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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
 
FORM 10-Q
     
    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 2011
Commission File No. 000-52082
 
CARDIOVASCULAR SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
     
Delaware
(State or Other Jurisdiction of
Incorporation or Organization)
  No. 41-1698056
(IRS Employer
Identification No.)
     
651 Campus Drive
St. Paul, Minnesota 55112-3495
(Address of Principal Executive Offices)
Registrant’s telephone number (651) 259-1600
 
     Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. YES þ NO o
     Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). YES o NO o
     Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
             
Large accelerated filer o   Accelerated filer o   Non-accelerated filer o   Smaller reporting company þ
        (Do not check if a smaller reporting company)    
     Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YES o NO þ
The number of shares outstanding of the registrant’s common stock as of May 11, 2011 was: Common Stock, $0.001 par value per share, 16,218,170 shares.
 
 


 

Cardiovascular Systems, Inc.
Consolidated Financial Statements
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  EX-10.1
  EX-31.1
  EX-31.2
  EX-32.1
  EX-32.2

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PART I. — FINANCIAL INFORMATION
ITEM 1. CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
Cardiovascular Systems, Inc.
Consolidated Balance Sheets
(Dollars in Thousands, except per share and share amounts)

(Unaudited)
                 
    March 31,     June 30,  
    2011     2010  
ASSETS
               
Current assets
               
Cash and cash equivalents
  $ 18,618     $ 23,717  
Accounts receivable, net
    13,342       9,394  
Inventories
    4,865       4,319  
Prepaid expenses and other current assets
    727       1,048  
 
           
Total current assets
    37,552       38,478  
Property and equipment, net
    2,220       1,964  
Patents, net
    2,192       1,712  
Debt conversion option and other assets
    1,762       568  
 
           
Total assets
  $ 43,726     $ 42,722  
 
           
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities
               
Current maturities of long-term debt
  $ 3,723     $ 2,302  
Accounts payable
    4,488       3,353  
Deferred grant incentive
    717       1,181  
Accrued expenses
    6,519       6,569  
 
           
Total current liabilities
    15,447       13,405  
 
           
Long-term liabilities
               
Long-term debt, net of current maturities
    9,598       8,985  
Deferred grant incentive
    1,741       2,208  
Other liabilities
    112       409  
 
           
Total long-term liabilities
    11,451       11,602  
 
           
Total liabilities
    26,898       25,007  
 
           
Commitments and contingencies
               
 
               
Stockholders’ equity
               
Common stock, $0.001 par value; authorized 100,000,000 common shares at March 31, 2011 and June 30, 2010; issued and outstanding 16,154,321 at March 31, 2011 and 15,148,549 at June 30, 2010, respectively
    16       15  
Additional paid in capital
    165,469       157,718  
Common stock warrants
    11,308       11,305  
Accumulated deficit
    (159,965 )     (151,323 )
 
           
Total stockholders’ equity
    16,828       17,715  
 
           
Total liabilities and stockholders’ equity
  $ 43,726     $ 42,722  
 
           
The accompanying notes are an integral part of these unaudited consolidated financial statements.

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Cardiovascular Systems, Inc.
Consolidated Statements of Operations
(Dollars in thousands, except per share and share amounts)
(Unaudited)
                                 
    Three Months Ended     Nine Months Ended  
    March 31,     March 31,  
    2011     2010     2011     2010  
Revenues
  $ 20,152     $ 16,519     $ 57,073     $ 46,814  
Cost of goods sold
    3,949       3,847       12,063       10,850  
 
                       
Gross profit
    16,203       12,672       45,010       35,964  
 
                       
Expenses
                               
Selling, general and administrative
    16,415       16,382       46,597       47,150  
Research and development
    1,780       2,459       6,316       7,421  
 
                       
Total expenses
    18,195       18,841       52,913       54,571  
 
                       
Loss from operations
    (1,992 )     (6,169 )     (7,903 )     (18,607 )
 
                               
Interest and other, net
    (392 )     (349 )     (739 )     (896 )
 
                       
Net loss
  $ (2,384 )   $ (6,518 )   $ (8,642 )   $ (19,503 )
 
                       
 
                               
Net loss per common share:
                               
Basic and Diluted
  $ (0.15 )   $ (0.44 )   $ (0.55 )   $ (1.33 )
 
                       
 
                               
Weighted average common shares used in computation:
                               
Basic and Diluted
    16,146,667       14,878,859       15,778,287       14,681,014  
 
                       
The accompanying notes are an integral part of these unaudited consolidated financial statements.

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Cardiovascular Systems, Inc.
Consolidated Statements Cash Flows
(Dollars in thousands)
(Unaudited)
                 
    Nine Months Ended  
    March 31,  
    2011     2010  
Cash flows from operating activities
               
Net loss
  $ (8,642 )   $ (19,503 )
Adjustments to reconcile net loss to net cash used in operations
               
Depreciation and amortization of property and equipment
    476       399  
Provision for doubtful accounts
    26       77  
Amortization of patents
    42       36  
Amortization of (premium) discount, net
    (7 )     216  
Debt conversion and valuation of conversion options, net
    (415 )      
Stock-based compensation
    5,221       6,460  
Other
    250        
Changes in assets and liabilities
               
Accounts receivable
    (3,974 )     (1,404 )
Inventories
    (546 )     (1,193 )
Prepaid expenses and other assets
    395       77  
Accounts payable
    1,135       192  
Accrued expenses and other liabilities
    (1,111 )     2,872  
 
           
Net cash used in operations
    (7,150 )     (11,771 )
 
           
 
               
Cash flows from investing activities
               
Expenditures for property and equipment
    (732 )     (639 )
Sales of investments
          3,625  
Costs incurred in connection with patents
    (522 )     (377 )
 
           
Net cash (used in) provided by investing activities
    (1,254 )     2,609  
 
           
 
               
Cash flows from financing activities
               
Proceeds from employee stock purchase plan
    365       702  
Payment of deferred financing costs
          (50 )
Exercise of stock options and warrants
    453       285  
Proceeds from long-term debt
    4,000       4,411  
Payments on long-term debt
    (1,513 )     (6,045 )
 
           
Net cash provided by (used in) financing activities
    3,305       (697 )
 
           
 
               
Net change in cash and cash equivalents
    (5,099 )     (9,859 )
Cash and cash equivalents
               
Beginning of period
    23,717       33,411  
 
           
End of period
  $ 18,618     $ 23,552  
 
           
 
               

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CARDIOVASCULAR SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(For the nine months ended March 31, 2011 and 2010)
(dollars in thousands, except per share and share amounts)
(unaudited)
1. Business Overview
    Company Description and Merger
     Cardiovascular Systems, Inc. was incorporated as Replidyne, Inc. in Delaware in 2000. On February 25, 2009, Replidyne, Inc. completed its reverse merger with Cardiovascular Systems, Inc., a Minnesota corporation incorporated in 1989 (“CSI-MN”), in accordance with the terms of the Agreement and Plan of Merger and Reorganization, dated as of November 3, 2008 (the “Merger Agreement”). Pursuant to the Merger Agreement, CSI-MN continued after the merger as the surviving corporation and a wholly-owned subsidiary of Replidyne. At the effective time of the merger, Replidyne, Inc. changed its name to Cardiovascular Systems, Inc. (“CSI”) and CSI-MN merged with and into CSI, with CSI continuing after the merger as the surviving corporation.
     The Company develops, manufactures and markets devices for the treatment of vascular diseases. The Company’s primary products, the Diamondback 360° PAD System, the Diamondback Predator 360° PAD System, and the Stealth 360° PAD System are catheter-based platforms capable of treating a broad range of plaque types in leg arteries both above and below the knee and address many of the limitations associated with existing treatment alternatives. Prior to the merger, Replidyne was a biopharmaceutical company focused on discovering, developing, in-licensing and commercializing innovative anti-infective products.
2. Summary of Significant Accounting Policies
    Interim Financial Statements
     The Company has prepared the unaudited interim consolidated financial statements and related unaudited financial information in the footnotes in accordance with accounting principles generally accepted in the United States of America (“GAAP”) and the rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial statements. The year-end consolidated balance sheet was derived from audited consolidated financial statements, but does not include all disclosures as required by accounting principles generally accepted in the United States of America. These interim consolidated financial statements reflect all adjustments consisting of normal recurring accruals, which, in the opinion of management, are necessary to present fairly the Company’s consolidated financial position, the results of its operations and its cash flows for the interim periods. These interim consolidated financial statements should be read in conjunction with the consolidated annual financial statements and the notes thereto included in the Form 10-K filed by the Company with the SEC on September 28, 2010. The nature of the Company’s business is such that the results of any interim period may not be indicative of the results to be expected for the entire year.
    Fair Value of Financial Instruments
     Effective July 1, 2008, the Company adopted fair value guidance issued by the FASB, which provides a framework for measuring fair value under Generally Accepted Accounting Principles and expands disclosures about fair value measurements. In February 2008, the FASB provided a one-year deferral on the effective date of the guidance for non-financial assets and non-financial liabilities, except those that are recognized or disclosed in the financial statements at least annually.
     The fair value guidance classifies inputs into the following hierarchy:
      Level 1 Inputs — quoted prices in active markets for identical assets and liabilities
      Level 2 Inputs — observable inputs other than quoted prices in active markets for identical assets and liabilities
      Level 3 Inputs — unobservable inputs
     The following table sets forth the fair value of the Company’s financial instruments that were measured on a recurring basis as of March 31, 2011. Assets are measured on a recurring basis if they are remeasured at least annually:

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    Level 3  
    Conversion Option  
Balance at June 30, 2010
  $ 388  
Issuance of $4,000 in convertible notes
    1,172  
Change in conversion option valuation
    690  
Conversion of $1,500 convertible note
    (594 )
 
     
Balance at March 31, 2011
  $ 1,656  
 
     
     The fair value of the conversion option is related to the loan and security agreement with Partners for Growth (described in Note 4) and has been included in debt conversion option and other assets on the balance sheet. The Monte Carlo option pricing model used to determine the value of the conversion option included various inputs including historical volatility, stock price simulations, and assessed behavior of the Company and Partners for Growth based on those simulations. Based upon these inputs, the Company considers the conversion option to be a Level 3 investment.
     As of March 31, 2011, the Company believes that the carrying amounts of its other financial instruments, including accounts receivable, accounts payable and accrued liabilities approximate their fair value due to the short-term maturities of these instruments. The carrying amount of long-term debt approximates fair value based on interest rates currently available for debt with similar terms and maturities.
    Use of Estimates
     The preparation of the Company’s consolidated financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
    Revenue Recognition
     The Company sells the majority of its products via direct shipment to hospitals or clinics. The Company recognizes revenue when all of the following criteria are met: persuasive evidence of an arrangement exists; delivery has occurred; the sales price is fixed or determinable; and collectability is reasonably assured. These criteria are met at the time of delivery when the risk of loss and title passes to the customer. The Company records estimated sales returns, discounts and rebates as a reduction of net sales in the same period revenue is recognized.
    Reclassifications
     Certain reclassifications have been made to the June 30, 2010 balance sheet to conform to March 31, 2011 presentation. These reclassifications had no effect on net loss or stockholders’ equity as previously reported.
3. Selected Consolidated Financial Statement Information
    Inventories
     Inventories are stated at the lower of cost or market with cost determined on a first-in, first-out (“FIFO”) method of valuation. The establishment of inventory allowances for excess and obsolete inventories is based on estimated exposure on specific inventory items.
     At March 31, 2011 and June 30, 2010, respectively, inventories were comprised of the following:
                 
    March 31,     June 30,  
    2011     2010  
Inventories
               
Raw materials
  $ 1,849     $ 1,256  
Work in process
    807       282  
Finished goods
    2,209       2,781  
 
           
 
  $ 4,865     $ 4,319  
 
           

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4. Debt
    Loan and Security Agreement with Silicon Valley Bank
          On March 29, 2010, the Company entered into an amended and restated loan and security agreement with Silicon Valley Bank. The agreement includes a $10,000 term loan and a $15,000 line of credit. The terms of each of these loans are as follows:
    The $10,000 term loan has a fixed interest rate of 9.0% and a final payment amount equal to 1.0% of the loan amount due at maturity. This term loan has a 36 month maturity, with repayment terms that include interest only payments during the first nine months followed by 30 equal principal and interest payments. This term loan also includes an acceleration provision that requires the Company to pay the entire outstanding balance, plus a penalty ranging from 1.0% to 3.0% of the principal amount, upon prepayment or the occurrence and continuance of an event of default. In connection with entering into the agreement, the Company amended a warrant previously granted to Silicon Valley Bank. The warrant provides an option to purchase 8,493 shares of common stock at an exercise price of $5.48 per share. This warrant is immediately exercisable and expires ten years after the date of amendment. The balance outstanding on the term loan at March 31, 2011 and June 30, 2010 was $8,184 and $9,588, respectively, net of the unamortized discount associated with the warrant.
 
    The $15,000 line of credit has a two year maturity and a floating interest rate equal to Silicon Valley Bank’s prime rate, plus 2.0%, with an interest rate floor of 6.0%. Interest on borrowings is due monthly and the principal balance is due at maturity. Borrowings on the line of credit are based on (a) 80% of eligible domestic receivables, plus (b) the lesser of 40% of eligible inventory or 25% of eligible domestic receivables or $2,500, minus (c) to the extent in effect, certain loan reserves as defined in the agreement. Accounts receivable receipts are deposited into a lockbox account in the name of Silicon Valley Bank. The accounts receivable line of credit is subject to non-use fees, annual fees, and cancellation fees. The agreement provides that initially 50% of the outstanding principal balance of the $10,000 term loan reduces available borrowings under the line of credit. Upon the achievement of certain financial covenants, the amount reducing available borrowings will be reduced to zero. There was not an outstanding balance on the line of credit at March 31, 2011 or June 30, 2010.
          Borrowings from Silicon Valley Bank are secured by all of the Company’s assets. The borrowings are subject to prepayment penalties and financial covenants, including maintaining certain liquidity and fixed charge coverage ratios, and certain three-month EBITDA targets. The Company was in compliance with all financial covenants as of March 31, 2011. The agreement also includes subjective acceleration clauses which permit Silicon Valley Bank to accelerate the due date under certain circumstances, including, but not limited to, material adverse effects on the Company’s financial status or otherwise. Any non-compliance by the Company under the terms of debt arrangements could result in an event of default under the Silicon Valley Bank loan, which, if not cured, could result in the acceleration of this debt.
    Loan and Security Agreement with Partners for Growth
               On April 14, 2010, the Company entered into a loan and security agreement with Partners for Growth III, L.P. (PFG). The agreement provides that PFG will make loans to the Company up to $4,000. The agreement has a maturity date of April 14, 2015. The loans bear interest at a floating per annum rate equal to 2.75% above Silicon Valley Bank’s prime rate, and such interest is payable monthly. The principal balance of and any accrued and unpaid interest on any notes are due on the maturity date and may not be prepaid by the Company at any time in whole or in part.
               Under the agreement, PFG provided the Company with an initial loan of $1,500 (the initial loan) on April 15, 2010. During the three months ended December 31, 2010, PFG at its option converted the entire $1,500 (at par) into 276,243 shares of the Company’s common stock in accordance with the conversion terms set forth in the note for the initial loan. On December 3, 2010, and January 26, 2011, the Company issued PFG additional convertible notes under the agreement of $3,500 and $500, respectively (the new loans). At any time prior to the maturity date, PFG may at its option convert any amount of the new loans into shares of the Company’s common stock at $9.66 or $12.40 per share, respectively, which equaled the ten-day volume weighted average price per share of the Company’s common stock prior to the issuance date of each note. The Company may also effect at any time a mandatory conversion of amounts, subject to certain terms, conditions and limitations provided in the agreement, including a requirement that the ten-day volume weighted average price of the Company’s common stock prior to the date of conversion is at least 15% greater than the conversion price. The Company may reduce the conversion price to a price that represents a 15% discount to the ten-day volume weighted average price of its common stock to satisfy this condition and effect a mandatory conversion. As a result of the conversion of the initial loan and the subsequent issuance of the

