VIDAMED INC
10-K, 2000-03-30
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
Previous: LAWNDALE CAPITAL MANAGEMENT INC, SC 13D, 2000-03-30
Next: ASSISTED LIVING CONCEPTS INC, 10-K405, 2000-03-30



<PAGE>

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

                                   FORM 10-K


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

                  For the fiscal year ended December 31, 1999


                        Commission file number 0-26082
                                 VIDAMED, INC.
            (Exact name of registrant as specified in its charter)

       Delaware                                         77-0314454
- ------------------------                     ---------------------------------
(State of incorporation)                     (IRS Employer Identification No.)

                             46107 Landing Parkway
                               Fremont, CA 94538
                                (510) 492-4900
  (Address of principal executive offices and Registrant's telephone number)


         Securities registered pursuant to Section 12(g) of the Act:

                         Common Stock, $.001 par value

                        Preferred Share Purchase Rights
                               (Title of Class)

Indicate by check mark whether the registrant (1) has filed all reports required
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.    [X]   Yes          [ ]  No

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of the Form 10-K or any amendments to this
Form 10-K. [ ]

The aggregate market value of the Common Stock of the registrant held by non-
affiliates as of February 29, 2000 was approximately $137,000,000.

The number of outstanding shares of the registrant's Common Stock, $.001 par
value, was 29,939,392 as of February 29, 2000.

                      Documents Incorporated By Reference

Certain information is incorporated into Part III of this report by reference to
the Proxy Statement for the Registrant's 2000 annual meeting of stockholders to
be filed with the Securities and Exchange Commission pursuant to Regulation 14A
not later than 120 days after the end of the fiscal year covered by this Form
10-K.

                                       1
<PAGE>

                                    PART I

"Safe Harbor" Statement Under the Private Securities Litigation Reform Act
of 1995:

This report contains, in addition to historical information, forward-looking
statements that are based on current expectations and beliefs. Forward-looking
statements involve a number of risks and uncertainties that could cause actual
results to differ materially from those suggested in the forward-looking
statements. Some of the factors that could cause actual results to differ
include, among others, market acceptance of the VidaMed Transurethral Needle
Ablation ("TUNA")(R) Procedure, availability of cash resources sufficient to
fund operations, availability, timing and amount of third-party reimbursement
for procedures performed with the VidaMed TUNA System, the possible volatility
of VidaMed's stock price, and the risk factors discussed herein and in the other
documents we file from time to time with the Securities and Exchange Commission.
The forward-looking statements included in this report are made only as of the
date hereof, and VidaMed undertakes no obligation to publicly revise or update
the forward-looking statements to reflect subsequent events or circumstances.

Item 1 - Business

General Development of the Company

     VidaMed, Inc. (the "Company" or "VidaMed") designs, develops, and markets
technologically and clinically advanced systems for urological conditions. Our
focus is the treatment of the enlarged prostate known as benign prostatic
hyperplasia, or more commonly known as BPH. Our primary product, the patented
TUNA System, is designed to offer a cost effective, minimally invasive
alternative treatment for BPH, after drug therapy has failed and before choosing
major surgery. We commenced manufacturing and international product sales in
1993. We received clearance from the Food and Drug Administration in October
1996 to market and sell the TUNA System in the United States. We received
Medicare CPT code # 53852, effective January 1998, for the treatment of symptoms
associated with BPH, and as of February 2000, 47 states provide for Medicare
reimbursement for TUNA Procedures performed in hospitals. In the United States,
we directly sell and market our products to hospitals, urologists, and surgery
centers primarily through a "fee-per-use" program. Under this program we place
an entire TUNA System with a hospital at no charge to the hospital. Revenue is
generated upon shipment of a single-use component needed for each TUNA Procedure
performed.  Outside of the United States, we sell our products to international
distributors who resell to physicians and hospitals. Information about our
revenues, operating losses and assets is provided in the financial statements
included in this report. See Part II, Item 6, "Selected Consolidated Financial
Data" and Item 8, "Financial Statements and Supplementary Data" and Part IV,
Item 14(a), "Financial Statements and Financial Statement Schedule."

     VidaMed was organized as a California corporation in July 1992 and were
reincorporated in Delaware in June 1995.  Our principal offices are located at
46107 Landing Parkway, Fremont, California.  Our telephone number is (510) 492-
4900.

BPH-The Medical Condition and Market

     The prostate is a fibromuscular gland that surrounds the urethra and lies
immediately below the bladder in the male. The normal prostate is approximately
the size of a walnut. The prostate gradually enlarges over a man's lifetime, a
naturally occurring, non-cancerous condition known as benign prostatic

                                       2
<PAGE>

hyperplasia,  commonly referred to as BPH.  As the benign nodules grow around
the tube-like urethra, this growth obstructs the flow of urine released from the
bladder.  As a result of BPH, men begin to experience problems with urination
which include:

 .    Decreased force of urinary stream;
 .    Frequency, the need to urinate more often, especially at night;
 .    Urgency, the sudden need to urinate;
 .    Incomplete emptying of the bladder; and
 .    Difficulty starting to urinate.

     A delay in treatment can have serious consequences, including complete
obstruction (acute retention of body waste or urine), urinary tract infections,
loss of bladder functions, and in extreme cases, kidney failure. The symptoms
can be debilitating and can significantly alter a sufferer's quality of life.

     BPH is a very common condition among older men. According to industry
sources, the percentage of men suffering from symptoms of BPH is approximately
40-50% for men in their fifties and increases to more than 80% for men over
eighty. It is estimated that approximately 23 million men worldwide suffer
symptoms of BPH, with current annual expenditures in excess of $10 billion. Many
patients diagnosed with BPH are regularly monitored and given diagnostic tests
by their physicians but, due in part to the side effects and complications
associated with current BPH therapies, elect not to receive active intervention
(a course of inaction known as watchful waiting).  If symptoms persist or
worsen, drug therapy or surgical intervention is usually recommended. Drug
therapy is usually the first line of treatment. The most common surgical
procedure is Transurethral Resection of the Prostate (known as TURP), an
invasive surgery in which portions of the prostatic urethra and surrounding
tissue are removed thereby widening the urethral channel for urinary flow.

VidaMed's TUNA System and Procedure

     We have developed the TUNA (Transurethral Needle Ablation) System to
provide the therapy of choice when drugs have failed and before choosing major
surgery. Our TUNA Procedure is designed to restore and improve urinary flow
while resulting in fewer complications and adverse effects, shorter recovery
time and greater cost effectiveness than other therapies. We believe that the
overall cost of treatment with the TUNA Procedure will be less than the cost of
most other interventional BPH therapies because the procedure is designed to be
performed in a doctor's office or other outpatient setting and to result in
fewer complications.  The VidaMed TUNA System is designed to deliver low levels
of radio frequency energy directly into prostate tissue to relieve the symptoms
associated with enlarged prostate. The principal components of the TUNA System
are the radio frequency generator, a reusable hand-piece and telescope, and a
single-use disposable catheter needed for each procedure.  The TUNA Procedure
shrinks targeted tissue in and surrounding the prostate, leading to improved
urinary flow.  It can generally be performed in under an hour with local
anesthesia such as lidocaine jelly and an oral sedative.  Some physicians also
prefer to use a prostate block, intravenous sedation or a general or spinal
anesthesia.

     We believe that the TUNA System design offers significant advantages over
other BPH therapies.  Because the components of the TUNA System shield the
urethra and deliver radio frequency energy directly into the interior of the
prostate, the procedure protects the prostatic urethra and reduces the risk of
unintended thermal damage to surrounding structures.  In other procedures where

                                       3
<PAGE>

this control does not exist, the urethra and other structures such as the penis
or rectum can be damaged or destroyed, causing significant patient discomfort
and complications.

Clinical Studies

     We perform clinical trials of the TUNA Procedure to obtain clinical data
to support new indications, to obtain long-term durability data, and to gather
data in supporting Medicare and other reimbursement approvals in various
markets.  We began international clinical evaluation of the TUNA Procedure in
March 1993 and the U.S. trials in November 1994.  We are currently involved in
clinical studies in Germany, France and Spain for reimbursement approval and
acceptance within the medical community. Multi-center and multi-year studies are
in progress to evaluate the TUNA Procedure in the treatment of the median lobe,
and an anethesia study is ongoing to scientifically document the TUNA Procedure
in the office setting.

     In the clinical trials conducted both in the United States and
internationally, the majority of TUNA patients for whom  follow-up data is
available show significant relief from the symptoms of BPH, with insignificant
post-procedure complications.  These results, including one, two and three year
data, are published in peer-reviewed articles and in the Journal of Urology
published by the American Urological Association.

Reimbursement

     Third-party reimbursement is generally available for existing therapies
used to treat men with an enlarged prostate.  In the United States, decisions
whether to provide coverage and the amount of coverage to provide are made by
local Medicare Medical Directors, individual health maintenance organizations,
private insurers and other healthcare payors.  Reimbursement systems in
international markets vary significantly by country.  In many international
markets, reimbursement for new devices and procedures is subject to government
control.  In most markets, there are private insurance systems as well as
governmentally managed systems.

     Due to the age of the typical patient suffering from an enlarged prostate,
Medicare reimbursement is particularly critical for widespread market acceptance
of our product in the United States.  On January 1, 1998, Medicare reimbursement
of the physician fee component of the TUNA Procedure became effective for
procedures performed in all locations.  At the same time, Medicare also approved
reimbursement of the "reasonable costs" of supplies, equipment and overhead
necessary  to perform TUNA Procedures, but reimbursement was subject to local
approval by state Medicare Medical Directors, and the approval is limited to
procedures performed in hospitals.  As of February 29, 2000, 47 states provided
for reimbursement for TUNA Procedures performed in hospitals.

     The amount of reimbursement for TUNA Procedures varies depending on the
particular hospital performing the procedure and is currently based on the pass
through and mark-up of a hospital's reasonable costs of supplies, equipment and
overhead. However, the U.S. Health Care Financing Administration, which
administers Medicare reimbursement, has announced that sometime in mid-2000,
Medicare reimbursement for procedures performed in hospitals, including the TUNA
Procedure, will change from a pass-through of reasonable costs, to a
"prospective payment system." Under a prospective payment system, hospitals will
be allowed a flat rate of reimbursement for each TUNA Procedure performed and
will need to manage their costs of supplies, equipment and overhead to fit

                                       4
<PAGE>

within the prospective payment approved.   The amount of reimbursement allowed
for a TUNA Procedure under a prospective payment system has not been determined,
and could have a material impact on our revenues and profitability in the year
2000. See Part II, Item 7, "Cautionary Statements Regarding Future Operations--
Our Future Revenues and Profitability Are Subject To Uncertainties Regarding
Health Care Reimbursement and Reform."

Marketing and Customers

     We distribute the TUNA system both domestically and internationally.  In
the United States we market the TUNA System through a network of direct sales
and marketing representatives, account specialists and independent dealers. We
directly sell and market our products to hospitals, urologists, and surgery
centers primarily through a "fee-per-use" program. Under this program we place
an entire TUNA System with a hospital at no charge to the hospital. Revenue is
generated upon shipment of a single-use component needed for each TUNA Procedure
performed.  Outside of the United States, we sell our products to international
distributors who resell to physicians and hospitals.

Backlog

     We do not have a backlog of orders for our products in countries where the
TUNA System is sold and anticipate that we will continue to be able to ship
orders within days of their receipt.  Accordingly, we do not anticipate that we
will develop a significant backlog in the future.

Research and Development

     Our research and development efforts are currently focused on improving the
features of the TUNA System and reducing  its cost and the time it takes to
perform a TUNA Procedure.  Ongoing research and development efforts include
increasing the range of energy output of the radio frequency generator,
providing support for clinical trials, working with physicians to develop
product enhancements and developing devices for urological applications other
than BPH.  Our in-house research and development group uses computer-assisted
design tools and a computerized machine shop to enable rapid prototyping of pre-
production molds, tools and component parts. Research and development expenses
were $3,034,000, $4,241,000, and $6,003,000 in 1999, 1998 and 1997,
respectively.

Manufacturing

     We outsource all of our manufacturing except for the assembly of the
reusable handle. We contract with Telo Electronics, a subsidiary of Sanmina
MPD, to manufacture the radio frequency generator, and with Karl Storz in
Germany to manufacture our telescope.  We transitioned the manufacturing of
the disposable catheter from our facility in Fremont, California, to Zeiss
Humphrey Systems in the first quarter of 1999.  Both Telo Electronics and Zeiss
Humphrey Systems are located within close proximity to our engineering,
marketing and administrative facility in Fremont, California.

Patents, Trademarks and Licenses

     We have been issued 54 United States patents and 58 foreign patents
covering a method of prostate ablation using the TUNA System and the design of
the TUNA System.  The earliest termination date of any of our United States
patents is in 2009, with the majority of patents scheduled to continue in effect

                                       5
<PAGE>

through the year 2013.  At the end of fiscal 1999, we had 12 patent applications
pending in the United States and 49 corresponding patent applications pending in
various foreign countries. Our patents focus on methods for delivery of low
power radio frequency energy to the prostate for the treatment of enlarged
prostate. We also have rights to technology that allows our products to deliver
radio frequency energy to other organs of the human body while protecting
surrounding tissue.  Our patents materially support our place in the market by
preventing others from making, using, or selling devices that copy our treatment
methods and equipment. It is our policy to aggressively protect our patents.

     We also enter into patent and technology licensing agreements with others
when management determines it is in our best interest to do so.   We pay
royalties under existing patent license agreements for the use of patents in
certain of our products, which patents are licensed for the life of the patents.

     VidaMed does not consider its business materially dependent upon any one
patent or patent license, although taken as a whole, our rights and the products
made and sold under patents and patent licenses are important to our business.

     We own various trademarks that we use in our business. These assets are
valuable assets, the most important of which are "TUNA", and our "V device"
corporate logo.

Employees

     As of February 29, 2000, we employed 68 individuals on a full-time basis.
Of these, 67 were located in the United States and 1 in Germany. We also have
several part-time employees and consultants.  None of our employees is covered
under collective bargaining agreements. We consider relations with our employees
to be good.

Item 2.   Properties

     We lease approximately 35,000 square feet in one building in Fremont,
California, which contains our engineering, marketing, warehousing, shipping and
administrative operations. The principal lease expires in May 2002, with an
option to extend the lease for an additional 5 years. In February 2000, we
sublet 11,400 square feet of administrative space in this facility to a
subtenant until May 2002.  We believe that the remaining 23,600 square feet is
adequate to meet our needs for the foreseeable future.

Item 3.   Legal Proceedings

     Other than ordinary routine litigation incidental to our business, we are
not a party to and none of our property is the subject of any material pending
legal proceedings.

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

     Not applicable.

Item 4a.  Executive Officers of the Company

     Officers are appointed by the Board of Directors and serve at the
discretion of the Board.  Each executive officer is a full-time employee of the
Company.  There are no family relationships among the officers and directors of
the Company.

                                       6
<PAGE>

Randy D. Lindholm, age 44, has served as President, Chief Executive Officer and
Chairman of the Board since August 1999.  Mr. Lindholm joined the Company in
August 1998 as Executive Vice President of Sales and Marketing. Before joining
VidaMed, Mr. Lindholm was the Vice President-North American Respiratory Field
Operations for Mallinkrodt, Inc (formerly Nellcor Puritan Bennett), where he
held various positions from 1993 to 1998. Previously, Mr. Lindholm was with GE
Medical Systems for 15 years where he held a number of positions in sales, sales
management and marketing. Mr. Lindholm holds a Bachelor of Science in Electrical
Engineering from Michigan Tech University.  He is a graduate of the Stanford
Executive Management Program.

John F. Howe, age 47, has served as Vice President of Finance and Chief
Financial Officer since he joined the Company in August 1999.  Prior to joining
VidaMed, Mr. Howe was the Vice President of Finance and Controller for the
Hospital Division of Mallinckrodt (formerly Nellcor Puritan Bennett), where he
held various other positions in finance and operational management between 1986
and 1998, including a three-year expatriate assignment in the Netherlands as
European Finance Director. Previously Mr. Howe spent 7 years with IVAC
Corporation, then a subsidiary of Eli Lilly & Company, where he held various
financial accounting and management positions.  Mr. Howe holds a Bachelor of
Science in Finance from San Diego State University.

                                       7
<PAGE>

                                    PART II

Item 5.   Market for Registrant's Common Equity and Related Stockholder Matters

     Our common stock is listed on The Nasdaq SmallCap Market under the symbol
"VIDA."  The quarterly high and low prices as reported by Nasdaq are included in
the table below:

<TABLE>
<CAPTION>
                                                 Years Ended by Quarter
                                ------------------------------------------------------
                                                         1999
                                ------------------------------------------------------
                                     4th            3rd           2nd           1st
                                ------------   -----------   -----------   -----------
<S>                               <C>            <C>           <C>           <C>
Stock Prices:
High                                  $3.563        $2.969        $3.906        $3.125
Low                                   $1.500        $1.500        $1.500        $1.625



                                                 Years Ended by Quarter
                                --------------------------------------------------------
                                                         1998
                                --------------------------------------------------------
                                     4th            3rd            2nd            1st
                                ------------   ------------   ------------   -----------
<S>                               <C>            <C>            <C>            <C>
Stock Prices:
High                                  $3.188         $4.938         $5.375        $4.625
Low                                   $0.688         $0.938         $3.000        $2.813

</TABLE>

     VidaMed has not paid dividends in the past and does not intend to do so in
the foreseeable future.

Item 6.   Selected Consolidated Financial Data

<TABLE>
<CAPTION>
                                                         Year Ended December 31,
                                               1999      1998      1997      1996      1995
                                                  (in thousands except per share data)
<S>                                        <C>         <C>       <C>       <C>       <C>
Operations:
Net Revenues                                 $ 5,905   $ 1,028   $ 9,828   $ 3,824   $ 2,621
Gross Profit (loss)                            3,081    (2,102)    2,567       145      (924)
Operating Expenses                            14,816    17,707    19,023    13,632    13,627
Net Loss                                     (11,901)  (19,873)  (16,470)  (13,543)  (14,858)
Basic and diluted loss per share               (0.58)    (1.10)    (1.29)    (1.30)    (2.68)
Shares used in computing basic
 and diluted loss per share                   20,631    18,133    12,786    10,382     5,545

Financial Position (at year end):
Total Assets                                   7,320    14,132    16,965    12,847    18,816
Long-term Debt & Capital lease
 obligations less current portion              1,030     1,785        22     1,305     2,757
Accumulated Deficit                         (100,120)  (88,219)  (68,346)  (51,876)  (38,333)
Stockholder's Equity                           1,605     7,323     9,227     3,701     6,755
</TABLE>

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

     The following discussion of VidaMed's financial condition and results
of operations should be read in conjunction with the Consolidated Financial
Statements and  the related Notes included in this report on Form 10-K, and the
Cautionary Statements Regarding Future Operations presented herein at the end of
this Item 7.

                                       8
<PAGE>

Overview

     Since its founding in 1992, VidaMed has been engaged in the design,
development and marketing of urological systems used to treat the enlarged
prostate or benign prostatic hyperplasia, commonly known as BPH. We commenced
international sales of our patented TUNA System in late 1993 and began
commercial sales in the United States in October 1996, after receiving the Food
and Drug Administration clearance.  In 1997 we sold the TUNA System to domestic
office-based urology practices, assuming that after receiving FDA clearance,
Medicare reimbursement would soon follow. In 1998 it was announced that office-
based Medicare reimbursement for the TUNA System and procedure would be delayed
due to Year 2000 computer problems experienced by Medicare, and that current
reimbursement was approved only in a hospital-based setting, on a reasonable
cost basis, and that it would require a state-by-state approval process.

     At the end of fiscal 1998, we began restructuring our sales and
marketing model to take advantage of existing hospital-based Medicare
reimbursement coverage. Under our current model, known as the "fee-per-use"
program, we place an entire TUNA System with a hospital at no charge to the
hospital.  Revenue is generated by selling a single-use component needed for
each TUNA Procedure performed. Once the procedure is performed, the single-use
component is discarded and a new component must be purchased for the next
procedure performed.

     As of February 29, 2000, 47 states provide for hospital based reimbursement
coverage for the TUNA Procedure. We believe that obtaining Medicare
reimbursement coverage in doctors' offices and ambulatory surgery centers, as
well as patient awareness and physician advocacy of the TUNA Procedure, are our
greatest challenges.  Our business strategy is to focus marketing and sales
efforts on patient education and physician support for our fee-per-use program
while at the same time continue to advance Medicare reimbursement coverage for
the TUNA Procedure.

