lessor shall not be deemed to be a waiver of Lessee's 
breach of any term, covenant, or condition of the Lease.

25. HOLDING OVER: Any holding over after the end of the Lease Term requires 
Lessor's written approval prior to the end of the Lease Term, which, 
notwithstanding any other provisions of this Lease, Lessor may withhold and 
shall be construed to be a tenancy at sufferance from month to month.  Lessee 
shall pay to Lessor monthly base rent equal to one and one-quarter (1.25) 
times the monthly base rent installment due in the last month of the Lease 
Term and all other additional rent and all other terms and conditions of the 
Lease shall apply, so far as applicable.  Holding over by Lessee without 
written approval of Lessor shall subject Lessee to the liabilities and 
obligations provided for in this Lease and by law, including, but not limited 
to those in Section 2.1 of this Lease.  Lessee shall indemnify and hold 
Lessor harmless against any loss or liability resulting from any delay caused 
by Lessee in surrendering the Building, including without limitation, any 
claims made or penalties incurred by any succeeding lessee or by Lessor.  No 
holding over shall be deemed or construed to exercise any option to extend or 
renew this Lease in lieu of full and timely exercise of any such option as 
required hereunder.


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<PAGE>

26. SUCCESSORS AND ASSIGNS: The covenants and conditions herein contained
shall, subject to the provisions as to assignment, apply to and bind the heirs,
successors, executors, administrators and assigns of all of the parties hereto;
and all of the parties hereto shall be jointly and severally liable hereunder.

27. ESTOPPEL CERTIFICATES: Lessee shall at any time during the Lease Term, upon
not less than ten (10) days prior written notice from Lessor, execute and
deliver to Lessor a statement in writing certifying that, this Lease is
unmodified and in full force and effect (or, if modified, stating the nature of
such modification) and the dates to which the Rent and other charges have been
paid in advance, if any, and acknowledging that there are not, to Lessee's
knowledge, any uncured defaults on the part of Lessor hereunder or specifying
such defaults if they are claimed.  Any such statement may be conclusively
relied upon by any prospective purchaser or encumbrancer of the Premises.
Lessee's failure to deliver such a statement within such time shall be
conclusive upon the Lessee that (a) this Lease is in full force and effect,
without modification except as may be represented by Lessor; (b) there are no
uncured defaults in Lessor's performance.

28. TIME: Time is of the essence of the Lease.

29. CAPTIONS: The headings on titles to the paragraphs of this Lease are not a
part of this Lease and shall have no effect upon the construction or
interpretation of any part thereof.  This instrument contains all of the
agreements and conditions made between the parties hereto and may not be
modified orally or in any other manner than by an agreement in writing signed
by all of the parties hereto or their respective successors in interest.

30. PARTY NAMES: Landlord and Tenant may be used in various places in this
Lease as a substitute for Lessor and Lessee respectively.

31. EARTHQUAKE INSURANCE: As a condition of Lessor agreeing to waive the
requirement for earthquake insurance, Lessee agrees that it will pay, as
additional Rent, which shall be included in the monthly CAC, an amount not to
exceed eighteen thousand two hundred dollars ($18,200) per year for earthquake
insurance if Lessor desires to obtain some form of earthquake insurance in the
future, if and when available, on terms acceptable to Lessor.

32. HABITUAL DEFAULT: Notwithstanding anything to the contrary contained in
Section 14 herein, Lessor and Lessee agree that if Lessee shall have defaulted
in the payment of Rent for three or more times during any twelve month period
during the Lease Term, then such conduct shall, at the option of the Lessor,
represent a separate event of default which cannot be cured by Lessee.  Lessee
acknowledges that the purpose of this provision is to prevent repetitive
defaults in the payment of Rent by the Lessee under the Lease, which constitute
a hardship to the Lessor and deprive the Lessor of the timely performance by
the Lessee hereunder.