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new loans the Company has reflected a net (expense) benefit of $(61) and $415 for the three and nine months ended March 31, 2011, respectively, in interest and other income (expense) which represents the net effect of (i) the write-off of the conversion option on the initial loan, (ii) the write-off of the unamortized debt premium on the initial loan and (iii) the change in fair value of the conversion options on the new loans.
               The loans are secured by certain of the Company’s assets, and the agreement contains customary covenants limiting the Company’s ability to, among other things, incur debt or liens, make certain investments and loans, effect certain redemptions of and declare and pay certain dividends on its stock, permit or suffer certain change of control transactions, dispose of collateral, or change the nature of its business. In addition, the PFG loan and security agreement contains financial covenants requiring the Company to maintain certain liquidity and fixed charge coverage ratios, and certain three-month EBITDA targets. The Company was in compliance with all financial covenants at March 31, 2011. If the Company does not comply with the various covenants, PFG may, subject to various customary cure rights, decline to provide additional loans, require amortization of the loan over its remaining term, or require the immediate payment of all amounts outstanding under the loan and foreclose on any or all collateral, depending on which financial covenants are not maintained.
               In connection with the execution of the PFG loan and security agreement, the Company issued a warrant to PFG on April 14, 2010, which allows PFG to purchase 147,330 shares of the Company’s common stock at a price per share of $5.43, which price was based on the ten-day volume weighted average price per share of the Company’s common stock prior to the date of the agreement. The warrant became fully vested upon the issuance of the $3,500 note. The warrant expires on the fifth anniversary of the issue date, subject to earlier expiration in accordance with the terms. The balance outstanding under the loan and security agreement at March 31, 2011 was $4,887 including the net unamortized premium associated with the warrant and Company’s conversion option.
As of March 31, 2011, debt maturities were as follows:
         
Three months ending June 30, 2011
  $ 934  
2012
    3,962  
2013
    3,589  
2014
    250  
2015
    4,000  
 
     
Total
  $ 12,735  
Less: Current Maturities
    (3,723 )
 
     
Long-Term Debt (excluding net unamortized premium)
  $ 9,012  
Add: Net Unamortized Premium
    586  
 
     
Long-term debt
  $ 9,598  
 
     
5. Interest and Other, Net
     Interest and other, net, includes the following:
                                 
    Three Months Ended     Nine Months Ended  
    March 31,     March 31,  
    2011     2010     2011     2010  
Interest expense, net of premium amortization
  $ (319 )   $ (341 )   $ (1,122 )   $ (1,075 )
Interest income
    2       58       13       245  
Change in fair value of conversion option
    (61 )           690        
Net write-offs upon conversion (option and unamortized premium)
                (275 )      
Other
    (14 )     (66 )     (45 )     (66 )
 
                       
Total
  $ (392 )   $ (349 )   $ (739 )   $ (896 )
 
                       
6. Stock Options and Restricted Stock Awards
     The Company has a 2007 Equity Incentive Plan (the “2007 Plan”), under which options to purchase common stock and restricted stock awards have been granted to employees, directors and consultants at exercise prices determined by the board of directors; and a 1991 Stock Option Plan (the “1991 Plan”) and a 2003 Stock Option Plan (the “2003 Plan”) (the 2007 Plan, the 1991 Plan and the 2003 Plan collectively, the “Plans”). The 1991 Plan and 2003 Plan permitted the granting of incentive stock options and nonqualified

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options. A total of 485,250 shares of common stock were originally reserved for issuance under the 1991 Plan, but with the execution of the 2003 Plan no additional options are available for grant under the 1991 Plan. A total of 2,458,600 shares of common stock were originally reserved for issuance under the 2003 Plan, but with the approval of the 2007 Plan no additional options are available for grant under the 2003 Plan. The 2007 Plan originally allowed for the granting of up to 1,941,000 shares of common stock as approved by the board of directors in the form of nonqualified or incentive stock options, restricted stock awards, restricted stock unit awards, performance share awards, performance unit awards or stock appreciation rights to officers, directors, consultants and employees of the Company. The Plan was amended in February 2009 to increase the number of authorized shares to 2,509,969. The amended 2007 Plan includes a renewal provision whereby the number of shares shall automatically be increased on the first day of each fiscal year ending on July 1, 2017, by the lesser of (i) 970,500 shares, (ii) 5% of the outstanding common shares on such date, or (iii) a lesser amount determined by the board of directors. On July 1, 2010, the number of shares available for grant was increased by 757,427 under the 2007 Plan renewal provision. The Company also maintains the 2006 Equity Incentive Plan (the “2006 Plan”), relating to Replidyne activity prior to the merger in February 2009. A total of 794,641 shares were originally reserved under the 2006 Plan, but effective with the merger no additional options will be granted under it.
     All options granted under the Plans become exercisable over periods established at the date of grant. The option exercise price is generally based upon the market price for the Company’s common stock on the date of grant. In addition, the Company has granted nonqualified stock options to a director outside of the Plans.
     Stock option activity for the nine months ended March 31, 2011 is as follows:
                 
            Weighted  
    Number of     Average  
    Options(a)     Exercise Price  
Options outstanding at June 30, 2010
    3,356,993     $ 10.49  
Options exercised
    (54,777 )   $ 8.26  
Options forfeited or expired
    (105,292 )   $ 12.32  
 
             
Options outstanding at March 31, 2011
    3,196,924     $ 10.47  
 
             
 
(a)   Includes the effect of options granted, exercised, forfeited or expired from the 1991 Plan, 2003 Plan, 2007 Plan, and options granted outside the stock option plans described above.
     Options typically vest over two to three years. An employee’s unvested options are forfeited when employment is terminated; vested options must be exercised at or within 90 days of termination to avoid forfeiture. The Company determines the fair value of options using the Black-Scholes option pricing model. The estimated fair value of options, including the effect of estimated forfeitures, is recognized as expense on a straight-line basis over the options’ vesting periods.
     The fair value of each restricted stock award is equal to the fair market value of the Company’s common stock at the date of grant. Vesting of restricted stock awards ranges from one to three years. The estimated fair value of restricted stock awards, including the effect of estimated forfeitures, is recognized on a straight-line basis over the restricted stock’s vesting period. Restricted stock award activity for the nine months ended March 31, 2011 is as follows:
                 
            Weighted  
    Number of     Average Fair  
    Shares     Value  
Restricted stock awards outstanding at June 30, 2010
    1,105,883     $ 7.69  
Restricted stock awards granted
    712,959     $ 5.36  
Restricted stock awards forfeited
    (151,524 )   $ 7.28  
Restricted stock awards vested
    (355,203 )   $ 6.00  
 
             
Restricted stock awards outstanding at March 31, 2011
    1,312,115     $ 6.22  
 
             
7. Texas Production Facility
     Effective on September 9, 2009, the Company entered into an agreement with the Pearland Economic Development Corporation (the “PEDC”) for the construction and lease of an approximately 46,000 square foot production facility located in Pearland, Texas. The facility will primarily serve as an additional manufacturing location for the Company.
     The lease agreement provides that the PEDC will lease the facility and the land immediately surrounding the facility to the Company for an initial term of ten years, which began April 1, 2010. Monthly fixed rent payments are $35 for each of the first five

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years of the initial term and $38 for each of the last five years of the initial term. The Company is also responsible for paying the taxes and operating expenses related to the facility. The lease has been classified as an operating lease for financial statement purposes. Upon an event of default under the agreement, the Company will be liable for the difference between the balance of the rent owed for the remainder of the term and the fair market rental value of the leased premises for such period.
     The Company has the option to renew the lease for up to two additional periods of five years each. If the Company elects to exercise one or both of these options, the rent for such extended terms will be set at the prevailing market rental rates at such times, as determined in the agreement. After the commencement date and until shortly before the tenth anniversary of the commencement date, the Company will have the option to purchase all, but not less than all, of the leased premises at fair market value, as determined in the agreement. Further, within six years of the commencement date and subject to certain conditions, the Company has options to cause the PEDC to make two additions or expansions to the facility of a minimum of 34,000 and 45,000 square feet each.
     The Company and the PEDC previously entered into a Corporate Job Creation Agreement dated June 17, 2009. The Job Creation Agreement provided the Company with $2,975 in net cash incentive funds. The Company believes it will be able to comply with the conditions specified in the grant agreement. The PEDC will provide the Company with an additional $1,700 of net cash incentive funds in the following amounts and upon achievement of the following milestones:
    $1,020, upon the hiring of the 75 th full-time employee at the facility; and
 
    $680, upon the hiring of the 125 th full-time employee at the facility.
     In order to retain all of the cash incentives, beginning one year and 90 days after the commencement date, the Company must not have fewer than 25 full-time employees at the facility for more than 120 consecutive days. Failure to meet this requirement will result in an obligation to make reimbursement payments to the PEDC as outlined in the agreement. The Company will not have any reimbursement requirements after 60 months from the effective date of the agreement.
     The Job Creation Agreement also provides the Company with a net $1,275 award, of which $510 will be funded by a grant from the State of Texas for which the Company has applied through the Texas Enterprise Fund program. As of March 31, 2011, $340 has been received and the remaining $170 will be provided upon the hiring of the 55 th full-time employee at the facility. The PEDC has committed, by resolution, to guarantee the award and will make payment to the Company for the remaining $765. As of March 31, 2011, $255 has been received. The grant from the State of Texas is subject to reimbursement if the Company fails to meet certain job creation targets through 2014 and maintain these positions through 2020.
     The Company has presented the net cash incentive funds as a current and long-term liability on the balance sheet. The liabilities will be reduced over a 60 month period and recorded as an offset to expenditures incurred using a systematic methodology that is intended to reduce the majority of the liabilities in the first 24 months of the agreement. As of March 31, 2011, $1,622 in expenses has reduced the deferred grant incentive liabilities, resulting in a remaining current liability of $717 and long-term liability of $1,741.
8. Commitment and Contingencies
    ev3 Legal Proceedings
     The Company was a party to a legal proceeding with ev3 Inc., ev3 Endovascular, Inc. and FoxHollow Technologies, Inc., together referred to as the Plaintiffs, which filed a complaint on December 28, 2007 in the Ramsey County District Court for the State of Minnesota against the Company and former employees of FoxHollow currently employed by the Company, which complaint was subsequently amended.
     On October 27, 2010, the Company entered into a settlement agreement with the Plaintiffs. The agreement dismisses all claims and counterclaims in the legal proceeding between the two parties, with neither party admitting any liability or wrongdoing. Pursuant to the agreement, the Company paid ev3 $1,000, in the form of $750 cash and a $250 promissory note. The promissory note bears interest at 3.5% per annum, with principal and cumulative interest due and payable on or before January 1, 2014. The Company has received insurance proceeds of $500 related to the settlement, and has recorded a net expense of $500 in selling, general, and administrative expenses related to the settlement during the nine months ended March 31, 2011. In addition, during the nine months ended March 31, 2011, the Company received an additional $250 of insurance proceeds related to the reimbursement of out-of-pocket costs incurred related to this litigation.

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9. Earnings Per Share
     The following table presents a reconciliation of the numerators and denominators used in the basic and diluted earnings per common share computations:
                                 
    Three Months Ended     Nine Months Ended  
    March 31,     March 31,  
    2011     2010     2011     2010  
Numerator
                               
Net loss
  $ (2,384 )   $ (6,518 )   $ (8,642 )   $ (19,503 )
Denominator
                               
Weighted average common shares — basic
    16,146,667       14,878,859       15,778,287       14,681,014  
Effect of dilutive stock options and warrants (a)(b)
                       
 
                       
Weighted average common shares outstanding — diluted
    16,146,667       14,878,859       15,778,287       14,681,014  
 
                       
Net loss per common share — basic and diluted
  $ (0.15 )   $ (0.44 )   $ (0.55 )   $ (1.33 )
 
                       
 
(a)   At March 31, 2011 and 2010, 3,176,497 and 3,089,366 warrants, respectively, were outstanding. The effect of the shares that would be issued upon exercise of these warrants has been excluded from the calculation of diluted loss per share because those shares are anti-dilutive.
 
(b)   At March 31, 2011 and 2010, 3,196,924 and 3,529,421 stock options, respectively, were outstanding. The effect of the shares that would be issued upon exercise of these options has been excluded from the calculation of diluted loss per share because those shares are anti-dilutive.

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
     You should read the following discussion and analysis of our financial condition and results of operations together with our financial statements and the related notes appearing under Item 1 of Part 1. Some of the information contained in this discussion and analysis or set forth elsewhere in this quarterly report, including information with respect to our plans and strategy for our business and expected financial results, includes forward-looking statements that involve risks and uncertainties. You should review the “Risk Factors” discussed in our Form 10-K for the year ended June 30, 2010 for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and analysis.
OVERVIEW
     We are a medical device company focused on developing and commercializing interventional treatment systems for vascular disease. Our primary products, the Diamondback 360° PAD System (the “Diamondback 360°”), the Diamondback Predator 360° PAD System (the “Predator 360°”), and the Stealth 360° PAD System (the “Stealth 360°”) are catheter-based platforms capable of treating a broad range of plaque types in leg arteries both above and below the knee and address many of the limitations associated with existing treatment alternatives. We also are pursuing approval of our products for coronary use. We refer to the Diamondback 360°, the Predator 360°, and the Stealth 360° collectively in this report as the “Diamondback Systems.”
     We were incorporated as Replidyne, Inc. in Delaware in 2000. On February 25, 2009, Replidyne, Inc. completed its business combination with Cardiovascular Systems, Inc., a Minnesota corporation (“CSI-MN”), in accordance with the terms of the Agreement and Plan of Merger and Reorganization, dated as of November 3, 2008 (the “Merger Agreement”). Pursuant to the Merger Agreement, CSI-MN continued after the merger as the surviving corporation and a wholly-owned subsidiary of Replidyne. Replidyne changed its name to Cardiovascular Systems, Inc. (“CSI”) and CSI-MN merged with and into CSI, with CSI continuing after the merger as the surviving corporation. These transactions are referred to herein as the “merger.” Replidyne was a biopharmaceutical company focused on discovering, developing, in-licensing and commercializing anti-infective products.
     At the closing of the merger, Replidyne’s net assets, as calculated pursuant to the terms of the Merger Agreement, were approximately $36.6 million as adjusted. As of immediately following the effective time of the merger, former CSI stockholders owned approximately 80.2% of the outstanding common stock of the combined company, and Replidyne stockholders owned approximately 19.8% of the outstanding common stock of the combined company.
     CSI was incorporated in Minnesota in 1989. From 1989 to 1997, we engaged in research and development on several different product concepts that were later abandoned. Since 1997, we have devoted substantially all of our resources to the development of the Diamondback Systems.
     From 2003 to 2005, we conducted numerous bench and animal tests in preparation for application submissions to the FDA. We initially focused our testing on providing a solution for coronary in-stent restenosis, but later changed the focus to PAD. In 2006, we obtained an investigational device exemption from the FDA to conduct our pivotal OASIS clinical trial, which was completed in January 2007. The OASIS clinical trial was a prospective 20-center study that involved 124 patients with 201 lesions.
In August 2007, the FDA granted us 510(k) clearance for the use of the Diamondback 360° as a therapy in patients with PAD. We commenced commercial introduction of the Diamondback 360° in the United States in September 2007. We were granted 510(k) clearance of the Predator 360° in March 2009 and the Stealth 360° in March 2011. We commenced a limited market release of the Stealth 360° following this 510(k) clearance. We expect to continue this limited release through the first quarter of fiscal 2012, ending September 30, 2011, after which we plan to begin a broader commercial launch. We market the Diamondback Systems in the United States through a direct sales force and expend significant capital on our sales and marketing efforts to expand our customer base and utilization per customer. We assemble at our facilities the single-use catheter used in the Diamondback Systems with components purchased from third-party suppliers, as well as with components manufactured in-house. A control unit and guidewires are purchased from third-party suppliers.
     As of March 31, 2011, we had an accumulated deficit of $160.0 million. We expect our losses to continue but generally decline as revenue grows from continued commercialization activities, development of additional product enhancements, accumulation of clinical data on our products, and further regulatory approvals. To date, we have financed our operations primarily through the private placement of equity securities, debt financing, and completion of the merger.

