GENERAL SURGICAL INNOVATIONS INC
10-Q, 1998-05-14
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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                                   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 MARCH 31, 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 13,420,642 shares of Registrant's Common Stock issued
and outstanding as of April 30, 1998.

<PAGE>


                 GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
                                          
                                          
                           QUARTERLY REPORT ON FORM 10-Q
                                          
                     FOR THE THREE MONTHS ENDED MARCH 31, 1998
                                          
                                          
                                 TABLE OF CONTENTS
                                          
<TABLE>
<CAPTION>
                                                                                  Page
                                                                                  ----
<S>       <C>                                                                     <C>
                          PART I.  FINANCIAL INFORMATION  

Item 1.   Consolidated Financial Statements (Unaudited)
          Consolidated balance sheets at March 31, 1998
          and June 30, 1997 ....................................................    3

          Consolidated statements of operations and comprehensive loss 
          for the three and nine months ended March 31, 1998 and March 31,
          1997 .................................................................    4

          Consolidated statements of cash flows for the nine months ended 
          March 31, 1998 and March 31, 1997 ....................................    5

          Notes to consolidated financial statements ...........................    6


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

                                          
                            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. AND SUBSIDIARY
                     CONSOLIDATED BALANCE SHEETS (UNAUDITED)
                       (IN THOUSANDS, EXCEPT SHARE DATA)

<TABLE>
<CAPTION>
                                                                                           MARCH 31,        JUNE 30,
                                                                                             1998             1997
                                                                                         ------------      ---------
<S>                                                                                       <C>             <C>
                                                                  ASSETS
Current assets:
  Cash and cash equivalents ...........................................................   $  18,706       $  7,900
  Available-for-sale securities .......................................................      21,305         35,831
  Accounts receivable, net of allowance for doubtful accounts of $46 on March 31,
  1998 and $47 on June 30, 1997 .......................................................         679          2,131
  Inventories .........................................................................       1,057          1,717
  Prepaid expenses and other current assets ...........................................         969            971
                                                                                           --------       --------
         Total current assets .........................................................     42,716         48,550

Property and equipment, net ...........................................................       2,204          2,251
Intangible and other assets, net ......................................................         211            261
                                                                                           --------       --------
         Total assets .................................................................   $  45,131      $  51,062
                                                                                           --------       --------
                                                                                           --------       --------

                                                               LIABILITIES 
Current liabilities:
  Accounts payable ....................................................................    $    645      $     504
  Accrued liabilities .................................................................         922          1,044
  Bank borrowings .....................................................................         124            167
                                                                                           --------       --------
         Total current liabilities ....................................................       1,691          1,715

Bank borrowings, less current portion .................................................         103            185
Other long-term liabilities ...........................................................         193            175
                                                                                           --------       --------
         Total liabilities ............................................................       1,987          2,075
                                                                                           --------       --------
Contingencies (Note 6)

                                                           SHAREHOLDERS' EQUITY
Preferred stock, $.001 par value:
  Authorized: 2,000,000 shares; issued and outstanding: none
Common stock, $.001 par value:
  Authorized:  50,000,000 shares; issued and outstanding 13,420,642
  on March 31, 1998 and 13,290,644 on June 30, 1997 ...................................          13             13
Additional paid-in capital ............................................................      65,248         65,089
Notes receivable from shareholders ....................................................         (87)           (87)
Deferred compensation, net ............................................................        (194)          (297)
Accumulated other comprehensive income (loss) .........................................          13            (38)
Accumulated deficit ...................................................................     (21,849)       (15,693)
                                                                                           --------       --------
         Total shareholders' equity ...................................................      43,144         48,987
                                                                                           --------       --------
           Total liabilities and shareholders' equity .................................   $  45,131      $  51,062
                                                                                           --------       --------
                                                                                           --------       --------
</TABLE>

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

                                       3

<PAGE>


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

<TABLE>
<CAPTION>
                                                                     THREE MONTHS ENDED            NINE MONTHS ENDED 
                                                                          MARCH 31,                     MARCH 31,
                                                                   ----------------------        ----------------------
                                                                     1998           1997          1998           1997
                                                                   -------        -------        -------        -------
<S>                                                                <C>            <C>            <C>            <C>
SALES ...........................................................  $   894        $   693        $ 3,869        $ 3,524
Guaranteed payments .............................................        -          1,480          1,635          2,980
                                                                   -------        -------        -------        -------
Total revenue ...................................................      894          2,173          5,504          6,504

Cost of sales ...................................................      602            397          2,744          1,749
                                                                   -------        -------        -------        -------
  Gross profit ..................................................      292          1,776          2,760          4,755
                                                                   -------        -------        -------        -------

Operating Expenses:
  Research and development ......................................      651            581          2,074          1,527
  Sales and marketing ...........................................    1,297          1,216          3,591          3,419
  General and administrative ....................................    1,906          1,044          4,990          2,597
                                                                   -------        -------        -------        -------
     Total operating expenses ...................................    3,854          2,841         10,655          7,543
                                                                   -------        -------        -------        -------
        Operating loss ..........................................   (3,562)        (1,065)        (7,895)        (2,788)

Interest income .................................................      571            637          1,768          1,940
Interest expense ................................................       (8)           (11)           (29)           (34)
Other expense ...................................................        -              -              -            (23)
                                                                   -------        -------        -------        -------
        Net loss ................................................   (2,999)          (439)        (6,156)          (905)

Other comprehensive income (loss):
  Change in unrealized gain (loss) on available-for-sale 
    securities ..................................................       18            (97)            51           (127)
                                                                   -------        -------        -------        -------
    Comprehensive loss ..........................................  $(2,981)       $  (536)       $(6,105)       $(1,032)
                                                                   -------        -------        -------        -------
                                                                   -------        -------        -------        -------

Net loss per common share and per common share -
  assuming dilution .............................................  $ (0.22)       $  (0.03)      $ (0.46)       $ (0.07)
                                                                   -------        -------        -------        -------
                                                                   -------        -------        -------        -------

Shares used in computing net loss per common share and
  per common share - assuming dilution ..........................   13,401         13,211         13,356         13,181
                                                                   -------        -------        -------        -------
                                                                   -------        -------        -------        -------
</TABLE>

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

                                       4

<PAGE>

                 GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
                 CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                                   (in thousands)

<TABLE>
<CAPTION>

                                                                                          NINE MONTHS ENDED 
                                                                                             MARCH 31,
                                                                                      ----------------------
                                                                                        1998           1997
                                                                                      --------       -------
<S>                                                                                   <C>            <C>
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss ...........................................................................  $ (6,156)      $   (905)
Adjustments to reconcile net loss to net cash used in operating activities:
  Amortization of deferred compensation ............................................       103            150
  Depreciation and amortization ....................................................       820            630
  Provision for uncollectable accounts .............................................        (1)           (40)
  Loss on write-off of fixed assets ................................................         -             26
  Provision for excess and obsolete inventory ......................................        10            181
  Changes in operating assets and liabilities:
    Accounts receivable ............................................................     1,453         (1,146)
    Inventory ......................................................................       650         (1,057)
    Prepaid expenses and other current assets ......................................         2           (609)
    Intangible and other assets ....................................................        (4)           (69)
    Accounts payable ...............................................................       141           (403)
    Accrued and other liabilities ..................................................      (132)           107
    Deferred revenue ...............................................................         -           (100)
                                                                                      --------       --------
                    Net cash used in operating activities ..........................    (3,114)        (3,235)
                                                                                      --------       --------

CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of available-for-sale securities .........................................   (18,010)       (54,666)
Proceeds from sales and maturities of available-for-sale securities ................    32,292         32,500
Acquisition of property and equipment ..............................................      (384)          (214)
                                                                                      --------       --------
                    Net cash provided by (used in) investing activities activities .    13,898        (22,380)
                                                                                      --------       --------

CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from issuance of common stock .............................................       159            125
Proceeds from payment on shareholder notes receivable ..............................         -             24
Payments on capital lease obligations ..............................................       (12)             -
Principal payments on bank borrowings ..............................................      (125)           (93)
                                                                                      --------       --------
                   Net cash provided by financing activities .......................        22             56
                                                                                      --------       --------

Net increase (decrease) in cash and cash equivalents ...............................    10,806        (25,559)
Cash and cash equivalents, beginning of period .....................................     7,900         28,339
                                                                                      --------       --------
Cash and cash equivalents, end of period ...........................................   $18,706        $ 2,780
                                                                                      --------       --------
                                                                                      --------       --------

Cash paid during the period for:
  Interest .........................................................................   $    30        $   38 
  Taxes ............................................................................   $     -        $    - 

NONCASH INVESTING AND FINANCING ACTIVITIES
Issuance of common stock for notes receivable ......................................   $     -        $   11 
Change in unrealized gain (loss) on available-for-sale securities ..................   $    51        $ (127)
Property acquired under capital leases .............................................   $    40        $    - 
</TABLE>

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

                                       5

<PAGE>

                                          
                 GENERAL SURGICAL INNOVATIONS, INC. AND SUBSIDIARY
                                          
                     NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                          

1.   Basis of Presentation:

     The accompanying unaudited consolidated financial statements as of March 
31, 1998 of General Surgical Innovations, Inc. (the "Company") and subsidiary 
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 and nine month periods ended March 31, 1998 are not 
necessarily indicative of the results that may be expected for the fiscal 
year ended June 30, 1998, 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, 
1997.

2.   Reclassification:  

     Certain amounts in the financial statements have been reclassified to 
conform with current year's presentation.  These reclassifications had no 
impact on previously reported working capital, operating income, or net 
income.

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

     The Company adopted Financial Accounting Standards Board No. 128 
"Earnings Per Share", and the provisions of the Securities and Exchange 
Commission Staff Accounting Bulletin (SAB) No. 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 computation 
of earnings per share in accordance with SAB No. 98.

     Stock options to purchase 1,456,092 and 1,378,259 shares of common stock 
at prices ranging from $0.09 to $9.75 per share were outstanding at March 31, 
1998 and March 31, 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.

4.   Adopted Accounting Pronouncement:

     The Company has adopted the provisions of SFAS No. 130, "Reporting 
Comprehensive Income."  SFAS No. 130 establishes standards for the reporting 
and display of comprehensive income and its components in a 


                                       6

<PAGE>

full set of general purpose financial statements.  Comprehensive income is 
defined as the change in equity of a business enterprise during a period from 
transactions and other events and circumstances from nonowner sources.

5.   Inventories:

     Inventories comprise (IN THOUSANDS):

<TABLE>
<CAPTION>
                                        Mar. 31,       June 30,
                                          1998           1997
                                          ----           ----
                                      (unaudited)
<S>                                   <C>              <C>
Raw materials                           $    692       $    706
Work in progress                              73             43
Finished goods                               292            968
                                        --------       --------
                                        $  1,057       $  1,717
                                        --------       --------
                                        --------       --------
</TABLE>

6.   Contingencies:

     On May 28, 1996, Origin MedSystems, Inc., ("Origin"), a unit of the 
Guidant Corporation and a competitor of the Company, filed an action against 
GSI in the United States District Court for the Northern District of 
California, alleging patent infringement of its U.S. Patent No. 5,520,609 
entitled "Apparatus and Methods for Peritoneal Retraction."  On April 20, 
1998 an order in GSI's favor in this case was filed by the Court granting 
GSI's Motion for Summary Judgment of Unenforceability by Reason of 
Inequitable Conduct in obtaining Patent No. 5,520,609.  The Company expects 
this decision to be appealed. GSI also filed an action against Origin in the 
U.S. District Court for the Northern District of California alleging patent 
infringement of its patent for a method of tissue plane dissection using 
balloon systems.  Management believes it has meritorious defenses in relation 
to the action.

