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September 2007 issue

Pumping Up The IPO Pipeline--
Three Health Care Companies Price IPOs And Sixteen More File

In spite of unpleasant news from the lending industry and the nosedive the stock market took in mid-August, shares in health care companies that priced IPOs during the month performed fairly well, and several more IPOs were filed.
...
Major Funding For Spinal Implants--
Spike In Monthly Venture Capital Funding For Medical Devices

Medical device companies were responsible for the most deals and the greatest share of venture capital in one sector during August 2007, including the third health care venture capital deal this year that exceeds one hundred million dollars.
...
Mergers & Acquisitions
Diagnostic companies, among other medical device targets, are a highlight of health care merger and acquisition activity this August, with a steady flow of deals in most other sectors as well.
...
Private Placements
More than one billion dollars in private placement funding was announced by health care companies during August 2007, the second time in three years we have seen this much funding committed to these deals in a single month.
...

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Companies Mentioned in this issue:
September 2007

A
Accenture p2
Accuro Healthcare Solutions p2
Acologix p4
Adnexus Therapeutics p3, p4, p11
Advanced Technology Ventures p10
Advent International p10
Agendia BV p10
Agility Healthcare Solutions p11
AIG SunAmerica p1, p10
AkaRx p8
Alloy Ventures p11
Alltracel Pharmaceutic. p8
Alpex Pharma p11
Alta Partners p10
Alta Partners p11
ALZA Corporation p10, p11
Amedica p4, p5
Amedisys p8
American Dental Ptnrs. p8
Amerinet p2
AMS Homecare p8, p14
Anacor Pharmaceuticals p4
Apollo Health Street p8
Arboretum Ventures p11
Archemix p10
Archemix Corp. p12
ARYx Therapeutics p4
Aspen MedTech p11
Astellas Venture Management p10, p11
Atlas Venture p11
Axcell II p9
Azur Pharma p10, p11
B
Baker Brothers Investments p11, p13, p15
Banc of Amer. p4
Banc of America Securities p1, p3
BankInvest Biomedical Venture p10, p11
Baron Growth Fund p3
Bayer AG p8
BayStar Capital p3
BB Biotech Ventures p11
BDC Venture p11
BDC Venture Capital p10
Behrman Capital p8
Bell Policy Center p16
Berg & Berg Enterprises p11
BG Medicine p4
Bio-Rad Laboratories p15
Biocode Hycel p8, p9
BioCryst Pharmaceuticals p4, p13, p15
BioForm Medical p4
BioFX Laboratories p8, p9
Biolex p4
BioMarck Pharmaceuticals p11
BioProcessors Corporation p11
Blue Trading p14
Boston Life Science Venture Corporation p10
Boston Life Science Venture Corporation p11
Broadlane p2
Brookwood Pharmaceuticals p8
BZ Bank Aktiengesellschaft p11
C
Calidora Skin Clinic p11
Callisto Pharmaceuticals p14
Calypte Biomedical p4
CAMOFI Master LDC p11
Canaan Partners p10
Canyon Creek Devel. p8
Cardinal Partners p11
CardioNet p4, p5
Care Capital p11
CareMedic Systems p2
Carrington Laboratories p14
Catalyst Oncology p8, p9
CCS Medical Holdings p4
Celator Pharmaceuticals p11
Cell Therapeutics p8
Charter Life Sciences p11
Chelsea Therapeutics p4
Chicago Growth Partners p10
CIBC p4
CIBC World Markets p3
Ciphergen Biosystems p15
Citi p4
CK Life Sciences p8
Clarus Ventures p1, p10
Clinical Data, Inc. p8
CMDF p10
Concentric Medical p4
