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8-K - CURRENT REPORT ON FORM 8-K - VIKING SYSTEMS INCviking_8k-072110.htm
 

Exhibit 99.1
 
Excellence in Surgical Visualization
Corporate Presentation
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 July 2010 w
 
 

 
Excellence in Surgical Visualization
Safe Harbor
 This presentation contains forward-looking statements. These forward-
 looking statements are estimates reflecting the best judgment of our
 management and involve a number of risks and uncertainties that could
 cause actual results to differ materially from those suggested by the forward
 -looking statements. These forward-looking statements should, therefore,
 be considered in light of various important factors as described in our
 annual report on Form 10-K under the heading "Risk Factors" as updated
 from time to time by our quarterly reports on Form 10-Q and our other filings
 with the Securities and Exchange Commission. Statements concerning
 forecasts, revenue growth, procedure growth, future financial results, and
 statements using words such as "estimate", "project", "plan", "intend",
 "expect", "anticipate", "believe" and similar expressions are intended to
 identify forward-looking statements. You are cautioned not to place undue
 reliance on these forward-looking statements, which speak only as of the
 date of this presentation. We undertake no obligation to publicly update or
 release any revisions to these forward-looking statements to reflect events
 or circumstances after the date of this presentation or to reflect the
 occurrence of unanticipated events.
This presentation should not be construed as an offer to buy or sell securities
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Excellence in Surgical Visualization
The Company
 Viking Systems (OTCBB: VKNG) is a leading worldwide
 developer, manufacturer and marketer of 2D and 3D
 visualization solutions for complex minimally invasive surgery.
 The Company actively markets and sells the only stand alone,
 cost effective 3D vision system for use in minimally invasive
 surgery.
 The Company believes performing complex minimally invasive
 procedures with a 3D vision system has the potential not only
 to improve the quality of care but also to reduce procedure
 time and therefore cost of procedures.
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Excellence in Surgical Visualization
 Management Team
 Bill Bopp: Chairman
  ALARIS: Sr. VP & CFO
  C.R. Bard: EVP & CFO
  Harvard University, AB & MBA
 Jed Kennedy: President & CEO
  Vista Medical Technologies: EVP & COO
  Smith & Nephew: Group Director, Product
 Development
  Boston University, BS
 Rob Mathews: EVP & CFO
  Cardinal Health’s Clinical Technologies and
 Services : SVP & CFO
  ALARIS: Vice President of Finance & CAO
  Price Waterhouse
  San Diego State University, BS
 Yuri Kazakevich: Vice President, R&D
  Smith & Nephew: R&D Manager,
 Visualization
  Science and Technology Corporation of the
 Academy of Sciences of the USSR: Principal
 Engineer
  Institute of Fine Mechanics and Optics,
 Leningrad, USSR, BS & MS
 Rob Tierney: VP, US Sales & Clinical Dev.
  Precision Optics: Director of Sales
  Smith & Nephew: Vice President of Sales
  Tierney Associates: Principal
  Western Michigan University, BS
  University of Florida, BS (Physicians Assistant-
 Certified)
 Fred Calnan: VP, International & OEM Sales
  Trivirix International: Director of Business
 Development
  Plexus: Account Executive Medical Sector
  Babson College, MBA
  University of Limerick, BS
 Terry Donovan: Vice President, Operations
  Donovan Consulting Company: Principal
  Smith & Nephew; Vice President of Manufacturing
  Schott Fiber Optics Corp.: Manufacturing
 Manager
  Northeastern University, MBA
  Merrimack College, BS
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Excellence in Surgical Visualization
Historical Background
January 2008
 Ø Restructured business model to reduce expenses
 Ø New management and Board of Directors
 Ø Simplified capital structure with refinancing
Improved P&L and cash flow in 2009
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Excellence in Surgical Visualization
Selected Financial Data
 Symbol   VKNG.OB
 2009 Sales  $7.2 million
 2009 Op. Loss*  $0.5 million
 Shares O/S  53.3 million
 Recent Price  $0.21 - $0.27
 Market Cap  approx. $12 million
 52 week range  $0.01 - $1.10
*excluding noncash charges
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Excellence in Surgical Visualization
Opportunity
 Major new product cycle unfolding around 3D vision
 systems
 Viking is currently the only known supplier of stand
 alone, cost effective 3D vision systems
  5% market conversion represents $100,000,000 sales
 Potential to roll up with disposable instruments for “robot
 lite” to address newly created multi-billion dollar market
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Excellence in Surgical Visualization
 Intellectual Property Portfolio
 Fourteen issued US patents
 Four Licensed US patents
 Three Provisional Patents filed
 Four Disclosures in progress
 Substantial 3D vision system “know how”
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Excellence in Surgical Visualization
 Restores the surgeon’s natural 3D vision and depth
 perception
 Provides depth cues and precise spatial orientation
 Shown to enhance dissection, grasping skills, suturing,
 stapling and overall surgical efficiency*
 Requires no additional certification or training for those
 surgeons certified to perform laparoscopic procedures
 Enhances task performance leading to lower procedure
 times and costs*
*data on file
 Benefits of Viking
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Excellence in Surgical Visualization