33. HAZARDOUS MATERIALS
33.1 DEFINITIONS: As used in this Lease, the following terms shall have the
following meaning:
     a. The term "Hazardous Materials" shall mean (i) polychlorinated
     biphenyls; (ii) radioactive materials and (iii) any chemical, material or
     substance now or hereafter defined as or included in the definitions of
     "hazardous substance" "hazardous water", "hazardous material", "extremely
     hazardous waste", "restricted hazardous waste" under Section 25115, 25117
     or 15122.7, or listed pursuant to Section 25140 of the California Health
     and Safety Code, Division 20, Chapter 6.5 (Hazardous Waste Control Law),
     (ii) defined as "hazardous substance" under Section 25316 of the
     California Health and Safety Code, Division 20, Chapter 6.8 (Carpenter-
     Presley-Tanner Hazardous Substances Account Act), (iii) defined as
     "hazardous material", "hazardous substance", or "hazardous waste" under
     Section 25501 of the California Health and Safety Code, Division 20,
     Chapter 6.95 (Hazardous Materials Release, Response,


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     Plans and Inventory), (iv) defined as a "hazardous substance" under 
     Section 25181 of the California Health and Safety Code, Division 20l, 
     Chapter 6.7 (Underground Storage of Hazardous Substances), (v) petroleum, 
     (vi) asbestos, (vii) listed under Article 9 or defined as "hazardous" or 
     "extremely hazardous" pursuant to Article II of Title 22 of the California 
     Administrative Code, Division 4, Chapter 20, (viii) defined as "hazardous 
     substance" pursuant to Section 311 of the Federal Water Pollution Control 
     Act, 33 U.S.C. 1251 et seq. or listed pursuant to Section 1004 of the 
     Federal Water Pollution Control Act (33 U.S.C. 1317), (ix) defined as a 
     "hazardous waste", pursuant to Section 1004 of the Federal Resource 
     Conservation and Recovery Act, 42 U.S.C. 6901 et seq., (x) defined as 
     "hazardous substance" pursuant to Section 101 of the Comprehensive 
     Environmental Responsibility Compensations, and Liability Act, 42 U.S.C. 
     9601 et seq., or (xi) regulated under the Toxic Substances Control Act, 
     156 U.S.C. 2601 et seq.
     b. The term "Hazardous Materials Laws" shall mean any local, state and
     federal laws, rules, regulations, or ordinances relating to the use,
     generation, transportation, analysis, manufacture, installation, release,
     discharge, storage or disposal of Hazardous Material.
     c. The term "Lessor's Agents" as used herein shall mean Lessor's agents,
     representatives, employees, contractors, subcontractors, directors,
     officers and partners.
     d. The term "Lessee's Agents" as used herein shall mean Lessee's agents,
     representatives, employees, contractors, subcontractors, directors,
     officers, partners, invitees or any other person in or about the Premises.

33.2 LESSEE'S RIGHT TO INVESTIGATE: Lessee shall be entitled to cause such
inspection, soils and ground water tests, and other evaluations to be made of
the Premises as Lessee deems necessary regarding (i) the presence and use of
Hazardous Materials in or about the Premises, and (ii) the potential for
exposure to Lessee's employees and other persons to any Hazardous Materials
used and stored by previous occupants in or about the Premises.  Lessee shall
provide Lessor with copies of all inspections, tests and evaluations.  Lessee
shall indemnify, defend and hold Lessor harmless from any cost, claim or
expense arising from such entry by Lessee or from the performance of any such
investigation by such Lessee.

33.3 LESSOR'S REPRESENTATIONS: Lessor hereby represents and warrants to the
best of Lessor's knowledge that the Premises are, as of the date of this Lease,
in compliance with all Hazardous Material Laws.

33.4 LESSEE'S OBLIGATION TO INDEMNIFY: Lessee, at its sole cost and expense,
shall indemnify, defend, protect and hold Lessor and Lessor's Agents harmless
from and against any and all cost or expenses, including those described under
subparagraphs i, ii and iii herein below set forth, arising from or caused in
whole or in part, directly or indirectly by:
     a. Lessee's or Lessee's Agents' use, analysis, storage, transportation,
     disposal, release, threatened release, discharge or generation of
     Hazardous Material to, in, on, under, about or from the Premises; or
     b. Lessee's or Lessee's Agents failure to comply with Hazardous Material
     laws; or
     c. Any release of Hazardous Material to, in, on, under, about, from or
     onto the Premises caused by or occurring as a result of acts or omissions
     of Lessee or Lessee's Agents, except ground water contamination from other
     parcels where the source is from off the Premises not arising from or
     caused by Lessee or Lessee's Agents.
The cost and expenses indemnified against include, but are not limited to the
following:
     i. Any and all claims, actions, suits, proceedings, losses, damages,
     liabilities, deficiencies, forfeitures, penalties, fines, punitive
     damages, cost or expenses;
     ii. Any claim, action, suit or proceeding for personal injury (including
     sickness, disease, or death), tangible or intangible property damage,
     compensation for lost wages, business income, profits or other economic
     loss, damage to the natural resources of the environment, nuisance,
     pollution, contamination, leaks, spills, release or other adverse effects
     on the environment;


