ISRAEL 
HIGH-TECH & INVESTMENT REPORT

from the May 2005 issue


Insightec Assigns its Underwriters


Insightec, one of Israel's hottest companies plans to seek a listing on Nasdaq. Insightec and has chosen Merrill Lynch and Morgan Stanley as its underwriters. The issue is planned to reach the market in 2005 at an estimated valuation of $500m.Insightec has won acclaim and awards for its novel surgical systems, that combine magnetic resonance technology with ultrasound to noninvasively treat tumors inside the body. Elbit Medical Imaging (Nasdaq:EMITF) controls it with a 52% holding, and General electric owns 20%.

Insightec is a young company. It was founded in 1999 and has received $84 million in investments to date. InSightec developed ExAblate 2000, a focused ultrasound ablation device that can be integrated with a GE 1.5T.

Its first commercial development was the ExBlade, launched in 2000, which used focused ultrasound waves to scorch tumors inside the body, without breaking the skin. The device was appended to MRI - magnetic resonance imaging - machines made by General Electric.

Its award-winning technology was a revolution in tumor treatment, which until then had been based on invasive surgical extraction. Today its systems operate at 12 hospitals around the world, including the Sheba hospital at Tel Hashomer, Israel.

The United States Food and Drug Administration has approved an InSightec ultrasound device, ExAblate, to treat uterine fibroids. These are clumps of tissue that can cause miscarriages, painful menstruation and related problems in women, explained InSightec. The system uses ultrasound waves to break up the clumps and can provide an alternative to the removal of a uterus, or hysterectomy. But the FDA cautioned that the ExAblate 2000 System is not intended for women who want to become pregnant in the future. About 80 percent of women suffer from uterine fibroids at some point in life, according to the National Institutes of Health. Symptoms include pain, bleeding and uterine swelling, accompanied by a heightened need to urinate. But many women have no symptoms. Up to 25% will eventually require a hysterectomy, The ExAblate proffers a non-invasive alternative to many. Sometimes fibroids are treated with hormone therapy, but in that case the growths tend to recur, InSightec explains.

The ExAblate uses magnetic resonance imaging to pinpoint the non-cancerous tumors. Heat from carefully guided ultrasound waves then selectively kills the fibroid tissue, which is flushed from the body naturally. The company says its treatment is practically painless, and obviates the need for hospitalization, which sharply reduces healthcare costs. Patients lost an average of 1.2 working days compared with 19 in the case of women who underwent hysterectomy.

GE Healthcare, a unit of General Electric Co., said it was collaborating with InSightec to deliver the ExAblate system, which works with GE's Signa MR system. InSightec says the FDA approval followed trials on 109 women in seven medical centers around the world. Significant improvement was reported in 71% of cases, it said.

InSightec president and chief operating officer Dr. Jacob Vortman said his company is investigating possible use of the device to treat breast, liver, bone and brain cancers. "Today's approval ... underscores the importance of imaging technologies not only as diagnostic tools, but also as a therapeutic modality," Vortman explained.

Recently, InSightec completed a $21 million financing round from its existing shareholders. For the purpose of the investment the company was valued at $100 million.


Reprinted from the Israel High-Tech & Investment Report May 2005

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