CoolSystems p12
Corcept Therapeutics p14
Cord Blood America p8
Cortex Pharmaceuticals p14
Cowen & Co. p4
Cowen & Company p3, p14
Crdentia p4
Credit Suisse p3, p4
CureSource p8
Curis p4, p14
D
Dade Behring Holdings p9
Danish Diagnostic Devel. p8
Danish Diagnostic Development p9
Davy Corporate Finance p10
Davy Corporate Finance Limited p11
Deloitte & Touche p2
Delphi Ventures p10
DeNovo Ventures p10
Department of Health and Human Services p15
Deutsche Bank Securities p3
DiagnoCure p8, p9
DietTV.com p11
Disc Dynamics p5
Domain Associates p10, p11
Drug Royalty Corp. p8
Dynavax Technologies p4
E
EarlyDETECT p4
Eclipsys Corporation p2
Ecolab p8
Ecolab Inc. p7
Edison Pharmaceuticals p11
EHS Holdings p13
EKR Therapeutics p11
Electro-Optical Sciences p4, p14
Elite Pharmaceuticals p4
Emergis p8
Eminent Venture Capital Fund p5, p10
Emisphere Technologies p14
Encysive Pharmaceuticals p14
EndoGastric Solutions p10
Entelos p8
Epidauros Biotechnologie p8
ESP Equity Partners p11
EUSA Pharma p5
Eyetech p12
F
Firstsource Solutions p8
FlowCardia p10
Fluidnet p11
Fluke Venture Partners p11
Fonds Bio-Innovation p11
Forum Bioscience Holdings p8
Forward Ventures p10
Foundation Medical Partners p10
Frazier Healthcare Ventures p10
G
GammaCan p4
Genesys Capital Partners p10
GeoVax Labs p14
Gilde Healthcare Partners p10
Gilead Sciences p8
GIMV p10
Glide Pharma p11
Global Life Science Ventures p10
Globus Medical p1, p10
Gold Hill Capital p10
Goldman, Sachs p3, p4
Greater Southeast Community Hospital p8
Groupe Cair p8
GrowthWorks Capital p10
GrowthWorks Capital Working Opportunity Fund p5
H
H.I.G. Ventures p10
Hambrecht & Quist Capital Management p10
Hana Biosciences p8, p14
Harbert Venture Partners p11
HBM BioVentures p10, p11, p12
HBM BioVentures (Cayman) p11
HealthSpring p8
HealthTrust p2
Helixis p11
HemoSense p8, p9
I
Icagen p14
Iconix Biosciences p8
Immunodiagnostic Sys. p8
Immunodiagnostic Systems Holdings p9
Index Ventures p11
Informatique Demers Lambert p8
ING p10
Innovive Pharmaceuticals p4
Inotek Pharmaceuticals p11
Insys Therapeutics p4
Integra LifeSciences p8
IntegraMed America p8
Integrated Biopharma p4
InterWest Partners p10
Invemed Catalyst Fund p3
Inverness Medical p8
Inverness Medical Innovations p9
Invus Group p14
Invus Group LLC p13
IPC The Hospitalist Co. p4
Isolagen p14
IsoTis p8
J
James Richardson & Sons p5, p10
Javelin Pharmaceuticals p4
JMP Securities p14
JP Morgan Partners p10
JPMorgan p3, p4
JWM Family Enterprises p11
K
KFx Medical p11
Kindred Healthcare p8
Kleiner Caufield Perkins & Byers p15
Kleiner Perkins Caufield & Byers p13
L
Landmark Nursing & Rehab. p8
Latterell Venture p11
Lazard Capital Markets p3
LDR Spine p5
Leerink Swann & Company p14
Lehman Brothers p4
Leon Med. Ctrs. Health Plans p8
Leptos Biomedical p11
Lexicon Pharmaceuticals p13, p14
Life Sciences Partners p10
Lipa Pharmaceuticals p8
LSP BioVentures p11
Lux Biosciences p12
M
MAKIZ p8
Marshall Edwards p14
Masimo p1, p4
Matritech p8
McKesson Corporation p2
MedAssets p2, p4
MedAssist Holding p8
Medco p7
Medco Health Solutions p8
Medical CV p4
Medicure p14
MedImmune Ventures p11
Memory Pharmaceuticals p4
MentorTech Ventures p11
Merck p10
Merrill Lynch p3, p4
Merriman Curhan Ford p4
Metropolitan Dental Hldgs. p8
MGI Pharma p8
Microtek Medical Holdings p7, p8
MidSouth Capital p4
Milestone Pharmaceuticals p11
Minnesota Thermal Science p16
Mirabilis Medica p11
Molecular Analytical Systems p15
Molecular Partners p11
MonoSolRx p4
Montreux Equity Partners p10
Morgan Stanley p4, p8
MPM Capital p5, p10
MSBi Capital p11
Mundipharma p15
MVM Financial p11
N
Nanogen p14, p15
Nanosphere Technologies p4
Navigant Consulting p2
Nereus Pharmaceuticals p10, p11
NeurAxon p10
Neuro Discovery p10
Neuro Discovery p5
Neurobiological Technol. p4
Neuromed Pharmaceuticals p5, p10
Neurotech p12
NeuroVentures Fund p10
New Science Ventures p10
NovaQuest p11
Novation p2
Novo A/S p10, p12
O
Oakwood Medical Investors p10
Oculus Innovative Sci. p4
Oculus Innovative Sciences p14
Okapi Venture Capital p11
OncoVista p11
Ophthotech p10, p12
Oragenics p14
Oramed Pharmaceuticals p14
OrbiMed Advisors p10, p13, p15
Orbotech p8
Orbotech Ltd. p9
OrthoRehab p12
ORTHOsoft p8
Orthovita p4
Oscient Pharmaceuticals p3
OSI Pharmaceuticals p12
Osteologix p4
Oxford Bioscience Partners p11
Oxford Capital Ptnrs. p11
Oxford Technology 4 VCT p11
P
Pacific Pharma Technologies p8
Pacific Venture Group p10
Panorama Capital p11
Paperboy Ventures p14
Pappas Ventures p10
Par Pharmaceutical p8, p14
Peplin p4
Perot Systems p8
Pevion Biotech p11
Pfizer p8, p12, p14
Pharmelle p11
Piper Jaffray p3, p4
PolyMedica p7
PolyMedica Corporation p8
Positron Corporation p4
Precision Therapeutics p4
Premier, Inc. p2
Presidio Pharmaceuticals p11
Prospect Venture Partners p11
PURE Capital p14
Q
Quaker BioVentures p11
R
RAB Special Situations (Master) Fund p14
Radiation Therapy Svs. p8
Reliant Pharmaceuticals p3, p4
Riverside Partners p16
Roche p15
Roche Venture Fund p10, p11
Rockdale Medical Center p8
Rockport Venture Partners p10
Rockport Venture Partners p11
Rodman & Renshaw p14
Royal Bank of Canada p10
Royal Senior Care p8
S
Schering-Plough p4
SecureWorks p16
Seven Hills Partners p14, p15
Shionogi & Co. p15
Siemens AG p9
Signalife p13, p14
Signature Hospital Corp. p8
Signet Healthcare Partners p11
Smartrac NV p8
Smith Healthcare p8
Solantic p5
Specialty Hosp. of Amer. p8
Specialty Surgical Instrum. p8
Split Rock Partners p11
Stada Arzneimittel p8
Stada Arzneimittel AG p8
Stephens Investment Management p13
Sucampo Pharmaceutic. p4
Sucampo Pharmaceuticals p1
Surgery Partners Hldgs. p8
SurModics p8, p9
SV Life Sciences p10, p12
Symmetry Medical p8
Synpart AG p8
SyntheMed p14
Synthes Spine p5
T
Taiwan Global Biofund p10
Texas Pacific Group Ventures p13
The Aurora Funds p11
The Gables Surgical Center p8
The Greens Communities p8
The Palmer Club p8
The SSI Group p2
The Veranda p8
The Wyndmoor p8
ThinkEquity Partners p14
Thomas McNerney p11
Three Arch Partners p11
Tobira Therapeutics p10
TOPIGEN Pharmaceuticals p11
TOTALtrak Global p8
Two Lighthouse Inns p8
U
UBS p4
UCB Pharma p11
UnitedHealthcare p16
University of Connecticut p16
Upstream Biosciences p8
V
Van Herk Biotech p10
Vein Clinics of America p8
Ventures West Capital p10
Vermillion p14, p15
VIA Pharmaceuticals p4
Vyteris p14
W
Waterford Gdns. p8
Waters Medical Systems p8
Wexford Capital p11
Wilkinson Corp. p8
William Blair & Company p3
WuXi PharmaTech p1, p4
Y
YA Global Investments Fund p13
YA Global Investments Fund p14
Yorkville Advisors p13
Z
ZARS Pharma p4
Zavata p8
Zecotek p14
Zimmer Holdings p8

Major Funding For Spinal Implants--
Spike In Monthly Venture Capital Funding For Medical Devices

Email Editor

August 2007 ended with 34 venture capital deals announced by health care companies, totaling nearly $714 million. Compared with the preceding month, deal flow and dollar volume continued at about the same pace, with just a few deals less than July and almost as much funding. However, the monthly totals for August 2007 represent about a 24% decrease in both the number of deals and dollars committed, compared with August 2006. This August, medical device companies produced the most deals and the greatest total dollars in one sector for the month, with 10 deals totaling $233 million, followed by pharmaceutical companies, with 9 deals totaling $203 million. Biotechnology and biopharma-ceutical companies also figured prominently in the monthly totals, with 7 deals totaling $142.4 million and 5 deals totaling $124 million, respectively.

For the fourth time this year, a health care company announced a venture capital round that equals or exceeds $100 million. In the largest venture capital round of August, Globus Medical raised $110 million in Series E financing from Clarus Ventures, AIG SunAmerica and other investors, with Banc of America Securities as the sole placement agent. Globus Medical is developing spinal implant systems for fusion, minimally invasive surgery and motion preservation, as well as biomaterials. Also in the hundred-million-dollar club for the year, EUSA Pharma announced a $175 million round and CardioNet announced a $110 million round, both in March, and Solantic announced a $100 million financing in July.

Globus Medical is using the proceeds from this most recent round to fund growth and clinical trials associated with multiple technologies. Globus, founded in 2003, is now reporting annualized revenues of more than $50 million. David Paul, who formerly was with Synthes Spine, another leading orthopedic company, is the chief executive officer of Globus. Globus Medical’s vision is to collaborate with spine surgeons to develop products that will result in pain-free, active lives for their patients. Mr. Paul has implemented and refined a product development process that utilizes small teams, each focused on taking specific product candidates from concept to launch. The approach has enabled Globus to rapidly gain FDA approvals.

Based on the size of the investment and the fact that this is a late-stage round, one can’t help but wonder if Globus has been, or is still, considering an IPO. It seems obvious that the private investment provided Globus with sufficiently more attractive financing terms than an IPO would have at this time. Given the size of the venture round, and that in its latest press release, the company begins by stating it is the largest privately-held spinal implant manufacturer in the world, it seems unlikely Globus is planning an IPO right away—but we wouldn’t be surprised if the company does make some acquisitions, since the Series E proceeds are, in part, earmarked for expansion of the company’s pipeline. In addition, with its development strategy already based on the use of small, specialized teams, Globus is well-positioned to assimilate businesses with complementary technology into its existing structure.

Perhaps a company such as Amedica, which announced just a few months ago that it had raised $13.2 million in Series D financing, would be a possible fit. Just a few days after that, Amedica filed for an IPO, but then withdrew it in August. Amedica is an emerging orthopedic implant company focused on using its ceramics technologies to develop and commercialize innovative spine and joint implants for the orthopedic device market, including products for the spine, hip and knee. The product candidates Amedica is developing are based on silicon nitride ceramic technologies that the company anticipates will result in ceramic implant materials that are superior to what is currently on the market, in terms of greater strength, resistance to fracture and better compatibility with surgical and diagnostic imaging techniques. Amedica’s goal is to establish a new standard of care in orthopedics, but its technology is still in the pre-market stage, and does not yet have any regulatory clearances or approvals. The CEO and one of the co-founders of Amedica are currently its two largest shareholders. Some other venture-backed companies could offer an acquirer different strengths, such as LDR Spine, a provider of fusion and non-fusion spine products with a presence in North America, Europe and China, or Disc Dynamics, which has developed a catheter-based, minimally invasive nucleus replacement disc arthoplasty system for treating lower back pain associated with degenerative disc disease.

Globus has already developed and launched a full line of fusion products, as well as a pipeline of other product candidates. In the first half of 2007, Globus Medical expanded its sales and distribution footprint and introduced six new systems that represent significant technological advancements in fusion, minimally invasive surgery and biomaterials. Additionally, in the area of motion preservation, the company announced two "world’s first" surgeries using its transforaminal and posterior disc replacement systems. The venture financing also enables Globus to continue to rapidly expand its sales and distribution force and extend its product portfolio.

Globus, founded in 2003, is now a leading spinal implant provider worldwide. The company got a bit of unpleasant business out of the way recently; just two days before Globus announced the venture financing, the company announced it had settled all six cases that had been pending between Synthes Inc. and Globus Medical Inc. Without any admission of liability or wrongdoing, Globus agreed to make a payment of $13.5 million to Synthes, and agreed that neither Globus nor its agents will solicit or hire Synthes employees for one year (until August 10, 2008); mutual general releases were also exchanged. At the end of August, Globus announced that its revenues for the second quarter ended June 30, 2007 were $30.2 million, representing an increase of 52% over the $19.9 million it reported for the year-ago quarter, and its annualized revenues amount to more than $120 million.

The second-largest round of the month—also a Series E financing—was announced by Neuromed Pharmaceuticals, which raised $53.3 million from MPM Capital, James Richardson & Sons, Neuro Discovery, GrowthWorks Capital Working Opportunity Fund, Eminent Venture Capital Fund and other investors. Neuromed Pharmaceuticals is developing drugs for chronic pain by improving upon the safety and efficacy of existing drugs, including an extended-release hydromorphone formulation that it recently acquired from ALZA Corporation, as well as another internal program, and a collaboration effort with Merck (NYSE: MRK). Launched in 1998 as a spin-off from the University of British Columbia, Neuromed had already raised more than $74 million in venture funding, and has offices in the United States as well as Canada.

With Davy Corporate Finance Limited as the placement agent, Azur Pharma secured the third-largest health care venture capital financing announced in August, with $48 million raised from undisclosed investors. Azur will use the proceeds to complete the acquisition of FazaClo, an antipsychotic for schizophrenia and other conditions, and to provide sufficient cash resources for acquiring further products and pipeline assets. Founded with $50 million in 2005, Azur already acquired Gastrocrom, a product for mastocytosis, from UCB Pharma, as well as the business of Pharmelle, a urology and women’s health company. Headquartered in Dublin, Ireland, Azur Pharma is focused on specialty pharmaceutical markets in the United States and currently markets 11 products, including FazaClo.

Nereus Pharmaceuticals announced the fourth-largest health care venture capital deal during August, with a Series D-2 financing that raised $45 million. BankInvest Biomedical Venture, Roche Venture Fund, Astellas Venture Management, Boston Life Science Venture Corporation, HBM BioVentures and Alta Partners are among the investors in the round. Nereus Pharmaceuticals is using marine microbial sources for the discovery and development of cancer therapeutics, and will use the proceeds from this round to fund ongoing clinical trials. Currently Nereus has two candidates in phase I clinical trials, including one for the treatment of just solid tumors, and the other for the treatment of solid tumors, lymphomas and multiple myeloma. Its discovery portfolio also includes additional drug candidates for oncology, as well as for infectious diseases and inflammation. Since the first round it announced in April 2000, Nereus Pharmaceuticals has raised approximately $120 million in venture funding.