Independent Study
Demonstrating Benefits of 3D


3D vision enhances task performance independent of the surgical method
O.J. Wagner (1,2) , M. Hagen (2) , M. Talamini (2) , S. Horgan (2) , A. Kurmann (1) ,
1D. Candinas
(1) , 1S.A. Vorburger (1)
1) Department of Visceral and Transplantation Surgery, Inselspital, University Hospital Bern and University of Bern, Switzerland
2) Center for the Future of Surgery, Department of Surgery, University of California - San Diego,USA
 Background
 
 Despite obvious advantages of minimally invasive surgery, laparoscopy lacks of natural
 stereoscopic depth perception and spatial orientation. Therefore, these 2 parameters appear to
 represent mayor downsides of minimal-invasive surgery. Still, the importance and overall negative
 effect of this lack of natural stereoscopic depth perception and spatial orientation has not been
 clearly demonstrated. The aim of this study was to evaluate if three-dimensional (3D) visualization
 improves surgical skills and task performance when compared to two-dimensional (2D) vision.
 Conclusion
 All tasks were completed faster with 3D vision compared to 2D vision. The more complex a task,
 the more 3D vision sped up task completion compared to 2D vision, independent of the surgical
 modality. A major factor for improved task performance of robotic-assisted surgery (3D) compared
 to conventional (2D) laparoscopy is the improved vision.
(Presented at the European Association of Endoscopic Surgeons, June 2009. ,manuscript is currently under  review by “Endoscopy.”)
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Excellence in Surgical Visualization
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Excellence in Surgical Visualization
  Robotic surgery brought 3D visualization to the OR
  3DHD enables complex minimally invasive procedures
  Emergence of 3D flat panel display technology
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Excellence in Surgical Visualization
Notable Quotes
 Dr. Gerald Andriole, Chief of Urological Surgery, Washington U. in St. Louis, MO:
  "Viking’s Next Generation 3DHD system represents a huge improvement over 2D HD visualization in laparoscopic
 surgery. Having a 3D image gives the surgeon superb control while manipulating needles for intracorporal sewing,
 making knot tying simple."
 Dr. Sam Bhayani, Co-Director of Robotic Surgery, Div. of Urological Surgery, Washington U. St. Louis, MO:
  “This 3D image is as good as any I have ever seen in my robotic procedures. I feel more in control and extraordinarily
 comfortable. It allows me to regain tactile feedback without sacrificing superior visualization.“
 Dr. Eric J. DeMaria, Chief of Surgery at Durham Regional Hospital:
 “Using 3D cameras in the OR has changed my sense of depth and space while performing minimally invasive surgery.
 In our recent tests, 3D technology has helped provide a truer visual experience - similar to that of natural sight, even
 when performing laparoscopic surgical tasks deep within the abdominal cavity.”
 Dr. Colleen Feltmate, Director Minimally Invasive GYN-Oncologic Surgery, Brigham & Women’s Hospital,
 Boston, MA:
 “I was quite impressed with the Viking 3DHD system.  I really am looking forward to trialing it out in surgery to see how
 much faster and/or precise it makes me.”
 Dr. Alistair Phillips, Attending Cardio Vascular Surgeon at The Heart Center at Nationwide Children’s Hospital
 and assistant professor of Surgery at The Ohio State University College of Medicine, Columbus, OH :
  “The Viking 3D system has become a very important part of our practice and will have an ever increasing role, especially
 with the improvements Viking has made with the new 3DHD System.”
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Excellence in Surgical Visualization

