GENERAL SURGICAL INNOVATIONS INC
10-Q, 1998-11-16
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
Previous: DEVELOPED TECHNOLOGY RESOURCE INC, 10QSB, 1998-11-16
Next: ANNIES HOMEGROWN INC, 10-Q, 1998-11-16



<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 SEPTEMBER 30, 1998.

                          Commission file number: 0-28448

                         GENERAL SURGICAL INNOVATIONS, INC.
               (Exact name of Registrant as specified in its charter)



                CALIFORNIA                               94-3160456
      (State or other jurisdiction of                 (I.R.S. Employer
      incorporation or organization)                 Identification No.)


                    10460 BUBB ROAD, CUPERTINO, CALIFORNIA 95014
                      (Address of principal executive offices)

         Registrant's telephone number, including area code: (408) 863-2500



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 13,441,974 shares of Registrant's Common Stock issued
and outstanding as of October 31, 1998.

<PAGE>


                         GENERAL SURGICAL INNOVATIONS, INC.
                                          
                           QUARTERLY REPORT ON FORM 10-Q
                                          
                   FOR THE THREE MONTHS ENDED SEPTEMBER 30, 1998
                                          
                                          
                                 TABLE OF CONTENTS
                                 -----------------
<TABLE>
<CAPTION>
                                                                             PAGE
                                                                             ----
<S>       <C>                                                                <C>
                           PART I.  FINANCIAL INFORMATION

Item 1.   Condensed Financial Statements (Unaudited)
          Condensed balance sheets at September 30, 1998
          and June 30, 1998. . . . . . . . . . . . . . . . . . . . . . . . . 3

          Condensed statements of operations and comprehensive loss
          for the three months ended September 30, 1998 and September 30,
          1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

          Condensed statements of cash flows for the three months ended
          September 30, 1998 and September 30, 1997. . . . . . . . . . . . . 5

          Notes to condensed financial statements. . . . . . . . . . . . . . 6


Item. 2.  Management's Discussion and Analysis of Financial Condition
          and Results of Operations. . . . . . . . . . . . . . . . . . . . . 7


Item 3.   Quantitative and Qualitative Disclosures About Market Risk . . . .21

                                          
                            PART II.  OTHER INFORMATION

Item 1.   Legal Proceedings. . . . . . . . . . . . . . . . . . . . . . . . .21

Item 2.   Changes in Securities and Use of Proceeds. . . . . . . . . . . . .22

Item 3.   Defaults Upon Senior Securities. . . . . . . . . . . . . . . . . .23

Item 4.   Submission of Matters to a Vote of Security Holders. . . . . . . .23

Item 5.   Other Information. . . . . . . . . . . . . . . . . . . . . . . . .23

Item 6.   Exhibits and Reports on Form 8-K . . . . . . . . . . . . . . . . .23
</TABLE>


                                        2

<PAGE>

                         GENERAL SURGICAL INNOVATIONS, INC.
                              CONDENSED BALANCE SHEETS
                       (IN THOUSANDS, EXCEPT PER SHARE DATA)
                                    (UNAUDITED)

<TABLE>
<CAPTION>
                                                       September 30,  June 30,
                                                           1998         1998
                                                       -------------  --------
<S>                                                    <C>            <C>
                                        ASSETS
Current assets:
     Cash and cash equivalents . . . . . . . . . . . .  $  17,065    $  17,954
     Available-for-sale securities . . . . . . . . . .     10,744       10,743
     Accounts receivable, net. . . . . . . . . . . . .      1,847        1,043
     Inventories . . . . . . . . . . . . . . . . . . .      1,547        1,284
     Prepaid expenses and other current assets . . . .        691          733
                                                        ---------   ----------
          Total current assets . . . . . . . . . . . .     31,894       31,757

Available-for-sale securities, non-current . . . . . .      6,807        8,772
Property and equipment, net. . . . . . . . . . . . . .      2,182        2,101
Intangible and other assets, net . . . . . . . . . . .        409          194
                                                        ---------   ----------
          Total assets . . . . . . . . . . . . . . . .  $  41,292    $  42,824
                                                        ---------   ----------
                                                        ---------   ----------

                                     LIABILITIES

Current liabilities:
     Accounts payable. . . . . . . . . . . . . . . . .   $  1,202       $  910
     Accrued liabilities . . . . . . . . . . . . . . .      2,060        1,316
     Capital leases. . . . . . . . . . . . . . . . . .         14           14
     Bank borrowings . . . . . . . . . . . . . . . . .         82          103
                                                        ---------   ----------
          Total current liabilities. . . . . . . . . .      3,358        2,343

Other long-term liabilities. . . . . . . . . . . . . .         94          149
Capital leases, less current portion . . . . . . . . .          8           12
Bank borrowings, less current portion. . . . . . . . .         61           82
                                                        ---------   ----------
          Total liabilities. . . . . . . . . . . . . .      3,521        2,586
                                                        ---------   ----------

Contingencies (Note 4)

                                 SHAREHOLDERS' EQUITY

Preferred stock, $.001 par value . . . . . . . . . . .          -            -
Common stock, $.001 par value. . . . . . . . . . . . .         13           13
Additional paid-in capital . . . . . . . . . . . . . .     65,300       65,290
Notes receivable from shareholders . . . . . . . . . .        (87)         (87)
Deferred compensation, net . . . . . . . . . . . . . .       (125)        (159)
Accumulated other comprehensive income . . . . . . . .         84           16
Accumulated deficit. . . . . . . . . . . . . . . . . .    (27,414)     (24,835)
                                                        ---------   ----------
Total shareholders' equity . . . . . . . . . . . . . .     37,771       40,238
                                                        ---------   ----------
Total liabilities and shareholders' equity . . . . . .  $  41,292    $  42,824
                                                        ---------   ----------
                                                        ---------   ----------
</TABLE>


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

                                        3

<PAGE>

                         GENERAL SURGICAL INNOVATIONS, INC.
            CONDENSED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
                       (IN THOUSANDS, EXCEPT PER SHARE DATA)
                                    (UNAUDITED)

<TABLE>
<CAPTION>
                                                          Three Months Ended
                                                             September 30,
                                                         ---------------------
                                                           1998         1997
                                                         --------     --------
<S>                                                      <C>          <C>
Sales  . . . . . . . . . . . . . . . . . . . . . . . .   $  2,021     $  1,567
Guaranteed payments. . . . . . . . . . . . . . . . . .          -          775
                                                         --------     --------
Total revenue. . . . . . . . . . . . . . . . . . . . .      2,021        2,342

Cost of sales. . . . . . . . . . . . . . . . . . . . .      1,084          956
                                                         --------     --------
     Gross profit. . . . . . . . . . . . . . . . . . .        937        1,386
                                                         --------     --------

Operating expenses:
     Research and development. . . . . . . . . . . . .        744          765
     Sales and marketing . . . . . . . . . . . . . . .      1,318        1,126
     General and administrative. . . . . . . . . . . .      1,951        1,346
                                                         --------     --------
     Total operating expenses. . . . . . . . . . . . .      4,013        3,237
                                                         --------     --------
     Operating loss. . . . . . . . . . . . . . . . . .     (3,076)      (1,851)

Interest income. . . . . . . . . . . . . . . . . . . .        503          603
Interest expense . . . . . . . . . . . . . . . . . . .         (6)         (12)
                                                         --------     --------
     Net loss. . . . . . . . . . . . . . . . . . . . .     (2,579)      (1,260)