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CRITICAL ACCOUNTING POLICIES AND SIGNIFICANT JUDGMENTS AND ESTIMATES
          Our management’s discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of our consolidated financial statements requires us to make estimates, assumptions and judgments that affect amounts reported in those statements. Our estimates, assumptions and judgments, including those related to allowance for doubtful accounts, excess and obsolete inventory, investments, convertible debt, and stock-based compensation are updated as appropriate at least quarterly. We use authoritative pronouncements, our technical accounting knowledge, cumulative business experience, judgment and other factors in the selection and application of our accounting policies. While we believe that the estimates, assumptions and judgments that we use in preparing our consolidated financial statements are appropriate, these estimates, assumptions and judgments are subject to factors and uncertainties regarding their outcome. Therefore, actual results may materially differ from these estimates.
     Some of our significant accounting policies require us to make subjective or complex judgments or estimates. An accounting estimate is considered to be critical if it meets both of the following criteria: (1) the estimate requires assumptions about matters that are highly uncertain at the time the accounting estimate is made, and (2) different estimates that reasonably could have been used, or changes in the estimate that are reasonably likely to occur from period to period, would have a material impact on the presentation of our financial condition, results of operations, or cash flows.
RESULTS OF OPERATIONS
The following table sets forth, for the periods indicated, our results of operations expressed as dollar amounts (in thousands), and, for certain line items, the changes between the specified periods expressed as percent increases or decreases:
                                                 
    Three Months Ended March 31,     Nine Months Ended March 31,  
                    Percent                     Percent  
    2011     2010     Change     2011     2010     Change  
Revenues
  $ 20,152     $ 16,519       22.0 %   $ 57,073     $ 46,814       21.9 %
Cost of goods sold
    3,949       3,847       2.7       12,063       10,850       11.2  
 
                                       
Gross profit
    16,203       12,672       27.9       45,010       35,964       25.2  
 
                                       
Expenses:
                                               
Selling, general and administrative
    16,415       16,382       0.2       46,597       47,150       1.2  
Research and development
    1,780       2,459       (27.6 )     6,316       7,421       (14.9 )
 
                                       
Total expenses
    18,195       18,841       (3.4 )     52,913       54,571       (3.0 )
 
                                       
Loss from operations
    (1,992 )     (6,169 )     (67.7 )     (7,903 )     (18,607 )     (57.5 )
 
                                               
Interest and other expense, net
    (392 )     (349 )     12.3       (739 )     (896 )     17.5  
 
                                       
Net loss
    (2,384 )     (6,518 )     63.4       (8,642 )     (19,503 )     55.7  
 
                                       
Comparison of Three Months Ended March 31, 2011 with Three Months Ended March 31, 2010
           Revenues. Revenues increased by $3.6 million, or 22.0%, from $16.5 million for the three months ended March 31, 2010 to $20.2 million for the three months ended March 31, 2011. This increase was attributable to a $3.2 million, or 21.7%, increase in sales of Diamondback Systems as a result of an increased customer base; and a $483,000, or 23.8%, increase in sales of supplemental products and other revenue as a result of an increased customer base. Supplemental products include our Viper product line and distribution partner products. Currently, all of our revenues are in the United States; however, we may potentially sell internationally in the future. We expect our revenue to increase as we continue to increase the number of physicians using the devices, increase the usage per physician, introduce new and improved products, and generate clinical data.
           Cost of Goods Sold. Cost of goods sold increased by $102,000, or 2.7%, from $3.8 million for the three months ended March 31, 2010 to $3.9 million for the three months ended March 31, 2011. Cost of goods sold represents the cost of materials, labor and overhead for single-use catheters, guidewires, control units, and other ancillary products. As a percentage of revenue, cost of goods sold improved from 23.3% during the three months ended March 31, 2010 to 19.6% during the three months ended March 31, 2011 as a result of manufacturing efficiencies, product cost reductions, and the shipment of fewer control units. Cost of goods sold for the three months ended March 31, 2011 and 2010 includes $75,000 and $157,000, respectively, for stock-based compensation. We expect that the gross margin will stay fairly consistent in the future as sales volumes increase, although quarterly fluctuations could occur based on timing of new product introductions, sales mix, pricing changes, or other unanticipated circumstances.

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           Selling, General and Administrative Expenses. Our selling, general and administrative expenses increased by $33,000, or 0.2%, resulting in $16.4 million for the three months ended March 31, 2010 and March 31, 2011. The increase primarily related to the building of our sales team, partially offset by operational efficiencies and cost management. Selling, general and administrative expenses for the three months ended March 31, 2011 and 2010 includes $1.4 million and $1.7 million, respectively, for stock-based compensation. We expect our selling, general and administrative expenses to increase in the future due primarily to the costs associated with expanding our sales and marketing organization to further commercialize our products, but at a rate less than revenue growth.
           Research and Development Expenses. Research and development expenses decreased by $679,000, or 27.6%, from $2.5 million for the three months ended March 31, 2010 to $1.8 million for the three months ended March 31, 2011. Research and development expenses relate to specific projects to improve our product or expand into new markets, such as the development of new versions of the Diamondback Systems, shaft designs, crown designs, and to clinical trials. The reduction in these expenses was primarily due to lower product development expenses as a result of Stealth 360° FDA clearance and product launch, estimated refundable state research and development tax credits, and lower stock compensation. Research and development expenses were favorably affected during the three months ended March 31, 2011 by a $201,000 benefit relating to the forfeiture of stock awards. Research and development expenses for the three months ended March 31, 2010 includes $300,000 for stock-based compensation. As we continue to expand our product portfolio within the market for the treatment of peripheral arteries and leverage our core technology into the coronary market, we generally expect to incur research and development expenses in future quarters at amounts higher than the average quarterly rate for the nine months ended March 31, 2011. Fluctuations could occur based on the number of projects and studies and the timing of expenditures.
           Interest and Other Expense, Net. Interest and other expense, net, increased by $43,000, from $349,000 for the three months ended March 31, 2010 to $392,000 for the three months ended March 31, 2011. The primary reason for the increase was a valuation adjustment related to the debt conversion option associated with outstanding convertible debt.
Comparison of Nine Months Ended March 31, 2011 with Nine Months Ended March 31, 2010
           Revenues. Revenues increased by $10.3 million, or 21.9%, from $46.8 million for the nine months ended March 31, 2010 to $57.1 million for the nine months ended March 31, 2011. This increase was attributable to an $8.6 million, or 20.8%, increase in sales of Diamondback Systems as a result of an increased customer base; and a $1.6 million, or 30.4%, increase in sales of supplemental products and other revenue as a result of new products and an increased customer base. Supplemental products include our Viper product line and distribution partner products.
           Cost of Goods Sold. Cost of goods sold increased by $1.2 million, or 11.2%, from $10.9 million for the nine months ended March 31, 2010 to $12.1 million for the nine months ended March 31, 2011. Cost of goods sold represents the cost of materials, labor and overhead for single-use catheters, guidewires, control units, and other ancillary products. As a percentage of revenue, cost of goods sold improved from 23.2% during the nine months ended March 31, 2010 to 21.1% during the nine months ended March 31, 2011 as a result of manufacturing efficiencies, product cost reductions, and the shipment of fewer control units. Cost of goods sold for the nine months ended March 31, 2011 and 2010 includes $268,000 and $434,000, respectively, for stock-based compensation.
           Selling, General and Administrative Expenses. Our selling, general and administrative expenses decreased by $553,000, or 1.2%, from $47.2 million for the nine months ended March 31, 2010 to $46.6 million for the nine months ended March 31, 2011. The primary reasons for the change include reduced selling expenses due to operating efficiencies and effective cost management, and decreased stock-based compensation. The nine months ended March 31, 2011 and 2010 includes $4.5 million and $5.2 million, respectively, for stock-based compensation.
           Research and Development Expenses. Research and development expenses decreased by $1.1 million or 14.9%, from $7.4 million for the nine months ended March 31, 2010 to $6.3 million for the nine months ended March 31, 2011. Research and development expenses relate to specific projects to improve our product or expand into new markets, such as the development of new versions of the Diamondback Systems, shaft designs, crown designs, and to clinical trials. The reduction in these expenses was primarily due to lower stock-based compensation, lower product development expenses, estimated refundable state research and development tax credits, and the receipt of a $488,000 grant from the Qualifying Therapeutic Discovery Project program of the Internal Revenue Service. Research and development expenses for the nine months ended March 31, 2011 and 2010 include $459,000 and $876,000, respectively, for stock-based compensation. The significant decrease in stock-based compensation is related to the forfeiture of stock awards.

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           Interest and Other Expense, Net. Interest and other expense, net, decreased $157,000, from expense of $896,000 for the nine months ended March 31, 2010 to expense of $739,000 for the nine months ended March 31, 2011. The primary reasons for the decrease included $415,000 related to a net valuation adjustment associated with the outstanding convertible debt and the conversion of the $1.5 million PFG loan, partially offset by a $232,000 decrease in interest income as a result of the auction rate securities being redeemed by the issuers or repurchased by UBS AG at par value on or prior to June 30, 2010, and a $47,000 increase in interest expense as a result of additional debt facilities outstanding.
NON-GAAP FINANCIAL INFORMATION
               To supplement our consolidated condensed financial statements prepared in accordance with GAAP, our management uses a non-GAAP financial measure referred to as “Adjusted EBITDA.” The following table sets forth, for the periods indicated, a reconciliation of Adjusted EBITDA to the most comparable U.S. GAAP measure expressed as dollar amounts (in thousands):
                 
    Nine months Ended March 31,  
    2011     2010  
Loss from operations
  $ (7,903 )   $ (18,607 )
Add: Stock-based compensation
    5,221       6,460  
Add: Depreciation and amortization
    518       435  
 
           
Adjusted EBITDA
  $ (2,164 )   $ (11,712 )
 
           
               The improvement in Adjusted EBITDA of $9.5 million, or 81.5%, is primarily the result of improvement in the loss from operations. The loss from operations was significantly impacted by increases in revenue and gross margin, and a decrease in operating expenses, as discussed above.
Use and Economic Substance of Non-GAAP Financial Measures Used and Usefulness of Such Non-GAAP Financial Measures to Investors
               We use Adjusted EBITDA as a supplemental measure of performance and believe this measure facilitates operating performance comparisons from period to period and company to company by factoring out potential differences caused by depreciation and amortization expense and non-cash charges such as stock-based compensation. Our management uses Adjusted EBITDA to analyze the underlying trends in our business, assess the performance of our core operations, establish operational goals and forecasts that are used to allocate resources and evaluate our performance period over period and in relation to our competitors’ operating results. Additionally, our management is partially evaluated on the basis of Adjusted EBITDA when determining achievement of their incentive compensation performance targets.
               We believe that presenting Adjusted EBITDA provides investors greater transparency to the information used by our management for its financial and operational decision-making and allows investors to see our results “through the eyes” of management. We also believe that providing this information better enables our investors to understand our operating performance and evaluate the methodology used by our management to evaluate and measure such performance.
               The following is an explanation of each of the items that management excluded from Adjusted EBITDA and the reasons for excluding each of these individual items:
  Stock-based compensation. We exclude stock-based compensation expense from our non-GAAP financial measures primarily because such expense, while constituting an ongoing and recurring expense, is not an expense that requires cash settlement. Our management also believes that excluding this item from our non-GAAP results is useful to investors to understand the application of stock-based compensation guidance and its impact on our operational performance, liquidity and ability to make additional investments in the company, and it allows for greater transparency to certain line items in our financial statements.
 
  Depreciation and amortization expense. We exclude depreciation and amortization expense from our non-GAAP financial measures primarily because such expenses, while constituting ongoing and recurring expenses, are not expenses that require cash settlement and are not used by our management to assess the core profitability of our business operations. Our management also believes that excluding these items from our non-GAAP results is useful to investors to understand our operational performance,

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    liquidity and ability to make additional investments in the company.
Material Limitations Associated with the Use of Non-GAAP Financial Measures and Manner in which We Compensate for these Limitations
               Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for our financial results prepared in accordance with GAAP. Some of the limitations associated with our use of these non-GAAP financial measures are:
  Items such as stock-based compensation do not directly affect our cash flow position; however, such items reflect economic costs to us and are not reflected in our Adjusted EBITDA and therefore these non-GAAP measures do not reflect the full economic effect of these items.
 
  Non-GAAP financial measures are not based on any comprehensive set of accounting rules or principles and therefore other companies may calculate similarly titled non-GAAP financial measures differently than we do, limiting the usefulness of those measures for comparative purposes.
 
  Our management exercises judgment in determining which types of charges or other items should be excluded from the non-GAAP financial measures we use.
               We compensate for these limitations by relying primarily upon our GAAP results and using non-GAAP financial measures only supplementally.
LIQUIDITY AND CAPITAL RESOURCES
          We had cash and cash equivalents of $18.6 million and $23.7 million at March 31, 2011 and June 30, 2010, respectively. During the nine months ended March 31, 2011, net cash used in operations amounted to $7.2 million. As of March 31, 2011, we have an accumulated deficit of $160.0 million. We have historically funded our operating losses primarily from the issuance of common and preferred stock, convertible promissory notes, and debt.
Loan and Security Agreement with Silicon Valley Bank
               On March 29, 2010, we entered into an amended and restated loan and security agreement with Silicon Valley Bank. The agreement includes a $10.0 million term loan and a $15.0 million line of credit. The terms of each of these loans are as follows:
    The $10.0 million term loan has a fixed interest rate of 9.0% and a final payment amount equal to 1.0% of the loan amount due at maturity. This term loan has a 36 month maturity, with repayment terms that include interest only payments during the first nine months followed by 30 equal principal and interest payments. This term loan also includes an acceleration provision that requires us to pay the entire outstanding balance, plus a penalty ranging from 1.0% to 3.0% of the principal amount, upon prepayment or the occurrence and continuance of an event of default. In connection with entering into the agreement, we amended a warrant previously granted to Silicon Valley Bank. The warrant provides an option to purchase 8,493 shares of common stock at an exercise price of $5.48 per share. This warrant is immediately exercisable and expires ten years after the date of the amendment. The balance outstanding on the term loan at March 31, 2011 was $8.2 million, net of the unamortized discount associated with the warrant.
 
    The $15.0 million line of credit has a two year maturity and a floating interest rate equal to Silicon Valley Bank’s prime rate, plus 2.0%, with an interest rate floor of 6.0%. Interest on borrowings is due monthly and the principal balance is due at maturity. Borrowings on the line of credit are based on (a) 80% of eligible domestic receivables, plus (b) the lesser of 40% of eligible inventory or 25% of eligible domestic receivables or $2.5 million, minus (c) to the extent in effect, certain loan reserves as defined in the agreement. Accounts receivable receipts are deposited into a lockbox account in the name of Silicon Valley Bank. The accounts receivable line of credit is subject to non-use fees, annual fees, and cancellation fees. The agreement provides that initially 50% of the outstanding principal balance of the $10.0 million term loan reduces available borrowings under the line of credit. Upon the achievement of certain financial covenants, the amount reducing available borrowings will be reduced to zero. There was not an outstanding balance on the line of credit at March 31, 2011.

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          Borrowings from Silicon Valley Bank are secured by all of our assets. The borrowings are subject to prepayment penalties and financial covenants, including maintaining certain liquidity and fixed charge coverage ratios and certain three-month EBITDA targets. We were in compliance with all financial covenants as of March 31, 2011. The agreement also includes subjective acceleration clauses which permit Silicon Valley Bank to accelerate the due date under certain circumstances, including, but not limited to, material adverse effects on our financial status or otherwise. Any non-compliance by us under the terms of our debt arrangements could result in an event of default under the Silicon Valley Bank loan, which, if not cured, could result in the acceleration of this debt.
                Loan and Security Agreement with Partners for Growth
               On April 14, 2010, we entered into a loan and security agreement with Partners for Growth III, L.P. (PFG). The agreement provides that PFG will make loans to us up to $4.0 million. The agreement has a maturity date of April 14, 2015. The loans bear interest at a floating per annum rate equal to 2.75% above Silicon Valley Bank’s prime rate, and such interest is payable monthly. The principal balance of and any accrued and unpaid interest on any notes are due on the maturity date and may not be prepaid by us at any time in whole or in part.
               Under the agreement, PFG provided us with an initial loan of $1.5 million (the initial loan) on April 15, 2010. During the three months ended December 31, 2010, PFG at its option converted the entire $1.5 million (at par) into 276,243 shares of our common stock in accordance with the conversion terms set forth in the note for the initial loan. On December 3, 2010, and January 26, 2011, we issued to PFG additional convertible notes under the agreement of $3.5 million and $500,000, respectively (the new loans). At any time prior to the maturity date, PFG may at its option convert any amount of the new loans into shares of our common stock at $9.66 or $12.40 per share, respectively, which equaled the ten-day volume weighted average price per share of our common stock prior to the date of each note. We may also effect at any time a mandatory conversion of amounts, subject to certain terms, conditions and limitations provided in the agreement, including a requirement that the ten-day volume weighted average price of our common stock prior to the date of conversion is at least 15% greater than the conversion price. We may reduce the conversion price to a price that represents a 15% discount to the ten-day volume weighted average price of our common stock to satisfy this condition and effect a mandatory conversion. As a result of the conversion of the initial loan and the subsequent issuance of the new loans we have reflected a net (expense) benefit of $(61,000) and $415,000 for the three and nine months ended March 31, 2011, respectively, in interest and other income (expense) which represents the net effect of (i) the write-off of the conversion option on the initial loan, (ii) the write-off of the unamortized debt premium on the initial loan and (iii) the change in fair value of the conversion option on the new loans.
               The loans are secured by certain of our assets, and the agreement contains customary covenants limiting our ability to, among other things, incur debt or liens, make certain investments and loans, effect certain redemptions of and declare and pay certain dividends on our stock, permit or suffer certain change of control transactions, dispose of collateral, or change the nature of our business. In addition, the PFG loan and security agreement contains financial covenants requiring us to maintain certain liquidity and fixed charge coverage ratios, and certain three-month EBITDA targets. We were in compliance with all financial covenants as of March 31, 2011. If we do not comply with the various covenants, PFG may, subject to various customary cure rights, decline to provide additional loans, require amortization of the loan over its remaining term, or require the immediate payment of all amounts outstanding under the loan and foreclose on any or all collateral, depending on which financial covenants are not maintained.
               In connection with the execution of the PFG loan and security agreement, we issued a warrant to PFG on April 14, 2010, which allows PFG to purchase 147,330 shares of our common stock at a price per share of $5.43, which price was based on the ten-day volume weighted average price per share of our common stock prior to the date of the agreement. The warrant became fully vested upon the issuance of the $3.5 million note. The warrant expires on the fifth anniversary of the issue date, subject to earlier expiration in accordance with the terms. The balance outstanding under the loan and security agreement at March 31, 2011 was $4.9 million, including the unamortized premium associated with the warrants and our conversion option.
                Cash and Cash Equivalents. Cash and cash equivalents was $18.6 million at March 31, 2011 and $23.7 million at June 30, 2010. The decrease is primarily attributable to net cash used in operating activities and investing activities, partially offset by net proceeds from long-term debt, the exercise of stock options and warrants, and proceeds from the employee stock purchase plan during the nine months ended March 31, 2011.
           Operating Activities. Net cash used in operating activities improved 39.3% to $7.2 million for the nine months ended March 31, 2011 from $11.8 million for the nine months ended March 31, 2010. For the nine months ended March 31, 2011 and 2010, we had a net loss of $8.6 million and $19.5 million, respectively. Changes in working capital accounts reduced operating cash flow in both periods. Significant changes in working capital during these periods included:

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    Cash (used in) accounts receivable of $(4.0) million and $(1.4) million during the nine months ended March 31, 2011 and 2010, respectively. For the nine months ended March 31, 2011, cash (used in) accounts receivable was primarily due to timing and growth of revenue, and a receivable of $510,000 representing additional grants for the Texas facility. For the nine months ended March 31, 2010, cash used in accounts receivable was due to lower revenues and timing of shipments.
 
    Cash (used in) inventories of $(546,000) and $(1.2) million during the nine months ended March 31, 2011 and 2010, respectively. For both periods, cash (used in) inventories were primarily due to the timing of inventory purchases and sales.
 
    Cash provided by prepaid expenses and other current assets of $395,000 and $77,000 during the nine months ended March 31, 2011 and 2010, respectively. For both periods, cash provided by prepaid expenses and other current assets was primarily due to payment timing of vendor deposits and other expenditures.
 
    Cash provided by accounts payable of $1.1 million and $192,000 during the nine months ended March 31, 2011 and 2010, respectively. For both periods, cash provided by accounts payable was due to timing of purchases and vendor payments.
 
    Cash (used in) provided by accrued expenses and other liabilities of $(1.1) million and $2.9 million during the nine months ended March 31, 2011 and 2010, respectively. For the nine months ended March 31, 2011, cash (used in) accrued expenses and other liabilities were primarily due to timing of payments. For the nine months ended March 31, 2010, cash provided by accrued expenses and other liabilities was primarily due to receipt of $3.0 million in net cash under an agreement to establish a manufacturing facility in Texas.
              Investing Activities . Net cash (used in) provided by investing activities was $(1.3) million and $2.6 million for the nine months ended March 31, 2011 and 2010, respectively. Net cash provided by investing activities during the nine months ended March 31, 2010, was primarily related to $3.6 million in the redemption or sale of auction rate securities. For both periods net cash (used in) provided by investing activities was impacted by the purchase of property and equipment and patents. Purchases of property and equipment and patents used cash of $(1.3) million and $(1.0) million for the nine months ended March 31, 2011 and 2010, respectively.
           Financing Activities . Net cash provided by (used in) financing activities was $3.3 million and $(697,000) in the nine months ended March 31, 2011 and March 31, 2010, respectively. Cash provided by financing activities during this period included:
    Proceeds from purchases under our employee stock purchase plan of $365,000 and $702,000 during the nine months ended March 31, 2011 and 2010, respectively.
 
    Proceeds from the exercise of stock options and warrants of $453,000 and $285,000 during the nine months ended March 31, 2011 and 2010, respectively.
 
    Proceeds from long-term debt of $4.0 million and $4.4 million during the nine months ending March 31, 2011 and 2010, respectively.
Cash (used in) financing activities in these periods included:
    Payments on long-term debt of $(1.5) million and $(6.0) million during the nine months ended March 31, 2011 and 2010, respectively.
 
    Payment of deferred financing costs of $50,000 during the nine months ended March 31, 2010.
          Our future liquidity and capital requirements will be influenced by numerous factors, including the extent and duration of future operating losses, the level and timing of future sales and expenditures, the results and scope of ongoing research and product development programs, working capital required to support our sales growth, the receipt of and time required to obtain regulatory clearances and approvals, our sales and marketing programs, the continuing acceptance of our products in the marketplace, competing technologies, and market and regulatory developments. As of March 31, 2011, we believe our current cash and cash equivalents and available debt will be sufficient to fund working capital requirements, capital expenditures and operations for at least the next 12 months. We intend to retain any future earnings to support operations and to finance the growth and development of our business, and

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we do not anticipate paying any dividends in the foreseeable future.
INFLATION
We do not believe that inflation has had a material impact on our business and operating results during the periods presented.
OFF-BALANCE SHEET ARRANGEMENTS
Since inception, we have not engaged in any off-balance sheet activities as defined in Item 303(a)(4) of Regulation S-K.
PRIVATE SECURITIES LITIGATION REFORM ACT
               The Private Securities Litigation Reform Act of 1995 provides a “safe harbor” for forward-looking statements. Such “forward-looking” information is included in this Form 10-Q, including Item 2 of Part I, and in other materials filed or to be filed by the Company with the Securities and Exchange Commission (as well as information included in oral statements or other written statements made or to be made by the Company). Forward-looking statements include all statements based on future expectations. This Form 10-Q contains forward-looking statements that involve risks and uncertainties, including approval of our product for coronary use; the expected broader commercial launch of the Stealth 360°; our expectation that our losses will continue but generally decline; the possibility of selling our products internationally in the future; our expectation of increased revenue and increased selling, general and administrative expenses; our expectation that gross margin will stay fairly consistent; our plans to continue to expand our sales and marketing efforts; our expectation that we will incur research and development expenses in future quarters at amounts higher than the average quarterly rate for the nine months ended March 31, 2011; and our belief that our current cash and cash equivalents and available debt will be sufficient to fund working capital requirements, capital expenditures and operations for at least the next 12 months.
               In some cases, you can identify forward-looking statements by the following words: “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “ongoing,” “plan,” “potential,” “predict,” “project,” “should,” “will,” “would,” or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. Forward-looking statements are only predictions and are not guarantees of performance. These statements are based on our management’s beliefs and assumptions, which in turn are based on their interpretation of currently available information.
               These statements involve known and unknown risks, uncertainties and other factors that may cause our results or our industry’s actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. These factors include regulatory developments in the U.S. and foreign countries; FDA clearances and approvals; approval of products for reimbursement and the level of reimbursement; dependence on market growth; the experience of physicians regarding the effectiveness and reliability of the Diamondback Systems; the reluctance of physicians to accept new products; success of our clinical trials; competition from other devices; the effectiveness of the Stealth 360°; unanticipated developments affecting our estimates regarding expenses, future revenues and capital requirements; the difficulty to successfully manage operating costs; our inability to expand our sales and marketing organization; our actual research and development efforts and needs; our ability to obtain and maintain intellectual property protection for product candidates; our actual financial resources; and general economic conditions. These and additional risks and uncertainties are described more fully in our Form 10-K filed with the SEC on September 28, 2010. Copies of filings made with the SEC are available through the SEC’s electronic data gathering analysis and retrieval system (EDGAR) at www.sec.gov .
You should read these risk factors and the other cautionary statements made in this Form 10-Q as being applicable to all related forward-looking statements wherever they appear in this Form 10-Q. We cannot assure you that the forward-looking statements in this Form 10-Q will prove to be accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. You should read this Form 10-Q completely. Other than as required by law, we undertake no obligation to update these forward-looking statements, even though our situation may change in the future.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The primary objective of our investment activities is to preserve our capital for the purpose of funding operations while at the same time maximizing the income we receive from our investments without significantly increasing risk or decreasing availability. To achieve these objectives, our investment policy allows us to maintain a portfolio of cash equivalents and investments in a variety of marketable securities, including money market funds, U.S. government securities, and certain bank obligations. Our cash and cash

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equivalents as of March 31, 2011 include liquid money market accounts. Due to the short-term nature of these investments, we believe that there is no material exposure to interest rate risk.
ITEM 4. CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
     Our Chief Executive Officer and Chief Financial Officer, referred to collectively herein as the Certifying Officers, are responsible for establishing and maintaining our disclosure controls and procedures. The Certifying Officers have reviewed and evaluated the effectiveness of the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) promulgated under the Securities Exchange Act of 1934 (the “Exchange Act”)) as of March 31, 2011. Based on that review and evaluation, which included inquiries made to certain other employees of the Company, the Certifying Officers have concluded that, as of the end of the period covered by this Report, the Company’s disclosure controls and procedures, as designed and implemented, are effective in ensuring that information relating to the Company required to be disclosed in the reports that the Company files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, including ensuring that such information is accumulated and communicated to the Company’s management, including the Chief Executive Officer and the Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.
Changes in Internal Control Over Financial Reporting
     There were no changes in our internal controls over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the nine months ended March 31, 2011 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II. — OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
     Refer to Part I, Item 3 (Legal Proceedings) of the Company’s Annual Report on Form 10-K for the year ended June 30, 2010, and Part II, Item 1 (Legal Proceedings) of the Company’s Quarterly Reports on Form 10-Q for the quarters ended September 30, 2010 and December 31, 2010.
ITEM 1A. RISK FACTORS
     In addition to the other information set forth in this report, including the important information in the section entitled “Private Securities Litigation Reform Act,” you should carefully consider the “Risk Factors” discussed in our Form 10-K for the year ended June 30, 2010 for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements contained in this report, and materially adversely affect our financial condition or future results. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial might materially adversely affect our actual business, financial condition and/or operating results. In addition, you should consider the following risk factor:
Delays in gaining FDA clearance of the new lubricant used in our Viperslide product could adversely affect sales of the Diamondback Systems.
     On April 4, 2011, we entered into a five-year supply agreement with Fresenius Kabi AB, pursuant to which Fresenius will manufacture and serve as a single-source supplier of the Company’s ViperSlide ® lubricant through March 2016. ViperSlide is a lubricant essential to the use of the Diamondback Systems. We will need clearance from the FDA before we can sell this lubricant to our customers. We anticipate that we will receive FDA clearance for the new lubricant prior to the time that we exhaust our current supply of lubricant from our prior supplier. The FDA clearance process, however, can be unpredictable and delays can occur. If we do not receive FDA clearance of the new lubricant in a timely manner and there is an interruption in our lubricant supplies, we will not be able to provide our customers with Viperslide, which would limit the sales and use of the Diamondback Systems. Accordingly, extended delays in FDA clearance could materially adversely affect our financial results.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
     Between November 1, 2010 and December 14, 2010, we issued to Partners for Growth III, L.P. (“PFG”) an aggregate of 276,243 shares of common stock as a result of PFG’s election to convert its initial $1,500,000 loan to the Company into shares of the Company’s common stock in accordance with the conversion terms set forth in the note for the initial loan. We issued the shares pursuant to Rule 506 of Regulation D promulgated under the Securities Act of 1933, as amended (the “Securities Act”). PFG represented that it is an accredited investor.
     On December 3, 2010 and January 26, 2011, we issued to PFG senior convertible promissory notes with principal amounts of $3.5 million and $500,000, respectively, pursuant to the terms of the loan agreement described at Part I, Item 2 under the heading “Loan and Security Agreement with Partners for Growth.” At any time prior to the maturity date of April 15, 2015, PFG may at its option convert any amount of the notes into shares of our common stock at the rate of $9.66 or $12.40 per share, respectively, which equals the ten-day volume weighted average price per share of our common stock prior to the dates of the notes. We issued the notes pursuant to Rule 506 of Regulation D promulgated under the Securities Act. PFG represented that it is an accredited investor.
     During our fiscal quarter ended March 31, 2011, we issued an aggregate of 7,280 shares of common stock pursuant to the cashless exercise of unregistered warrants to acquire an aggregate of 28,500 shares at an exercise price of $8.83 per share. The issuance of the shares was exempt from registration by virtue of Section 3(a)(9) of the Securities Act.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
     None.
ITEM 5. OTHER INFORMATION
     None.
ITEM 6. EXHIBITS
(a) Exhibits — See Exhibit Index on page following signatures

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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Company has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
         
Dated: May 13, 2011   CARDIOVASCULAR SYSTEMS, INC.
 
 
  By  /s/ David L. Martin    
    David L. Martin   
    President and Chief Executive Officer
(Principal Executive Officer) 
 
     
  By  /s/ Laurence L. Betterley    
    Laurence L. Betterley   
    Chief Financial Officer
(Principal Financial and Accounting Officer) 
 

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EXHIBIT INDEX
CARDIOVASCULAR SYSTEMS, INC.
FORM 10-Q
     
Exhibit No.   Description
10.1*+
  Supply Agreement between Cardiovascular Systems, Inc. and Fresenius Kabi AB, dated April 4, 2011.
 
   
31.1*
  Certification of President and Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
   
31.2*
  Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
   
32.1*
  Certification of President and Chief Executive Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 
   
32.2*
  Certification of Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 
*   Filed herewith.
 
+   The Company has requested confidential treatment of the redacted portions of this exhibit pursuant to Rule 24b-2 under the Securities Exchange Act of 1934, as amended, and has separately filed a complete copy of this exhibit with the Securities and Exchange Commission.

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Exhibit 10.1
SUPPLY AGREEMENT
This Supply Agreement (the “ Agreement ”) is effective as of the 4 th day of April, 2011 (the “ Effective Date ”) by and between
(1)   Fresenius Kabi AB, Rapsgatan 7, 75324 Uppsala, Sweden (“FRESENIUS”)
and
(2)   Cardiovascular Systems, Inc, 651 Campus Drive, Saint Paul, MN 55112, USA (“CSI”).
Recitals
(A)   WHEREAS, CSI holds the market authorization of a product that requires the Product (as defined herein) as a lubricant which is used as a medical device.
 
(B)   WHEREAS, FRESENIUS has a NDA (new drug application) approval of the Product in bags in the United States of America.
 
(C)   WHEREAS, FRESENIUS is willing to provide all information to CSI that is required to receive an approval from the FDA for the Product for the intended use as a lubricant.
 
(D)   WHEREAS, CSI is willing to purchase the Product from FRESENIUS.
 
(E)   WHEREAS, FRESENIUS is willing to manufacture the Product and supply it to CSI.
 
(F)   WHEREAS, the parties have agreed to enter into this Agreement to set forth the terms and conditions on which FRESENIUS will manufacture and supply the Product to CST.
Agreement
NOW, THEREFORE , the parties hereto agree as follows:
1.   Definitions
 
    Unless otherwise specifically provided in this Agreement, the following terms shall have the following meanings:
 
1.1   The Act ” means the United States Federal Food, Drug and Cosmetic Act, as amended from time to time, and the rules and regulations promulgated thereunder.
 
1.2   Affiliates ” means, with respect to a Party, any person that controls, is controlled by or is under common control with such first person. For purposes of this definition only, “control” means (a) to possess, directly or indirectly, the power to direct the management or policies of a person, whether through ownership of voting securities or by contract relating to voting rights or corporate governance, or (b) to own, directly or indirectly, more than fifty percent (50%) of the outstanding voting securities or other ownership interest of such person.

 


 

1.3   Change of Control ,” with respect to any Party, means an event in which:
  1.3.1   any other person or group of persons acquires beneficial ownership of securities of the Party representing more than fifty percent (50%) of the voting power of the then outstanding securities of such Party with respect to the election of directors of such Party; or
 
  1.3.2   the Party enters into a merger, consolidation or similar transaction with another person in which such Party is not the surviving entity in such transaction.
1.4   Confidential Information ” means all Information, disclosed by or on behalf of the relevant Party to the other Party pursuant to this Agreement in written, oral or any other form.
 
1.5   Disclosing Party ” means the Party disclosing Confidential Information.
 
1.6   Effective Date ” means the date as set forth in the preamble to this Agreement.
 
1.7   FDA ” means the United States Food and Drug Administration or any successor entity thereto.
 
1.8   First Price Review Date ” means the date on which the then current Price for the Product will first be reviewed and negotiated, as specified in item C.4 of the Product Schedule.
 
1.9   Fixed Price Term ” means the term for which the Price specified in the Product Schedule at the time of signing will remain fixed, as specified in item C.3 of the Product Schedule.
 
1.10   Forecast ” means a listing of the quantities of the Product that CSI expects to order from FRESENIUS within a rolling time-frame.
 
1.11   Invoice Currency ” means the currency in which the Product will be invoiced and paid, as specified in Part C.2 of the Product Schedule.
 
1.12   Loss ” means any and all liabilities, claims, demands, causes of action, damages and expenses, including interest, penalties, and reasonable lawyers’ fees and disbursements.
 
1.13   Parties ” means FRESENIUS and CSI. “ Party ” means either FRESENIUS or CSI.
 
1.14   Price ” with respect to the Product, means the amount payable for such Product, as determined in accordance with the terms hereof and the Product Schedule.
 
1.15   Product ” means the medical device product to be supplied pursuant to, and as detailed in Part A (Specification) of the Product Schedule.
 
1.16   Product Schedule ” means a schedule executed and delivered by the Parties in accordance with Section 2.1.

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1.17   Purchase Order ” means a binding order for such quantities of the Product as CSI commits to order from FRESENIUS during the Term, with a statement of the date on which delivery of such shipment shall be required.
 
1.18   Quality Agreement ” means the Quality Agreement(s) entered into by the Parties simultaneously with the execution and delivery of the Product Schedule and attached hereto as Exhibit 2.
 
1.19   Receiving Party ” means the Party to whom Confidential Information is disclosed.
 
1.20   Regulatory Approval ” shall mean any approval (including supplements, amendments, pre- and post-marketing approval, and pricing and reimbursement approval), license, registration or authorization of any national, supra-national, regional, state or local regulatory agency, department, bureau, commission, council or other governmental entity, necessary for the manufacture, distribution, use or sale of the Product as a Device in a regulatory jurisdiction. For purposes of this definition, Regulatory Approval shall mean a 510(k) Device approval issued by the FDA (as defined below) or any other relevant Regulatory Authority (as defined below).
 
1.21   Regulatory Authority ” shall mean any federal, state or local or international regulatory agency, department, bureau or other governmental entity including the FDA which is responsible for issuing approvals, licenses, registrations or authorizations necessary for the manufacture, use, storage, import, transport or sale of the Product as a Device in a regulatory jurisdiction.
 
1.22   Specification(s) ” with respect to the Product, means the specifications for the Product as specified in Part A of the Product Schedule, as the same may be updated from time to time in accordance with the current Quality Agreement.
 
1.23   Term ” means the period beginning on the Effective Date and continuing until the date upon which this Agreement is terminated or not renewed in accordance with Article 14.
 
1.24   Third Party ” shall mean a party other than FRESENIUS or the CSI and their respective Affiliates.
 
2.   Product
 
2.1   The parties shall enter into a Product Schedule for the supply of the Product they wish to be governed by the terms and conditions of this Agreement, Exhibit 1.
 
2.2   Purchase and Sale of Product. Pursuant to the terms and conditions of this Agreement and for the duration of this Agreement, FRESENIUS shall manufacture, sell and deliver the Product to CSI, and CSI shall purchase and take delivery of the Product exclusively from FRESENIUS. FRESENIUS shall manufacture Product in accordance with the Specifications. The parties may alter from time to time the Specifications by written agreement without amending this Agreement.
 
2.3   Government Approvals. FRESENIUS shall consult with and advise CSI in responding to questions from Regulatory Authorities regarding CSI’s submission(s) for the Product.

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    CSI shall be the sole owner of any regulatory submission filed pursuant to this Agreement. CSI shall provide to FRESENIUS for its files a final copy of the CMC section of any such regulatory submission(s).
 
2.4   Product Labeling. FRESENIUS shall label Product in accordance with label copy that CSI provides. Such copy may be modified from time to time by delivery of written notice by CSI to FRESENIUS. CSI shall reimburse FRESENIUS for FRESENIUS’s actual costs of making any label copy changes and for the cost of any labeling that FRESENIUS is unable to use due to such label copy changes.
 
2.5   CSI shall be allowed to market the Product for its specific purposes. The usage and marketing of the Product for parenteral nutrition is explicitly excluded.
 
3.   Forecasting; Minimum purchase quantity
 
3.1   Initial Forecast. Attached hereto under Part B.3 of the Product Schedule is a binding forecast of the amount of Product that CSI agrees to order during the first twelve (12) month period of this Agreement (“Initial Binding Forecast”).
 
3.2   Ongoing Forecasts. On or before the 31 st of December and the 30 th of June of each calendar year occurring after the time period covered by the Initial Binding Forecast, CSI shall submit to FRESENIUS a rolling forecast covering the time period of one year, broken down on a monthly basis. The first six (6) months of any given Forecast shall be binding to CSI. The Forecasts concerning this time period cannot be changed as the forecasting roles on over the months, unless FRESENIUS agrees to such changes in writing. The succeeding six (6) months of any Forecast are estimations and shall be used by FRESENIUS for planning purposes only. The forecasts amounts for the second six month period may be changed by CSI without FRESENIUS’ written consent.
 
3.3   Failure to Purchase. If CSI fails to submit purchase orders in the amount of a binding forecast, FRESENIUS shall have the right to demand compensation from CST in the amount provided for in Part C.6 of the Product Schedule.
 
3.4   Obligation to Supply. FRESENIUS shall be required to supply the quantity of Product set forth in the binding portion of any forecast. FRESENIUS shall inform CSI of any unavailability of capacity it might face in fulfilling CSI’s needs during the non-binding portion of the rolling forecast.
 
4.   Orders
 
    CST shall submit to FRESENIUS Purchase Orders for its planned requirements of Product not later than three (3) months prior to the shipment date. Each Purchase Order shall detail the CSI purchase order number, FRESENIUS product code and product name, CST product code, and CSI product name as well as the required quantities per delivery date. All Purchase Orders shall be in writing, and shall be confirmed by FRESENIUS in writing at the latest ten (10) working days after receipt of each firm purchase order, naming the calendar week of delivery.

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5.   Quality
 
5.1   Quality Control. FRESENIUS shall manufacture the Product in accordance with the Specifications as set forth in Part A of the Product Schedule. FRESENIUS shall comply with the provisions and requirements of the Quality Agreement with regard to the manufacturing, testing and supplying of the Product to CSI.
 
5.2   Permits. FRESENIUS shall maintain at all relevant times governmental permits, licenses and approvals enabling FRESENIUS lawfully and properly perform its obligations under this Agreement.
 
5.3   Raw Materials. The materials which are needed to manufacture the Products shall be tested by FRESENIUS to ensure that they meet applicable specifications and quality standards as set forth in the Specifications and the Quality Agreement.
 
5.4   Responsibilities. Further quality relevant issues and the allocation of the responsibilities are listed in the Quality Agreement.
 
5.5   Rejection of Nonconforming Product. CSI shall have a period of thirty (30) days from the date of its receipt of a shipment of Product to inspect and reject such shipment for nonconformance with the Specifications. If CSI rejects such shipment, it shall promptly so notify FRESENIUS and provide to FRESENIUS samples of such shipment for testing. If FRESENIUS tests such shipment and determines that it did conform to the Specifications, the parties shall submit samples of such shipment to a mutually acceptable independent laboratory for testing. If such independent laboratory determines that the shipment conformed to the Specifications, CSI shall bear all expenses of shipping and testing such shipment samples. If FRESENIUS or such independent laboratory confirms that such shipment did not meet the Specifications, FRESENIUS shall replace, at no cost to CSI, that portion of the Product shipment which does not conform to the Specifications, and shall bear all expenses of shipping and testing the shipment samples. Any nonconforming portion of any shipment shall be disposed of as directed by FRESENIUS, at FRESENIUS’ expense.
 
6.   Price
 
6.1   Taxes. The Price of the Product is exclusive of value added tax, which, if payable, shall be borne and paid by CSI against the provision by FRESENIUS of an appropriate VAT invoice. The Price is payable in the applicable Invoice Currency set forth in Part C.2 of the relevant Product Schedule.
 
6.2   Price. The purchase price for the Product shall be the price set forth in Part C.1 of the Product Schedule. Such price will remain fixed for the Fixed Price Term as provided in Part C.3 of the Product Schedule. On the First Price Review Date (See Part C.4 of the Product Schedule) and on each anniversary of such First Price Review Date, the Price will be renegotiated in good faith. The Product price will be adjusted upwards only if FRESENIUS face documented increased costs of > 3% to manufacture Product due to general inflation and increasing costs of raw materials, energy, wages or other third party factor reasonably tied to the manufacture of Product. If the Parties are unable to agree on

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    a Price for the Products for the following period as of the start of such period, the old Price shall remain in effect until the Parties agree otherwise in writing.
 
7.   Invoicing and Payment
 
7.1   Invoices. FRESENIUS shall issue an invoice to CSI for the applicable Price for all Products delivered to CSI. The invoice shall contain a reference identifying this Agreement and the Product Schedule, and shall state FRESENIUS’ registered VAT number.
 
7.2   Payment, CSI shall pay all invoices in full within thirty (30) days from the date of the relevant invoice and certificates of the Product, whichever is later, to FRESENIUS as detailed in Part C.5 of the Product Schedule.
 
8.   FRESENIUS’ Warranties and Covenants
 
8.1   Not Adulterated or Misbranded. FRESENIUS represents and warrants to CSI that Product FRESENIUS delivers to CSI pursuant to this Agreement shall, at the time of delivery, not be adulterated or misbranded within the meaning of the Act as the Act is constituted and effective at the time of delivery and will not be an article which may not under the provisions of Sections 404 and 505 of the Act be introduced into interstate commerce.
 
8.2   Free From Defects. FRESENIUS further represents and warrants to CSI that Product FRESENIUS delivers to CSI pursuant to this Agreement shall, at the time of delivery, be free from defects in material and workmanship and shall be manufactured: (a) in accordance and conformity with the Specifications; and (b) in compliance with all applicable statutes, laws, rules or regulations, including those relating to the environment, food or drugs and occupational health and safety, including, without limitation, those enforced or promulgated by the FDA (including, without limitation, compliance with cGMPs).
 
8.3   No Violation of Other Agreements. FRESENIUS further represents and warrants to CSI that FRESENIUS’s performance of its obligations under this Agreement will not result in a material violation or breach of any agreement, contract, commitment or obligation to which FRESENIUS is a party or by which it is bound and will not conflict with or constitute a default under its Certificate of Incorporation or corporate bylaws.
 
8.4   Limitation of Liability. In case of breach of pre-contractual, contractual and/or non-contractual obligations of FRESENIUS, its statutory representative or executives, including but not limited to defects, delay in delivery or tort, FRESENIUS’ maximum liability shall, to the extent legally permissible, be limited to a maximum of two and a half Million United States Dollars (US$2,500,000). FRESENIUS shall not be liable for loss of profit. Such limitations shall not apply to amounts arising from FRESENIUS’ indemnification obligations to CSI as outlined in Section 9.1.

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9.   Indemnification
 
9.1   Indemnification by FRESENIUS. FRESENIUS shall indemnify and hold harmless CSI, its Affiliates and their respective officers, directors and employees from and against all claims, causes of action, suits, costs and expenses (including reasonable attorney’s fees), losses or liabilities of any kind related to this Agreement and asserted by Third Parties to the extent such arise out of or are attributable to: (a) FRESENIUS’s breach of any representation or warranty set forth in Article 8; (b) any violation of any proprietary right of any Third Party relating to FRESENIUS’s manufacturing processes used in the manufacture of Product pursuant to this Agreement; or (c) any negligent or wrongful act or omission on the part of FRESENIUS, its employees, agents or representatives.
 
9.2   Indemnification by CSI. CSI shall indemnify and hold harmless FRESENIUS, its Affiliates and their respective officers, directors and employees harmless from and against all claims, causes of action, suits, costs and expenses (including reasonable attorney’s fees), losses or liabilities of any kind related to this Agreement and asserted by Third Parties to the extent such arise out of or are attributable to: (a) any violation of any proprietary right of any Third Party relating to the labeling required by CSI to be used for the Product; and (b) any negligent or wrongful act or omission on the part of CSI, its employees, agents or representatives.
 
9.3   Conditions of Indemnification. If either Party seeks indemnification from the other hereunder, it shall promptly give written notice to the other Party of any such claim or suit threatened, made or filed against it which forms the basis for such claim of indemnification and shall cooperate fully with the other party in the investigation and defense of all such claims or suits. The indemnifying Party shall have the option to assume the other Party’s defense in any such claim or suit with counsel of its own choosing. The indemnified Party may elect to be represented by its own counsel, but at its own expense. No settlement or compromise that includes any non-monetary provisions shall be binding on an indemnified Party without its prior written consent, such consent not to be unreasonably withheld or delayed.
 
10.   Product Recall
 
    In the event (a) any Regulatory Authority or other national government authority issues a request, directive or order that Product be recalled, (b) a court of competent jurisdiction orders such a recall, or (c) CSI, in its sole discretion, determines that Product should be recalled, the parties shall take all appropriate corrective actions, and shall cooperate in any governmental investigations surrounding the recall. Each Party shall inform the other Party immediately after receiving knowledge of reasons for a product recall. Such notice shall be provided in accordance with the terms of Article 15. In the event that such recall results from the breach of FRESENIUS’ express warranties under Article 8, FRESENIUS shall be responsible for the expenses of the recall. In the event that the recall does not result from the breach of FRESENIUS’ express warranties under this Agreement, CSI shall be responsible for the expenses of the recall. For purposes of this Agreement, the expenses of the recall shall include, but not be limited to, the expenses of notification and destruction or return of the recalled Product, cost of the recalled Product,

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    and any costs associated with the distribution of the replacement Product, but shall not include lost profits of either party.
 
11.   Intellectual Property
 
    The Product itself as well as any improvement to the Product or to elements of the Product or to the manufacturing process of the Product, patentable or non-patentable, achieved by FRESENIUS during the Term of this Agreement will be the exclusive property of FRESENIUS. CSI or any of its Affiliates will have the benefit of a royalty free non-exclusive license for such exclusive property of FRESENIUS, but only as long as this Agreement is not terminated by any of the Parties. CSI is not allowed to transfer or utilize the knowledge gained through the cooperation with FRESENIUS for their other business activities not related to the Products.
 
12.   Confidentiality
 
12.1   Ownership. Except as otherwise provided in this Agreement, any Confidential Information which is disclosed by or on behalf of a Disclosing Party to the Receiving Party will remain the property of the Disclosing Party.
 
12.2   Undertakings. The Receiving Party undertakes
  12.2.1   to use the Confidential Information solely and exclusively for the purposes of this Agreement (or such other purpose as is agreed in writing between the Parties at the time of disclosure), and not to use the Confidential Information for any other purpose whatsoever, including the development, manufacture, marketing, sale or licensing of any process or product or any other commercial purpose anywhere in the world, unless the Parties enter into an agreement specifying otherwise; and
 
  12.2.2   to maintain the confidentiality of the Confidential Information and not to disclose it directly or indirectly to any other company, organization, individual or third Person, except as expressively permitted; and
 
  12.2.3   at the request of the Disclosing Party, to return, delete or destroy all copies of the Confidential Information, in whatever form it is held.
12.3   Allowed Disclosures. Notwithstanding Section 12.2, the Receiving Party may disclose Confidential Information to any of its Affiliates, and its and its Affiliate’s directors, employees and professional advisers who need to know the Confidential Information in order to fulfill the purpose of this Agreement, provided that the Receiving Party procures that prior to such disclosure, each such Person to whom Confidential Information is to be disclosed is made aware of the obligations contained in this Agreement, and adheres to these terms as if it were a party to this Agreement.
 
12.4   Required Disclosures. Nothing in Section 12.2 will preclude disclosure of any Confidential Information required by any governmental, quasi-governmental or regulatory agency or authority or court entitled by law to disclosure of the same, or which is required by law or the requirements of a national securities exchange or another similar regulatory body to be disclosed; provided that the Receiving Party promptly notifies the

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    Disclosing Party when such requirement to disclose has arisen to enable the Disclosing Party to seek an appropriate protective order, to make known to the relevant agency, authority, court or securities exchange the proprietary nature of the Confidential Information, and to make any applicable claim of confidentiality. The Receiving Party agrees to co-operate in any action which the Disclosing Party may decide to take. If the Receiving Party is required to make a disclosure in accordance with this clause, it will only make a disclosure to the extent to which it is obliged.
 
12.5   Exclusions. The provisions of Section 12.2 will not apply to any Confidential Information which the Receiving Party can demonstrate, to the reasonable satisfaction of the Disclosing Party:
  12.5.1   was already in the possession of the Receiving Party or any of its Affiliates and at the Receiving Party’s or any of its Affiliates’ free use and disposal or in the public domain (through in each case no fault of the Receiving Party or any of its Affiliates or no breach of this Agreement by the Receiving Party) prior to its disclosure by the Disclosing Party under this Agreement; or
 
  12.5.2   is purchased or otherwise legally acquired by the Receiving Party or any of its Affiliates at any time from a third Person having and the right to disclose it; or
 
  12.5.3   comes into the public domain, otherwise than through the fault of the Receiving Party or any of its Affiliates; or
 
  12.5.4   is independently generated by the Receiving Party or any of its Affiliates without any recourse or reference to the Confidential Information.
12.6   Survival. The obligations of each Party in this Section will survive for a period of five (5) years after the date of expiration or termination of this Agreement.
 
13.   Exclusivity
 
    FRESENIUS undertakes to manufacture and supply the Product non-exclusively to CSI, unless both parties have agreed upon differently in writing in the Product Schedule.
 
14.   Term and Termination
 
14.1   Term and Nonrenewable. This Agreement shall become effective at the Effective Date and shall extend for a period of five (5) years after the Effective Date (“Initial Term”), unless earlier termination as described in Sections 14.2 and 14.3. This Agreement shall be automatically extended for subsequent periods of twelve (12) months (“Extension Term(s)”) unless either Party elects not to renew this Agreement by giving the other Party a written notice by registered mail twelve (12) months prior to the end of the Initial Term or prior to the end of any Extension Term.
 
14.2   Termination by Either Party. In addition to any other provision of this Agreement expressly providing for termination of this Agreement, this Agreement may be terminated immediately by either Party upon delivery of written notice to the other Party:

- 9 -


 

    in the event of a material breach of this Agreement by the other Party, where such breach is capable of cure and such breach remains uncured for thirty (30) days after notice of such breach;
 
    in the event of a breach of this Agreement by the other Party where such breach is not capable of cure;
 
    if the other Party shall file in any court or agency, pursuant to any statute or regulation of any state or country, a petition in bankruptcy or insolvency or for reorganization or for an the appointment of a receiver or trustee of such other Party or of its assets, or if the other Party proposes a written agreement of composition or extension of its debts, or if the other Party shall be served with an involuntary petition against it, filed in any insolvency proceeding, or if the other Party shall propose or be a party to any dissolution or liquidation, or if the other Party shall make an assignment for the benefit of its creditors;
 
    if any encumbrance takes possession of any material part of the assets of the other Party;
 
    if any distress, execution or other such process is levied or enforced upon or against any of the material assets of the other Party;
 
    if the other Party ceases or threatens to cease to carry on the whole or substantially the whole of its business or that part of its business to which this Agreement relates.
14.3   Termination by CSI. CSI shall have the right to terminate this Agreement immediately upon delivery of written notice to FRESENIUS should the FDA fail to approve the Product for resale.
 
14.4   Obligations on Termination or Expiration. Without prejudice to any other rights or remedies which either Party may have, upon the termination of this Agreement, howsoever the same occurs, each Party shall:
    immediately pay to the other Party all undisputed sums which at the date of termination are due and payable to the other Party under this Agreement; and
 
    immediately cease all use of any property of the other Party, including any Intellectual Property Rights of the other Party; and
 
    within twenty eight (28) days of such termination, at its own expense, return to the other Party any property of the other Party in its possession, custody or control, including all Confidential Information of that Party and copies of it.
14.5   Open Purchase Orders. In the event this Agreement is terminated by FRESENIUS pursuant to Section 14.2, FRESENIUS may terminate or fill, at its option, any open firm purchase orders for Product. In the event this Agreement is not renewed or is terminated by CSI pursuant to Section 14.2, CSI may terminate or require FRESENIUS to fill, at CSI’s option, any open firm purchase orders for Product.

- 10 -


 

14.6   Survival. The Parties rights and obligations under Articles 1, 8, 9, 10, 11, 12 and this Section 14.5 will survive expiration or termination of this Agreement, howsoever the same occurs.
 
15.   Notices
 
    Any notice, request, demand, waiver, consent, approval or other communication permitted or required under this Agreement shall be in writing and shall be deemed given only if delivered by hand, sent by facsimile transmission (with transmission confirmed), or by internationally recognized express delivery service that maintains records of delivery, addressed to the Parties at their respective addresses specified in the Quality Agreement or to such other addresses of which notice shall have been given. Such Notice shall be deemed to have been given as of the date received if delivered by hand, the date of transmission if sent by facsimile (with transmission confirmed) or on the second business day after deposit with an internationally recognized express delivery service. Any notice delivered by facsimile shall be confirmed by a hard copy delivered as soon as practicable thereafter. This Section is not intended to govern the day-to-day business communications necessary between the Parties in performing their obligations under the terms of this Agreement.
 
16.   General Provisions
 
16.1   Entire Agreement. This Agreement contains the entire understanding between the parties hereto with respect to the subject matter and supersedes any and all prior agreements, understanding and arrangements, whether written or oral, between the parties relating to the subject matter of this Agreement.
 
16.2   Amendments and Modifications. No amendments, changes, modifications or alterations of the terms and conditions of this Agreement shall be binding upon either party hereto unless in writing and signed by both parties.
 
16.3   Assignment. This Agreement is personal to FRESENIUS and CSI and neither Party shall be entitled to assign any of its rights or obligations hereunder to any Third Party without the express, prior written consent of the other Party; provided, however: (a) Affiliates of a Party shall not be considered a Third Party; and (b) either party may assign this Agreement, without consent of the other party, in connection with the transfer, sale or divestiture of substantially all of its business to which this Agreement pertains or in the event of its merger or consolidation with another party. Any permitted assignee shall assume all obligations of its assignor under this Agreement. No assignment shall relieve any Party of responsibility for the performance of any accrued obligation which such Party then has hereunder.
 
16.4   Severability. Both parties hereby expressly state that it is the intention of neither party to violate any existing rule, law or regulations. If any of the provisions of this Agreement are held to be void or unenforceable, then such void or unenforceable provisions shall be replaced by valid and enforceable provisions which will achieve as far as possible the economic business intentions of the parties.

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16.5   Waivers. No purported waiver of any provision of this Agreement shall be binding unless set forth in a writing signed by the party to be charged thereby. Any waiver shall be limited to the circumstance or event specifically referenced in the written waiver document and shall not be deemed a waiver of any other term of this Agreement or of the same circumstance or event upon any recurrence thereof.
 
16.6   Inconsistencies. If there is any inconsistency between a Product Schedule, a Quality Agreement or between any other Exhibit on the one side and this Agreement on the other, the terms of this Agreement shall govern, unless it is written expressively in the Exhibit that the terms (or a single term) of the Exhibit shall govern.
 
17.   Governing Law
 
    This Agreement shall be governed, construed and interpreted in accordance with the laws of Sweden without reference to its conflict of law provisions and excluding specifically the UN Convention on the International Sale of Goods.
 
18.   Arbitration
 
18.1   Dispute/Initiation. Any dispute, claim or controversy arising out of or relating to this Agreement, including any action in tort, contract or otherwise, at equity or at law, and any claims of fraud in the inducement (a “Dispute”), shall be resolved in a manner set forth in this Article 18. Either party may initiate negotiation proceedings by writing a letter to the other party setting forth the particulars of the Dispute, the terms of the contract that are involved and the suggested resolution of the Dispute. If the Dispute is not resolved within thirty (30) days after delivery of the initial written letter setting forth the particulars of the Dispute, either party may submit such Dispute to binding arbitration conducted pursuant to the provisions of this Agreement and the arbitration provisions of the International Chamber of Commerce (“ICC”) in effect on the Effective Date of this Agreement (“ICC”), unless such ICC rules are inconsistent with the provisions of this Agreement. Even though the arbitrator(s) shall apply the ICC rules, the arbitration shall not be conducted through the ICC.
 
18.2   Selecting Arbitrator(s). The case shall be submitted to a single arbitrator who shall be a retired judge or an attorney who has practiced business litigation or in the substantive area of law related to this Agreement for at least ten (10) years. Each party shall submit a list of three (3) arbitrators to the other party within ten (10) days after the initiating party has delivered a written notice to the other party demanding arbitration of the Dispute. From the combined list, the parties shall mutually agree on the arbitrator. Should the parties be unable to agree on the choice of an arbitrator within thirty (30) days after delivery of the written notice demanding arbitration, a panel of three (3) arbitrators shall conduct the arbitration. Each party shall choose one arbitrator within ten (10) after the expiration of the above thirty (30) day period and the two selected shall choose a third arbitrator within five (5) days after their appointment.
 
18.3   Location/Costs. The site of the arbitration shall be in Stockholm, Sweden or such other location as the parties may mutually agree. The exact location within such metropolitan area shall be designated by the arbitrator(s). The non-prevailing party shall pay all expenses of the arbitration proceeding, including the expenses and fees of the parties’

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    witnesses and legal counsel and of the arbitrator(s), unless otherwise provided in the award.
 
18.4   Discovery/Interim Relief. The arbitrator(s) shall allow the parties to conduct limited discovery. The arbitration shall be conducted in English. Either party may apply to any court having jurisdiction hereof seeking injunctive relief so as to maintain the status quo until such time as the arbitration award is rendered or the Dispute is otherwise resolved.
 
18.5   Final Award. The arbitration award shall be final and binding upon the parties and may be entered and enforced at any court having jurisdiction.
THIS SUPPLY AGREEMENT is executed by the authorized representatives of the Parties to be effective as of the Effective Date set forth on the first page hereof.
     
SIGNED for and on behalf of
  SIGNED for and on behalf of
 
   
Fresenius Kabi AB
  Cardiovascular Systems, Inc.
 
   
/s/ Christoph Funke
  /s/ James E. Flaherty
 
   
Signature
  Signature
 
Name: Christoph Funke
  Name: James E. Flaherty
Title: Managing Director
  Title: Chief Administrative Officer
 
   
SIGNED for and on behalf of
   
 
   
Fresenius Kabi AB
   
 
   
/s/ Anton Gerdenibch
   
 
   
Signature
   
 
Name: Anton Gerdenibch
   
Title: Director, CM, Sterile Solutions
   
Exhibit 1: Product Schedule(s)
Exhibit 2: Quality Agreement

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EXHIBIT 1
Product Schedule
to the SUPPLY AGREEMENT dated 4 th day of April 2011 (“the Supply Agreement”), entered into between:
(1)   Fresenius Kabi AB, Rapsgatan 7, 75324 Uppsala, Sweden
 
    (“FRESENIUS”)
and
(2)   Cardiovascular Systems, Inc, 651 Campus Drive, Saint Paul, MN 55112, USA
 
    (“CSI”).
This Product Schedule is made effective as of same day as of the Effective Date of the Supply Agreement (the “Product Schedule Effective Date”), and is subject to all of the terms and conditions contained in the Supply Agreement. Together, this Product Schedule and the Supply Agreement form a binding agreement between the parties in relation to the details set out in this Product Schedule.
The term of this Product Schedule is the same term as the Term of the Supply Agreement. It will terminate at the time of any termination or non-renewal of the Supply Agreement.
This Product Schedule consists of the following parts:
Part A:      Product Specification
Part B:      Delivery terms and orders
Part C:      Pricing and Payment

1-1


 

PART A: PRODUCT SPECIFICATION
1.   Product:
Injectable lipid emulsion compound in a final dosage form, packaged and labeled with CSI’s proprietary trademark in a 100mL Excel bag, meeting the Specifications.
2.   Product Specification
The Product Specifications are set forth in the Quality Agreement attached to the Supply Agreement as Exhibit 2 and its relevant Annex.

1-2


 

PART B: DELIVERY TERMS AND ORDERS
1.   Delivery Term (Incoterms 2010)
CIP upon custom transfer at a named destination in the USA*.
* Destination depends on mode of transport (air freight or ship) and carrier. Destination will be named prior to each shipment and in the shipping documents.
2.   Packaging, Labeling and Export Documentation Requirements
The regulations of the Quality Agreement attached to the Supply Agreement as Exhibit 2 apply.
3.   Binding Forecast of Product
CSI agrees to order the following amount of Product during the first twelve (12) months of the Agreement.
[*******] *
 
*   Confidential treatment has been requested with respect to certain portions of this exhibit. Omitted portions have been filed separately with the Securities and Exchange Commission.

1-3


 

PART C: PRICING AND PAYMENT
1. Price
     
units ordered / year   Price [USD] per container
 
[*******] *   [*******] *
The price calculations are based on following assumptions:
    Price CIP (Incoterms 2010)
 
    Shipping costs (freight, insurance, custom clearance for export) will be accounted separately and have to be born by CSI
 
    The parties will agree in advance on the estimated freight cost and insurance coverage/cost.
 
    Exchange rate: 1 USD = 6.5 Swedish Krona (SEK)*
 
    100% optical control
 
    batch size > 10 000 units
 
    raw materials and packaging materials prices given by FRESENIUS standard suppliers.
 
    Product related registration fees (e.g. according to 21 CFR 820) are not included and have to be born by CSI
* If the exchange rate varies more than 10% the Parties have the right to adjust the Price accordingly.
2.   Invoice Currency
United States Dollars (USD)
3.   Fixed Price Term
Annually beginning from the 1 st of January of each year.
4.   First Price Review Date
1 st of September 2011
5.   Payment details
30 days after date of invoice or delivery of certificates of the Product, whichever is later
6.   Compensation in case of CSI’s failure to order the amount of Product specified in binding forecasts according to Section 3.3 of the Supply Agreement
 
*   Confidential treatment has been requested with respect to certain portions of this exhibit. Omitted portions have been filed separately with the Securities and Exchange Commission.

1-4


 

If CSI does not submit purchase orders for the full amount of Products set forth in a binding forecast, CSI has to pay compensation concerning the Product of this Product Schedule as follows:
a.   FRESENIUS’ full price for all work in progress on non-ordered Product, and
 
b.   FRESENIUS’ direct costs for the labeling materials in stock at the time the product orders should have been placed and were purchased for the dedicated use in the labeling of the Product.
The compensation under this paragraph 6 is given provided that:
  (i)   the work in process and the labeling materials were related to Product volumes which were within CSI`s binding forecast; and
 
  (ii)   the work in process and labeling materials cannot reasonably be used for other purposes by FRESENIUS; and
 
  (iii)   CSI is entitled to collect such labeling materials for its own use or sale, without additional charge.
THIS PRODUCT SCHEDULE IS EXECUTED by the authorized representatives of the Parties as of the date first written above.
         
SIGNED for and on behalf of
  SIGNED for and on behalf of    
 
       
Fresenius Kabi AB
  Cardiovascular Systems, Inc.    
 
       
/s/ Christoph Funke
 
Signature
  /s/ James E. Flaherty
 
Signature
   
 
       
Name: Christoph Funke
  Name: James E. Flaherty    
 
       
Title: Managing Director
  Title: Chief Administrative Officer    
 
       
SIGNED for and on behalf of
       
 
       
Fresenius Kabi AB
       
 
       
/s/ Anton Gerdenibch
       
Signature
       
 
       
Name: Anton Gerdenibch
       
 
       
Title: Director, CM, Sterile Solutions
       

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EXHIBIT 2
Quality Agreement
Contract Manufacturer Pharmaceuticals —
between
FRESENIUS KABI Uppsala, Rapsgatan 7, S-751 74 Uppsala, Sweden
represented by its management
- hereinafter referred to as “Fresenius Kabi” -
and
CARDIOVASCULAR SYSTEMS INC., 651 Campus Drive, Saint Paul, MN 55112, USA
represented by its management
- hereinafter referred to as “CSI” -
Preamble
This Quality Agreement is intended to regulate pharmaceutical and medical device, quality assurance and safety issues.
§ 1   Subject Matter of the Quality Agreement
 
(1)   FRESENIUS KABI is a manufacturer of pharmaceutical products/medical devices for which CSI has a marketing authorization.
 
(2)   FRESENIUS KABI shall manufacture for CSI the products as specified in Appendix 3 to this Quality Agreement (the “Contractual Products”) pursuant to the terms of a Supply Agreement entered into between FRESENIUS KABI and CSI, dated April 4, 2011 (the “Supply Agreement”).
 
(3)   FRESENIUS KABI is subject to monitoring by the competent national authority. FRESENIUS KABI has a manufacturing authorization according to the respective legislation.
 
§ 2   Obligations and Responsibilities
 
(1)   FRESENIUS KABI shall manufacture and release the Contractual Products based on the current registration and specification as specified in the Appendix 3.
 
(2)   FRESENIUS KABI shall comply with any recognized pharmaceutical and medical device rules and applicable legal provisions with regard to the manufacture of the

2-1


 

    Contractual Products. This includes especially the requirements of the EU and US Good Manufacturing Practices and the applicable Pharmacopoeias in their actual version.
 
(3)   Any additional request by FRESENIUS KABI or CSI that special instructions or guidelines which are not covered by the generally accepted instructions and guidelines are to be observed for the manufacture of certain Contractual Products must be set down and executed by the parties in writing.
 
(4)   Both parties will strictly observe the detailed pharmaceutical and medical device responsibilities which are specified in Appendix 1 (“Responsibilities”).
 
(5)   FRESENIUS KABI and CSI appoint Contact Persons as named in Appendix 2 (“Contact Persons”).
 
(6)   CSI may perform audits by itself or delegate the audit to external experts at the manufacturing site of FRESENIUS KARI after having agreed on a date with FRESENIUS KABI. The audits will cover processes and facilities related to the Contractual Products including the Quality System only.
 
(7)   Under no circumstances must any other products which may present a potential hazard to the contractual products, such as beta-lactam and cephalosporin antibiotics, certain potent hormones, cytotoxic compounds, highly potent drugs, biological preparations or non-pharmaceutical chemicals, be manufactured, processed, or packaged with the same production equipment used for CSI product(s).
 
§ 3   Final Provision
 
(1)   The contract comes into force after signature of the contractual parties. Term of this contract shall be the same as the Supply Agreement. This contract shall renewal upon renewal of the Supply Agreement and shall terminate upon termination of the Supply Agreement. It is understood that FRESENIUS KABI’s obligation pursuant to the paragraphs in the Appendix 1 “Retaining of batch related Documentation”, “Retaining of analytical data” and “Retaining of samples” shall survive the formal end of the contract period.
 
(2)   The General Provisions of Article 16, the Governing Law of Article 17 and the Arbitration Provisions of Article 18 of the Supply Agreement shall apply to this contract.

2-2


 

Appendices
Appendix 1   Responsibilities
Appendix 2   Contact Persons
Appendix 3   Contractual Products and Specification
     
/s/ Christoph Funke   /s/ Alexander Stoll
     
Fresenius Kabi Uppsala   Fresenius Kabi Uppsala
Mr. Christoph Funke   Dr. Alexander Stoll
Managing Director   Head of Quality Management
     
/s/ James E. Flaherty   /s/ Jim Murray
     
CSI   CSI
Jim Flaherty   Jim Murray
Chief Administrative Officer   Director, Quality Assurance and
    Supply Chain

2-3


 

Responsibilities: Contract Manufacturing Pharmaceuticals
Abbreviations used in the different chapters:
     
Term   Definition
Annual Product
Review
  Annual review of quality standards and batch documentation to determine the need for Specification and Manufacturing changes, as determined by EU Annex 18, 2.5 and/or CFR 211.180(e)
 
   
BOM
  Bill of Materials
 
   
CFR
  U.S. Code of Federal Regulations
 
   
cGMP
  Current Good Manufacturing Practices
 
   
CMC
  Chemistry, Manufacturing and Controls
 
   
CMO
  Contract Manufacturing Organization
 
   
Device History
Record (DHR)
  A compilation of records containing the product history of a finished device
 
   
Device Master
Record (DMR)
  A compilation of records containing the procedures and specification for a finished device
 
   
Manufacturing
  The processes of producing and filling of Drug Product into final container closure system
 
   
NDA
  New Drug Application
 
   
OOS
  Out of Specification
 
   
Packaging
  All operations, including filling and labeling, which a bulk product has to undergo in order to become a finished product.
 
   
Primary Packaging
Material
  Material employed in the packaging of the PRODUCT that comes in direct contact with the product.
 
   
Printed Components
  Any component that is controlled for artwork and text including, but not limited to, the Package insert, bag film, carton labels, and cartons.
 
   
PRODUCT
  Formulation of Intralipid 10% (ViperSlide ® ) as detailed in Appendix 3.
 
   
QA
  Quality Assurance
 
   
QC
  Quality Control
 
   
Regulatory
Authorities
  The U. S. Food and Drug Administration and its successors (the “FDA”) and similar governmental agencies outside the United States and throughout the world that are responsible for granting manufacturing, marketing, price and/or reimbursement price authorizations and includes applicable national, supra national (e.g. the European Commission or the Council of the European Union), state or local regulatory authorities, departments, bureaus, commissions, councils or other governmental entities that have jurisdiction over the PRODUCT, whether the development, manufacture, handling, storage, transportation, destruction, or otherwise.
 
   
Reference Samples
  Representative reserve of each batch of API or drug product stored to meet CFR 211.170 and/or EU Annex 18, 11.7 requirements.
 
   
SOP
  Standard Operating Procedure
 
   
Secondary Packaging
Material
  Material employed in the packaging of the PRODUCT that does not come in direct contact with the product.

2-4


 

     
Term   Definition
Specification
  A set of criteria to which a material must conform to be considered acceptable for its intended use
 
   
USP
  United States Pharmacopeia

2-5


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
 
1
  General        
 
           
1.1
  Both parties are responsible for ensuring that the terms of the Quality Agreement are complied with and performed in accordance with cGMP.   X   X
 
           
1.2
  This Quality Agreement may be revised on an “as-needed” basis or whenever the Manufacturing Agreement is amended. All changes in the Quality Agreement must be documented, reviewed and approved by both parties.   X   X
 
           
1.3
  The parties will attempt to resolve disputes or conflicts in a timely and equitable manner and in compliance with all applicable quality and regulatory requirements. Resolutions will be documented and signed by both parties.   X   X
 
           
1.4
  CSI is responsible for marketing authorization and import licenses for PRODUCT.   X    
 
           
2
  Compliance Requirements        
 
           
2.1
  Regulatory        
 
           
2.1.1
  FRESENIUS KABI will Manufacture, test, Package, and hold the PRODUCT in accordance with cGMP, all applicable requirements of the FDA and/or other Regulatory Authorities.       X
 
           
2.1.2
  FRESENIUS KABI will Manufacture and Package the PRODUCT in strict adherence to the approved drug application.       X
 
           
2.1.3
  CSI shall maintain regulatory filings for the PRODUCT and allow visibility of applicable information to FRESENIUS KABI. FRESINIUS KABI shall maintain the regulatory filings for Intralipid 10% and allow visibility of applicable information to CSI as required.   X   X
 
           
2.1.4
  FRESENIUS KABI will provide to CSI a letter of access to the Intralipid 10% NDA.       X
 
           
2.1.5
  FRESENIUS KABI will permit, at CSI’s expense, one escorted audit by CSI and/or its designee(s) (two (2) auditors, two (2) days free of charge) within any twelve month interval, or at any time in the event of a compliance issue, of all relevant premises, procedures, and documentation.       X
 
           

2-6


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
2.1.6
  FRESENIUS KABI will not subcontract any Manufacturing, Packaging, or testing to a third party without prior written agreement by CSI. Sub-contractors will meet FRESENIUS KABI’s requirements for approved vendors. If CSI requests the use of a non-FRESENIUS KABI approved subcontractor, CSI will be responsible for the qualification of that subcontractor.       X
 
           
2.1.7
  FRESENIUS KABI will permit inspection by Regulatory Authorities. CSI representatives will be allowed on-site during inspections specific to the manufacture of PRODUCT at FRESENIUS KABI under the reasonable discretion of FRESENIUS KABI. CSI personnel interactions with the inspector(s) shall be under direction of the FRESENIUS KABI agent in charge. FRESENIUS KABI personnel will address all Manufacturing questions.   X   X
 
           
2.1.8
  Each party shall notify the other party of any applicable inspections by Regulatory Authorities, Form 483s, Warning Letters or other communications relating to the PRODUCT from Regulatory Authorities within two (2) business days after receipt of such communications. Each party will have opportunity to review and comment on subsequent responses(s) if they would have an impact on the PRODUCT.   X   X
 
           
2.1.9
  Upon request, FRESENIUS KABI will provide copies to CSI of any FDA Form 483, Establishment Inspection Report, or other similar Regulatory Authority notice normally available through Freedom of Information, redacted as necessary where the PRODUCT is specifically mentioned or directly impacted.       X
 
           
2.1.10
  In the event of an inspection of CSI by any Regulatory Authority, FRESENIUS KABI shall make every effort to make available to the Regulatory Authority any production, validation, stability, or testing records requested within two (2) business days of the request, according to the inspection policy of FRESENIUS KABI.       X
 
           
2.1.11
  FRESENIUS KABI will notify CSI within one (1) business day of receipt of any information which could result in any event which could lead to regulatory action.       X
 
           

2-7


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
2.1.12
  FRESENIUS KABI shall notify CSI prior to submitting PRODUCT-specific responses, request(s) for PRODUCT sample(s), and batch records to the Regulatory Authorities for PRODUCT supplied to CSI. FRESENIUS KABI will respond within a reasonable timeframe to questions that may arise from Regulatory Authorities.       X
 
           
2.1.13
  FRESENIUS KABI shall complete and provide a copy of the Annual Product Review to CSI, per 21CFR211.180(e). FRESENIUS KABI will assess trending and confirm the process is under a state of control. Any changes will be managed through Change Control (see Section 2.5)       X
 
           
2.1.14
  Each party represents that it is not debarred under the U.S. Generic Drug Enforcement Act of 1992 or employs or uses the services of any individual who is debarred or who has engaged in activities that could lead to being debarred.   X   X
 
           
2.1.15
  FRESENIUS KABI will conduct and maintain operations in compliance with current applicable environmental and occupational health and safety laws and regulations.       X
 
           
2.1.16
  FRESENIUS KABI will document, investigate, and resolve deviations from approved Manufacturing instructions, testing instructions, and/or Specifications. All deviations shall be recorded and justified. Copies in local Swedish language may be provided to CSI of all deviations related to PRODUCT upon CSI request. FRESENIUS KABI will notify and supply an English summary to CSI, before batch release, of all major and critical deviation. CSI will approve major deviations assessments prior to batch release.       X
 
           
2.1.17
  FRESENIUS KABI shall maintain all documentation for excipients and PRODUCT Manufacturing and Packaging processes as per current applicable regulations.       X
 
           
2.1.18
  FRESENIUS KABI will conduct stability testing according to the ICH guidelines and the protocol. All PRODUCT related documentation including Product Stability Monitoring as filed in the regulatory submission will be made available to CSI for inspection upon request.       X
 
           
2.2     Complaints — Product Quality and Adverse Drug Experience

2-8


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
2.2.1
  CSI will maintain the collection, logging, and resolution of complaints and adverse drug experiences. CSI will notify FRESENIUS KBI of any complaint or ADR where the quality of PRODUCT is questioned.   X    
 
           
2.2.2
  CSI shall investigate and track any adverse events it receives.   X    
 
           
2.2.3
  FRESENIUS KABI agrees to transmit to CSI any reports of unexpected side effects or similar problems associated with the PRODUCT or Intralipid 10%.       X
 
           
2.2.4
  CSI shall investigate and track any complaints it receives. FRESENIUS KABI will forward all PRODUCT complaint reports to CSI within two (2) business days after receipt by FRESENIUS KABI. CSI will investigate, resolve, file, and track all complaint reports per CSI SOPs. FRESENIUS KABI will use commercially reasonable efforts to report the findings of the investigation to CSI within 60 calendar days of notification. CSI will be responsible for customer response communications. Both parties shall agree upon follow up corrective action.   X   X
 
           
2.3
  Product Recalls        
 
           
2.3.1
  In the event that either party determines that the PRODUCT violates applicable laws, regulations, agreed upon Specifications, or is deemed unacceptable for some other reason, FRESENIUS KABI and CSI must notify each other within one (1) business day of such determination and meet within two (2) business days of such determination.   X   X
 
           
2.3.2
  CSI will make the decision to initiate a recall of the PRODUCT.   X    
 
           
2.3.3
  CSI will notify the appropriate Regulatory Authorities in the event of a recall.   X    
 
           
2.3.4
  FRESENIUS KABI will investigate PRODUCT issues, using the appropriate procedures, to the extent that the issue relates to or affects the PRODUCT as it is Manufactured at FRESENIUS KABI.       X
 
           
2.3.5
  CSI will manage recalls with assistance from FRESENIUS KABI as requested.   X   X
 
           
2.3.6
  CSI will be responsible for reconciliation of returned PRODUCT with assistance from FRESENIUS KABI as required.   X   X
 
           
2.4   Responsibility to Authorities
 
           
2.4.1
  CSI will liaise with Regulatory Authorities on PRODUCT inquiries and adverse events.   X    

2-9


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
2.4.2
  FRESENIUS KABI will maintain safety/hazard and handling data on excipients and the PRODUCT.       X
 
           
2.5
  Change Control        
 
           
2.5.1
  Change Control for the PRODUCT will be administered through FRESENIUS KABI’s Change Control system. Changes subject to Change Control (“Changes”) include, but are not limited to, the Manufacturing and Packaging processes, the cleaning processes, process equipment, facilities, utilities, Specifications, and analytical test methods.       X
 
           
2.5.2
  All major Changes proposed by FRESENIUS KABI for Intralipid 10% in bags will be forwarded to the CSI QA contact for information as soon as practicable. FRESENIUS KABI decision will be final on changes that effect Intralipid 10% registrations. CSI’s decision will be final on changes that affect the PRODUCT registrations.       X
 
           
2.5.3
  All Changes proposed by CSI will be forwarded to the QA contact at FRESENIUS KABI’s Manufacturing site using CSI internal procedures for Change Control.   X    
 
           
2.5.4
  CSI shall obtain all necessary and appropriate regulatory and quality approvals prior to authorizing any Change in a timely manner as required.   X    
 
           
2.5.5
  Upon approval by CSI (and within the ability of FRESENIUS KABI to do so), FRESENIUS KABI will initiate the Changes as defined by internal FRESENIUS KABI SOP’s. All Change Control documentation will be available to CSI upon request in local Swedish language or English summary. CSI will receive final copies of all updated documents in local Swedish language upon request. FRESENIUS KABI shall obtain and maintain all necessary regulatory and quality approvals as required by FRESENIUS KABI in connection with such Changes.       X
 
           
2.5.6
  Formatting changes, and other non-technical changes, to master records, analytical test methods or Specifications will not require prior approval by CSI. Changes to methods and/or Specifications for consistency with USP or other compendia will not require prior approval by CSI.       X
 
           
3   PRODUCT MANUFACTURING
 
           
3.1   Excipient and Raw Material Handling

2-10


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
3.1.1
  FRESENIUS KABI will complete qualification, procurement, inspection, storage, sampling, testing, and release of excipients, and raw materials used in the Manufacture of the PRODUCT.       X
 
           
3.1.2
  FRESENIUS KABI has established validated test methods for all excipient testing. In the event new validations are required, FRESENIUS KABI will draft the test method validation protocol and execute the protocol following CSI ‘s approval for PRODUCT specific testing. CSI will review all associated data and approve the final reports that are generated from the validation.   X   X
 
           
3.1.3
  FRESENIUS KABI will follow written procedures describing the identification, quarantine, handling, sampling, testing and approval or rejection of excipients and raw materials.       X
 
           
3.1.4
  FRESENIUS KABI will only use approved raw material and excipient manufacturers, distributors, and suppliers. CSI will be responsible for approval of all such suppliers specified by CSI. If CSI adds, deletes, or changes a manufacturer/distributor/supplier, CSI will notify FRESENIUS KABI and FRESENIUS KABI will issue a Change Control request prior to implementing the change. CSI will provide an audit of all vendors that are not also approved by FRESENIUS KABI. Any changes made to the manufacturer, distributor, and/or supplier of the raw materials will not require a prompt revision of the Quality Agreement. They will be incorporated on the next revision of the Quality Agreement.   X   X
 
           
3.1.5
  FRESENIUS KABI will use reasonable efforts to obtain material that conforms to agreed-upon Specifications. If the primary supply source becomes unavailable, CSI will assist FRESENIUS KABI with identifying a new source. Auditing of vendors is the responsibility of the party who sources the material.   X   X
 
           
3.1.6
  FRESENIUS KABI will qualify vendors per FRESENIUS KABI SOPs. FRESENIUS KABI shall have sufficient documentation in place to justify any reduced sampling and testing.       X
 
           
3.1.7
  FRESENIUS KABI will retain Reference Samples of excipients, including samples for periodic re-tests, for one (1) year beyond expiry of last lot of PRODUCT.       X

2-11


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
3.1.8
  FRESENIUS KABI shall certify that raw materials and processes are Transmissible Spongiform Encephalopathy and Bovine Spongiform Encephalopathy free.       X
 
           
3.2
  Validation        
 
           
3.2.1
  FRESENIUS KABI will perform and maintain all validation including but not limited to: process, analytical method, cleaning, computer, Packaging, and sanitization. Changes to validated systems are subject to Change Control (see Section 2.5).       X
 
           
3.3
  Maintenance and Calibration        
 
           
3.3.1
  FRESENIUS KABI will complete all equipment and instrument maintenance and calibration.       X
 
           
3.4
  Manufacturing Documentation        
 
           
3.4.1
  FRESENIUS KABI will maintain the batch identification system for the PRODUCT Manufactured by FRESENIUS KABI (i.e. batch number assignment) and ensure that unique batch numbers are used for each batch of the PRODUCT.       X
 
           
3.4.2
  FRESENIUS KABI will compile the BOM for PRODUCT Manufacturing with CSI’s final approval.   X   X
 
           
3.4.3
  FRESENIUS KABI will maintain all batch records and associated PRODUCT documentation for a minimum of one year beyond expiry date of the PRODUCT. FRESENIUS KABI shall keep validation batch production and testing records permanently.       X
 
           
3.4.4
  FRESENIUS KABI will ensure executed batch records contain the following information to meet Device History Record (DHR) requirements.
 Dates of manufacture;
 Quantity manufactured;
 Quantity released for distribution;
 Acceptance records which demonstrate the device is manufactured in accordance with the DMR;
 The primary identification label and labeling used for each production unit; and
 Any identification(s) and control number(s) used.
      X
 
           
3.4.5
  FRESENIUS KABI will draft and approve master Manufacturing batch records.       X

2-12


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
3.4.6
  FRESENIUS KABI shall Manufacture the PRODUCT in accordance with principles of cGMP as described by the Regulatory Authority appropriate for the type of PRODUCT.       X
 
           
3.4.7
  FRESENIUS KABI shall assure that the PRODUCT is Manufactured, Packaged, held, labeled, and tested according to FRESENIUS KABI’s procedures and batch records and fulfills the PRODUCT Specification.       X
 
           
3.5
  Packaging of the PRODUCT        
 
           
3.5.1
  FRESENIUS KABI will complete qualification, procurement, incoming inspection, storage, sampling, testing, and release of Primary and Secondary Packaging Materials and Printed Components according to approved Specifications.       X
 
           
3.5.2
  FRESENIUS KABI will follow written procedures describing the identification, quarantine, handling, sampling, testing and approval or rejection of the PRODUCT, Printed Components, and Primary and Secondary Packaging Materials.       X
 
           
3.5.3
  FRESENIUS KABI will qualify Packaging vendors per FRESENIUS KABI SOPs. FRESENIUS KABI shall have sufficient documentation in place to justify any reduced sampling and testing. FRESENIUS KABI will only use approved Packaging manufacturers, distributors, and suppliers.       X
 
           
3.5.4
  FRESENIUS KABI will ensure that the PRODUCT is Packaged, inspected, and held according to FRESENIUS KABI’ s procedures and Packaging instructions, and fulfills the PRODUCT Specification.       X
 
           
3.5.5
  FRESENIUS KABI will control Specifications for Primary and Secondary Packaging Materials and provide reference copies to CSI.       X
 
           
3.5.6
  CSI will control content including artwork and labeling text Specifications of Printed Components.   X    
 
           
3.5.7
  FRESENIUS KABI will retain samples of Primary Packaging Materials for one year past expiry of last lot of the PRODUCT contained in the Primary Packaging Materials.       X

2-13


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
3.5.8
  FRESENIUS KABI will complete reconciliation of Primary Packaging Material and Printed Components after all critical process steps. FRESENIUS KABI will perform component accountability per its approved SOPs. Any reconciliation outside of pre-established limits must be investigated and a copy of the investigation included in the reconciliation.       X
 
           
3.5.9
  FRESENIUS KABI will create and maintain the BOM for PRODUCT Packaging and provide copies of the BOM to CSI.       X
 
           
3.5.10
  FRESENIUS KABI will create and maintain master Packaging instructions in accordance with the PRODUCT Specifications and/or CSI instructions and provide official copies to CSI when the documents are revised.       X
 
           
3.5.11
  FRESENIUS KABI will maintain all executed master Packaging instructions and associated PRODUCT documentation for a minimum of one year beyond expiry date of the PRODUCT. FRESENIUS KABI, if applicable, shall keep validation batch production records permanently.       X
 
           
3.5.12
  FRESENIUS KABI will provide CSI with customer samples of Printed Components, as requested.       X
 
           
3.6
  QC Testing of the PRODUCT        
 
           
3.6.1
  FRESENIUS KABI will generate and maintain the PRODUCT sampling plan and sample the PRODUCT according to the approved sampling plan.       X
 
           
3.6.2
  FRESENIUS KABI has established validated test methods for PRODUCT. In case of need for new validations to perform FRESENIUS KABI will draft the test method validation protocol and execute the protocol following CSI ‘s approval. CSI will review all associated data and approve the final reports that are generated from the validation.   X   X
 
           
3.6.3
  FRESENIUS KABI will participate in test method transfers if applicable (ref 3.6.2) and test method validations as applicable. All method transfers and validations shall be performed according to a CSI approved protocol, which shall include acceptance criteria.   X   X
 
           
3.6.4
  FRESENIUS KABI will complete in-process and final analysis of the PRODUCT per approved test methods.       X
 
           
3.6.5
  FRESENIUS KABI will complete QC equipment instrument maintenance and calibration.       X

2-14


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
3.6.6
  CSI will provide FRESENIUS KABI with the PRODUCT final release and stability Specification.   X    
 
           
 
  FRESENIUS KABI will generate the Certificate of Analysis (“CofA”) and the Certificate of Conformity (CofC) per approved PRODUCT Specification. Minimally the CofA will include the following:        
3.6.7
 
 PRODUCT name and strength
 Item number
 Batch Number
 Date of Manufacture
 Expiry Date
 Test, Specification, and Result
 FRESENIUS KABI Quality Signature Minimally the CofC will include the following:
 Statement of conformance
 FRESENIUS KABI Quality Signature
      X
 
           
3.6.8
  FRESENIUS KABI will store and retain raw data and reports in accordance with cGMP and internal procedures. Raw data will be accessible for on-site review within a reasonable timeframe.       X
 
           
3.6.9
  FRESENIUS KABI will qualify contract test laboratories per FRESENIUS KABI SOPs, if required. If the contract test laboratory is requested by CSI and not a FRESENIUS KABI approved contract test laboratory, CSI will be responsible for qualification of the contract test laboratory.   X   X
 
           
3.6.10
  FRESENIUS KABI will retain Retention Samples of PRODUCT according to FRESENIUS KABI procedures, for one (1) year beyond expiry date of PRODUCT.       X
 
           
3.6.11
  FRESENIUS KABI will complete analysis of final PRODUCT by Quality Control per approved methods.       X
 
           
3.6.12
  FRESENIUS KABI will supply reference and impurity standards fully qualified to Compendial Standards (as appropriate) for use in testing of the active ingredient of the API and commercial Drug Product.       X
 
           
4
  STORAGE AND TRANSPORTATION OF THE PRODUCT AND WASTE DISPOSAL        
 
           
4.1
  CSI and FRESENIUS KABI will store the PRODUCT according to labeled storage conditions.   X   X
 
           
4.2
  CSI will be responsible for shipping qualification.   X    
 
           
4.3
  FRESENIUS KABI shall package the PRODUCT per FRESENIUS KABI’s validated procedures and transfer the product to CSI ‘s qualified shipper.       X

2-15


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
4.4
  CSI will be responsible for arrival of the PRODUCT at the final destination free of damage and contamination.   X    
 
           
4.5
  FRESENIUS KABI will arrange for transportation of the PRODUCT to CSI or a third party designated by CSI.       X
 
           
4.6
  FRESENIUS KABI will dispose of waste and rejected/non conforming PRODUCT. FRESENIUS KABI may discard the PRODUCT only after final disposition of the PRODUCT by CSI.       X
 
           
5
  RELEASE OF THE FINISHED PRODUCT        
 
           
5.1
  FRESENIUS KABI will complete 100% inspection of the PRODUCT.       X
 
           
5.2
  FRESENIUS KABI will complete the executed batch record and associated PRODUCT documentation review, and disposition the batch.       X
 
           
5.3
  In the event FRESENIUS KABI rejection of PRODUCT, CSI may not alter the disposition.   X   X
 
           
 
  For each lot, FRESENIUS KABI will minimally make available to CSI the following batch specific documentation:        
5.4
 
 Major Deviations and an English summary of the investigation reports
 QA disposition as part of CoC
 CofC
      X
 
           
5.5
  FRESENIUS KABI will provide the required documentation for CSI review upon completion of batch disposition and release with a target of thirty (30) calendar days of batch Manufacture.       X
 
           
5.6
  CSI will complete its batch record review and provide final disposition notification in case of major deviations that need CSI approval to FRESENIUS KABI within ten (10) business days upon receipt of required documentation from FRESENIUS KABI. Batches without major deviations will be directly shipped upon release by FRESENIUS KABI.   X    
 
           
5.7
  In the event that after the release of the PRODUCT either party becomes aware that the PRODUCT may have a non-conformity that may affect its fitness for use, such party shall notify the other party within two (2) business days after it becomes aware.   X   X
 
           
5.8
  CSI will follow internal requirements to establish appropriate batch record review requirements after a minimum of three (3), complete FRESENIUS KABI batch record reviews.   X    

2-16


 

             
            FRESENIUS
    RESPONSIBILITIES   CSI   KABI
6
  DOCUMENTATION        
 
           
6.1
  FRESENIUS KABI shall maintain all master formulas, PRODUCT Specifications, BOM for Manufacturing the PRODUCT, master batch records, executed batch records, Packaging instructions, Specifications, and validation packages per FRESENIUS KABI’s procedures and in accordance with cGMP.       X
 
           
6.2
  Batch records shall be kept for a minimum of 5 years by FRESENIUS KABI. Prior to batch record destruction for PRODUCT by FRESENIUS KABI, CSI shall notify FRESENIUS KABI in case of transfer of such records to CSI for storage.       X
 
           
7
  MEDICAL DEVICE REQUIREMENTS        
 
           
7.1
  CSI will be responsible for all design control requirements as outlined in CFR 820.30.   X    
 
           
7.2
  FRESENIUS KABI will provide CSI with any applicable documentation to satisfy design control requirements that are specific to FRESENIUS KABI.       X
 
           
7.3
  FRESENIUS KABI will create and maintain a Device Master Record (DMR) for PRODUCT.       X

2-17


 

Contact Persons: FRESENIUS KABI
         
Plant Uppsala   Contact / Function    
Address:
Fresenius Kabi AB
Rapsgatan 7
SE-751 74 Uppsala, Sweden
  Christoph Funke
Managing Director
  Phone                     
Fax                           
Email:                     
 
       
 
  Alexander Stoll
QA/OP
  Phone                     
Fax                           
Email:                     
 
       
 
  Cecilia Sjöstedt
Plant Manager
  Phone                     
Fax                           
Email:                     
 
       
 
  Thomas Larsson
Supply Chain
Manager
  Phone                     
Fax                           
Email:                     
Contact Persons: CSI
         
Address:
CSI
651 Campus Drive
St. Paul, MN 55112 USA
  Jim Murray
Quality/Supply Chain
  Phone                     
Fax                           
Email:                     
 
       
 
  Megan Brandt
Quality/Regulatory
  Phone                     
Fax                           
Email:                     
 
       
 
  Jim Flaherty
Legal
  Phone                     
Fax                           
Email:                     
 
       
 
  Paul Koehn
Operations
  Phone                     
Fax                           
Email:                     

2-18


 

Contractual Products and Specification
The following products are matter of the Technical Agreement:
                 
                Country of
                Fresenius Kabi
            Marketing   subsidiary where
            Authorization   the product is
Material Number   Name of Product   Size of Product   Number   released
830506350                
(ViperSlide)   Intralipid 10%   100m1   NDA017643   Sweden
                 
The specifications are to be seen in the current registration file of Intralipid 10%.

2-19

Exhibit 31.1
CERTIFICATION UNDER SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, David L. Martin, certify that:
  1.   I have reviewed this quarterly report on Form 10-Q of Cardiovascular Systems, Inc.;
 
  2.   Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
 
  3.   Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
 
  4.   The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
  a)   Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 
  b)   Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
 
  c)   Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
 
  d)   Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
  5.   The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
  a)   All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
 
  b)   Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
         
     
  By:   /s/ David L. Martin    
Dated: May 13, 2011     David L. Martin   
    President and Chief Executive Officer   

 

         
Exhibit 31.2
CERTIFICATION UNDER SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Laurence L. Betterley, certify that:
  1.   I have reviewed this quarterly report on Form 10-Q of Cardiovascular Systems, Inc.;
 
  2.   Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
 
  3.   Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
 
  4.   The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
  a)   Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 
  b)   Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
 
  c)   Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
 
  d)   Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
  5.   The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
  a)   All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
 
  b)   Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
         
     
  By:   /s/ Laurence L. Betterley    
Dated: May 13, 2011     Laurence L. Betterley   
    Chief Financial Officer   

 

         
Exhibit 32.1
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED
PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the filing of the Quarterly Report on Form 10-Q for the quarter ended March 31, 2011 (the “Report”) by Cardiovascular Systems, Inc. (“Registrant”), I, David L. Martin, the Chief Executive Officer of the Company, certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that to the best of my knowledge:
     1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
     2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Registrant.
         
     
  By:   /s/ David L. Martin    
Dated: May 13, 2011     David L. Martin   
    President and Chief Executive Officer   

 

         
Exhibit 32.2
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED
PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the filing of the Quarterly Report on Form 10-Q for the quarter ended March 31, 2011 (the “Report”) by Cardiovascular Systems, Inc. (“Registrant”), I, Laurence L. Betterley, the Chief Financial Officer of the Company, certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that to the best of my knowledge:
     1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
     2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Registrant.
         
     
  By:   /s/ Laurence L. Betterley    
Dated: May 13, 2011     Laurence L. Betterley   
    Chief Financial Officer