Minimally Invasive Camera
Systems Market Data
US market 2DHD Systems estimated at $800 million for 2011
Global market estimated at approximately $ 2.0 billion*
In 2005 only 12% of systems placed were HD; in 2008 the number was closer to 65%
ASP for a standard definition camera system is $25,000 - $40,000 (end user)
ASP for a high definition camera system is $40,000 - $65,000 (end user)
Number of MIS procedures performed is growing as technology enables more
procedures to convert from open. High quality vision is essential to this conversion.
*Includes various combinations of cameras, lightsources, monitors, recorders, carts and displays. (Excludes $1.0 Billion in endoscopes)
 
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Excellence in Surgical Visualization
VIKING is uniquely positioned in the gap between conventional 2D HD
systems and the 3D HD visualization systems available only as part of high
cost robotic systems, this represents a two billion dollar market
opportunity……..
Market Opportunity for
--------------------Minimally Invasive (MIS) Vision Market----------------------
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Stryker
Storz
Richard Wolf
Linvatec
Intuitive
Viking Systems
Market Opportunity
25, 000 to 30,000/yr
1 CHIP SD
3 CHIP SD
Surgical
Robotics
~350/yr
Laparoscopic
 Urology
 GYN
 General Surgery
 Thoracic
Convert
2D HD
 
 

 
Excellence in Surgical Visualization
 Building Surgeon & Brand Awareness
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Excellence in Surgical Visualization
 American College of Surgeons
   96th Clinical Congress
 October 3-7, 2010
 9,000 domestic and international surgeons
 20’ X 40’ booth on main aisle
 Co-marketing plans with Sony
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Excellence in Surgical Visualization
 Primary Goal
  Develop regional distributors that will allow continued growth through clinical experience and
 positive referrals
 Distributor Focus
  Surgical vision system experience
  Complementary product offerings
  Operating room as primary call point
 Primary launch targets
  United States
  Italy
  France
  Spain
  Central Europe (Austria/Czech Republic/Poland)
  S. Korea
 Second phase
  Germany/UK/China/Japan/Switzerland/Latin America/Turkey
 Clinical Focus
  General Surgery/GYN/Urology/Thoracic
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Excellence in Surgical Visualization
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 1,000 systems = sales of approx. $70-$90 MM
 2,000 systems = sales of approx. $140-$180 MM
 3,000 systems = sales of approx. $210-$270 MM
 
 

 
Excellence in Surgical Visualization
 Beyond Stand Alone
3D for robotic surgical systems
  We believe robotic surgical systems require 3D
 visualization. Viking is well positioned to provide 3D
 visualization solutions to robotic surgical system
 manufacturers
 Enabling advanced technologies for laparoscopic
 surgery
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Excellence in Surgical Visualization
Automated
Scope
Positioner*
Strategic Opportunity
Completes Solution
Establishes Market Domain
Expands Clinical Relevancy
Drives ‘Price-to-Value’
Example advanced technology
combination for laparoscopic
surgery
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* Non Viking technology potentially
available for combination.
 
 

 
Excellence in Surgical Visualization


Surgical Robotic System
Capital Equipment  $1.4MM
Annual service agreement $142K
Per Procedure consumable $1,900
2009 procedure total 205,000
Advanced Laparoscopic System with
Capital Equipment  $<250K
Annual service agreement $0
Per Procedure consumable $500-1500
2009 MIS procedures 3,000,000+
 
Cost Comparison
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Excellence in Surgical Visualization
OEM Business
“A Valued Partner in the Growth of Medical Technology”
ü FDA registered
ü ISO 13485 certified
ü Credible Customer List
  Boston Scientific
  Medtronic
  B. Braun
  Richard Wolf
ü Skilled Work Force
ü Clean Room Facilities
ü Electro- Mechanical Assembly
ü Optical Assembly
ü Medical Device Design Expertise
  Analog & Digital Electronics
  Firmware
  Mechanical
  Optical
ü Design Tools
  Solid Works
  AutoCad
  ORCAD
  ZEMAX
ü Regulatory Affairs Expertise
  US & ROW
 Viking Systems operates a Medical Technology - OEM business,
 manufacturing and assembling 3-D and 2-D cameras and components
 made for several top-level and widely recognized medical instrument
 companies worldwide. Viking sells these components direct to contracted
 clients, as well as through
strategic partners.
Medical Technology Capabilities:
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Excellence in Surgical Visualization
Summary
 Unique product to address $2 billion surgical vision market
 Enabling technology of multi-billion surgical robotic market which
 can provide a platform for growth
 Experienced management team
 Strong intellectual property portfolio & proprietary “know how”
 Publicly traded equity
 Operates in Health Care Market Segment
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Excellence in Surgical Visualization
Thank You
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