Other comprehensive income:
     Change in unrealized gain or loss on available-for-
     sale securities . . . . . . . . . . . . . . . . .         68           51
                                                         --------     --------
     Comprehensive loss. . . . . . . . . . . . . . . .  $  (2,511)   $  (1,209)
                                                         --------     --------
                                                         --------     --------

Net loss per common share and per common share-assuming
     dilution. . . . . . . . . . . . . . . . . . . . .   $  (0.19)    $  (0.09)
                                                         --------     --------
                                                         --------     --------

Shares used in computing net loss per common share and 
     per common share-assuming dilution. . . . . . . .     13,439       13,314
                                                         --------     --------
                                                         --------     --------
</TABLE>


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

                                        4

<PAGE>

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

<TABLE>
<CAPTION>
                                                          Three Months Ended
                                                            September 30,
                                                        ----------------------
                                                           1998         1997
                                                        ----------   ---------
<S>                                                     <C>          <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss . . . . . . . . . . . . . . . . . . . . . . .  $  (2,579)   $  (1,260)
Adjustments to reconcile net loss to net cash used in 
operating activities:
     Amortization of deferred compensation . . . . . .         34           34
     Depreciation and amortization . . . . . . . . . .        208          282
     Provision for uncollectible accounts. . . . . . .          8           16
     Provision for excess and obsolete inventory . . .         32           (4)
     Changes in operating assets and liabilities:
          Accounts receivable. . . . . . . . . . . . .       (812)         664
          Inventories. . . . . . . . . . . . . . . . .       (295)         232
          Prepaid expenses and other current assets. .         42         (190)
          Other assets . . . . . . . . . . . . . . . .       (233)          (2)
          Accounts payable . . . . . . . . . . . . . .        292          105
          Accrued liabilities. . . . . . . . . . . . .        689         (273)
                                                        ----------   ---------
               Net cash used in operating activities .     (2,614)        (396)
                                                        ----------   ---------

CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of available-for-sale securities . . . . . .          -       (6,060)
Proceeds from sales and maturities of available-for-sale 
     securities. . . . . . . . . . . . . . . . . . . .      2,000        3,542
Acquisition of property and equipment. . . . . . . . .       (239)        (211)
                                                        ----------   ---------
               Net cash provided by (used in) investing 
               activities. . . . . . . . . . . . . . .      1,761       (2,729)
                                                        ----------   ---------

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock . . . . . . . .         10           25
Payments on capital lease obligations. . . . . . . . .         (4)          (5)
Principal payments on bank borrowings. . . . . . . . .        (42)         (42)
                                                        ----------   ---------
               Net cash used in financing activities .        (36)         (22)
                                                        ----------   ---------

Net decrease in cash and cash equivalents. . . . . . .       (889)      (3,147)
Cash and cash equivalents, beginning of period . . . .     17,954        7,900
                                                        ----------   ---------
Cash and cash equivalents, end of period . . . . . . .  $  17,065     $  4,753
                                                        ----------   ---------
                                                        ----------   ---------
</TABLE>


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

                                        5


<PAGE>

                         GENERAL SURGICAL INNOVATIONS, INC.
                                          
                      NOTES TO CONDENSED FINANCIAL STATEMENTS
                                          

1.   Basis of Presentation:

     The accompanying unaudited condensed financial statements as of 
September 30, 1998 of General Surgical Innovations, Inc. (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 of normal recurring adjustments, considered 
necessary for a fair presentation have been included. Operating results for 
the three month period ended September 30, 1998 are not necessarily 
indicative of the results that may be expected for the fiscal year ending 
June 30, 1999, 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, 
1998.

2.   Computation of Net Loss per Common Share and per Common Share-Assuming   
     Dilution:

     Effective December 15, 1997, the Company adopted Financial Accounting 
Standards Board ("FASB") No. 128 "Earnings Per Share", and the provisions of 
the Securities and Exchange Commission Staff Accounting Bulletin ("SAB  98"), 
and accordingly all prior periods have been restated.  Net loss per common 
share and per common share-assuming dilution are computed using the weighted 
average number of shares of common stock outstanding.  Common equivalent 
shares from stock options are excluded from the computation of net loss per 
common share-assuming dilution as their effect is antidilutive.  The Company 
has determined that no incremental shares should be included in the 
computations in accordance with SAB 98.

     Stock options to purchase 1,867,247 and 1,230,056 shares of common stock 
at prices ranging from $0.09 to $9.75 per share were outstanding at September 
30, 1998 and September 30 1997, respectively, but were not included in the 
computation of net loss per common share-assuming dilution because they were 
antidilutive.  The aforementioned stock options could potentially dilute 
earnings per share in the future.


                                        6

<PAGE>

3.   Inventories:

          Inventories comprise (IN THOUSANDS):

<TABLE>
<CAPTION>
                                                        Sept. 30,     June 30,
                                                           1998         1998
                                                       -----------    --------
                                                       (unaudited)
<S>                                                    <C>            <C>
Raw materials... . . . . . . . . . . . . . . . . . . .   $  1,014     $    910
Work in progress.. . . . . . . . . . . . . . . . . . .         25            -
Finished goods.. . . . . . . . . . . . . . . . . . . .        508          374
                                                         --------     --------
                                                         $  1,547     $  1,284
                                                         --------     --------
                                                         --------     --------
</TABLE>


4.   Contingencies:

     In May 1996, Origin Medsystems, Inc. ("Origin"), a unit of Guidant 
Corporation, filed suit against GSI for infringement of U.S. Patent No. 
5,520,609 in the United States District Court for the Northern District of 
California. That suit was resolved in GSI's favor by judgment entered on May 
15, 1998, finding Origin's patent unenforceable.  Origin's appeal of that 
judgment is pending, and is expected to be decided in 1999. The District 
Court has also awarded $990,000 in attorneys' fees to GSI and Origin is 
expected to appeal that ruling.

     In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging that the use of 
Origin's products infringes GSI's U.S. Patent No. 5,514,153.  In September 
1997, the Company filed an action against Origin alleging that the use of 
Origin's products infringes GSI's U.S. Patent No. 5,667,520.  Both actions 
are still pending. In the first action, the Court has ruled that all of 
Origin's existing balloon dissection products infringe the claims of Patent 
No. 5,514,153. Discovery is near completion in the second case. At present, 
the first of these actions is scheduled for trial in early 1999 and the 
second is expected to go to trial later in 1999. While the Company believes 
it will be successful in these proceedings, there can be no assurance of such 
success.

     GSI is also involved in an interference proceeding in the U.S. Patent 
Office to determine whether certain subject matter was first invented by 
GSI's inventor. The priority portion of this interference has been decided in 
GSI's favor by an arbitrator to whom this issue was referred. The 
patentability portion of this interference was decided in GSI's favor by the 
United States Patent and Trademark Office ("PTO"). Origin is expected to 
appeal the PTO's decision, but GSI believes that the arbitrator's priority 
decision is not appealable.

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 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, 1998.

     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.  The following General Surgical Innovations, Inc. trademarks
are mentioned in this Quarterly Report: SPACEMAKER-Registered Trademark-,
SAPHtrak-Registered Trademark-, 


                                        7

<PAGE>

registered trademarks of the Company; ENDOSAPH-TM- and SPACEKEEPER-TM-, 
trademarks 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 seven 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, Europe, Asia and South 
America for selected applications, such as hernia repair, subfascial 
endoscopic perforator surgery, saphenous vein harvesting and breast 
augmentation and reconstruction surgery.

