Get the Latest Investment Ideas Delivered Straight to Your Inbox. Subscribe


Loan Provides Driver for Growth for Medical Device Firm
Research Report

Share on Stocktwits


Brian Marckx, analyst with Zacks Small-Cap Research, reports that a $20 million loan received by a U.S.-based medical device company could further fuel growth.

In a July 11 report, analyst Brian Marckx noted that Viveve Medical Inc. (VIVE:NASDAQ), a company that produces console systems for vaginal laxity, entered into a new term loan of $20 million, which could increase to $30 million if certain conditions are met. "Approximately $10.8M of the $20M (initially) borrowed was used to repay a legacy loan—we expect at least a portion of the balance will be slated towards growth-related initiatives such as further build-out of the U.S. sales force," Marckx stated.

Marckx sees the loan as further fuel for growth initiatives: "Pro forma for net proceeds of this new term loan that the company entered into in late May (i.e., subsequent to Q1 quarter end), cash balance would be almost $41M or equal to about 20 months' worth of operating capital at the current EBITDA burn rate. This should provide more than enough runway to initiate (and potentially complete) the U.S.-based VIVEVE II clinical study (for support of a sexual function indication)."

Reviewing Viveve's Q1 financial results, Marckx commented, "Total revenue increased 137% yoy and 24% sequentially to $3.04M, a new record and ahead of our $2.76M estimate by about 9%. Q1 marked the seventh straight quarter of sequential double-digit percentage increase in revenue growth. While the 42 consoles sold in the quarter was well below our 62 estimate, this was more than offset by what appears (the company does not disclose pricing) to be very strong average pricing as well as more sales of treatment tips, which at 2,200 were more than 50% above our expectations and also at a record high."

Marckx also noted that the growth of U.S. sales: "the significant U.S.-related sales (approximately 62% of total revenue in Q1 came from North America) had a dramatically positive effect on gross margin which jumped to 46.8%, dwarfing historical levels. This compares to 27.1% in Q1 2016 and an average of 35.4% for the full year 2016; it was also well ahead of our 40.3% estimate. Gross margin should continue to benefit as U.S. sales and treatment tip revenue, both which carry higher margins than that of international consoles, continue to increase as a percentage of total revenue."

"VIVE has been aggressively expanding their commercial footprint," Marckx wrote. "In October 2016 they met another significant milestone gaining regulatory clearance of the Viveve System in Brazil for the treatment of the vaginal introitus, after childbirth, to improve sexual function. As Brazil ranks #2 to only the U.S. in not only vaginal rejuvenation but in total number of all types of cosmetic/aesthetic procedures, we think that country also offers substantial near-term revenue potential," he added.

The Viveve system is cleared for sale in 54 countries, Marckx noted, and "regulatory submissions in approximately 14 other countries are currently pending."

Marckx stated that "VIVE hopes to eventually gain FDA clearance of the Viveve System for an indication related to the improvement of sexual function. While we had hoped the pivotal study would begin this year, that timeline may now be pushed to 2018 given that FDA recently asked for additional safety related data."

The VIVEVE I study, Marckx noted, showed a "highly statistically significant difference between the active and sham arms on the VSQ (i.e., laxity) primary endpoint as well as the FSFI (i.e., sexual function) secondary endpoint. In addition, patients receiving Viveve treatment were 3x more likely to report no vaginal laxity at 6-month follow-up compared to control. Safety was considered excellent with no difference in adverse event rates between the treatment and sham cohorts."

The analyst places a valuation of Viveve at $11 per share. The stock is currently trading at around $6.15.

Want to read more Life Sciences Report articles like this? Sign up for our free e-newsletter, and you'll learn when new articles have been published. To see recent articles and interviews with industry analysts and commentators, visit our Streetwise Interviews page.

1) Patrice Fusillo compiled this article for Streetwise Reports LLC and provides services to Streetwise Reports as an employee. She or members of her household own securities of the following companies mentioned in this article: None. She or members of her household are paid by the following companies mentioned in this article: None.
2) The following company mentioned in this article is a billboard sponsor of Streetwise Reports: Viveve Medical Inc. Streetwise Reports does not accept stock in exchange for its services. Click here for important disclosures about sponsor fees. The information provided above is for informational purposes only and is not a recommendation to buy or sell any security.
3) Comments and opinions expressed are those of the specific experts and not of Streetwise Reports or its officers.
4) The article does not constitute investment advice. Each reader is encouraged to consult with his or her individual financial professional and any action a reader takes as a result of information presented here is his or her own responsibility. By opening this page, each reader accepts and agrees to Streetwise Reports' terms of use and full legal disclaimer. This article is not a solicitation for investment. Streetwise Reports does not render general or specific investment advice and the information on Streetwise Reports should not be considered a recommendation to buy or sell any security. Streetwise Reports does not endorse or recommend the business, products, services or securities of any company mentioned on Streetwise Reports.
5) From time to time, Streetwise Reports LLC and its directors, officers, employees or members of their families, as well as persons interviewed for articles and interviews on the site, may have a long or short position in securities mentioned. Directors, officers, employees or members of their immediate families are prohibited from making purchases and/or sales of those securities in the open market or otherwise from the time of the interview or the decision to write an article, until one week after the publication of the interview or article.

Want to read more about Medical Devices investment ideas?
Get Our Streetwise Reports Newsletter Free and be the first to know!

A valid email address is required to subscribe