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<PAGE>

     iii. The cost of any repair, clean-up, treatment or detoxification of the
     Premises necessary to bring the Premises into compliance with all
     Hazardous Material Laws, including the preparation and implementation of
     any closure, disposal, remedial action, or other actions with regard to
     the Premises, and expenses (including, without limitation, reasonable
     attorney's fees and consultants fees, investigation and laboratory fees,
     court cost and litigation expenses).

33.5 LESSEE'S OBLIGATION TO REMEDIATE CONTAMINATION: Lessee shall, at its sole
cost and expense, promptly take any and all action necessary to remediate
contamination of the Premises by Hazardous Materials arising or occurring as a
result of acts or omissions of Lessee or Lessee's Agents during the Lease Term.
Lessee shall not be responsible to remediate contamination of the Premises
caused by acts or omissions of adjoining tenants or from groundwater
contamination from sources off the Premises not caused by or arising from
Lessee or Lessee's Agents.  If Lessee desires, Lessee may obtain, at its sole
cost and expense, obtain insurance coverage for "midnight dumping" and similar-
type events if available on terms acceptable to Lessee.

33.6 OBLIGATION TO NOTIFY: Lessor and Lessee shall each give written notice to
the other as soon as reasonably practical of (i) any communication received
from any governmental authority concerning Hazardous Material which related to
the Premises and (ii) any contamination of the Premises by Hazardous Materials
which constitutes a violation of any Hazardous Material Laws.

33.7 SURVIVAL: The obligations of Lessee under this Section 33 shall survive
the Lease Term or earlier termination of this Lease.

33.8 CERTIFICATION AND CLOSURE: On or before the end of the Lease Term or
earlier termination of this Lease, Lessee shall deliver to Lessor a
certification executed by Lessee stating that, to the best of Lessee's
knowledge, there exists no violation of Hazardous Material Laws resulting from
Lessee's obligation in Paragraph 33.  If pursuant to local ordinance, state or
federal law, Lessee is required, at the expiration of the Lease Term, to submit
a closure plan for the Premises to a local, state or federal agency, then
Lessee shall furnish to Lessor a copy of such plan.

33.9 PRIOR HAZARDOUS MATERIALS: Notwithstanding anything contained to the
contrary herein, Lessee shall have no obligation to clean up or to hold Lessor
harmless or make any payment with respect to: (i) any Hazardous Material or
wastes discovered on the Premises which were not introduced into, in, on,
about, from or under the Premises during the Lease Term;  or (ii)  ground water
contamination from other parcels where the source is from off the Premises not
arising from or caused by Lessee or Lessee's Agents.

34. BROKERS: Lessor and Lessee represent that they have not utilized or
contacted a real estate broker or finder with respect to this Lease other than
Cornish & Carey ("CC") and Lessee agrees to indemnify and hold Lessor harmless
against any claim, cost, liability or cause of action asserted by any broker or
finder claiming through Lessee other than CC.  Lessor shall at its sole cost
and expense pay the brokerage commission per Lessor's standard commission
schedule to CC in connection with this transaction.  Lessor represents and
warrants that it has not utilized or contacted a real estate broker or finder
with respect to this Lease other than CC and Lessor agrees to indemnify and
hold Lessee harmless against any claim, cost, liability or cause of action
asserted by any broker or finder claiming through Lessor.

35. OPTION TO EXTEND
A. OPTION: Lessor hereby grants to Lessee two (2) options to extend the Lease
Term, with each extended term to be for a period of five (5) years, on the
following terms and conditions, which shall apply separately to each option to
extend:


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<PAGE>

     (i) Lessee shall give Lessor written notice of its exercise of one of its
     options to extend no earlier than twenty-four (24) calendar months, nor
     later than six (6) calendar months before the Lease Term would end but for
     said exercise.  Time is of the essence.  Lessee may withdraw from its
     option at any time prior to six (6) months before the end of the Lease
     Term and therefore must give notice in sufficient time to complete all
     lease negotiations and appraisal six (6) months before the end of the
     Lease Term.
     