     In December 1996, the Company entered into a five year OEM supply 
agreement (the "Expanded EES Agreement") with Ethicon Endo-Surgery, Inc. 
("EES"), pursuant to which GSI granted EES worldwide sales and marketing 
rights to sell the SPACEMAKER-Registered Trademark- surgical balloon 
dissectors in the laparoscopic hernia repair and stress urinary incontinence 
("SUI") markets. In February 1998, the Company and EES signed a non-exclusive 
distribution agreement for the laparoscopic hernia repair and SUI markets.  
This agreement supersedes the December 1996 Expanded EES Agreement.

     In September 1998, the Company signed two non-exclusive, three-year 
agreements with United States Surgical Corporation ("USSC").  Under the terms 
of the first agreement, USSC has obtained non-exclusive rights to market and 
distribute GSI's SPACEMAKER-Registered Trademark- surgical balloon dissectors 
worldwide for use in hernia repair and incontinence procedures.  Under the 
terms of the second agreement, GSI has secured non-exclusive worldwide rights 
to market and distribute several products, including USSC's 5mm mesh fixation 
device, the ProTack-TM-, which is offered with GSI's balloon dissectors in a 
complete hernia repair kit.

     In October 1998, GSI entered into non-exclusive agreements with seven 
leading surgical suppliers to distribute its SPACEMAKER-Registered 
Trademark-surgical balloon dissector kits used for hernia repair in the 
United States. The agreements provide for distribution of hernia kits in 31 
States.  The Company currently has a direct sales force covering the 
remaining portion of the United States and has agreements with USSC and EES 
to distribute these hernia repair products worldwide.

     In addition, the Company currently sells its products (other than for 
hernia and SUI applications) in international markets through other 
distributors, which resell to surgeons and hospitals. At present, the Company 
has exclusive distribution agreements with eight international distributors, 
including Baxter International, to distribute GSI's cardiovascular products 
in 18 European countries. In August 1997, the Company achieved compliance 
with the requirements of the European Economic Area Medical Devices Directive 
and the Company currently affixes CE markings on its products to attest to 
such compliance.

     During the first quarter of fiscal year 1999, the Company has increased 
its direct sales force in the United States, and plans to continue this 
expansion throughout the remainder of the fiscal year.  Any increase in the 
Company's direct sales force will require significant expenditures and 
additional management resources.

                                        8

<PAGE>

     To date, the majority of the sales to distributors and by the Company's 
direct sales force have been for use in hernia repair procedures.  The 
Company's initial market focus was the application of its 
SPACEMAKER-Registered Trademark- balloon dissection technology for hernia 
repair. Subsequent to this, the Company has developed additional products for 
use in general surgery, as well as products for plastic surgery and 
cardiovascular applications.  The Company has completed marketing-related 
clinical evaluations of, and has introduced products for, saphenous vein 
harvesting, subfascial endoscopic perforator surgery (SEPS"), breast 
augmentation and reconstruction procedures and SUI.  The Company is currently 
conducting additional marketing-related clinical evaluations for tissue 
dissection/expansion.

     While the Company has developed or is developing balloon dissection 
systems for stress urinary incontinence, vascular and plastic surgery, sales 
of products for hernia repair are expected to provide a majority of the 
Company's revenues at least through fiscal 1999.

     The Company has acquired rights to a significant number of patents 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 between one and four 
percent of sales of such products, which payments are expected to exceed 
certain minimum royalty payments due under the agreements with such parties.  
The payment of such royalty amounts will have an adverse impact on the 
Company's gross profit and results of operations.

     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 fiscal 1999. The Company's 
sales to date have consisted primarily of surgical balloon dissectors 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 surgical balloon dissectors for other applications, the Company 
anticipates that it will be required to make significant additional 
expenditures in sales and marketing, and in research and development 
(including marketing-related clinical evaluations).                

     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.

RESULTS OF OPERATIONS

     REVENUE.  Total revenue, including product sales and guaranteed 
payments, decreased by 14% to approximately $2.0 million for the quarter 
ended September 30, 1998 from $2.3 million for the same period in 1997. 
Product sales for the quarter ended September 30, 1998 reflect an increase of 
29% over product sales for the quarter ended September 30, 1997. Revenues for 
the first quarter of fiscal 1999 consisted entirely of product sales while 
revenues for the first quarter of fiscal 1998 consisted of approximately $1.6 
million in product sales and approximately $700,000 in guaranteed payments 
from EES.  The Company believes that its sales results will fluctuate from 
quarter to quarter during at least the next several quarters.

     COST OF SALES.  Cost of sales increased by 13% to approximately $1.1 
million for the quarter ended September 30, 1998 from $956,000 for the same 
period in 1997. This increase in absolute dollars was due to an increase in 
product sales over this same period.  As a percentage of product sales, 
cost of sales decreased from 61% in the first quarter of fiscal 1998 to 54% 
in the first quarter of fiscal 1999 primarily due to higher production during 
this time period.

                                        9

<PAGE>

     RESEARCH AND DEVELOPMENT EXPENSES.  Research and development expenses, 
which include expenditures for marketing-related clinical evaluations and 
regulatory expenses, remained relatively stable at $744,000 in the quarter 
ended September 30, 1998, compared to $765,00 for the same period on 1997.

     SELLING, GENERAL AND ADMINISTRATIVE EXPENSES.  Selling, general and 
administrative expenses increased by 32% to approximately $3.3 million for 
the quarter ended September 30, 1998 from $2.5 million for the quarter ended 
September 30, 1997 primarily due to increased legal expenses related to 
intellectual property litigation. The Company expects selling expenses to 
continue to increase in absolute dollars as the Company continues to build 
its sales infrastructure.

     INTEREST INCOME AND INTEREST EXPENSE.  Interest income and interest 
expense decreased to $497,000 for the quarter ended September 30, 1998 from 
$591,000 for the quarter ended September 30, 1997.  The decrease is mainly 
due to lower 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 approximately 
$27.4 million at September 30, 1998. The Company has funded its operations 
primarily through the sale of equity securities. From its inception through 
September 30, 1998 the Company raised approximately $15.5 million through the 
private placement of equity securities and approximately $46.9 million (net 
of underwriting discounts and commissions) in an initial public offering.

     As of September 30, 1998 the Company's principal source of liquidity 
consists of cash, cash equivalents and available-for-sale securities of $34.6 
million. In addition, the Company has a bank line of credit available for 
$5.0 million.  As of September 30, 1998, the company has no amounts 
outstanding under this line.  The Company also has an equipment loan with an 
outstanding balance of approximately $143,000.

     The Company expects to continue to incur costs over the next fiscal 
year, including costs related to increased sales and marketing activities, 
increased research and development, additional marketing-related clinical 
evaluations, and costs to defend its patent positions.  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 year 2000.  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 sought, will be available on 
satisfactory terms or at all.

YEAR 2000 COMPLIANCE

     The Year 2000 ("Y2K") issue arises from computer programs using two 
digits rather than four to define the applicable year.  Such software may 
recognize a date using "00" as the year 1900 rather than the year 2000.  This 
could result in system failures or miscalculations leading to disruptions or 
delays in the Company's activities and operations.  If the Company, its key 
customers or suppliers fail to make necessary modifications to their 
information technology or non-information technology systems on a timely 
basis, the Y2K issue could have a material adverse effect on Company 
operations.  However, the impact cannot be quantified at this time.


                                        10

<PAGE>

     In January 1998 the Company began to evaluate and assess the Company's 
information technology and non-information technology systems for compliance 
with the Y2K issue.  The Company intends to fix or replace noncompliant 
software and systems by March 31, 1999, but there can be no assurance that 
such fixes or replacements will occur by such date.  The Company is currently 
conducting testing and remediation activities on its systems, and intends to 
survey major customers and suppliers to assess their systems' compliance as 
well as their systems' compatibility with the Company's existing or projected 
compliant systems.  There can be no assurance that there will not be an 
adverse material effect on the Company's business, financial condition or 
results of operations if the Company or its suppliers or customers do not 
convert or replace their systems in a timely manner to comply with the Y2K 
issue.

