By RONALD TRAHAN Medical Device Daily Contributing Writer BOSTON With venture capital reserves dry- ing up, many emerging companies are considering ven- ture debt to extend their runway to a milestone event and additional, traditional funding. For example, ZipLine Medical (Campbell, California) just closed a $2 million venture debt nancing with Western Technology In- vestment (WTI) (Portola Valley, California). Unlike conventional bank lending, venture debt is accessible to startups or emerging companies that do not have positive cash ows or signicant assets to use as collateral. Interest rates vary widely from prime plus 2% to prime plus 9%, with the loan term typically rang- ing from 24 to 48 months. A venture debt lender is also likely to take a lien against all of a companys assets; thus, in the event of a default, the venture debt lender can legally take the entire company. The venture debt deal also typically includes a warrant to buy the companys shares, usually 5% to 15% of the loan amount. Venture debt is available mostly to companies that have secured at least one round of ven- ture capital nancing by a recognized venture capital rm or syndicate of venture capital rms. We estimate that venture debt represents about 10 to 15 percent of the venture capital dollar amount in- vested in any given year, and that the known players total less than 20 lenders, said Maurice Werdegar, CEO of WTI, the largest and oldest venture debt rm, which closes about 100 deals a year. In ZipLines case, both the founder, Amir Bel- son, MD (Medical Device Daily, March 29, 2012), and the CEO, John Tighe, have had previous successful re- lationships with Werdegar and WTI. ZipLine has devel- oped a versatile noninvasive skin-closure technology called PRELOC that offers both speed and good cosmesis, with no piercing of the skin, via a simple, easy-to-learn and easy-to-use device. ZipLine is target- ing a $4 billion worldwide market opportunity covering most surgical procedures involving skin incision. According to Belson, in selecting a venture debt partner, the most important thing is the reputation of the venture debt lender. The company seeking the money is just look- ing for a few more months of runway before it achieves an inection point, Belson told Medical Device Daily. But there is always the possibility that the emerging company will need a little more time in reaching that in- exion point. If that happens, you dont want to be working with a venture-lending group that is very quick in panicking, he added. ZipLine is unusual in that Belson and Tighe both have outstanding records of achievement that gives lenders a high level of comfort. Prior to being re- cruited to ZipLine, Tighe was a director and presi- dent/CEO of PEAK Surgical (Palo Alto, California), joining the company as its rst employee in June 2006. In July 2011, he negotiated the acquisition of Peak by Medtronic (Minneapolis). Belson was the founder of NeoGuide Systems (Los Gatos, California), acquired by Intuitive Surgical (Sunnyvale, California) in 2009. Belson is also the founder of six other companies in addition to NeoGuide and ZipLine. Its all about trusting your venture lender, Bel- son says. All the venture lenders will tell you that if your company gets in trouble they will be good part- ners. Of course, thats not reality. Number one, by far, is the ne print really matters, says Werdegar. The horror stories about venture debt happen when companies sign deals in which the lender has certain subjectivity in how it can foreclose upon a company. In deals where the lender has a subjective default covenant for example, if your device has been turned down by the FDA at your PMA hearing is that a default or not? If youre a lender, you might want it to be, because there might still be cash in the bank, at which point you can get your money back. In our deals, and in many other deals of funds like ours, that event would not be a de- fault. We have no subjective defaults whatsoever. I think the reason our rm is so busy, and that great companies like ZipLine work with us, is because we do not have those subjective provisions, says Werdegar. Our best references are from companies that have actually defaulted with us. A great example is Emphasys Medical (Redwood City, California), which was turned down by the FDA for its emphysema de- vice in December 2009. They had over $10 million in the bank, and they owed us $10 million at the time that happened. The company eventually ran out of cash. We never called the default. We conducted a sale effort once the board tossed us the keys, and we were fortunate to nd a buyer for the IP, which was a company named Pulmonx (Palo Alto, California), which happened to also be in the emphysema space (MDD, May 18, 2009). The short story is that its a beautiful outcome, Werdegar told MDD. By bolting the Emphasys Medical device onto the Pulmonx guidance system, you now have an approved product in Europe that is the leading therapy for emphysema. Everybody felt great about the outcome and about how the process went down. The horror stories about venture debt exist when companies sign deals for cheap money, at a low interest rate, with low warrant coverage, without really understanding what they are signing. Werdegar cautions companies to abide by the following three rules. 1) Read the ne print. Under- stand exactly what the lenders rights are in the deal it- self. Often they dont show up in a term sheet. 2) Dont reference-check with the successful companies but ask the lender to speak with ve companies that have had problems, where theyve had to restructure their debt or where there was a default. Those are the refer- ences to really care about. We were the rst investors into Facebook with equity and debt in the seed round. But the references we would give out are those where companies have hit a bump in the road. NeoGuide ran out of money and couldnt pay us for seven months. Dr. Belson witnessed rsthand how we handled that. We created a heat shield, if you will, protecting NeoGuide from other creditors. In that period of time they were able to reconstitute themselves, eventually raised a new ven- ture round, and had a great exit when the company was acquired by Intuitive Surgical. All parties involved would tell you that WTI saved the company. 3) Insist on direct access to a decision-maker at the lending rm. Work with someone who is on the credit committee, who has the authority to work through a problem should one occur. A lot of these lenders are using sales reps to sell the venture debt product, so theyre incented to get the deal done but not to x it if something goes wrong. Even though we already have equity nancing in place, the venture debt is a much less dilutive form of nancing for all our shareholders. It helps us extend the runway so that ZipLine can reach additional milestones and an increase in valuation of the company before an- other round of equity nancing, adds ZipLine CEO Tighe. Some venture debt rms are better to work with than others, Tighe continues. When I was at PEAK Surgical, WTI was very easy to work with when we hit a bump in the road. If youre thinking of engaging a ven- ture debt lender, do your homework. Check references. Talk to other CEOs who have had supportive venture debt relationships especially during tough times. And it goes without saying that careful legal review is neces- sary, particularly as it relates to the ne print of covenants. (Ronald Trahan is president of Ronald Trahan Associates Inc., which has been providing public and investor relations services to big and small companies, private and public, since 1992. rctra- han@ronaldtrahan.com. ZipLine Medical is a client of the rm.)