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Computer Motion (Nasdaq- RBOT)


Computer Motion is a medical robotic company with extremely impressive technology. The technology that is being put to use by Computer Motion Inc., (Nasdaq-RBOT) will change the way the world operates, literally.

RBOT is the leader in medical robotics, a specialty that is expected to develop into a multi-billion dollar industry. RBOT is the dominant player in this ground-breaking technology that is changing the way the medical profession performs surgery.

RBOT has a suite of operating tools that are automating the Operating Room and providing critical support to surgeons worldwide, RBOT has been able to perform coronary bypass surgery, where the patient is out of the hospital in two days and performing moderate exercise in one week. Traditionally, patients are in the hospital for one to two weeks and in bed for one to two months.

Aside from enabling surgeons to perform closed chest surgery, these tools benefit surgeons in so many other procedures and ways. Their three core products are Aesop, Zeus and Hermes. Aesop is FDA approved and finding market acceptance as well as gaining market share. Zeus just recently gained FDA approval and will eliminate unintentional hand tremors produced by prolong holding of surgical instruments. Zeus will also give better feedback than what is currently available from minimally invasive surgical instruments. The Zeus platform produces a steady magnified video image which facilitates performance of minimally invasive surgical procedures. Best of all, Zeus makes possible minimal invasive operations that currently can only be performed by highly invasive open surgical procedures.

RBOT recently stated preliminary revenues for the third quarter are expected to be up 75% versus a year ago third quarter. A good portion of RBOT's float is owned by institutions and insiders and the stock has just broken through its fifty day moving average.

RBOT has surrounded themselves with top-notch strategic alliances to include Medtronic, Berchtold, Stryker, Steris, US Surgical, Vista, Valley Lab, Skyton, Conmed, Karl Storz, W.L.Gore and Scanlon. These alliances should help RBOT to implement their state-of-the-art technology seamlessly.

RBOT has a world-class, experienced managerial team to include Oracle's CFO Jeff Henley who sits on the Board of Directors. Their clinical advisory board consists of some of the finest doctors in their respective fields, add to that a core robotic team of experts that have been together for over a decade and it becomes readily apparent this is a company that has done its homework!

To quote Colonel (Ret.) Richard Satava, M.D. (Professor of Surgery at Yale University Medical Center) "Computers and robotics will be the enabling technology to create the next generation of surgical instruments and procedures. Computer Motion's current technology is the cornerstone of nearly all future computer and robotic enhanced surgery."

To summarize: RBOT currently provides an early entry in the automated robotics industry within the medical field. Given the high barriers to entry in this new and exciting technology as well as the time to market for introducing new products and Computer Motion has a distinct advantage in what is going to be a multi-billion dollar industry.

Computer Motion's Home Page...

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Further reading and articles on this amazing technology can be accessed here... 


Profile

Computer Motion, Inc. ("Computer Motion" or the "Company") is committed to developing, manufacturing and marketing proprietary robotic and computerized surgical systems that are intended to enhance a surgeon's performance and centralize and simplify the surgeon's control of the operating room ("OR"). The Company believes that its products have the potential to revolutionize surgery and the OR by providing surgeons with the precision and dexterity necessary to perform complex, minimally invasive surgical procedures, and by enabling surgeons to control critical devices in the OR through simple verbal commands. Computer Motion believes that its products have the potential to broaden the scope and increase the effectiveness of minimally invasive surgery ("MIS"), improve patient outcomes and create a safer, more efficient and cost effective Operating Room. 

The Company currently markets the Automated Endoscopic System for Optimal Positioning, a surgical robot capable of positioning an endoscope in response to a surgeon's verbal commands. To centralize and simplify control of the OR, the Company is developing the HERMES Control Center for the voice control of medical devices in the operating room. To enable new minimally invasive microsurgery procedures, such as endoscopic coronary artery bypass grafting, the Company is developing the ZEUS Robotic Surgical System. Computer Motion plays a significant role in transitioning the surgical community from current open procedures to increasingly demanded endoscopic procedures.