     The Company's costs related to the Y2K issue are funded through 
operating cash flows.  Through September 30, 1998, the Company expended 
approximately $5,000 in evaluating and planning.  The Company estimates total 
costs to be between $50,000 and $100,000 for fixing and replacing 
noncompliant systems, including the cost of new software and modifying the 
applicable code of existing software.  The Company currently believes that 
the total cost of achieving Y2K compliant systems will not be material to its 
business, financial condition or results of operations.  In the event that 
the Company will be unable to achieve Y2K compliance in a timely manner with 
existing personnel, as a contingency the Company expects to hire outside Y2K 
solution providers to assist in achieving such compliance.

     Time and cost estimates are based on currently available information. 
Factors that could affect these estimates include, but are not limited to, 
the availability and cost of trained personnel to evaluate and implement the 
changes, the ability to locate and correct all noncompliant systems, and the 
ability of the Company's customers and suppliers to successfully implement 
Y2K compliant systems or fixes.

FACTORS AFFECTING FUTURE RESULTS

     The following discussion should be read in conjunction with the 
condensed financial statements and notes thereto included herein.

     The Company desires to take advantage of the "safe harbor" provisions of 
the Private Securities Litigation Reform Act of 1995. Specifically the 
Company wishes to alert readers that, 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, market demand for the Company's products, 
the Company's ability to shift market focus successfully, the timing of 
orders and shipments, the timely development and market acceptance of new 
products and surgical procedures, the impact of performance of the Company's 
distributors, the Company's ability to further expand into international 
markets, public policy relating to health care reform in the United States 
and other countries, approval of its products by government agencies such as 
the United States Food and Drug Administration, 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, have in the past affected, and could in 
the future affect, the Company's actual results and could cause the Company's 
results for future periods to differ materially from those expressed in any 
forward-looking statements contained in the following discussion.


                                        11

<PAGE>

     LIMITED OPERATING HISTORY; ANTICIPATED FUTURE LOSSES.  The Company has a 
limited operating history upon which an evaluation of the Company and its 
prospects can be based. As of September 30, 1998, the Company had an 
accumulated deficit of $27.4 million. The Company's net operating losses for 
the fiscal years ending June 30, 1998, 1997 and 1996 and for the quarter 
ended September 30, 1998 were $9.1 million, $1.9 million, $5.5 million and 
$2.6 million, respectively.  The Company expects to continue to incur 
operating losses on a quarterly and annual basis through at least fiscal 
1999.  Due to the Company's limited operating history there can be no 
assurance of sales growth or profitability in the future. The Company intends 
to increase 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.  Nearly 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 market 
acceptance of and demand for the Company's products and related procedures, 
the nature of the technological advances inherent in the product designs, 
reduction in patient trauma or other benefits provided by such products, 
continued adoption of minimally invasive surgery ("MIS") procedures by 
surgeons, 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 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 surgical balloon 
dissectors 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.

     DEPENDENCE ON KEY DISTRIBUTORS. In February 1998, the Company replaced 
its five-year OEM supply agreement with EES with a non-exclusive distribution 
agreement which granted EES worldwide sales and marketing rights to sell the 
SPACEMAKER-Registered Trademark- surgical balloon dissectors in the 
laparoscopic hernia repair and stress urinary incontinence ("SUI") markets.  
Unlike the prior EES OEM Agreement, this new EES non-exclusive agreement does 
not provide for any minimum payments from EES to the Company.  In December 
1997, the Company entered into a four-year distribution agreement with 
Genzyme Surgical Products Corporation ("Genzyme").  Under the agreement, 
Genzyme has exclusive rights to market and distribute GSI's surgical surgical 
balloon dissectors worldwide for use in reconstructive and cosmetic plastic 
surgery procedures.  In September 1998, the Company signed a non-exclusive, 
three-year agreement with United States Surgical Corporation ("USSC").  Under 
the terms of the agreement, USSC has obtained non-


                                        12

<PAGE>

exclusive rights to market and distribute GSI's SPACEMAKER-Registered 
Trademark- surgical balloon dissectors worldwide for use in hernia repair and 
incontinence procedures.

     The Company's products are sold internationally to hospitals, surgeons 
and specialists through USSC, EES and independent distributors in Europe, 
Asia, Latin America and the Middle East.

     During the third quarter of fiscal year 1998, the Company expanded its 
international distribution network by adding eight international 
distributors, including Baxter International, to distribute its 
cardiovascular products. Although the Company intends to continue to 
establish additional distributorships in the United States and 
internationally for products in areas other than certain plastic surgery 
procedures, there can be no assurance that recently appointed distributors 
will be successful, or that efforts to establish additional distributors will 
be successful.  Failure of current distributors to succeed, or failure to add 
additional distributors to its distribution network, could have a material 
adverse effect on the Company's business, financial condition and results of 
operations.
     
     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 to the hernia market and, to a lesser degree, to the 
cardiovascular and cosmetic and reconstructive surgery markets. The Company 
intends to establish relationships with additional distribution partners, and 
there can be no assurance that the Company will be successful in establishing 
such 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 sales of the Company's products, could have a material 
adverse effect on the Company's business, 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-Registered Trademark- 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, clinical advantage 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 surgical techniques and treatments 
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-Registered Trademark- balloon dissection 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 


                                        13

<PAGE>

third-party reimbursement, and the failure 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 surgical balloon dissectors in late 1993 and 
to date there has been relatively little education among surgeons about the 
benefits of balloon dissection technology. Furthermore, because of 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 surgical balloon dissectors are incorporated into laparoscopic 
techniques less often or that surgeons are unwilling or unable to develop the 
skills necessary to utilize surgical 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 
numerous factors, including (i) fluctuations in purchases of the Company's 
products by its distributors, (ii) the ability of the Company's distributors 
to effectively promote and sell the Company's products, (iii) the rate of 
adoption by surgeons of balloon dissection technology in markets targeted by 
the Company, (iv) the mix of sales among distributors and the Company's 
direct sales force, (v) the timing and cost of increasing the Company's 
direct domestic sales force, (vi) the expansion of the Company's distribution 
network, (vii) new product introductions by the Company and its competitors, 
(viii) fluctuations in revenues among different product lines and markets, 
(ix) timing of patent and regulatory approvals, if any, (x) intellectual 
property litigation, (xi) timing and growth of operating expenses and (xii) 
general market conditions.

     In December 1996, the Company entered into the Expanded Ethicon 
Agreement, pursuant to which EES made approximately $4.9 million in 
guaranteed payments to the Company in fiscal year 1997, which constituted 54% 
of revenues for fiscal year 1997 and payments by mutual consent of  $775,000 
in the first quarter of fiscal year 1998 and $860,000 in the second quarter 
of fiscal 1998.  The company and EES entered into a nonexclusive distribution 
agreement for the laparoscopic hernia repair and stress urinary incontinence 
markets in February 1998, which supersedes the Expanded Ethicon Agreement and 
which does not include a provision for minimum quarterly payments.  The 
Company anticipates that sales to EES may decrease in the future.  Failure by 
EES to achieve certain levels of sales growth or purchases could adversely 
affect the Company's operating results. In September 1998, the Company signed 
two non-exclusive, three-year agreements with United States Surgical 
Corporation.  Under the terms of the first agreement, USSC has obtained 
non-exclusive rights to market and distribute GSI's SPACEMAKER-Registered 
Trademark- surgical balloon dissectors worldwide for use in hernia repair and 
incontinence procedures.  Under the terms of the second agreement, GSI has 
secured non-exclusive worldwide rights to market and distribute several 
products, including USSC's 5mm mesh fixation device, the ProTack-TM-, which 
is offered with GSI's balloon dissectors in a complete hernia repair kit.  
Failure by the Company or USSC to achieve certain levels of sales growth or 
purchases could adversely affect the Company's operating results.  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 


                                        14

<PAGE>

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. 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.