Results of Operations

     Revenues. Net revenues for 1999 were $5.9 million, an increase of $4.9
million or nearly 5 times over 1998 net revenues of $1.0 million, and down from
record revenues in 1997 of $9.8 million. In 1998, we recognized sales reserves
of $2.7 million to adjust for the impact of a delay in office-based Medicare
reimbursement. Excluding this specific sales reserve, revenues were $3.7 million
in 1998. Revenue fluctuations over the three-year period from 1997 through 1999
are primarily attributed to the following:

(i)      Record revenue performance in 1997, of $9.8 million, occurred as a
result of receiving FDA clearance in the U.S. in late 1996 to sell the TUNA
System. 1997 revenues included capital equipment and catheter sales to urologist
offices in the U.S., a sale of 39 systems to Tenet Healthcare Systems, and
nonrecurring license fees and an initial stocking order received in 1997 from
our Japanese distributor following Japanese approval of the TUNA System.

(ii)     In mid-1998, Medicare coverage for supplies and devices in the office-
based and ambulatory surgery center markets was delayed due to Medicare
announced Y2K compliance issues. We estimated that Medicare reimbursement
approvals and coverage for procedures performed in these markets would be
delayed at least until July 2000. As a result of the delay, we established the
$2.7 million sales reserve in third quarter of 1998, reducing net revenue of
$3.7 million to $1.0 million.

                                       9
<PAGE>

(iii)    In late 1998 and early 1999, we implemented a strategy to focus our
sales and marketing efforts on U.S. hospitals, where Medicare had authorized
reimbursement for the TUNA Procedure, subject to state approvals. We began 1999
with approvals in 21 states, and ended the year with approvals in 46 states. In
addition, we implemented a new "fee-per-use" sales and marketing model at the
end of 1998, that allows customers to pay a fee for a single-use catheter needed
to perform a TUNA Procedure, without the need for any large capital expenditure.
The combination of established reimbursement and the new fee-per-use sales and
marketing model were the primary contributors to 1999 revenues of $5.9 million.

     Medicare coverage for supplies and devices in the office-based and
ambulatory surgery center markets is not expected to be effective in the near
future. The failure to receive Medicare reimbursement coverage at adequate
reimbursement rates within the ambulatory surgery center or physicians office,
or a failure to continue to receive adequate Medicare reimbursement in the
hospital setting in the year 2000, could have a material adverse effect on our
future revenues.

     Cost of Sales and Gross Margins.  Cost of product sold in 1999 decreased to
$2.8 million from $3.1 million in 1998, due primarily to the implementation of
our fee-per-use sales model and the increased unit sales of disposable catheter
sales versus higher cost generators.  Cost of product sold in 1998 decreased to
$3.1 million from $7.3 million in 1997. The higher cost of sales in 1997 is due
primarily to higher product sales and a one-time charge of $2.1 million related
to the closure of our research and manufacturing facility in the United Kingdom.

     Due to increased fee-per-use sales in the United States, we recognized a
significant increase in gross margin in 1999. Under the fee-per-use program
we place the TUNA capital equipment with hospitals at no charge and sell single
use catheters for each TUNA Procedure performed. We amortize the cost of the
TUNA equipment to cost of sales and recognize the cost of each catheter upon
shipment.  Gross margin was $3.1 million or 53% of 1999 revenues. Gross margin
in 1998 was a negative $2.1 million. After adjusting for the $2.7 million in
sales reserves recorded in 1998, gross margin was $0.6 million or 16% of 1998
adjusted revenues of $3.7 million. The gross margin in 1997 was $2.6 million or
26% of revenue, including a $2.1 million one-time charge to cost of sales
related to the closure of our facility in the United Kingdom.

     Research and Development.   Research and development expenses include
expenditures for regulatory compliance and clinical trials.  Clinical trial
costs consist largely of payments to clinical investigators, product for
clinical trials, and costs associated with initiating and monitoring clinical
trials.  Research and development expenses decreased 28% to $3.0 million in 1999
from $4.2 million in 1998, and down from $6.0 million in 1997. The decrease from
the year ended 1998 to 1999 is primarily due to reduced clinical activity in
1999, resulting from the completion of Food and Drug Administration clinical
trial studies, and the completion of research and development expenditures for
our current ProVu generation of products in 1998. The decrease in research and
development expenditures from the year ended 1997 to 1998 is attributed to
significant development and clinical trial costs in 1997 related to the TUNA
System radio frequency generator and cost savings in 1998 from the closure of
the facility in the United Kingdom.

     Selling, General and Administrative.  Selling, general and administrative
expenses decreased to $11.8 million in 1999 from $13.5 million in 1998, and
$13.0 million in 1997. The higher selling, general and administrative costs in

                                       10
<PAGE>

1998 are due primarily to a charge to the allowance for doubtful accounts, which
was in addition to the $2.7 million sales reserve necessitated by the length of
time involved in obtaining Medicare coverage; a charge incurred in the
transition to a new chief executive officer; and non-routine legal expenses
related to patent defense. While 1997 selling, general and administrative
expense levels were relatively consistent with 1998, they included a realignment
of critical sales positions, the addition of a new executive vice president of
worldwide sales and marketing, and the transition to a new chief executive
officer. Spending in 1998 and 1997 also included new product start-up and launch
related expenses not incurred in 1999.

     Interest and Other Income(Expense).  Interest and other income were
$516,000, $523,000 and $345,000 in 1999, 1998 and 1997, respectively. Interest
income, and the annual fluctuations, are a result of investment balances from
proceeds from private placements of our common stock. Interest and other expense
were $682,000, $587,000 and $359,000 in 1999, 1998 and 1997, respectively. The
increase in interest expense from 1997 through 1999 is due to the addition of a
revolving credit line and an equipment term loan.

     Income Taxes.  As of December 31, 1999, we had Federal and California net
operating loss carry forwards of approximately $64.9 million and $22.3 million,
respectively.  Additionally, we had foreign net operating loss carry forwards of
approximately $21.4 million.  The Federal net operating loss carry forwards will
expire at various dates beginning in 2007 through 2019 if not utilized.  The
California net operating losses will expire at various dates beginning in 2000
through 2004 if not utilized.

     Utilization of the net operating losses may be subject to an annual
limitation due to the ownership change rules provided by the Internal Revenue
Code of 1986 and similar state provisions.  The annual limitation may result in
the expiration of the net operating losses before utilization.

     Our results of operations have fluctuated in the past and may fluctuate in
the future from year to year as well as from quarter to quarter. Revenues may
fluctuate as a result of actions relating to regulatory and reimbursement
matters, the success of our fee-per-use program and the extent to which the TUNA
System gains market acceptance. Operating expenses may fluctuate as a result of
several factors, including:

 .    The timing of expansion of sales and marketing activities;
 .    Costs of clinical activities; and
 .    Research and develop and selling, general and administrative expenses
     associated with the potential growth of our organization.

     Fluctuations in operating results could have a material adverse effect
on our business by, among other things, disrupting our cash flow, limiting our
ability to attract investors and impairing our ability to implement long-range
plans. As a result, there can be no assurance that we will achieve
profitability.  If profitability is achieved, there can be no assurance that we
will be able to maintain profitable operations.

Liquidity and Capital Resources

     As we began fiscal 1999, we believed that our current cash balances,
projected cash flows from operations, including our newly introduced fee-per-use
program, and cash available under our financing facility would be sufficient to
meet our current operating and capital requirements through the end of the year.

                                       11
<PAGE>

Although quarterly revenues generated by the fee-per-use program increased since
its inception, experience has shown that the fee-per-use program will take
longer to implement than originally planned. In an effort to increase revenues,
we believe that it is necessary to:

 .    Increase the number of physicians who perform TUNA Procedures;

 .    Implement marketing initiatives to assist physicians in building their
     practices by increasing the number of TUNA Procedures performed; and

 .    Increase consumer awareness of the treatment options available to BPH
     patients with the view that an informed patient and his doctor are more
     likely to choose the TUNA Procedure.

     The increased costs associated with this three-pronged approach together
with lower than anticipated revenues from the fee-per-use program in 1999
required us to obtain additional financing to meet our current operating and
capital requirements. In October and November 1999, we sold 2.25 million shares
of common stock at a price of $2.00 per share in a private placement, resulting
in net proceeds of approximately $4,300,000. In January 2000, we sold 6.46
million shares of common stock at a price of $1.73 per share in a private
placement for net proceeds of approximately $11,100,000.

     In October 1998, we obtained a $5.5 million debt facility with Transamerica
Technology Finance, a division of Transamerica Corporation. The facility is
secured by our assets and consists of a revolving accounts receivable-based
credit line of up to $3 million and a $2.5 million equipment term loan. In
connection with the debt facility, we issued Transamerica a 5-year warrant to
purchase 55,000 shares of our common stock at a price of $0.89 per share.  The
term loan was funded in full as of December 31, 1998, at an interest rate of 12%
per year.  Repayment of that loan is amortized over a three-year period, with
the first monthly payment having been made in December 1998. As of December 31,
1999, we owed $1,785,000 under the equipment term loan. As of December 31, 1999,
we borrowed approximately $500,000 against the revolving accounts receivable-
based line at a rate of 10.50% per year. The revolving credit line has a minimum
interest payment of $96,000 per year.

     On October 26, 1999, we entered into an Amendment and Waiver Agreement with
Transamerica.  Under that agreement, Transamerica waived an event of default
under our Loan and Security Agreement resulting from the inclusion of a going
concern uncertainty paragraph in an updated opinion from our independent
auditors regarding our fiscal 1998 financial statements. In consideration for
the waiver, we paid Transamerica a $10,000 fee and issued a warrant to acquire
to 20,000 shares of our common stock for a purchase price of $0.89 per share.
The warrant has a term of five years.

     In January 2000, we renewed our debt facility with Transamerica and in
consideration of this renewal paid a $15,000 fee and issued a warrant to
Transamerica to acquire an additional 77,320 shares of common stock at a
purchase price of $1.94 per share.  The warrant has a term of 5 years. The
shares of common stock underlying all of the warrants issued to Transamerica
have been registered for resale.

     Management believes that the proceeds of the equity and debt financings
described above, together with existing cash and anticipated revenues from the
fee-per-use program, will be sufficient to fund operations at current levels
through the end of year 2000. Our actual capital requirements, however, will

                                       12
<PAGE>

depend on many factors, including the rate of increase in the number of
hospitals that perform TUNA Procedures, the rate of increase in the number of
procedures performed at hospitals where our equipment has been placed, the cost
of promoting the program, competition in the marketplace, our ability to expand
the fee-per-use program to doctors' offices and ambulatory surgery centers when
or if Medicare approves reimbursement for the costs of TUNA Procedures performed
in those locations and the amount of reimbursement provided for procedures
performed outside of hospitals.

Recent Accounting Pronouncements

     In June 1998, the Financial Accounting Standards Board issued Statement No.
133, "Accounting for Derivative Instruments and Hedging Activities" (Statement
133), which is required to be adopted in the first quarter of the year ending
December 31, 2001. Management does not anticipate that the adoption of Statement
133 will have a significant effect on our results of operations or our financial
position.

     In December 1999, the Securities and Exchange Commission issued Staff
Accounting Bulletin No.101 (SAB 101).  SAB 101 summarizes certain areas of the
Staff's views in applying generally accepted accounting principles to revenue
recognition in financial statements. We believe that our current revenue
recognition principles comply with SAB 101.

Year 2000

     In prior years, we discussed the nature and progress of our plans to become
Year 2000 ready. In late 1999, we completed our remediation and testing of
systems and we experienced no significant disruptions in mission critical
information technology and non-information technology systems. We did not incur
any material expenditures in 1999 in connection with remediating our systems. We
are not aware of any material problems resulting from Year 2000 issues, either
with our products, internal systems, or the products and services of third
parties.  However, there can be no assurance that we have fully and accurately
assessed our Year 2000 readiness or of the effectiveness of our corrective
actions. Nor can there be any assurance that our customers, suppliers and
vendors fully and accurately assessed their Year 2000 readiness or of the
effectiveness of their corrective actions. Accordingly, we will continue to
monitor our mission critical computer applications and those of our customers,
suppliers and vendors throughout the year 2000 to ensure that any latent Year
2000 matters that may arise are addressed promptly.

Cautionary Statements Regarding Future Operations

     The cautionary statements that follow are intended to highlight certain
factors that may affect the financial condition and results of operations of
VidaMed.  They are not meant to be an exhaustive or complete discussion of the
risks our Company faces and they should be read in conjunction with the
discussions of factors appearing elsewhere in this report, in VidaMed's other
filings with the Securities and Exchange Commission and in materials
incorporated by reference in those filings.

     Our Current Cash Resources are Limited and We May Have Difficulty Raising
Capital in the Future. Although quarterly revenues generated by the fee-per-use
program have been increasing since its inception, experience has shown that the
program will take longer to implement than originally planned.  The number of
hospitals equipped to perform TUNA Procedures has not increased as rapidly as

                                       13
<PAGE>

expected and the number of TUNA Procedures being performed at hospitals where
our equipment has been placed is lower than expected.  Costs to promote the
program were higher than expected and we required additional funding to maintain
current operating levels through December 31, 1999.  Because of the shortage of
operating funds, our independent auditors amended their opinion, issued in
connection with the financial statements included in our amended annual report
on Form 10-K/A filed with the Securities and Exchange Commission for our 1998
fiscal year, to include an explanatory fourth paragraph expressing substantial
doubt regarding our ability to continue as a going concern.

     Management believes that the proceeds of the recent equity and debt
financings together with existing cash and anticipated revenues from the
fee-per-use program will be sufficient to fund operations through the end of the
year 2000. However, this forecast is a forward-looking statement that involves
risks and uncertainties, and actual results could vary materially. The factors
described above under Liquidity and Capital Resources will affect our future
capital requirements and the adequacy of our available funds. We may have to
raise additional funds through public or private equity or debt financings,
collaborative relationships or other arrangements. We cannot be certain that
such additional funding, if needed, will be available on terms favorable to us,
or at all. Furthermore, additional equity financing will dilute the interests of
our current stockholders and may depress the market price of our stock.
Additional debt financing may be available, but management believes it would be
limited in amount, may involve restrictive covenants, and would be costly
because it would be subordinate to our secured financing facility with
Transamerica Business Credit Corporation. We may be able to obtain additional
debt financing from Transamerica, but we cannot give any assurance that we will
be able to do so or that the terms of the financing would be favorable.
Collaborative arrangements, if necessary to raise additional funds, may require
us to relinquish rights to certain of our technologies or products. Our failure
to raise capital when needed could have a material adverse effect on our
business, financial condition and results of operations.

     If additional financing is needed but unavailable, management nonetheless
believes that it would be able to conserve cash by scaling back research and
development, clinical trials, expansion into the office-based and ambulatory
surgery center markets and otherareas of discretionary spending.  Reductions in
those areas, however, could have a material adverse effect on our long-term
opportunities to develop new and competitive products, obtain necessary
governmental approvals of those products and develop additional markets for our
products.

     We Have a History of Operating Losses and We Expect Operating Losses to
Continue. We have incurred significant operating losses since our inception in
1992 and, as of December 31, 1999, had an accumulated deficit of approximately
$100.1 million. We expect to continue to incur operating losses through the end
of the year 2000 as we expend substantial funds on sales and marketing
activities, fund clinical trials in support of reimbursement approvals and fund
research and development. Our profitability depends on numerous factors,
including:

 .    our success in promoting the fee-per-use program;

 .    our success in achieving market acceptance of the TUNA Procedure;

 .    our success in obtaining and maintaining necessary regulatory
     clearances;

                                       14
<PAGE>

 .    the extent to which Medicare and other healthcare payors approve
     reimbursement of the costs of TUNA Procedures performed in hospitals,
     doctors' offices and ambulatory surgery centers; and

 .    the amount of reimbursement provided.

     The TUNA Procedure is a New Therapy and May Not Be Accepted by Physicians,
Patients and Healthcare Payors. Physicians will not recommend the TUNA Procedure
unless they conclude, based on clinical data and other factors, that it is an
effective alternative to other methods of enlarged prostate treatment, including
more established methods.  In particular, physicians may elect not to recommend
the TUNA Procedure until the long-term duration of the relief provided by the
procedure has been established.  Clinical data for assessing the durability of
relief provided by the TUNA therapy in the United States does not extend beyond
five years.  Some physicians may consider five years of clinical data to be
sufficient evidence of durability and others may not.  As time passes since the
first TUNA Procedures were performed, and as more procedures are performed, the
clinical data will continue to be developed.  We are in the process of
conducting multi-year patient follow-up studies to assess the durability of the
relief provided by the TUNA Procedure.

     Even if the clinical efficacy of the TUNA Procedure is established,
physicians may elect not to recommend the procedure unless acceptable
reimbursement from healthcare payors is available. Healthcare payor acceptance
of the TUNA Procedure will require evidence of its cost effectiveness compared
with other therapies for enlarged prostate, which will depend in large part on
the duration of the relief provided by the TUNA Procedure.

     Patient acceptance of the procedure will depend in part on physician
recommendations and in part on other factors, including the degree of
invasiveness and the rate and severity of complications associated with the
procedure compared with other therapies, and the ability to educate patients of
their treatment choices.

     If Coverage is Not Approved for Procedures Performed Outside of Hospitals,
Or if the Amount of Coverage is Inadequate, We Will Not be Able to Achieve
Widespread Acceptance of the TUNA Therapy. To achieve widespread acceptance of
the TUNA Therapy, we believe that reimbursement will need to be available for
procedures performed outside of the hospital setting, in doctors' offices and
ambulatory surgery centers. In addition, the amount of reimbursement for TUNA
Procedures performed in those locations must be adequate. Medicare has not yet
approved reimbursement for the costs of supplies, equipment and overhead outside
of hospital settings. In 1998, Medicare announced that it would delay
consideration of coverage in doctors' offices and ambulatory surgery centers
while it reviewed its Year 2000 compliance issues. Medicare is now behind
schedule in many areas, and we do not expect that coverage for procedures
performed at these alternative sites will be approved until at least mid to late
2000. When and if reimbursement is approved, it most likely will be subject to a
prospective payment system. Under this system, ambulatory surgery centers and
doctors' offices will be allowed a flat rate of reimbursement for each TUNA
Procedure performed, and will need to manage their costs of supplies, equipment
and overhead to fit within the approved payment. The amount of reimbursement
allowed for a TUNA Procedure under a prospective payment system has not been
determined. As a result of these factors, we can give no assurance that
procedures performed in doctors' offices and ambulatory surgery centers will

                                       15
<PAGE>

generate significant revenue for us in the United States at least during the
year 2000.

     If coverage becomes available for procedures performed in doctors' offices
and ambulatory surgery centers, we expect that the number of procedures
performed will increase.  The amount of reimbursement could decrease, however,
and the decrease could be substantial.  We cannot predict whether the
amount of reimbursement, when and if it is approved, will be deemed adequate by
physicians and patients or whether our revenues from procedures performed
outside of hospitals will be sufficient to cover our operating expenses.

     Our Future Revenues and Profitability are Subject to Uncertainties
Regarding Health Care Reimbursement and Reform. The continuing efforts of
government and insurance companies, health maintenance organizations and other
payors of healthcare costs to contain or reduce costs of health care may affect
our future revenues and profitability. In the United States, given recent
federal and state government initiatives directed at lowering the total cost of
health care, the U.S. Congress and state legislatures will likely continue to
focus on healthcare reform including the reform of Medicare and Medicaid
systems, and on the cost of medical products and services.

     Our ability to commercialize the TUNA Procedure successfully will depend in
part on the extent to which the users of our products obtain appropriate
reimbursement for the cost of the TUNA Procedure. Third-party payors are
increasingly challenging the prices charged for medical products and services.
Also, the trend toward managed health care in the United States and the
concurrent growth of organizations such as HMOs, which could control or
significantly influence the purchase of healthcare services and products, as
well as legislative proposals to reform health care or reduce government
insurance programs, may all result in lower prices for or rejection of our
products. The cost containment measures that healthcare payors and providers are
instituting and the effect of any health care reform could cause reductions in
the amount of reimbursement available to users of our products, and could
materially adversely affect our ability to operate profitably.

     We Sell One Product Line and Our Revenues Will Suffer if there is a
Disruption in the Supply of Components. The VidaMed TUNA System consists of a
radio frequency generator, a reusable handle, a disposable cartridge and an
optical telescope. If a material problem develops with any one or more of those
components, our revenues would likely suffer because we do not have other
products to rely on. Possible problems include, but are not necessarily limited
to, malfunctions, failure to comply with or changes in governmental regulations,
product recalls, product obsolescence, injunctions resulting from litigation,
inability to protect our intellectual property, invalidity of our patents or
shortages of one or more of the components of the system.

     We Rely on Contract Manufacturers for the Majority of Our Manufacturing.
We outsource the manufacture of the disposable cartridge and most
other components of the TUNA System, and we rely on contract manufacturers to
supply our components in sufficient quantities, in compliance with regulatory
requirements and at an acceptable cost.  Manufacturers often encounter
difficulties in scaling up production of new products, including problems
involving production yields, product recalls, quality control and assurance,
component supply and lack of qualified personnel.  If any of our manufacturers
experience any production problems, we may not be able to locate an alternate
manufacturer promptly. Delays in production could adversely affect the
success of our fee-per-use program and our future revenues.

                                       16
<PAGE>

     Our Rights to Inventions of Our Founder are Limited to the Field of
Urology. The proprietary information agreement between VidaMed and Stuart D.
Edwards, one of our Company's founders, obligates Mr. Edwards to assign to
VidaMed his inventions and related intellectual property only in the field of
urology. Mr. Edwards has assigned to a third party his inventions in the cancer
field. Mr. Edwards has also conceived of and may continue to conceive of,
various medical device product concepts for other fields outside of urology,
including certain product concepts for the treatment of snoring and sleep apnea
and others in the gynecology and internal medicine field, all of which have been
assigned to unrelated third parties.

     We May Fail to Protect or Enforce Our Intellectual Property Rights. We rely
on a combination of patent, copyright and trade secret law to protect the
technology in our products. We hold numerous U.S. and foreign patents and patent
applications relating to our products. In addition to patents, we rely on trade
secrets and proprietary know-how which we seek to protect in part through
proprietary information agreements with employees, consultants and others. These
agreements typically provide that all materials and confidential information
developed or made known to the individual during the course of the individual's
relationship with us is to be kept confidential and cannot be disclosed to third
parties except in specific circumstances and that all inventions arising out of
the relationship with VidaMed shall be our exclusive property. These agreements
may be breached, and in some instances, we may not have an appropriate remedy
available for the breach. Furthermore, our competitors may independently develop
substantially equivalent proprietary information and techniques or otherwise
gain access to our proprietary technology. The steps we take may be inadequate
to protect our rights in our proprietary technology. Litigation may be necessary
to enforce our patents, protect our trade secrets or know-how or to determine
the enforceability, scope and validity of a third-party's proprietary rights.

     Intellectual Property Litigation is Expensive and Time Consuming and Could
Subject Us to Liabilities. The medical device industry has been characterized by
extensive litigation regarding patents and other intellectual property rights,
and companies in the medical device industry have employed intellectual property
litigation to gain a competitive advantage. We are aware of patents held by
other participants in our market, and there can be no assurance that we will not
in the future become subject to patent infringement claims and litigation or
United States Patent and Trademark Office interference proceedings.

     The defense and prosecution of intellectual property suits, Patent and
Trademark Office interference proceedings and related legal and administrative
proceedings are costly and time consuming. These proceedings could also result
in significant diversion of the time and attention of our technical and
management personnel. An adverse determination in litigation or interference
proceedings could subject us to significant liabilities to third parties or
require us to seek licenses from third parties. Although patent and intellectual
property disputes in the medical device area have often been settled through
licensing or similar arrangements, costs associated with such arrangements may
be substantial and could include ongoing royalties. Furthermore, there can be no
assurance that necessary licenses would be available on satisfactory terms or at
all. An adverse determination in a judicial or administrative proceeding or
failure to obtain necessary licenses could prevent us from manufacturing and
selling our products, which would have a material adverse effect on our
business, financial condition and results of operations.

                                       17
<PAGE>

     Our Business Exposes Us to Product Liability Claims. Use of our products
involves an inherent risk that product liability claims will be asserted against
us. Although we are insured against such risks up to a $10 million annual
aggregate limit, our present product liability insurance may be inadequate. A
successful product liability claim in excess of our insurance coverage could
have a material adverse effect on our business, financial condition and results
of operations. Any successful product liability claim may prevent us from
obtaining adequate product liability insurance in the future on commercially
desirable or reasonable terms. In addition, product liability insurance may
cease to be available in sufficient amounts or at an acceptable cost. An
inability to obtain sufficient insurance coverage could prevent or inhibit the
marketing and sale of our products. A product liability claim could result in a
recall of the product by the FDA and could have a material adverse effect on our
reputation, business, financial condition and results of operations.

     Exercise of Outstanding Warrants and Options Will Dilute Existing
Stockholders and Could Adversely Affect the Market Price of Our Stock. As of
February 29, 2000, we had issued and outstanding approximately $29.9 million
shares of common stock and outstanding warrants and options to purchase
approximately 7.5 million additional shares of common stock. The existence of
the outstanding options and warrants may adversely affect the market price of
our common stock and the terms under which we could obtain additional equity
capital. The exercise of the options and warrants will dilute the holdings of
our existing stockholders.

     The 7.5 million outstanding options and warrants include:  (i) options to
purchase a total of approximately 3.3 million shares granted to our employees,
officers, directors and consultants under various stock option plans, (ii)
warrants to purchase up to approximately 1.9 million shares of common stock
issued to investors who purchased common stock from us in a private placement in
January 2000; and (iii) warrants to purchase a total of approximately 2.3
million shares issued to other investors.  In addition, we have reserved
approximately 1.1 million shares of common stock for future issuance under
employee and director stock option plans, and our employee stock purchase plan.

     If We Fail to Satisfy the Continued Listing Requirements of the NASDAQ
SmallCap Market, Our Stock Could Become Subject to the SEC's Penny Stock Rules,
Making it Difficult to Sell. In December 1999, the NASDAQ-Amex Market Group
notified us that the listing of our common stock would be transferred from the
National Market to the SmallCap Market. The transfer occurred because we did not
satisfy the minimum net tangible asset listing requirement of the National
Market and because our independent auditors included a going concern uncertainty
paragraph in the opinion they issued in connection with our amended annual
report on Form 10-K/A for the fiscal year ended December 31, 1998.

     Management believes that VidaMed can satisfy the continued listing
requirements of the SmallCap Market for the foreseeable future, but if one or
more of the risks described herein were to occur, our listing
could be jeopardized.  If we were to lose our SmallCap Market listing, our
common stock would likely trade in the over-the-counter markets through the
"pink sheets" or on the NASDAQ's OTC Bulletin Board.  In addition, our stock
could become subject to the "penny stock" rules adopted by the Securities and
Exchange Commission.  These rules provide that a company's stock will be
considered a penny stock if it is not listed on a national securities exchange
or NASDAQ and its trading price is below $5 per share.  The rules impose several
sales practice requirements on broker-dealers who sell penny stocks to persons
other than established customers and investors who meet certain high net worth

                                       18
<PAGE>

and income standards.  Broker-dealers executing transactions in penny stocks
must make special suitability determinations for purchasers and receive each
purchaser's written agreement prior to the transaction.  Consequently, the rules
may adversely affect the ability of broker-dealers to sell penny stocks and the
ability of stockholders to sell their shares in the secondary market.

     The Volatility of Our Stock Price May Limit Our Ability to Obtain
Additional Financing. The market price of our common stock has historically been
highly volatile and could be materially and adversely affected if any of the
risks described herein were to occur. In addition, the stock market has from
time to time experienced significant price and volume fluctuations that are
unrelated to our operating performance. The broad market fluctuations and the
volatility of our stock may adversely affect its market price and impair our
ability to obtain future funding from the sale of our common or preferred stock.

     Competitors Have Greater Resources and May Develop Better Products.
Although there is a large market for the treatment of men suffering from
enlarged prostate, there are a number of therapies competing for market share.
Competition in the market for minimally invasive devices to treat this condition
has increased significantly and is expected to continue to increase.  The
relative speed with which we can develop products, complete clinical testing and
regulatory approval processes, secure third-party reimbursement and supply
commercial quantities of the product to the market are important competitive
factors.  Many of our competitors have significantly greater financial resources
than ours, which allows them to have larger technical, research, marketing, and
sales and distribution programs.  If competitors are able to develop superior
products, or are better able to market their products, we may not be successful
in commercializing our products and marketing and sales programs.

     U.S. Governmental Regulation May Impair Our Ability to Compete.  The
manufacture and distribution of our products are subject to continuous
governmental review.  In addition, new products or substantial modifications to
our existing product generally must be cleared by the FDA before they can be
introduced to the marketplace.  Noncompliance with applicable requirements can
result in:

 .    Fines;
 .    Injunctions;
 .    Civil penalties;
 .    Recall or seizure of products;
 .    Total or partial suspension of production;
 .    Failure of the government to grant approval for devices; and/or
 .    Criminal prosecution.

     Medical devices are classified into one of three classes, class I, II or
III, on the basis of the controls necessary to reasonably ensure their safety
and effectiveness. Safety and effectiveness can be ensured for class I devices
through general controls (such as labeling, pre-market notification and
adherence to good manufacturing practices) and for class II devices through the
use of special controls (such as performance standards, post-market
surveillance, patient registries, and FDA guidelines). Generally, class III
devices are those which must receive pre-market approval by the FDA to ensure
their safety and effectiveness (such as life-sustaining, life-supporting and
implantable devices, or new devices that have not been found substantially
equivalent to legally marketed devices). The FDA has cleared VidaMed's TUNA
system as a class II device.

                                       19
<PAGE>

     Before a new device or a substantial modification to an existing product
can be introduced into the market, the manufacturer must generally obtain FDA
clearance.  Clearance through a pre-market notification will be granted if the
submitted data establishes that the proposed device is substantially equivalent
to a legally marketed class I or II medical device, or to a class III medical
device for which the FDA has not called for a pre-market approval.

     The FDA may determine that a proposed device is not substantially
equivalent to a legally marketed device, or that additional data is needed
before a substantial equivalency determination can be made.  A determination
that the proposed device is not substantially equivalent, or a request for
additional data, could delay the market introduction of new products that fall
into this category.  If we are required to obtain clearance in the future, there
can be no assurance that we will be able to do so within a commercially
reasonable time, if at all.

     Foreign Governmental Regulation May Impair Our Ability to Compete.
Foreign regulations governing the sale of medical devices outside of the
United States vary widely from country to country.  The time required to obtain
approval for sale in a foreign country may be longer or shorter than that
required in the United States and the requirements may differ.  Although we have
received regulatory approvals where required for commercial sale of the TUNA
System in all major international markets, the requirements to maintain those
approvals could change, or new approvals could be necessary as we develop new
products or modify existing products.

     We have received certifications that allow us to affix the "CE" mark to the
TUNA System, permitting us to market and sell the TUNA System in all countries
of the European Economic Area.  Additional product approvals from foreign
regulatory authorities may be required for international sale of the general
electro-surgical components of the TUNA System.  Failure to comply with
applicable regulatory requirements can result in loss of previously received
approvals and other sanctions.

     Our previous distributor in Japan, Century Medical, Inc., has been
responsible for managing clinical trials and obtaining regulatory and
reimbursement approvals for the TUNA System in Japan.   Regulatory approval in
Japan was received from the Japanese Ministry of Health and Welfare in July 1997
for our previous-generation product.  Approval by the Japanese Ministry of
Health was granted for the new 7600 Model generator and PROVu system in August
1999.  Failure to obtain market acceptance for the TUNA Procedure in Japan could
preclude the commercial viability of our products in Japan and could have a
material adverse effect on our business, financial condition and results of
operations.  During the fourth quarter of 1999, we agreed with Century Medical
to terminate our business relationship, and in January 2000 entered into a new
distribution agreement with MC Medical, a subsidiary of Mitsubishi.  All
regulatory approvals and distribution rights are in the process of being
transferred to MC Medical and in compliance with Japanese law the relationship
with Century Medical will not terminate until all regulatory transfers are
completed and effective, which we anticipate to be in May 2000.

Item 7A.  Quantitative and Qualitative Disclosures about Market Risk

     Our exposure to market risk for a change in interest rates relates
primarily to the investment of our excess cash in marketable securities. We
place our investments with high credit quality issuers and by policy limit the
amount of credit exposure to any one issuer. Our policy is to ensure the safety

                                       20
<PAGE>

and preservation of our invested funds by limiting default risk and market risk.
We have no investments denominated in foreign currencies and therefore are not
subject to foreign exchange risk.

     We mitigate default risk by investing in high credit quality securities and
by positioning our portfolio to respond appropriately to a significant reduction
in a credit rating of any investment issuer or guarantor. The portfolio includes
only marketable securities with active secondary or resale markets to ensure
portfolio liquidity. As of December 31, 1999, our investments consisted of U.S.
government securities with maturities of less than ninety days.

Item 8.   Financial Statements and Supplementary Data

     See Item 14 of this Form 10-K for the required financial statements and
supplementary data.

Item 9.   Changes in and Disagreements on Accounting and Financial Disclosure

     Not applicable.

                                       21
<PAGE>

                                   PART III

Item 10.  Directors and Executive Officers of the Registrant

     Information with respect to our directors' names, ages, positions, term of
office and periods of service is incorporated by reference to the information
under the caption "Proposal No.1: Election of Directors" in our Proxy Statement
for the 2000 Annual Meeting of Stockholders. Information with respect to our
executive officers' names, ages, positions, term of office and periods of
service can be found in Item 4a. of this report on Form 10-K.

Item 11.  Executive Compensation

     The information required by this item regarding executive compensation is
incorporated by reference to the information set forth under the caption
"Executive Compensation and Other Matters" in our Proxy Statement for the 2000
Annual Meeting of Stockholders.

Item 12.  Security Ownership of Certain Beneficial Owners and Management

     The information required by this item regarding security ownership of
certain beneficial owners is incorporated by reference to the information under
the caption "Security Ownership of Certain Beneficial Owners and Management" in
our Proxy Statement for the 2000 Annual Meeting of Stockholders.

Item 13.  Certain Relationships and Related Transactions

     The information required by this item regarding certain relationships and
related transactions is incorporated by reference to the information under the
caption "Certain Relationships and Related Transactions" in our Proxy Statement
for the 2000 Annual Meeting of Stockholders.

                                       22
<PAGE>

                                    PART IV

Item 14 - EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K

(a)1. Financial Statements

The following consolidated financial statements of the Registrant and Report of
Ernst and Young LLP, Independent Auditors, are included herewith:
<TABLE>
<CAPTION>
                                                                   Page
                                                                   ----
<S>                                                                <C>
Consolidated Balance Sheets as of December 31, 1999 and 1998         27

Consolidated Statements of Operations for the three years ended
     December 31, 1999, 1998 and 1997                                28

Consolidated Statement of Stockholders' Equity for the three
     years ended December 31, 1999, 1998 and 1997                    29

Consolidated Statements of Cash Flows for the three years ended
     December 31, 1999, 1998 and 1997                                30

Notes to Consolidated Financial Statements                         31-43

Independent Auditor's Report                                         44
</TABLE>

  2. Financial Statement Schedules

     Schedule II - Valuation and Qualifying Accounts is included, on page 45.
All other schedules are omitted because they are not applicable, or not
required, or because the required information is included in the consolidated
financial statements or notes thereto.

  3. Exhibits

     The exhibits listed in the accompanying Index to Exhibits are filed as part
of, or incorporated by reference into, this report on Form 10-K. The following
is a list of such exhibits.

<TABLE>
<CAPTION>

Exhibit No.                  Description
- -----------                  -----------
<S>                          <C>
 3.1 (1)                     Restated Certificate of Incorporation of the Company filed with the Delaware Secretary of State on June
                             28, 1995.

 3.2 (2)                     Certificate of Designation of Rights, Preferences and Privileges of Series A Participating Preferred
                             Stock of the Company filed with the Delaware Secretary of State on January 13, 1997.

 3.3 (1)                     Restated Bylaws of the Company.

 4.1 (1)                     Form of Common Stock Certificate of the Company.

 4.2 (1)                     Warrant to Purchase Shares of Series B Preferred Stock, dated April 13, 1993, issued to Dominion
                             Ventures, Inc.

 4.3 (1)                     Warrant Purchase Agreement, dated November 8, 1993, between the Company and Dominion Ventures, Inc. and
                             Warrant to Purchase Shares of Series C Preferred Stock, issued to Dominion Ventures, Inc.

 4.4 (1)                     Warrant Purchase Agreement, dated June 30, 1994, between the Company and LINC Capital Management
                             Services, Ltd. And Warrant to Purchase Shares of Series D Preferred Stock, dated June 30,1994, issued
                             to LINC Capital Management Services, Ltd.
</TABLE>

                                       23
<PAGE>

<TABLE>
<CAPTION>
Exhibit No.                  Description
- -----------                  -----------
<S>                          <C>
 4.5 (1)                     Representative Form of Note Subscription Agreement and Convertible Subordinated Promissory Note.

 4.6 (2)                     Preferred Shares Rights Agreement dated as of January 27, 1997, between the Company and American
                             Securities Transfer & Trust, Inc. including the Certificate of Designations, the Form of Rights
                             Certificate and the Summary of Rights attached thereto as Exhibit A, Exhibit B and Exhibit C,
                             respectively.

 4.7 (3)                     Investment Agreement, dated as of February 4, 1997, between the Company and MeesPierson Clearing
                             Services B.V., including Form of Pricing attached thereto Confirmation, Form of Warrant and Form of
                             Opinion attached thereto as Exhibit A, Exhibit B and Exhibit C, respectively.

 4.8 (4)                     Purchase Agreement, dated as of September 22, 1997, among the Company and certain purchasers named
                             therein, including Schedule of Investors, Form of Common Stock and Form of Opinion attached thereto as
                             Exhibit A, Exhibit B and Exhibit C, respectively.

 4.9 (5)                     Purchase Agreement, dated as of October 26, 1999, among the Company and certain purchasers named
                             therein, including Schedule of Investors, Form of Common Stock Purchase Warrant and Form of Opinion
                             attached thereto as Exhibit A, Exhibit B and Exhibit C, respectively.

 4.10 (6)                    Purchase Agreement, dated as of January 4, 2000, among the Company and certain purchasers named
                             therein, including Schedule of Investors, Form of Common Stock Purchase Warrant and Form of Opinion
                             attached thereto as Exhibit A, Exhibit B and Exhibit C, respectively.

10.1 (1)*                    Form of Indemnification Agreement between the Company and each of its directors and officers.

10.2 (2)*                    1992 Stock Plan, as amended.

10.3 (5)*                    1995 Director Option Plan, as amended.

10.4 (1)*                    1995 Employee Stock Purchase Plan.

10.5 (1)                     Dominion Ventures Master Lease Agreement, dated April 13, 1993, between the Company and Dominion
                             Ventures, Inc., and First Amendment thereto.

10.6 (1)                     Master Lease Agreement, dated June 24, 1994, between the Company and LINC Capital Management Services,
                             Inc.

10.7 (1)                     Representative Form of International Distribution Agreement.

10.8 (1)                     Cross License Agreement, dated August 2, 1994, between the Company and RITA, formerly ZoMed
                             International, Inc.

10.9 (1)                     International Distribution Agreement, dated May 9, 1994, between the Company and Century Medical, Inc.

10.10 (1)                    Grant Agreement, dated July 19, 1993, between the Company and the United Kingdom Department of Trade
                             and Industry.
</TABLE>

                                       24
<PAGE>

<TABLE>
<CAPTION>
Exhibit No.                  Description
- -----------                  -----------
<S>                          <C>
10.11 (1)*                   Letter employment agreement, dated August 26, 1994, between the Company and John N. Hendrick.

10.12 (1)*                   Letter employment agreement, dated August 31, 1994, between the Company and James A. Heisch.

10.13 (1)                    Restated Shareholder Rights Agreement, dated November 23, 1994, among the Company and holders of the
                             Company's Registerable Securities.

10.14 (1)                    Loan and Security Agreement dated April 20, 1995 between the Company and Venture Lending and Leasing,
                             Inc. and related letter agreement.

10.15 (6)                    Operating Lease dated April 3, 1997, between the Company and Hopkins Brothers.

10.16 (6)                    Loan and Security Agreement, dated January 13, 1998, between the Company and Silicon Valley Bank.

10.17 (8)                    Loan and Security Agreement, dated October 20, 1998, between the Company and Transamerica Business
                             Credit Corporation.

10.18 (8)                    Manufacturing Agreement, dated January 5, 1999, between the Company and Humphrey Systems.

10.19*                       Employment Agreement, dated June 22, 1999, between the Company and Randy D. Lindholm.

10.20*                       Employment Agreement, dated August 20, 1999, between the Company and John F. Howe.

10.21*                       Severance Agreement, dated August 31, 1999, between the Company and David J. Illingworth.

10.22*                       Transition Agreement and Mutual Release, dated September 9, 1999, between the Company and
                             Richard D. Brounstein.

10.23                        Amendment and Waiver Agreement dated October 26, 1999, between the Company and Transamerica Business
                             Credit Corporation.

21.1 (1)                     Subsidiaries of the Registrant.

23.1                         Consent of Ernst & Young LLP, Independent Auditors.

24.1 (7)                     Power of Attorney.

27.1                         Financial Data Schedule.
</TABLE>
________________________________

Exhibit Footnotes:

(1)  Filed as an exhibit to the Company's Registration Statement on Form S-1
     (File No. 33-90746) and incorporated herein by reference.

(2)  Filed as an exhibit to the Company's Registration Statement on Form 8-A
     filed with the Securities and Exchange Commission on January 31, 1997 and
     incorporated herein by reference.

                                       25
<PAGE>

(3)  Filed as an exhibit to the Company's Current Report on form 8-K filed with
     the Securities and Exchange Commission on March 14, 1997 and incorporated
     herein by reference.

(4)  Filed as an exhibit to the Company's Current Report on Form 8-K filed with
     the Securities and Exchange Commission on September 24, 1997 and
     incorporated herein by reference.

(5)  Filed as an exhibit to the Company's Registration Statement on Form S-8
     (File No. 33-80619) and incorporated herein by reference.

(6)  Filed as an exhibit to the Company's Report on Form 10-K for the fiscal
     year ended December 31, 1997, and incorporated herein by reference.

(7)  Included on the signature page of the original Report on Form 10-K for the
     fiscal year ended December 31, 1999, and incorporated herein by reference.

(8)  Filed as an exhibit to the Company's Report on Form 10-K for the fiscal
     year ended December 31, 1998.

(*)  Management contracts and compensatory plans and arrangements required to
     be filed as exhibits pursuant to Item 14(a)(3) of this Form 10-K.

(b)  Reports on Form 8-K.

     The Company was not required to and did not file any reports on Form  8-K
during the three months ended December 31, 1999.

                                       26
<PAGE>

                                 VidaMed, Inc.
                          Consolidated Balance Sheets
              (In thousands except share and  per share amounts)

<TABLE>
<CAPTION>

                                                                                             December 31,
                                                                                   1999                    1998
                                                                             -----------------       -----------------
                          Assets
                          ------
<S>                                                                          <C>                     <C>
Assets
Current Assets:
      Cash and cash equivalents                                                    $     2,748             $     9,384
      Accounts receivable, net of allowance (1999-$1,115, 1998-$3,540)                   1,443                     228
      Inventory                                                                            415                   1,228
      Amounts prepaid to contract manufacturer                                              39                     724
      Other current assets                                                                 492                     455
                                                                             -----------------       -----------------
              Total current assets                                                       5,137                  12,019

Property and equipment, net                                                              2,017                   1,797
Other assets, net                                                                          166                     316
                                                                             -----------------       -----------------
              Total assets                                                         $     7,320             $    14,132
                                                                             =================       =================

                      Liabilities
                      -----------
Current liabilities:
      Notes payable current                                                        $     1,394             $       764
      Accounts payable                                                                     461                     338
      Accrued professional fees                                                             25                     317
      Accrued clinical trial costs                                                           -                     431
      Accrued other liabilities                                                          1,578                   2,156
      Accrued advertising                                                                    -                     309
      Accrued compensation                                                                 809                     206
      Restructuring accrual                                                                146                     252
      Current portion of obligations
              under capital leases                                                           -                      22
      Deferred revenue                                                                     272                     229
                                                                             -----------------       -----------------
              Total current liabilities                                                  4,685                   5,024

      Notes payable, long term                                                           1,030                   1,785

      Commitments and contingencies (Note 8)

                      Stockholders' Equity:
                      ---------------------
      Preferred stock, $.001 par value;
              5 million shares authorized; none
              Outstanding at December 31, 1999 and 1998
      Common stock, $.001 par value, 60 million shares
              authorized; 22,961,611 and 19,926,656 shares
              issued and outstanding at December 31, 1999
              and 1998, respectively.                                                       23                      20
      Additional paid-in-capital                                                       101,835                  95,727
      Notes receivable from stockholders                                                  (133)                   (205)
      Accumulated deficit                                                             (100,120)                (88,219)
                                                                             -----------------       -----------------
              Total stockholders' equity                                                 1,605                   7,323
                                                                             -----------------       -----------------
              Total liabilities and stockholder's equity                           $     7,320             $    14,132
                                                                             =================       =================
</TABLE>

                See Notes to Consolidated Financial Statements.

                                       27
<PAGE>

                                 VidaMed, Inc.
                     Consolidated Statements of Operations
               (In thousands except share and per share amounts)

<TABLE>
<CAPTION>
                                                                         Years Ended December 31,
                                                           1999                    1998                    1997
                                                      ----------------       -----------------       -----------------
<S>                                                   <C>                    <C>                     <C>
Revenues:
      Product sales, net                                   $     5,553             $       589             $     9,065
      Distribution fees, grant and other
              income                                               352                     439                     763
                                                      ----------------       -----------------       -----------------
      Net revenues                                               5,905                   1,028                   9,828

Cost of Products Sold                                            2,824                   3,130                   7,261
                                                      ----------------       -----------------       -----------------
Gross Profit (loss)                                              3,081                  (2,102)                  2,567

Operating Expenses:
      Research and development                                   3,034                   4,241                   6,003
      Selling, general and administrative                       11,782                  13,466                  13,020
                                                      ----------------       -----------------       -----------------
              Total operating expenses                          14,816                  17,707                  19,023
                                                      ----------------       -----------------       -----------------
              Loss from operations                             (11,735)                (19,809)                (16,456)

Interest and other income                                          516                     523                     345
Interest and other expense                                        (682)                   (587)                   (359)
                                                      ----------------       -----------------       -----------------
Net loss                                                   $   (11,901)            $   (19,873)            $   (16,470)
                                                      ================       =================       =================
Basic and diluted net loss per share                       $     (0.58)            $     (1.10)            $     (1.29)
                                                      ================       =================       =================
Shares used in computing basic and diluted
      net loss per share                                    20,631,000              18,133,000              12,786,000
                                                      ================       =================       =================
</TABLE>

                See Notes to Consolidated Financial Statements.

                                       28
<PAGE>

                                 VidaMed, Inc.
                Consolidated Statements of Stockholders Equity
                 Years ended December 31, 1999, 1998 and 1997
                      (In thousands except share amounts)

<TABLE>
<CAPTION>
                                                                                                             Notes
                                                                                       Additional         receivable
                                                                        Common          paid-in              from
                                                                        Stock           capital           stockholders
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                                                 <C>                 <C>                  <C>
Balances at December 31, 1996                                       $     11            $ 55,895             $  (205)
   Exercise of options to purchase 96,106
     shares of common stock                                                -                 251                   -
   Issuance of 4,157,814 shares of common stock,
     net of offering costs of $774                                         4              21,552                   -
   Issuance of 21,039 shares of common stock,
     under the employee stock purchase plan                                -                  91                   -
   Amortization of deferred compensation                                   -                   -                   -
   Net loss and comprehensive loss                                         -                   -                   -
                                                                -------------------------------------------------------------
Balances at December 31, 1997                                             15              77,789                (205)
   Exercise of options to purchase 36,386
     shares of common stock                                                -                  83                   -
   Issuance of 53,970 shares of common stock
     under the employee stock purchase plan                                -                 195                   -
   Issuance of 4,632,899 shares of common stock,
     net of offering costs of $639                                         5              17,660                   -
   Amortization of deferred compensation                                   -                   -                   -
   Net loss and comprehensive loss                                         -                   -                   -
                                                                -------------------------------------------------------------
Balances at December 31, 1998                                             20              95,727                (205)
   Exercise of options to purchase
     214,882 shares of common stock                                        -                 449                   -
   Issuance of 88,477 shares of common stock
     under the employee stock purchase plan                                -                 163                   -
   Issuance of 2,731,596 shares of common stock,
     net of offering costs of $235                                         3               5,496                   -
   Proceeds on notes receivable from stockholders                          -                   -                   2
   Net loss and comprehensive loss                                         -                   -                   -
- -----------------------------------------------------------------------------------------------------------------------------
Balances at December 31, 1999                                       $     23            $101,835             $  (133)
=============================================================================================================================




                                                                       Deferred           Accumulated     Total stockholders'
                                                                     compensation           deficit             equity
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                                                       <C>             <C>                     <C>
Balances at December 31, 1996                                             $(123)          $ (51,877)              $  3,701
   Exercise of options to purchase 96,106
     shares of common stock                                                   -                   -                    251
   Issuance of 4,157,814 shares of common stock,
     net of offering costs of $774                                            -                   -                 21,556
   Issuance of 21,039 shares of common stock,
     under the employee stock purchase plan                                   -                   -                     91
   Amortization of deferred compensation                                     97                   -                     97
   Net loss and comprehensive loss                                            -             (16,469)               (16,469)
                                                                -------------------------------------------------------------
Balances at December 31, 1997                                               (26)            (68,346)                 9,227
   Exercise of options to purchase 36,386
     shares of common stock                                                   -                   -                     83
   Issuance of 53,970 shares of common stock
     under the employee stock purchase plan                                   -                   -                    195
   Issuance of 4,632,899 shares of common stock,
     net of offering costs of $639                                            -                   -                 17,665
   Amortization of deferred compensation                                     26                   -                     26
   Net loss and comprehensive loss                                            -             (19,873)               (19,873)
                                                                -------------------------------------------------------------
Balances at December 31, 1998                                                 -             (88,219)                 7,323
   Exercise of options to purchase
     214,882 shares of common stock                                           -                   -                    449
   Issuance of 88,477 shares of common stock
     under the employee stock purchase plan                                   -                   -                    163
   Issuance of 2,731,596 shares of common stock,
     net of offering costs of $235                                            -                   -                  5,499
   Proceeds on notes receivable from stockholders                             -                   -                     72
   Net loss and comprehensive loss                                            -             (11,901)               (11,901)
- -----------------------------------------------------------------------------------------------------------------------------
Balances at December 31, 1999                                                 -           $(100,120)              $  1,605
=============================================================================================================================
</TABLE>

          See Notes to Consolidated Financial Statements.VidaMed, Inc

                                       29
<PAGE>

                                 VidaMed, Inc.
                     Consolidated Statement of Cash Flows
                                (In thousands)

<TABLE>
<CAPTION>
                                                                                        Years Ended December 31,
                                                                -------------------------------------------------------------------
                                                                      1999                    1998                       1997
                                                                ----------------        ----------------           ----------------
<S>                                                             <C>                     <C>                        <C>
Cash flows from operating activities:
  Net loss                                                              $(11,901)               $(19,873)                  $(16,470)
  Adjustments to reconcile net loss to net cash
    Used in operating activities
    Depreciation and amortization                                          1,906                   1,489                      1,369
  Changes in assets and liabilities:
    Accounts receivable                                                   (1,215)                  3,416                     (1,231)
    Inventory                                                                813                     284                        (65)
    Other current assets                                                     (37)                    225                        (15)
    Prepaid to contract manufacturer                                         685                    (474)                      (250)
    Other assets                                                             150                    (110)                         2
    Accounts payable                                                         123                  (1,198)                       290
    Accrued professional fees                                               (292)                   (242)                        61
    Accrued clinical trial costs                                            (431)                     59                       (610)
    Accrued interest payable                                                   -                    (422)                       143
    Accrued advertising                                                     (309)                      -                          -
    Accrued compensation                                                     603                      93                          9
    Accrued restructuring costs                                             (106)                   (748)                     1,000
    Accrued and other liabilities                                           (578)                    (42)                      (166)
    Deferred revenue                                                          43                    (382)                       241
                                                                ----------------        ----------------           ----------------
Net cash used in operating activities                                    (10,546)                (17,925)                   (15,692)
                                                                ----------------        ----------------           ----------------

Cash flows from investing activities:
    Expenditures for property and equipment                               (2,126)                   (639)                    (1,757)
    Proceeds from maturities of short-term
      investments                                                              -                       -                      1,977
                                                                ----------------        ----------------           ----------------
Net cash provided by (used in) investing activities                       (2,126)                   (639)                       220
                                                                ----------------        ----------------           ----------------

Net cash flows from financing activities:
Principal payments under capital leases                                      (22)                   (104)                      (474)
Principal payments of long-term debt and notes
    payable                                                                 (755)                 (2,058)                    (1,805)
Net proceeds from issuance of notes payable
    and convertible notes                                                    630                   4,115                          -
Net cash proceeds from issuance of common stock                            6,183                  17,969                     21,898
                                                                ----------------        ----------------           ----------------
Net cash provided by financing activities                                  6,036                  19,922                     19,619
                                                                ----------------        ----------------           ----------------

Net increase (decrease) in cash and cash equivalents                      (6,636)                  1,358                      4,147
Cash and cash equivalents at the beginning of the period                   9,384                   8,026                      3,879
                                                                ----------------        ----------------           ----------------
Cash and cash equivalents at the end of the period                      $  2,748                $  9,384                   $  8,026
                                                                ================        ================           ================

Supplemental disclosure of cash flows information:
Cash paid for interest                                                  $    404                $    309                   $    654
                                                                ================        ================           ================

                See Notes to Consolidated Financial Statements.
</TABLE>

                                       30
<PAGE>

                                 VIDAMED, INC.

                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1.   The Company and Significant Accounting Policies

The Company

     VidaMed, Inc. (the "Company" or "VidaMed") founded in 1992, designs,
develops, and markets technologically and clinically advanced systems for
urological conditions. Our focus is the treatment of the enlarged prostate or
benign prostatic hyperplasia, more commonly known as BPH. In the United States,
we directly sell and market our products to hospitals, urologists, and surgery
centers primarily through a "fee-per-use" program. Under this program we place
an entire TUNA System with a hospital at no charge to the hospital. Revenue is
generated upon shipment of a single-use component needed for each transurethral
needle ablation (TUNA) procedure performed.  Outside of the United States, we
primarily sell all of our products to international distributors who resell to
physicians and hospitals.

     As of December 31, 1999, we had cash and cash equivalents of $2,748,000. In
January 2000, we sold 6.46 million shares of common stock in a private placement
for net proceeds of approximately $11,100,000. Management believes that the
proceeds from the recent financing together with existing cash and anticipated
revenues from the fee-per-use program will be sufficient to fund operations at
current levels through the end of 2000.

Principles of Consolidation

     The consolidated financial statements include the accounts of VidaMed
and our wholly owned subsidiaries after elimination of inter-company balances
and transactions.

Use of Estimates

     The preparation of financial statements in conformity with accounting
principles generally accepted in the United States requires management to make
estimates and assumptions that affect the amounts reported in the financial
statements and accompanying notes. Actual results could differ from those
estimates.

Revenue Recognition

     Revenue from product sales is recognized at the time of shipment, net
of allowances for discounts and estimated returns which are also provided for at
the time of shipment. Under our "fee-per-use" program, we place an entire TUNA
System with a hospital at no charge to the hospital. Revenue is generated upon
shipment of a single-use component needed for each TUNA Procedure performed.
Revenue for distribution rights and extended warranty contracts are recognized
over the right or contract period.  We do not provide price protection or allow
a right of return for products sold.

     At December 31, 1999 and 1998, we had deferred $272,000 and $229,000,
respectively, for revenues related to granting distribution rights, a new
distributor stocking order and extended warranty contracts.

                                       31
<PAGE>

Warranty Costs

     We provide at the time of sale for the estimated cost of replacing and
repairing products under warranty. The warranty period ranges from 90 days to
one year depending upon the component. Because of the length of the warranty
period, adjustments to the originally recorded provisions may be necessary from
time to time.

Stock Based Compensation

     We account for our stock options and equity awards in accordance with
the provisions of Accounting Principles Board Opinion No.25, "Accounting for
Stock Issued to Employees" and have elected to follow the "disclosure only"
alternative prescribed by the Financial Accounting Standards Board's Statement
of Financial Accounting Standards No.123, "Accounting for Stock-Based
Compensation" (Statement 123). We account for stock options issued to non-
employees in accordance with the provisions of Statement 123 and Emerging Issues
Task Force 96-18.

Foreign Currency Translation

     The functional currency for foreign subsidiaries is the United States
dollar. Monetary assets and liabilities denominated in foreign currencies are
translated at the year-end exchange rate.  Inventory, property and equipment and
non-monetary assets and liabilities denominated in foreign currencies are
translated at historical rates.  Adjustments resulting from these translations
are included in the results of operations and have been immaterial.  We do not
enter into foreign currency forward exchange contracts.

Reporting Comprehensive Income (Loss)

     We follow the Statement of Financial Accounting Standards No.130,
"Reporting Comprehensive Income" (Statement 130).  Statement 130 establishes new
rules for the reporting and display of comprehensive income and its components.
Statement 130 requires unrealized gains or losses on our available-for-sale
securities and foreign currency translation adjustments to be included in other
comprehensive income (loss).  Comprehensive loss materially approximated net
loss for all periods presented.

Net Loss Per Share

     Basic net loss per share is computed based on the weighted average number
of shares of our common stock. Diluted net loss per share is computed based on
the weighted average number of shares of our common stock and common equivalent
shares (stock options and warrants to purchase common stock) if dilutive. Basic
and diluted net loss per share are equivalent for all periods presented due to
our net loss in all periods.

     Options to purchase 3.5 million shares of common stock and warrants to
purchase 2.1 million shares of common stock were outstanding as of December 31,
1999, but would not be included in the computation of diluted net loss per share
as their impact would be anti-dilutive.

Segment Information

     Effective January 1, 1998, we adopted the Statement of Financial
Accounting Standards No. 131, "Disclosure about Segments of an Enterprise and
Related Information" (Statement 131). Statement 131 establishes standards for

                                       32
<PAGE>

the way that public business enterprises report information about operating
segments in annual financial statements and requires that those enterprises
report selected information about operating segments in interim financial
reports.  Statement 131 also establishes standards for related disclosures about
products and services, geographic areas, and major customers.  The adoption of
Statement 131 had no significant effect on results of operations or our
financial position.

Income Taxes

     We recognize income taxes under the liability method. Deferred income taxes
are recognized for differences between the financial statement and tax basis of
assets and liabilities at enacted statutory tax rates in effect for the years in
which the differences are expected to reverse. The effect on the deferred taxes
of a change in tax rates is recognized in income in the period that includes the
enactment date. In addition, valuation allowances are established when necessary
to reduce deferred tax assets to the amounts expected to be realized.

Recent Accounting Pronouncements

     In June 1998, the Financial Accounting Standards Board issued Statement No.
133, "Accounting for Derivative Instruments and Hedging Activities" (Statement
133), which is required to be adopted in the first quarter of the year ending
December 31, 2001. Management does not anticipate that the adoption of Statement
133 will have a significant effect on results of operations or our financial
position.

     In December 1999, the Securities and Exchange Commission issued Staff
Accounting Bulletin No.101 (SAB 101).  SAB 101 summarizes certain areas of the
Staff's views in applying generally accepted accounting principles to revenue
recognition in financial statements. We believe that our current revenue
recognition principles comply with SAB 101.

2.   Advertising Costs

     Advertising expenses were $126,000, $148,400, and $585,300 in 1999, 1998
and 1997, respectively. We expense advertising costs as incurred.

3.   Inventories

     Inventories are stated at the lower of cost (determined using the
first-in, first-out method) or market value. As shown below, the decrease in the
inventory balance at December 31, 1999, compared to December 31, 1998, was due
primarily to the outsourcing of manufacturing of our disposable catheters in
early 1999.

<TABLE>
<CAPTION>
                                            December 31,
                                          1999      1998
                                         ------    ------
                                          (in thousands)
<S>                                       <C>
Raw materials..........................  $  147    $  404
Work in process........................      39       261
Finished goods.........................     229       563
                                         ------    ------
                                         $  415    $1,228
                                         ======    ======
</TABLE>

                                       33
<PAGE>

4.   Property and Equipment

     Property and equipment are stated at cost.  Depreciation is provided
on a straight-line basis over the estimated useful life of the respective
assets, which range from two to five years.  Leasehold improvements are
amortized on a straight-line basis over the shorter of the estimated useful life
or the remaining life of the lease.  In accordance with Statement of Financial
Accounting Standard No. 121, "Accounting for the Impairment of Long-Lived Assets
to be Disposed of," we identify and record impairment losses, as circumstances
dictate, on long-lived assets used in operations when events and circumstances
indicate that the assets might be impaired and the undiscounted cash flows
estimated to be generated by those assets are less than the carrying amounts of
those assets.  No such events have occurred with respect to our  long-lived
assets, which consist primarily of generators, machinery, computer equipment,
furniture and leasehold improvements.

Property and equipment consists of the following:

<TABLE>
<CAPTION>
                                                                December 31,
                                                           --------------------
                                                             1999         1998
                                                           -------      -------
                                                               (in thousands)
<S>                                                        <C>          <C>
Furniture and fixtures.........................            $   465      $   464
Machinery and equipment........................              3,575        3,624
Computer equipment and software................              1,219        1,250
Leasehold improvements.........................              1,044        1,044
Generators, scopes and handles..... ...........              1,888            -
                                                           -------     --------
                                                             8,191        6,382
Less accumulated depreciation and
Amortization...................................             (6,174)      (4,585)
                                                           -------      -------
                                                           $ 2,017      $ 1,797
                                                           =======      =======
</TABLE>

     Property and equipment in 1999 includes the generators and associated
scopes and handles used in the fee-per-use program and for sales demonstration
and service loaner repair purposes.

5.   Business Risks and Credit Concentration

     We sell our products to hospitals and urologists in the United States and
to distributors elsewhere in the Americas, Europe and the Pacific Rim. We
perform ongoing credit evaluations of our customers and generally do not require
collateral. We do not have a concentration of credit or operating risk in any
one customer or any one geographic region within or outside the United States.

     During the third quarter of 1998, we recorded a sales reserve of $2.7
million. The $2.7 million reserve was recorded as a reduction in product sales
and an increase in the allowance for doubtful accounts. The affected sales were
recorded primarily during the first and second quarters of 1998 as products were
sold. At the time the sales were made, Medicare was on record that it would
provide reimbursement for TUNA Procedures performed in office settings and at
ambulatory surgery centers. In August 1998, Medicare announced

                                       34
<PAGE>

that due to its internal year 2000 issues, it would not begin reimbursement for
in-office or ambulatory surgery center treatments before mid-2000, and that
reimbursement would be phased in over a three-year period. At the time we first
recorded the sales, we reasonably expected to receive payment from our customers
and no future performance obligations existed. It was not until the Medicare
reimbursement policy changed in August 1998 that we re-evaluated our sales
reserve and that the additional reserve was recorded.

     For the years ended December 31, 1999 and 1997, no customer represented
more than 10% of our net revenues. For the year ended December 31, 1998, Century
Medical, Inc. represented 50% of our net revenues. Century Medical was our
exclusive distributor in Japan until February 2000, when the distributorship was
transferred to MC Medical, a subsidiary of Mitsubishi Corporation.

     As of December 1999, we had a prepaid materials balance of $39,000
with Telo Electronics, Inc., the manufacturer of the VidaMed Generator. We had
$685,000 and $762,000 in purchases from Telo Electronics, Inc. in the years
ended December 31, 1999 and 1998, respectively.

     The VidaMed TUNA System, the only product line we sell, consists of a radio
frequency generator, a reusable handle, a disposable cartridge and an optical
telescope.  If a material problem develops with any one or more of those
components, our revenues would likely suffer because we do not have other
products to rely on.

     Furthermore, we outsource the manufacture of the disposable cartridge and
most other components of the TUNA System, and we rely on contract manufacturers
to supply our components in sufficient quantities, in compliance with regulatory
requirements and at an acceptable cost.  Manufacturers often encounter
difficulties in scaling up production of new products, including problems
involving production yields, product recalls, quality control and assurance,
component supply and lack of qualified personnel.  If any of our manufacturers
experience any production problems, we may not be able to locate an alternate
manufacturer promptly. Delays in production could adversely affect the success
of our fee-per-use program and our future revenues.

6.   Financial Instruments

     We consider all highly liquid investments with maturities of 90 days
or less from the date of purchase to be cash equivalents.  We invest our excess
cash in deposits with banks.  Short-term investments consist of commercial paper
and government securities with remaining maturities at the date of purchase of
greater than 90 days and less than one year. By policy, we limit similar types
of investments and diversify investing activities utilizing several investment
agencies.

     We account for marketable investments under Statement of Financial
Accounting Standards No. 115, "Accounting for Certain Investments in Debt and
Equity Securities" (Statement 115).  Under Statement 115, management determines
the appropriate classification of debt securities at the time of purchase and
re-evaluates such designation as of each balance sheet date.  To date, all
marketable securities have been classified as available-for-sale and are carried
at fair value at quoted market prices.  Unrealized gains and losses are reported
as a separate component of accumulated other comprehensive income.  The
amortized cost of debt securities in this category is adjusted for amortization
of premiums and accretion of discounts to maturity.  Such amortization or
accretion is included in interest income or interest expense,

                                       35
<PAGE>

respectively. The cost of securities sold is based on the specific
identification method. Interest earned on securities classified as
available-for-sale is included in interest income.

     As of December 31, 1999 and 1998, we had U. S. government securities
and commercial paper available for sale at a fair market value of approximately
$2,297,000 and $8,383,000, respectively, with no gross unrealized gains or
losses. As of December 31, 1999 and 1998, all available-for-sale securities are
recorded as cash equivalents as the maturities of the investments at the date of
purchase are less than 90 days.  For the years ended December 31, 1999, 1998 and
1997, gross realized gains and losses on sales were immaterial.

     The fair market value of the long-term debt approximates its carrying value
based on an assessment of maturity, the variable interest rates and the
incremental borrowing rate for similar debt.

7.   Long-Term Debt and Notes Payable

     In October 1998, we finalized a $5.5 million debt facility with
Transamerica Technology Finance, a division of Transamerica Corporation. The
facility is secured by our assets and consists of a revolving accounts
receivable-based credit line of up to $3 million and a $2.5 million equipment
term loan. The term loan was funded in full as of December 31, 1998, at an
interest rate of 12% per year. Repayment of that loan is amortized over a three-
year period, with the first monthly payment having been made in December 1998
and continuing monthly thereafter.

     As of December 31, 1999, we borrowed approximately $500,000 against
the revolving accounts receivable-based line at a rate of 10.50% per year. The
revolving credit line has a minimum interest payment of $96,000 per year.  In
conjunction with the initial financing, Transamerica received a 5-year warrant
to purchase 55,000 shares of our common stock at a price of $0.89 per share.

     On October 26, 1999, we entered into an Amendment and Waiver Agreement with
Transamerica.  Under that agreement, Transamerica waived an event of default
under our Loan and Security Agreement.  The event of default resulted from the
inclusion of a going concern uncertainty paragraph in an updated opinion from
our independent auditors with respect to our fiscal 1998 financial statements.
In consideration for the waiver, we paid Transamerica a $10,000 fee and issued
it a warrant to acquire 20,000 shares of our common stock for a purchase price
of $0.89 per share.  The warrant has a term of five years.

     In January 2000, we renewed our debt facility with Transamerica and in
consideration of this renewal paid a $15,000 fee and issued Transamerica a
warrant to acquire an additional 77,320 shares of our common stock for a
purchase price of $1.94 per share.  The warrant has a term of 5 years.

     Future principal payments for notes payable at December 31, 1999
consist of $1,394,000 and $1,030,000 due in the years ending December 31, 2000,
and 2001, respectively.

8.   Commitments and Contingencies

Lease Agreement

     We moved in July 1997 to a 35,000 square-foot facility in Fremont,
California.  The future minimum lease payments under a non-cancelable operating
lease as of December 31, 1999 are as follows:

                                       36
<PAGE>

<TABLE>
<CAPTION>
Fiscal year ending December 31    (in thousands)
- --------------------------------  --------------
<S>                               <C>
2000............................         $  421
2001............................            433
2002............................            183
                                         ------
Total minimum lease payments....         $1,037
                                         ======
</TABLE>

Rent expense for the years ended December 31, 1999, 1998 and 1997 was $513,000,
$537,000, and $433,000, respectively.

Manufacturing Agreement

     In January 1999, we signed a manufacturing agreement with Zeiss Humphrey
Systems, a local medical device manufacturer, to produce the VidaMed PROVu
disposable cartridge.  The contract runs through the year 2001 and calls for
VidaMed to purchase a minimum of 10,000 units over the three-year period.  If
VidaMed terminates this agreement prior to expiration or fails to make the
minimum purchases thereunder, we would have to pay at least $200,000, but no
more than $750,000 to the manufacturer. As of December 31, 1999 we had purchased
an aggregate of 2,964 disposable cartridges from Zeiss Humphrey Systems.

9.   Stockholders' Equity

Common Stock & Warrants

     In 1994 and 1995 in connection with certain credit and lease facilities,
all of which have been repaid, we issued warrants to purchase an aggregate of
119,000 shares of our common stock at prices ranging from $3.00 to $12.83 per
share. The warrants expire at various times from 2000 through 2004. As of
December 31, 1999, no warrants have been exercised.

     In February 1997, we entered into an equity financing agreement with a
European investment bank that provided us with the option to sell to such
investment bank up to $10,000,000 of VidaMed common stock. Under this
arrangement, the common stock was priced at a 10% discount to the current market
price at the time of sale, subject to adjustment. As of December 31, 1997 we had
issued 1,570,000 shares of common stock under the arrangement, resulting in
approximately $10,000,000 of proceeds. Under this arrangement, we issued to the
investment bank warrants to purchase common stock, which after being adjusted
according to their terms as a result of subsequent financing transactions
through December 31, 1999, has resulted in the issuance of warrants to purchase
a total of 201,000 common shares of stock. These warrants range in exercise
price from $5.55 to $8.51 per share, and expire at various times in 2000. As of
December 31, 1999, no warrants have been exercised.

     In September 1997, we completed a private placement with certain investors.
In this transaction, we issued 2,600,000 shares of common stock at a purchase
price of $4.75 per share resulting in net proceeds of $11,700,000. In connection
with this financing, we issued warrants to purchase an aggregate of 629,000
shares of common stock, which after being adjusted as a result of a subsequent
financing transaction, are priced at $4.00 per share and expire in September
2000. As of December 31, 1999, no warrants had been exercised.

                                       37
<PAGE>

     In May 1998, we completed a sale of publicly registered common stock with
certain investors, officers and directors.  In this transaction, we issued
4,340,004 shares of common stock at a purchase price of $4.00 per share
resulting in net proceeds of $16,717,000.  In connection with this financing, we
issued to the investors three-year warrants to purchase an aggregate of
1,100,000 shares of common stock, which after being adjusted as a result of a
subsequent financing transaction, are priced at $2.713 per share and expire in
May 2001. As of December 31, 1999, no warrants had been exercised.

     In February 1999, we completed a sale of common stock to the principals of
one of our key vendors. In this transaction, we issued 368,596 shares of common
stock at a purchase price of $2.713 per share resulting in net proceeds
$1,000,000.  No warrants were issued in this financing transaction.

     In 1998 and 1999 in connection with a debt facility arranged with
Transamerica Technology Finance, which is still outstanding (see Note 7), we
issued 5-year warrants to purchase a total of 75,000 shares of common stock at a
purchase price of $0.89 per share. As of December 31, 1999, no warrants had been
exercised.

     In October and November 1999, we sold 2.25 million shares of common stock
at a price of $2.00 per share in a private placement, which resulted in net
proceeds to us of approximately $4,300,000. No warrants were issued in this
financing transaction.

     As of December 31, 1999, we have reserved a total of 2,124,000 shares of
common stock for issuance upon the conversion of outstanding warrants.

     Warrants issued in connection with equity and debt arrangements are valued
using the Black-Scholes option valuation model.  Warrants issued to underwriters
and similar parties in connection with equity financings are accounted for as
stock issuance costs with an equal amount recorded as additional paid-in
capital. Warrants issued to purchasers of our equity securities are not
specifically accounted for as their value is a sub-component of additional paid-
in capital.  The fair value of warrants issued in connection with debt
arrangements, if material, is accounted for as a debt discount and amortized as
additional interest expense over the term of the related debt.

Notes Receivable from Stockholders

     Interest on notes receivable from stockholders accrues at rates ranging
from 6.73% to 7.96% per annum. Principal and interest payments are due at
various times after December 1999.

Stock Options

     We have elected to follow APB 25 and related Interpretations in accounting
for our employee stock options and employee stock purchase plan because, as
discussed below, the alternative fair value accounting provided for under
Statement No. 123 requires use of option valuation models that were not
developed for use in valuing employee stock options. Under APB 25, because the
exercise price of our employee stock options equals the market price of the
underlying stock on the date of grant, no compensation expense is recognized.

     In July 1992, the board of directors adopted the 1992 Stock Plan (the
"Plan"). As amended during 1998, we have reserved 4,300,000 shares of common
stock for issuance upon exercise of options granted under the Plan.

                                       38
<PAGE>

     The Plan provides for both incentive and nonqualified stock options to be
granted to employees and consultants.  The Plan provides that incentive stock
options will be granted at an exercise price of no less than the fair market
value of our common stock on the date of the grant, and for non-qualified stock
options the exercise price is determined by the board of directors. If, at the
time we grant an option, the optionee owns more than 10% of the total combined
voting power of all the classes of stock of the Company, the option price shall
be at least 110% of the fair value and the option shall not be exercisable for
more than five years after the date of grant.  The options become exercisable
over periods determined by the board of directors, which is currently four
years.  Options expire no more than ten years after the date of grant, or
earlier if employment terminates.

     In the year ended December 31, 1997, the board of directors voted on and
approved two stock option repricings.  We repriced options as an incentive plan
in order to retain key employees.  All employees were offered the repriced value
for options in exchange for a six to twelve-month lock up of option exercising
rights.  The first repricing occurred in May 1997 and revalued the option price
at $6.875 for all current employees excluding outside board members.  We did not
record any compensation expense under APB 25 resulting from this repricing as
the exercise price of $6.875 per share equaled the fair market value of the
common stock at the date of the board of directors vote, and the fair market
value of our common stock further declined from the time the repricing was
approved to the time employees agreed to the new terms of the repriced options.
The second repricing occurred in September 1997 and revalued the option price at
$4.813 for all current employees excluding outside board members.   We did not
record any compensation expense under APB 25 resulting from this repricing as
the exercise price of $4.813 per share equaled the fair market value of the
common stock at the date of the board of directors vote, and compensation which
resulted from an increase in the fair market value of our common stock from the
time the repricing was approved to the time employees agreed to the new terms of
the repriced options was immaterial.

     In April 1995, the stockholders approved the 1995 Director Option Plan
(Director Plan).  A total of 200,000 shares of common stock have been authorized
for the issuance.  Each non-employee director automatically is granted a non-
qualified option to purchase 20,000 shares of common stock upon joining the
board, of which 50% vests immediately and 50% vests within one year. Each non-
employee director also receives an automatic grant to purchase 5,000 shares of
common stock, immediately vested, on the first business day of each fiscal year.
The exercise price of stock grants under the Director Plan must be at least
equal to 100% of the fair market price of the common stock on the date of the
grant.

     In December 1998, the board of directors adopted the 1999 Non-statutory
Stock Option Plan (the "99 Plan").  A total of 950,000 shares of common stock
have been authorized for issuance.  The 99 Plan provides for non-qualified stock
options and stock rights to be granted to employees and consultants (Service
Providers), with the specific exclusion of officers and directors of the
Company. The 99 Plan is administered by the board of directors. The board
determines the fair market value of the common stock, selects the Service
Providers to whom options and stock rights may be granted, and determines the
extent to which options and stock rights are granted and the number of shares
of common stock to be covered by the option and stock rights granted. The 99
Plan is effective for 10 years, unless sooner terminated by its terms.

                                       39
<PAGE>

Activity under the Plans is summarized below:

<TABLE>
<CAPTION>
                                                                          Options Outstanding
                                                 Shares          -------------------------------------        Weighted Avg.
                                              Available              Number               Weighted Avg.        Fair Value
                                              of Shares              Shares              Exercise Price        Grant Date
                                    -------------------------------------------------------------------------------------------
<S>                                   <C>                 <C>                  <C>                        <C>
Balance at December 31, 1996                    797,592            1,466,547                       $7.02                      -
Shares authorized                               366,666                    -                           -                      -
   Options granted                           (1,674,883)           1,674,883                       $5.08                  $3.93
   Options exercised                                  -              (94,994)                      $2.61                      -
   Options canceled                           1,165,276           (1,165,276)                      $8.78                      -
                                    ----------------------------------------
Balance at December 31, 1997                    654,651            1,881,160                       $4.42                      -

Shares authorized                             1,200,000                    -                           -                      -
   Options granted                           (1,957,830)           1,957,830                       $2.69                  $4.17
   Options exercised                                  -              (36,386)                      $2.29                      -
   Options canceled                             277,723             (277,723)                      $4.57                      -
                                    ----------------------------------------
Balance at December 31, 1998                    174,544            3,524,881                       $3.50                      -

Shares authorized                                                    950,000                           -
   Options granted                           (1,285,289)           1,285,289                       $1.68                  $1.18
   Options exercised                                  -             (214,882)                      $2.09                      -
   Options canceled                           1,046,707           (1,046,707)                      $4.30                      -
                                    ----------------------------------------
Balance at December 31, 1999                    885,332            3,548,581                       $3.65                      -
                                    ========================================
</TABLE>

Exercise prices for options outstanding as of December 31, 1999 ranged from
$0.188 to $10.25 based on the following price ranges. The weighted-average
remaining contractual life of those options is 7.70 years.

<TABLE>
<CAPTION>
                                                                       Weighted              Number
                             Number               Weighted              Average           Exercisable        Weighted
     Range of              Outstanding            Average             Contractual            as of           Average
  Exercise Price         as of 12/31/99        Exercise Price            Life              12/31/99       Exercise Price
- --------------------------------------------------------------------------------------------------------------------------
<S>            <C>           <C>               <C>                 <C>                  <C>               <C>
$0.1880 -  $0.7810           694,222                0.77                 8.64           248,544                0.75
$1.2825 -  $2.0000           709,922                1.84                 9.39            40,672                1.47
$2.0630 -  $2.8750           536,964                2.32                 7.97           172,658                2.68
$3.2500 -  $4.5000           850,813                3.98                 8.13           535,880                3.96
$4.5313 - $10.2500           756,660                4.91                 6.49           626,593                4.94
                         -----------                                                -----------
                           3,548,581                                                  1,624,347
                         ===========                                                ===========
</TABLE>

     In April 1995, the stockholders approved the 1995 Employee Stock Purchase
Plan (the "Purchase Plan").  As amended in 1999, a total of 600,000 shares of
common stock have been authorized for issuance. As of December 31, 1999, 269,000
shares have been issued under the Purchase Plan. Under the Purchase Plan
participating employees may contribute up to 15% of their salary to purchase
shares of the Company's common stock.  The purchase price is equal to 85% of the
fair market value of the common stock on the first day of the offering period or
on last day of the purchase period, whichever is lower.

     Pro forma information regarding net loss and loss per share is required by
Statement 123, and has been determined as if the Company had accounted for

                                       40
<PAGE>

its employee stock options granted subsequent to December 31, 1994 under the
fair value method of that Statement. The fair value for these options was
estimated at the date of grant using a Black-Scholes option pricing model with
the following weighted-average assumptions for 1999, 1998 and 1997,
respectively: risk-free interest rates of 6.33%, 4.74%, and 6.00%; dividend
yields of 0.0%; volatility factors of the expected market price of the Company's
common stock of 1.0, 0.897 and 0.924; and a weighted-average expected life of
the options of 3.0 years.

     The Black-Scholes option valuation model was developed for use in
estimating the fair value of traded options, which have no vesting restrictions
and are fully transferable. In addition, option valuation models require the
input of highly subjective assumptions including the expected stock price
volatility. Because our employee stock options have characteristics
significantly different from those of traded options, and because changes in the
subjective input assumptions can materially affect the fair value estimate, in
management's opinion, the existing models do not necessarily provide a reliable
single measure of the fair value of our employee stock options.

     For purposes of pro forma disclosures, the estimated fair value of the
options is amortized to expense over the options' vesting period. Our pro forma
information follows (in thousands, except per share amounts):

<TABLE>
<CAPTION>
                               1999        1998       1997
                             ---------  ---------  ---------
<S>                         <C>         <C>         <C>
Pro forma net loss            ($14,254)  ($22,223)  ($19,950)
                             =========  =========  =========
Pro forma loss per share        ($0.69)    ($1.23)    ($1.56)
                             =========  =========  =========
</TABLE>

     We recorded deferred compensation for the difference between the grant
price and the deemed fair value of our common stock, as determined by the board
of directors, for certain options granted in the twelve-month period prior to
our initial public offering. This deferred compensation totaled $436,000, and
was amortized over the vesting period of the options through 1998. Amortization
of deferred compensation of $26,000 and $97,000 was recorded in the years ended
December 31, 1998 and 1997, respectively.

10.  Income Taxes

     We account for income taxes under Statement of Financial Accounting
Standards No. 109, "Accounting for Income Taxes."

     As of December 31, 1999, we had Federal and California net operating loss
carry forwards of approximately $64,900,000 and $22,300,000, respectively.
Additionally, we had foreign net operating loss carry forwards of approximately
$21,400,000.  The Federal net operating loss carry forwards will expire at
various dates beginning in 2007 through 2019 if not utilized.  The California
net operating losses will expire at various dates beginning in 2000 through 2004
if not utilized.

     Utilization of the net operating losses may be subject to an annual
limitation due to the ownership change rules provided by the Internal Revenue
Code of 1986 and similar state provisions.  The annual limitation may result in
the expiration of the net operating losses before utilization.

                                       41
<PAGE>

Significant components of our deferred tax assets are as follows (in thousands):

<TABLE>
<CAPTION>
                                                                         December 31,
                                                                     --------------------
                                                                        1999       1998
                                                                     ---------   --------
<S>                                                                <C>           <C>
Deferred tax assets:
U.S. Net operating loss carry forwards                               $  23,400     20,100
Foreign net operating losses                                             7,000      6,400
Research credit (expires in 2007 through 2012)                           1,200      1,000
Capitalized research and development for California purposes             1,400      1,300
Other                                                                    2,300      2,300
                                                                     ---------   --------
Total deferred tax assets                                               35,300     31,100
Valuation allowance for deferred tax assets                            (35,300)   (31,100)
                                                                     ---------   --------
Net deferred tax assets                                              $       -   $
                                                                     =========   ========
</TABLE>

During the years ended December 31, 1998 and 1997, the valuation allowance for
deferred tax assets increased by $6,400,000 and $6,200,000, respectively, due to
our continuing operating losses.

11.  Geographic Segment Data

     Our business activities include the design, development, marketing and
sales of devices for urology applications and have been organized into one
operating segment. Our domestic operations primarily consist of product
development, sales and marketing. Our foreign operations consist of subsidiaries
in the United Kingdom and Australia. Our subsidiary in the U.K. was established
in 1993 and was engaged in product development, manufacturing, sales and
marketing and product distribution worldwide. The shutdown of the U.K. facility
in November 1997 has left the U.K. with operations related only to sales and
marketing. The Australian subsidiary was established in 1994 and operates as a
sales and marketing office for the Asia Pacific region.

Information regarding geographic areas is as follows (in thousands):

<TABLE>
<CAPTION>
                    1999                    1998                   1997
           Revenue*     Long lived  Revenue*   Long lived  Revenue*   Long lived
                          assets                 assets                 assets
<S>         <C>           <C>       <C>          <C>       <C>          <C>
U.S.        $4,006        $2,010    $ (119)      $1,774    $7,889       $2,619
Europe      $  930        $    3    $  304       $    7    $1,033       $    1
Asia        $  969        $    4    $  843       $   16    $  906       $   27
            ------        ------    ------       ------    ------       ------
Total       $5,905        $2,017    $1,028       $1,797    $9,828       $2,647
            ------        ------    ------       ------    ------       ------
</TABLE>

*Revenue is attributed to geographic areas based on the location of the
customers.

12.  Restructuring Accrual

     In September 1997, we announced a restructuring program designed to reduce
costs and improve operating efficiencies by closing our U.K. manufacturing
facility.  The charge in 1997 was $2.1 million recorded in cost of products
sold.

                                       42
<PAGE>

The elements of the total charge as of December 31, 1999 are as follows (in
thousands):
<TABLE>
<CAPTION>
                                      Representing
                         --------------------------------------
                                                 Cash Outlays
                                              -----------------
                           Total               Asset
                         Charges  Write-down  Completed  Future
<S>                      <C>        <C>       <C>        <C>
Fixed assets                $  390      $390  $       -  $    -
Facility shut down           1,305         -      1,305       -
Grant Repayment                405         -        259     146
                            ------  --------  ---------  ------
Total Special Charges       $2,100      $390     $1,564    $146
                            ------  --------  ---------  ------
</TABLE>

13.  Subsequent Events

     In January 2000, we announced that we had raised a net $11.2 million in a
private equity placement, including $9.2 million from Medtronic and $2.0 million
from existing stockholders, and ($0.1) million issuance costs. The terms of the
financing were 6.46 million shares sold at a price of $1.73 per share, which
represented a premium to the average closing price for the five days proceeding
the sale.  Each investor, including Medtronic, also received a warrant to
acquire up to 30% of the number of shares of common stock the investor
purchased, or a total of 1.938 million shares.  Each warrant is for a term of 5
years with an exercise price of $1.80 per share.

     In January 2000, we renewed our debt facility arrangement with Transamerica
and in consideration of this renewal paid a fee of $15,000 and issued a warrant
to acquire an additional 77,320 shares of common stock for a purchase price of
$1.94 per share.  The warrant has a term of 5 years.

14.  Subsequent Events (Unaudited)

     In February 2000, we announced a distribution agreement with MC Medical, a
subsidiary of Mitsubishi Corporation, a leading company in marketing and
distributing advanced medical technologies throughout Japan, providing exclusive
Japanese distribution rights of VidaMed's TUNA System. MC Medical also purchased
106,648 shares of common stock at a purchase price of $2.81 for a total equity
investment of $300,000. MC Medical replaced Century Medical as our distributor
in Japan.

     In February 2000, we entered into a sublease agreement contract with a
third party to sublet 11,400 square feet of our Fremont, California, facility.
The sublease rent commitment for years 2000, 2001 and 2002 is $133,000, $182,000
and $78,000, respectively.

                                       43
<PAGE>

               REPORT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS

The Board of Directors and Stockholders VidaMed, Inc.

     We have audited the accompanying consolidated balance sheets of VidaMed,
Inc. as of December 31, 1999 and 1998, and the related consolidated statements
of operations, stockholders' equity and cash flows for each of the three years
in the period ended December 31, 1999. Our audits also included the financial
statement schedule listed in the Index at Item 14(a). These financial statements
and schedule are the responsibility of the Company's management. Our
responsibility is to express an opinion on these financial statements and
schedule based on our audits.

     We conducted our audits in accordance with auditing standards generally
accepted in the United States. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether the financial statements
are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An
audit also includes assessing the accounting principles used and significant
estimates made by management, as well as evaluating the overall financial
statement presentation. We believe that our audits provide a reasonable basis
for our opinion.

     In our opinion, the financial statements referred to above present fairly
and in all material respects, the consolidated financial position of VidaMed,
Inc. at December 31, 1999 and 1998, and the consolidated result of its
operations and its cash flows for each of the three years in the period ended
December 31, 1999, in conformity with accounting principles generally accepted
in the United States. Also, in our opinion, the related financial statement
schedule, when considered in relation to the basic financial statements taken as
a whole, present fairly in all material respects the information set forth
therein.

                             /s/ Ernst & Young LLP


Palo Alto, California
January 31, 2000

                                       44
<PAGE>

Schedule II - Valuation and Qualifying Accounts
<TABLE>
<CAPTION>
                                            Allowance for Doubtful Accounts (in thousands)
                              Charged to           Charged to                                      Balance at
                        Balance at Beginning       costs and        Other                            End of
Description                   of Period             Expenses       Accounts       Deductions         Period
- ----------------------------------------------------------------------------------------------------------------
<S>                     <C>                       <C>              <C>            <C>                <C>
Balance 12/31/97                 168                  891             0               0              1,059
Balance 12/31/98               1,059                3,359*            0            (878)             3,540
Balance 12/31/99               3,540                   48             0           2,473              1,115
</TABLE>

* The $3.4 million increase in the allowance account for 1998 includes the $2.7
million sales reserve discussed in Note 5 of the Notes to Consolidated
Financial Statements under the caption "Business Risks and Credit
Concentration."

                                       45
<PAGE>

                                   SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) 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.


                                 VIDAMED, INC.


                                 By   /s/ John F. Howe
                                    ---------------------------------------
                                     John F. Howe
                                     VP Finance &
                                     Chief Financial Officer
March 28, 2000


                               POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature
appears below hereby constitutes and appoints Randy D. Lindholm and John F. Howe
as his or her attorneys-in-fact, with full power of substitution, for him or her
in any and all capacities, to sign any and all amendments to this Report on Form
10-K, and to file the same, with exhibits thereto and other documents in
connection therewith, with the Securities and Exchange Commission, hereby
ratifying and confirming our signatures as they may be signed by our said
attorneys to any and all amendments to said Report.

     Pursuant to the requirements of the Securities Exchange Act of 1934, this
Report has been signed below by the following persons on behalf of the
Registrant and in the capacities and on the dates indicated:

<TABLE>
<CAPTION>
        Signatures                     Title                                              Date
        ----------                     -----                                              ----
<S>                                    <C>                                                <C>
  /s/ Randy D. Lindholm            Chairman, President and Chief                         March 20, 2000
- -----------------------------      Executive Officer
     (Randy D. Lindholm)           (Principal Executive Officer)


   /s/ John F. Howe                Vice President, Finance and Chief                     March 20, 2000
- -----------------------------      Financial Officer
      (John F. Howe)               (Principal Financial & Accounting Officer)


  /s/ Michael D. Ellwein           Director                                              March 20, 2000
- -----------------------------
     (Michael D. Ellwein)


    /s/ Robert J. Erra             Director                                              March 20, 2000
- -----------------------------
       (Robert J. Erra)


  /s/ Elizabeth H. Davila          Director                                              March 20, 2000
- -----------------------------
     (Elizabeth H. Davila)


    /s/ Paulita LaPlante           Director                                              March 20, 2000
- -----------------------------
       (Paulita LaPlante)


    /s/ Kurt C. Wheeler            Director                                              March 20, 2000
- -----------------------------
       (Kurt C. Wheeler)

</TABLE>

                                       46
<PAGE>
                             INDEX TO EXHIBITS

<TABLE>
<CAPTION>

Exhibit No.                  Description
- -----------                  -----------
<S>                          <C>
 3.1 (1)                     Restated Certificate of Incorporation of the Company filed with the Delaware Secretary of State on June
                             28, 1995.

 3.2 (2)                     Certificate of Designation of Rights, Preferences and Privileges of Series A Participating Preferred
                             Stock of the Company filed with the Delaware Secretary of State on January 13, 1997.

 3.3 (1)                     Restated Bylaws of the Company.

 4.1 (1)                     Form of Common Stock Certificate of the Company.

 4.2 (1)                     Warrant to Purchase Shares of Series B Preferred Stock, dated April 13, 1993, issued to Dominion
                             Ventures, Inc.

 4.3 (1)                     Warrant Purchase Agreement, dated November 8, 1993, between the Company and Dominion Ventures, Inc. and
                             Warrant to Purchase Shares of Series C Preferred Stock, issued to Dominion Ventures, Inc.

 4.4 (1)                     Warrant Purchase Agreement, dated June 30, 1994, between the Company and LINC Capital Management
                             Services, Ltd. And Warrant to Purchase Shares of Series D Preferred Stock, dated June 30,1994, issued
                             to LINC Capital Management Services, Ltd.

 4.5 (1)                     Representative Form of Note Subscription Agreement and Convertible Subordinated Promissory Note.

 4.6 (2)                     Preferred Shares Rights Agreement dated as of January 27, 1997, between the Company and American
                             Securities Transfer & Trust, Inc. including the Certificate of Designations, the Form of Rights
                             Certificate and the Summary of Rights attached thereto as Exhibit A, Exhibit B and Exhibit C,
                             respectively.

 4.7 (3)                     Investment Agreement, dated as of February 4, 1997, between the Company and MeesPierson Clearing
                             Services B.V., including Form of Pricing attached thereto Confirmation, Form of Warrant and Form of
                             Opinion attached thereto as Exhibit A, Exhibit B and Exhibit C, respectively.

 4.8 (4)                     Purchase Agreement, dated as of September 22, 1997, among the Company and certain purchasers named
                             therein, including Schedule of Investors, Form of Common Stock and Form of Opinion attached thereto as
                             Exhibit A, Exhibit B and Exhibit C, respectively.

 4.9 (5)                     Purchase Agreement, dated as of October 26, 1999, among the Company and certain purchasers named
                             therein, including Schedule of Investors, Form of Common Stock Purchase Warrant and Form of Opinion
                             attached thereto as Exhibit A, Exhibit B and Exhibit C, respectively.

 4.10 (6)                    Purchase Agreement, dated as of January 4, 2000, among the Company and certain purchasers named
                             therein, including Schedule of Investors, Form of Common Stock Purchase Warrant and Form of Opinion
                             attached thereto as Exhibit A, Exhibit B and Exhibit C, respectively.

10.1 (1)                     Form of Indemnification Agreement between the Company and each of its directors and officers.

10.2 (2)                     1992 Stock Plan, as amended.

10.3 (5)                     1995 Director Option Plan, as amended.

10.4 (1)                     1995 Employee Stock Purchase Plan.

10.5 (1)                     Dominion Ventures Master Lease Agreement, dated April 13, 1993, between the Company and Dominion
                             Ventures, Inc., and First Amendment thereto.

10.6 (1)                     Master Lease Agreement, dated June 24, 1994, between the Company and LINC Capital Management Services,
                             Inc.

10.7 (1)                     Representative Form of International Distribution Agreement.

10.8 (1)                     Cross License Agreement, dated August 2, 1994, between the Company and RITA, formerly ZoMed
                             International, Inc.

10.9 (1)                     International Distribution Agreement, dated May 9, 1994, between the Company and Century Medical, Inc.

10.10 (1)                    Grant Agreement, dated July 19, 1993, between the Company and the United Kingdom Department of Trade
                             and Industry.

10.11 (1)                    Letter employment agreement, dated August 26, 1994, between the Company and John N. Hendrick.

10.12 (1)                    Letter employment agreement, dated August 31, 1994, between the Company and James A. Heisch.

10.13 (1)                    Restated Shareholder Rights Agreement, dated November 23, 1994, among the Company and holders of the
                             Company's Registerable Securities.

10.14 (1)                    Loan and Security Agreement dated April 20, 1995 between the Company and Venture Lending and Leasing,
                             Inc. and related letter agreement.

10.15 (6)                    Operating Lease dated April 3, 1997, between the Company and Hopkins Brothers.

10.16 (6)                    Loan and Security Agreement, dated January 13, 1998, between the Company and Silicon Valley Bank.

10.17 (8)                    Loan and Security Agreement, dated October 20, 1998, between the Company and Transamerica Business
                             Credit Corporation.

10.18 (8)                    Manufacturing Agreement, dated January 5, 1999, between the Company and Humphrey Systems.

10.19                        Employment Agreement, dated June 22, 1999, between the Company and Randy D. Lindholm.

10.20                        Employment Agreement, dated August 20, 1999, between the Company and John F. Howe.

10.21                        Severance Agreement, dated August 31, 1999, between the Company and David J. Illingworth.

10.22                        Transition Agreement and Mutual Release, dated September 9, 1999, between the Company and
                             Richard D. Brounstein.

10.23                        Amendment and Waiver Agreement dated October 26, 1999, between the Company and Transamerica Business
                             Credit Corporation.

21.1 (1)                     Subsidiaries of the Registrant.

23.1                         Consent of Ernst & Young LLP, Independent Auditors.

24.1 (7)                     Power of Attorney.

27.1                         Financial Data Schedule.
</TABLE>
________________________________

Exhibit Footnotes:

(1)  Filed as an exhibit to the Company's Registration Statement on Form S-1
     (File No. 33-90746) and incorporated herein by reference.

(2)  Filed as an exhibit to the Company's Registration Statement on Form 8-A
     filed with the Securities and Exchange Commission on January 31, 1997 and
     incorporated herein by reference.

(3)  Filed as an exhibit to the Company's Current Report on form 8-K filed with
     the Securities and Exchange Commission on March 14, 1997 and incorporated
     herein by reference.

(4)  Filed as an exhibit to the Company's Current Report on Form 8-K filed with
     the Securities and Exchange Commission on September 24, 1997 and
     incorporated herein by reference.

(5)  Filed as an exhibit to the Company's Registration Statement on Form S-8
     (File No. 33-80619) and incorporated herein by reference.

(6)  Filed as an exhibit to the Company's Report on Form 10-K for the fiscal
     year ended December 31, 1997, and incorporated herein by reference.

(7)  Included on the signature page of the original Report on Form 10-K for the
     fiscal year ended December 31, 1999, and incorporated herein by reference.

(8)  Filed as an exhibit to the Company's Report on Form 10-K for the fiscal
     year ended December 31, 1998.


<PAGE>

                                 Exhibit 10.19

                                 Vidamed, Inc.
                             46107 Landing Parkway
                           Fremont, California 94538


                                 June 22, 1999

Mr. Randy Lindholm
c/o Vidamed, Inc.
46107 Landing Parkway
Fremont, CA 94538

     Re:  Terms of Employment Offer
          -------------------------

Dear Mr. Lindholm:

     This letter will confirm the terms of your offer of employment with
Vidamed, Inc.  Such terms are as follows:

     1.   Position and Responsibilities.  You will serve in the position of
          -----------------------------
President and Chief Executive Officer, reporting to the Board of Directors of
the Company.  You will assume and discharge such responsibilities as are
commensurate with such position.  During the term of your employment, you shall
devote your full time, skill and attention to your duties and responsibilities
and shall perform them faithfully, diligently and competently.  In addition, you
shall comply with and be bound by the operating policies, procedures and
practices of Vidamed in effect from time to time during your employment.  Your
service as President and Chief Executive Officer will commence on August 1, 1999
(the "Start Date").

     2.   Compensation.
          ------------

          (a) In consideration of your services, effective as of the Start Date,
you will be paid a base salary of $235,000 per annum, payable twice monthly in
accordance with Vidamed's standard payroll practices.  Upon the termination of
service of David Illingworth as Executive Chairman of the Company, which is
expected to occur six months following the Start Date (the "Phase II Date") your
base salary will be increased to $260,000.  Thereafter, your base salary will
normally be reviewed annually by the compensation committee of the Board of
Directors of Vidamed.

          (b) On the Start Date, 25% of the original principal amount (plus
accrued interest thereon) of your loan from Vidamed (the "Loan") will be
forgiven.  On each of the Phase II Date, the date which is six months after the
Phase II Date and the date which is 18 months after the Phase II Date, 25% of
the original principal amount (plus accrued interest thereon) of the Loan will
be forgiven, provided you remain employed by the Company as President and Chief
Executive Officer on each such Loan forgiveness date.

         (c) You will be entitled to participate in the Vidamed Performance
Incentive Plan. In addition, a separate incentive compensation or bonus plan
will be

                                       47
<PAGE>

established for you as President and Chief Executive Officer. You understand
that the adoption of any such plan, the eligibility and measurement criteria and
all other terms shall be at the sole discretion of the compensation committee
and board of directors of Vidamed.

     3.   Other Benefits.  You will be entitled to receive the standard employee
          --------------
benefits made available by Vidamed to its employees to the full extent of your
eligibility therefor.  You shall be entitled to paid vacation in accordance with
Vidamed's vacation policy.  During your employment, you shall be permitted, to
the extent eligible, to participate in any group medical, dental, life insurance
and disability insurance plans, or similar benefit plan of Vidamed that is
available to executive officers generally.  Participation in any such plan shall
be consistent with your rate of compensation to the extent that compensation is
a determinative factor with respect to coverage under any such plan.

          Vidamed shall reimburse you for all reasonable expenses actually
incurred or paid by you in the performance of your services on behalf of the
company, upon prior authorization and approval in accordance with Vidamed's
expense reimbursement policy as from time to time in effect.

     4.   Stock Option.  Pursuant to Board approval, and under the terms and
          ------------
conditions of the Vidamed Stock Option Plan and Stock Option Agreement,
including the stock vesting provisions contained therein, you will be granted an
option to purchase 400,000 shares of common stock of Vidamed.   Your stock
option will be granted in two separate tranches as follows: (i) tranche 1 for
200,000 shares will be granted to you on the second business day after your
acceptance of this offer letter and (ii) tranche 2 will be granted to you on the
Phase II Date, provided you remain employed by the Company as President and
Chief Executive Officer on the Phase II Date. The exercise price for each
tranche will equal the fair market value of Vidamed Common Stock on the
respective grant dates. Both tranches will vest over a four year period
beginning on the date of commencement of your service as President and Chief
Executive Officer (in the case of the tranche 1 options) and on the Phase II
Date (in the case of the tranche 2 options). The Vidamed Stock Option Plan,
including the Stock Option Agreement, will be sent to you separately.

     5.   Confidential Information.  You agree that your employment is
          ------------------------
contingent upon your execution of, and delivery to, Vidamed of an Employment,
Confidential Information and Invention Assignment Agreement in the standard form
utilized by Vidamed.

     6.   Conflicting Employment.  You agree that, during the term of your
          ----------------------
employment with Vidamed, you will not engage in any other employment,
occupation, consulting or other business activity directly related to the
business in which Vidamed is now involved or becomes involved during the term of
your employment, nor will you engage in any other activities that conflict with
your obligations to Vidamed.

     7.   General Provisions.
          ------------------

          (a) This offer letter will be governed by the laws of the State of
California, applicable to agreements made and to be performed entirely within
such state.

          (b) This offer letters sets forth the entire agreement and
understanding between Vidamed and you relating your employment and supersedes
all prior verbal

                                       48
<PAGE>

discussion between us. Any subsequent change or changes in your duties, salary
or other compensation will not affect the validity or scope of this agreement.

          (c) This agreement will be binding upon your heirs, executors,
administrators and other legal representatives and will be for the benefit of
Vidamed and its respective successors and assigns.

     Please acknowledge and confirm your acceptance of this letter by signing
and returning the enclosed copy of this offer letter as soon as possible.

                              VIDAMED, INC.


                              By  /s/
                                 -------------------------------------
                                       Robert Erra, Director


ACCEPTANCE:

     I accept the terms of my employment with Vidamed, Inc.  as set forth
herein.  I understand that this offer letter does not constitute a contract of
employment for any specified period of time, and that my employment relationship
may be terminated by either party, with or without cause and with or without
notice.

Date: June 23, 1999               /s/
      -------                    --------------------------------------
                                             Randy Lindholm

                                       49

<PAGE>

                                 Exhibit 10.20

August 20, 1999



Mr. John Howe
859 Gray Fox Circle
Pleasanton, CA 9456

     Re: Offer of Employment as
         Vice President and Chief Financial Officer,
         VidaMed, Inc.

Dear Mr. Howe:

     This letter will confirm the terms of your offer of employment with
VidaMed, Inc.  Such terms are as follows:

1.   Position and Responsibilities: You will serve in the position of Vice
     -----------------------------
     President and Chief Financial Officer reporting to the President and Chief
     Executive Officer. You will assume and discharge such responsibilities as
     commensurate with such position. This is a position of trust and you shall
     devote your full time, skill, and attention to your duties and shall
     perform them faithfully, diligently, and competently. In addition, you
     shall comply with and be bound by the operating policies, procedures and
     practices of VidaMed currently in effect and as may be amended from time to
     time during your employment.

2.   Compensation:
     ------------

     (a)  In consideration of your services, you will be paid a base salary of
          $175,000 per annum, payable twice monthly in accordance with VidaMed's
          standard payroll practices. Your base salary is normally reviewed
          annually by the Compensation Committee of the Board of Directors.

     (b)  In addition to your base salary, you will be entitled to participate
          in the VidaMed Performance Improvement Program, prorated for the
          fiscal year 1999, and such other incentive compensation or bonus
          plan(s) which may be adopted for senior management. The adoption of
          such plan, eligibility, measurement criteria and all terms shall be
          determined by the Compensation Committee of the Board of Directors in
          its sole discretion.

     (c)  Additionally, you will receive a car allowance of $300 per month
          payable with your usual semi-monthly payroll check.

3.   Other Benefits: You will be entitled to receive the standard employee
     --------------
     benefits made available by VidaMed to its employees to the full extent of
     your eligibility. You shall accrue Paid Time Off (PTO) consistent with
     VidaMed's PTO policy. During your employment, you shall be permitted, to
     the extent eligible, to participate in any group medical, dental, vision,
     life insurance and disability insurance plans, or similar benefit plan of
     VidaMed that is generally available to executive officers.

     VidaMed shall reimburse you for all reasonable expenses actually incurred
     or paid by you in the performance of your services on behalf of the
     company, in accordance with VidaMed's expense reimbursement policy.

4.   Stock Options: Pursuant to Board approval, and under the terms and
     -------------
     conditions of the VidaMed Employee Stock Option Plan and Stock Option
     Agreement, including the stock vesting provisions contained therein, you
     will be granted the option the purchase 150,000 shares of VidaMed common

                                       50
<PAGE>

stock. The exercise price for this grant shall be the closing bid price of
VidaMed common stock as of August 23, 1999. This grant shall vest on a
cumulative monthly basis over a four-year period beginning on the date of
commencement of your employment. In the event of a merger or acquisition
involving VidaMed, or the sale of substantially all of VidaMed's assets which
results in a Change of Control, 100% of your unvested stock options shall become
vested upon the date the Change of Control becomes effective.

5.   Confidential Information: Your employment is contingent upon your execution
     ------------------------
     of and delivery of an Employment, Confidential Information and Invention
     Assignment Agreement in the standard form utilized by VidaMed.

6.   Conflicting Employment: During the term of your employment with VidaMed,
     ----------------------
     you will not engage in any other employment, occupation, consulting or
     other business activity related to the business in which VidaMed is now or
     may become involved in during your employment, nor will you engage in an
     other activities that conflicts with your obligations to VidaMed.

7.   General Provisions:
     ------------------

     (a)  This offer letter will be governed by the laws of the State of
          California, applicable to agreements made and to be performed entirely
          within such state .

     (b)  This offer letter sets forth the entire agreement and understanding
          between VidaMed and you relating to your employment and supercedes all
          prior verbal discussions between us. Any subsequent change or changes
          in your duties, salary or other compensation will not affect the
          validity or scope of this agreement.

     (c)  This agreement shall be binding upon your heirs, executors,
          administrators, and other legal representatives and will be for the
          benefit of VidaMed and its respective successors and assigns.

     Please acknowledge and confirm your acceptance of this letter by signing
and returning the enclosed copy as soon as possible.

VidaMed, Inc.



By  /s/
    -------------------------------
    Randy Lindholm
    President and Chief Executive Officer


ACCEPTANCE:
- ----------

     I accept the terms of employment with VidaMed, Inc. as set forth herein. I
understand that this offer letter does not constitute a contract of employment
for any specified period of time, and that either party, with or without cause,
may terminate the employment relationship.


/s/                                                  August 20, 1999
- -----------------------------------        ------------------------------------
John Frederick Howe                        Date
SSN # ###-##-####

Start Date: Monday, August 23, 1999
            -----------------------

                                       51

<PAGE>

                                 Exhibit 10.21


                                 VidaMed, Inc.
                             46107 Landing parkway
                           Fremont, California 94538
                           -------------------------

                                August 31, 1999


Mr. David Illingworth
Executive Chairman and
Chairman of the Board
VidaMed, Inc,
46107 Landing Parkway
Fremont, California 94538

     Re: Resignation of Employment as Executive Chairman and Consulting
         Agreement
         --------------------------------------------------------------

Dear Mr. Illingworth:

     With reference to your agreement with VidaMed, Inc. dated June 26, 1999
     ("Employment Agreement") regarding your service to the Company as Executive
     Chairman, this letter will confirm the terms of your resignation from that
     office and the compensation to be paid to you by the Company.

1.   Resignation and Acknowledgments.  Effective August 31, 1999 (the
     --------------------------------
     "Resignation Date") Mr. Illingworth herewith resigns his employment with
     VidaMed, Inc. as its Executive Chairman. The Company acknowledges the fine
     service of Mr. Illingworth and confirms that his resignation was
     necessitated by the Company's need for additional outside (non-employee)
     directors. Mr. Illingworth shall remain as Chairman of the Company's Board
     of Directors. Mr. Illingworth's authority and responsibility as a Member
     and Chairman of the VidaMed Board of Directors is herewith recognized as
     distinct from his role as Executive Chairman and is in no way modified by
     this writing.

2.   Consulting and Severance Benefits.  As a severance for early termination of
     ---------------------------------
     your Employment Agreement and as consideration for the releases granted
     herein by Mr. Illingworth to the Company, the Company has agreed:

     (a)  To retain Mr. Illingworth as a consultant on the Resignation Date
          through February 15, 2000 ("Termination Date"). Mr. Illingworth's
          compensation through the consultancy period shall be $56,250.00
                                                               ----------
          payable in two lump sums of $28,125.00 each; the first payment shall
          be made November 1, 1999 and the second February 15, 2000.

     (b)  As further consideration to Mr. Illingworth, the Company shall
          purchase for Mr. Illingworth and his dependants, through the
          Termination Date, a policy of health insurance equivalent to that the
          Company provides its officers and employees, and

     (c)  To pay Mr. Illingworth on or before February 1, 2000 his share of the
          VidaMed Performance Improvement Plan ("PIP") under such terms accorded
          the President and Chief Executive Officer of the Company, prorated
          from January 1, 1999 through August 1, 1999. For purposes of
          calculating benefits under the PIP, the Operating Plan shall be

                                       52
<PAGE>

          the "Steady Growth Plan" stated in the Minutes of the Board of
          Directors dated June 22, 1999; and

     (d)  On the Termination Date the remaining balance of $62,500.00 loan
                                                            ----------
          made to Mr. Illingworth by the Company shall be deemed earned and the
          note forgiven.


     (e)  Mr. Illingworth's stock options for an aggregate of 250,000 shares
                                                              -------
          which was granted to him on October 9, 1998 (the "10/98 Option") shall
          continue to vest on terms set forth in such option until Termination
          Date. Thereafter Mr. Illingworth will have thirty (30) days from said
          Termination Date to exercise the shares vested under the 10/98 Option.
          The unvested portion of all Mr. Illingworth's other unexercised
          VidaMed options will be cancelled and returned to the VidaMed stock
          option plan.

     (f)  Reimburse Mr. Illingworth for reasonable and necessary expenses
          incurred on behalf of the Company during the consultancy period, said
          reimbursement ending on the Termination Date.

     (g)  With regard to other agreement between the Company and
          Mr. Illingworth:

          (i)    Mr. Illingworth's Change of Control Agreement with
                 VidaMed will remain in effect through the Termination Date.

          (ii)   Mr. Illingworth Indemnification Agreement with VidaMed will
                 remain in effect for so long as he continues to serve as a
                 member of VidaMed's Board of Directors.

          (iii)  Mr. Illingworth's Employee Confidentiality Agreement with
                 VidaMed will remain in effect in accordance with its terms.

4.   Release of Claims.   Mr. Illingworth agrees that the consideration
     -----------------
     described in this Agreement represents settlement in full of all
     outstanding obligations owed to Mr. Illingworth by the Company under any
     employment agreement, or other like agreements with the Company. Mr.
     Illingworth on behalf of himself, and his respective heirs, family members
     (including domestic partners), executors, heirs and assigns hereby fully
     and forever releases VidaMed, Inc., including its officers, directors,
     employees, investors, shareholders, administrators, affiliates, divisions,
     subsidiaries, predecessor and successor corporations, and assigns, from,
     and agrees not to sue concerning, any claim, duty, obligation or cause of
     action relating to any matters of any kind, whether presently known or
     unknown, suspected or unsuspected, that any of them may possess arising
     from any omissions, acts or facts that have occurred up until and including
     the Effective Date of this Agreement. Said release includes, but is not
     limited to:

     (a)  Any and all claims relating to or arising from Mr. Illingworth's
          employment relationship with the Company and the termination of that
          relationship;

     (b)  Any and all claims relating to, or arising from, Mr. Illingworth's
          right to purchase, or actual purchase of shares of stock of the
          Company, including, without limitation. any claims for fraud,
          misrepresentation, breach of fiduciary duty, breach of duty under
          applicable state corporate law, and securities fraud under any state
          or federal law;

     (c)  Any and all claims for wrongful discharge of employment; termination
          in violation of public policy; discrimination; breach of contract,
          both express and implied; breach of a covenant of good faith and fair
          dealing, both express and implied; promissory estoppel; negligent or
          intentional

                                       53
<PAGE>

          infliction of emotional distress; negligent or intentional
          misrepresentation; negligent or intentional interference with contract
          or prospective economic advantage; unfair business practices;
          defamation; libel; slander; negligence; personal injury; assault;
          battery; invasion of privacy; false imprisonment; and conversion;

     (d)  Any and all claims for violation of any federal, state or municipal
          statute, including, but not limited to, Title VII of the Civil Rights
          Act of 1964, the Civil Rights Act of 199 1, the Age Discrimination in
          Employment Act of 1967, the Americans with Disabilities Act of 1990,
          the Fair Labor Standards Act, the Employee Retirement Income Security
          Act of 1974, The Worker Adjustment and Retraining Notification Act,
          Older Workers Benefit Protection Act; the California Fair Employment
          and Housing Act, and Labor Code section 20 1, et seq. and section 970,
          et seq.;

     (e)  Any and all claims for violation of the federal, or any state,
          constitution;

     (f)  Any and all claims arising out of any other laws and regulations
          relating to employment or employment discrimination; and

     (g)  Any and all claims for attorneys' fees and costs.

For its part, VidaMed, Inc agrees not to sue and fully and forever releases, Mr.
Illingworth, his heirs and assigns from any claim, duty, obligation or cause of
action relating to any matters of any kind, whether presently known or unknown,
suspected or unsuspected, that the Company may possess arising from any
omissions, acts or facts that have occurred up until and including the
Termination Date.

The Company and Mr. Illingworth agree that the releases set forth in this
section shall be and remain in effect in all respects as a complete general
release as to the matters released. This release does not extend to any
obligations incurred under this Agreement or arising after the effective date of
this Agreement.

5.   Acknowledgment of Waiver of Claims Under ADEA.   Mr. Illingworth
     ---------------------------------------------
     acknowledges that he is waiving and releasing any rights he may have under
     the Age Discrimination in Employment Act of 1967 ("ADEA") and that this
     waiver and release is knowing and voluntary. Mr. Illingworth and the
     Company agree that this waiver and release does not apply to any rights or
     claims that may arise under ADEA after the Resignation Date. Mr.
     Illingworth acknowledges that the consideration given to him for his waiver
     and release is in addition to anything of value to which Mr. Illingworth
     was already entitled. Mr. Illingworth further acknowledges that he has been
     advised by this writing that:

     (a)  He should consult with an attorney prior to executing this Agreement;

     (b)  He has twenty-one (21) days within which to consider this Agreement;

     (c)  He least seven (7) days following the execution of this Agreement by
          the parties to revoke the Agreement; and

     (d)  This Agreement shall not be effective until the revocation period has
          expired.

6.   Civil Code Section 1542. The Parties represent that they are not aware of
     -----------------------
     any claim by either of them other than the claims that are released by this
     Agreement. Mr. Illingworth and the Company acknowledge that legal counsel
     has advised them and are familiar with the provisions of California Civil
     Code Section 1542, which provides as follows:

                                       54
<PAGE>

     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.

Mr. Illingworth and the Company, being aware of 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.

7.   No Pending or Future Lawsuits.   Mr. Illingworth represents that he has no
     -----------------------------
     lawsuits, claims, or actions pending in his name, or on behalf of any other
     person or entity, against the Company its officers, directors, employees,
     investors, shareholders, administrators, affiliates, divisions,
     subsidiaries, predecessor and successor corporations, and assigns or any
     other person or entity referred to herein. Mr. Illingworth also represents
     that he does not intend and henceforth forswears any right to bring any
     claims on his own behalf or on behalf of any other person or entity against
     the Company or its officers, directors, employees, investors, shareholders,
     administrators, affiliates, divisions, subsidiaries, predecessor and
     successor corporations, and assigns or any other person or entity referred
     to herein.

8.   No Cooperation.   Mr. Illingworth agrees he will not act in any manner that
     --------------
     might damage the business or reputation of the Company. Mr. Illingworth
     agrees that he will not counsel or assist any attorneys or their clients in
     the presentation or prosecution of any disputes, differences, grievances,
     claims, charges, or complaints by any third Party against the Company
     and/or any officer, director, employee, agent, representative, shareholder
     or attorney of the Company, unless under a subpoena or other court order to
     do so.

9.   Non-Disparagement.   Each Party agrees to refrain from any defamation,
     -----------------
     libel or slander of the other, or tortious interference with the contracts
     and relationships of the other.

11.  Consulting Agreement  Mr. Illingworth shall be assigned consulting tasks by
     --------------------
     the President and Chief Executive Officer of the Company related to (i)
     participating in development of financing strategies (ii) participating in
     business development activities as directed by the President and CEO, and
     (iii) such other duties of a similar nature as may be assigned by the
     President and Chief Executive Officer of the Company. The term of your
     consulting service will continue through the Termination Date, unless
     modified by mutual agreement in writing.

12.  General Provisions.
     -------------------

     (a)  This letter will be governed by the laws of the State of California,
          applicable to agreements made and to be performed entirely within such
          state.

     (b)  This letter agreement sets the entire agreement and understanding
          between VidaMed and you relating to your service as Executive Chairman
          and supersedes all prior verbal discussions between us.

     (c)  This agreement will be binding upon your heirs, executors,
          administrators and other legal representatives and will be for the
          benefit of VidaMed and its respective successors and assigns.

     Please acknowledge and confirm your acceptance of this letter by signing
and returning the enclosed copy of this letter as soon as possible.



                                       55
<PAGE>

VIDAMED, INC.



                                    By   /s/
                                        ----------------------------------
                                        Randy Lindholm
                                        President and Chief Executive Officer
                                        Member of Board of Directors



Agreed to and accepted this 31st day of August 1999.
                            -----------------------



By  /s/
   -----------------------------
      David J. Illingworth
      Executive Chairman

                                       56

<PAGE>

                                 Exhibit 10.22

                    Transition Agreement and Mutual Release

     This Transition Agreement and Mutual Release ("Agreement") is made by and
between VidaMed, Inc., a Delaware corporation with offices at 46107 Landing
Parkway, Fremont California 94538 (the "Company") and Richard D. Brounstein
("Mr. Brounstein "), an individual, and is effective seven (7) days after the
date last signed below ("Effective Date").

     WHEREAS, Mr. Brounstein was employed by the Company;

     WHEREAS, the Company and Mr. Brounstein have entered into an employment
letter agreement dated May 6, 1997 ("Employment Letter Agreement"); and

     WHEREAS, the Company and Mr. Brounstein have entered into a Proprietary
Information Agreement, attached hereto and incorporated herein as Exhibit A
containing covenants and acknowledgments of "At Will" employment, confidential
information, invention assignment, and arbitration ("Proprietary Information
Agreement"); and

     WHEREAS, the Company and Mr. Brounstein have entered into Stock Option
Agreements on such dates with respect to options to purchase such number of
shares of the Company's Common Stock as stated in Exhibit B, attached hereto and
incorporated herein by reference.

     NOW THEREFORE, in consideration of the mutual promises made herein and with
the intent to release each other from any claims arising from or related to the
employment relationship, the Company and Mr. Brounstein (collectively referred
to as "the Parties") hereby agree as follows:

1.   Resignation.   The Company accepts Mr. Brounstein's resignation from
     -----------
     his position as Vice President and Chief Financial Officer as of August 21,
     1999 (the "Resignation Date"). Mr. Brounstein's shall continue as an
     employee of the Company through January 3, 2000 (the "Termination Date") as
     Vice President of Administration, reporting to the Vice President and Chief
     Financial Officer. The duties of this office shall be determined by the
     Vice President and Chief Financial Officer or his designee.

2.   Consideration for Release. Mr. Brounstein has resigned his position
     -------------------------
     with the Company, and the parties acknowledge that the Company has no
     obligation to provide any payment in severance to Mr. Brounstein. However,
     in consideration of the releases given by Mr. Brounstein, the Company has
     agreed:

     a)   To continue Mr. Brounstein as an officer of the Company in the
          capacity of Vice President of Administration at the same salary and
          benefit level Mr. Brounstein received in his previous position through
          the Termination Date; and

     b)   To issue to Mr. Brounstein under the terms and conditions stated
          herein and in the VidaMed "1999 Nonstatutory Stock Option Plan" (the
          "Plan"), the value Sixty Thousand Dollars ($60,000) (hereinafter
          called "Plan Value") in registered, fully tradeable common stock of
          the Company based upon the closing bid price for VidaMed, Inc common
          stock on the Termination Date, to the nearest whole share. The Company
          reserves the right to provide, in its sole and absolute discretion, to
          pay Mr. Brounstein some or all of the Plan Value offered in cash. The
          issuance of the aforementioned stock and / or payment of cash shall
          satisfy any obligation the Company has regarding Mr. Brounstein's
          participation in the VidaMed "Performance Improvement Plan" through
          the Termination Date.

          It is anticipated that Employee shall sell his shares during the week
          of January 17, 2000 (hereinafter called "Sales Date"). In the event
          the actual selling price of the Company common stock on the Sales Date
          returns Employee a value lower than the stated Plan Value, the Company
          will pay Employee the difference between the Plan Value and the actual
          sales price of the common stock in cash. In the event the actual sales
          price of the common stock on the sales date is higher

                                       57
<PAGE>

          than the Plan Value, Employee shall keep any profit gained. Employee
          is solely responsible for all taxes and reporting liability for profit
          realized from the sale of the common stock. The Company advises
          Employee that there are significant risks and tax consequences
          associated with holding its common stock obtained under the Plan.
          Employee should read the Prospectus and all documents referenced in
          the Prospectus and consult his tax adviser before electing to hold any
          portion of the issued common stock. THE COMPANY DOES NOT GUARANTEE THE
          PRICE OF VIDAMED, INC. COMMON STOCK THAT YOU ELECT TO HOLD FOR
          INVESTMENT OR OTHER PURPOSES; and

     c)   The Company shall make available to Mr. Brounstein Executive-level
          Career Transition Services through Interim Career Consulting at
          Company expense not to exceed $10,000 ("Not-to-exceed Amount"). Should
          Mr. Brounstein wish to continued use of career consulting services
          after the Not-to-exceed Amount has been spent, or desire additional
          Executive-level Career Transition Services which would cause, in the
          aggregate, the total cost to the Company to exceed the above-mentioned
          Not-to-exceed Amount, such additional cost shall be at Mr.
          Brounstein's expense.

     At the Termination Date Mr. Brounstein shall receive his final paycheck and
the value of any accrued and unused "Paid Time Off" earned up to the Termination
date.  All required state and federal withholding shall be deducted from the
above-mentioned consideration as well as from salary and Paid Time Off
compensation.

3.   Vesting of Stock. The Parties agree that for purposes of determining
     ----------------
     the number of shares of the Company's common stock that Mr. Brounstein is
     entitled to purchase from the Company, Mr. Brounstein will be entitled to
     continue vesting of stock until the Termination Date. The exercise of any
     stock options shall continue to be subject to the terms and conditions of
     the Company's Stock Option Plan and any applicable Stock Option
     Agreement(s) between Mr. Brounstein and the Company. A true copy of said
     Agreement(s) is attached hereto and incorporated herein by reference.

4.   No Benefits After Termination Date. Mr. Brounstein acknowledges and
     ----------------------------------
     agrees and it is the intent of the parties hereto that after the
     Termination Date, Mr. Brounstein receive no Company-sponsored benefits from
     the Company, either as a consultant or employee. Such benefits include, but
     are not limited to, company paid health plans, life insurance and similar
     plans, paid vacation, sick leave and 401(k) participation. Mr. Brounstein
     may elect to continue coverage by such plans as available from the plan
     providers at Mr. Brounstein's expense, pursuant to applicable law,
     including COBRA.

5.   Confidential Information; Return of Company Property.   Mr. Brounstein
     ----------------------------------------------------
     shall continue to maintain the confidentiality of all confidential and
     proprietary information of the Company and shall continue to comply with
     the terms and conditions of the Proprietary Information Agreement between
     Mr. Brounstein and the Company. Mr. Brounstein agrees to return to the
     VidaMed Chief Financial Officer or his designee, by no later than the
     Termination Date, all Company property and all Company documents,
     including, but not limited to Company confidential and proprietary
     information, credit cards, telephone credit cards, unused flight travel and
     upgrade coupons, computers, disks or other computer related storage media,
     cellular telephones, beepers, customer lists, and the like company
     property. Further, Mr. Brounstein agrees not to maintain copies or use any
     Company information in any form or for any purpose whatsoever.

6.   Payment of Salary.   Mr. Brounstein acknowledges and represents that
     -----------------
     the Company has paid all salary, wages, bonuses, and commissions due Mr.
     Brounstein as of the Resignation Date of this Agreement, except as provided
     in this Agreement.

7.   Release of Claims.   Mr. Brounstein agrees that the consideration
     ------------------
     described in this Agreement represents settlement in full of all
     outstanding obligations owed to Mr. Brounstein by the Company. Mr.
     Brounstein on behalf of himself, and his respective heirs, family members
     (including domestic partners), executors, heirs and assigns hereby fully
     and forever releases VidaMed, Inc., including its officers, directors,
     employees, investors, shareholders, administrators, affiliates, divisions,
     subsidiaries, predecessor and successor corporations, and assigns, from,
     and agrees not to sue concerning, any claim, duty, obligation or cause of
     action relating to any matters of any kind, whether presently known or
     unknown, suspected or

                                       58
<PAGE>

     unsuspected, that any of them may possess arising from any omissions, acts
     or facts that have occurred up until and including the Effective Date of
     this Agreement. Said release includes, but is not limited to:

     (a)  Any and all claims relating to or arising from Mr. Brounstein's
          employment relationship with the Company and the termination of that
          relationship;

     (b)  Any and all claims relating to, or arising from, Mr. Brounstein's
          right to purchase, or actual purchase of shares of stock of the
          Company, including, without limitation. any claims for fraud,
          misrepresentation, breach of fiduciary duty, breach of duty under
          applicable state corporate law, and securities fraud under any state
          or federal law;

     (c)  Any and all claims for wrongful discharge of employment; termination
          in violation of public policy; discrimination; breach of contract,
          both express and implied; breach of a covenant of good faith and fair
          dealing, both express and implied; promissory estoppel; negligent or
          intentional infliction of emotional distress; negligent or intentional
          misrepresentation; negligent or intentional interference with contract
          or prospective economic advantage; unfair business practices;
          defamation; libel; slander; negligence; personal injury; assault;
          battery; invasion of privacy; false imprisonment; and conversion;

     (d)  Any and all claims for violation of any federal, state or municipal
          statute, including, but not limited to, Title VII of the Civil Rights
          Act of 1964, the Civil Rights Act of 199 1, the Age Discrimination in
          Employment Act of 1967, the Americans with Disabilities Act of 1990,
          the Fair Labor Standards Act, the Employee Retirement Income Security
          Act of 1974, The Worker Adjustment and Retraining Notification Act,
          Older Workers Benefit Protection Act; the California Fair Employment
          and Housing Act, and Labor Code section 20 1, et seq. and section 970,
          et seq.;

     (e)  Any and all claims for violation of the federal, or any state,
          constitution;

     (f)  Any and all claims arising out of any other laws and regulations
          relating to employment or employment discrimination; and

     (g)  Any and all claims for attorneys' fees and costs.

     VidaMed, Inc., on behalf of itself, its officers, directors, employees,
investors, shareholders, administrators, affiliates, divisions, subsidiaries,
predecessor and successor corporations, and assigns, hereby agrees not to sue
and fully and forever releases and discharges Mr. Brounstein, his heirs,
assigns, agents and attorneys from any and all claims, demands, actions, causes
of action, obligations, costs, expenses, damages, acts or omissions, losses or
liabilities, of whatever kind or nature whatsoever, in law, equity or otherwise,
whether known or unknown, which it may now have or has ever had against Mr.
Brounstein, up to and including the Effective Date of this Agreement.

     The Company and Mr. Brounstein agree that the release set forth in this
section shall be and remains in effect in all respects as a complete general
release as to the matters released. This release does not extend to any
obligations incurred under this Agreement or arising after the effective date of
this Agreement.

8.   Acknowledgment of Waiver of Claims under ADEA.   Mr. Brounstein
     ---------------------------------------------
acknowledges that he is waiving and releasing any rights he may have under the
Age Discrimination in Employment Act of 1967 ("ADEA") and that this waiver and
release is knowing and voluntary. Mr. Brounstein and the Company agree that this
waiver and release does not apply to any rights or claims that may arise under
ADEA after the Effective Date of this Agreement. Mr. Brounstein acknowledges
that the consideration given for this waiver and release is in addition to
anything of value to which Mr. Brounstein was already entitled. Mr. Brounstein
further acknowledges that he has been advised by this

                                       59
<PAGE>

writing that:

     (a)  He should consult with an attorney prior to executing this Agreement;

     (b)  He has twenty-one (21) days within which to consider this Agreement;

     (c)  He least seven (7) days following the execution of this Agreement by
          the parties to revoke the Agreement; and

     (d)  This Agreement shall not be effective until the revocation period has
          expired.

13.  Civil Code Section 1542. The Parties represent that they are not aware of
     ------------------------
     any claim by either of them other than the claims that are released by this
     Agreement. Mr. Brounstein and the Company acknowledge that legal counsel
     has advised them 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.

Mr. Brounstein and the Company, being aware of 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.

14.  No Pending or Future Lawsuits.   Mr. Brounstein represents that he has no
     ------------------------------
     lawsuits, claims, or actions pending in his name, or on behalf of any other
     person or entity, against the Company its officers, directors, employees,
     investors, shareholders, administrators, affiliates, divisions,
     subsidiaries, predecessor and successor corporations, and assigns or any
     other person or entity referred to herein. Mr. Brounstein also represents
     that he does not intend and henceforth forswears any right to bring any
     claims on his own behalf or on behalf of any other person or entity against
     the Company or its officers, directors, employees, investors, shareholders,
     administrators, affiliates, divisions, subsidiaries, predecessor and
     successor corporations, and assigns or any other person or entity referred
     to herein.

15.  Confidentiality. The Parties hereto each agree to use their best efforts to
     ----------------
     maintain in confidence the existence of this Agreement, the contents and
     terms of this Agreement, and the consideration for this Agreement
     (hereinafter collectively referred to as "Settlement Information"). Each
     Party hereto agrees to take every reasonable precaution to prevent
     disclosure of any Settlement Information to third parties, and each agrees
     that there will be no publicity, directly or indirectly, concerning any
     Settlement Information. The Parties hereto agree to take every precaution
     to disclose Settlement Information only to those employees, officers,
     directors, attorneys, accountants, governmental entities, and family
     members who have a reasonable need to know of such Settlement Information.

16.  No Cooperation.   Mr. Brounstein agrees he will not act in any manner that
     ---------------
     might damage the business or reputation of the Company. Mr. Brounstein
     agrees that he will not counsel or assist any attorneys or their clients in
     the presentation or prosecution of any disputes, differences, grievances,
     claims, charges, or complaints by any third Party against the Company
     and/or any officer, director, employee, agent, representative, shareholder
     or attorney of the Company, unless under a subpoena or other court order to
     do so.

17.  Non-Disparagement.   Each Party agrees to refrain from any defamation,
     ------------------
     libel or slander of the other, or tortious interference with the contracts
     and relationships of the other.

18.  Indemnification.   The Company will provide Mr. Brounstein indemnification
     ----------------
     pursuant to California Law with regard to indemnification of employees
     acting within the course and scope of their employment and any applicable
     policies of Directors and Officer liability insurance.

                                       60
<PAGE>

19.  Tax Consequences.  The Company makes no representations or warranties with
     -----------------
     respect to the tax consequences of the payment of any compensation to Mr.
     Brounstein under the terms of this Agreement. Mr. Brounstein agrees and
     understands that he is responsible for payment, if any, of any local, state
     and/or federal taxes on the compensation paid hereunder by the Company and
     any penalties or assessments thereon. Mr. Brounstein further agrees to
     indemnify and hold the Company harmless from any claims, demands,
     deficiencies, penalties, assessments, executions, judgments, or recoveries
     by any government agency against the Company for any amounts claimed due on
     account of Mr. Brounstein's failure to pay federal or state taxes or
     damages sustained by the Company by reason of any such claims, including
     reasonable attorneys' fees. Mr. Brounstein agrees and understands that,
     with respect to the compensation to be paid to Mr. Brounstein under this
     Agreement, the Company will make applicable withholding only with respect
     to the compensation described in Paragraphs1 and 2 hereof.

20.  No Admission of Liability. The Parties understand and acknowledge that this
     -------------------------
     Agreement constitutes a compromise and settlement of disputed claims. No
     action taken by the Parties hereto, or either of them, either previously or
     in connection with this Agreement shall be deemed or construed to be:

     (a)  An admission of the truth or falsity of any claims heretofore made, or

     (b)  An acknowledgment or admission by either Party of any fault or
          liability whatsoever to the other Party or to any third Party.

21.  Arbitration.   The Parties agree that any and all disputes arising out of
     ------------
     the terms of this Agreement, their interpretation, and any of the matters
     herein released, shall be subject to binding arbitration in Alameda County,
     California before the American Arbitration Association under its California
     Employment Dispute Resolution Rules before a judge to be mutually agreed
     upon. The Parties agree that the prevailing party in any arbitration shall
     be entitled to injunctive relief in any court of competent jurisdiction to
     enforce the arbitration award. The prevailing Party shall also be entitled
     to reimbursement of their costs and reasonable attorneys' fees.

22.  Authority.   The Company represents and warrants that the undersigned has
     ----------
     the authority to act on behalf of the Company and to bind the Company and
     all who may claim through it to the terms and conditions of this Agreement.
     Mr. Brounstein represents and warrants that he has the capacity to act on
     his own behalf and on behalf of all who might claim through him to bind
     them to the terms and conditions of this Agreement. Each Party warrants and
     represents that there are no liens or claims of lien or assignments in law
     or equity or otherwise of or against any of the claims or causes of action
     released herein.

23.  No Representations.   Each Party represents that it has had the opportunity
     -------------------
     to consult with an attorney, and has carefully read and understands the
     scope and effect of the provisions of this Agreement. Neither Party has
     relied upon any representations or statements made by the other Party
     hereto which are not specifically set forth in this Agreement.

24.  Assignment.   Mr. Brounstein's rights and obligations under this Agreement
     -----------
     shall not be assignable. The Company's rights and obligations under this
     Agreement shall be assignable by the Company.

25.  Successors. This Agreement shall be binding upon and inure to the benefit
     -----------
     of, and shall be enforceable by Mr. Brounstein and the Company, their
     respective heirs, executors, administrators and assigns. In the event the
     Company is merged, consolidated, liquidated by a parent corporation. or
     otherwise combined into one or more corporations, the provisions of this
     Agreement shall be binding upon and inure to the benefit of the parent
     corporation or the corporation resulting from such merger or to which the
     assets shall be sold or transferred, which corporation from and after the
     date of such merger, consolidation, sale or transfer shall be deemed to be
     the Company for purposes of this Agreement.

26.  Headings.   The headings of sections herein arc included solely for
     ---------
     convenience of reference and shall not control the meaning or
     interpretation of any of the provisions of this Agreement.

                                       61
<PAGE>

27.  Severability.  In the event that any provision hereof becomes or is
     -------------
     declared by a court of competent jurisdiction to be illegal, unenforceable
     or void, this Agreement shall continue in full force and effect without
     said provision.

28.  Entire Agreement.   This Agreement represents the entire agreement and
     -----------------
     understanding between the Company and Mr. Brounstein concerning his
     separation from the Company, and supersedes and replaces any and all prior
     agreements, including the Employment Letter Agreement, and understandings
     concerning Mr. Brounstein's relationship with the Company and his
     compensation by the Company.

29.  No Oral Modification.   This Agreement may only be amended in writing
     --------------------
     signed by Mr. Brounstein and the President of the Company.

30.  Governing Law.   The laws of the State of California shall govern this
     --------------
     Agreement.

31.  Effective Date. This Agreement is effective seven days after both Parties
     ---------------
     have signed it.

32.  Counterparts.   This Agreement may be executed in counterparts, and each
     --------------
     counterpart shall have the same force and effect as an original and shall
     constitute an effective, binding agreement on the part of each of the
     undersigned.

33.  Voluntary Execution of Agreement. This Agreement is executed voluntarily
     ---------------------------------
     and without any duress or undue influence on the part or behalf of the
     Parties hereto, with the full intent of releasing all claims. The Parties
     acknowledge that:

     (1)  They have read this Agreement;
     (b)  They have been represented in the preparation, negotiation, and
          execution of this Agreement by legal counsel of their own choice or
          that they have voluntarily declined to seek such counsel;
     (c)  They understand the terms and consequences of this Agreement and of
          the releases it contains;
     (d)  They are fully aware of the legal and binding effect of this
          Agreement.

     IN WITNESS WHEREOF, the Parties have executed this Agreement on the
respective dates set for the below.

                                 VIDAMED, INC.



Dated:    9/10/99                 By:  /s/
          -------                    -------------------------------------------
                                     RANDY LINDHOLM
                                     President and Chief Executive Officer


Dated:    9/9/99                  By:  /s/
          -------                    -------------------------------------------
                                     RICHARD D. BROUNSTEIN

                                       62

<PAGE>

                                 Exhibit 10.23

TBCC

                        Amendment and Waiver Agreement


Borrower:        VidaMed, Inc.,
                 a Delaware corporation

Address:         46107 Landing Parkway
                 Fremont, CA 94538-6407

Date:            October 26, 1999



THIS AMENDMENT AND WAIVER AGREEMENT (this "Amendment") is entered into as of
the above date, between the above borrower (the "Borrower"), having its chief
executive office and principal place of business at the address shown above, and
TRANSAMERICA BUSINESS CREDIT CORPORATION, a Delaware corporation ("TBCC"),
having its principal office at 9399 West Higgins Road, Suite 600, Rosemont,
Illinois 60018 and having an office at 15260 Ventura Blvd., Suite 1240, Sherman
Oaks, California 91403.

TBCC and Borrower agree to amend and supplement the Loan and Security Agreement
between them, dated October 20, 1998 (the "Loan Agreement"), as follows.  (This
Amendment, the Loan Agreement, any prior written amendments to the Loan
Agreement signed by TBCC and Borrower, and all other written documents and
agreements between TBCC and Borrower, are referred to herein collectively as the
"Loan Documents."  Capitalized terms used but not defined in this Amendment
shall have the meanings set forth in the Loan Agreement.)

     1.   Amendments.  Effective upon the date hereof, (i) the Maturity Date set
forth at Section 4 of the Schedule to Loan and Security Agreement shall be
amended as follows: the date "December 31, 1999" shall be deleted and the date
"January 31, 2000" shall be inserted in its place, and (ii) the last sentence of
Section 4.10 of the Loan Agreement shall be amended and restated as follows:
"Borrower has no Subsidiaries, except for its Subsidiary in the United Kingdom,
VidaMed International, Ltd."

     2.   Waiver.  Effective the Closing Date (as defined below), TBCC waives
(i) the Event of Default existing under Section 7.1(k) of the Loan Agreement
which resulted from the delivery of a Qualified opinion by Borrower's Auditors
in respect of Borrower's Financial Statements for the fiscal year ended December
31, 1998, and (ii) the Event of Default existing under Section 5.8(a) of the
Loan Agreement which resulted from Borrower's failure to give TBCC notice of the
Event of Default under Section 7.1(k) of the Loan Agreement within two Business
Days after becoming aware thereof.

Conditions Precedent.  The effectiveness of the foregoing waiver under the
preceding Section 2 shall be subject to the conditions precedent

                                       63
<PAGE>

that TBCC shall have received (i) a fee of $10,000, which shall be payable on
the execution hereof by Borrower, and (ii) warrants to purchase 20,000 shares of
common stock of Borrower at a price of $0.89 per share. The date of satisfaction
of the foregoing conditions precedent is the "Closing Date."

Representations True.  To induce TBCC to enter into this Amendment, Borrower
hereby confirms and restates, as of the date hereof (after giving effect to the
waiver contemplated in Section 2 above), the representations and warranties made
by it in Section 4 of the Loan Agreement.  For the purposes of this Section 4
each reference in Section 4 of the Loan Agreement to "this Agreement," and the
words "hereof," "herein," "hereunder," or words of like import in such Section,
shall mean and be a reference to the Loan Agreement as amended by this
Amendment.

GOVERNING LAW.  THE VALIDITY, INTERPRETATION AND ENFORCEMENT OF THIS AGREEMENT
AND THE OTHER LOAN DOCUMENTS AND ANY DISPUTE ARISING OUT OF OR IN CONNECTION
WITH THIS AGREEMENT OR ANY OF THE OTHER LOAN DOCUMENTS, WHETHER SOUNDING IN
CONTRACT, TORT, EQUITY OR OTHERWISE, SHALL BE GOVERNED BY THE INTERNAL LAWS AND
DECISIONS OF THE STATE OF ILLINOIS.

General Provisions.  TBCC's execution and delivery of, or acceptance of, this
Amendment and any other documents and instruments in connection herewith shall
not be deemed to create a course of dealing or otherwise create any express or
implied duty by it to provide any other or further amendments, consents or
waivers in the future.  This Amendment, the Loan Agreement, and the other Loan
Documents set forth in full all of the representations and agreements of the
parties with respect to the subject matter hereof and supersede all prior
discussions, representations, agreements and understandings between the parties
with respect to the subject hereof.  Except as herein expressly amended and
supplemented, all of the terms and provisions of the Loan Agreement and the
other Loan Documents shall continue in full force and effect and the same are
hereby ratified and confirmed.  This Amendment forms part of the Loan Agreement
and the terms of the Loan Agreement are incorporated herein by reference.



Borrower:                              TBCC:

VIDAMED, INC.                          TRANSAMERICA BUSINESS CREDIT CORPORATION




By  /s/                                By  /s/
   --------------------------------       -------------------------------------
   John F. Howe,
   Vice President and CFO

                                       Title
                                             ----------------------------------

                                       64

<PAGE>

                                 Exhibit 23.1

              CONSENT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS

We consent to the incorporation by reference in the Registration Statements
(Form S-8 Nos. 33-80619, 333-59869 and 333-70201) pertaining to 1992 Stock Plan,
the 1992 Consultant Stock Plan, the 1995 Director Option Plan, 1995 Employee
Stock Purchase Plan and the 1999 Non-Statutory Stock Option Plan and in the
Registration Statements (Form S-3 Nos. 333-45895, 333-80585 and 333-95321) of
VidaMed, Inc. of our report dated January 31, 2000, with respect to the
consolidated financial statements and schedule of VidaMed, Inc. including in
this Annual Report (Form 10-K) for the year ended December 31, 1999, filed with
the Securities and Exchange Commission.


                                   /s/ Ernst & Young LLP


Palo Alto, California
March 24, 2000


<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5

<S>                             <C>
<PERIOD-TYPE>                                   12-MOS
<FISCAL-YEAR-END>                          DEC-31-1999
<PERIOD-START>                             JAN-01-1999
<PERIOD-END>                               DEC-31-1999
<CASH>                                           2,748
<SECURITIES>                                         0
<RECEIVABLES>                                    2,558
<ALLOWANCES>                                     1,115
<INVENTORY>                                        415
<CURRENT-ASSETS>                                 5,137
<PP&E>                                           8,191
<DEPRECIATION>                                   6,174
<TOTAL-ASSETS>                                   7,320
<CURRENT-LIABILITIES>                            4,685
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            23
<OTHER-SE>                                     101,702
<TOTAL-LIABILITY-AND-EQUITY>                     7,320
<SALES>                                          5,553
<TOTAL-REVENUES>                                 5,905
<CGS>                                            2,824
<TOTAL-COSTS>                                   14,816
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                    48
<INTEREST-EXPENSE>                                 388
<INCOME-PRETAX>                               (11,901)
<INCOME-TAX>                                        0
<INCOME-CONTINUING>                           (11,901)
<DISCONTINUED>                                      0
<EXTRAORDINARY>                                     0
<CHANGES>                                           0
<NET-INCOME>                                  (11,901)
<EPS-BASIC>                                     (0.58)
<EPS-DILUTED>                                   (0.58)


</TABLE>


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