CUSIP No. 0003611281 Page 1 of 6 pages
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILES PURSUANT
TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2(b)
(Amendment No. 2)[FN1]
FUSION MEDICAL TECHNOLOGIES, INC.
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
0003611281
(CUSIP Number)
DECEMBER 31, 1999
Date of Event Which Requires Filing of this Statement
Check the appropriate box to designate the rule pursuant to which this Schedule
is Filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X] Rule 13d-1(d)
- --------
[FN1]The remainder of this cover page shall be filled out for a reporting
person's initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which
would alter disclosures provided in a prior cover page. The information
required on the remainder of this cover page shall not be deemed to be
"filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 or otherwise subject to the liabilities of that section of the Act but
shall be subject to all other provisions of the Act.
<PAGE>
CUSIP No. 0003611281 Page 2 of 6 pages
1) Name of Reporting Person Domain Partners
I.R.S. Identification III, L.P.
No. of Above Person
(Entities Only)
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 -0-
Shares Beneficially Power
Owned by Each
Reporting Person
With
6) Shared Voting
Power -0-
7) Sole Disposi- -0-
tive Power
8) Shared Dis-
positive Power -0-
9) Aggregate Amount Beneficially -0-
Owned by Each Reporting person
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
11) Percent of Class
Represented by -0-
Amount in Row (9)
12) Type of Reporting
Person PN
<PAGE>
CUSIP No. 0003611281 Page 3 of 6 pages
1) Name of Reporting Person DP III Associates,
I.R.S. Identification L.P.
No. of Above Person
(Entities Only)
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 -0-
Shares Beneficially Power
Owned by Each
Reporting Person
With
6) Shared Voting
Power -0-
7) Sole Disposi- -0-
tive Power
8) Shared Dis-
positive Power -0-
9) Aggregate Amount Beneficially -0-
Owned by Each Reporting person
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
11) Percent of Class
Represented by -0-
Amount in Row (9)
12) Type of Reporting
Person PN
<PAGE>
CUSIP No. 0003611281 Page 4 of 6 pages
1) Name of Reporting Person Domain Associates,
I.R.S. Identification L.L.C.
No. of Above Person
(Entities Only)
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 8,285 shares
Shares Beneficially Power of Common Stock
Owned by Each (including shares
Reporting Person restricted and
With subject to
vesting)
6) Shared Voting
Power -0-
7) Sole Disposi- -0-
tive Power
8) Shared Dis-
positive Power -0-
9) Aggregate Amount Beneficially -0-
Owned by Each Reporting person
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
11) Percent of Class
Represented by -0-
Amount in Row (9)
12) Type of Reporting
Person OO
<PAGE>
CUSIP No. 0003611281 Page 5 of 6 pages
AMENDMENT NO. 2 TO SCHEDULE 13G (FINAL AMENDMENT)
Reference is hereby made to the statement on Schedule 13G originally
filed on February 13, 1997 and Amendment No. 1 thereto filed on February 9, 1999
(as so amended, the "Schedule 13G"). Terms used in the Schedule 13G are used
herein as so defined.
The following Items of the Schedule 13G are hereby amended and
restated to read in their entirety as follows:
Item 4 - Ownership.
(a) Amount Beneficially Owned:
Domain III: -0-
DP III A: -0-
DA: -0-
(b) Percent of Class:
Domain III: -0-
DP III A: -0-
DA: -0-
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
Domain III: -0-
DP III A: -0-
DA: -0-
(ii) shared power to vote or to direct the vote: -0-
(iii) sole power to dispose or to direct the disposition of:
Domain III: -0-
DP III A: -0-
DA: -0-
(iv) shared power to dispose or to direct the
disposition of: -0-
Item 5 - Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the
date hereof the Reporting Persons have ceased to be the beneficial owners of
more than five percent of the Common Stock, check the following [X].
<PAGE>
CUSIP No. 0003611281 Page 6 of 6 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, L.L.C.
By /S/ KATHLEEN K. SCHOEMAKER
Managing Member
Date: January 27, 2000
