-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TSKajNIE2CSINS9gmwSdm7LptG7e7vD6qz1j7agIPIB1g/OcnGMtyCbzYdc2Biko NRckuwG12d8RbkA+rMl/kQ== 0001104659-03-010902.txt : 20030521 0001104659-03-010902.hdr.sgml : 20030521 20030521121521 ACCESSION NUMBER: 0001104659-03-010902 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030521 GROUP MEMBERS: MEDTRONIC INTERNATIONAL, LTD. FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MEDTRONIC INC CENTRAL INDEX KEY: 0000064670 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 410793183 STATE OF INCORPORATION: MN FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY STREET 2: MS LC300 CITY: MINNEAPOLIS STATE: MN ZIP: 55432 BUSINESS PHONE: 7635144000 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CAMBRIDGE HEART INC CENTRAL INDEX KEY: 0000913443 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 133679946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-46607 FILM NUMBER: 03714020 BUSINESS ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 7812711200 MAIL ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 SC 13G 1 j1436_sc13g.htm SC 13G

SEC 1745
(02-02)


Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

 

 

UNITED STATES

OMB APPROVAL

 

SECURITIES AND EXCHANGE COMMISSION

OMB Number:
3235-0145

 

Washington, D.C. 20549

Expires: December 31, 2005

 

SCHEDULE 13G
(Rule 13d-102)

Estimated average burden hours per response. . 11

 

Information to be Included in Statements Filed Pursuant to Rule 13d-1(b), (c) and (d)
and Amendments Thereto Filed Pursuant to Rule 13d-2.

 

Under the Securities Exchange Act of 1934
(Amendment No.    )*

 

CAMBRIDGE HEART, INC.

(Name of Issuer)

 

Common Stock, par value of $0.001 per share

(Title of Class of Securities)

 

131910101

(CUSIP Number)

 

May 12, 2003

(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

[     ]

Rule 13d-1(b)

[ X ]

Rule 13d-1(c)

[     ]

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 



 

CUSIP No. 

 

 

1.

Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only)
MEDTRONIC, INC.
41-0793183

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

[     ]

 

 

(b)

[     ]

 

 

*Joint Filing

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
MINNESOTA

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
4,173,321 (includes 2,941,172 shares of Common Stock issuable upon conversion of Series A Convertible Preferred Stock; 882,349 shares of Common Stock issuable upon conversion of Series A Convertible Preferred Stock which may be purchased upon exercise of an exercisable warrant; and 349,800 shares of Common Stock held by Medtronic International, Ltd.)

 

6.

Shared Voting Power
0

 

7.

Sole Dispositive Power
4,173,321 (includes 2,941,172 shares of Common Stock issuable upon conversion of Series A Convertible Preferred Stock; 882,349 shares of Common Stock issuable upon conversion of Series A Convertible Preferred Stock which may be purchased upon exercise of an exercisable warrant; and 349,800 shares of Common Stock held by Medtronic International, Ltd.)

 

8.

Shared Dispositive Power
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
4,173,321

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  [     ]

 

 

11.

Percent of Class Represented by Amount in Row (9)
17.9%

 

 

12.

Type of Reporting Person (See Instructions)
CO

 

2



 

 

1.

Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only)
Medtronic International, Ltd.
41-1278948

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

[     ]

 

 

(b)

[     ]

 

 

*Joint Filing

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
DELAWARE

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
349,800

 

6.

Shared Voting Power
0

 

7.

Sole Dispositive Power
349,800

 

8.

Shared Dispositive Power
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
349,800

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  [     ]

 

 

11.

Percent of Class Represented by Amount in Row (9)
1.8%

 

 

12.

Type of Reporting Person (See Instructions)
CO

 

3



 

Answer every item.  If an item is inapplicable or the answer is in the negative, so state.

Item 1.

 

(a)

Name of Issuer
Cambridge Heart, Inc.

 

(b)

Address of Issuer's Principal Executive Offices
1 Oak Park Drive
Bedford, MA  01730

 

Item 2.

 

(a)

Name of Person Filing
See Cover Page Item 1

 

(b)

Address of Principal Business Office or, if none, Residence
710 Medtronic Parkway
Minneapolis, MN  55432

 

(c)

Citizenship
See Cover Page Item 4

 

(d)

Title of Class of Securities
Common Stock, par value $0.001 per share

 

(e)

CUSIP Number
See Cover Page

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

[  ]

Broker or dealer registered under Section 15 of the Exchange Act.

 

(b)

[  ]

Bank as defined in Section 3(a)(b) of the Exchange Act.

 

(c)

[  ]

Insurance company as defined in Section 3(a)(19) of the Exchange Act.

 

(d)

[  ]

Investment company registered under Section 8 of the Investment Company Act.

 

(e)

[  ]

An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E).

 

(f)

[  ]

An employee benefit plan or endowment fund in accordance with Rule 13d 1(b)(1)(ii)(F).

 

(g)

[  ]

A parent holding company or control person in accordance with Rule 13d 1(b)(1)(ii)(G).

 

4



 

 

(h)

[  ]

A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act.

 

(i)

[  ]

A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act.

 

(j)

[  ]

Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

 

 

 

Not applicable

 

If this statement is filed pursuant to Rule 13d-1(c), check this box.  [ X ]

 

Item 4.

Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

See Cover Page Items 5 through 11

 

(a)

Amount beneficially owned:   

 

(b)

Percent of class:   

 

(c)

Number of shares as to which the person has:

 

 

(i)

Sole power to vote or to direct the vote   

 

 

(ii)

Shared power to vote or to direct the vote   

 

 

(iii)

Sole power to dispose or to direct the disposition of   

 

 

(iv)

Shared power to dispose or to direct the disposition of   

 

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [   ].

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

Not applicable

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

Not applicable

 

Item 8.

Identification and Classification of Members of the Group

Not applicable

 

Item 9.

Notice of Dissolution of Group

Not applicable

 

Item 10.

Certification

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

Exhibits

Joint Filing Agreement, dated May 19, 2003, between the Reporting Persons.

 

5



 

Signature

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

 

May 19, 2003

 

Date

 


MEDTRONIC, INC.

 


/s/ David J. Scott

 

Signature

 


David J. Scott
Senior Vice President, General Counsel
and Secretary

 

Name/Title

 

 

 

May 19, 2003

 

Date

 


MEDTRONIC INTERNATIONAL, LTD.

 


/s/ David J. Scott

 

Signature

 


David J. Scott
Vice President and Secretary

 

Name/Title

 

6



 

AGREEMENT TO MAKE A JOINT FILING

 

The undersigned hereby agree to file a joint Schedule 13G (and any amendments thereto) with respect to the interests of the undersigned in Cambridge Heart, Inc. and further agree that such Schedule 13G and amendments thereto are filed on behalf of each of the undersigned.

 

Date:  May 19, 2003

 

 

MEDTRONIC, INC.

 

 

 

 

 

 

 

By:

/s/ David J. Scott

 

 

 

David J. Scott

 

 

Senior Vice President, General Counsel

 

 

and Secretary

 

 

 

 

 

 

 

MEDTRONIC INTERNATIONAL, LTD.

 

 

 

 

 

 

 

By:

/s/ David J. Scott

 

 

 

David J. Scott

 

 

Vice President and Secretary

 

7


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