     One of the patent applications filed by the Company, which is directed 
to a surgical method using balloon dissection technology, has been placed in 
interference with a patent application filed by Origin. The Company believes 
that the inventor named in its patent application was the first to invent 
this subject matter, and has asserted that the Origin patent application was 
filed after a disclosure made by such inventor to employees of Origin. Origin 
takes a contrary position. This interference is presently pending in the 
United States Patent and Trademark Office ("USPTO") and, as permitted by the 
rules of the USPTO, has been referred to an arbitrator for completion of the 
interference proceeding. A decision is expected in this interference 
proceeding in calendar year 1998.

     No accrual for the above matters has been made in the accompanying 
consolidated financial statements as the ultimate outcomes of the litigation 
and dispute presently are not determinable.  The litigation and dispute are 
subject to inherent uncertainties and thus, there can be no assurance that 
the litigation or dispute will be resolved favorably to the Company or that 
they will not have a material adverse effect on the Company's financial 
position or results of operations.

                                       7

<PAGE>

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
RESULTS OF OPERATIONS
 
     The following discussion should be read in conjunction with the 
unaudited consolidated financial statements and notes thereto included in 
part I, Item I of this Quarterly Report and with Management's Discussion and 
Analysis of Financial Condition and Results of Operations contained in the 
Company's Annual Report on Form 10-K for the year ended June 30, 1997.

     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, fluctuations in 
revenues among different product lines and markets, the timing and number of 
orders and shipments, distribution efforts by GSI distributors, key 
distributors achieving certain levels of sales growth, the performance of the 
Company's new corporate partnering relationships, the Company's ability to 
establish and develop other new corporate partnering relationships, the 
timely development and market acceptance of new products and surgical 
procedures, the impact of competitive products and pricing, results of 
ongoing litigation, the Company's ability to further expand into 
international markets, approval of its products by government agencies such 
as the United States Food and Drug Administration, 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 quarters to differ materially from those expressed in any 
forward-looking statements contained in the following discussion.

     References made in this Quarterly Report on Form 10-Q to "General 
Surgical Innovations, Inc.," the "Company" or the "Registrant" refer to 
General Surgical Innovations, Inc. and its subsidiary. The following General 
Surgical Innovations, Inc. trademarks are mentioned in this Quarterly Report: 
SPACEMAKER-Registered Trademark-, registered trademark of the Company; 
ENDOSAPH-TM-, SAPHtrak-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 eight 510(k) clearances for 
use of the Company's technology to perform dissection of tissue planes 
anywhere in the body using a broad range of balloon sizes and shapes. The 
Company currently sells products in the United States and certain other 
countries in Europe, Asia and South America for selected applications, such 
as hernia repair, subfascial endoscopic perforator surgery, saphenous vein 
harvesting and breast reconstruction and augmentation surgery.

                                       8

<PAGE>

     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- Balloon Dissection 
Systems in the laparoscopic hernia repair and urinary stress incontinence 
("USI") markets. EES made guaranteed payments pursuant to the agreement of 
$4.9 million in fiscal year 1997, and additional payments in lieu of product 
purchases pursuant to a mutual agreement in the amount of $775,000 in the 
first quarter of fiscal year 1998 and $860,000 in the second quarter of 
fiscal year 1998. 

     In February 1998, the Company and EES signed a non-exclusive 
distribution agreement for the laparoscopic hernia repair and urinary stress 
incontinence ("USI") markets.  This agreement supersedes the December 1996 
"Expanded EES Agreement".

     Additional sales of the Company's products in the United States are 
currently made through distributors and a small direct sales force. The 
Company currently sells its products (other than for hernia and USI 
applications) in international markets through distributors, which resell to 
surgeons and hospitals. 

     To date, almost all of the sales to distributors and by the Company's 
direct sales force have been for use in hernia repair procedures. While the 
Company has developed or is developing balloon dissection systems for 
vascular, urinary stress incontinence and plastic surgery, sales of products 
for hernia repair are expected to provide a majority of the Company's 
revenues at least through calendar year 1998.  

     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 4% of sales of such 
products.  The Company has also acquired patent rights under royalty-bearing 
agreements with respect to certain surgical instruments, including the 
balloon valve trocar.  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 calendar year 1998. In order to 
support increased levels of sales in the future and to augment its long-term 
competitive position, including the development of balloon dissection systems 
for other applications, the Company anticipates that it will be required to 
make significant additional expenditures in sales and marketing and research 
and development (including marketing-related clinical evaluations). In 
addition, the Company has experienced higher administration expenses since 
its initial public offering resulting from its obligations as a public 
reporting company and defense of its patents. 

     The Company anticipates that its results of operations may fluctuate for 
the foreseeable future due to several factors, including fluctuations in 
purchases of the Company's products by its distributors, its distributors' 
ability to achieve certain levels of sales growth, the Company's ability to 
sell its line of cardiovascular products, fluctuations in revenues among 
different product lines and markets, the mix of sales among the distributors 
and the Company's direct sales force, timing of new product introductions or 
transitions to new products, the margins recognized from products for various 
surgical procedures, the progress of marketing-related clinical evaluations, 
sales of competitive products and the introduction of new products from 
competitors (including pricing pressures), activities related to patents and 
patent approvals (including litigation), regulatory and third-party 
reimbursement matters, reliability of suppliers, and the timing of research 
and development expenses (including marketing-related clinical evaluations). 
In addition, the Company's results of operations could be affected by the 
expansion of the 

                                       9

<PAGE>

Company's distributor network and the ability of the Company's distributors 
to effectively promote the Company's products. The Company's limited 
operating history makes accurate prediction of future operating results 
difficult or impossible. 

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

     During the quarter ended March 31, 1998, the Company signed exclusive 
distribution agreements with eight international distributors, including 
Baxter International, to distribute its cardiovascular products in 18 
European countries.

RESULTS OF OPERATIONS

     REVENUE.  Total revenue decreased by 59% to approximately $894,000 for 
the quarter ended March 31, 1998 from $2.2 million for the same period in 
1997. This decrease was primarily due to the conversion of EES to a 
non-exclusive distributor and the anticipated end of payments from EES that 
had been made in lieu of product purchases.  Product sales for the quarter 
rose 29% to approximately $894,000 from $693,000 for the quarter ended March 
31, 1997. Revenue for the nine months ended March 31, 1998 decreased 15% to 
approximately $5.5 million from  $6.5 million for the nine months ended March 
31, 1997.

     COST OF SALES.  Cost of sales increased by 52% to approximately $602,000 
for the quarter ended March 31, 1998 from $397,000 for the same period in 
1997. Cost of sales increased as a percentage of sales to 67% for the quarter 
ended March 31, 1998 from 57% for the quarter ended March 31, 1997.  This 
increase in absolute dollars was primarily related to increased unit sales to 
GSI distributors, as compared to the previous period.  Cost of sales for the 
nine months ended March 31, 1998 increased as a percent of sales to 71%, or 
approximately $2.7 million, as compared to 50% of sales, or approximately 
$1.8 million, for the nine months ended March 31, 1997.  This increase as a 
percent of sales is due to increased sales to distributors and increased 
capacity as a result of relocating its manufacturing facility during April 
1997.

     RESEARCH AND DEVELOPMENT EXPENSES.  Research and development expenses, 
which include expenditures for regulatory expenses, increased by 12% to 
approximately $651,000 in the quarter ended March 31, 1998 from $581,000 for 
the same period in 1997. R&D expenses for the nine months ended March 31, 
1998 increased 36% to approximately $2.1 million as compared to $1.5 million 
for the same period of the prior fiscal year.  These increases are a result 
of the company dedicating more resources during the past nine months to 
developing its cardiovascular products.

     SELLING, GENERAL AND ADMINISTRATIVE EXPENSES.  Selling, general and 
administrative expenses increased by 42% to approximately $3.2 million for 
the quarter ended March 31, 1998 from $2.3 million for the quarter ended 
March 31, 1997.  For the nine months ended March 31, 1998, SG&A expenses were 
$8.6 million compared to $6.0 million for the same period in 1997.  These 
increases are primarily due to increased legal expenses related to 
intellectual property litigation.

     INTEREST INCOME, INTEREST EXPENSE AND OTHER EXPENSE.  Interest income (net
of expense) decreased to approximately $563,000 for the quarter ended March 31,
1998 from $626,000 for the quarter ended 

                                       10

<PAGE>

March 31, 1997.  For the nine months ended March 31, 1998 interest income 
(net of expense) decreased to $1.7 million from $1.9 million for the same 
period in 1997.  Decreases are due mainly 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 
$21.9 million at March 31, 1998. The Company has funded its operations 
primarily through the sale of equity securities. From its inception through 
March 31, 1998 the Company raised approximately $62 million through the sale 
of equity securities.

     As of March 31, 1998 the Company's principal source of liquidity 
consists of cash, cash equivalents and available-for-sale securities of $40.0 
million, as compared to $43.7 million at June 30, 1997. The Company has 
negotiated an increase in its current bank line of credit to $5,000,000.  As 
of March 31, 1998, the Company has no amounts outstanding under its prior 
$1,500,000 line of credit.  The Company also has an equipment loan with an 
outstanding balance of approximately $227,000.

     The Company expects to incur substantial additional costs, including 
costs related to patent litigation, increased sales and marketing activities, 
increased research and development, expenditures in connection with seeking 
regulatory approvals and conducting additional marketing-related clinical 
evaluations, and other costs associated with expansion of the Company's 
manufacturing capabilities.  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 at least calendar 1999.  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.

ADOPTED ACCOUNTING PRONOUNCEMENT

     The Company has adopted the provisions of SFAS No. 130, "Reporting 
Comprehensive Income."  SFAS No. 130 establishes standards for the reporting 
and display of comprehensive income and its components in a full set of 
general purpose financial statements.  Comprehensive income is defined as the 
change in equity of a business enterprise during a period from transactions 
and other events and circumstances from nonowner sources.

FACTORS AFFECTING FUTURE RESULTS

     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 March 31, 1998, the Company had an accumulated 
deficit of $21.9 million. The Company's net operating losses for the fiscal 
years ending June 30, 1995, 1996 and 1997 and for the quarters ended 
September 30, 1997, December 31, 1997 and March 31, 1998 and were $4.1 
million, $5.5 million, $1.9 million, $1.3 million, $1.9 million and $3.0 
million, respectively. The Company expects to continue to incur operating 
losses on a quarterly and annual basis through at least calendar year 1998.  
Due to the Company's limited operating history, there can be no assurance of 
sales growth or profitability in the future. The Company 

                                       11

<PAGE>

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 and successfully 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, 
results of marketing-related clinical evaluations, 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 balloon dissection systems for hernia repair declines and the 
Company's newly-introduced products are not commercially accepted or its 
existing products are not developed for new procedures, there could be a 
material adverse effect on the Company's business, financial condition and 
results of operations.

     DEPENDENCE ON 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- Balloon Dissection Systems in the 
laparoscopic hernia repair and urinary stress incontinence ("USI") markets. 
This new EES 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 balloon dissectors worldwide for use in plastic 
surgery (reconstructive and aesthetic) procedures.  

     The Company's products are sold internationally to hospitals, surgeons 
and specialists through EES and independent distributors in Europe, Asia, 
Latin America and the Middle East.  In June 1997, GSI entered into an 
exclusive agreement with Japan Lifeline to market and distribute in Japan 
GSI's balloon dissection systems for use in vascular procedures.  Japan 
Lifeline is expected to begin distribution of the GSI balloon dissection 
systems following receipt of the Japanese Ministry of Health and Welfare 
approval, which the Company expects to occur in calendar 1998.  