     (ii) Lessee may not extend the Lease Term pursuant to any option granted
     by this section 35 if Lessee is in default as of the date of the exercise
     of one of its options.  If Lessee has committed a default by Lessee as
     defined in Section 14 or 32 that has not been cured or waived by Lessor in
     writing by the date that any extended term is to commence, then Lessor may
     elect not to allow the Lease Term to be extended, notwithstanding any
     notice given by Lessee of an exercise of this option to extend.
     
     (iii) Lessee must exercise each option consecutively, and if it fails to
     exercise any one option, it waives the right to exercise the subsequent
     option and the Lease Term shall not be extended further.
     
     (iv) All terms and conditions of this Lease shall apply during each
     extended term, except that the Base Rent and rental increases for each
     extended term shall be determined as provided in Section 35 (B) below
     
     (v) Once Lessee delivers a notice of exercise of one of its options to
     extend the Lease Term, Lessee may not withdraw such exercise and subject
     to the provisions of this Section 35, such notice shall operate to extend
     the Lease Term.  Upon any extension of the Lease Term pursuant to this
     Section 35, the term "Lease Term" as used in this Lease shall thereafter
     include the then extended term.
     
     (v) The option rights of General Surgical Innovations Corporation granted
     under this Section 35 may not be assigned or transferred by General
     Surgical Innovations Corporation  other than to an entity which controls,
     is controlled by, or is under common control with Lessee, or which results
     from a merger, consolidation, or reorganization of Lessee, to whom such
     option may be assigned in connection with an assignment of this Lease,
     provided the assignment otherwise complies with the requirements of
     Section 20.

B. EXTENDED TERM RENT - OPTION PERIOD: The monthly Rent for the Building during
the extended term(s) shall equal ninety-five percent (95%) of  the fair market
monthly Rent for the Building as of the commencement date of the extended term,
but in no case (i) less than the Rent during the last month of the prior lease
term and (ii) greater than one hundred five percent (105%) of the Rent during
the last month of the prior lease term.  Promptly upon Lessee's exercise of the
option to extend, Lessee and Lessor shall meet and attempt to agree on the fair
market monthly Rent for the Building as of the commencement date of the
extended term.  In the event the parties fail to agree upon the amount of the
monthly Rent for the extended term prior to commencement thereof, the monthly
Rent for the extended term shall be determined by appraisal in the manner
hereafter set forth; provided, however, that in no event shall the monthly Rent
for the extended term be less than in the immediate preceding period.  Annual
base rent increases during the extended term shall be 3% per year.  In the
event it becomes necessary under this paragraph to determine the fair market
monthly Rent of the Building by appraisal, Lessor and Lessee each shall appoint
a real estate appraiser who shall be a member of the American Institute of Real
Estate Appraiser ("AIREA") and such appraisers shall each determine the fair
market monthly Rent for the Building taking into account the value of the
Premises and the amenities provided by the outside areas, the common areas, and
the Building, and prevailing comparable Rentals in the area.  Such appraisers
shall, within twenty (20) business days after their appointment, complete their
appraisals and submit their appraisal reports to Lessor and Lessee.  If the
fair market monthly Rent of the Building established in the two (2) appraisals
varies by five percent (5%) or less of the higher Rent, the average of the two
shall be controlling.  If said fair market monthly


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<PAGE>

Rent varies by more than five percent (5%) of the higher Rental, said 
appraisers, within ten (10) days after submission of the last appraisal, shall 
appoint a third appraiser who shall be a member of the AIREA and who shall also 
be experienced in the appraisal of Rent values and adjustment practices for 
commercial properties in the vicinity of the Building.  Such third appraiser 
shall, within twenty (20) business days after his appointment, determine by 
appraisal the fair market monthly Rent of the Building taking into account the 
same factors referred to above, and submit his appraisal report to Lessor and 
Lessee.  The fair market monthly Rent determined by the third appraiser for the 
Building shall be controlling, unless it is less than that set forth in the 
lower appraisal previously obtained, in which case the value set forth in said 
lower appraisal shall be controlling, or unless it is greater than that set 
forth in the higher appraisal previously obtained in which case the Rent set 
for in said higher appraisal shall be controlling.  If either Lessor or Lessee 
fails to appoint an appraiser, or if an appraiser appointed by either of them 
fails, after his appointment to submit his appraisal within the required period 
in accordance with the foregoing, the appraisal submitted by the appraiser 
properly appointed and timely submitting his appraisal shall be controlling.  
If the two appraisers appointed by Lessor and Lessee are unable to agree upon a 
third appraiser within the required period in accordance with the foregoing, 
application shall be made within twenty (20) days thereafter by either Lessor 
or Lessee to AIREA, which shall appoint a member of said institute willing to 
serve as appraiser.  The cost of all appraisals under this subparagraph shall 
be borne equally be Lessor and Lessee.