     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.

     In May 1996, Origin Medsystems, Inc. ("Origin"), a unit of Guidant 
Corporation, filed suit against GSI for infringement of U.S. Patent No. 
5,520,609 in the United States District Court for the Northern District of 
California. That suit was resolved in GSI's favor by judgment entered on May 
15, 1998, finding Origin's patent unenforceable.  Origin's appeal of that 
judgment is pending and is expected to be decided in 1999. The District Court 
has also awarded $990,000 in attorneys' fees to GSI and Origin is expected to 
appeal that ruling.

     In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging that the use of 
Origin's products infringes GSI's U.S. Patent No. 5,514,153. In September 
1997, the Company filed an action against Origin alleging that the use of 
Origin's products infringes GSI's U.S. Patent No. 5,667,520.  Both actions 
are still pending. In the first action, the Court has ruled that all of 
Origin's existing balloon dissection products infringe the claims of Patent 
No. 5,514,153. Discovery is near completion in the second case. At present, 
the first of these actions is scheduled for trial in early 1999 and the 
second is expected to go to trial later in 1999. While the Company believes 
it will be successful in these proceedings, there can be no assurance of such 
success.

     GSI is also involved in an interference proceeding in the U.S. Patent 
Office to determine whether certain subject matter was first invented by 
GSI's inventor. The priority portion of this interference has been decided in 
GSI's favor by an arbitrator to whom this issue was referred. The 
patentability portion of this interference was decided in GSI's favor by the 
United States Patent and Trademark Office ("PTO"). Origin is expected to 
appeal the PTO's decision, but GSI believes that the arbitrator's priority 
decision is not appealable.

     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 would have a material adverse effect 
on the Company's business, financial condition and results of operations. As 
discussed above, the Company is defending itself, and may in the future have 
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.

     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 


                                        15

<PAGE>

Company's patents or patents to which it has licensed rights will be held 
valid under current challenges or if subsequently challenged or that persons 
or entities in addition to Origin 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.

     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 rights to patents 
from third parties, including rights that apply to the Company's current 
surgical balloon dissectors. The Company has historically paid and is 
obligated to pay in the future to such third parties royalties equal to 
between one and four percent of sales of such products, which payments are 
expected to exceed minimum royalty payments due under agreements with such 
parties. 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 has limited experience in 
manufacturing, marketing and selling its products commercially.  In addition, 
the Company has experienced rapid growth in the number of products under 
development, the number and amount of products manufactured, and the 
geographic scope of its sales. In order to augment its long-term competitive 
position, the Company anticipates that it will be required to make 
significant additional expenditures in research and development and sales and 
marketing.  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 


                                        16

<PAGE>

the Company's competitors will not succeed in developing surgical 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 surgical balloon dissectors 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 surgical 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 development of its surgical balloon 
dissectors, 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 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 


                                        17

<PAGE>

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 surgical balloon dissectors 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 surgical 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 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-Registered 
Trademark-surgical balloon dissectors 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 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, if obtained, 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-Registered Trademark- I platform, 
SPACEMAKER-Registered Trademark- II platform, SPACEMAKER-Registered 
Trademark-Plastics platform, SPACEMAKER-Registered Trademark- 
SAPHtrak-Registered Trademark- platform and KnotMaker-TM- product each have 
received 510(k) clearance for use during general, endoscopic, laparoscopic or 
cosmetic and reconstructive surgery, and certain vascular surgery (including 
saphenous vein procedures) when tissue dissection is required. The 
Company has promoted these products for surgical applications (E.G., hernia 
repair, subfascial endoscopic perforator surgery, breast augmentation and 
reconstruction, treatment of stress urinary incontinence and saphenous vein 
harvesting), and may in the future promote these products for the dissection 
required for additional selected applications (E.G. tissue 
dissection/expansion and a variety of orthopedic procedures such as anterior 
spinal fusion and long-bone plating). For any medical device cleared through 
the 510(k) process, modifications or enhancements that could 


                                        18

<PAGE>

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.

     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.

     LIMITED MANUFACTURING EXPERIENCE.  The Company has only limited 
experience in manufacturing its products in commercial quantities. The 
Company intends to scale up its production of 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.

     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 or, if required, that the Company will be able to 
locate alternative sources of such component materials on a timely basis to 
market its products, if at all.  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 attempts to identify and certify 
a replacement supplier, if any, and could have a material adverse effect on 
the Company's business, financial condition and results of operations.


                                        19

<PAGE>

     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 
cause or are 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 .2%, .4% and .5% of the Company's sales in 
the quarter ended September 30, 1998, and for the fiscal years ended June 30, 
1998 and 1997, respectively. The Company 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 Company's 
common stock and the stock of many other publicly held medical device 
companies have in the past been, and can in the future be expected to be, 
especially volatile.  Announcements regarding competitive developments, 
product sales, 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.


                                        20

<PAGE>

     YEAR 2000 COMPLIANCE.  The Year 2000 ("Y2K") issue arises from computer 
programs using two digits rather than four to define the applicable year.  
Such software may recognize a date using "00" as the year 1900 rather than 
the year 2000.  This could result in system failures or miscalculations 
leading to disruptions or delays in the Company's activities and operations.  
If the Company, its key customers or suppliers fail to make necessary 
modifications to their information technology or non-information technology 
systems on a timely basis, the Y2K issue could have a material adverse effect 
on Company operations. However, the impact cannot be quantified at this time.

     In January 1998 the Company began to evaluate and assess the Company's 
information technology and non-information technology systems for compliance 
with the Y2K issue.  The Company intends to fix or replace noncompliant 
software and systems by March, 31, 1999, but there can be no assurance that 
such fixes or replacements will occur by such date.  The Company is currently 
conducting testing and remediation activities on its systems, and intends to 
survey major customers and suppliers to assess their systems' compliance as 
well as their systems' compatibility with the Company's existing or projected 
compliant systems.  There can be no assurance that there will not be an 
adverse material effect on the Company's business, financial condition or 
results of operations if the Company or its suppliers or customers do not 
convert or replace their systems in a timely manner to comply with the Y2K 
issue.  See "Management's Discussion and Analysis of Financial Condition and 
Results of Operations -- Year 2000 Compliance."

RECENT PRONOUNCEMENTS

     In June 1997, the Financial Accounting Standards Board issued Statement 
of Financial Accounting Standards No. 131 ("SFAS 131"), "Disclosures about 
Segments of an Enterprise and Related Information."  This statement 
establishes standards for disclosure about operating segments in annual 
financial statements and selected information in interim financial reports.  
It also establishes standards for related disclosures about products and 
services, geographic areas and major customers.  This statement supersedes 
Statement of Financial Accounting Standards No. 14, "Financial Reporting for 
Segments of a Business Enterprise."  The new standard becomes effective for 
fiscal years beginning after December 15, 1997, and requires that comparative 
information from earlier years be restated to conform to the requirements of 
this standard.  The Company is evaluating the requirements of SFAS 131 and 
the effects, if any, on the Company's current reporting and disclosures.

ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     The Company had no holdings of derivative financial or commodity 
instruments at September 30, 1998.  A review of the Company's other financial 
instruments and risk exposures at that date revealed that the Company had 
exposure to interest rate risk.  At September 30, 1998 the Company performed 
sensitivity analyses to assess the potential effect of this risk and 
concluded that near-term changes in interest rates should not materially 
adversely affect the Company's financial position, results of operations or 
cash flows.

PART II. OTHER INFORMATION

ITEM 1.  LEGAL PROCEEDINGS


                                        21

<PAGE>

     In May 1996, Origin Medsystems, Inc. ("Origin"), a unit of Guidant 
Corporation, filed suit against GSI for infringement of U.S. Patent No. 
5,520,609 in the United States District Court for the Northern District of 
California. That suit was resolved in  GSI's favor by judgment entered on May 
15, 1998, finding Origin's patent unenforceable.  Origin's appeal of that 
judgment is pending and is expected to be decided in 1999. The District Court 
has also awarded $990,000 in attorneys' fees to GSI and Origin is expected to 
appeal that ruling.

     In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging that the use of 
Origin's products infringes GSI's U.S. Patent No. 5,514,153. In September 
1997, the Company filed an action against Origin alleging that the use of 
Origin's products infringes GSI's U.S. Patent No. 5,667,520.  Both actions 
are still pending. In the first action, the Court has ruled that all of 
Origin's existing balloon dissection products infringe the claims of Patent 
No. 5,514,153. Discovery is near completion in the second case. At present, 
the first of these actions is scheduled for trial in early 1999 and the 
second is expected to go to trial later in 1999. While the Company believes 
it will be successful in these proceedings, there can be no assurance of such 
success.

     GSI is also involved in an interference proceeding in the U.S. Patent 
Office to determine whether certain subject matter was first invented by 
GSI's inventor. The priority portion of this interference has been decided in 
GSI's favor by an arbitrator to whom this issue was referred. The 
patentability portion of this interference was decided in GSI's favor by the 
United States Patent and Trademark Office ("PTO"). Origin is expected to 
appeal the PTO's decision, but GSI believes that the arbitrator's priority 
decision is not appealable.

     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, except for the patent interference 
and infringement proceedings discussed herein.

ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS
    
     In connection with its initial public offering in 1996, the Company 
filed a Registration Statement on Form S-1, SEC File No. 333-2774 (the 
"REGISTRATION STATEMENT"), which was declared effective by the Commission on 
May 9, 1996. Pursuant to the Registration Statement, the Company registered 
and sold 3,450,000 shares of its Common Stock, $0.001 par value per share, 
for its own account.  The offering commenced on May 10, 1996 and terminated 
when all of the registered shares had been sold.  The aggregate offering 
price of the registered shares was $51,750,000.  The managing underwriters of 
the offering were Cowen & Company and UBS Securities LLC.
     
     From May 10, 1996 to September 30, 1998, the Company incurred the 
following expenses in connection with the offering:
               
<TABLE>
     <S>                                               <C>
     Underwriting discounts and commissions. . . . . . $3,622,500
     Other expenses. . . . . . . . . . . . . . . . . . $1,187,025
                                                       ----------
          Total Expenses . . . . . . . . . . . . . . . $4,809,525
</TABLE>

     All of such expenses were direct or indirect payments to others.
     
     The net offering proceeds to the Company after deducting the total 
expenses above were $46,940,475.  From May 10, 1996 to September 30, 1998, 
the Company used such net offering proceeds, in direct or indirect payments 
to others, as follows:

                                        22

<PAGE>

<TABLE>
     <S>                                                        <C>
     Construction of plant, building and facilities             $ 1,227,065
     Purchase and installment of machinery and equipment        $ 1,520,383
     Repayment of indebtedness                                  $   856,970
     Working capital                                            $25,011,284
                                                                -----------
          Total                                                 $28,615,702
</TABLE>

     
     This use of proceeds does not represent a material change in the use of 
proceeds described in the prospectus of the Registration Statement.

ITEM 3. DEFUALTS IN SENIOR SECURITIES
          None.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
          None.

ITEM 5. OTHER INFORMATION
          None.

ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

     (a) Exhibits

     Exhibit   Description
     -------   -----------
     27.1      Financial Data Schedule

     10.25     Consulting Agreement between the Company and Roderick A. Young,
               dated as of November 1, 1998.

     10.26     Promissory Note and Bonus Agreement between the Company and
               Gregory D. Casciaro dated as of September 3, 1998.

    (b) Reports on Form 8-K

     The Company filed no reports on Form 8-K during the quarter ended 
September 30, 1998.


                                        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 Administration
                       Principal and Chief Financial Officer
                                          
                                          
                                          

Date: November 13, 1998



                                        24


<PAGE>

                          GENERAL SURGICAL INNOVATIONS, INC.

                                 CONSULTING AGREEMENT

     This Consulting Agreement (the "AGREEMENT") is entered into by and 
between General Surgical Innovations, Inc. (the "COMPANY") and Roderick Young 
("CONSULTANT"), effective as of this 1st day of November, 1998 (the 
"Effective Date").

     1.   CONSULTING RELATIONSHIP.  Beginning on the Effective Date and 
during the term of this agreement, Consultant will provide consulting 
services (the "SERVICES") to the Company as described on EXHIBIT A attached 
to this Agreement. Consultant shall use Consultant's best efforts to perform 
the Services in a manner satisfactory to the Company.

     2.   FEES; SUPPORT.  As consideration for the Services to be provided by 
Consultant and other obligations, the Company will compensate Consultant as 
described in EXHIBIT B to this Agreement.  As additional consideration for 
the Services, the Company will provide Consultant with such support 
facilities and space as may be required in the Company's judgment to enable 
Consultant to properly perform the Services.

     3.   EXPENSES.  Consultant shall not be authorized to incur on behalf of 
the Company any expenses, except in compliance with the Company's policies 
without the prior written consent of the Company's Chief Financial Officer.  
As a condition to receipt of reimbursement, Consultant shall be required to 
submit to the Company reasonable evidence that the amount involved was 
expended and related to Services provided under this Agreement.

     4.   TERM AND TERMINATION.  Consultant shall serve as a consultant to 
the Company for a period commencing on the Effective Date and terminating on 
the earlier of: (i) April 1, 1999, (ii) the date Consultant begins rendering 
services as an employee or consultant in excess of thirty hours per week to 
any person or entity other than the Company, or (iii) Consultant's 
termination of this Agreement at any time upon ten (10) days' written notice 
to the Company (which date shall be the "TERMINATION DATE").

     5.   INDEPENDENT CONTRACTOR.  Consultant's relationship with the Company 
will be that of an independent contractor and not that of an employee. 
Consultant will not be eligible for any employee benefits, nor will the 
Company make deductions from payments made to Consultant for taxes, all of 
which will be Consultant's responsibility.  Consultant agrees to indemnify 
and hold the Company harmless from any liability for, or assessment of, any 
such taxes imposed on the Company by relevant taxing authorities.  Consultant 
will have no authority to enter into contracts that bind the Company or 
create obligations on the part of the Company without the prior written 
authorization of the Company.

     6.   SUPERVISION OF CONSULTANT'S SERVICES.  All services to be performed 
by Consultant, including but not limited to the Services, will be as agreed 
between Consultant and the Company's Chief Executive Officer.  Consultant 
will be required to report to the Chief

<PAGE>

Executive Officer concerning the Services performed under this Agreement.  
The nature and frequency of these reports will be left to the discretion of 
the Chief Executive Officer.

