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Contents insurance Contents insurance is insurance that pays for damage to, or loss of, an individual’s personal possessions while they are located within that individual’s home. Some contents insurance policies also provide restricted cover for personal possessions temporarily taken away from the home by the policyholder.
Table of contents A table of contents, usually headed simply Contents and abbreviated informally as TOC, is a list, usually found on a page before the start of a written work, of its chapter or section titles or brief descriptions with their commencing page numbers.\n\n\n== History ==\nPliny the Elder credits Quintus Valerius Soranus (d.
Current Contents Current Contents is a rapid alerting service database from Clarivate Analytics, formerly the Institute for Scientific Information and Thomson Reuters. It is published online and in several different printed subject sections.
SM Culture & Contents SM Culture & Contents (Korean: 에스엠컬처앤콘텐츠; SM C&C) is a South Korean advertising, production, travel and talent company under SM Studios, a wholly-owned subsidiary of SM Entertainment. The company operates as a talent agency, television content production company, theatrical production company and travel company.
Victory Contents Victory Contents (Korean: 빅토리콘텐츠; RR: bigtoli kontencheu) is a Korean drama production company based in Seoul.\n\n\n== History ==\nsource: \n\nApril 4, 2003 - Music Encyclopedia was established.
Table of Contents (Enochs) Table of Contents is a sculpture designed by the American artist Dale Enochs. The sculpture is made from limestone and was commissioned by Joseph F. Miller.
Contents of the Book of Leinster The following table of contents for the Book of Leinster is based on the diplomatic edition by R.I. Best and M.A. O'Brien. The contents are listed according to the folio number of the manuscript and the page and volume number of the edition.
Financial statement Financial statements (or financial reports) are formal records of the financial activities and position of a business, person, or other entity.\nRelevant financial information is presented in a structured manner and in a form which is easy to understand.
Balance sheet In financial accounting, a balance sheet (also known as statement of financial position or statement of financial condition) is a summary of the financial balances of an individual or organization, whether it be a sole proprietorship, a business partnership, a corporation, private limited company or other organization such as government or not-for-profit entity. Assets, liabilities and ownership equity are listed as of a specific date, such as the end of its financial year.
Financial ratio A financial ratio or accounting ratio is a relative magnitude of two selected numerical values taken from an enterprise's financial statements. Often used in accounting, there are many standard ratios used to try to evaluate the overall financial condition of a corporation or other organization.
Educational technology Educational technology (commonly abbreviated as edutech, or edtech) is the combined use of computer hardware, software, and educational theory and practice to facilitate learning. When referred to with its abbreviation, edtech, it is often referring to the industry of companies that create educational technology.In addition to practical educational experience, educational technology is based on theoretical knowledge from various disciplines such as communication, education, psychology, sociology, artificial intelligence, and computer science.
Technology Technology is the result of accumulated knowledge and application of skills, methods, and processes used in industrial production and scientific research. Technology is embedded in the operation of all machines, with or without detailed knowledge of their function, for the intended purpose of an organization.
Information technology Information technology (IT) is the use of computers to create, process, store, retrieve, and exchange all kinds of electronic data and information. IT is typically used within the context of business operations as opposed to personal or entertainment technologies.
Operations management Operations management is an area of management concerned with designing and controlling the process of production and redesigning business operations in the production of goods or services. It involves the responsibility of ensuring that business operations are efficient in terms of using as few resources as needed and effective in meeting customer requirements.
Financial condition report In accounting, a financial condition report (FCR) is a report on the solvency condition of an insurance company that takes into account both the current financial status, as reflected in the balance sheet, and an assessment of the ability of the company to survive future risk scenarios. Risk assessment in an FCR involves dynamic solvency testing, a type of dynamic financial analysis that simulates management response to risk scenarios, to test whether a company could remain solvent in the face of deteriorating economic conditions or major disasters.
Financial law Financial law is the law and regulation of the insurance, derivatives, commercial banking, capital markets and investment management sectors. Understanding Financial law is crucial to appreciating the creation and formation of banking and financial regulation, as well as the legal framework for finance generally.
Trustmark (bank) Trustmark is a commercial bank and financial services company headquartered in Jackson, Mississippi, United States, with subsidiaries Trustmark National Bank, Trustmark Investment Advisors, and Fisher Brown Bottrell Insurance. The bank's initial predecessor, The Jackson Bank, was chartered by the State of Mississippi in 1889.
Financial analysis Financial analysis (also referred to as financial statement analysis or accounting analysis or Analysis of finance) refers to an assessment of the viability, stability, and profitability of a business, sub-business or project. \nIt is performed by professionals who prepare reports using ratios and other techniques, that make use of information taken from financial statements and other reports.
Form 10-K A Form 10-K is an annual report required by the U.S. Securities and Exchange Commission (SEC), that gives a comprehensive summary of a company's financial performance. Although similarly named, the annual report on Form 10-K is distinct from the often glossy "annual report to shareholders," which a company must send to its shareholders when it holds an annual meeting to elect directors (though some companies combine the annual report and the 10-K into one document).
Federal takeover of Fannie Mae and Freddie Mac In September 2008 the Federal Housing Finance Agency (FHFA) announced that it would take over the Federal National Mortgage Association (Fannie Mae) and the Federal Home Loan Mortgage Corporation (Freddie Mac). Both government-sponsored enterprises, which finance home mortgages in the United States by issuing bonds, had become illiquid as the market for those bonds collapsed in the subprime mortgage crisis.
Plantar fasciitis Plantar fasciitis is a disorder of the plantar fascia, which is the connective tissue which supports the arch of the foot. It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
Laser surgery Laser surgery is a type of surgery that uses a laser (in contrast to using a scalpel) to cut tissue.Examples include the use of a laser scalpel in otherwise conventional surgery, and soft-tissue laser surgery, in which the laser beam vaporizes soft tissue with high water content.\nLaser surgery is commonly used on the eye.
Arithmetic Arithmetic (from Ancient Greek ἀριθμός (arithmós) 'number', and τική [τέχνη] (tikḗ [tékhnē]) 'art, craft') is an elementary part of mathematics that consists of the study of the properties of the traditional operations on numbers—addition, subtraction, multiplication, division, exponentiation, and extraction of roots. In the 19th century, Italian mathematician Giuseppe Peano formalized arithmetic with his Peano axioms, which are highly important to the field of mathematical logic today.
Operation Mincemeat Operation Mincemeat was a successful British deception operation of the Second World War to disguise the 1943 Allied invasion of Sicily. Two members of British intelligence obtained the body of Glyndwr Michael, a tramp who died from eating rat poison, dressed him as an officer of the Royal Marines and placed personal items on him identifying him as the fictitious Captain (Acting Major) William Martin.
Bitwise operation In computer programming, a bitwise operation operates on a bit string, a bit array or a binary numeral (considered as a bit string) at the level of its individual bits. It is a fast and simple action, basic to the higher-level arithmetic operations and directly supported by the processor.
Special Activities Center The Special Activities Center (SAC) is a division of the Central Intelligence Agency responsible for covert operations and paramilitary operations. The unit was named Special Activities Division (SAD) prior to 2015.
Emergency operations center An emergency operations center (EOC) is a central command and control facility responsible for carrying out the principles of emergency preparedness and emergency management, or disaster management functions at a strategic level during an emergency, and ensuring the continuity of operation of a company, political subdivision or other organization.\nAn EOC is responsible for strategic direction and operational decisions and does not normally directly control field assets, instead leaving tactical decisions to lower commands.
Surgery Surgery is a medical or dental specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas.\nThe act of performing surgery may be called a surgical procedure, operation, or simply "surgery".
Competition Competition is a rivalry where two or more parties strive for a common goal which cannot be shared: where one's gain is the other's loss (an example of which is a zero-sum game). Competition can arise between entities such as organisms, individuals, economic and social groups, etc.
Technology company A technology company (or tech company) is an electronics-based technological company, including, for example, business relating to digital electronics, software, and internet-related services, such as e-commerce services.\n\n\n== Details ==\nAccording to Fortune, as of 2020, the ten largest technology companies by revenue are: Apple Inc., Samsung, Foxconn, Alphabet Inc., Microsoft, Huawei, Dell Technologies, Hitachi, IBM, and Sony.
Technology management Technology management is a set of management disciplines that allows organizations to manage their technological fundamentals to create customer advantage. Typical concepts used in technology management are:\n\nTechnology strategy (a logic or role of technology in organization),\nTechnology forecasting (identification of possible relevant technologies for the organization, possibly through technology scouting),\nTechnology roadmap (mapping technologies to business and market needs), and\nTechnology project portfolio (a set of projects under development) and technology portfolio (a set of technologies in use).The role of the technology management function in an organization is to understand the value of certain technology for the organization.
Language technology Language technology, often called human language technology (HLT), studies methods of how computer programs or electronic devices can analyze, produce, modify or respond to human texts and speech. Working with language technology often requires broad knowledge not only about linguistics but also about computer science.
Space technology Space technology is technology for use in outer space, in travel (astronautics) or other activities beyond Earth's atmosphere, for purposes such as spaceflight, space exploration, and Earth observation. Space technology includes space vehicles such as spacecraft, satellites, space stations and orbital launch vehicles; deep-space communication; in-space propulsion; and a wide variety of other technologies including support infrastructure equipment, and procedures.
Information technology consulting In management, information technology consulting (also called IT consulting, computer consultancy, business and technology services, computing consultancy, technology consulting, and IT advisory) is a field of activity which focuses on advising organizations on how best to use information technology (IT) in achieving their business objectives.\nOnce a business owner defines the needs to take a business to the next level, a decision maker will define a scope, cost and a time frame of the project.
Bachelor of Technology A Bachelor of Technology (Latin Baccalaureus Technologiae, commonly abbreviated as B.Tech. or BTech; with honours as B.Tech.
Risk Factors
ARTHROCARE CORP ITEM 1A RISK FACTORS We operate in a dynamic and rapidly changing industry that involves numerous risks and uncertainties
The risks and uncertainties described below are those that we currently believe may materially affect us
Other risks and uncertainties that we do not presently consider to be material or of which we are not presently aware, may become important factors that affect us in the future
Circumstances Associated with Our Acquisition Strategy and Internal Growth May Adversely Affect Our Operating Results An important element of our growth strategy has been the pursuit of acquisitions of other businesses that expand or complement our existing products
Integrating businesses, however, involves a number of special risks, including the possibility that management may be distracted from regular business concerns by the need to 19 ______________________________________________________________________ [59]Table of Contents [60]Index to Financial Statements integrate operations, unforeseen difficulties in integrating operations and systems, problems assimilating and retaining our employees or the employees of the acquired company, accounting issues that could arise in connection with, or as a result of, the acquisition of the acquired company, regulatory or compliance issues that could exist at an acquired company, challenges in retaining our customers or the customers of the acquired company following the acquisition and potential adverse short term effects on operating results through increased costs or otherwise
In addition, we will incur additional debt to fund future payments to Opus stockholders and ATI and, we may incur debt to finance future acquisitions and/or may issue securities in connection with future acquisitions which may dilute the holdings of our current and future stockholders
In addition to the risks associated with acquisition-related growth, our business has grown in size and complexity over the past few years as a result of internal growth
This growth and increase in complexity have placed significant demands on management, systems, internal controls and financial and physical resources
To meet such demands, we intend to continue to invest in new technology, make other capital expenditures and, where appropriate, hire and/or train employees with expertise to handle these particular demands
If we are unable to successfully complete and integrate strategic acquisitions in a timely manner or if we fail to efficiently manage operations in a way that accommodates continued internal growth, our business, financial condition or operating results could be adversely affected
In 2005, we acquired substantially all of the assets of ATI, a maker of wound care products for ear, nose and throat (ENT) indications
In 2004 and 2002, we acquired three companies representing three lines of business independent of our core Coblation platform: Atlantech and its mechanical handheld instruments; MDA and its line of Parallax bone cement and delivery systems; and Opus and its line of tissue suturing and anchoring products
Integration of these businesses has been a significant challenge to our existing resources
At times, these integration issues have restricted sales of one or more product lines as a host of systems, distribution, logistics and product supply issues have materialized
While we are diligently focused on successful integration, the newness of these technologies along with the dispersed nature of the product development and supply chain represents a risk to our business and availability of internal resources
If we are unsuccessful in integrating these businesses, or experience disruptions related to our integration efforts, then our financial condition, results of operations and future growth prospects could be materially adversely affected
We Face Intense Competition The markets for our current products in our core businesses are intensely competitive
These markets include arthroscopy, spinal surgery and ENT surgery
We cannot assure you that other companies will not succeed in developing technologies and products that are more effective than ours, or that would render our technology or products obsolete or uncompetitive in these markets
In arthroscopy, we compete against companies, such as Johnson & Johnson, Smith & Nephew, Inc, Conmed Corporation, Stryker Corp, and Arthrex
Specifically, Johnson & Johnson, Smith & Nephew and Stryker are currently marketing bipolar electrosurgical systems for tissue ablation and shrinkage and Arthrex and Conmed are currently marketing monopolar electrosurgical systems for tissue ablation
Arthrex, Smith & Nephew, Conmed, and DePuy-Mitek market products that directly compete with shoulder anchors, acquired as part of our Opus acquisition
In spinal surgery, we compete against companies that market products to remove tissue and treat spinal disorders
We compete against Stryker, which markets the Dekompressor device, which uses a mechanical auger to perform percutaneous discectomy
In addition, the Oratec division of Smith & Nephew, and the Radionics division of Tyco, are currently marketing percutaneous thermal heating products for treating certain types of disc pain
Our Coblation-assisted microdiscectomy (CAM) procedure competes indirectly with large spine companies and their mechanical instruments, such as DePuy Acromed, Medtronic Sofamor Danek, Centerpulse Spine Tech, Stryker Spine and Synthes
Stryker, Cardinal Health, Cook and Kyphon market products that compete directly with our Parallax product line
In ENT surgery, we compete against companies that offer manual instruments, such as Smith & Nephew, Inc, Stryker Corp, Conmed Corporation, and Xomed Surgical Products Inc, which was acquired by Medtronic, Inc
In addition, we compete 20 ______________________________________________________________________ [61]Table of Contents [62]Index to Financial Statements with companies that develop and market lasers for various ENT surgery applications, including Lumenis
(purchased by Gyrus Group International, Inc, a company based in Cardiff, Wales), also sell medical devices for the treatment of various ENT disorders, including snoring and obstructive sleep apnea
In addition, Gyrus has recently introduced a bipolar system for tonsillectomy procedures that competes directly with our Coblation-based tonsillectomy products
Medtronic and Gyrus both market sinus surgery packing products that compete with our newly acquired ATI products
Many of our competitors have significantly greater financial, manufacturing, marketing, distribution and technical resources than we do
Some of these companies offer broad product lines that they may offer as a single package and frequently offer significant discounts as a competitive tactic
For example, in order to compete successfully, we anticipate that we may have to continue to offer substantial discounts on our controllers, place controllers at customers sites at no cost or in return for a minimum purchase commitment of our surgical wands in order to increase demand for our disposable devices, and that this competition could have a material adverse effect on our business, financial condition, results of operations and future growth prospects
Furthermore, some of our competitors utilize purchasing contracts that link discounts on the purchase of one product to purchases of other products in their broad product lines
Many of the hospitals in the United States have purchasing contracts with our competitors
Accordingly, customers may be dissuaded from purchasing our products rather than the products of these competitors to the extent the purchase would cause them to lose discounts on products
We May Not Be Able to Keep Pace with Technological Change or to Successfully Develop New Products with Wide Market Acceptance, Which Could Cause Us to Lose Business to Competitors We may not be able to keep pace with technology or to develop viable new products, as we compete in a market characterized by rapidly changing technology
Our future financial performance will depend in part on our ability to develop and manufacture new products in a cost-effective manner, to introduce them to the market on a timely basis, and to achieve market acceptance
Factors which may result in delays of new product introductions or cancellation of our plans to manufacture and market new products include capital constraints, research and development delays or delays in acquiring regulatory approvals
Our new products and new product introductions may fail to achieve expected levels of market acceptance
Factors impacting the level of market acceptance include our ability to successfully implement new technologies, the timeliness of our product introductions, our product pricing strategies, and the financial and technological resources for product promotion and development available
We Are Dependent Upon Our Arthroscopic System We commercially introduced our Arthroscopic System in December 1995
Since our Arthroscopic System accounted for 60prca of our product sales in 2005, we are highly dependent on its sales
We cannot assure you that we will be able to continue to manufacture arthroscopy products in commercial quantities at acceptable costs, or that we will be able to continue to market such products successfully
To achieve increasing disposable device sales over time, we believe we must continue to penetrate the market in knee procedures, expand physicians’ education with respect to Coblation technology and continue working on new product development efforts specifically for knee applications
Furthermore, in order to maintain and increase current market penetration we must continue to increase our installed base of controllers to generate increased disposable device revenue
To date, we have placed at no charge or have priced our arthroscopic controllers at substantial discounts in order to stimulate demand for our disposable devices
We believe that surgeons will not use our products unless they determine, based on experience, clinical data and other factors, that these systems are an attractive alternative to conventional means of tissue ablation
There are only a few independently published clinical reports and limited long-term clinical follow-up to support the marketing efforts for our Arthroscopic System
We believe that if continued recommendations and endorsements by influential surgeons or long-term data do not support our current claims of efficacy, our business, financial condition, results of operations and future growth prospects could be materially adversely affected
21 ______________________________________________________________________ [63]Table of Contents [64]Index to Financial Statements Commercial Success of Products Outside of Our Core Businesses Is Uncertain We have developed several applications for our Coblation technology in spinal surgery, neurosurgery, ENT surgery, cosmetic surgery, gynecology, urology, cardiac surgery and general surgery
At the present time, we consider sports medicine, spine surgery and ENT surgery to be our core businesses
Sales of our spinal surgery and ENT surgery products collectively accounted for 32prca and 34prca of our product sales in 2005 and 2004, respectively, such that product sales in our three core businesses accounted for approximately 100prca of our product sales in 2005
Our products for neurosurgery, cosmetic surgery, gynecology, urology, general surgery and cardiac surgery, our non-core business, are in various stages of commercialization and development, and we may be required to undertake time-consuming and costly commercialization, development and additional regulatory approval activities for any of these products
If we do not receive future clearances we may be unable to market these and other products for specific indications and our business, financial condition, results of operations and future growth prospects could be materially adversely affected
We cannot assure you that product development will ever be successfully completed, that regulatory clearances or approvals, if applied for, will be granted by the FDA or foreign regulatory authorities on a timely basis, if at all, or that the products will ever achieve commercial acceptance
We may have to make a significant investment in additional preclinical and clinical testing, regulatory, physician training and sales and marketing activities to further develop and commercialize our neurosurgery, gynecology, urology, cosmetic surgery, general surgery and cardiovascular product offerings
Although we believe that these products offer certain advantages, we cannot assure you that these advantages will be realized, or if realized, that these products will result in any meaningful benefits to physicians or patients
Development and commercialization of our current and future non-core business products are subject to the risks of failure inherent in the development for new medical devices
These risks include the following: • Such products may not be easy to use, may require extensive training or may not be cost-effective; • New products may experience delays in testing or marketing; • There may be unplanned expenditures or in expenditures above those anticipated by us; • Such products may not be proven safe or effective; • Third parties may develop and market superior or equivalent products; • Such products may not receive necessary regulatory clearances or approvals; and • Proprietary rights of third parties may preclude us and our collaborative partners from marketing such products
In addition, the success of our non-core business products will depend on their adoption as alternatives to conventional means of tissue ablation
Clinical experience and follow-up data for our non-core business indications are limited, and we have sold only a small number of units to date
We believe that recommendations and endorsement of influential physicians are essential for market acceptance of such products
For information regarding the status of our regulatory approvals for our products, see the information under the heading “Government Regulation
If Our Costa Rica Facility is Unable to Produce Our Coblation Products in Sufficient Quantities or With Adequate Quality, or if Our Operations at Our Costa Rican Facility are Disrupted, We Will Be Forced to Find Alternative Manufacturing Options, Which Could Cause Sales to be Delayed or Increase Our Manufacturing Costs, Which Could Harm Our Reputation and Profitability Our high-volume disposable devices and controllers are primarily manufactured at our Company-owned facility in an industrial park in San Jose, Costa Rica
This facility commenced operations in 2002 and by year-end 2005 was producing approximately 99prca of our disposable device requirements, including as of 22 ______________________________________________________________________ [65]Table of Contents [66]Index to Financial Statements December 31, 2005, 100prca of our requirements for controllers
If our Costa Rica facility is not able to produce sufficient quantities of our controllers and other high-volume Coblation products with adequate quality, or if our Costa Rica operations are disrupted for any reason, then we may be forced to locate alternative manufacturing facilities, including facilities operated by third parties
Disruptions may include, but are not limited to, changes in the legal and regulatory environment in Costa Rica; slowdowns or work stoppages within the Costa Rican customs authorities; acts of God and other issues associated with significant operations that are remote from our headquarters and operations centers
Locating alternative facilities would be time-consuming, would disrupt our production and cause shipment delays and could result in damage to our reputation and profitability
We cannot guarantee that alternative manufacturing facilities offering the cost and tax advantages associated with our Costa Rica facility would be available on favorable terms, or at all
Our Business May Become Increasingly Susceptible to Risks Associated with International Operations International operations are generally subject to a number of risks, including: • protectionist laws and business practices that favor local competition; • changes in jurisdictional tax laws including laws regulating intercompany transactions; • dependence on local vendors; • multiple, conflicting and changing governmental laws and regulations; • difficulties in collecting accounts receivable; • seasonality of operations; • difficulties in staffing and managing foreign operations; • licenses, tariffs, and other trade barriers; • loss of proprietary information due to piracy, misappropriation or weaker laws regarding intellectual property protection; • foreign currency exchange rate fluctuations; • political and economic instability; and • acquisitions and related IPR&D We derived 21prca and 25prca of our total revenue for the years ended December 31, 2005 and 2004, respectively, from customers located outside of the Americas
We expect international revenue to remain a large percentage of total revenue and we believe that we must continue to expand our international sales activities to be successful
Historically, a majority of our international revenues and costs have been denominated in foreign currencies, and we expect future international revenues and costs will be denominated in foreign currencies
Our international sales growth will be limited if we are unable to establish appropriate foreign operations, expand international sales channel management and support organizations, hire additional personnel, develop relationships with international sales representatives, and establish relationships with additional distributors
In that case, our business, operating results and financial condition could be materially adversely affected
Even if we are able to successfully expand international operations, we cannot be certain that we will be able to maintain or increase international market demand for our products
Our Operating Results May Fluctuate We achieved profitability in 1999 and, as of December 31, 2005, we had retained earnings of dlra5dtta6 million
Results of operations may fluctuate significantly from quarter to quarter due to many factors, including the following: • The introduction of new product lines; • Increased penetration in existing applications; 23 ______________________________________________________________________ [67]Table of Contents [68]Index to Financial Statements • Product returns; • Achievement of research and development milestones; • The amount and timing of receipt and recognition of license fees; • Manufacturing or supply disruptions; • Internal systems availability and uptimes; • Timing of expenditures; • Absence of a backlog of orders; • Receipt of necessary regulatory approvals; • The level of market acceptance for our products; • Acquisition related in-process research and development write-offs; • Timing of the receipt of orders and product shipments; and • Promotional programs for our products
We cannot provide assurance that future quarterly fluctuations will not adversely affect our business, financial condition, results of operations of future growth prospects
Our revenues and profitability will be critically dependent on whether or not we can successfully continue to market our Coblation-based technology product lines and continue to integrate our recent acquisitions
We cannot assure investors that we will maintain or increase our revenues or level of profitability
The Market Price of Our Stock May Be Highly Volatile During the fiscal year ended December 31, 2005 our common stock has traded in a price range of dlra25dtta62 to dlra42dtta18 per share
The market price of our common stock could continue to fluctuate substantially due to a variety of factors, including: • Quarterly fluctuations in results of our operations; • Our ability to successfully commercialize our products; • Announcements regarding results of regulatory approval filing, clinical studies or other testing, technological innovations or new products commercialized by us or our competitors; • Developments concerning government regulations, proprietary rights or public concern as to the safety of our technology; • The execution of new collaborative agreements and material changes in our relationships with our business partners; • Market reaction to acquisitions and trends in sales, marketing, and research and development; • Changes in coverage or earnings estimates by analysts; • Sales of common stock by existing stockholders; and • Economic and political conditions
The market price for our common stock may also be affected by our ability to meet analysts’ expectations
Any failure to meet such expectations, even slightly, could have an adverse effect on the market price and volume fluctuations
This volatility has had a significant effect on the market prices of securities issued by many companies for reasons unrelated to the operating performance of these companies
In the past, following periods of volatility in the market price of a company’s securities, the risk of securities class action litigation has increased
If similar litigation were instituted against us, it could result in substantial costs and a diversion of our management’s attention 24 ______________________________________________________________________ [69]Table of Contents [70]Index to Financial Statements and resources, which could have an adverse effect on our business, results of operations and financial condition
See “Item 5: Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities,” for more information regarding fluctuations in the price of our common stock
We May Be Unable to Effectively Protect Our Intellectual Property Our ability to compete effectively depends in part on developing and maintaining the proprietary aspects of our Coblation technology and our acquired technologies
We believe that our issued patents are directed at the core technology used in our soft-tissue surgery systems, including both multi-electrode and single electrode configurations of our disposable devices, as well as the use of Coblation technology in specific surgical procedures
In addition, we believe that our issued patents are directed at many of the core features of our acquired technologies from Opus, Parallax, Atlantech and ATI There is no assurance that the patents we have obtained, or any patents we may obtain as a result of our pending US or international patent applications, will provide any competitive advantages for our products
We also cannot assure investors that those patents will not be successfully challenged, invalidated or circumvented in the future
In addition, we cannot provide assurance that competitors, many of which have substantial resources and have made substantial investments in competing technologies, have not already applied for or obtained, or will not seek to apply for and obtain, patents that will prevent, limit or interfere with our ability to make, use and sell our products either in the United States or in international markets
Patent applications are maintained in secrecy for a period after filing
We may not be aware of all of the patents and patent applications potentially adverse to our interests
A number of medical device and other companies, universities and research institutions have filed patent applications or have issued patents relating to monopolar and/or bipolar electrosurgical methods and apparatus
We have received, and we may receive in the future, notifications of potential conflicts of existing patents, pending patent applications and challenges to the validity of existing patents
In addition, we have become aware of, potential conflicts of existing patents, pending patent applications and challenges to the validity of existing patents
In addition, we have become aware of, and may become aware of in the future, patent applications and issued patents that relate to our products and/or the surgical applications and issued patents and, in some cases, have obtained internal and/or external opinions of counsel regarding the relevance of certain issued patents to our products
We do not believe that our products currently infringe any valid and enforceable claims of the issued patents that we have reviewed
However, if third-party patents or patent applications contain claims infringed by our technology and such claims are ultimately determined to be valid, we may not be able to obtain licenses to those patents at a reasonable cost, if at all, or be able to develop or obtain alternative technology
Our inability to do either would have a material adverse effect on our business, financial condition, results of operations and prospects
We cannot assure investors that we will not have to defend ourselves in court against allegations of infringement of third-party patents, or that such defense would be successful
In addition to patents, we rely on trade secrets and proprietary know-how, which we seek to protect, in part, through confidentiality and proprietary information agreements
We require our key employees and consultants to execute confidentiality agreements upon the commencement of an employment or consulting relationship with us
These agreements generally provide that all 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 not disclosed to third parties
These agreements also generally provide that inventions conceived by the individual in the course of rendering services to us shall be our exclusive property
We cannot assure investors that employees will not breach such agreements, that we would have adequate remedies for any breach or that our trade secrets will not otherwise become known to or be independently developed by competitors
We May Become Subject to Patent Litigation 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 25 ______________________________________________________________________ [71]Table of Contents [72]Index to Financial Statements litigation to gain a competitive advantage
We cannot assure investors that we will not become subject to patent infringement claims or litigation or interference proceedings declared by the USPTO, to determine the priority of inventions
In February 1998, we filed a lawsuit against Ethicon, Inc, Mitek Surgical Products, a division of Ethicon, Inc, and GyneCare, Inc
alleging, among other things, infringement of several of our patents
The parties subsequently settled this lawsuit
Under the terms of the settlement, Ethicon, Inc
has licensed a portion of our US patents for current products in the arthroscopy and hysterocopic gynecology markets
The settlement agreement also established a procedure for resolution of certain potential intellectual property disputes in these two markets without litigation
Under this procedure, the licenses granted in the Ethicon settlement have been extended to Australia, Canada and Japan
In June 2000, we filed a lawsuit against Stryker, alleging infringement of several of our patents
The lawsuit has been settled and under the terms of the settlement, Stryker has licensed a portion of our worldwide patents for products in the arthroscopy market
On July 25, 2001, we filed a lawsuit against Smith & Nephew, Inc
The lawsuit alleged, among other things, that Smith & Nephew was infringing three patents issued to ArthroCare
Specifically, Smith & Nephew uses, imports, markets and sells electrosurgical products under the names of Dyonics Control RF System, ElectroBlade and Saphyre^™ that infringed these patents
On April 3, 2003, Smith & Nephew filed a lawsuit against us in the United States District Court, Western Tennessee alleging that we infringed two Smith & Nephew patents—nos
In addition, Smith & Nephew alleged that we were in violation of Section 43(A) of the Lanham Act for allegedly making false or misleading statements to deceive potential purchasers of Smith & Nephew’s medical devices
Smith & Nephew requested the Court to issue preliminary and permanent injunction preventing ArthroCare from further infringement of the above-mentioned patents and from making further false or misleading statements concerning Smith & Nephew’s medical devices
These lawsuits were dismissed and the claims settled pursuant to a Settlement and License Agreement between ArthroCare and Smith & Nephew on September 2, 2005
As a consequence of this settlement, we received a one-time cash payment at signing, which has been recorded as a reduction of legal fees in general and administrative expenses, and will receive a series of related milestone payments over the next twelve months, which will also be record in general and administrative expenses
This agreement settles all legal disputes between ArthroCare and Smith & Nephew, including the pending legal matters in Delaware and Tennessee described above
On December 15, 2005, Bonutti IP, LLC filed a lawsuit against us in the United States District Court, Southern District of Illinois alleging that our Opus AutoCuff anchoring system infringed ten Bonutti patents (Nos
Bonutti requested the Court to award damages and to issue a permanent injunction preventing us from further infringement of the above-mentioned patents
Upon initial review, we believe that these claims have no merit and we intend to defend ourselves vigorously
We Must Obtain Governmental Clearances or Approvals Before We Can Sell Our Products; We Must Continue to Comply with Applicable Laws and Regulations Our products are considered medical devices and are subject to extensive regulation in the United States
We must obtain premarket clearance or approval by the FDA for each of our products and indications before they can be commercialized
International sales of our products are also subject to strict regulatory requirements
For more information about the US and foreign regulatory requirements, see information under the heading “Government Regulation” above
Information pertaining to our products and indications before they can be commercialized can be found under the heading “Government Regulations” in Item 1, above
26 ______________________________________________________________________ [73]Table of Contents [74]Index to Financial Statements We Face Uncertainty Over Reimbursement Failure by physicians, hospitals and other users of our products to obtain sufficient reimbursement from health care payers for procedures in which our products are used, or adverse changes in environmental and private third-party payers’ policies toward reimbursement for such procedures would have a material adverse effect on our business, financial condition, results of operations and future growth prospects
Reimbursement for arthroscopic, spinal surgery, neurosurgery, ENT surgery, gynecology, urology, cardiology and general surgery procedures performed using our devices that have received FDA clearance has generally been available in the United States
Typically, cosmetic surgery procedures are not reimbursed
We are unable to predict what changes will be made in the reimbursement methods used by third-party health care payors
In addition, some health care providers are moving toward a managed care system in which providers contract to provide comprehensive health care for a fixed cost per person
Managed care providers are attempting to control the cost of health care by authorizing fewer elective surgical procedures
We anticipate that in a prospective payment system, such as the diagnosis related group system utilized by Medicare, and in many managed care systems used by private health care payers, the cost of our products will be incorporated into the overall cost of the procedure and that there will be no separate, additional reimbursement for our products
If we obtain the necessary international regulatory approvals, market acceptance of our products in international markets would be dependent, in part, upon the availability of reimbursement within prevailing health care payment systems
Reimbursement and health care payment systems in international markets vary significantly by country and include both government-sponsored health care and private insurance
We intend to seek international reimbursement approvals, although we cannot assure investors that any such approvals will be obtained in a timely manner, if at all
Nucleoplasty is our version of percutaneous discectomy, where tissue is removed from the nucleus to decompress the disc
Several payors consider percutaneous discectomy in any form investigational, and others cover percutaneous discectomy, but consider Nucleoplasty investigational
There is no assurance that we will be able to obtain coverage with these payors for percutaneous discectomy in general, and Nucleoplasty specifically
We Are Dependent on Key Suppliers Some of the key components of our products are purchased from single vendors
If the supply of materials from a sole source supplier were interrupted, replacement or alternative sources might not be readily obtainable due to the regulatory requirements applicable to our manufacturing operations or the availability of certain product drawings and/or specifications
In addition, a new or supplemental filing with applicable regulatory authorities may require clearance prior to our marketing a product containing new material
This clearance process may take a substantial period of time and we cannot assure investors that we would be able to obtain the necessary regulatory approval for a new material to be used in our products on a timely basis, if at all
This could create supply disruptions that would materially adversely affect our business, financial condition, results of operations and future growth prospects
In addition, we currently single source our product sterilization requirements
While there are alternate sources available, we would be required to qualify and validate a new supplier(s), which could lead to a disruption in our operation and ability to supply products for a period of time
We are also dependent on the performance of DHL, our logistics partner
Should this supplier experience a work stoppage for whatever reason, we would be unable to supply products to its customers on a timely basis
This work stoppage could take the form of labor action, significant weather events or extended systems downtime, which could materially adversely affect our business
27 ______________________________________________________________________ [75]Table of Contents [76]Index to Financial Statements We Have Limited Marketing and Sales Experience We currently have limited experience in marketing and selling our products
To the extent that we have established or will enter into distribution arrangements for the sale of our products, we are and will be dependent upon the efforts of third parties
We are marketing and selling our arthroscopic surgery, spinal surgery and ENT surgery product lines in the United States through a combination of a direct sales force and a network of independent distributors supported by regional sales managers
These distributors sell arthroscopy, spinal surgery and ENT surgery products for a number of other manufacturers
We cannot provide assurance that these distributors will commit the necessary resources to effectively market and sell our sports medicine, spinal surgery and ENT surgery product lines, or that they will be successful in selling our products
Delaware Law, Provisions in Our Charter and Our Stockholder Rights Plan Could Make the Acquisition of Our Company By Another Company More Difficult Our stockholder rights plan and certain provisions of our certificate of incorporation and bylaws may have the effect of making it more difficult for a third party to acquire, or of discouraging a third party from attempting to acquire, control of our company
This could limit the price that certain investors might be willing to pay in the future for shares of our common stock
Some provisions of our certificate of incorporation and bylaws allow us to issue preferred stock without any vote or further action by the stockholders, to eliminate the right of stockholders to act by written consent without a meeting, to specify procedures for director nominations by stockholders and submission of other proposals for consideration at stockholder meetings, and to eliminate cumulative voting in the election of directors
Some provisions of Delaware law applicable to us could also delay or make more difficult a merger, tender offer or proxy contest involving us, including Section 203, which prohibits a Delaware corporation from engaging in any business combination with any interested stockholder for a period of three years unless certain conditions are met
Our stockholder rights plan, the possible issuance of preferred stock, the procedures required for director nominations and stockholder proposals and Delaware law could have the effect of delaying, deferring or preventing a change in control of ArthroCare, including without limitation, discouraging a proxy contest or making more difficult the acquisition of a substantial block of our common stock
Beginning with Fiscal 2006, We are Required to Recognize Expense for Stock-Based Compensation Related to Employee Stock Options and Employee Stock Purchases, and the Recognition of This Expense Could Cause the Trading Price of Our Common Stock to Decline In December 2004, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards Nodtta 123R (“Statement 123R”), pursuant to which we must measure all stock-based compensation awards, including grants of employee stock options, using a fair value method and record such expense in our consolidated financial statements
Through 2005, we disclosed such expenses on a pro forma basis in the notes to our annual financial statements, but did not record a charge for employee stock option expense in the reported financial statements
On January 1, 2006 we adopted Statement 123R, which requires the measurement and recognition of compensation expense for all stock-based compensation based on estimated fair values
This will be reflected in our first quarter 2006 Form 10-Q and, as a result, our operating results for the first quarter of fiscal 2006 and beyond will contain a charge for stock-based compensation related to employee stock options and employee stock purchases
The application of Statement 123R requires the use of an option-pricing model to determine the fair value of share-based payment awards
This fair value determination is affected by our stock price as well as assumptions regarding a number of highly complex and subjective variables
These variables include, but are not limited to, our expected stock price volatility over the term of the awards, and actual and anticipated employee stock option exercise behaviors