                                       12

<PAGE>

     During the quarter, the Company expanded its international distribution 
network by adding eight international distributors, including Baxter 
International, to distribute its cardiovascular products, and 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. Establishing 
marketing and sales capability sufficient to support sales in commercial 
quantities for the cardiovascular market targeted by the Company will require 
significant resources.  There can be no assurance that the Company will be 
able to recruit and retain additional qualified marketing or sales personnel, 
or that future sales efforts of the Company will be successful. The Company 
intends to establish partnership relationships with additional distribution 
partners, and there can be no assurance that the Company will be successful 
in establishing such partnership relationships on commercially reasonable 
terms, if at all. The failure to establish and maintain an effective 
distribution channel for the Company's products, or establish and retain 
qualified and effective sales personnel to support commercial 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 techniques to balloon dissection 
techniques specifically. To date, the Company's products have only been used 
to treat a limited number of patients and the Company has limited long-term 
outcomes data. If the Company is not able to demonstrate consistent clinical 
benefits resulting from the use of its products (including reduced procedure 
time, reduced patient trauma and lower costs), the Company's business, 
financial condition and results of operations could be materially and 
adversely affected. 

     The Company further believes that the ability of health care providers 
to obtain adequate third party reimbursement for procedures using the 
Company's SPACEMAKER-Registered Trademark- balloon dissector products and 
related instruments will be critical to market acceptance of the Company's 
products. Although the Company believes that procedures using its balloon 
dissection products currently may be reimbursed in the United States under 
certain existing procedure codes, there can be no assurance that such 
procedure codes will remain available or that reimbursement under these codes 
will be adequate. The Company has limited experience in obtaining third-party 
reimbursement, and the 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.  See "Management's Discussion 
and Analysis of Financial Condition and Results of Operations."

                                       13

<PAGE>

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

     FLUCTUATIONS IN QUARTERLY RESULTS. Results of the Company's operations 
may fluctuate significantly from quarter to quarter and will depend on 
numerous factors, including (i) new product introductions by the Company and 
its competitors and fluctuations in revenues among different product lines 
and markets, (ii) purchases of the Company's products by its distributors, 
(iii) the rate of adoption by surgeons of balloon dissection technology in 
markets targeted by the Company, (iv) the sales efforts of the Company's 
distributors, (v) the mix of sales among distributors and the Company's 
direct sales force, (vi) timing of patent and regulatory approvals, if any, 
(vii) timing and growth of operating expenditures, (viii) timing of research 
and development expenses, including marketing-related clinical evaluation 
expenditures, (ix) intellectual property litigation and (x) general market 
conditions.  In 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 urinary stress incontinence 
markets in February 1998, which supersedes the Expanded Ethicon Agreement.  
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 addition, announcements or 
expected announcements by the Company, its competitors or its distributors of 
new products, new technologies or pricing changes could cause existing or 
potential customers of the Company to defer purchases of the Company's 
existing products and could alter the mix of products sold by the Company, 
which could have a material adverse effect on the Company's business, 
financial condition and results of operations. There can be no assurance that 
future products or product enhancements will be successfully introduced or 
that such introductions will not adversely affect the demand for existing 
products. As a result of these and other factors, the Company's quarterly 
operating results have fluctuated in the past, and the Company expects that 
such results may fluctuate in the future. Due to such quarterly fluctuations 
in operating results, quarter-to-quarter comparisons of the Company's 
operating results are not necessarily meaningful and should not be relied 
upon as indicators of likely future performance or annual operating results. 
In addition, the Company's limited operating history makes accurate 
prediction of future operating results difficult or impossible to make. There 
can be no assurance that in the future the Company will achieve sales growth 
or become profitable on a quarterly or annual basis, if at all, or that its 
growth, if any, will be consistent with predictions by securities analysts 
and investors. In such event, the price of the Company's Common Stock would 
likely be materially and adversely affected. 

     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. 

     On May 28, 1996, Origin MedSystems, Inc., ("Origin"), a unit of the 
Guidant Corporation and a competitor of the Company, filed an action against 
GSI in the United States District Court for the 


                                      14
<PAGE>

Northern District of California, alleging patent infringement of its U.S. 
Patent No. 5,520,609 entitled "Apparatus and Methods for Peritoneal 
Retraction."  On April 20, 1998 an order in GSI's favor in this case was 
filed by the Court granting GSI's Motion for Summary Judgment of 
Unenforceability by Reason of Inequitable Conduct in obtaining Patent No. 
5,520,609.  The Company expects this decision to be appealed.

     In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging patent infringement of 
its patent for a method of tissue plane dissection using balloon systems. In 
addition, on September 26, 1997, the Company filed another action against 
Origin alleging patent infringement of its patent for a method of serial 
inflation of tissue dissectors.  A decision against the Company in any of 
these actions could have a material adverse effect on the Company's business, 
financial condition and results of operations. 

     One of the patent applications filed by the Company, which is directed 
to a surgical method using balloon dissection technology, has been placed in 
interference with a patent application filed by Origin. The Company believes 
that the inventor named in its patent application was the first to invent 
this subject matter, and has asserted that the Origin patent application was 
filed after a disclosure made by such inventor to employees of Origin. Origin 
takes a contrary position. This interference is presently pending in the 
United States Patent and Trademark Office ("USPTO") and, as permitted by the 
rules of the USPTO, has been referred to an arbitrator for completion of the 
interference proceeding. A decision is expected in this interference 
proceeding in calendar year 1998.  Failure of the Company to prevail in such 
interference proceeding could have a material adverse effect on the Company's 
business, financial condition and results of operations.

     Patent interference and infringement involve complex legal and factual 
issues and are 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 
or the USPTO. 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 successfully modify its products to avoid infringement, or that 
any modified products will be commercially successful. Failure in such event 
to either develop a commercially successful alternative or obtain a license 
to such patent on commercially reasonable terms could have a material adverse 
effect on the Company's business, financial condition and results of 
operations. As discussed above, the Company is defending itself, and may in 
the future have to defend itself, 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 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


                                      15
<PAGE>

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.

     Legislation has recently been enacted in Congress, the effect of which 
tends to immunize physicians and their employers from liability for alleged 
infringement of patent claims directed to medical procedures. 

     The patent laws of European and certain other foreign countries 
generally do not allow for the issuance of patents for methods of surgery on 
the human body. Accordingly, the ability of the Company to gain foreign 
patent protection for its methods of tissue dissection may be significantly 
limited. As a result, there can be no assurance that the Company will be able 
to develop a patent portfolio in Europe or that the scope of any patent 
protection will provide competitive advantages to the Company. 

     ROYALTY PAYMENT OBLIGATIONS.  The Company has acquired a significant 
number of patent rights from third parties, including rights that apply to 
the Company's current balloon dissection systems. The Company has 
historically paid and is obligated to pay in the future to such third parties 
royalties equal to 4% of sales of such products.  The Company has also 
acquired patent rights under royalty-bearing agreements with respect to 
certain surgical instruments.  The payment of such royalty amounts will have 
an adverse impact on the Company's gross profit and 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, 
in April 1997 the Company relocated its headquarters and manufacturing 
operations to a new facility. Moreover, 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 and expertise in research and development, manufacturing, 
marketing and obtaining regulatory approvals. There can be no assurance that 
the Company's competitors will not succeed in


                                     16
<PAGE>

developing balloon dissectors or competing technologies that are more 
effective than products marketed by the Company or that render the Company's 
technology obsolete. Additionally, even if the Company's products provide 
performance comparable to competing products or procedures, there can be no 
assurance that the Company will be able to obtain necessary regulatory 
approvals or compete against competitors in terms of price, manufacturing, 
marketing and sales. 

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

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

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


                                     17
<PAGE>

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

     Regardless of the type of reimbursement system, the Company believes 
that surgeon advocacy of its products will be required to obtain 
reimbursement. Availability of reimbursement will depend on the clinical 
efficacy of the procedure and the utility and cost of the Company's products. 
There can be no assurance that 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- 
balloon dissection systems and other products are subject to extensive and 
rigorous regulation by the FDA and, to varying degrees, by state and foreign 
regulatory agencies. Under the Federal Food, Drug, and Cosmetic Act and as 
amended in the Safe Medical Devices Act of 1990, the FDA regulates the 
pre-production design controls, 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-serial platform, combined SPACEMAKER-Registered Trademark- surgical 
balloon dissector/expander platform and KnotMaker-TM- product each have 
received 510(k) clearance for use during general, endoscopic, laparoscopic 
and cosmetic and reconstructive surgery, either when tissue dissection is 
required or, with respect to the KnotMaker-TM- product, when a surgical knot 
for suturing is


                                    18
<PAGE>

required.  The Company has promoted these products for surgical applications 
(E.G., hernia repair, treatment of stress urinary incontinence, subfascial 
endoscopic perforator surgery, saphenous vein harvesting, and breast 
augmentation and reconstruction), and may in the future promote these 
products for the dissection or knotmaking required for additional selected 
applications (E.G. a variety of orthopaedic 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 
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.  In 
October 1997 the Company received its CE mark certification, pursuant to the 
Medical Devices Directive, which enables the Company to affix CE marking on 
its products and continue selling its products within the European Economic 
Area. 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; UNCERTAINTY REGARDING FUTURE 
FACILITIES. The Company has only limited experience in manufacturing its 
products in commercial quantities. The Company intends to scale up its 
production of new products and to increase its manufacturing capacity for 
existing and new products. However, manufacturers often encounter 
difficulties in scaling up production of new products, including problems 
involving production yields, quality control and assurance, component supply 
and shortages of qualified personnel. Difficulties experienced by the Company 
in manufacturing scale-up and manufacturing difficulties (including, in the 
event of low demand, over-capacity) 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.


                                      19
<PAGE>

     In April 1997, the Company relocated its headquarters and manufacturing 
operations to a new location.  The new facility's lease comprises 
approximately 30,460 square feet, and the monthly rent is approximately 
$52,000.

     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 quality, if at all, or, if required, that the 
Company will be able to locate alternative sources of such component 
materials on a timely basis, if at all, to market its products. In addition, 
there can be no assurance that the single source suppliers will meet the 
Company's future requirements for timely delivery of products of sufficient 
quality and quantity.  The failure to obtain sufficient quantities and 
qualities of such component materials, or the loss of any of the Company's 
single source suppliers, could cause a delay in GSI's ability to fulfill 
orders while it identifies and certifies a replacement supplier, if any, and 
could have a material adverse effect on the Company's business, financial 
condition and results of operations.

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

     RISKS ASSOCIATED WITH INTERNATIONAL SALES.  There were no international 
sales in the first quarter of fiscal 1998, $5,000 in the second quarter of 
fiscal 1998 and $68,000 in the third quarter of fiscal 1998.  Sales outside 
of the United States accounted for .5% and 4% of the Company's sales in 
fiscal 1997 and 1996, 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.


                                      20
<PAGE>

     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.

     YEAR 2000 COMPLIANCE.  The Company is aware of the issues associated 
with the programming code in existing computer systems as the millennium 
(year 2000) approaches.  The "year 2000" problem is pervasive and complex, as 
virtually every computer operation will be affected in some way by the 
rollover of the two digit year value to 00.  The issue is whether computer 
systems will properly recognize date sensitive information when the year 
changes to 2000.  Systems that do not properly recognize such information 
could generate erroneous data or cause a system to fail.

     The company is utilizing both internal and external resources to 
identify, correct or reprogram, and test the systems for the year 2000 
compliance.  It is anticipated that all reprogramming efforts will be 
completed by December 31, 1998 allowing adequate time for testing.  
Management believes that there will not be a material effect on the Company's 
earnings as a result of this compliance. Failure of key business partners or 
vendors to identify and correct year 2000 issues could have a material 
adverse effect on the Company's operations.