Ophthotech raised $36 million in a Series A venture financing announced during August, which was the fifth-largest round of the month, from SV Life Sciences, HBM BioVentures and Novo A/S. The company’s board and management team include individuals who previously held high-ranking posts at Eyetech, which was acquired by OSI Pharmaceuticals (NASDAQ: OSIP). Ophthotech’s president, Dr. Samir Patel, was a co-founder of Eyetech and also developed and commercialized Macugen, which in 2004 became the first anti-VEGF inhibitor to be FDA-approved for the treatment of wet age-related macular degeneration and is now marketed by (OSI) Eyetech and Pfizer (NYSE: PFE). Ophthotech expects that the initial funding is sufficient to execute its strategy for developing and commercializing therapies for back-of-the-eye diseases, bringing them to market in an accelerated manner.

The lead investor, Dr. Lutz Giebel of SV Life Sciences, stated, "We are thrilled to invest in this all-star, ex-senior Eyetech management team that has a proven, stellar track record in accelerated drug development and commercialization of therapeutics for the back of the eye." Dr. Giebel, who is on the boards of Ophthotech, Lux Biosciences and Neurotech, among others, recently estimated that the ophthalmology market is one that represents billions of potential dollars per indication. Both dry and wet age-related macular degeneration, as well as diabetic retinopathy, diabetic macular edema and glaucoma are all areas that represent some unmet need.

With well-known venture backers and a proven leadership team, Ophthotech is one company in the eye care space that will be closely watched. In tandem with the procurement of the $36 million financing, Ophthotech sealed two in-licensing deals with Archemix Corp. for the worldwide rights to all ophthalmic uses for certain of Archemix’s primary aptamers. In addition, an agreement was forged between Ophthotech and (OSI) Eyetech, under the terms of which OSI is transferring to Ophthotech all rights in another aptamer program, including a preclinical compound. OSI had suspended further research on the compound in connection with its decision to divest its eye disease business.

In last month’s issue, we featured companies that are working with temperature modulation and control for health care applications. In August we learned that one company in this space, CoolSystems, had expanded its Series G financing, raising $6 million from existing investors on the same terms as the $8.6 million initially raised in this round, which we reported in January 2006. The January funding supported CoolSystems’ growth, as explained by Tom Oliver, the company’s chief executive officer. "Our expansion since 2006 included the addition of a new department that focuses on regulatory and quality assurance and clinical trials. We’ve increased our staff from 46 in 2006 to more than 70 today," he said. The company’s Game Ready products continue to sell well in both the human and animal markets. CoolSystems managed once again to practically double its revenue for the year, achieving revenues of about $11 million in 2006, compared with about $6 million in 2005. "In addition," Mr. Oliver stated, "we’ve signed a couple of big distribution deals in the past year, including one with OrthoRehab, and another with a public orthopedic company." The identity of that public company has yet to be disclosed.

CoolSystems intends to continue building its core business, based on cooling and compression devices for use in the sports, rehabilitation and orthopedic markets. Its newest product is an articulated knee wrap designed for use after knee surgery as part of continuous passive motion (CPM) therapy. CoolSystems’ knee wrap delivers circumferential cooling and intermittent compression while the patient’s leg is positioned in a CPM machine. In addition, the company is currently looking at other technologies with potential post-operative applications. "Right now we are expanding into the post-operative orthopedic market," continued Mr. Oliver, "The insider round supports our thrust in this direction." Investors in CoolSystems include MedVenture Associates, Roda Group, the Brian and Jennifer Maxwell Trust and angels.

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