36. APPROVALS: Whenever in this Lease the Lessor's or Lessee's consent is
required, such consent shall not be unreasonably or arbitrarily withheld or
delayed.  In the event that the Lessor or Lessee does not respond to a request
for any consents which may be required of it in this Lease within ten business
days of the request of such consent in writing by the Lessee or Lessor, such
consent shall be deemed to have been given by the Lessor or Lessee.

37. AUTHORITY: Each party executing this Lease represents and warrants that he
or she is duly authorized to execute and deliver the Lease.  If executed on
behalf of a corporation, that the Lease is executed in accordance with the by-
laws of said corporation (or a partnership that the Lease is executed in
accordance with the partnership agreement of such partnership), that no other
party's approval or consent to such execution and delivery is required, and
that the Lease is binding upon said individual, corporation (or partnership) as
the case may be in accordance with its terms.

38. INDEMNIFICATION OF LESSOR: Except to the extent caused by the sole
negligence or willful misconduct of Lessor or Lessor's Agents, Lessee shall
defend, indemnify and hold Lessor harmless from and against any and all
obligations, losses, costs, expenses, claims, demands, attorney's fees,
investigation costs or liabilities on account of, or arising out of the use,
condition or occupancy of the Premises or any act or omission to act of Lessee
or Lessee's Agents or any occurrence in, upon, about or at the Premises,
including, without limitation, any of the foregoing provisions arising out of
the use, generation, manufacture, installation, release, discharge, storage, or
disposal of Hazardous Materials by Lessee or Lessee's Agents.  It is understood
that Lessee is and shall be in control and possession of the Premises and that
Lessor shall in no event be responsible or liable for any injury or damage or
injury to any person whatsoever, happening on, in, about, or in connection with
the Premises, or for any injury or damage to the Premises or any part thereof.
This Lease is entered into on the express condition that Lessor shall not be
liable for, or suffer loss by reason of injury to person or property, from
whatever cause, which in any way may be connected with the use, condition or
occupancy of the Premises or personal property located herein. The provisions
of this Lease permitting Lessor to enter and inspect the Premises are for the
purpose of enabling Lessor to become informed as to whether Lessee is complying
with the terms of this Lease and Lessor shall be under no duty to enter,
inspect or to perform any of Lessee's covenants set forth in this Lease.
Lessee shall further indemnify, defend and hold harmless Lessor from and
against any and all claims arising from any breach or default in the
performance of any obligation to Lessee's part to be performed under the terms
of this Lease.  The provisions of Section 38 shall survive the Lease Term or
earlier termination of this Lease with respect to any damage, injury or death
occurring during the Lease Term.


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<PAGE>

39. LESSOR'S LIABILITY: If Lessee should recover a money judgment against
Lessor arising in connection with this Lease, the judgment shall be satisfied
only out of the Lessor's interest in the Building and neither Lessor or any of
its partners shall be liable personally for any deficiency.

40. INTENTIONALLY OMITTED.

41. LESSEE'S RIGHT OF OFFER: Lessor hereby agrees to telephone and fax notice
to Lessee of any available space owned by Lessor on Bubb Road.  This notice
shall be subordinate to any existing rights of any existing tenants on Bubb
Road.

42. ARBITRATION OF DISPUTES:  If the parties are unable to resolve any dispute
regarding the terms of this Lease or Lessor or Lessee's rights hereunder,
except money to be paid, within 30 days after commencement of good faith
negotiations, any such dispute may be referred to arbitration by either party.
Any unresolved dispute as to any amount or sum of money to be paid by one party
to the other party under the provisions hereof, the party against whom the
obligation to pay the money is asserted shall have the right to make payment
"under protest," such payment not being regarded as voluntary payment and there
shall survive the right on the part of said party to request that the matter be
submitted to arbitration as provided below concerning the recovery of such sum.
Notwithstanding the above, this provision shall not apply to payments of the
base rent or to the initial CAC payable under this Lease or any amount based on
Lessee's pro rata share.  If it shall be adjudged that there was no legal
obligation on the part of said party to pay such sum or any part thereof, said
party shall be entitled to recover such sum or so much thereof as it was not
legally required to pay under the provisions of this Lease.  In the event of
such dispute between Lessor and Lessee regarding the terms of this Lease, or
Lessor and Lessee's rights and obligations hereunder, such dispute shall be
resolved by binding arbitration pursuant to California Code of Civil Procedure
Sections 1280 through 1294.2 or successor stature.  Any such arbitration shall
be held and conducted in San Jose, California.  The prevailing party in such
arbitration shall be entitled to recover its reasonable attorneys' fees and
costs.

NOTICE: BY INITIALING IN THE SPACE BELOW YOU ARE AGREEING TO HAVE ANY DISPUTE
ARISING OUT OF THE MATTERS INCLUDED IN THE "ARBITRATION OF DISPUTES" PROVISION
DECIDED BY NEUTRAL ARBITRATION AS PROVIDED BY CALIFORNIA LAW AND YOU ARE GIVING
UP ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE DISPUTE LITIGATED IN A COURT OR
JURY TRIAL.  BY INITIALING IN THE SPACE BELOW YOU ARE GIVING UP YOUR JUDICIAL
RIGHTS TO DISCOVERY AND APPEAL, UNLESS THOSE RIGHTS ARE SPECIFICALLY INCLUDED
IN THE "ARBITRATION OF DISPUTES" PROVISION.  IF YOU REFUSE TO SUBMIT
TO ARBITRATION AFTER AGREEING TO THIS PROVISION, YOU MAY BE COMPELLED TO
ARBITRATE UNDER THE AUTHORITY OF THE CALIFORNIA CODE OF CIVIL PROCEDURE. YOUR
AGREEMENT TO THIS ARBITRATION PROVISION IS VOLUNTARY.

WE HAVE READ AND UNDERSTAND THE FOREGOING AND AGREE TO SUBMIT DISPUTES ARISING
OUT OF THE MATTERS INCLUDED IN THE "ARBITRATION OF DISPUTES" PROVISION TO
NEUTRAL ARBITRATION.


LESSOR:____________           LESSEE:____________

43. MISCELLANEOUS PROVISIONS: All rights and remedies hereunder are cumulative
and not alternative to the extent permitted by law and are in addition to all
other rights or remedies in law and in equity.


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<PAGE>

44. CHOICE OF LAW:  This lease shall be construed and enforced in accordance
with the substantive laws of the State of California.  The language of all
parts of this lease shall in all cases be construed as a whole according to its
fair meaning and not strictly for or against either Lessor or Lessee.

45. ENTIRE AGREEMENT:  This Lease is the entire agreement between the parties,
and there are no agreements or representations between the parties except as
expressed herein.  Except as otherwise provided for herein, no subsequent
change or addition to this Lease shall be binding unless in writing and signed
by the parties hereto.

IN WITNESS WHEREOF, Lessor and Lessee have executed these presents, the day and
year first above written.


LESSOR                                  LESSEE
BERG & BERG DEVELOPERS                  GENERAL SURGICAL INNOVATIONS CORPORATION


By:___________________________________  By:___________________________________
signature of authorized representative  signature of authorized representative

______________________________________  ______________________________________
printed name                            printed name

______________________________________  ______________________________________
title                                   title

______________________________________  ______________________________________
date                                    date

























Page 22

<PAGE>

                                  Exhibit A.1


Site plan to be attached with 30,460 square foot building to be attached.































Page 23
<PAGE>

                                  Exhibit A.2


Site plan to be attached with 30,460 square foot building and 15,000 square
foot addition to be attached.






























Page 24
<PAGE>

                                   Exhibit B
                                       
                                       
Phase I Improvements Listing to be attached.




































Page 25
<PAGE>

                                  Exhibit B.1


Phase I Improvement Plans to be attached.




























Page 26
<PAGE>

                                   Exhibit C
                                       
                                       
Berg & Berg ("Building Shell") includes the following items in customary 
quantities and quality.  All items not listed are part of Lessee Interior 
Improvements.

Exterior walls
Foundation
Floor slabs
Roof structure and membrane
Glazing
Exit doors
Truck doors
Landscaping
Parking and paving
Storm sewer line to building
Sanitary sewer line to building
Water line to building
Paint of exterior walls
Shell architecture and engineering
All permits for the above items


























Page 27
<PAGE>

                                   Exhibit D


Phase II Lessee Interior Improvement plans to be attached.




























Page 28
<PAGE>
                                       
                                  Exhibit E
                           Lessee Approval Deadlines


Lease signed                                                        01/03/97

Approval of Phase I floor plan and single line drawing              Approved

Approval of Phase II site plan                                      Approved

Final selection of all material and interior finishes 
for construction such as carpet, ceramic tile, paint and 
any other lessee selected materials & finishes for Phase I          01/15/97

Approval of Building Shell and Upgrades                             02/01/97

Approval of Phase II floor plan and single line drawing             06/30/97

Final selection of all material and interior finishes for 
construction such as carpet, ceramic tile, paint and any 
other lessee selected materials & finishes for Phase I              09/30/97

Lessee shall not unreasonably withhold approval of any plans requiring Lessee 
approval if they conform in general to the floor plans, single line drawings 
or site plan.

Notwithstanding any other provisions of this Lease, Lessee shall be allowed 
five (5) business days after Substantial Completion at no rent to install 
furniture and may have it's network installed during the construction of the 
Lessee Interior Improvements provided Lessee's installation does not 
interfere with Lessor's installation of the Lessee Interior Improvements and 
Lessee meets the approval deadlines set forth above.






























Page 29


<PAGE>

                                     EXHIBIT 11.1
                                           
                   GENERAL SURGICAL INOVATIONS, INC. AND SUBSIDIARY
                                           
                         COMPUTATION OF NET LOSS PER SHARE (1)
                                           
                         (In thousands, expect per share data)
                                           
<TABLE>
<CAPTION>
                                                 Quarter Ended                       Six Months Ended
                                                  December 31,                         December 31,
                                            -------------------------           -----------------------
                                               1996           1995                1996           1995
                                             --------       --------            --------       --------
<S>                                         <C>            <C>                  <C>           <C>
Primarily and Fully Diluted:
  Weighted average common shares              13,183          3,355               13,165         3,354
  Common and common equivalent shares
   pursuant to Staff Accounting
   Bulletin No. 83......................                      3,201                              3,201
                                            ----------      ---------           ----------     --------

Shares used in per share calculation....      13,183          6,556               13,165         6,555
                                            ----------      ---------           ----------     --------
                                            ----------      ---------           ----------     --------

Net loss................................     $  (237)       $(1,015)             $  (466)      $(2,063)
                                            ----------      ---------           ----------     --------
                                            ----------      ---------           ----------     --------


Net loss per share......................     $ (0.02)       $ (0.15)             $ (0.04)      $ (0.31)
                                            ----------      ---------           ----------     --------
                                            ----------      ---------           ----------     --------
</TABLE>
- -------------------
(1)  There is no difference between primary and fully diluted net loss per share
     for all periods presented.



                                    25

<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
CONSOLIDATED BALANCE SHEETS AND CONSOLIDATED STATEMENTS OF OPERATIONS FOUND ON
PAGES 3 AND 4 OF THE COMPANY'S FORM 10-Q FOR THE YEAR-TO-DATE, AND IS QUALIFIED
IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          JUN-30-1997
<PERIOD-START>                             OCT-01-1996
<PERIOD-END>                               DEC-31-1996
<CASH>                                          11,483
<SECURITIES>                                    36,412
<RECEIVABLES>                                    1,714
<ALLOWANCES>                                        94
<INVENTORY>                                      1,379
<CURRENT-ASSETS>                                51,148
<PP&E>                                             632
<DEPRECIATION>                                     591
<TOTAL-ASSETS>                                  52,027
<CURRENT-LIABILITIES>                            1,356
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            13
<OTHER-SE>                                      50,189
<TOTAL-LIABILITY-AND-EQUITY>                    52,027
<SALES>                                            361
<TOTAL-REVENUES>                                 1,861
<CGS>                                              359
<TOTAL-COSTS>                                      359
<OTHER-EXPENSES>                                 2,409
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                 670
<INCOME-PRETAX>                                  (237)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                              (237)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     (237)
<EPS-PRIMARY>                                   (0.02)
<EPS-DILUTED>                                   (0.02)
        

</TABLE>


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