PART II. OTHER INFORMATION

ITEM 1.  LEGAL PROCEEDINGS

     On May 28, 1996, Origin MedSystems, Inc., ("Origin"), a unit of the 
Guidant Corporation and a competitor of the Company, filed an action against 
GSI in the United States District Court for the Northern District of 
California, alleging patent infringement of its U.S. Patent No. 5,520,609 
entitled "Apparatus and Methods for Peritoneal Retraction."  On April 20, 
1998 an order in GSI's favor in this case was filed by the Court granting 
GSI's Motion for Summary Judgment of Unenforceability by Reason of 
Inequitable Conduct in obtaining Patent No. 5,520,609.  The Company expects 
this decision to be appealed.

     In June, 1996, GSI filed a claim against Origin in the United States 
District Court for the Northern District of California, alleging patent 
infringement of its patent for a method of tissue plane dissection using 
balloon systems.  In addition, on September 26, 1997, the Company filed 
another action against Origin alleging patent infringement of its patent for 
a method of serial inflation of tissue dissectors. A decision against the 
Company in any of these actions would have a material adverse effect on the 
Company's business, financial condition and results of operations. One of the 
patent applications


                                      21
<PAGE>

filed by the Company, which is directed to a surgical method using balloon 
dissection technology, has been placed in interference with a patent 
application filed by Origin.  The Company believes that the inventor named in 
its patent application was the first to invent this subject matter, and has 
asserted that the Origin patent application was filed after a disclosure made 
by such inventor to employees of Origin.  Origin takes a contrary position.  
This interference is presently pending in the United States Patent and 
Trademark Office ("USPTO") and, as permitted by the rules of the USPTO, has 
been referred to an arbitrator for completion of the interference proceeding. 
A decision is expected in this interference proceeding in calendar year 1998, 
and, while the Company believes it will be successful in this interference 
proceeding, there can be no assurance of such success.  Failure of the 
Company to prevail in such interference proceeding or in either of the 
lawsuits described above would have a material adverse effect on the 
Company's business, financial condition and results of operations. 

     From time to time the Company may be exposed to litigation arising out 
of its products or operations.  The Company is not engaged in any legal 
proceedings that are expected, individually or in the aggregate, to have a 
material adverse effect on the Company, 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. 333-02774 (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 March 31, 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 March 31, 1998, the 
Company used such net offering proceeds, in direct or indirect payments to 
others, as follows:

<TABLE>
          <S>                                                     <C>
          Construction of plant, building and facilities          $1,192,238
          Purchase and installment of machinery and equipment     $1,241,544
          Repayment of indebtedness                                 $806,460
          Working capital                                        $28,853,554
                                                                 -----------
               Total                                             $32,093,796
</TABLE>

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


                                      22
<PAGE>

ITEM 3. DEFAULTS 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

<TABLE>
<CAPTION>
          Exhibit         Description
          -------         -----------
           <S>            <C>
           10.23          Form of Change of Control Agreement between the
                          Company and executive officers dated January 20,
                          1998.

           10.24*         Termination, Release and Distribution Agreement
                          between the Company and Ethicon Endo-Surgery, Inc.
                          dated February 23, 1998.

           27.1           Financial Data Schedule
</TABLE>

     *  Confidential Treatment requested.

    (b) Reports on Form 8-K

     The Company filed no reports on Form 8-K during the quarter ended March 
31, 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: May 14, 1998


                                      24

<PAGE>

EXHIBIT 10.23

                                       
                                       
                          CHANGE OF CONTROL AGREEMENT
                                       


     This Change of Control Agreement (the "Agreement") is made and entered 
into effective as of January 20, 1998, by and between [NAME] (the "Employee") 
and General Surgical Innovations, Inc., a California corporation (the 
"Company").

                                   RECITALS

     A.   It is expected that another company or other entity may from time 
to time consider the possibility of acquiring the Company or that a change in 
control may otherwise occur, with or without the approval of the Company's 
Board of Directors (the "Board").  The Board recognizes that such 
consideration can be a distraction to the Employee, an executive corporate 
officer of the Company, and can cause the Employee to consider alternative 
employment opportunities.  The Board has determined that it is in the best 
interests of the Company and its shareholders to assure that the Company will 
have the continued dedication and objectivity of the Employee, 
notwithstanding the possibility, threat or occurrence of a Change of Control 
(as defined below) of the Company.

     B.   The Board believes that it is in the best interests of the Company 
and its shareholders to provide the Employee with an incentive to continue 
his or her employment with the Company.

     C.   The Board believes that it is imperative to provide the Employee 
with certain benefits upon a Change of Control and, under certain 
circumstances, upon termination of the Employee's employment in connection 
with a Change of Control, which benefits are intended to provide the Employee 
with financial security and provide sufficient income and encouragement to 
the Employee to remain with the Company notwithstanding the possibility of a 
Change of Control.

     D.   To accomplish the foregoing objectives, the Board of Directors has 
directed the Company, upon execution of this Agreement by the Employee, to 
agree to the terms provided in this Agreement.

     E.   Certain capitalized terms used in the Agreement are defined in 
Section 4 below.

     In consideration of the mutual covenants herein contained, and in 
consideration of the continuing employment of Employee by the Company, the 
parties agree as follows:

<PAGE>

          1.   AT-WILL EMPLOYMENT.  The Company and the Employee acknowledge 
that the Employee's employment is and shall continue to be at-will, as 
defined under applicable law.  If the Employee's employment terminates for 
any reason, including (without limitation) any termination prior to a Change 
of Control, the Employee shall not be entitled to any payments or benefits, 
other than as provided by this Agreement, or as may otherwise be available in 
accordance with the terms of the Employee's offer letter from the Company 
dated  (the "Offer Letter") and the Company's established employee plans and 
written policies at the time of termination.  The terms of this Agreement 
shall terminate upon the earlier of (i) the date on which Employee ceases to 
be employed as an executive corporate officer of the Company, other than as a 
result of an involuntary termination by the Company without cause,  (ii) the 
date that all obligations of the parties hereunder have been satisfied, or 
(iii) two (2) years after a Change of Control.  A termination of the terms of 
this Agreement pursuant to the preceding sentence shall be effective for all 
purposes, except that such termination shall not affect the payment or 
provision of compensation or benefits on account of a termination of 
employment occurring prior to the termination of the terms of this Agreement.

          2.   STOCK OPTIONS AND RESTRICTED STOCK.

               (a)  EFFECTIVE DATE OF CHANGE OF CONTROL.  Subject to Sections 
5 and 6 below, in the event of a Change of Control and regardless of whether 
the Employee's employment with the Company is terminated in connection with 
the Change of Control, each stock option granted for the acquisition of the 
Company's securities and all of the shares of Common Stock  that are subject 
to the terms of a Restricted Stock Purchase Agreement ("Restricted Stock") 
held by the Employee shall become vested on the effective date of the 
transaction as to fifty percent (50%) of the options and Restricted Stock, 
respectively, that have not otherwise vested as the date of such Change of 
Control.  Each stock option shall be exercisable to the extent so vested in 
accordance with the provisions of the Option Agreement and Plan pursuant to 
which such option was granted, and each share of Restricted Stock shall be 
freely transferable to the extent so vested in accordance with the provisions 
of the Stock Purchase Agreement pursuant to which such stock was purchased by 
Employee.

               (b)  SUBSEQUENT VESTING.  Subject to Sections 5 and 6 below, 
assuming the Employee remains employed by the Company (or a successor 
company) after the Change in Control, the remaining fifty percent (50%) of 
the stock options and Restricted Stock not vested as of the date of the 
Change of Control shall vest as follows:  (i)  25% of the stock options and 
Restricted Stock, respectively, on the date twelve (12) months after the date 
of the Change of Control, and (ii)  25% of the stock options and Restricted 
Stock, respectively, on the date eighteen (18) months after the date of the 
Change of Control.

          3.   CHANGE OF CONTROL.

               (a)  TERMINATION FOLLOWING A CHANGE OF CONTROL.  Subject to 
Section 5 below, if the Employee's employment with the Company is terminated 
at any time within two (2) years after a Change of Control, then the Employee 
shall be entitled to receive severance benefits as follows:


                                    -2-
<PAGE>

                    (i)  VOLUNTARY RESIGNATION.  If the Employee voluntarily 
resigns from the Company (other than as an Involuntary Termination (as 
defined below)) or if the Company terminates the Employee's employment for 
Cause (as defined below), then the Employee shall not be entitled to receive 
severance payments.  The Employee's benefits will be terminated under the 
terms of the offer letter, if applicable, and the Company's then-existing 
benefit plans and policies in accordance with such plans and policies in 
effect on the date of termination or as otherwise determined by the Board of 
Directors of the Company.

                    (ii) INVOLUNTARY TERMINATION.  If the Employee's 
employment is terminated as a result of an Involuntary Termination other than 
for Cause, the Employee shall be entitled to receive the following benefits:

                         (a) severance payments during the period from the 
date of the Employee's termination until the date twelve (12)  months after 
the effective date of the termination (the "Severance Period") equal to the 
salary that the Employee was receiving immediately prior to the Change of 
Control, which payments shall be paid during the Severance Period in 
accordance with the Company's standard payroll practices;

                         (b) a pro-rated amount of the Employee's "target 
bonus" for the fiscal year in which the termination occurs, based on the 
number of  months such Employee was employed during the fiscal year in which 
termination occurs, with such payment being made on the termination date, 
PROVIDED, HOWEVER, that if the "target bonus" has not yet been determined for 
the fiscal year in which the termination occurs, then Employee shall receive 
such pro-rated amount based on such Employee's bonus actually received, if 
any, for the prior fiscal year;

                         (c) continuation of all health and life insurance 
benefits through the end of the Severance Period (or, if earlier, until the 
date on which comparable coverage is made available by a new employer) 
substantially identical in level and cost to those to which the Employee was 
entitled immediately prior to the Change of Control, PROVIDED, however, that 
if the benefits available to Officers of the Company (or successor 
corporation) are changed after the Employee's termination date, then the 
Employee's benefits shall be continued at the new level and cost;

                         (d) full and immediate vesting of each unvested 
stock option granted for the Company's securities and each share of 
Restricted Stock held by the Employee on the date of termination so that each 
such option shall be exercisable in full on the termination date in 
accordance with the provisions of the Option Agreement and Plan pursuant to 
which such option was granted, and each such share of Restricted Stock shall 
be freely transferable to the extent so vested in accordance with the 
provisions of the Stock Purchase Agreement pursuant to which such stock was 
purchased by Employee; and

                         (e) forgiveness of the principal and accrued 
interest on any loans outstanding that were executed by Employee in 
connection with the purchase of shares of the Company's Common Stock.


                                     -3-
<PAGE>

                         For purposes of this Agreement, the term "target 
bonus" shall mean the Employee's base salary immediately prior to the Change 
of Control multiplied by that percentage of such base salary that is 
prescribed by the Company under its Management Bonus Program as the 
percentage of such base salary payable to the Employee as a bonus if the 
Company pays bonuses at one-hundred percent (100%) of its operating plan.

                    (iii)  INVOLUNTARY TERMINATION FOR CAUSE.  If the 
Employee's employment is terminated for Cause, then the Employee shall not be 
entitled to receive severance payments.  The Employee's benefits will be 
terminated under the Company's then-existing benefit plans and policies in 
accordance with such plans and policies in effect on the date of termination 
or as otherwise determined by the Board of Directors of the Company.

               (b)  TERMINATION APART FROM A CHANGE OF CONTROL.  In the event 
the Employee's employment terminates for any reason, either prior to the 
occurrence of a Change of Control or after the two (2) year period following 
the effective date of a Change of Control, then the Employee shall not be 
entitled to receive any severance payments under this Agreement.  The 
Employee's benefits will be terminated under the terms of the Offer Letter, 
if applicable, and the Company's then existing benefit plans and policies in 
accordance with such plans and policies in effect on the date of termination 
or as otherwise determined by the Board of Directors of the Company.

          4.   DEFINITION OF TERMS.  The following terms referred to in this 
Agreement shall have the following meanings:

               (a)  CHANGE OF CONTROL.  "Change of Control" shall mean the 
occurrence of any of the following events:

                    (i)  OWNERSHIP.  Any "Person" (as such term is used in 
Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended) 
is or becomes the "Beneficial Owner" (as defined in Rule 13d-3 under said 
Act), directly or indirectly, of securities of the Company representing 
twenty percent (20%) or more of the total voting power represented by the 
Company's then outstanding voting securities WITHOUT the approval of the 
Board of Directors of the Company, PROVIDED, however, that this Section 
4(a)(i) shall not apply to the share holdings of Thomas J. Fogarty  as a 
result of his being, at any date, the Beneficial Owner of up to an aggregate 
of 20% of the total outstanding Common Stock of the Company, plus that number 
of shares that he is permitted to purchase in accordance with the provisions 
of any plan, arrangement, agreement or transaction approved by the Board of 
Directors of the Company or any committee of the Board of Directors; or

                    (ii) MERGER/SALE OF ASSETS.  A merger or consolidation of 
the Company whether or not approved by the Board of Directors of the Company, 
other than a merger or consolidation which would result in the voting 
securities of the Company outstanding immediately prior thereto continuing to 
represent (either by remaining outstanding or by being converted into voting 
securities of the surviving entity) at least fifty percent (50%) of the total 
voting power represented by the voting securities of the Company or such 
surviving entity outstanding immediately after such merger or consolidation, 
or the shareholders of the Company 


                                     -4-
<PAGE>

approve a plan of complete liquidation of the Company or an agreement for the 
sale or disposition by the Company of all or substantially all of the 
Company's assets; or

                    (iii) CHANGE IN BOARD COMPOSITION.  A change in the 
composition of the Board of Directors of the Company, as a result of which 
fewer than a majority of the directors are Incumbent Directors.  "Incumbent 
Directors" shall mean directors who either (A) are directors of the Company 
as of January [20], 1998 or (B) are elected, or nominated for election, to 
the Board of Directors of the Company with the affirmative votes of at least 
a majority of the Incumbent Directors at the time of such election or 
nomination (but shall not include an individual whose election or nomination 
is in connection with an actual or threatened proxy contest relating to the 
election of directors to the Company).

               (b)  CAUSE.  "Cause" shall mean (i) gross negligence or 
willful misconduct in the performance of the Employee's duties to the Company 
where such gross negligence or willful misconduct has resulted or is likely 
to result in substantial and material damage to the Company or its 
subsidiaries, (ii) repeated unexplained or unjustified absence from the 
Company, (iii) a material and willful violation of any federal or state law; 
(iv) commission of any act of fraud with respect to the Company; or (v) 
conviction of a felony or a crime involving moral turpitude causing material 
harm to the standing and reputation of the Company, in each case as 
determined in good faith by the Board of Directors of the Company.

               (c)  INVOLUNTARY TERMINATION.  "Involuntary Termination" shall 
include any termination by the Company other than for Cause and the 
Employee's voluntary termination, upon 30 days prior written notice to the 
Company, following (i) a material reduction or change in job duties, 
responsibilities and requirements inconsistent with the Employee's position 
with the Company and the Employee's prior duties, responsibilities and 
requirements; (ii) any reduction of the Employee's base compensation (other 
than in connection with a general decrease in base salaries for most officers 
of the Company and any successor corporation); or (iii) the Employee's 
refusal to relocate to a facility or location more than 50 miles from the 
Company's current location.

          5.   LIMITATION ON PAYMENTS.  In the event that the severance and 
other benefits provided for in this Agreement to the Employee (i) constitute 
"parachute payments" within the meaning of Section 280G of the Internal 
Revenue Code of 1986, as amended (the "Code") and (ii) but for this Section, 
would be subject to the excise tax imposed by Section 4999 of the Code, then 
the Employee's severance benefits under Sections 2(a), 2(b) and 3(a)(ii) 
shall be payable either:

               (a)  in full, or

               (b)  as to such lesser amount which would result in no portion 
of such severance benefits being subject to excise tax under Section 4999 of 
the Code,

whichever of the foregoing amounts, taking into account the applicable 
federal, state and local income taxes and the excise tax imposed by Section 
4999, results in the receipt by the Employee on an after-tax basis, of the 
greatest amount of severance benefits under Sections 2(a), 2(b) and 


                                     -5-
<PAGE>

3(a)(ii), notwithstanding that all or some portion of such severance benefits 
may be taxable under Section 4999 of the Code.  Unless the Company and the 
Employee otherwise agree in writing, any determination required under this 
Section 5 shall be made in writing by the Company's independent public 
accountants (the "Accountants"), whose determination shall be conclusive and 
binding upon the Employee and the Company for all purposes.  For purposes of 
making the calculations required by this Section 5, the Accountants may make 
reasonable assumptions and approximations concerning applicable taxes and may 
rely on reasonable, good faith interpretations concerning the application of 
Section 280G and 4999 of the Code.  The Company and the Employee shall 
furnish to the Accountants such information and documents as the Accountants 
may reasonably request in order to make a determination under this Section.  
The Company shall bear all costs the Accountants may reasonably incur in 
connection with any calculations contemplated by this Section 5.

          6.   CERTAIN BUSINESS COMBINATIONS.  In the event it is determined 
by the Board, upon consultation with Company management and the Company's 
independent auditors, that the enforcement of any Section of this Agreement, 
including, but not limited to, Sections 2 and 3(a)(ii) hereof, which allows 
for the acceleration of vesting of stock options granted for the Company's 
securities and shares of Restricted Stock held by the Employee upon the 
effective date of a Change of Control would preclude accounting for any 
proposed business combination of the Company involving a Change of Control as 
a pooling of interests, and the Board otherwise desires to approve such a 
proposed business transaction which requires as a condition to the closing of 
such transaction that it be accounted for as a pooling of interests, then any 
such Section of this Agreement shall be null and void.  For purposes of this 
Section 6, the Board's determination shall require the unanimous approval of 
the non-employee Board members.

          7.   SUCCESSORS.  Any successor to the Company (whether direct or 
indirect and whether by purchase, lease, merger, consolidation, liquidation 
or otherwise) to all or substantially all of the Company's business and/or 
assets shall assume the obligations under this Agreement and agree expressly 
to perform the obligations under this Agreement in the same manner and to the 
same extent as the Company would be required to perform such obligations in 
the absence of a succession.  The terms of this Agreement and all of the 
Employee's rights hereunder shall inure to the benefit of, and be enforceable 
by, the Employee's personal or legal representatives, executors, 
administrators, successors, heirs, distributees, devisees and legatees.

          8.   NOTICE.  Notices and all other communications contemplated by 
this Agreement shall be in writing and shall be deemed to have been duly 
given when personally delivered or when mailed by U.S. registered or 
certified mail, return receipt requested and postage prepaid.  Mailed notices 
to the Employee shall be addressed to the Employee at the home address which 
the Employee most recently communicated to the Company in writing.  In the 
case of the Company, mailed notices shall be addressed to its corporate 
headquarters, and all notices shall be directed to the attention of its 
Secretary.


                                      -6-
<PAGE>

          9.   MISCELLANEOUS PROVISIONS.

               (a)  NO DUTY TO MITIGATE.  The Employee shall not be required 
to mitigate the amount of any payment contemplated by this Agreement (whether 
by seeking new employment or in any other manner), nor, except as otherwise 
provided in this Agreement, shall any such payment be reduced by any earnings 
that the Employee may receive from any other source.

               (b)  WAIVER.  No provision of this Agreement shall be 
modified, waived or discharged unless the modification, waiver or discharge 
is agreed to in writing and signed by the Employee and by an authorized 
officer of the Company (other than the Employee).  No waiver by either party 
of any breach of, or of compliance with, any condition or provision of this 
Agreement by the other party shall be considered a waiver of any other 
condition or provision or of the same condition or provision at another time.

               (c)  WHOLE AGREEMENT.  No agreements, representations or 
understandings (whether oral or written and whether express or implied) which 
are not expressly set forth in this Agreement have been made or entered into 
by either party with respect to the subject matter hereof.  This Agreement 
supersedes any agreement of the same title and concerning similar subject 
matter dated prior to the date of this Agreement, and by execution of this 
Agreement both parties agree that any such predecessor agreement shall be 
deemed null and void.

               (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 reference to conflict of laws provisions.

               (e)  SEVERABILITY.  If any term or provision of this Agreement 
or the application thereof to any circumstance shall, in any jurisdiction and 
to any extent, be invalid or unenforceable, such term or provision shall be 
ineffective as to such jurisdiction to the extent of such invalidity or 
unenforceability without invalidating or rendering unenforceable the 
remaining terms and provisions of this Agreement or the application of such 
terms and provisions to circumstances other than those as to which it is held 
invalid or unenforceable, and a suitable and equitable term or provision 
shall be substituted therefor to carry out, insofar as may be valid and 
enforceable, the intent and purpose of the invalid or unenforceable term or 
provision.

               (f)  ARBITRATION.  Any dispute or controversy arising under or 
in connection with this Agreement may be settled at the option of either 
party by binding arbitration in the County of Santa Clara, California, in 
accordance with the rules of the American Arbitration Association then in 
effect. Judgment may be entered on the arbitrator's  award in any court 
having jurisdiction.  Punitive damages shall not be awarded.

               (g)  LEGAL FEES AND EXPENSES.  The parties shall each bear 
their own expenses, legal fees and other fees incurred in connection with 
this Agreement.


                                     -7-
<PAGE>

               (h)  NO ASSIGNMENT OF BENEFITS.  The rights of any person to 
payments or benefits under this Agreement shall not be made subject to option 
or assignment, either by voluntary or involuntary assignment or by operation 
of law, including (without limitation) bankruptcy, garnishment, attachment or 
other creditor's process, and any action in violation of this subsection (h) 
shall be void.

               (i)  EMPLOYMENT TAXES.  All payments made pursuant to this 
Agreement will be subject to withholding of applicable income and employment 
taxes.

               (j)  ASSIGNMENT BY COMPANY.  The Company may assign its rights 
under this Agreement to an affiliate, and an affiliate may assign its rights 
under this Agreement to another affiliate of the Company or to the Company; 
provided, however, that no assignment shall be made if the net worth of the 
assignee is less than the net worth of the Company at the time of assignment. 
In the case of any such assignment, the term "Company" when used in a section 
of this Agreement shall mean the corporation that actually employs the 
Employee.

               (k)  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.


                            [Signature page follow)
                                       


                                      -8-
<PAGE>

     IN WITNESS WHEREOF, each of the parties has executed this Agreement, in 
the case of the Company by its duly authorized officer, as of the day and 
year first above written.

GENERAL SURGICAL INNOVATIONS, INC.                [NAME]


By:________________________             By:___________________________

Title:_____________________             Title:________________________


                                      -9-

<PAGE>

EXHIBIT 10.24

                TERMINATION, RELEASE AND DISTRIBUTION AGREEMENT
                                       

     This Termination, Release and Distribution Agreement (the "Agreement") is
entered into as of February 20, 1998, by and between General Surgical
Innovations, Inc., a corporation organized under the laws of California, having
a business address at 10460 Bubb Road, Cupertino, California 95014, United
States of America, ("GSI") and Ethicon Endo-Surgery, Inc., a corporation
organized under the laws of the state of Ohio, having a business address at
4545 Creek Road, Cincinnati, Ohio 45242 ("Ethicon").

     A.   On or about December 20, 1996, GSI and Ethicon entered into an OEM
Supply Agreement (Expanded Field) (the "Expanded Agreement").  The Expanded
Agreement superseded and replaced an earlier OEM Supply Agreement between the
parties dated June 28, 1996 (the "Original Agreement") (the Original Agreement
and the Expanded Agreement together, the "Prior Agreements").

     B.   The parties now desire to supersede and replace the Expanded
Agreement with a non-exclusive distribution agreement.

     C.   GSI desires to appoint Ethicon to promote, sell and distribute
certain GSI products, worldwide (the "Territory") in accordance with the terms
and conditions stated herein.

                                   AGREEMENT
                                       
     A.   IN CONSIDERATION OF THE FOREGOING, and the mutual agreements
contained herein, the sufficiency of which is acknowledged by both parties, it
is mutually agreed by and between the parties as follows:

          1.   REPLACE AND SUPERSEDE.

               (a)  Upon execution, this Distribution Agreement will replace
and supersede the Expanded Agreement which Agreement itself replaced and
superseded the Original Agreement.

               (b)  GSI and Ethicon, each being represented by Counsel, in
consideration of the mutual premises and covenants contained herein, the
sufficiency of which are hereby acknowledged, do hereby mutually and
unconditionally release and forever discharge each other, and their respective
agents, employees, officers, directors, shareholders, partners, affiliates,
successors and assigns, from any and all actions, causes of action, claims,
costs, damages, demands, expenses (including, without limitation, attorneys
fees and litigation costs), liabilities and obligations (collectively, the
"Claims") which either party had, now has or may hereafter have against the
other party arising out of or in any way connected with the Prior Agreements or
the termination of the Prior Agreements:  provided, however, that Article 7 of
the 

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.


                                       -10-
<PAGE>

Expanded Agreement shall continue to apply in respect to any claims made by
third parties against the parties in respect of any products delivered under
the Prior Agreements.  The foregoing mutual and general release shall apply,
without limitation, to all Claims of any kind or nature, past, present and
future, whether or not known, unknown, suspected, accrued, liquidated, fixed or
contingent and it constitutes a mutual and general release of the parties with
respect to the Prior Agreements.  Each of the parties acknowledge that they
have been advised by legal counsel and are familiar with the provisions of
California Civil Code Section 1542, which provides as follows:

               "A general release does not extend to claims which the creditor
               does not know or suspect to exist in his favor at the time of
               executing the release, which if known by him must have
               materially affected his settlement with the debtor."
               
GSI and Ethicon, being aware of the said code section, agree to expressly waive
any rights they may have thereunder, as well as under any other statute or
common law principles of similar effect.  The parties further acknowledge and
agree that these waivers of rights under Section 1542 of the Civil Code have
been separately bargained for and are essential and material terms of this
Agreement and, without such waivers, the parties would not have entered into
this Agreement.

          2.   GRANT OF DISTRIBUTORSHIP.

               (a)  APPOINTMENT.  GSI appoints Ethicon as a nonexclusive
distributor in the Territory for the term of the Agreement to promote, sell,
market and distribute the Products set forth in Exhibit A (the "Products"), in
the fields of hernia repair and urinary stress incontinence (USI).  Ethicon
agrees to refrain from promoting, selling, marketing and distributing hernia or
urinary stress incontinence balloons similar to the Products from any source
other than GSI as long as this agreement is in effect.  It is expressly
acknowledged and agreed that the provisions of this Section 2(a) shall not
survive termination of this Agreement.

               (b)  PLACEMENT OF ORDERS.  On or before the first day of the
month prior to the next calendar quarter, EES will place a non-cancelable
purchase order with GSI covering that next calendar quarter.  During the term
of this Agreement, GSI shall supply Ethicon with those quantities of products
as ordered by Ethicon and Ethicon will purchase from GSI all Products so
ordered by it pursuant to this Agreement, it being understood that, except for
the non-cancelable purchase orders previously placed by Ethicon, nothing
contained herein shall require Ethicon to purchase any Products under this
Agreement.  GSI will use reasonable commercial efforts to fulfill the purchase
orders of Ethicon in chronological order as placed and based on urgency needs
as advised by Ethicon; provided, however, that GSI shall not be held liable for
any amount of purchase order greater than one hundred and fifty percent (150%)
of the purchase orders made in the immediately preceding calendar quarter where
an order was placed and, in meeting any such order, GSI shall not be obligated
to fill more than twenty-five percent of such purchase order in the first month
of the applicable quarter and not more than thirty three percent of such
purchase order in the second month of the applicable quarter.  In the event
that 

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -11-
<PAGE>

GSI shall fail to meet its delivery obligations under this Agreement within a 
period of 30 days after a mutually agreed upon delivery date, then, in 
addition to any other remedies which Ethicon may have under this Agreement, 
Ethicon shall be permitted (with no obligation or liability to GSI) to obtain 
the Products in such purchase order from another source to satisfy the terms 
of this order.

               (c)  DIRECT SALES.  GSI shall have the right to promote, market
and sell the Products in the Territory directly itself, or indirectly through
affiliates, agents, distributors or otherwise.

               (d)  SUBSTITUTE PRODUCTS.  If GSI offers for sale a product that
is in an alternative, improvement, replacement, substitute or addition to a
Product, an "Improvement," during the term of this Agreement, Ethicon will have
the option of evaluating the Improvement and, subject to reaching agreement
with GSI as to a new price and other terms, may amend this Agreement to
substitute or add the Improvements as a Product; provided, however, that if a
third party funds a change to a product, or if GSI relabels or repackages a
Product with a new trademark or new packaging or labeling then such product
shall not be considered an Improvement for purpose of this Section 2(d).

          3.   PRICES; PURCHASE ORDERS.

               (a)  PRICES.  Prices to Ethicon shall be in United States 
dollars and initially as set forth in Exhibit A.  Changes in price may be 
made by GSI after 1998, subject to ninety (90) day's notice in advance to 
Ethicon. However, GSI agrees that [*   *   *].  All prices are calculated 
F.O.B. GSI's distribution site, currently located in Cupertino, California.  
Customs, duties and charges, if any, shall be borne by Ethicon.  All import 
or export licenses, approvals or both shall be obtained by Ethicon at its 
cost.  Prices to Ethicon do not include any federal, state or local taxes 
that may be applicable to the Products.  When GSI has the legal obligation to 
collect such taxes, the appropriate amount shall be added to Ethicon's 
invoice and paid by Ethicon unless Ethicon provides GSI with a valid tax 
exemption certificate authorized by the appropriate taxing authority.  In no 
event will [*   *    *].  If GSI [*   *    *] the [*   *    *] effective as 
of the date [*   *    *].

               (b)  PURCHASE ORDERS.  Pursuant to this Agreement Ethicon will
submit purchase orders for the Products ("Purchase Orders") which include terms
and conditions as set forth in Exhibit B:  "Purchase Order Terms and
Conditions."  The Purchase Order Terms and Conditions are hereby incorporated
into and are part of this Agreement, except that (i) Section 7 regarding
branding and adulterated orders and compliance with all applicable laws, rules
and regulations shall be deemed by the parties to extend to the equivalent
rules of any foreign jurisdiction in which the products are sold (ii) the last
sentence of Section 3 does not apply and (iii) Section 26 does not apply.  The
terms contained within this Agreement will control over the terms contained
within "Purchase Order Terms and Conditions" in the event of inconsistencies
between the two documents.

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -12-
<PAGE>

               (c)  REJECT/RETURN (i) Purchase shall inspect all products
promptly upon receipt thereof and may reject any product that fails in any
material way to meet the applicable mutually agreed upon specifications or any
requirements specified in the purchase order description.  Any product not
properly rejected within thirty (30) days of receipt of that product by
Purchaser (the "Rejection Period") shall be deemed accepted.  To reject a
Product, Purchase shall, within the Rejection Period, notify GSI of its
rejection and request a Material Return Authorization ("MRA") number.  GSI
shall provide the MRA number to Purchaser within seven (7) days of receipt of
the request.  Within seven (7) days of receipt of the MRA number, Purchaser
shall return to GSI the rejected product, freight prepaid, in its original
shipping carton with the MRA number displayed on the outside of the carton.
GSI reserves the right to refuse to accept any rejected products that do not
bear an MRA number on the outside of the carton.  As promptly as possible, but
not later than thirty (30) working days after receipt of properly rejected
products, GSI shall, at its expense, replace the products.  GSI shall pay the
shipping charges back to Purchaser for property rejected products; otherwise,
Purchaser shall be responsible for the shipping charges.  (ii) After the
Rejection Period, Purchaser may not return a product to GSI for any reason
without GSI's prior written consent.  Purchaser shall be responsible for all
shipping charges for returns after the rejection period.

               (d)  STANDARD LIMITED WARRANTY.  Ethicon shall pass on to its
customers GSI's standard limited warranty for Products including the
limitations set forth in Sections 3(e) below.  This warranty is contingent upon
proper use of a Product in the application for which such Product was intended
and does not cover Products that were modified without GSI's approval, that
have expired or that were subjected by the customer to unusual physical,
chemical or electrical stress.

               (e)  NO OTHER WARRANTY.  EXCEPT FOR THE EXPRESS LIMITED WARRANTY
SET FORTH ABOVE AND THE WARRANTIES AND GUARANTEES SET FORTH IN THE PURCHASE
ORDER, GSI GRANTS NO WARRANTIES FOR THE PRODUCTS, EXPRESS OR IMPLIED, EITHER IN
FACT OR BY OPERATION OF LAW, BY STATUTE OR OTHERWISE, AND GSI SPECIFICALLY
DISCLAIMS ANY IMPLIED WARRANTY OF QUALITY, WARRANTY OF MERCHANTABILITY OR
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE.  IN NO EVENT SHALL EITHER PARTY
BE LIABLE TO THE OTHER FOR ANY CONSEQUENTIAL DAMAGES, HOWEVER CAUSED, ON ANY
THEORY OF LIABILITY, WHETHER CONTRACT, TORT (INCLUDING NEGLIGENCE) OR
OTHERWISE, WHETHER OR NOT A PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH
DAMAGE.

               (f)  THIRD PARTY CLAIMS.  Article 7 of the Expanded Agreement is
hereby incorporated into and becomes part  of this Agreement in respect to any
claims made by third parties against the parties in connection with any
Products delivered under this Agreement.

          4.   PAYMENT.  Full payment of Ethicon's purchase price (including
any freight, taxes or other applicable costs initially paid by GSI but to be
borne by Ethicon) shall be in United States of America dollars.  All exchange,
interest, banking, collection, and other charges shall be at Ethicon's expense.
Payment terms shall be net forty-five (45) days upon receipt of the 

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -13-
<PAGE>

Product, and payment shall be made by wire transfer, check or other 
instrument approved by GSI.  Any invoiced amount not paid when due shall be 
subject to a service charge at the lower of the rate of one and one-half 
percent (1.5%) per month or the maximum rate permitted by law.  If Ethicon 
fails to make any payment to GSI when due, GSI may, without affecting its 
rights under this Agreement, cancel or delay any future shipments to.

          5.   TERM AND TERMINATION.

               (a)  TERMINATION FOR CONVENIENCE.  This Agreement may be
terminated at any time after the date set forth on the first page of this
agreement by either party by giving the other party written notice thirty (30)
days in advance.

               (b)  EFFECT OF TERMINATION; LIMITATION OF LIABILITY.  In the
event of termination by either party in accordance with any of the provisions
of this Agreement, neither party shall be liable to the other, because of such
termination, for compensation, reimbursement or damages on account of the loss
of prospective profits or anticipated sales or on account of expenditures,
inventory, investments, leases or commitments in connection with the business
or goodwill of GSI or Ethicon.  Termination shall not, however, relieve either
party of obligations incurred prior to the termination.  Ethicon shall be
entitled to receive from GSI Products necessary to fulfill valid and binding
purchase orders accepted by GSI prior to notification of termination of this
Agreement.  GSI shall be entitled to receive from ETHICON payments necessary to
fulfill valid and binding purchase orders submitted by Ethicon prior to
notification of termination of this Agreement.

          6.   NOTICES.

               (a)  ADDRESSES.  All notices given under this Agreement shall be
sufficient if in writing and delivered by messenger or sent by postage prepaid
mail or by facsimile to the address of the recipients set forth below:

               In the case of GSI:

                    To:  General Surgical Innovations, Inc.
                         10460 Bubb Road
                         Cupertino, California  95014
                         Attn:  President
                         Fax:  (408) 863-1101

               With a copy to:

                         Venture Law Group
                         2800 Sand Hill Road
                         Menlo Park, CA  94025
                         Attn:  Mark E. Weeks
                         Fax:  (650) 233-8386

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -14-
<PAGE>

               In the Case of Ethicon:

                    To:  Ethicon Endo-Surgery, Inc.
                         4545 Creek Road
                         Cincinnati, Ohio  45242
                         Attention:  President
                         Fax:  (513) 483-8945

               With a copy to:

                         Office of General Counsel
                         Johnson & Johnson
                         One Johnson & Johnson Plaza
                         New Brunswick, New Jersey  08933
                         Fax:  (732) 524-2788

          (b)  DELIVERY.  Notice shall be effective when received by or
otherwise known to the receipt or its legal representative.  This provision is
not intended to be exclusive and any notice actually received shall be
sufficient.

     7.   MISCELLANEOUS.

          (a)  COUNTERPARTS.  This agreement may be executed in two or more
counterparts, each of which shall be deemed an original and all of which
together shall constitute one and the same instrument.

          (b)  PARTIAL INVALIDITY.  If any provision of this Agreement,
including any provision set forth in the "Purchase Order Terms and Conditions"
attached as Exhibit B hereto, is held to be invalid, then the remaining
provisions shall nevertheless remain in full force and effect.  The parties
agree to renegotiate in good faith any term held invalid and to be bound by the
mutually agreed substitute provision.

          (c)  ASSIGNABILITY.  Neither party shall transfer or assign this
Agreement, in whole or in part, without the prior written consent of the other
party (which shall not be unreasonably withheld); except that either party may,
without such consent, assign this Agreement to an affiliate that directly
controls, is controlled by, or is under common control with a party; provided
such affiliate has the equivalent resources and capacity to carry out the
assignee's obligations under this Agreement, and the assigning party remains
responsible for all its obligations under this Agreement.

          (d)  PUBLICITY.  If a party decides to make a written press release
relating to this Agreement, or to any amendment or performances under this
Agreement, it will give the other party, and the other party's general counsel,
forty-eight (48) hours advance written notice, or any shorter notice period
otherwise required by law, of the text of the announcement so that the other
party will have an opportunity to comment upon the announcement.

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -15-
<PAGE>

          (e)  ENTIRE AGREEMENT.  This Agreement and the exhibits hereto which
form a part hereof constitute the entire understanding of the parties with
respect to its subject matter and supersedes all prior negotiations, agreements
and understandings among the parties, including without limitation the Prior
Agreements, with respect to its subject matter.  There are no representations,
promises, warranties, covenants or understandings other than those expressly
set forth herein or therein.  This Agreement may be modified or amended only by
a writing signed by the party against whom such modification or amendment is
asserted; provoked, that the terms of any purchase order, invoice or similar
document used to implement this Agreement shall not modify or amend but shall
be subject to this Agreement.

          (f)  RELATIONSHIP OF PARTIES.  The parties hereto are entering into
this Agreement as independent contractors, and nothing herein is intended or
shall be construed to create between the parties a relationship of principal
and agent, partners, joint venturers or employer and employee.  Neither party
shall hold itself out to others to bind or commit the other party in any manner
inconsistent with the foregoing provisions of this Article.

          (g)  NOTIFICATION OF REGULATORY AGENCY CONTACT.  Parties agree that
if either of them is contacted by a regulatory agency, whether in the US or
outside the US, in connection with the Products, such contacted party shall
immediately notify the other party of the form and content of such contact,
including delivery of a copy of any written material received from the
regulatory agency.  This provision shall survive termination of this agreement.

          (h)  NOTIFICATION OF ANTICIPATED CHANGE.  GSI provide Ethicon with
written notice at least 60 days prior to any change of the form, fit, function,
components or material of the Products, the site at which the Products are
manufactured, packaged, or sterilized or the process by which the Products are
manufactured, packaged, sterilized, or labeled when any such change could
potentially affect the safety, efficacy, qualify, or stability of the Products.

          (i)  NOTIFICATION OF CLAIMS.  Ethicon will notify GSI of any adverse
reaction, malfunction, injury or other similar claims with respect to the GSI
Products of which they become aware.  Ethicon shall make reasonable efforts to
provide copies of its customer inquiries related to GSI Products as well as the
results of any related investigation including returned product.

          (j)  MAINTENANCE OF RECORDS.  The parties shall maintain adequate
records concerning traceability of GSI Products, and shall cooperate with each
other in the event that any recall, field corrective action, or the like in
circumstances occurring related to any GSI Products.

          (k)  COMPLIANCE WITH LAWS AND REGULATIONS.  Both parties agree to
comply with applicable state, federal and international regulatory requirements
in connection with their status as, respectively, a medical device manufacturer
or medical device distributor.

          (l)  SHELF LIFE EXTENSION.  GSI shall cooperate with Ethicon in an
effort to extend the shelf-life of GSI "Products" in Ethicon's inventory up to
a total of three (3) years GSI's obligation to cooperate with Ethicon shall
survive termination of this agreement for any reason, including, but not
limited, to termination under Section 5 above.

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -16-
<PAGE>

          IN WITNESS WHEREOF, this Distribution Agreement has been executed as
of the day and year first above written.


GENERAL SURGICAL INNOVATIONS, INC.          ETHICON ENDO-SURGERY, INC.



By:  /s/ Gregory D. Casciaro                By:  /s/ Robert Salerno
     -------------------------------             -----------------------------

Print Name:  Gregory D. Casciaro            Print Name:  Robert Salerno
             -----------------------                     ---------------------

Title:  President & C.O.O.                  Title:  VP Business Development
        ----------------------------                --------------------------

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.

                                       -17-
<PAGE>

                          EXHIBIT A:  TRANSFER PRICES
<TABLE>
<CAPTION>
PRODUCT                                               MODEL           P/N                 PRICE
<S>                                                   <C>             <C>                 <C>
Spacemaker, Distal 900                                DBD-900         99-1140-05          [***]
Spacemaker, Distal 1500                               DBD-1500        99-1141-05          [***]
Spacemaker II, w/Cannula                              VSM-2900        99-1201-05          [***]
Spacemaker II, w/o Cannula                            VSM-2900        99-1202-05          [***]
Air Bulb, 2pk.                                        AB-050          99-1301-05          [***]
Spacemaker II, 650 cc. w/Cannula                      VSM-2950        99-1212-05          [***]
Spacemaker II, 650 cc. w/o Cannula                    VSM-2950-01     99-1203-05          [***]
5mm Reducer, 10pk                                     CR-050          99-1300-05          [***]
</TABLE>

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.
                                       
<PAGE>
                                       
                EXHIBIT B:  PURCHASE ORDER TERMS AND CONDITIONS
                                       
     This agreement to conditions of Purchase is by and between GSI
(hereinafter referred to as "Seller") and ETHICON ENDO-SURGERY, INC. having a
business address at 4545 Creek Road, Cincinnati, Ohio 45242 (hereinafter
referred to as "Purchaser").

     1.   INSPECTION.  All goods are subject to final inspection and acceptance
by Purchaser at destination notwithstanding any payment or prior inspection at
source.  Final inspection will be made within a reasonable time after receipt
of goods.

     2.   REJECT/RETURN.  Purchaser reserves the right to refuse any goods and
to cancel all or any part of an order for goods not conforming to applicable
specifications, drawings, samples or descriptions.  Acceptance of any part of
the order shall not bind Purchaser to accept future shipments of nonconforming
goods, not deprive it of the right to return nonconforming goods already
accepted.

     3.   CANCELLATION ON LATENESS.  Shipments or deliveries (as specified in
the order) shall be strictly in accordance with the quantities and schedule
specified in the order.  If at any time it appears Seller will not meet such
schedule, Seller shall promptly notify Purchaser in writing of reasons for the
estimated duration of the delay and, if requested by Purchaser, ship via air or
other fast transportation to avoid or minimize delay to the maximum extent
possible, the added cost to be borne by Seller.  This is in addition to
Purchaser's other remedies, such as cancellation after a reasonable time (not
to exceed 30 days) for non-compliance, cover and incidental and consequential
damages.

     4.   INVOICE.  A separate invoice shall be issued in triplicate for each
shipment.  Unless otherwise specified in the order, no invoice shall be issued
prior to shipment of goods and no payment will be made prior to receipt of
goods and current invoice.  Payment due dates, including discount periods, will
be computed from date of receipt of goods or date of receipt of current invoice
(whichever is later) to date Purchaser's check is mailed.  Unless freight and
other charges are itemized, any discount taken will be taken on full amount of
invoice.

     5.   ACKNOWLEDGMENT.  Seller will acknowledge receipt and acceptance of
the order confirming price and arrival date by returning a counterpart of the
order initialed on behalf of Seller.

     6.   ASSIGNMENT.  This Purchaser Order shall not be assignable by Seller
without the prior written consent of the Purchaser, which consent may be
withheld in the sole discretion of the Purchaser.

     7.   NOT MISBRANDED/ADULTERATED.  The Seller guarantees that no article
shipped pursuant to the order is adulterated or misbranded within the meaning
of the Federal Food, Drug and Cosmetic Act, or is an article which may not
under the provisions of Sec. 404 or 505 of that Act be introduced into
interstate commerce; that no article shipped pursuant to the order is produced
in violation of any provisions of the Fair Labor Standards Act; and further
guarantees full compliance with all provisions from time to time applicable of
any other Federal 

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.
                                       
<PAGE>

and all state and municipal laws, and agrees to defend Purchaser and hold 
harmless from all liability resulting from failure of such compliance.

     8.   QUALITY, USE FOR INTENDED PURPOSE.  In accepting this purchase order,
the Seller unconditionally represents and warrants, any other representation or
agreement to the contrary notwithstanding, that the material supplied pursuant
to the purchase order is of merchantable quality, conforms to the detailed
specifications as stated on the form and is suitable for the Purchaser's
intended uses and purposes in the ordinary course of his business to the extent
that such intended uses and purposes are known or reasonably should be known to
the Seller; and the Seller agrees to hold the Purchaser harmless against any
liability, judgment, damages, loss or expense, including reasonable counsel
fees, resulting from Seller's failure to meet the requirements of this
condition.  All warranties herein stated shall run to the Purchaser, its
customers and the users of the products, or products into which they may be
incorporated.

     9.   PATENT HOLD HARMLESS.  In accepting the purchase order, the Seller
agrees to hold the Purchaser harmless against any liability, judgment, damages,
loss or expense, including without limitation reasonable counsel fees,
resulting from any claim or any suit against the Purchaser charging
misappropriation of trade secrets, breach of a confidential relationship, by
the making of the purchase under the purchase order, or charging infringement
of a United States or foreign patent by any product sold under the purchase
order, or any element of such product, or by the use of such product, or by
material resulting from such use where the use is known to the Seller.  If the
product listed in the purchase order is a material whose composition and
ingredients are not disclosed by the Seller to the Purchaser, then the Seller's
agreement to hold the Purchaser harmless, as stated in the foregoing sentence
shall extend to all uses of such product for which the product is sold by the
Seller, to all uses for which the product is recommended by the Seller to the
Purchaser, and to all intended uses by the Purchaser which are known to the
Seller.

     10.  COPYRIGHT MARKING.  Seller agrees that any copyrightable material
prepared for Purchaser shall carry on the face thereof in legible form the
following copyright notice:  -C- Ethicon Endo-Surgery followed by the last two
digits of the year of production.

     11.  GOVERNMENT CEILING PRICE/NO GREATER THAN OFFERED FOR SIMILAR.  The
Seller in accepting the purchase order represents that the price charged is not
in excess of the ceiling price, if any, established by any Government Agency
nor those quoted for others for the same products and similar quantities.

     12.  TRANSPORTATION LIABILITY.  With respect to any goods permitted to be
sold F.O.B. Seller's plant, Seller agrees that in any case where freight
regulations covering goods transported by common carrier establish a maximum
limit on the carrier's liability for loss or damage suffered in transit, Seller
will be liable to Purchaser for any loss or damage in excess of such maximum
limit up to the full price of the goods.

     13.  COMPLETE AGREEMENT.  Acceptance of the order is expressly limited to
the terms hereof.  If the Seller objects to any of the terms hereof, it shall
notify Purchaser in writing within ten days of the date of the order, and
withhold shipments of the purchase order 

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.
                                       
<PAGE>

and shipment of the goods listed therein until such objection is settled by 
written agreement of the parties. Any oral or written acknowledgment or 
confirmation of this purchase order, any shipment of the goods ordered 
thereby, or the furnishing of any services pursuant to this purchase order, 
shall, notwithstanding the terms of such acknowledgment or confirmation, 
constitute acceptance by the Seller of each and all of the terms and 
conditions stated herein.  The Purchaser will not be bound to any additional 
or different terms hereafter transmitted by Seller except by a signed 
consent, and will in no event be bound by silence, course of dealing, usage 
of the trade or any acceptance of the goods listed herein to any terms and 
conditions other than those stated herein.  This purchase order and this 
document contain all the terms and conditions of the purchase agreement 
between Purchaser and Seller and shall constitute the complete and exclusive 
agreement between Seller and Purchaser, and expressly supersedes any prior or 
contemporaneous oral or written representation or agreement.  Headings used 
herein are for the convenient reference of the parties and are not intended 
to amend, modify or limit to any extent the express terms of this agreement.  
No modification, amendment or waiver of any term or condition of this 
agreement shall be effective unless set forth in writing signed by the party 
against whom enforcement is sought.  This agreement shall be governed by and 
construed in accordance with the laws of the State in which Purchaser's 
headquarters is located.

     14.  COMPLIANCE FEDERAL, STATE, MUNICIPAL NON-DISCRIMINATION LAWS.  The
Seller agrees to comply with the applicable provisions of any Federal or State
Law and all executive orders, rules and regulations issued thereunder, whether
now or hereafter in force; and, any provisions, representations or agreements
required thereby to be included in the contract resulting from acceptance of
the order are hereby incorporated by reference, including but not limited to,
Executive Order 11246, as amended, Chapter 60 of Title 41 of the Code of
Federal Regulations, as amended prohibiting discrimination against any employee
or applicant for employment because of race, color, religion, sex, or national
origin; Section 60-741.1 as amended, Chapter 60 of Title 41 Code of Federal
Regulations prohibiting discrimination against any employee or applicant for
employment because of physical or mental handicap; and Section 60.250.4 of
Chapter 60 of Title 41 Code of Federal Regulations, as amended, providing for
the employment of disabled veterans and veterans of the Vietnam era.

     15.  OSHA REQUIREMENTS.  Seller warrants that the product sold or service
rendered to Purchaser shall conform to the standards and/or regulations
promulgated by the U.S. Department of Labor under the Occupational Safety and
Health Act of 1970 (29 U.S. Code Section 651 et seq.) ("OSHA").  In the event
the product sold does not conform to the OSHA standards and/or regulations,
Purchaser may return the product for correction or replacement at Seller's
option and at Seller's expense.  Services performed by the Seller which do not
conform to the OSHA standards and/or regulations must be corrected by Seller at
Seller's expense or may be corrected by Purchaser at Seller's expense in the
event Seller fails to make the appropriate correction within a reasonable time.

     16.  INDEMNIFY PURCHASER FOR SERVICES RENDERED.  In the event that the
purchase order contract is accepted for services to be rendered, Seller agrees
to defend, indemnify and hold harmless the Purchaser, its parents, subsidiaries
and affiliates, and their 

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.
                                       
<PAGE>

respective directors, officers, employees and agents from any liability, 
claims, causes of action or other legal action and any costs or expense 
arising therefrom (including without limitation reasonable attorney's fees) 
arising from any wrongful act or omission of the service company, its 
employees, contract labor, or subcontractors.

     17.  SMALL BUSINESS CLAUSE.  The clause, "Utilization of Small Business
Concerns and Small Business Concerns Owned and Controlled by Socially and
Economically Disadvantaged Individuals" (as amended in a portion of Public Law
95-507), is hereby made a part of this agreement.  This clause is aimed at
fully utilizing minority-owned businesses where appropriate and is intended for
subcontractors who offer further subcontracting opportunities.  When these
conditions exist, the Seller agrees to use his best efforts to carry out this
policy in the award of his subcontracts to the fullest extent consistent with
the efficient performance of the contract.

     18.  IF UNDER GOVERNMENT CONTRACTS.  If the products or services covered
by this Purchase Order are ordered by Purchaser under United States government
contracts, Seller agrees that applicable Federal statutes and regulations
applying to the Purchaser as a contractor are accepted and binding on Seller
insofar as Seller may be a subcontractor.

     19.  FORCE MAJEURE.  A party shall be excused for delays in performance or
failure of performance hereunder to the extent arising from causes beyond such
party's control, including without limitation strikes, wars, fire, flood,
earthquake, or other Act of God.  In the event of any such event or condition,
the party whose performance is excused hereunder shall notify the other
promptly thereof and shall make diligent efforts to perform at its earliest
opportunity.  During any such period of non-performance by one party, the other
party shall be permitted to suspend its performance hereunder.

     20.  CORRESPONDENCE ADDRESS/PERSON.  Any notice or other correspondence
required or permitted to be provided hereunder shall be sent by first class
mail, postage prepaid, directed to the attention of the Purchasing Department,
at the address shown in the correspondence address designation block on the
reverse of the purchase order.

     21.  SHIPPING TERMS.  Unless otherwise specified, delivery is to be F.O.B.
Purchaser's plant.  If goods are to be shipped F.O.B. shipping point, and
Purchaser has not designated routing, ship via cheapest way that will meet
delivery date.

     22.  CONFIDENTIALITY.  Any information supplied by Purchaser in the
purchase order or in connection with this purchase order is confidential.
Seller shall not use or disclose any such information or any data, designs, or
other information belonging to or supplied by or on behalf of Purchaser or
developed by Seller in the performance of this purchase order, except to the
extent necessary to perform the terms of the purchase order and this agreement.
Upon Purchaser's request such information, data, designs, or other information
and any copies thereof shall be returned to Purchaser.  Where Purchaser's data,
designs, or other information are furnished to Seller's suppliers for
procurement of supplies by Seller for use in the performance of Purchaser's
orders, Seller shall insert the substance of this provision in its orders.

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.
                                       
<PAGE>

     23.  PURCHASER'S PROPERTY.  Unless otherwise agreed in writing, all tools,
equipment or material of every description furnished to Seller by Purchaser or
specifically paid for by Purchaser, and any replacement thereof, or any
materials affixed or attached thereto, shall be and remain the personal
property of Purchaser, and shall be safely stored separate and apart from
Seller's property.  Seller shall not substitute any property for Purchaser's
property and shall not use such property except in filling Purchaser's orders.
Such property while in Seller's custody or control shall be held at Seller's
risk, shall be kept insured by Seller at Seller's expense in an amount equal to
the replacement cost with loss payable to Purchaser and shall be subject to
removal at Purchaser's written request, in which event Seller shall prepare
such property for shipment and shall redeliver to Purchaser in the same
condition as originally received by Seller, reasonable wear and tear excepted.

     24.  MATERIAL SAFETY DATA SHEETS.  Material Safety Data Sheets are
required for all items in the order.  Please ship with the order or mail before
shipment to the address for notice as provided above.

     25.  NO DRAFTS.  Purchaser does not honor drafts for bills contracted.
All accounts are paid by remittance through mail.

     26.  Any inventions, improvements, or ideas made or conceived by Seller in
connection with or during the performance of services to be rendered for
Purchaser shall be the property of the Purchaser.  Seller, without charge to
Purchaser other than reasonable payment for time involved in the event this
Agreement shall have terminated, by at Purchaser's expense, shall execute,
acknowledge, and deliver to Purchaser all further papers, including
applications for patents, as may be necessary to enable Purchaser to publish or
protect such inventions, improvements, and ideas by patent or otherwise in all
countries and to vest title to said patents, inventions, improvements, and
ideas in Purchaser or its nominees, their successors or assigns.  Seller shall
tender assistance as Purchaser may require in any patent Office proceeding or
litigation involving said inventions, improvements, or ideas.  Seller as part
of the services to be performed below, shall keep written notebook records of
its work, property witnessed for use as invention records, and shall submit
such records to Purchaser when requested or at the termination of the work.

ETHICON ENDO-SURGERY, INC.                SELLER


By: _______________________________       By: _______________________________

Title: ____________________________       Title:_____________________________

Date: _____________________________       Date:______________________________

*  Material has been omitted pursuant to a request for confidential treatment.
   Such material has been filed separately with the Securities and Exchange 
   Commission.


<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          JUN-30-1998
<PERIOD-START>                             JAN-01-1998
<PERIOD-END>                               MAR-31-1998
<CASH>                                          18,706
<SECURITIES>                                    21,305
<RECEIVABLES>                                      725
<ALLOWANCES>                                        46
<INVENTORY>                                      1,057
<CURRENT-ASSETS>                                42,716
<PP&E>                                           3,363
<DEPRECIATION>                                   1,159
<TOTAL-ASSETS>                                  45,131
<CURRENT-LIABILITIES>                            1,691
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            13
<OTHER-SE>                                      43,131
<TOTAL-LIABILITY-AND-EQUITY>                    45,131
<SALES>                                            894
<TOTAL-REVENUES>                                   894
<CGS>                                              602
<TOTAL-COSTS>                                      602
<OTHER-EXPENSES>                                 3,854
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                 563
<INCOME-PRETAX>                                (2,999)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                            (2,999)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                   (2,999)
<EPS-PRIMARY>                                   (0.22)
<EPS-DILUTED>                                   (0.22)
        

</TABLE>

<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<RESTATED> 
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                          JUN-30-1996
<PERIOD-START>                             JUL-01-1995
<PERIOD-END>                               JUN-30-1996
<CASH>                                          28,339
<SECURITIES>                                    21,451
<RECEIVABLES>                                      873
<ALLOWANCES>                                        78
<INVENTORY>                                        700
<CURRENT-ASSETS>                                51,801
<PP&E>                                             702
<DEPRECIATION>                                     454
<TOTAL-ASSETS>                                  52,767
<CURRENT-LIABILITIES>                            1,733
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            13
<OTHER-SE>                                      50,461
<TOTAL-LIABILITY-AND-EQUITY>                    52,767
<SALES>                                          6,165
<TOTAL-REVENUES>                                 6,165
<CGS>                                          (2,772)
<TOTAL-COSTS>                                  (2,772)
<OTHER-EXPENSES>                                 9,301
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                 443
<INCOME-PRETAX>                                (5,465)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                            (5,465)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                   (5,465)
<EPS-PRIMARY>                                   (1.13)
<EPS-DILUTED>                                   (1.13)
        

</TABLE>


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