     7.   CONSULTING OR OTHER SERVICES FOR COMPETITORS.  Consultant 
represents and warrants that Consultant will not, during the term of this 
Agreement, perform any consulting or other services for any company, person 
or entity whose business or proposed business in any way involves products or 
services which could reasonably be determined to be competitive with the 
products or services or proposed products or services of the Company.

     8.   CONFIDENTIALITY AGREEMENT.  Consultant has signed a Confidential 
Information and Invention Assignment Agreement substantially in the form 
attached to this Agreement as EXHIBIT C (the "CONFIDENTIALITY AGREEMENT"), 
prior to the date hereof.
     
     9.   CONFLICTS WITH THIS AGREEMENT.  Consultant represents and warrants 
that Consultant is not under any pre-existing obligation in conflict or in 
any way inconsistent with the provisions of this Agreement.  Consultant 
warrants that Consultant has the right to disclose or use all ideas, 
processes, techniques and other information, if any, which Consultant has 
gained from third parties, and which Consultant discloses to the Company in 
the course of performance of this Agreement, without liability to such third 
parties.  Consultant represents and warrants that Consultant has not granted 
any rights or licenses to any intellectual property or technology that would 
conflict with Consultant's obligations under this Agreement.  Consultant will 
not knowingly infringe upon any copyright, patent, trade secret or other 
property right of any former client, employer or third party in the 
performance of the services required by this Agreement.
     
     10.  STOCK VESTING.  As of the date hereof, Consultant owns options to 
purchase an aggregate of 159,817 shares of Common Stock of the Company.  Such 
options shall continue to vest in accordance with their vesting schedules on 
EXHIBIT D until the Termination Date, PROVIDED, HOWEVER, that if Consultant 
terminates this Agreement pursuant to subsection 4(iii) Consultant will not 
be eligible to exercise any options that were repriced in October, 1998.
     
     11.  MISCELLANEOUS.

          (a)  AMENDMENTS AND WAIVERS.  Any term of this Agreement may be 
amended or waived only with the written consent of the parties.

          (b)  SOLE AGREEMENT.  This Agreement, including the Exhibits 
hereto, constitutes the sole agreement of the parties and supersedes all oral 
negotiations and prior writings with respect to the subject matter hereof.  
The parties hereby agree and acknowledge that the Change of Control Agreement 
between the Company and Consultant dated January 20, 1998 is hereby 
terminated as of the Effective Date.  The parties hereby agree and 
acknowledge that the offer letter between the Company and Consultant is 
hereby terminated as of the Effective Date.

          (c)  NOTICES.  Any notice required or permitted by this Agreement 
shall be in writing and shall be deemed sufficient upon receipt, when 
delivered personally or by courier,

                                      -2-
<PAGE>

overnight delivery service or confirmed facsimile, or forty-eight (48) hours 
after being deposited in the regular mail as certified or registered mail 
(airmail if sent internationally) with postage prepaid, if such notice is 
addressed to the party to be notified at such party's address or facsimile 
number as set forth below, or as subsequently modified by written notice.

          (d)  CHOICE OF LAW.  The validity, interpretation, construction and 
performance of this Agreement shall be governed by the laws of the State of 
California, without giving effect to the principles of conflict of laws.

          (e)  SEVERABILITY.  If one or more provisions of this Agreement are 
held to be unenforceable under applicable law, the parties agree to 
renegotiate such provision in good faith.  In the event that the parties 
cannot reach a mutually agreeable and enforceable replacement for such 
provision, then (i) such provision shall be excluded from this Agreement, 
(ii) the balance of the Agreement shall be interpreted as if such provision 
were so excluded and (iii) the balance of the Agreement shall be enforceable 
in accordance with its terms.

          (f)  COUNTERPARTS.  This Agreement may be executed in counterparts, 
each of which shall be deemed an original, but all of which together will 
constitute one and the same instrument.

          (g)  ARBITRATION.   Any dispute or claim arising out of or in 
connection with any provision of this Agreement, excluding Section 7 hereof, 
will be finally settled by binding arbitration in Santa Clara County, 
California in accordance with the rules of the American Arbitration 
Association by one arbitrator appointed in accordance with said rules.  The 
arbitrator shall apply California law, without reference to rules of 
conflicts of law or rules of statutory arbitration, to the resolution of any 
dispute.  Judgment on the award rendered by the arbitrator may be entered in 
any court having jurisdiction thereof.  Notwithstanding the foregoing, the 
parties may apply to any court of competent jurisdiction for preliminary or 
interim equitable relief, or to compel arbitration in accordance with this 
paragraph, without breach of this arbitration provision.  This Section 11(g) 
shall not apply to the Confidentiality Agreement.

          (h)  ADVICE OF COUNSEL.  EACH PARTY ACKNOWLEDGES THAT, IN EXECUTING 
THIS AGREEMENT, SUCH PARTY HAS HAD THE OPPORTUNITY TO SEEK THE ADVICE OF 
INDEPENDENT LEGAL COUNSEL, AND HAS READ AND UNDERSTOOD ALL OF THE TERMS AND 
PROVISIONS OF THIS AGREEMENT.  THIS AGREEMENT SHALL NOT BE CONSTRUED AGAINST 
ANY PARTY BY REASON OF THE DRAFTING OR PREPARATION HEREOF.

                                      -3-
<PAGE>

The parties have executed this Agreement on the respective dates set forth
below.

                                        GENERAL SURGICAL INNOVATIONS, INC.


                                        By: /s/ Gregory Casciaro
                                            ------------------------------

                                          Name: Gregory Casciaro
                                               ---------------------------

                                          Title: Chief Executive Officer
                                                 -------------------------

                                        10460 Bubb Road
                                        Cupertino, CA  95014

                                        Date: November 13, 1998
                                              ----------------------------


                                        RODERICK YOUNG

                                        /s/ Roderick Young
                                        ----------------------------------
                                        Signature

                                        Address: 679 Mirada Avenue
                                                 Stanford, CA 94305
                                                 -------------------------

                                        Date: November 12, 1998
                                              ----------------------------


SIGNATURE PAGE TO GENERAL SURGICAL INNOVATIONS, INC. CONSULTING AGREEMENT

<PAGE>

                                  EXHIBIT A

                     DESCRIPTION OF CONSULTING SERVICES


     Consulting to the Chief Executive Officer and the Board of Directors 
with regard to strategic business considerations, with specific projects to 
be as mutually determined by the Consultant and the Chief Executive Officer. 

<PAGE>

                                  EXHIBIT B

                                COMPENSATION

     Consultant shall be paid the following monthly fees payable in 
accordance with the Company's normal payroll policies:

<TABLE>
                     <S>                         <C>
                     November 1998               $10,000
                     December 1998               $10,000
                     January 1998                $10,000
                     February 1998                $5,000
                     March 1998                   $5,000
</TABLE>


<PAGE>

THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER 
THE SECURITIES ACT OF 1933, AND HAVE BEEN ACQUIRED FOR INVESTMENT AND NOT 
WITH A VIEW TO, OR IN CONNECTION WITH, THE SALE OR DISTRIBUTION THEREOF.  NO 
SUCH SALE OR DISTRIBUTION MAY BE EFFECTED WITHOUT AN EFFECTIVE REGISTRATION 
STATEMENT RELATED THERETO OR AN OPINION OF COUNSEL IN A FORM SATISFACTORY TO 
THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED UNDER THE SECURITIES ACT 
OF 1933.

