MiMedx Agrees To Lawsuit Settlement With Halo Wound Solutions

MARIETTA, Ga., Nov. 1, 2017 /PRNewswire/ — MiMedx Group, Inc. (NASDAQ: MDXG), the leading biopharmaceutical company developing and marketing regenerative and therapeutic biologics utilizing human placental tissue allografts and patent-protected processes for multiple sectors of healthcare, announced today that the Company has agreed to a confidential settlement of the lawsuit the Company filed against BioResolutions LLC d/b/a Halo Wound Solutions (Halo) and one of the Halo executives.

MiMedx filed its lawsuit against Halo and its executive, Tracy Lucas, in January 2017. In its suit, MiMedx alleged that Lucas used MiMedx trade secrets and other confidential, proprietary business information to unlawfully solicit the sales of Halo’s medical products with the assistance of MiMedx employees, and tortiously interfered with MiMedx’s contracts with its employees. Mr. Lucas is a former employee of MiMedx. MiMedx alleged that during and after Mr. Lucas’ employment with MiMedx, Halo and Mr. Lucas engaged in wrongful conduct with MiMedx employees, knowing they were actively employed by MiMedx and knowing that MiMedx employees have contractual and legal obligations to the Company.

In addition to an undisclosed monetary settlement, other settlement terms were reached. Certain of these additional settlement terms include: for a period of two years Halo will not sell amniotic tissue products, human tissue/skin substitute products to MiMedx’ existing customers; and  for a two-year period, Halo will not solicit MiMedx employees to work for Halo in any fashion or to leave MiMedx’s employment. Luke Esslinger, President and CEO of Halo, stated, “I apologize that this situation arose. To our knowledge, MiMedx was not aware that its employees were selling third party products or services, including Halo products. We realize now that MiMedx firmly disapproves of its employees selling our products and that such a situation had the potential to create a conflict with the rightful obligations these employees had with their employer, MiMedx.”

Parker H. “Pete” Petit, MiMedx Chairman and CEO, said, “We are pleased to have another one of these lawsuits behind us. We have reached an amicable and favorable settlement with Halo. I applaud Halo for dealing with this in a professional manner and treating it as a learning experience for their future business activities.”

“We have been very effective in continuing our growth trajectory and sustaining our operational excellence, in spite of these corporate distractions. Our constant focus has been on growing our business for the benefit of our customers and their patients, employees and shareholders. I could not be more proud and complementary of our organization for its continued concentration on our business while these distractions are being resolved,” added Bill Taylor, MiMedx President and COO.

About MiMedx
MiMedx® is the leading biopharmaceutical company developing and marketing regenerative and therapeutic biologics utilizing human placental tissue allografts with patent-protected processes for multiple sectors of healthcare. “Innovations in Regenerative Medicine” is the framework behind our mission to give physicians products and tissues to help the body heal itself.  We process the human placental tissue utilizing our proprietary PURION® Process among other processes, to produce safe and effective allografts.   MiMedx proprietary processing methodology employs aseptic processing techniques in addition to terminal sterilization.  MiMedx is the leading supplier of placental tissue, having supplied over 1,000,000 allografts to date for application in the Wound Care, Burn, Surgical, Orthopedic, Spine, Sports Medicine, Ophthalmic and Dental sectors of healthcare. For additional information, please visit www.mimedx.com.

Important Cautionary Statement
This press release includes forward-looking statements, including statements regarding potential outcomes of legal actions.  These statements also may be identified by words such as “believe,” “except,” “may,” “plan,” “potential,” “will” and similar expressions, and are based on our current beliefs and expectations. Forward-looking statements are subject to significant risks and uncertainties, and we caution investors against placing undue reliance on such statements.  Actual results may differ materially from those set forth in the forward-looking statements. Among the risks and uncertainties that could cause actual results to differ materially from those indicated by such forward-looking statements include the risk that different or additional facts may be discovered that change conclusions, and the risks of litigation.  For more detailed information on the risks and uncertainties, please review the Risk Factors section of our most recent annual report or quarterly report filed with the Securities and Exchange Commission.  Any forward-looking statements speak only as of the date of this press release and we assume no obligation to update any forward-looking statement.

SOURCE MiMedx Group, Inc.

Related Links

http://www.mimedx.com

Global Spine Orthopaedic Devices Market 2017-2023 – Increase Usage of Orthopedic Biomaterials in Spine Surgery

DUBLINNovember 1, 2017 /PRNewswire/ —

The “Global Spine Orthopaedic Devices Market: Drivers, Restraints, Opportunities; Trends and Opportunities to 2023”report has been added to Research and Markets’ offering.

The “Global Spine Orthopedic Devices Market” is Estimated to Witness a CAGR of 6.23% During 2017-2023

The market is dominated by the Spine Implants segment with the presence of advanced fusion and non-fusion procedures performed with orthobiologics and the availability of clinical data regarding the safety and efficacy of the devices. This enables surgeons to adopt devices for treatment of various spine-related disorders as these surgeries contribute 60% of the total orthopedic procedures.

Therefore, opportunities for growth in the emerging countries of LATAM and APAC remain vast. The increasing adoption of MI surgeries in treating orthopedic disorders, particularly in the elderly, and the growing availability of devices in the market also contribute to the growth of the market.

Europe accounted for the second largest market with chronic pain being one of the major complications with the rising burden of spine chronic cases (lower back). In 2015, the public spending on healthcare in Europe amounted to 18% of the overall government expenditure. The expenditure on chronic pain care with orthopedic devices is directly reimbursed to hospitals within the NHS. Clinical evidence of spine orthopedic devices compared to other treatments, such as drug therapy, are expected to increase during the forecast period.

Factors, such as high prevalence of orthopedic diseases, presence of large pool of patients, and rise in awareness about treatment for complex orthopedic disorders, drive the market growth in the emerging economies, especially APAC. Further, the increase in government spending in healthcare, infrastructure, research centers, and establishing of manufacturing facilities by major vendors in the market are influencing the high growth of the market.

Market Dynamics

Drivers

  • Rise in the prevalence of spinal disorders
  • Growing popularity of minimally invasive surgeries
  • Rise in elderly population
  • Increase in number of outpatient procedure

Opportunities

  • Adoption of spinal navigation technology
  • Increase usage of orthopedic biomaterials in spine surgery
  • Increase healthcare spending
  • Increase in mergers & acquisitions

Restraints

  • High cost of spine surgery procedures
  • Complications and risk associated with spine surgeries
  • Stringent regulatory framework and labeling requirement
  • Poor reimbursement policies
  • Intense competition among vendors

Key Topics Covered:

1 Industry Outlook

2 Report Outline

3 Market Snapshot

4 Market Outlook

5 Market Characteristics

6 Types: Market Size and Analysis

7 End User: Market Size and Analysis

8 Regions: Market Size and Analysis

9 Competitive Landscape

10 Vendor Profiles

11 Companies to Watch For

12 Other Prominent Vendors

Companies Mentioned 

  • Alphatec Spine
  • Johnson & Johnson (DePuy Synthes, Inc)
  • K2M
  • Medtronic PLC
  • NuVasive, Inc.
  • OMNIlife Science
  • Orthofix International N.V.
  • SeaSpine Holdings Corp.
  • Stryker Corp.
  • Zimmer Biomet Holdings, Inc

For more information about this report visit https://www.researchandmarkets.com/research/6vvbbw/global_spine

Media Contact:

Research and Markets
Laura Wood, Senior Manager
press@researchandmarkets.com

For E.S.T Office Hours Call +1-917-300-0470
For U.S./CAN Toll Free Call +1-800-526-8630
For GMT Office Hours Call +353-1-416-8900

U.S. Fax: 646-607-1907
Fax (outside U.S.): +353-1-481-1716

SOURCE Research and Markets

Related Links

http://www.researchandmarkets.com

InVivo Therapeutics Provides Business Update and Reports 2017 Third Quarter Financial Results

October 30, 2017

CAMBRIDGE, Mass.–(BUSINESS WIRE)–InVivo Therapeutics Holdings Corp. (NVIV) today provided a general business update and reported financial results for the quarter ended September 30, 2017.

Mark Perrin, InVivo’s Chief Executive Officer and Chairman, said, “In the third quarter, we focused our resources solely on reopening enrollment into the clinical study of the Neuro-Spinal Scaffold™ in complete thoracic spinal cord injury (SCI). As part of this focus, we reduced our workforce by 39%, which is expected to result in 2018 operating expense savings of approximately $7.3 million.”

Mr. Perrin continued, “Enrollment into the INSPIRE study is currently on hold as we engage with the United States Food & Drug Administration (FDA) to determine the most appropriate clinical path forward. We continue to engage in discussions with the FDA regarding our clinical program and will provide appropriate updates as we obtain further clarity on the issue. We remain wholly committed to our mission of redefining the life of the spinal cord injury patient and progressing the Neuro-Spinal Scaffold in the clinic toward a Humanitarian Device Exemption (HDE) submission.”

INSPIRE Update

Of the 19 patients implanted in The INSPIRE Study to date, 16 patients are in follow-up, 14 of whom have reached the six-month primary endpoint visit. Six of these 14 (42.9%) have improved from complete AIS A SCI to incomplete SCI (one patient to AIS C and five patients to AIS B) at the six-month primary endpoint visit and eight had not converted at that visit. Two of the six patients who converted and were assessed to have AIS B SCI at the six-month primary endpoint were later assessed to have improved to AIS C SCI at the 12 and 24-month visits, respectively. Two of the patients in follow-up have not yet reached the six-month primary endpoint visit although one of these patients was assessed to be AIS C at one month and two months and AIS B at three months. Three patients in the INSPIRE study have died, with the cause of death in each case determined to be unrelated to the Neuro-Spinal Scaffold or implant procedure by the respective site Principal Investigator.

Financial Results

For the three-month period ended September 30, 2017, the Company reported a net loss of approximately $9.4 million, or $0.28 per diluted share, compared to a net loss of $6.2 million, or $0.19 per diluted share, for the three-month period ended September 30, 2016. The results for the three-month period ended September 30, 2017 were unfavorably impacted by increases in general and administrative operating expenses of $804,000 and by a derivative loss of $3.1 million, due primarily to the impact of the August 2017 warrant exchange, partially offset by decreases in research and development operating expenses of $366,000. Excluding the impact of the derivative warrant liability, adjusted net loss for the three-month period ended September 30, 2017 was $6.3 million, or $0.19 per diluted share, compared to adjusted net loss of $5.9 million, or $0.18 per diluted share, for the three-month period ended September 30, 2016.

The Company ended the quarter with $17.2 million of cash, cash equivalents, and marketable securities.

For the nine-month period ended September 30, 2017, the Company reported a net loss of approximately $22.1 million, or $0.68 per diluted share, compared to a net loss of $18.0 million or $0.59 per diluted share, for the nine-month period ended September 30, 2016. The results for the nine-month period ended September 30, 2017 were unfavorably impacted by increases in research and development operating expenses of $863,000, $1.8 million in general and administrative operating expenses and by a non-cash loss on the derivative warrant liability of $2.3 million, due to the impact of the August 2017 warrant exchange and the change in the fair market value of the warrant liability. Excluding the impact of the derivative warrant liability, adjusted net loss for the nine-month period ended September 30, 2017 was $19.8 million, or $0.61 per diluted share, compared to adjusted net loss of $17.2 million, or $0.56 per diluted share, for the nine-month period ended September 30, 2016.

Adjusted net loss and adjusted net loss per share are non-GAAP financial measures that exclude the impact of the derivative warrant liability. A reconciliation of these measures to the comparable GAAP measure is included with the tables contained in this release. The Company believes a presentation of these non-GAAP measures provides useful information to investors to better understand the Company’s operations, on a period-to-period comparable basis, with financial amounts both including and excluding the identified items.

About The INSPIRE Study

The INSPIRE Study: InVivo Study of Probable Benefit of the Neuro-Spinal Scaffold™ for Safety and Neurologic Recovery in Subjects with Complete Thoracic AIS A Spinal Cord Injury, is designed to demonstrate the safety and probable benefit of the Neuro-Spinal Scaffold™ for the treatment of complete T2-T12/L1 spinal cord injury in support of a Humanitarian Device Exemption (HDE) application for approval.

About the Neuro-Spinal Scaffold™ Implant

Following acute spinal cord injury, surgical implantation of the biodegradable Neuro-Spinal Scaffold™ within the decompressed and debrided injury epicenter is intended to support appositional healing, thereby reducing post-traumatic cavity formation, sparing white matter, and allowing neural repair within and around the healed wound epicenter. The Neuro-Spinal Scaffold™, an investigational device, has received a Humanitarian Use Device (HUD) designation and currently is being evaluated in The INSPIRE Study for the treatment of patients with acute, complete (AIS A), thoracic traumatic spinal cord injury.

About InVivo Therapeutics

InVivo Therapeutics Holdings Corp. is a research and clinical-stage biomaterials and biotechnology company with a focus on treatment of spinal cord injuries. The company was founded in 2005 with proprietary technology co-invented by Robert Langer, Sc.D., Professor at Massachusetts Institute of Technology, and Joseph P. Vacanti, M.D., who then was at Boston Children’s Hospital and who now is affiliated with Massachusetts General Hospital. In 2011, the company earned the David S. Apple Award from the American Spinal Injury Association for its outstanding contribution to spinal cord injury medicine. In 2015, the company’s investigational Neuro-Spinal Scaffold™received the 2015 Becker’s Healthcare Spine Device Award. The publicly-traded company is headquartered in Cambridge, MA. For more details, visit www.invivotherapeutics.com.

Safe Harbor Statement

Any statements contained in this press release that do not describe historical facts may constitute forward-looking statements within the meaning of the federal securities laws. These statements can be identified by words such as “believe,” “anticipate,” “intend,” “estimate,” “will,” “may,” “should,” “expect,” “designed to,” “potentially,” and similar expressions, and include statements regarding the status of the clinical program, the timing for re-opening enrollment in the INSPIRE Study and the submission of an HDE application to the FDA, and the impact of the restructuring and the reduction in force on the Company’s balance sheet, financial position and cash burn. Any forward-looking statements contained herein are based on current expectations, and are subject to a number of risks and uncertainties. Factors that could cause actual future results to differ materially from current expectations include, but are not limited to, risks and uncertainties relating to the company’s ability to successfully re-open clinical sites for enrollment and to enroll additional patients; the timing of the Institutional Review Board process; the expected benefits and efficacy of the company’s products and technology in connection with the treatment of spinal cord injuries; the availability of substantial additional funding for the company to continue its operations and to conduct research and development, clinical studies and future product commercialization; and other risks associated with the company’s business, research, product development, regulatory approval, marketing and distribution plans and strategies identified and described in more detail in the company’s Quarterly Report of the three months ended September 30, 2017, and its other filings with the SEC, including the company’s Form 10-Qs and current reports on Form 8-K. The company does not undertake to update these forward-looking statements.

InVivo Therapeutics Holdings Corp.
Consolidated Balance Sheets
Unaudited
As of

September 30, 
2017

December 31,
2016

ASSETS:
Current assets:
Cash and cash equivalents 16,434 21,464
Restricted cash 361 361
Marketable securities 734 11,577
Prepaid expenses and other current assets 475 451
Total current assets 18,004 33,853
Property, equipment and leasehold improvements, net 190 510
Other assets 402 421
Total assets 18,596 34,784
LIABILITIES AND STOCKHOLDERS’ EQUITY:
Current liabilities:
Accounts payable 1,270 1,011
Loan payable, current portion 444 423
Derivative warrant liability 41 1,314
Deferred rent, current portion

30

141
Accrued expenses 1,784 1,959
Total current liabilities 3,569 4,848
Loan payable, net of current portion 516 852
Deferred rent, net of current portion 208 135
Other liabilities 52
Total liabilities 4,345 5,835
Stockholders’ equity:

Common stock, $0.00001 par value, authorized 100,000,000 shares; 34,234,580 shares
issued and outstanding at September 30, 2017; 32,044,087 shares issued and outstanding at
December 31, 2016

1

1

Additional paid-in capital 193,493 185,955
Accumulated deficit (179,243 ) (157,007 )
Total stockholders’ equity 14,251 28,949
Total liabilities and stockholders’ equity 18,596 34,784

InVivo Therapeutics Holdings Corp.

Consolidated Statements of Operations and Comprehensive Loss

(Unaudited)

Three Months Ended

September 30,

Nine Months Ended

September 30,

2017 2016 2017 2016
Operating expenses:
Research and development 2,928 3,294 9,522 8,659
General and administrative 3,388 2,584 10,389 8,573
Total operating expenses 6,316 5,878 19,911 17,232
Operating loss (6,316 ) (5,878 ) (19,911 ) (17,232 )
Other income (expense):
Interest income 43 50 152 133
Interest expense (18 ) (32 ) (58 ) (117 )
Derivatives gain (loss) (3,059 ) (336 ) (2,264 ) (788 )
Other income (expense), net (3,034 ) (318 ) (2,170 ) (772 )
Net loss (9,350 ) (6,196 ) (22,081 ) (18,004 )
Net loss per share, basic and diluted (0.28 ) (0.19 ) (0.68 ) (0.59 )
Weighted average number of
common shares outstanding, basic and diluted 33,445,002 31,968,357 32,516,190 30,687,263
Reconciliation of GAAP to non-GAAP measures
InVivo Therapeutics Holdings Corp.
(In thousands, except share and per share data)
Three Months Ended Nine Months Ended
September 30, September 30,
2017 2016 2017 2016
Reported GAAP net income (loss) (9,350 ) (6,196 ) (22,081 ) (18,004 )
Add Back: Derivative (Gain)/ Loss 3,059 336 2,264 788
Adjusted Net Loss (6,291 ) (5,860 ) (19,817 ) (17,216 )
Reported GAAP net loss per diluted share (0.28 ) (0.19 ) (0.68 ) (0.59 )
Derivative loss per diluted share 0.09 0.01 0.07 0.03
Adjusted net loss per diluted share (0.19 ) (0.18 ) (0.61 ) (0.56 )

Contacts

InVivo Therapeutics Holdings Corp.
Heather Hamel, 617-863-5530
Investor Relations
Investor-relations@invivotherapeutics.co

OrthoPediatrics Corp. to Report Third Quarter 2017 Financial Results on November 8, 2017

WARSAW, Ind., Oct. 30, 2017 (GLOBE NEWSWIRE) — OrthoPediatrics Corp. (“OrthoPediatrics”) (NASDAQ:KIDS), an orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market, announced today that the Company plans to release its third quarter 2017 financial results on Wednesday, November 8, 2017 after the market closes.

OrthoPediatrics will host a conference call on Thursday, November 9, 2017 at 8:00 a.m. ET to discuss the results. The dial-in numbers are (855) 289-4603 for domestic callers and (614) 999-9389 for international callers. The conference ID number is 9169647. A live webcast of the conference call will be available online from the investor relations page of the OrthoPediatrics’ corporate website at www.orthopediatrics.com.

A replay of the webcast will remain available on OrthoPediatrics’ website, www.orthopediatrics.com, until the Company releases its fourth quarter and full year 2017 financial results. In addition, a telephonic replay of the call will be available until November 16, 2017. The replay dial-in numbers are (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. Please use the replay conference ID number 9169647.

About OrthoPediatrics Corp.
Founded in 2006, OrthoPediatrics is the only diversified orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market.  The Company is dedicated to the cause of improving the lives of children with orthopedic conditions. OrthoPediatrics currently markets 22 surgical systems that serve three of the largest categories within the pediatric orthopedic market. This offering spans trauma & deformity, complex spine and ACL reconstruction procedures. OrthoPediatrics’ global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and 35 countries outside the United States.

Investor Contact
The Ruth Group
Zack Kubow
(646) 536-7020
zkubow@theruthgroup.com

Pinnacle Spine Files with FDA for 510(k) Clearance to Market their InFill® Lateral Fusion System with PEEK-OPTIMA™ HA Enhanced Polymer

Pinnacle Spine Group, LLC, the pioneer of in situ graft delivery in spinal fusion, today announced it has filed an application with the Food and Drug Administration (FDA) seeking 510(k) clearance to market its lateral InFill® Lumbar Fusion Systems with PEEK-OPTIMA HA Enhanced polymer from Invibio Biomaterial Solutions (Invibio).

Pinnacle Spine Group pioneered and commercialized the novel concept of delivering bone graft material in situ into an implanted device in order to fill the biologic void that remains with other spinal fusion systems. Invibio’s PEEK-OPTIMA HA Enhanced polymer is an implantable biomaterial grade that combines two clinically proven advanced biomaterials for enhanced bone apposition: PEEK-OPTIMA and Hydroxyapatite (HA), a well-known osteoconductive material. PEEK-OPTIMA HA Enhanced encourages bone on-growth on all surfaces of a device while providing the strength, versatility and performance advantages of its proven predecessor, PEEK-OPTIMA Natural.

“We are excited about the possibility of combining the proven clinical benefits of Invibio’s PEEK-OPTIMA HA Enhanced with the benefits of Pinnacle Spine’s patented InFill technology,” said Zach Sowell, President of Pinnacle Spine Group. “Once cleared we believe the combination of these two technologies will provide surgeons with an ideal solution for improved outcomes in lumbar fusion, one of the more challenging approaches to achieve successful fusion.”

“Pinnacle Spine Group and Invibio share a passion for trying to improve the effectiveness of bone growth in the graft space,” said John Devine Medical Business Director, Invibio Biomaterial Solutions. “The combination of Pinnacle’s technology with our own pioneering materials feels like an obvious collaboration.”

Invibio´s PEEK-OPTIMA HA Enhanced biomaterial offers all the clinical advantages of PEEK-OPTIMA Natural including a modulus similar to cortical bone, reduced stress shielding and artifact-free imaging that allows for clear fusion assessment. Developed by Invibio, a leading provider of biomaterial solutions, this innovative high performance polymer for spinal fusion implants eliminates the extra processing time and expense of alternative bone on-growth technologies, such as coatings. Implant devices made of the novel PEEK-OPTIMA HA Enhanced have already been cleared by regulatory bodies in both the US (FDA 510(k) clearance) and Europe (CE mark approval).

Pinnacle Spine Group was recently granted a new patent related to the delivery of graft material to fill the internal chamber(s) of a spinal fusion device, while allowing for graft material to be in flush contact with the endplate surfaces of the adjacent vertebral bodies. In addition, Pinnacle was recently awarded a new patent related to the architecture of the lateral implant. These latest patents follow the receipt of three earlier U.S. patents covering Pinnacle Spine’s innovative InFill® fusion technology. The company also owns several non-U.S. applications, including applications in Australia, Canada and Europe.

Pinnacle Spine’s InFill® Fusion Systems include an array of innovative interbody fusion devices engineered for easier insertion, reduced subsidence through maximum contact with the apophyseal ring, a generous bone grafting area, and compatibility with the InFill® graft delivery system. The backbone of the technology is predicated on controlled and precise in-situ placement of bone graft material directly into the implanted device, to achieve maximum contact with the adjacent vertebral endplates.

About Pinnacle Spine Group, LLC

Based in Dallas, Texas, Pinnacle Spine Group, LLC is a privately held medical device company that develops and markets innovative technologies to improve spinal fusion procedures. The Company’s family of FDA-510(k) cleared InFill® Fusion systems provides for superior endplate-to-endplate contact of bone graft material and a complete fill of the disc space, achieved by post-filling the implants after they have been delivered into a targeted intervertebral disc space.

About Invibio Biomaterial Solutions

Invibio, a Victrex plc company, is a global leader in providing high performance biomaterial solutions to medical device manufacturers. The company provides PEEK-OPTIMA™ polymers, advanced technical research and support and manufacturing of components for spine, trauma and orthopaedic medical segments for the development of long-term implantable medical devices. Today, Invibio’s PEEK-OPTIMA™ polymers are used in ~9 million implanted devices worldwide. Further information is available on Invibio´s new website: https://invibio.com
INVIBIO™, PEEK-OPTIMA™, INVIBIO BIOMATERIAL SOLUTIONS™ are trademarks of Victrex plc or its group companies. All rights reserved.

Contact:
Mr. Zach Sowell, President
Pinnacle Spine Group, LLC
214-466-1428

Contacts
Invibio Biomaterial Solutions
Barbara Pasciak, Marketing Communications Manager
barbara.pasciak(at)invibio(dot)com, Phone +1 484-342-6041

Victrex media contact
Beate Sauer, PR & Marketing Communications Manager
bsauer(at)victrex(dot)com, Phone +49 61 92 / 96 49 19

Victrex: Group media or Investor Relations enquiries
Andrew Hanson, Director of Investor Relations & Corporate Communications
ahanson(at)victrex(dot)com, Phone +44 12538 98121

ECA Medical Instruments Launches Cervical-One™ Sterile-Packed, Disposable Instrument Kit for One & Two-Level Fusions

November 1, 2017

Thousand Oaks, CA.—ECA Medical Instruments, the leading designer and manufacturer of single-procedure torque-limiting instruments and surgery-ready procedural kits for the medical industry and surgeons worldwide, has launched the Cervical-One™ single-procedure instrument set for use in one and two-level cervical spine implant procedures.  The novel instrument set is available for tailoring and branding by spine implant OEMs for securing both plates and screws and interbodies commonly used to treat spine degeneration and deformity cases.

ECA markets and sells its single-use instruments and complete procedural kits to medical device OEMs for private labeling and branding, saving them significant R&D investment and accelerating time to market for new product introduction or legacy product refresh.  Tailored to implant manufacturer specifications the Cervical-One™ kits can be branded in different colors, handle shapes and sizes. The instrument sets are ready for rapid adoption across the marketplace to reduce operating cost, eliminate instrument cleaning and re-sterilization, improve patient safety and provide perfect fixation of implants while reducing risk of surgical site infection.

“Cervical-One™ offers spine implant OEMs essentially an off-the-shelf and surgery ready solution that provides them differentiated instrumentation to both clinically and economically meet the growing demand for cervical spine degeneration repair,” said Lane Hale, president and CEO of ECA Medical Instruments. “The simplicity of design and modular instrument approach allows for easy branding and modification to meet surgeon needs for implant fixation, navigation, procedural stack up and OR efficiency gains,” he said.  

ECA is marketing the fully disposable instrument kits in three configurations: 1) instrument set for anterior cervical plate and screw fixation, 2) interbody implant fixation kit, and 3) a combined anterior cervical discectomy fusion (ACDF) kit combining instrumentation.

The kits include the full complement of instruments needed by surgeons and OR teams including precision torque-limiters and drivers.  All the instruments use state of the art medical grade polymers for strength and durability, are validated and packaged in sterile-pack fully recyclable trays.

An early adopter of the Cervical-One™ instrument kit is Zavation Medical, Jackson, MS.   Zavation is collaborating with ECA to develop a family of kits for stand-alone and combined fixation of one and two-level plating and also interbody cages (artificial discs). Zavation expects to launch their new SteriCerv™ line of products in early 2018.  Both Zavation and ECA demonstrated the new instrument kits to neurosurgeons and orthopaedic surgeons at the North American Spine Society (NASS) 2017 conference last week in Orlando.

“Single-use instrument kits coupled with sterile packed implants are clearly the way of the future for high volume and relatively low complexity spine surgeries in both the hospital and outpatient setting,” Hale said. “We’re excited to partner with both large and small/medium enterprise OEMs across the spine industry and bring these new instrument kits to market.”

Single-procedure instruments and procedural kits are providing surgeons and patients alike with a pristine set of ready for surgery instruments for securing a wide range of medical device implants. Sustained benefits include elimination of reprocessing costs, improved OR efficiency, reduced risk of surgical site infection and reduction in hospital and ASC inventory management.

ECA is a one stop shop OEM instrument company providing implant firms with complete product design and development, product and packaging validations, CE Mark and dock to stock operations. This reduces OEM costs and accelerates time to market.

About ECA Medical Instruments

ECA Medical Instruments®, a LongueVue Capital Partners company, was founded in 1979 and located in Thousand Oaks, CA.  ECA is the industry leader in single-procedure torque-limiting instruments and surgical fixation kits. The company has manufactured and delivered over 35 million precision torque instruments to the world’s leading producers of CRM, neuromodulation, cardiovascular and orthopaedic and spine implants resulting in over 500 million precision surgical actuations. Every 20 seconds of every day an ECA torque instrument or procedural kit is used to secure a medical implant—one patient at a time. ECA is an ISO 13485, CE Mark certified and FDA registered company and was named Business of the Year 2017 by LivaNova. www.ecamedical.com

 

Media Contact: James Schultz   

Phone: +1 805-990-6177

Email: jschultz@ecamedical.com

Atlas Spine, Inc., Announces FDA 510(k) Clearance on Ortus Expandable Posterior Lumbar Interbody System

Jupiter, Florida., October 31, 2017 (PR NEWSWIRE) — Atlas Spine, Inc., a high technology, spinal implant and instrumentation company based in Jupiter, Florida, today announced that the Ortus™ Expandable Posterior Lumbar Interbody System has been 510(k) cleared by the U.S. Food and Drug Administration (FDA). The device is designed to be delivered using either minimally invasive or open surgical approach. The Ortus™ PL is clearly differentiated from other expandable technology. For example it has one of the smallest starting heights (6.5mm) of any expandable device on the market, and relies on a unique, patented design that allows for implant expansion while restoring natural anatomic alignment in a single step. The device also features an open architecture that allows the surgeon to pack ample graft material after the device is deployed and expanded. This is the first implant in a comprehensive line of expandable interbody intellectual property that utilizes anterior, PLIF, oblique, and minimally invasive approaches and devices that the company plans on launching.

“Atlas has a deep pipeline of expandable technology and the Ortus™ 510(k) clearance presents a tremendous opportunity to establish our company as an expandable interbody technology market leader. The Ortus™ platform provides options and capabilities for surgeons focused on restoring spinal balance that is yet to be provided by other devices and companies. Paired with a minimally invasive surgical approach, Ortus™ PL is a powerful tool for spine surgeons seeking reliable fusions with minimal complexity and post-operative morbidity. Furthermore, the Ortus™ PL platform is well suited for anterior, posterior, lateral and oblique approaches, in addition to MIS,” notes Atlas Spine’s co-founder and CTO Matthew Baynham.

Atlas Spine’s CEO Douglass Watson adds, “We are thrilled to be in the expandable posterior lumbar interbody market. The response from key, opinion-leading surgeons is tremendous. We are preparing to launch the Ortus™ PL interbody device with our distributor network in the near future and look forward to numerous additional differentiated device clearances over the next several quarters.”

The U.S. FDA notified the company on the first day of the North Atlantic Spine Society (NASS) meeting. This is Atlas Spine, Inc’s 12th product to receive 510(k) clearance by the U.S. FDA and allows the Company to access distribution channels and gain measurable market share. It also allows the company to focus on commercializing other significant projects in the pipeline.

About Atlas Spine, Inc.

Our mission is to create spinal implants and instrument systems that treat a variety of pathologies combining the highest level of performance with ease of use which translate to physician satisfaction and enhanced patient outcomes. The company has over 50 issued and pending patents and currently distributes a number of interbody and posterior stabilization systems and has also licensed technology to other companies in the spinal device market.

For more information about Atlas Spine, please visit atlasspine.com.

Contact:  Matthew Miller, Atlas Spine Inc., (561) 741-1108 or mmiller@atlasspine.com. Atlas Spine Inc., 1555 Jupiter Park Drive, Suite 1; Jupiter, Florida 33458.

OMNIlife science™, Inc. Announces First Clinical Evaluations of Revolutionary OMNIBotics® Active Spacer Robotic Tissue Balancing Device

RAYNHAM, Mass.Oct. 31, 2017 /PRNewswire/ — OMNIlife science, Inc. (“OMNI™”), a privately-held, established medical technology company targeting the $15 billion global hip and knee replacement device market, announced today that they have begun clinical evaluations of their exclusive OMNIBotics Active Spacer robotic tissue balancing device at three U.S. sites. This technology received 510(k) clearance from the FDA on September 1, 2017.

The OMNIBotics Active Spacer, in clinical use since March in Australia, provides the surgeon with a quantitative tool to actively manage the soft tissue envelope with dynamic real-time feedback. When combined with the accuracy of alignment and bone cuts provided by the OMNIBotics system, the result is a completely customized procedure from both a skeletal and a soft tissue perspective.

“I believe that the active spacer technology is the tool we have been looking for to create even better predictability and reproducibility for knee replacement surgery, said Jeffrey M. Lawrence, M.D. Viroqua, WI. “I’m very excited to offer this system to my patients.”

Of his early experience, John M. Keggi, MD, Middlebury, CT said, “The active spacer technology is a great step forward that brings the most advanced measurement and analysis tools directly to each patient and surgeon right in the operating room. It’s an unprecedented, real-time evaluation of the knee that optimizes each step of the procedure.”

Studies indicate that a significant percentage of knee replacement patients do not achieve full satisfaction even with well-placed implants. One potential contributing factor is sub-optimal soft tissue balancing.

“The active spacer is an amazing new technology for knee replacement. It actually shows your surgeon, in real time, how tight or loose your knee is on each side as it bends. This information is then fed into a robot, which plans how your knee is replaced on an individual basis for optimum results,” said Amber Randall, MD an orthopedic surgeon in Arizona.

OMNI, a pioneer in robotic-assisted total knee replacement, now offers the only robotic technology that quantitatively drives the total knee replacement surgical procedure with both alignment and ligament balancing. Dr. Randall continues, “I believe that this revolutionary, never before seen technology will get us not one–but several–steps closer to the Holy Grail of knee replacement: the freely moving, perfectly stable and pain free knee.”

ABOUT OMNI

OMNI is a privately held company with a proprietary robotic platform, OMNIBotics®, which allows surgeons to conduct patient-specific total knee surgery designed to enhance patient satisfaction and reduce hospital costs. In addition, OMNI designs, engineers, manufactures and distributes a wide range of proprietary hip and knee implants and is focused on providing cutting edge technologies to transform outcomes in joint replacement surgery and enhance a surgeon’s ability to help patients live active and pain-free lives. For more information about OMNI, please visit www.omnils.com.

FORWARD LOOKING STATEMENTS

Statements in this press release concerning the future business, operations and prospects of OMNIlife science, Inc., including its plans specific to OMNIBotics systems, as well as statements using the terms “plans,” “believes” or similar expressions are “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. These statements are based upon management’s current expectations and are subject to a number of factors and uncertainties. Information contained in these forward-looking statements is inherently uncertain, and actual performance and results may differ materially due to many important factors. Such factors include, among others, changes in competitive conditions and pricing in OMNI’s markets, decrease in the demand for OMNI’s products, delays in OMNI’s product research and development cycles, decreases in the use of OMNI’s principal product lines or in procedure volume, unanticipated issues in complying with domestic or foreign regulatory requirements related to OMNI’s current products or securing regulatory clearance or approvals for new products or upgrades or changes to OMNI’s current products, the impact of the United States healthcare reform legislation on hospital spending and reimbursement, any unanticipated impact arising out of the securities class action or any other litigation, inquiry, or investigation brought against OMNI, increases in costs of OMNI’s sales force and distributors, and unanticipated intellectual property expenditures required to develop, market, and defend OMNI’s products. OMNI cannot guarantee any future results, levels of activity, performance or achievement. OMNI undertakes no obligation to update any of its forward-looking statements after the date of this press release.

CONTACT

Cindy Holloway, Director of Marketing Communications Phone: (508) 824-2444
cholloway@omnils.com

 

SOURCE OMNIlife science, Inc.

Use of Ceterix NovoStitch® Plus System for Repair of Horizontal Meniscus Tears Supported by Three New Studies

October 30, 2017

FREMONT, Calif.–(BUSINESS WIRE)–Ceterix® Orthopaedics today announced the publication of three new studies in the journal Arthroscopy Techniques supporting the use of the company’s NovoStitch® Plus device for the repair of horizontal cleavage meniscal tears:

“These publications illustrate the growing recognition that horizontal meniscus tears, previously deemed irreparable, can in fact be repaired with advanced technology,” said Dr. Kenneth Brooks, orthopaedic surgeon and author of one of the reports. “The NovoStitch Plus has given surgeons increased flexibility to develop advanced meniscal repair techniques specifically designed to treat horizontal tears. This allows us to preserve the meniscus in more patients, reducing the likelihood of developing arthritis or requiring knee replacement surgery later in life.”

Patients with meniscus tears often undergo meniscectomy – total or partial removal of the meniscus – due to the difficulty of access and limitations of current arthroscopic instruments. However, meniscectomy significantly increases the risk of arthritis or total knee replacement later in life.1 In contrast, meniscus repair, a procedure in which the tear is sutured and allowed to heal naturally, is associated with improved long-term outcomes and overall cost savings relative to meniscectomy.2 Meniscus surgery is the single most common arthroscopic procedure in the United States, with roughly one million performed annually.

The NovoStitch Plus device allows orthopaedic surgeons to address horizontal, radial, and other complex meniscal tears in ways not previously possible. The system enables the placement of a circumferential compression stitch around the meniscus, which provides uniform compression during healing and allows orthopaedic surgeons to treat these complex injuries.

About Ceterix Orthopaedics

Ceterix® Orthopaedics develops surgical tools that expand and improve what is possible for physicians who treat soft tissue joint injuries such as meniscus tears. Founded in 2010 with the vision of improving outcomes of arthroscopic procedures, Ceterix’s novel meniscal repair system enables surgeons to place suture patterns that were previously only possible in open procedures, or not at all. The NovoStitch Plus meniscal repair system has received 510k clearance in the United States and is indicated for approximation of soft tissue in meniscal repair procedures. The company is based in Fremont, Calif. and is backed by investors Versant Ventures, 5AM Ventures and CRG. For more information, please visit www.ceterix.com.

1 Papalia, R. et. al. Meniscectomy as a risk factor for knee osteoarthritis: a systematic review. British Medical Bulletin. 2011; 99:89 – 106.

2 Feeley, B. et. al. The Cost-Effectiveness of Meniscal Repair versus Partial Meniscectomy: A Model-based Projection of Clinical Outcomes and Costs in the United States Healthcare System. ISPOR Annual Meeting 2015.

Contacts

For Ceterix Orthopaedics
Jessica Volchok, 310-849-7985
jessica@healthandcommerce.com

Orthofix International Reports Third Quarter 2017 Financial Results

October 30, 2017

LEWISVILLE, Texas–(BUSINESS WIRE)–Orthofix International N.V. (NASDAQ:OFIX) today reported its financial results for the third quarter ended September 30, 2017. Net sales were $105.2 million, diluted earnings per share from continuing operations was $0.18 and adjusted earnings per share from continuing operations was $0.42.

“We continue to execute on our strategy of increasing the organic growth and profitability of each of our four strategic business units while rationalizing corporate costs in all areas. This has resulted in an accelerating sales growth rate each quarter thus far this year, and positioned us for solid mid-single digit organic revenue growth and the opportunity for meaningful margin expansion in the years to come,” said Brad Mason, President and Chief Executive Officer.

Financial Results Overview

The following table provides net sales by strategic business unit (“SBU”):

Three Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands) 2017 2016 Change Constant

Currency

Change

BioStim $ 44,427 $ 42,956 3.4 % 3.4 %
Biologics 15,218 14,335 6.2 % 6.2 %
Extremity Fixation 25,447 24,314 4.7 % 1.4 %
Spine Fixation 20,155 16,892 19.3 % 19.1 %
Net sales $ 105,247 $ 98,497 6.9 % 6.0 %

Gross profit increased $2.9 million to $81.5 million. Gross margin decreased to 77.5% compared to 79.8% in the prior year period due primarily to sales mix, the impact of converting to stocking distributors in Brazil in our Extremity Fixation SBU, and $0.6 million of non-recurring expenses relating to our U.S. restructuring plan. Non-GAAP net margin, an internal metric that we define as gross profit less sales and marketing expenses, was $34.0 million compared to $36.9 million in the prior year period. The decrease in non-GAAP net margin was primarily due to higher commission expenses from geographic mix in Extremity Fixation and higher rates from Spine Fixation and Biologics distributors, as well as increased sales and use tax benefits realized in the third quarter of 2016.

Net income from continuing operations was $3.3 million, or $0.18 per share, compared to $10.4 million, or $0.56 per share in the prior year period. Adjusted net income from continuing operations was $7.7 million, or $0.42 per share, compared to adjusted net income of $6.6 million, or $0.36 per share in the prior year period.

EBITDA was $14.5 million, compared to $14.1 million in the prior year period. Adjusted EBITDA was $21.1 million, or 20.1% of net sales, for the third quarter, compared to $23.5 million, or 23.9% of net sales, in the prior year period.

Liquidity

As of September 30, 2017, cash and cash equivalents were $53.9 million compared to $39.6 million as of December 31, 2016. As of September 30, 2017, we had no outstanding indebtedness and borrowing capacity of $125 million. Cash flow from operations was $23.5 million, a decrease of $14.9 million, and free cash flow was $10.2 million, a decrease of $13.9 million when compared to the prior year period.

2017 Outlook

For the year ending December 31, 2017, the Company expects the following results, assuming exchange rates are the same as those currently prevailing.

Previous 2017 Outlook Current 2017 Outlook
(Unaudited, U.S. Dollars, in millions, except per share data) Low High Low High
Net sales $ 422.0 $ 425.0 $ 428.0

(1)

$ 431.0

(1)

Net income from continuing operations $ 17.7 $ 21.4 $ 14.2

(2)

$ 17.0

(2)

Adjusted EBITDA $ 79.0 $ 81.0 $ 79.0

(3)

$ 82.0

(3)

EPS from continuing operations $ 0.96 $ 1.16 $ 0.77

(4)

$ 0.92

(4)

Adjusted EPS from continuing operations $ 1.54 $ 1.60 $ 1.54

(5)

$ 1.63

(5)

Represents a year-over-year increase of 4.4% to 5.2% on a reported basis
Represents a year-over-year increase of 306.1% to 386.1%
Represents a year-over-year decrease of 0.4% to an increase of 3.4%
Represents a year-over-year increase of 305.3% to 384.2%
Represents a year-over-year increase of 5.5% to 11.6%

Conference Call

Orthofix will host a conference call today at 4:30 PM Eastern time to discuss the Company’s financial results for the third quarter of 2017. Interested parties may access the conference call by dialing (844) 809-1992 in the U.S. and (612) 979-9886 outside the U.S., and referencing the conference ID 2078866. A replay of the call will be available for two weeks by dialing (855) 859-2056 in the U.S. and (404) 537-3406 outside the U.S., and entering the conference ID 2078866. A webcast of the conference call may be accessed by going to the Company’s website at www.orthofix.com, by clicking on the Investors link and then the Events and Presentations page.

About Orthofix

Orthofix International N.V. is a diversified, global medical device company focused on improving patients’ lives by providing superior reconstructive and regenerative orthopedic and spine solutions to physicians worldwide. Headquartered in Lewisville, Texas, the Company has four strategic business units: BioStim, Biologics, Extremity Fixation and Spine Fixation. Orthofix products are widely distributed via the Company’s sales representatives and distributors. In addition, Orthofix is collaborating on research and development activities with leading clinical organizations such as Brown University, Sinai Hospital of Baltimore, Cleveland Clinic, Texas Scottish Rite Hospital for Children, and the Musculoskeletal Transplant Foundation. For more information, please visit www.orthofix.com.

Forward-Looking Statements

This communication contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended (“the Exchange Act”), and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” or “continue” or other comparable terminology. These forward-looking statements are not guarantees of our future performance and involve risks, uncertainties, estimates and assumptions that are difficult to predict. Therefore, our actual outcomes and results may differ materially from those expressed in these forward-looking statements. You should not place undue reliance on any of these forward-looking statements. Further, any forward-looking statement speaks only as of the date hereof, unless it is specifically otherwise stated to be made as of a different date. We undertake no obligation to further update any such statement, or the risk factors described in Part I, Item 1A under the heading Risk Factors in our Form 10-K for the year ended December 31, 2016, to reflect new information, the occurrence of future events or circumstances or otherwise.

ORTHOFIX INTERNATIONAL N.V.

Condensed Consolidated Statements of Operations
Three Months Ended Nine Months Ended
September 30, September 30,
(Unaudited, U.S. Dollars, in thousands, except share and per share data) 2017 2016 2017 2016
Net sales $ 105,247 $ 98,497 $ 316,927 $ 301,251
Cost of sales 23,717 19,880 69,475 64,533
Gross profit 81,530 78,617 247,452 236,718
Sales and marketing 47,493 41,717 146,496 132,582
General and administrative 18,068 19,272 56,759 54,822
Research and development 6,935 6,858 21,246 21,294
Charges related to U.S. Government resolutions 1,499 14,369
Operating income 9,034 9,271 22,951 13,651
Interest income (expense), net (15 ) 471 106 320
Other income (expense), net 479 (634 ) (3,284 ) 1,346
Income before income taxes 9,498 9,108 19,773 15,317
Income tax benefit (expense) (6,150 ) 1,276 (13,998 ) (6,703 )
Net income from continuing operations 3,348 10,384 5,775 8,614
Discontinued operations
Income (loss) from discontinued operations 65 (1,018 ) (1,762 ) (3,580 )
Income tax benefit 43 530 642 1,258
Net income (loss) from discontinued operations 108 (488 ) (1,120 ) (2,322 )
Net income $ 3,456 $ 9,896 $ 4,655 $ 6,292
Net income (loss) per common share—basic
Net income from continuing operations $ 0.18 $ 0.57 $ 0.32 $ 0.47
Net income (loss) from discontinued operations 0.01 (0.02 ) (0.06 ) (0.13 )
Net income per common share—basic $ 0.19 $ 0.55 $ 0.26 $ 0.34
Net income (loss) per common share—diluted
Net income from continuing operations $ 0.18 $ 0.56 $ 0.31 $ 0.46
Net income (loss) from discontinued operations 0.01 (0.02 ) (0.06 ) (0.12 )
Net income per common share—diluted $ 0.19 $ 0.54 $ 0.25 $ 0.34
Weighted average number of common shares:
Basic 18,180,845 18,091,650 18,071,093 18,238,533
Diluted 18,572,791 18,382,118 18,394,542 18,569,861
ORTHOFIX INTERNATIONAL N.V.
Condensed Consolidated Balance Sheets
(U.S. Dollars, in thousands except share data) September 30,

2017

December 31,

2016

(unaudited)
Assets
Current assets
Cash and cash equivalents $ 53,925 $ 39,572
Restricted cash 14,369
Accounts receivable, net of allowances of $8,925 and $8,396, respectively 61,187 57,848
Inventories 80,124 63,346
Prepaid expenses and other current assets 18,172 19,238
Total current assets 213,408 194,373
Property, plant and equipment, net 46,678 48,916
Patents and other intangible assets, net 9,915 7,461
Goodwill 53,565 53,565
Deferred income taxes 47,052 47,325
Other long-term assets 15,683 20,463
Total assets $ 386,301 $ 372,103
Liabilities and shareholders’ equity
Current liabilities
Accounts payable $ 13,352 $ 14,353
Other current liabilities 60,718 69,088
Total current liabilities 74,070 83,441
Other long-term liabilities 26,920 25,185
Total liabilities 100,990 108,626
Contingencies
Shareholders’ equity
Common shares $0.10 par value; 50,000,000 shares authorized; 18,212,916 and

17,828,155 issued and outstanding as of September 30, 2017 and December 31,

2016, respectively

1,821 1,783
Additional paid-in capital 215,778 204,095
Retained earnings 68,834 64,179
Accumulated other comprehensive loss (1,122 ) (6,580 )
Total shareholders’ equity 285,311 263,477
Total liabilities and shareholders’ equity $ 386,301 $ 372,103

ORTHOFIX INTERNATIONAL N.V.
Non-GAAP Financial Measures

The following tables present reconciliations of net income (loss) from continuing operations, earnings per share (“EPS”) from continuing operations, gross profit, and net cash from operating activities, in each case calculated in accordance with U.S. generally accepted accounting principles (“GAAP”), to, as applicable, non-GAAP financial measures, referred to as “EBITDA,” “Adjusted EBITDA,” “Adjusted net income from continuing operations,” “Adjusted earnings per share from continuing operations,” “Non-GAAP net margin” and “Free cash flow” that exclude items specified in the tables. A more detailed explanation of the items excluded from these non-GAAP financial measures, as well as why management believes the non-GAAP financial measures are useful to them, is included following the reconciliations.

EBITDA and Adjusted EBITDA

Three Months Ended

September 30,

Nine Months Ended

September 30,

(Unaudited, U.S. Dollars, in thousands) 2017 2016 2017 2016
Net income from continuing operations $ 3,348 $ 10,384 $ 5,775 $ 8,614
Interest expense (income), net 15 (471 ) (106 ) (320 )
Income tax expense (benefit) 6,150 (1,276 ) 13,998 6,703
Depreciation and amortization 4,974 5,480 15,421 15,483
EBITDA $ 14,487 $ 14,117 $ 35,088 $ 30,480
Share-based compensation 3,632 7,862 9,124 11,874
Foreign exchange impact (794 ) 566 (2,425 ) (1,434 )
Strategic investments 293 (62 ) 9,619 342
SEC / FCPA matters and related costs 1,150 691 1,851 1,481
Infrastructure investments 827 3,073
Legal judgments/settlements 179 (3,000 ) 1,798 (3,000 )
Charges related to U.S. Government resolutions 1,499 14,369
Restructuring 2,160 2,242
Succession charges 1,026 1,026
Adjusted EBITDA $ 21,107 $ 23,526 $ 57,297 $ 58,211
As a % of net sales 20.1 % 23.9 % 18.1 % 19.3 %

Adjusted Net Income from Continuing Operations

Three Months Ended

September 30,

Nine Months Ended

September 30,

(Unaudited, U.S. Dollars, in thousands) 2017 2016 2017 2016
Net income from continuing operations $ 3,348 $ 10,384 $ 5,775 $ 8,614
Foreign exchange impact (794 ) 566 (2,425 ) (1,434 )
Strategic investments 293 (62 ) 9,619 342
SEC / FCPA matters and related costs 1,150 691 1,851 1,481
Infrastructure investments 827 3,073
Legal judgments/settlements 179 (3,000 ) 1,798 (3,000 )
Charges related to U.S. Government resolutions 1,499 14,369
Restructuring 2,160 2,242
Succession charges 1,026 1,026
Long-term income tax rate adjustment 1,405 (5,325 ) 1,512 (5,143 )
Adjusted net income from continuing operations $ 7,741 $ 6,606 $ 20,372 $ 19,328

Adjusted Earnings per Share from Continuing Operations

Three Months Ended

September 30,

Nine Months Ended

September 30,

(Unaudited, per diluted share) 2017 2016 2017 2016
EPS from continuing operations $ 0.18 $ 0.56 $ 0.31 $ 0.46
Foreign exchange impact (0.04 ) 0.03 (0.13 ) (0.08 )
Strategic investments 0.02 0.52 0.02
SEC / FCPA matters and related costs 0.06 0.04 0.10 0.08
Infrastructure investments 0.04 0.17
Legal judgments/settlements 0.01 (0.16 ) 0.10 (0.16 )
Charges related to U.S. Government resolutions 0.08 0.77
Restructuring 0.12 0.12
Succession charges 0.06 0.06
Long-term income tax rate adjustment 0.07 (0.29 ) 0.09 (0.28 )
Adjusted EPS from continuing operations $ 0.42 $ 0.36 $ 1.11 $ 1.04
Weighted average number of diluted common shares 18,572,791 18,382,118 18,394,542 18,569,861

Non-GAAP Net Margin

Three Months Ended

September 30,

Nine Months Ended

September 30,

(Unaudited, U.S. Dollars, in thousands) 2017 2016 2017 2016
Gross profit $ 81,530 $ 78,617 $ 247,452 $ 236,718
Sales and marketing (47,493 ) (41,717 ) (146,496 ) (132,582 )
Non-GAAP net margin $ 34,037 $ 36,900 $ 100,956 $ 104,136
BioStim $ 18,285 $ 19,996 $ 54,887 $ 54,980
Biologics 6,010 6,821 18,651 19,642
Extremity Fixation 7,723 8,834 20,901 24,170
Spine Fixation 2,122 1,388 6,825 5,925
Corporate (103 ) (139 ) (308 ) (581 )
Non-GAAP net margin $ 34,037 $ 36,900 $ 100,956 $ 104,136

Free Cash Flow

Nine Months Ended

September 30,

(Unaudited, U.S. Dollars, in thousands) 2017 2016
Net cash from operating activities $ 23,494 $ 38,396
Capital expenditures (13,290 ) (14,261 )
Free cash flow $ 10,204 $ 24,135

2017 Outlook

Previous 2017 Outlook Current 2017 Outlook
(Unaudited, U.S. Dollars, in millions) Low High Low High
Net income from continuing operations $ 17.7 $ 21.4 $ 14.2 $ 17.0
Interest expense, net 0.2 0.1
Income tax expense 15.7 15.5 16.7 17.0
Depreciation and amortization 20.0 20.0 20.2 20.2
EBITDA $ 53.6 $ 57.0 $ 51.1 $ 54.2
Share-based compensation 13.0 13.0 13.0 13.0
Foreign exchange impact (1.6 ) (1.6 ) (2.4 ) (2.4 )
Strategic investments 10.3 9.3 10.2 10.2
SEC / FCPA matters and related costs 1.2 1.0 2.4 2.4
Legal judgments/settlements 1.6 1.6 1.8 1.8
Restructuring 0.9 0.7 2.9 2.8
Adjusted EBITDA $ 79.0 $ 81.0 $ 79.0 $ 82.0
Previous 2017 Outlook Current 2017 Outlook
(Unaudited, per diluted share) Low High Low High
EPS from continuing operations $ 0.96 $ 1.16 $ 0.77 $ 0.92
Foreign exchange impact (0.09 ) (0.09 ) (0.13 ) (0.13 )
Strategic investments 0.56 0.51 0.55 0.55
SEC / FCPA matters and related costs 0.07 0.05 0.13 0.13
Legal judgments/settlements 0.09 0.09 0.10 0.10
Restructuring 0.05 0.04 0.16 0.15
Long-term income tax rate adjustment (0.10 ) (0.16 ) (0.04 ) (0.09 )
Adjusted EPS from continuing operations $ 1.54 $ 1.60 $ 1.54 $ 1.63
Weighted average number of diluted common shares 18,400,000 18,400,000 18,400,000 18,400,000

Non-GAAP Measures:

Constant Currency

Constant currency is a non-GAAP measure, which is calculated by using foreign currency rates from the comparable, prior-year period, to present net sales at comparable rates. Constant currency can be presented for numerous GAAP measures, but is most commonly used by management to analyze net sales without the impact of changes in foreign currency rates.

EBITDA

EBITDA is a non-GAAP financial measure, which is calculated by adding interest income (expense), net; income tax expense; and depreciation and amortization to net income (loss) from continuing operations. EBITDA provides management with additional insight to its results of operations.

Adjusted EBITDA, Adjusted Net Income from Continuing Operations and Adjusted Earnings per Share from Continuing Operations

These non-GAAP financial measures provide management with additional insight to its results of operations and are calculated using the following adjustments:

  • Share-based compensation – costs related to our share-based compensation plans, which include stock options, restricted stock awards, performance-based restricted stock awards, market-based restricted stock awards and our stock purchase plan
  • Foreign exchange impact – gains and losses related to foreign currency transactions; guidance presented does not include the impact of any future foreign exchange fluctuations
  • Strategic investments – costs related to our strategic investments, including our investment in eNeura, Inc.
  • SEC / FCPA matters and related costs – legal and other professional fees associated with the SEC Investigation, Securities Class Action Complaint and Brazil subsidiary compliance review
  • Infrastructure investments – costs associated with our multi-year process and systems improvement effort, “Bluecore,” which was completed in 2016
  • Legal judgments/settlements – adverse or favorable legal judgments or negotiated legal settlements
  • Charges related to U.S. Government resolutions – charges related to the settlement with the SEC as further discussed in our Form 10-K for the year ended December 31, 2016
  • Restructuring – costs related to a planned restructuring, primarily consisting of severance charges and the write-down of certain assets
  • Succession charges – costs related to the succession of certain of our former named executive officers
  • Long-term income tax rate adjustment – reflects management’s expectation of a long-term normalized effective tax rate of 38%, which is based on current tax law and current expected income. Actual tax expense will ultimately be based on GAAP performance and may differ from the 38% effective tax rate due to a variety of factors, including jurisdictions in which profits are determined to be earned and taxed, and discrete items, such as the resolutions of issues arising from tax audits with various tax authorities and the ability to realize deferred tax assets

Non-GAAP Net Margin

Non-GAAP net margin is an internal non-GAAP metric, which we define as gross profit less sales and marketing expense. Non-GAAP net margin is the primary metric used by our Chief Operating Decision Maker in managing our business.

Free Cash Flow

Free cash flow is a non-GAAP financial measure, which is calculated by subtracting capital expenditures from cash flow from operating activities. Free cash flow is an important indicator of how much cash is generated or used by our normal business operations, including capital expenditures. Management uses free cash flow as a measure of progress on its capital efficiency and cash flow initiatives.

Usefulness and Limitations of Non-GAAP Financial Measures

Management uses non-GAAP measures to evaluate performance period-over-period, to analyze the underlying trends in our business, to assess performance relative to competitors and to establish operational goals and forecasts that are used in allocating resources. Management uses these non-GAAP measures as the basis for assessing the ability of the underlying operations to generate cash. In addition, management uses these non-GAAP measures to further its understanding of the performance of our business units.

Material Limitations Associated with the Use of Non-GAAP Financial Measures

The non-GAAP measures used in this press release may have limitations as analytical tools, and should not be considered in isolation or as a replacement for GAAP financial measures. Some of the limitations associated with the use of these non-GAAP financial measures are that they exclude items that reflect an economic cost and can have a material effect on cash flows. Similarly, certain non-cash expenses, such as share-based compensation, do not directly impact cash flows, but are part of total compensation costs accounted for under GAAP.

Compensation for Limitations Associated with Use of Non-GAAP Financial Measures

We compensate for the limitations of our non-GAAP financial measures by relying upon GAAP results to gain a complete picture of our performance. The GAAP results provide the ability to understand our performance based on a defined set of criteria. The non-GAAP measures reflect the underlying operating results of our businesses, which we believe is an important measure of our overall performance. We provide a detailed reconciliation of the non-GAAP financial measures to our most directly comparable GAAP measures, and encourage investors to review this reconciliation.

Usefulness of Non-GAAP Financial Measures to Investors

We believe that providing non-GAAP financial measures that exclude certain items provides investors with greater transparency to the information used by senior management in its financial and operational decision-making. Management believes it is important to provide investors with the same non-GAAP metrics it uses to supplement information regarding the performance and underlying trends of our business operations in order to facilitate comparisons to its historical operating results and internally evaluate the effectiveness of our operating strategies. Disclosure of these non-GAAP financial measures also facilitates comparisons of our underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures.

Contacts

Orthofix International N.V.
Mark Quick, 214-937-2924
markquick@orthofix.com