C O R P O R A T E B A C K G R O U N D E R For information contact: Joni Morford, Communicore 714/721-8081 jmorford@communicore.com ELECTROSCOPE, INC. ElectroScope, Inc., was founded in 1991 to address the risks associated with laparoscopic monopolar electrosurgery and to develop and market its patented electrosurgical safety technology: Active Electrode Monitoring (AEMª). In 1994, ElectroScope introduced the Electroshield Monitoring System¨, a major development in electrosurgical patient safety that prevents the release of stray electrical energy outside the surgical site and notifies the surgeon that potentially dangerous electrical energy is present. If left undetected, these stray currents may result in injury to surrounding non-targeted tissue and organs that can result in severe and sometimes fatal complications following surgery. The ability to detect and prevent electrosurgical effects beyond the surgeon's limited field of view during monopolar laparoscopic electrosurgery can improve patient safety, reduce liability, and promote an expansion of the uses of laparoscopic monopolar electrosurgery. ElectroScope's Electroshield System consists of the company's EM-2 Electronic Monitor, which plugs directly into a standard electrosurgical generator, and electrosurgical instruments manufactured by ElectroScope that incorporate the shielding technology. ElectroScope has also developed an adaptive sheath that provides electronic monitoring for other manufacturers' instruments, allowing a uniform standard of care for patients regardless of the brand of electrosurgical instruments used. The American Association of Gynecological Laparoscopists (AAGL) has recommended consideration of Active Electrode Monitoring to prevent complications during minimally invasive surgery. In addition, the Emergency Care Research Institute (ECRI), an independent, non-profit research agency that reviews and tests medical devices, has recommended the Electroshield Monitoring System as the highest level protection available against patient injury due to insulation failure and capacitive coupling. The Electroshield Monitoring System is indeed the only product available that directly addresses the problem of capacitive coupling and electrical leakage in monopolar laparoscopic surgery and provides complete protection from these substantial dangers. Minimally invasive procedures account for at least 15 percent of all surgeries performed in the United States each year, and this percentage is expected to grow rapidly by the year 2000. The worldwide market for minimally invasive electrosurgical equipment is estimated to be approximately $450 million annually. Market competition is limited to unshielded monopolar instruments and alternative minimally invasive surgical methods, such as laser surgery, bipolar electrosurgery, and the "harmonic scalpel." Since monopolar electricity is recognized by the majority of hospitals and surgeons as the most effective minimally invasive energy tool, ElectroScope is in the unique position of advancing the standard of surgical care by providing the only true solution to the risks associated with the most commonly used form of minimally invasive surgery in the United States. As minimally invasive laparoscopic procedures gain increased acceptance in current and future applications, the number of injured, litigious patients has been growing and is expected to grow still further. Not surprisingly, to meet this response, the American Trial Lawyers Association formed the Laparoscopy Litigation Group in 1994 to pool information on malpractice claims. A study conducted in May 1994 by the Physician Insurers Association of America (PIAA) found that 70 percent of minimally invasive mishaps are not detected until after the surgery is complete and the patient has gone home. The study also found that of the 1 million minimally invasive surgery procedures performed in 1993, 600 patients claimed injury; 35 of these injuries led to patient death, many from perforated bowels. The PIAA survey noted that suits arising from laparoscopic accidents totaled $385 million since 1985 and carried an average indemnity of more than $130,000 per case. Although these figures cover injuries during minimally invasive surgery as a whole, it is reasonable to assume that a substantial portion of these claims arose from minimally invasive monopolar electrosurgical complications. Cases involving confirmed electrosurgical injury suggest that these injuries represent a substantial medicolegal risk for surgeons and hospitals. For example, in 1993 a jury in Florida awarded $551,000 to a laparoscopic monopolar electrosurgery patient who developed a severe infection and underwent a colostomy after her colon was perforated by stray electrical currents during minimally invasive electrosurgery. Cost considerations affect the acceptance of any new technology, and a hospital's ability to assimilate the Electroshield Monitoring System into its existing equipment portfolio should positively influence its speed of adoption. The EM-2 Electronic Monitor is priced at approximately $3,200 and requires no change in surgical technique, no additional training for the surgeon, and no additional inconvenience to the surgical suite staff. The Electroshield instruments are priced comparably to other manufacturers' reusable instruments and disassemble for easy sterilization and maintenance. On a cost-per-use basis, ElectroScope's instruments are less expensive than disposable electrodes. In short, unlike the alternatives to a monopolar system, the Electroshield Monitoring System avoids many of the common obstacles found with the introduction of a new technology and provides a sound basis for preserving the many technical advantages of monopolar electrosurgery while fully protecting patients from the risk of inadvertent electrosurgical injury. ElectroScope plans to increase the availability and variety of shielded instruments for current and future electrosurgical applications. The company's shares are publicly traded on the NASDAQ National Market System under the symbol ESCP. ElectroScope is located in Boulder, Colo., and employs 43 people. End of document.