                               PROMISSORY NOTE


$300,000.00                                                   September 3, 1998
                                                          Cupertino, California

     For value received, Gregory Casciaro, (the "EMPLOYEE"), promises to pay 
to General Surgical Innovations, Inc. (the "HOLDER"), the principal sum of 
Three Hundred Thousand Dollars ($300,000.00).  Interest shall accrue from the 
date of this Note on the unpaid principal amount at a rate equal to five and 
42/100 percent (5.42 %) per annum, compounded monthly. This Note is subject 
to the following terms and conditions:

     1.   MATURITY.   Principal and any accrued but unpaid interest under 
this Note shall be due and payable upon demand by the Holder at any time 
after the earlier of (i) April 3, 2003 or (ii) the date on which the Employee 
is no longer Chief Executive Officer of the Holder.

     2.   PAYMENT.  All payments shall be made in lawful money of the United 
States of America at such place as the Holder hereof may from time to time 
designate in writing to the Employee.  Payment shall be credited first to the 
accrued interest then due and payable and the remainder applied to principal. 
Prepayment of this Note may be made at any time without penalty.

     3.   TRANSFER; SUCCESSORS AND ASSIGNS. The terms and conditions of this 
Note shall inure to the benefit of and be binding upon the respective 
successors and assigns of the parties. Notwithstanding the foregoing, the 
Employee may not assign, pledge, or otherwise transfer this Note without the 
prior written consent of the Holder. Subject to the preceding sentence, this 
Note may be transferred only upon surrender of the original Note for 
registration of transfer, duly endorsed, or accompanied by a duly executed 
written instrument of transfer in form satisfactory to the Holder. Thereupon, 
a new note for the same principal amount and interest will be issued to, and 
registered in the name of, the transferee.  Interest and principal are 
payable only to the registered holder of this Note.

     4.   GOVERNING LAW. This Note and all acts and transactions pursuant 
hereto and the rights and obligations of the parties hereto shall be 
governed, construed and interpreted in accordance with the laws of the State 
of California, without giving effect to principles of conflicts of law.  

<PAGE>

     5.   NOTICES. Any notice required or permitted by this Note shall be in 
writing and shall be deemed sufficient upon delivery, when delivered 
personally or by a nationally-recognized delivery service (such as Federal 
Express or UPS), or forty-eight (48) hours after being deposited in the U.S. 
mail, as certified or registered mail, with postage prepaid, addressed to the 
party to be notified at such party's address as set forth below or as 
subsequently modified by written notice.

     6.   AMENDMENTS AND WAIVERS. Any term of this Note may be amended only 
with the written consent of the Employee and the Holder.  Any amendment or 
waiver effected in accordance with this Section 6 shall be binding upon the 
Employee, the Holder and each transferee of the Note.

     7.   ACTION TO COLLECT ON NOTE.  If action is instituted to collect on 
this Note, the Employee promises to pay all costs and expenses, including 
reasonable attorney's fees, incurred in connection with such action.


                                       EMPLOYEE

                                       GREGORY CASCIARO

                                       By: /s/ Gregory Casciaro
                                           -------------------------------

                                       Address: 10460 Bubb Road
                                                Cupertino, CA 95014
                                                --------------------------

AGREED TO AND ACCEPTED:

HOLDER

GENERAL SURGICAL INNOVATIONS, INC.

By: /s/ Mark Wan
    ------------------------------

Name: Mark Wan
     -----------------------------
                (print)
Title: Director
       ---------------------------

Address:  10460  Bubb Road
          Cupertino,  CA 95014

<PAGE>

                                 CASH BONUS AGREEMENT

     THIS CASH BONUS AGREEMENT ("Agreement") is entered into this 3rd day of 
September, 1998, by and between GENERAL SURGICAL INNOVATIONS, INC., a 
California corporation ("Company") and GREGORY CASCIARO ("Executive").

     WHEREAS, the board of directors has determined that it is in the 
Company's best interests to enter into this Agreement for the purpose of 
retaining Executive as a valued employee of the Company and providing an 
incentive for him to maximize his efforts on the Company's behalf;

     NOW, THEREFORE, the Company and Executive agree as follows:

     1.   PAYMENT OF CASH BONUSES.  Company agrees to pay Executive a cash 
bonus in the amount of $68,750 on September 3, 1998 and in the amount of 
$4,737.13 on the Third day of each calendar month thereafter until and 
including April 3, 2003, provided that Executive continues to serve as the 
chief executive officer of the Company as of the applicable date.  If (a) 
Executive is terminated on or prior to a bonus payment date without cause or 
(b) in the event of the acquisition, sale or transfer of a majority of the 
outstanding shares, a sale of all or substantially all of the assets or 
another change of control of the Company (except a merger or sale effected 
solely for the purpose of changing the domicile of the Company), the Company 
shall pay to Executive a cash bonus in an amount equal to the aggregate value 
of all bonus payments that would otherwise have been received by Executive 
pursuant to this Section 1.

     2.   FORFEITURE OF FUTURE CASH BONUSES.  Except as set forth in Section 
1, if Executive terminates employment with the Company for any reason, 
whether voluntarily or involuntarily, prior to a bonus payment date specified 
in Section 1, then he shall not be entitled to receive any further cash 
bonuses under this Agreement but shall be entitled to retain such cash 
bonuses that have previously been paid to him.

     3.   TAX WITHHOLDING.  All payments under this Agreement shall be 
subject to and net of all applicable federal, state and local tax withholding 
requirements.

     4.   GROSS-UP AMOUNT.  Each bonus payment set forth in Section 1 will be 
increased by an amount sufficient to permit the Executive to pay his taxes on 
such payment (the "Gross Up Payment") and on the amount of the Gross Up 
Payment itself.

     5.   NON-TRANSFERABILITY; CREDITOR RIGHTS.  Executive's right to receive 
cash bonuses under this Agreement may not be sold, pledged assigned 
hypothecated, transferred, or disposed of in any manner.  Executive shall 
have no greater rights pursuant to this Agreement than that of a general 
unsecured creditor of the Company.  Company shall have no obligation to set 
aside any property to fund its obligations hereunder and Executive shall have 
no rights in any particular property of the Company as a result of the award 
hereunder.

<PAGE>

     6.   GOVERNING LAW. This Cash Bonus Agreement shall be governed by and 
construed in accordance with the laws of the State of California applicable 
to contracts wholly made and performed in the state of California.


                                  COMPANY: GENERAL SURGICAL INNOVATIONS, INC.



                                  By: /s/ Mark Wan
                                      ---------------------------------------


                                  Its: Director
                                       --------------------------------------


                                  EXECUTIVE: GREGORY CASCIARO


                                  /s/ Gregory Casciaro
                                  -------------------------------------------


<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          JUN-30-1999
<PERIOD-START>                             JUN-30-1998
<PERIOD-END>                               SEP-30-1998
<CASH>                                          17,065
<SECURITIES>                                    17,551
<RECEIVABLES>                                    1,847
<ALLOWANCES>                                       151
<INVENTORY>                                      1,547
<CURRENT-ASSETS>                                31,894
<PP&E>                                           2,182
<DEPRECIATION>                                   1,381
<TOTAL-ASSETS>                                  41,292
<CURRENT-LIABILITIES>                            3,358
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            13
<OTHER-SE>                                      37,758
<TOTAL-LIABILITY-AND-EQUITY>                    41,292
<SALES>                                          2,021
<TOTAL-REVENUES>                                 2,021
<CGS>                                          (1,084)
<TOTAL-COSTS>                                  (1,084)
<OTHER-EXPENSES>                               (4,013)
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                 (6)
<INCOME-PRETAX>                                (2,579)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                            (2,579)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                   (2,579)
<EPS-PRIMARY>                                    (.19)
<EPS-DILUTED>                                    (.19)
        

</TABLE>


© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission