SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
________________________
SCHEDULE 13G
Information Statement Pursuant to Rules 13d-1 and 13d-2
Under the Securities Exchange Act of 1934
(Amendment No. )
Fusion Medical Technologies, Inc.
_________________________________________________________________
(Name of Issuer)
Common Stock
_________________________________________________________________
(Title of Class of Securities)
0003611281
_________________________________________________________________
(CUSIP Number)
________________________
<PAGE>
CUSIP No. 0003611281 Page 2 of 9 Pages
_________________________________________________________________
1) Name of Reporting Person Domain Partners
S.S. or I.R.S. Identification III, L.P.
No. of Above Person
_________________________________________________________________
2) Check the Appropriate Box (a) [ X ]
if a Member of a Group (b) [ ]
_________________________________________________________________
3) SEC Use Only
_________________________________________________________________
4) Citizenship or Place Delaware
of Organization
_________________________________________________________________
Number of 5) Sole Voting 749,028 shares of
Shares Beneficially Power Common Stock
Owned by Each
Reporting Person
________________________________________
6) Shared Voting
Power -0-
________________________________________
7) Sole Disposi- 749,028 shares of
tive Power Common Stock
________________________________________
8) Shared Dis-
positive Power -0-
________________________________________
9) Aggregate Amount Beneficially 749,028 shares of
Owned by Each Reporting person Common Stock
_________________________________________________________________
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
_________________________________________________________________
11) Percent of Class
Represented by 10.8%
Amount in Row (9)
_________________________________________________________________
12) Type of Reporting
Person PN
<PAGE>
CUSIP No. 0003611281 Page 3 of 9 Pages
_________________________________________________________________
1) Name of Reporting Person DP III Associates,
S.S. or I.R.S. Identification L.P.
No. of Above Person
_________________________________________________________________
2) Check the Appropriate Box (a) [ X ]
if a Member of a Group (b) [ ]
_________________________________________________________________
3) SEC Use Only
_________________________________________________________________
4) Citizenship or Place Delaware
of Organization
_________________________________________________________________
Number of 5) Sole Voting 26,216 shares of
Shares Beneficially Power Common Stock
Owned by Each
Reporting Person
________________________________________
6) Shared Voting
Power -0-
________________________________________
7) Sole Disposi- 26,216 shares of
tive Power Common Stock
________________________________________
8) Shared Dis-
positive Power -0-
________________________________________
9) Aggregate Amount Beneficially 26,216 shares of
Owned by Each Reporting person Common Stock
_________________________________________________________________
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
_________________________________________________________________
11) Percent of Class
Represented by 0.4%
Amount in Row (9)
_________________________________________________________________
12) Type of Reporting
Person PN
<PAGE>
CUSIP No. 0003611281 Page 4 of 9 Pages
_________________________________________________________________
1) Name of Reporting Person Domain Associates
S.S. or I.R.S. Identification
No. of Above Person
_________________________________________________________________
2) Check the Appropriate Box (a) [ X ]
if a Member of a Group (b) [ ]
_________________________________________________________________
3) SEC Use Only
_________________________________________________________________
4) Citizenship or Place New Jersey
of Organization
_________________________________________________________________
Number of 5) Sole Voting 8,285 shares of
Shares Beneficially Power Common Stock, of
Owned by Each which 4,315 are
Reporting Person restricted and
subject to vesting
________________________________________
6) Shared Voting
Power -0-
________________________________________
7) Sole Disposi- 8,285 shares of
tive Power Common Stock, of
which 4,315 are
restricted and
subject to vesting
________________________________________
8) Shared Dis-
positive Power -0-
________________________________________
9) Aggregate Amount Beneficially 8,285 shares of
Owned by Each Reporting Person Common Stock, of
which 4,315 are
restricted and
subject to vesting
_________________________________________________________________
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
_________________________________________________________________
11) Percent of Class
Represented by 0.1%
Amount in Row (9)
_________________________________________________________________
12) Type of Reporting
Person PN
<PAGE>
CUSIP No. 0003611281 Page 5 of 9 Pages
Schedule 13G
____________
Item 1(a) - Name of Issuer: Fusion Medical Technologies, Inc.
Item 1(b) - Address of Issuer's Principal Executive Offices:
1615 Plymouth Street
Mountain View, CA 94043
Item 2(a) - Name of Person Filing:
This statement is being filed by Domain Partners
III, L.P., a Delaware limited partnership ("Domain
III"), DP III Associates, L.P., a Delaware limited
partnership ("DP III A"), and Domain Associates, a
New Jersey general partnership ("DA")
(collectively, the "Reporting Persons").
Item 2(b) - Address of Principal Business Office:
One Palmer Square
Princeton, NJ 08542
Item 2(c) - Place of Organization:
Domain III: Delaware
DP III A: Delaware
DA: New Jersey
Item 2(d) - Title of Class of Securities:
Common Stock
Item 2(e) - CUSIP Number: 0003611281
Item 3 - Statements Filed Pursuant to Rules 13d-1(b) or
13d-2(b):
Not applicable.
Item 4 - Ownership.
(a) Amount Beneficially Owned:
Domain III: 749,028 shares of Common Stock
DP III A: 26,216 shares of Common Stock
DA: 8,285 shares of Common Stock, of which 4,315
are restricted and subject to vesting
<PAGE>
CUSIP No. 0003611281 Page 6 of 9 Pages
(b) Percent of Class:
Domain III: 10.8%
DP III A: 0.4%
DA: 0.1%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
Domain III: 749,028 shares of Common Stock
DP III A: 26,216 shares of Common Stock
DA: 8,285 shares of Common Stock, of which 4,315
are restricted and subject to vesting
(ii) shared power to vote or to direct the vote:
-0-
(iii) sole power to dispose or to direct the
disposition of:
Domain III: 749,028 shares of Common Stock
DP III A: 26,216 shares of Common Stock
DA: 8,285 shares of Common Stock, of which 4,315
are restricted and subject to vesting
(iv) shared power to dispose or to direct the
disposition of: -0-
Item 5 - Ownership of Five Percent or Less of a Class:
Not applicable.
Item 6 - Ownership of More than Five Percent on Behalf of
Another Person:
Not applicable.
Item 7 - Identification and Classification of the
Subsidiary Which Acquired the Security Being
Reported on by the Parent Company:
Not applicable.
Item 8 - Identification and Classification of Members of
the Group: See Exhibit 2.
Item 9 - Notice of Dissolution of Group: Not applicable.
Item 10 - Certification: Not applicable.
<PAGE>
CUSIP No. 0003611281 Page 7 of 9 Pages
Signature:
After reasonable inquiry and to the best of my
knowledge and belief, I certify that the information set forth in
this statement is true, complete and correct.
DOMAIN PARTNERS III, L.P.
By: One Palmer Square Associates
III L.P., General Partner
By /s/ Kathleen K. Schoemaker
General Partner
DP III ASSOCIATES, L.P.
By: One Palmer Square Associates
III L.P., General Partner
By /s/ Kathleen K. Schoemaker
General Partner
DOMAIN ASSOCIATES
By /s/ Kathleen K. Schoemaker
General Partner
Date: January 31, 1997
<PAGE>
CUSIP No. 0003611281 Page 8 of 9 Pages
EXHIBIT 1
AGREEMENT OF
DOMAIN PARTNERS III, L.P.,
DP III ASSOCIATES, L.P.
AND
DOMAIN ASSOCIATES
PURSUANT TO RULE 13d-1(f)
_________________________
The undersigned hereby agree that the Information
Statement on Schedule 13G to which this Agreement is annexed as
Exhibit 1 is filed on behalf of each of them in accordance with
the provisions of 13d-1(f) under the Securities Exchange Act of
1934, as amended.
DOMAIN PARTNERS III, L.P.
By: One Palmer Square Associates
III L.P., General Partner
By /s/ Kathleen K. Schoemaker
General Partner
DP III ASSOCIATES, L.P.
By: One Palmer Square Associates
III L.P., General Partner
By /s/ Kathleen K. Schoemaker
General Partner
DOMAIN ASSOCIATES
By /s/ Kathleen K. Schoemaker
General Partner
Date: January 31, 1997
<PAGE>
CUSIP No. 0003611281 Page 9 of 9 Pages
EXHIBIT 2
Identification and Classification
of Members of the Group
_________________________________
Domain Partners III, L.P., DP III Associates, L.P. and
Domain Associates are filing this statement on Schedule 13G as a
group.
Domain Partners III, L.P. is a Delaware limited
partnership. Its sole general partner is One Palmer Square
Associates III, L.P., a Delaware limited partnership.
DP III Associates, L.P. is a Delaware limited
partnership. Its sole general partner is One Palmer Square
Associates III, L.P., a Delaware limited partnership.
Domain Associates is a New Jersey general partnership.