Founded in 1989, Computer Motion has an exceptional group of over 150 employees at its ISO 9001 and EN 46001 registered corporate headquarters in Santa Barbara, California, and offices throughout the United States and Europe. Computer Motion is a public company listed on the NASDAQ National Market under the stock symbol RBOT


Recent News and Press Releases


Corporate Financial Snapshot 

Approximate as of 10/12/01

Shares Outstanding: 10.2M Shares in the Float: 7.7M
Market Cap: $ 36.0M Daily Volume: 65K (3 mo)
Price to Sales: 1.93 Sales per Share: $2.39
52 Wk Hi/Lo: 8.625/2.25 Cash per Share: $.25

Business

Computer Motion is a high-tech medical-device company evolving surgical practices to enhance patient lives. The company develops, manufactures and markets proprietary computer-enhanced and robotic surgical systems, which enhance surgeons' capabilities, improve outcomes and reduce costs.

Computer Motion's products include: the AESOP 3000, a voice-controlled endoscope positioning robot, the HERMES Control Center, a centralized system designed to voice control a series of networked "smart" medical devices, and the ZEUS Robotic Surgical System for new minimally invasive microsurgery procedures, such as endoscopic coronary artery bypass grafting (E-CABG ).

The Intelligent OR the Intelligent Choice
These cornerstone technology platforms transform the OR by providing robotic visualization for minimally invasive surgery procedure
s; wiring it with a single computer network capable of controlling many of the devices and instruments; and offering surgeons the advantages of robotic instrumentation to perform complex minimally invasive surgery procedures. Like a computer-enhanced office, this Intelligent OR will run faster, more efficiently and more effectively, spurring productivity gains that will translate into significant cost savings for patients and payers.

The Intelligent Operating Room TM
While surgeons have made significant strides in recent years to improve surgical techniques, the operating room (OR) itself remains under-automated.

Devices and equipment have invaded the OR, but it has happene
d in the absence of an orderly framework. In the OR, the transfer of work from man to machine - process that has revolutionized so many industries and workplace - has been slow in developing.

With Computer Motion's advanced technology platforms, the operating room as we know it today may soon be replaced by the OR of the Future - the Intelligent OR. In this new environment, a network of voice-controlled medical devices serves the needs of surgeons and OR staffs, facilitating a seamless exchange of information, thus speeding surgeries and improving productivity. The use of computer-enhanced and robotic systems provides surgeons with enhanced dexterity and precision to enable new minimally invasive procedures currently not possible, reducing patient pain, trauma and recovery time.

Traditionally, the vast majority of all surgeries have been open, requiring large incisions measuring up to 18 inches to access the operative site. Although this approach can be highly effective, it often results in significant trauma, pain and complications, as well as significant costs related to lengthy convalescent periods for the patient. In an effort to minimize these negative factors, minimally invasive surgical techniques and related technologies have been developed. MIS is as effective as traditional open surgery while offering patients substantially reduced pain and trauma, shortened convalescent periods and decreased overall patient care costs. 

While these benefits are significant, the minimally invasive approach presents challenges to surgeons, including the intricate reconstruction of patient tissue by suturing, delicate manipulation of small anatomical features and constrained access to, and limited visualization of, the operative site. The Computer Motion vision is to bring the power of computers and robotics to the operating room to facilitate a surgeon's ability to perform complex surgical procedures and enable new, minimally invasive microsurgical procedures that are currently very difficult or impossible to perform. The Company's products are intended to provide better visualization and improved dexterity for the surgeon, particularly for minimally invasive techniques. 


PRODUCTS
AESOP®

Robotic Visualization
Computer Motion emerged as the leader in medical robotics with the introduction of AESOP®. This enabling technology brought together man and intelligent machine to create new operating room solutions.

In minimally invasive surgery (MIS), an endoscope (a slender camera) and long, narrow instruments are passed into the patient's body through small incisions. The surgeon performs the procedure while viewing the operation on a video monitor. MIS provides the benefits of reduced patient pain and trauma, faster recovery times and lower healthcare costs. AESOP imitates the form and function of a human arm and eliminates the need for a member of the surgical staff to manually control the camera. With precise and consistent scope movements, AESOP provides the surgeon with direct control of a steady operative field of view.

AESOP approximates the form and function of a human arm and allows control of the endoscope through simple verbal commands, eliminating the need for a member of a surgical staff to manually control the camera, while providing a more stable and sustainable endoscopic image. The Company estimates that over 85,000 MIS procedures have been successfully assisted by 475 AESOP systems in 400 hospitals and surgery centers around the world. The Company's product development strategy is intended to leverage the AESOP system's broad-based technology platform, and lead to a family of products that improves the control of devices in the operating room and enables new minimally invasive surgical procedures.

The Company believes that the AESOP platform is the world's first Food and Drug Administration ("FDA") cleared surgical robot and incorporates the world's first FDA-cleared voice control interface for use in the operating room. The AESOP 3000 platform, introduced in December 1997, is the world's first FDA-cleared surgical robot capable of assisting in new advanced minimally invasive cardiothoracic procedures. The AESOP 3000 robotic arm features added flexibility and functionality over its predecessor, providing the range of motion necessary for endoscopic viewing in the thoracic (chest) cavity. Computer Motion is leveraging the core technologies underlying the AESOP platform to develop the HERMES Control Center and the ZEUS Robotic Surgical System.


Market Opportunity
Each year, approximately 4 million minimally invasive procedures are performed worldwide that are candidates for use with AESOP. Approximately 17,000 AESOP robots are needed to meet the current MIS case load.* Currently, less than one-third of the market potential for MIS is being performed with this patient-friendly technique. The market opportunity for AESOP continues to grow as more traditional "open" procedures evolve toward a less invasive surgical approach.  

AESOP & Beyond

With RBOT's leadership and expertise in computers and robotics, Computer Motion has created a powerful vision for new healthcare solutions. The HERMESTM Control Center and the ZEUSTM Robotic Surgical System have evolved from the technology platforms behind AESOP to complete an unprecedented trilogy of cornerstone products comprising the Intelligent ORTM. With this foundation in place, Computer Motion is positioned to deliver healthcare solutions for tomorrow.

The Power of Productivity with AESOP

  • Available 24 hours a day, reducing scheduling conflicts and costly overtime charges
  • Provides direct control of a motionless operative field of view to the surgeon
  • Proven clinical expertise in over 70,000 surgical procedures
  • Used in a broad range of surgical disciplines
  • Documented time and cost savings



*Each AESOP robot has an average 240 case capacity per year. Source: Computer Motion


HERMES™

Integration & Control
T
he HERMESTM Control Center is uniquely positioned to pave the way for voice control in the hospital, providing standardization and control in the OR and beyond.

Unlike many industries and workplaces, the operating room has remained under-automated. Hospitals continue to look for ways to make the operating room safer, more productive and more cost effective. The HERMES Control Center offers significant solutions to this challenging environment by creating a network to control the mass of medical devices with simple, user-friendly interfaces for the surgeon and OR staff. This Intelligent Operating RoomTM runs faster and more efficiently, improving productivity and patient care.

The Integrated and Interactive OR
Since many medical devices are located outside the sterile operating field, the surgeon must rely on the OR nurses and surgical assistants to set up, adjust and determine the status of these disparate devices during surgery. HERMES is a platform providing surgeons and operating room staffs with quicker access to information and increased control over their environment.
Today's offices include computers that are networked to printers, fax machines, modems, scanners and other enabling tools. Similarly, HERMES allows the OR to be networked with OR-specific equipment, such as tables, lights, cameras and surgical equipment. These HERMES-ReadyTM devices can be controlled by simple surgeon voice commands or via a hand-held touch-screen pendant from within the operating field. The OR staff can then focus on assisting the surgeon and taking care of the patient.

Market Opportunity
Computer Motion is striving to bring voice control and standardization to each of the approximately 84,000 operating rooms worldwide. To leverage the proprietary voice recognition technology, Computer Motion has established strategic partnerships with world-class operating room suppliers to develop and market an extensive line of HERMES-Ready medical devices and surgical equipment for various surgical specialties.

The devices controlled by the HERMES system which are currently FDA-cleared include the endoscopic camera and light source, insufflator, arthroscopic shaver, VCR, video printer, video frame grabber and the Computer Motion AESOP system. The HERMES system provides both visual and digitized voice feedback to the surgical team. The visual feedback is displayed on the endoscopic video monitor and the digitized voice feedback is device-specific. Both feedback features are customizable by a surgeon in real time, allowing a surgeon to modify the amount and type of feedback received. 

To leverage its proprietary voice recognition technology in the arthroscopic and laparoscopic markets, Computer Motion has partnered with Stryker Corporation, a leading manufacturer of endoscopic equipment. Stryker purchases the HERMES system as an original equipment manufacturer ("OEM") and markets the HERMES system as an integrated component with several of its laparoscopic and arthroscopic products.  Computer Motion intends to partner with other leading medical device manufacturers to expand the number and type of devices to be integrated with the HERMES controller. Catheterization labs, diagnostic imaging centers and angiography suites represent an additional 10,000 sites for our voice-controlled network. For instance, RBOT envisions HERMES-Ready surgeon dictation devices, imaging systems and patient records, all of which could be instantly accessed to support the surgeon and staff easily and effectively.

The Intelligent Network for the Intelligent OR

  • Simple, universal interface to complex equipment
  • Extends the surgeon's reach outside the sterile OR field
  • Immediate and centralized access to device information
  • Improved staff communication
  • Flexible network to expand number and types of devices
  • Creates a safer, more streamlined environment

ZEUS™

Robotic Instrumentation
Computer Motion is creating a new world of possibilities in minimally invasive surgery (MIS) with the ZEUS Robotic Surgical System.

ZEUS allows surgeons to go beyond the limits of MIS enabling a new class of delicate procedures currently impossible to perform. As Computer
Motion's robotic technology becomes integrated into MIS procedures, the company believes ZEUS will help decrease patient pain, trauma and shorten convalescent periods. Additionally, the Company believes that an increase in minimally invasive procedures would result in lower overall healthcare costs to patients, hospitals and healthcare payers. 

AESOP and ZEUS are FDA-approved, the ZEUS component is also CE-Marked for commercial sale in the European Community. 


Market Opportunity

The annual worldwide market potential for MIS is estimated at over $3.5 billion. Surprisingly, only 28% of the 15 million procedures that comprise this market are being performed with this less painful technique. The surgical revolution and significant benefits promised by MIS have been limited to simpler procedures, such as a gall bladder removal. MIS techniques limit a surgeon's precision and dexterity, effectively preventing its natural evolution and wide-spread acceptance in the more technically complex procedures, where surgeons have found viewing procedures on a video monitor and operating with long, slender "chopstick" instruments to be difficult and uncomfortable.

The Missing Link for MIS
Computer Motion believes its ZEUS Robotic Surgical System will be the missing link needed to eliminate the existing MIS challenges. Using the ZEUS System, surgeons have greater dexterity and precision and a more natural and ergonomic feel of surgery. The ZEUS System has the potential to provide the technological breakthrough to significantly increase the number and type of minimally invasive procedures performed. ZEUS uses an innovative partnership between surgeon and technology to extend surgical capabilities. At the console, the surgeon controls the instrument handles and views the operative site on a monitor. With a computer interface, the surgical instruments replicate the surgeon's actions at the operative site in real time.

In this advanced operating room, humans and robots are performing in concert, enhancing the surgeon's skill and ability. As minimally invasive procedures become increasingly advanced, exacting and steady movements are required and can be better accommodated by computerized surgical instruments. ZEUS eliminates human hand tremor and allows the surgeon to scale his or her natural hand movements to micro-movements inside the body. Computer Motion believes that these benefits will give rise to new procedures, including a closed-chest heart bypass surgery through incisions of only a few millimeters. Computer Motion's initial ZEUS focus is cardiac surgery. With over 750,000 heart bypass procedures performed annually, cardiac surgery remains the largest surgical discipline still using highly invasive techniques.

Surgical Solutions with Computers and Robotics

ZEUS is designed to deliver the following benefits:

  • Tiny incisions, roughly the diameter of a pencil
  • Significantly reduced patient pain and trauma in MIS cases
  • Shorter hospital stays and convalescent periods with MIS cases
  • Applicable for beating-heart and stopped-heart approaches
  • Improved surgeon precision and dexterity
  • Improved visualization in 2-D or 3-D field
  • Minimized surgeon fatigue with an ergonomic operating environment

Manufacturing

The Company's manufacturing operations are required to comply with the FDA's Quality System Regulation ("QSR"), which addresses the design, controls, methods, facilities and quality assurance used in manufacturing, packing, storing and installing medical devices. In addition, certain international markets have quality assurance and manufacturing requirements. Specifically, the Company is subject to the compliance requirements of ISO 9001 and 9002 certification and Conformity Europeane ("CE") Mark directives which impose certain procedural and documentation requirements with respect to device design, development, manufacturing and quality assurance activities. The Company has obtained such certification and is subject to audit on an annual basis for compliance. 


Marketing

The Company's products are sold throughout the world. Payment terms worldwide are consistent with local practice. Orders are shipped as they are received and, therefore, no material backlog exists. No distributor organization or single customer accounted for more than 10% of 1999 revenue. In the United States, the Company sells directly to hospitals through an employee-based sales organization. In Western Europe, the Company is developing an employee-based sales organization, which will be principally focused on sales in France and Germany. The Company co-markets the ZEUS product line with Medtronic, Inc. in Europe, the Middle East and Africa. Throughout the rest of the world, the Company uses independent distributor organizations including the Ethicon Endo-Surgery Division of Johnson & Johnson, Inc. Under the Company's OEM agreement with Stryker Corporation, Stryker may distribute the Company's HERMES product for control of various Stryker endoscopic devices on a worldwide basis.


Research and Development

The Company's research and development function is focused on the development of new medical products and improvements to existing products. In addition, research and development expense reflects the Company's efforts to obtain FDA approval of certain products and processes and to maintain the highest quality standards of existing products. The Company's research and development expenses have traditionally been well above 50% of revenue. The medical devices manufactured and marketed by the Company are subject to regulation by the FDA and, in most instances, by state and foreign governmental authorities. Under the Federal Food, Drug and Cosmetic Act, and regulations thereunder, manufacturers of medical devices must comply with certain policies and procedures that regulate the composition, labeling, testing, manufacturing, packaging and distribution of medical devices. Medical devices are subject to different levels of government approval requirements, the most comprehensive of which require the completion of an FDA-approved clinical evaluation program and submission and approval of a pre-market approval ("PMA") application before a device may be commercially marketed. 


Patents Licenses and Proprietary Rights

Protection of the Company's intellectual property is important to the Company's business. The Company maintains a policy of seeking device and method patents on its inventions, obtaining copyrights on copyrightable materials and entering into proprietary information agreements with its employees and consultants with respect to technology which it considers important to its business. The Company also files for trademark registration and service mark registration on those marks which may be used in marketing efforts with respect to the products developed, sold and distributed by the Company. The Company also relies upon trade secrets, un-patented know-how and continuing technological innovation to develop and maintain its competitive position. The Company currently holds 19 issued United States patents, one European patent and has 32 domestic and foreign patent applications pending disclosing concepts related to medical devices and methods, medical robotics and speech recognition applications.


Management

Robert Dugan  Chairman and Chief Executive Officer

ROBERT W. DUGGAN has been Chairman of the Board of Directors since 1990, and Chief Executive Officer since October 1997. Mr. Duggan has been a private venture investor for more than 25 years, and has participated as a director of, investor in and advisor to numerous small and large businesses in the medical equipment, computer local and wide area network, PC hardware and software distribution, digital encryption, consumer retail goods and outdoor media communications industries. He has also assisted in corporate planning, capital formation and management for his various investments. He is a member of the University of California, Santa Barbara Foundation Board of Trustees, as well as the University's Engineering Steering Committee. 

Yulun Wang PH.D   Chief Technical Officer

YULUN WANG, PH.D., has been Chief Technical Officer of the Company since January 1996, and a Director since 1990, and has served in numerous other capacities since he founded the Company in 1989. He had been a Director of the company since its inception. Dr. Wang is the principal architect of the company's product strategy, and inventor of many of the technologies that are used to create the company's products. Dr. Wang has over 40 publications and holds over two dozen patents and patents-pending. He frequently gives presentations at major medical meetings on the future of robotics and computers in the field of surgery. Prior to founding the company, Dr. Wang taught at the University of California, Santa Barbara. He has also been the recipient of many research grants from the National Aeronautics and Space Administration (NASA), National Institute of Health and Defense Advanced Research Projects Agency (DARPA). Dr. Wang earned B.S., M.S. and Ph.D. degrees in electrical engineering from the University of California at Santa Barbara.

Gordon Rogers  Chief Financial Officer

GORDON L. ROGERS joined the Company as Vice President, Chief Financial Officer and Secretary in March 2000. From 1999 to 2000, Mr. Rogers served as Vice President of Finance at ViroLogic, Inc., a medical biotechnology company. Previously, he spent five years at Nellcor Puritan Bennett, Inc., one of the world's largest medical device manufacturers, most recently as Controller for Worldwide Field Operations. 


SEC

Computer Motions Inc., filings with the SEC can be found at the  Securities Exchange Commissions website the latest filing was a form S-3/A  on 9/21/01.


Corporate Contacts

Computer Motion Inc.
130-B Cremona Drive
Goleta, CA, USA 93117

Phone: (805) 968-9600
Fax: (805) 685-9277

Email:
corporaterelations@computermotion.com


10/17/01

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